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I have traveled in Europe in 2001, but that is the only foreign travel I have

done with IgAN. I do travel 2-3 times a month in the States for work though.

I don't know about vaccinations for foreign travel though. You might want to

run that one by your Nephrologist.

In a message dated 12/3/2004 1:29:08 PM Pacific Standard Time, ejl2@...

writes:

>

> I was told by my neph two years ago that the best things I could do

> for my condition were to 1) maintain my blood pressure at a

> normal/low level and 2) avoid upper respiratory tract and

> gastrointestinal tract infections. I was wondering if any of you

> have done much foreign travel, and if so, did you have problems in

> other (particularly developing) countries? Also, have you ever been

> warned against any vaccinations because of IgA? I'm traveling to

> India next year, and I know there are many vaccinations recommended-

> just wanted other people's perspective on this issue.

>

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Great suggestions Bart! Thanks. This email is a " keeper " .

I hope you have a wonderful trip to Egypt.

In a message dated 12/3/2004 2:43:30 PM Pacific Standard Time,

bkhphd@... writes:

>

> ,

>

> I have been encouraged by my neph to continue my vigorous travel schedule,

> and have had no trouble receiving the requisite vaccinations....typhoid,

> DPT, Hep a,b, and so forth...indeed, I am spending 3 weeks traveling all

> over Egypt starting in just a few days. Previously I have traveled all over

> the Far East, rich and poor country alike...though this will be my first of

> many visits to Africa.

>

> A couple things are at issue though:

>

> 1. As you plan to travel to India, you need to take into account malaria

> prophylaxis....whether you need this in the areas you're traveling to; which

> sets of pills to proactively take; and so forth. Some of the antimalarials

> are contraindicated in those with declining kidney function. Your neph will

> know, and the public health dept where you live can advise you on travel to

> anywhere...what vaccinations; etc.

>

> 2. You will very much want to take along a kidney-friendly regimine for

> bacterial infection as well as an anti-diarhhea (sp?) medication (like

> Imodium). Again, consult your neph on that, as many antibiotics are

> murderous to already-wounded kidneys, and you want to take the correct ones.

>

> 3. Your current pills and potions: you will need enough of these, of

> course, but also copies of your prescriptions in the event you run out, you

> lose your supply, your bags get stolen...you get the idea.

>

> 4. TRAVEL INSURANCE. An absolute must, and I don't mean just for the cost

> of the trip....I mean for the cost of putting your fuzzy self back on an

> airplane to be repatriated to a place where decent medical care exists. It

> does in India, but really in fairly large population centers only. You do

> NOT want your kidneys to fail and be stuck overseas....I mean this one, a

> friend injured herself on holiday and had to pay, upfront, $50,000 to get

> herself on an air ambulance back to the US (she broke her back in Jamaica).

>

> 5. The Rules. Sounds odd? Well, certain things overseas you don't want to

> eat, drink, or do. Your public health folks can fill you in, but most of

> this surrounds what foods to eat (i.e. no raw ones), never drinking the

> local water supply, only bottled or purified (NOT even to brush your teeth

> with), and as you have kidney troubles you MUST be religious about following

> the guidelines in this regard. The Rules also apply to malaria and mosquito

> management. No joke, you don't want dengue fever (trust me, I've had it.

> Its awful. Brazil, however, was wonderful).

>

> 6. Painkillers. Be careful here, many of the 'usual' ones are

> harmful...among them ibuprofen and so on. Bring your own tylenol with you

> when you travel.

>

> 7. Medical care (locally). Be ready to explain in simple terms your

> disease process and the fact that your kidneys are compromised and why.

> This is important...many medications are as I have said problematic in

> people like us. I suggest the equivelant of a medic alert bracelet or neck

> chain, or at the BARE MINIMUM brief your traveling companions on do's and

> don'ts for you medically. In my case I carry a folder for this right within

> my passport; my companions are briefed; and each is given a list of what

> MUST NOT be prescribed. Typically, at least one of my companions is local,

> so we make certain any up-front translation issues are covered with the

> local if (s)he doesn't speak English. The danger here is of course some

> accident or illness that renders you incapable of communicating. The good

> part about India is of as a former jewel in the Empire crown, many folks in

> the larger cities will speak English as a matter of course.

