TRAVEL MEDICINE SERVICES
[Pre- and Post-travel Exams] [During pre-travel exam] [During post-travel exam] [Travel consultations] [Recommendations for special areas] [Case example]
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Pre
and Post Travel Exams
Health conditions and availability of medical care are
often uncertain when traveling outside the country. Extra attention both before
and after travel decreases the possibility that an unexpected medical situation
will catch your key employee unprotected.
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During the Pre-Travel Exam, the physician
will:
Monitor known or chronic conditions and make recommendations.
Identify medical problems that may need attention before traveling.
Recommend appropriate immunizations, and make arrangements for their administration.
Recommend supplies and where needed, prescribe medication the traveler may
need.
Provide a travel packet with information on diseases, management of travel
related problems, access to help, check lists, etc.
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During the Post-Travel Exam the physician
will:
Re-evaluate the person's health, and document any changes.
Check for the presence of infection that could have been acquired traveling.
Treat medical conditions as needed.
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Travel Consultations
Less extensive than the pre-travel exam, the travel
consultation will meet the needs of those who are planning a brief business
trip out of the country. The consultation will include:
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Travel recommendations for special areas
Whether your employee is traveling to a country with
modern medical facilities or to a remote area, the medical staff can provide
information on what to expect on arrival--precautions to take for food and
water safety, availability of medical care, infectious diseases prevalent
in the area and symptoms that might accompany infection and treatment of common
ailments.
Travel offers an excellent opportunity to practice preventive medicine. By
utilizing pre-travel medical consultation, your company can protect employees
and reduce costs.
When an employee travels abroad on business, the company is responsible for
medical care and problems that may occur. It is important, therefore, to take
all appropriate precautions to protect the business traveler. Being prepared
can mean the difference between a disaster and a productive trip.
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Case example
A 52 year-old male manager was referred by his employer for a pre-travel examination
prior to being sent to the middle-east for two years of work there. He was
scheduled to work primarily in the remote areas several hundred miles from
medical care and support facilities. At the time of his examination, a stress
test was recommended because he had multiple risk factors for cardiovascular
disease and would be living in an area where no sophisticated medical care
would be available. He initially resisted the recommendation saying that he
"felt fine, had no symptoms and needed to start packing," But, he
eventually agreed to the test.
Four and one-half minutes into the test he developed major changes on his
electrocardiogram, a feeling of tightness in the chest and irregular heart
beat. The test was stopped immediately, and he was transferred to the hospital
where cardiac cauterization revealed advanced coronary artery disease with
major obstruction in three different areas. Two days later, he underwent triple
bypass surgery and had an uneventful recovery. There was no evidence of heart
damage, and he had a full recovery.
At discharge, the cardiologist commented that a major, potentially fatal heart
attack would have occurred within had the abnormalities not been found with
testing. Following discharge and rehabilitation, he returned to full-time
employment.
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