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7 Ways Doctors Stay Healthy on Vacation

Medical experts weigh in on healthy travel. Use their battle plan to avoid colds, jet lag, and other troubles.

1. Jet lag
"It takes your body typically one day to adjust to each time zone traveled, so if you've gone through seven or eight time zones, it'll be about one week before your internal clock matches the actual time. The main factors in resetting your biological clock are light exposure and melatonin. If you've traveled eastward, you can fool your body's reactions to the time zone by getting light exposure early in the day. If you've gone westward, you're trying to extend your day, so you want light exposure in the evening. Melatonin (available over-the-counter in the U.S.) is a clock-resetting agent. Adults traveling eastward can take three milligrams before going to bed upon arriving at their destination." It's less useful for westward travel, though.
Dr. Robert Sack, professor of psychiatry, Oregon Health & Science University, with an expertise in sleep disorders

2. Economy-class syndrome (a.k.a. deep vein thrombosis)
"Flights longer than eight hours increase your risk for DVT, a blood clot that forms in a vein, which can lead to fatal complications. Cases are rare, though. Out of every million travelers who fly, only about 27 are struck with DVT. The risk factor tends to be found in people who have had heart failure, a history of pulmonary embolism, a hip or knee replacement in the last six months, or any neurological weakness of the legs. Medications that put people at risk include oral contraceptives and estrogen replacement therapy. Pregnancy also puts you at risk. But that doesn't mean you should stop traveling. Prevent DVT by staying hydrated and exercising calf muscles by pumping your foot at the ankle and wiggling your toes and feet. When the flight allows it, get out of your seat and walk in the aisle. You want to have the blood flowing in your legs."
Dr. Daniel Becker, professor of internal medicine, University of Virginia School of Medicine; coauthor of the medical journal article "Air Travel and Venous Thromboembolism: A Systemic Review"

3. Colds and flus
"Cold and flu viruses can live on surfaces for anywhere from a few hours to a few days. Norovirus (a.k.a. stomach flu, with symptoms like diarrhea, nausea, and vomiting) can survive on surfaces for two to four weeks. You can reduce your risk of getting ill by 30 to 50 percent with frequent hand washing. Use alcohol gel hand sanitizers, if you can't always get to a sink with soap while traveling. When purchasing gels, look for bottles that say 'sanitizer'—because that label is FDA-approved—and that have at least a 70 percent alcohol content."
Dr. Charles P. Gerba, microbiologist, University of Arizona

4. Seasickness
"Request a mid-ship cabin. Picture the ship like a child's seesaw: There's much less motion in the middle. If you feel queasy, situate yourself mid-ship on a low, outside deck, preferably standing up. Getting fresh air and staring at the horizon might help."
Dr. John Bradberry, medical director, Carnival Cruise Lines

5. Food-borne illnesses
Follow the advice, 'Cook it, peel it, wash it, or forget it.' Thoroughly cooking food destroys bacteria. Fruits that you can peel, like oranges, are safe to eat. If you are going to wash the food, you have to wash it carefully. In some places, the water is a little risky."
Dr. Ewen Todd, professor, Dept. of Advertising, Public Relations, & Retailing, Michigan State University; former director, National Food Safety and Toxicology Center, Michigan State University

6. Sunburn (especially for kids)
"Severe sunburns and excessive sun exposure increase the risk for skin cancer later in life. Liberally use sunblock with a sun protection factor (SPF) rating of 30 or higher and reapply every three or four hours. You don't need to spend more money on sunblock with higher SPF ratings (such as 45 or higher) because there's no evidence those levels are more effective. What counts is reapplying SPF 30 sunscreen frequently. Parents should also keep kids out of the sun during the hot hours between 11 a.m. and 3 p.m. Take a siesta!"
Dr. Rick Malley, associate professor of pediatrics, Harvard Medical School; senior associate physician in the Division of Infectious Diseases, Children's Hospital Boston; Travel and Geographic Medicine Clinic staff, Children's Hospital Boston

7. Avoid germs on airplanes
"Jet cabins are unnaturally dry and suck moisture out of the mucos membranes in your mouth and eyes, whose immune cells and enzymes otherwise help break down invading pathogens. Staying hydrated keeps those membranes functioning well and protects your natural defenses against colds and the flu. You could also use the little overhead vent above your seat, turning it on to low or medium power and adjust the airflow so it falls right in front of your face. This current may push away germs floating your way and prevent them from entering your eyes, nose, and mouth."
Dr. Mark Gendreau, senior staff physician and vice chair of emergency medicine, Lahey Clinic, Burlington, Mass; coauthor of the medical journal article "Medical Issues Associated with Commercial Flights"

RELATED ARTICLE >> Health Products That Could Save Your Trip

Cut your risk of catching a cold by a third by routinely washing your hands with water or a hand gel sanitizer made up of at least 70% alcohol.

Note:This story was accurate when it was published. Please be sure to confirm all rates and details directly with the companies in question before planning your trip.
 