>

> In large measure, you simply need to be more cautious than the average bear

> in dealing with diseases and such overseas; which tablets you can take and

> which not; and so on. It is all, however, very manageable.

>

> Drop me a note after the first of the year and I will fill you in as to how

> Egypt went in regards to kidney issues.

>

> Until then, cheers, Bart

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,

I have been encouraged by my neph to continue my vigorous travel schedule,

and have had no trouble receiving the requisite vaccinations....typhoid,

DPT, Hep a,b, and so forth...indeed, I am spending 3 weeks traveling all

over Egypt starting in just a few days. Previously I have traveled all over

the Far East, rich and poor country alike...though this will be my first of

many visits to Africa.

A couple things are at issue though:

1. As you plan to travel to India, you need to take into account malaria

prophylaxis....whether you need this in the areas you're traveling to; which

sets of pills to proactively take; and so forth. Some of the antimalarials

are contraindicated in those with declining kidney function. Your neph will

know, and the public health dept where you live can advise you on travel to

anywhere...what vaccinations; etc.

2. You will very much want to take along a kidney-friendly regimine for

bacterial infection as well as an anti-diarhhea (sp?) medication (like

Imodium). Again, consult your neph on that, as many antibiotics are

murderous to already-wounded kidneys, and you want to take the correct ones.

3. Your current pills and potions: you will need enough of these, of

course, but also copies of your prescriptions in the event you run out, you

lose your supply, your bags get stolen...you get the idea.

4. TRAVEL INSURANCE. An absolute must, and I don't mean just for the cost

of the trip....I mean for the cost of putting your fuzzy self back on an

airplane to be repatriated to a place where decent medical care exists. It

does in India, but really in fairly large population centers only. You do

NOT want your kidneys to fail and be stuck overseas....I mean this one, a

friend injured herself on holiday and had to pay, upfront, $50,000 to get

herself on an air ambulance back to the US (she broke her back in Jamaica).

5. The Rules. Sounds odd? Well, certain things overseas you don't want to

eat, drink, or do. Your public health folks can fill you in, but most of

this surrounds what foods to eat (i.e. no raw ones), never drinking the

local water supply, only bottled or purified (NOT even to brush your teeth

with), and as you have kidney troubles you MUST be religious about following

the guidelines in this regard. The Rules also apply to malaria and mosquito

management. No joke, you don't want dengue fever (trust me, I've had it.

Its awful. Brazil, however, was wonderful).

6. Painkillers. Be careful here, many of the 'usual' ones are

harmful...among them ibuprofen and so on. Bring your own tylenol with you

when you travel.

7. Medical care (locally). Be ready to explain in simple terms your

disease process and the fact that your kidneys are compromised and why.

This is important...many medications are as I have said problematic in

people like us. I suggest the equivelant of a medic alert bracelet or neck

chain, or at the BARE MINIMUM brief your traveling companions on do's and

don'ts for you medically. In my case I carry a folder for this right within

my passport; my companions are briefed; and each is given a list of what

MUST NOT be prescribed. Typically, at least one of my companions is local,

so we make certain any up-front translation issues are covered with the

local if (s)he doesn't speak English. The danger here is of course some

accident or illness that renders you incapable of communicating. The good

part about India is of as a former jewel in the Empire crown, many folks in

the larger cities will speak English as a matter of course.

In large measure, you simply need to be more cautious than the average bear

in dealing with diseases and such overseas; which tablets you can take and

which not; and so on. It is all, however, very manageable.

Drop me a note after the first of the year and I will fill you in as to how

Egypt went in regards to kidney issues.

Until then, cheers, Bart

Travel question

I was told by my neph two years ago that the best things I could do

for my condition were to 1) maintain my blood pressure at a

normal/low level and 2) avoid upper respiratory tract and

gastrointestinal tract infections. I was wondering if any of you

have done much foreign travel, and if so, did you have problems in

other (particularly developing) countries? Also, have you ever been

warned against any vaccinations because of IgA? I'm traveling to

India next year, and I know there are many vaccinations recommended-

just wanted other people's perspective on this issue.

To edit your settings for the group, go to our Yahoo Group

home page:

http://groups.yahoo.com/group/iga-nephropathy/

To unsubcribe via email,

iga-nephropathy-unsubscribe

Visit our companion website at www.igan.ca. The site is entirely supported

by donations. If you would like to help, go to:

http://www.igan.ca/id62.htm

Thank you

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Wow Bart! I second . Absolutely GREAT POST! Hope you have a wonderful

time in Egypt. And yes, please don't forget to send us a " postcard " about your

journey!! (hehehe...) Bonnie

W4JC@... wrote:Great suggestions Bart! Thanks. This email is a

" keeper " .

I hope you have a wonderful trip to Egypt.

In a message dated 12/3/2004 2:43:30 PM Pacific Standard Time,

bkhphd@... writes:

>

> ,

>

> I have been encouraged by my neph to continue my vigorous travel schedule,

> and have had no trouble receiving the requisite vaccinations....typhoid,

> DPT, Hep a,b, and so forth...indeed, I am spending 3 weeks traveling all

> over Egypt starting in just a few days. Previously I have traveled all over

> the Far East, rich and poor country alike...though this will be my first of

> many visits to Africa.

>

> A couple things are at issue though:

>

> 1. As you plan to travel to India, you need to take into account malaria

> prophylaxis....whether you need this in the areas you're traveling to; which

> sets of pills to proactively take; and so forth. Some of the antimalarials

> are contraindicated in those with declining kidney function. Your neph will

> know, and the public health dept where you live can advise you on travel to

> anywhere...what vaccinations; etc.

>

> 2. You will very much want to take along a kidney-friendly regimine for

> bacterial infection as well as an anti-diarhhea (sp?) medication (like

> Imodium). Again, consult your neph on that, as many antibiotics are

> murderous to already-wounded kidneys, and you want to take the correct ones.

>

> 3. Your current pills and potions: you will need enough of these, of

> course, but also copies of your prescriptions in the event you run out, you

> lose your supply, your bags get stolen...you get the idea.

>

> 4. TRAVEL INSURANCE. An absolute must, and I don't mean just for the cost

> of the trip....I mean for the cost of putting your fuzzy self back on an

> airplane to be repatriated to a place where decent medical care exists. It

> does in India, but really in fairly large population centers only. You do

> NOT want your kidneys to fail and be stuck overseas....I mean this one, a

> friend injured herself on holiday and had to pay, upfront, $50,000 to get

> herself on an air ambulance back to the US (she broke her back in Jamaica).

>

> 5. The Rules. Sounds odd? Well, certain things overseas you don't want to

> eat, drink, or do. Your public health folks can fill you in, but most of

> this surrounds what foods to eat (i.e. no raw ones), never drinking the

> local water supply, only bottled or purified (NOT even to brush your teeth

> with), and as you have kidney troubles you MUST be religious about following

> the guidelines in this regard. The Rules also apply to malaria and mosquito

> management. No joke, you don't want dengue fever (trust me, I've had it.

> Its awful. Brazil, however, was wonderful).

>

> 6. Painkillers. Be careful here, many of the 'usual' ones are

> harmful...among them ibuprofen and so on. Bring your own tylenol with you

> when you travel.

>

> 7. Medical care (locally). Be ready to explain in simple terms your

> disease process and the fact that your kidneys are compromised and why.

> This is important...many medications are as I have said problematic in

> people like us. I suggest the equivelant of a medic alert bracelet or neck

> chain, or at the BARE MINIMUM brief your traveling companions on do's and

> don'ts for you medically. In my case I carry a folder for this right within

> my passport; my companions are briefed; and each is given a list of what

> MUST NOT be prescribed. Typically, at least one of my companions is local,

> so we make certain any up-front translation issues are covered with the

> local if (s)he doesn't speak English. The danger here is of course some

> accident or illness that renders you incapable of communicating. The good

> part about India is of as a former jewel in the Empire crown, many folks in

> the larger cities will speak English as a matter of course.