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Travel Tips

Tagged
Family Travel
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When traveling with your kids, give each child his or her own small carry-on bag. Fill it with new, surprise treats to occupy the downtime--layovers, long flights, time in hotels--as well as a few familiar items from home. Include a notebook and encourage your child to keep a travel diary.

— Joan White
Tagged
Planning
354267

If you arrive in a foreign city after banking hours (and you can't use an ATM), convert only the money you'll need for the night. Some exchange booths offer a less favorable rate after banks close and then switch back to competitive rates when banks reopen.

— Jim Citron
Tagged
Packing
378275

Dry-cleaning bags stop clothes from wrinkling. Slide each garment into its own bag (leave the hanger at home) and place them flat on your bed, one on top of another. Then carefully fold the entire stack to fit it in your suitcase. Once you get to your hotel, hang everything up as soon as you can. You'll never unpack a suitcase of wrinkled clothes again.

— Claudette Christman
Tagged
Planning
380245

Turn off your fridge's icemaker before you leave home. And remember to empty the ice cube bin. The power was out for several days while I was away recently. When I got back, the melted ice had refrozen throughout the freezer compartment. It took forever to clean up.

— Mary C. Clements
Tagged
Hotels
414334

I've found that by wedging a bath mat under my hotel-room door, I can reduce any light or noise coming from the hallway—ensuring that I'll sleep better.

— Louisa Elder
Tagged
Planning
359294

About a month before leaving on vacation, I start clipping the crossword puzzles from the daily newspaper and pasting them into a blank notebook. The puzzles keep me occupied during my trip. The newspaper's crosswords are so much more interesting than the generic books of them you can purchase at the airport.

— Kathie Meyer
Tagged
Packing
370290

On a trip to Molokai, the plane we were on was small, and luggage was crammed in every which way. At baggage claim, we noticed that someone had packed a bottle of Pine-Sol, and it had broken and leaked everywhere. Now we line our suitcases with garbage bags to protect our clothes—just in case. (It's also smart in case your bag gets left on the tarmac in a downpour.)

— Aaron Lisle
Tagged
Packing
352264

My husband and I are retired, and we take two trips abroad each year. When unpacking, I put items we use repeatedly on each trip (flashlight, alarm clock, travel-size toiletries, etc.) into a box and keep it stored near the suitcases. No more searching or trying to remember if I've got everything for the next journey—it's all in one place.

— Mary Meikle
Tagged
Planning
371259

If you're traveling overseas, be sure to check the fine print concerning passports (go online or call the country's embassy). I had three months before my passport expired and found out at the last minute that I needed six months' leeway to enter Tahiti. Luckily, I was able to get a new passport just in time for my vacation.

— Jean Schwinn
Tagged
Planning
360275

I unpacked a pair of black slacks recently to find them covered with white fuzz. I didn't have a lint brush handy, so I used the luggage sticker from my bag--the gummy side took the lint right off.

— Joyce Barbatti
Tagged
Planning
373248

If you're packing a lunch to eat later in the day, freeze a 16-ounce water bottle and pack it, along with yogurt, cottage cheese, a ham sandwich, or whatever in a light- weight, insulated bag. Your snacks will remain cold, and you can drink the water.

— Jackie McGraw
Tagged
Hotels
415343

When I'm on the road, I often have to use the hotel iron before heading out to business meetings. But getting water into the iron can be a hassle--most irons won't fit under the sink faucet, and using a glass to pour water into the tiny hole is nearly impossible without spilling everywhere. There's an easy solution: Use the carafe from the coffee maker. Just be sure the carafe is clean, or you could end up with coffee stains on your clothes.

— Paul Schnebelen
Tagged
Packing
388275

When carrying around my small umbrella, I put it in a Ziploc bag. After using it, I can store the umbrella, back inside the Ziploc, in my shoulder bag without getting everything else soaked.

— Sandy Sussman
Tagged
Planning
354257

Note the expiration dates of any debit or credit cards you plan on using while you're away. In Budapest, I tried to withdraw cash with my ATM card, only to find that it had expired just days before.

— Matt Vance
Tagged
Technology
400265

Before traveling to any city, do a search on the Internet of the city name and the word "coupon" ("New Orleans coupon"). You will find many sites offering two-for-one, percentage-off, and dollar-off discounts. On a recent trip to St.Louis, we saved $100 at restaurants and attractions.

— Carolyn J. Kubacki
Tagged
Planning
369257

Love researching your destination online, but don't know how to organize all those printouts, maps, guidebooks, and tips? I get a 5 x 7" spiral notebook (Mead makes one with a sturdy cover and a pocket insert), a set of index tabs, and some glue. Divide the notebook into sections with the tabs (sights, maps, currency converter, restaurants, etc.). Photocopy—in reduction mode—all the info you want to bring, and glue it into the appropriate section. I leave plenty of pages for my journals. This creates an all-in-one personal guide that you can read again years after your trip!