>

> In large measure, you simply need to be more cautious than the average bear

> in dealing with diseases and such overseas; which tablets you can take and

> which not; and so on. It is all, however, very manageable.

>

> Drop me a note after the first of the year and I will fill you in as to how

> Egypt went in regards to kidney issues.

>

> Until then, cheers, Bart

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I was about to venture into an answer for this one, but then I read Bart's

answer and I decided I couldn't possibly improve on it : )

I even learned a few things. Thanks Bart.

I travelled extensively in the past, but since I've had more active IgAN,

I've only been to various countries in Europe, and to the U.S. The USA might

be a bit lacking in good coffee and croissants, but I don't think it

qualifies as underdeveloped : )

Based on my own experience with vaccinations, I've found that anytime I had

any, my serum creatinine jumped up a bit, particular following the tetanus

one. Might be just coincidence, I don't know. There's nothing documented

about that as far as I know. The newer members might not know that I've long

suspected vaccinations. My first blood in the urine was not too long after I

had a long series of vaccinations in the military. No proof though.

Pierre

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Thanks for this post, Bart. It is very informative.

beth - if you are visitng major cities like

Delhi, Bombay, Bangalore and etc.,, you will have no

problem to find a person who speaks English.

And there are very good hospitals too. Just find out

the major hospitals in the city you are visiting prior

to your visit so that it will be very helpful.

If you are going on vacation, just make sure of

finding the major cities in around the place you are

visitng.

Aruna

--- " Barton K. Hawkins " wrote:

>

> ,

>

> I have been encouraged by my neph to continue my

> vigorous travel schedule,

> and have had no trouble receiving the requisite

> vaccinations....typhoid,

> DPT, Hep a,b, and so forth...indeed, I am spending 3

> weeks traveling all

> over Egypt starting in just a few days. Previously

> I have traveled all over

> the Far East, rich and poor country alike...though

> this will be my first of

> many visits to Africa.

>

> A couple things are at issue though:

>

> 1. As you plan to travel to India, you need to take

> into account malaria

> prophylaxis....whether you need this in the areas

> you're traveling to; which

> sets of pills to proactively take; and so forth.

> Some of the antimalarials

> are contraindicated in those with declining kidney

> function. Your neph will

> know, and the public health dept where you live can

> advise you on travel to

> anywhere...what vaccinations; etc.

>

> 2. You will very much want to take along a

> kidney-friendly regimine for

> bacterial infection as well as an anti-diarhhea

> (sp?) medication (like

> Imodium). Again, consult your neph on that, as many

> antibiotics are

> murderous to already-wounded kidneys, and you want

> to take the correct ones.

>

> 3. Your current pills and potions: you will need

> enough of these, of

> course, but also copies of your prescriptions in the

> event you run out, you

> lose your supply, your bags get stolen...you get the

> idea.

>

> 4. TRAVEL INSURANCE. An absolute must, and I don't

> mean just for the cost

> of the trip....I mean for the cost of putting your

> fuzzy self back on an

> airplane to be repatriated to a place where decent

> medical care exists. It

> does in India, but really in fairly large population

> centers only. You do

> NOT want your kidneys to fail and be stuck

> overseas....I mean this one, a

> friend injured herself on holiday and had to pay,

> upfront, $50,000 to get

> herself on an air ambulance back to the US (she

> broke her back in Jamaica).

>

> 5. The Rules. Sounds odd? Well, certain things

> overseas you don't want to

> eat, drink, or do. Your public health folks can

> fill you in, but most of

> this surrounds what foods to eat (i.e. no raw ones),

> never drinking the

> local water supply, only bottled or purified (NOT

> even to brush your teeth

> with), and as you have kidney troubles you MUST be

> religious about following

> the guidelines in this regard. The Rules also apply

> to malaria and mosquito

> management. No joke, you don't want dengue fever

> (trust me, I've had it.

> Its awful. Brazil, however, was wonderful).

>

> 6. Painkillers. Be careful here, many of the

> 'usual' ones are

> harmful...among them ibuprofen and so on. Bring

> your own tylenol with you

> when you travel.