— Michele Graves
Tagged
Technology
557592

If you're even slightly tech savvy and have a cell phone that will work overseas, check with your service provider about the cost of text messages. Some carriers offer free incoming text messages, and several Internet search engines (Yahoo, MSN, etc.) will send free text-message "alerts" to your phone while you're away. Prior to your trip, log on and request that weather forecasts and news updates be sent to your number daily. Even if you never use your phone for costly overseas calls, you can receive up-to-the-minute information, in English, about your hometown or cities on your itinerary.

— Brian Mosteller
Tagged
Air Travel
358253

The middle seat isn't always awful. On a recent trip overseas, I called too late to confirm an aisle or window seat. After explaining the plane's AB-CDEFG-HI configuration, the customer service agent urged me to take the very middle seat, E, because D and F have less foot room. (In some rows, there are metal boxes underneath the seats in front of you that house wiring for onboard electronics.) I went along with her advice somewhat skeptically, but I ended up with plenty of room. The people on either side of me weren't so lucky.

— Audrey Ting
Tagged
Packing
437629

Before I visit poorer countries, I pop into a thrift store and pick up some toys, stuffed animals, and an old suitcase or carryall. I try to avoid toys like Easter bunnies or Santas, which could be offensive, and expensive things that might embarrass parents. The contents of my extra bag bring joy to countless kids who have never had a thing.

— Ingrid Newkirk
Tagged
Photography
379280

I enjoy off-peak travel best--rates are cheaper, lines are shorter--but the weather can be iffy. To combat Mother Nature's unpredictability, I always pack a roll or two of black-and-white film. While dreary-day color photos bring only consoling remarks from friends, black-and-white film tends to lend a mystique to gray landscapes and creates some very dramatic Ansel Adams--esque shots.

— Ed Danyo
Tagged
Air Travel
390265

Try to book the first flight out in the morning, because those planes often arrive at the airport the evening before. You won't have to rely on an incoming plane, which could be delayed or canceled due to bad weather elsewhere, resulting in your own flight being delayed or canceled.

— George Glover
Tagged
Cruises
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Some cruise lines offer discounts on a future sailing if you book it while on a current cruise. Back home, you can transfer the booking to your travel agent and work with them to try to lower the price even further. You'll be able to cancel your booking at no cost if you follow the cruise line's cancellation schedule. This is a great way to get some of your onboard expenses paid for in advance.

— Jeff Putel
Tagged
Planning
356254

Some people think that traveler's checks aren't necessary anymore, but they really can be useful in a variety of situations. My ATM card wouldn't work on Easter Island, where most restaurants did not accept credit cards and wanted to be paid in pesos. Luckily, our hotel cashed my traveler's checks and gave me the pesos I needed. On Dominica, my purse was stolen. But because I had traveler's checks stashed away in my luggage, the vacation wasn't ruined. I always travel with what I call the "trusty four": American dollars (lots of ones and fives divided up and hidden in several locations), traveler's checks, an ATM card, and a credit card.

— Jeanette Cantwell
Tagged
Air Travel
381278

Before you head to the airport, make a list of all the items in your checked luggage that would be prohibited in your carry-on. If an item (such as a knife for a picnic) makes its way into your purse or daypack during your travels, it should be accounted for when repacking and put into the checked piece to avoid hassles at airport security.

— Nina Gormley
Tagged
Cruises
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Cruise lines offer packaged side trips at their ports of call. If you go online and look for these expeditions ahead of time, you can book directly with the tour companies and save money.

— Cindy Rucker
Tagged
Hotels
430326

On my first trip to Cancun, I noticed that my hotel room had a damp, musty odor. The next time I went, I brought two plug-in air fresheners: one for the bedroom and one for the bathroom. This helped tremendously. It was a pleasure to walk in and have a fresh-smelling room. Just make sure you have an adapter, if you need one.

— Anita Rivera
Tagged
Shopping
377258

Therm-a-Rest's Compressible Pillow is perfect for the plane. It comes in three sizes, packs smaller and expands bigger than any other pillow, and is machine washable. Whenever I pull mine out of my carry-on, I get jealous stares: People always ask where they can get one. REI sells the pillows for $18 to $25, depending on the size (rei.com).

— Sheila Lauber
Tagged
Packing
367269

An extra contact lens case holds enough toiletries for a short trip. Squeeze a few dabs of toothpaste into one side and perhaps some facial cleanser or moisturizer in the other side. Just the right amount of each will fit for your overnights or weekends away.

— Jen Shoemaker
Tagged
Safety
432312

If you're a woman traveling alone, or your accommodations don't inspire confidence, simply wedge a small rubber doorstop at the base of the door when you're inside the room. It'll be virtually impossible to open the door from the outside.

— Kimberly Milne-Fowler
Tagged
Solo Travel
343263

When I travel to a new city, I check with the local running club to see if there are any events planned during my stay. The entry fee is usually donated to a charity, and I get great exercise, meet locals, and tour a part of the city I may not have known about.

— Kelly Christensen

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