>

> 7. Medical care (locally). Be ready to explain in

> simple terms your

> disease process and the fact that your kidneys are

> compromised and why.

> This is important...many medications are as I have

> said problematic in

> people like us. I suggest the equivelant of a medic

> alert bracelet or neck

> chain, or at the BARE MINIMUM brief your traveling

> companions on do's and

> don'ts for you medically. In my case I carry a

> folder for this right within

> my passport; my companions are briefed; and each is

> given a list of what

> MUST NOT be prescribed. Typically, at least one of

> my companions is local,

> so we make certain any up-front translation issues

> are covered with the

> local if (s)he doesn't speak English. The danger

> here is of course some

> accident or illness that renders you incapable of

> communicating. The good

> part about India is of as a former jewel in the

> Empire crown, many folks in

> the larger cities will speak English as a matter of

> course.

>

> In large measure, you simply need to be more

> cautious than the average bear

> in dealing with diseases and such overseas; which

> tablets you can take and

> which not; and so on. It is all, however, very

> manageable.

>

> Drop me a note after the first of the year and I

> will fill you in as to how

> Egypt went in regards to kidney issues.

>

> Until then, cheers, Bart

>

>

>

> Travel question

>

>

>

>

>

> I was told by my neph two years ago that the best

> things I could do

> for my condition were to 1) maintain my blood

> pressure at a

> normal/low level and 2) avoid upper respiratory

> tract and

> gastrointestinal tract infections. I was wondering

> if any of you

> have done much foreign travel, and if so, did you

> have problems in

> other (particularly developing) countries? Also,

> have you ever been

> warned against any vaccinations because of IgA? I'm

> traveling to

> India next year, and I know there are many

> vaccinations recommended-

> just wanted other people's perspective on this

> issue.

>

>

>

>

>

>

>

>

>

> To edit your settings for the group, go to our Yahoo

> Group

> home page:

> http://groups.yahoo.com/group/iga-nephropathy/

>

> To unsubcribe via email,

> iga-nephropathy-unsubscribe

> Visit our companion website at www.igan.ca. The site

> is entirely supported

> by donations. If you would like to help, go to:

> http://www.igan.ca/id62.htm

>

> Thank you

>

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Where there are good hospitals, India is as advanced as anywhere in the

world in terms of renal care, kidney transplants, dialysis and research.

Pierre

RE: Travel question

>

> Thanks for this post, Bart. It is very informative.

>

> beth - if you are visitng major cities like

> Delhi, Bombay, Bangalore and etc.,, you will have no

> problem to find a person who speaks English.

> And there are very good hospitals too. Just find out

> the major hospitals in the city you are visiting prior

> to your visit so that it will be very helpful.

>

> If you are going on vacation, just make sure of

> finding the major cities in around the place you are

> visitng.

>

> Aruna

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Hi ,

Bart has given a detailed reply. Take all precautions he has

suggested. That said, travellers' diarrhoea (almost sure to happen

and can be severe) may be the only health problem normally to be

expected while here.

Much depends on which places you travel to, stay at, where and what

you eat/drink, how you travel etc. You can email me in private

(full_life001@...) with your travel plans if you need any

specific suggestions (like which hospital to go to in case of a

problem etc).

regards,

full_life

>

> I'm traveling to India next year, and I know there are many

vaccinations recommended-

> just wanted other people's perspective on this issue.

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Thanks for all the tips-certainly a lot to think about, but valuable

nonetheless. I'm actually going for a wedding, which will be in/near

Delhi, though we're planning to travel around while we're there. And

the bride has her own medical problems, so hopefully she'll be able

to guide me towards reputable medical care. As for the rest, I'll

just have to make sure not to get pressured by my Peace Corps buddy

into doing things detrminetal to my health!

>

> ,

>

> I have been encouraged by my neph to continue my vigorous travel

schedule,

> and have had no trouble receiving the requisite

vaccinations....typhoid,

> DPT, Hep a,b, and so forth...indeed, I am spending 3 weeks

traveling all

> over Egypt starting in just a few days. Previously I have traveled

all over

> the Far East, rich and poor country alike...though this will be my

first of

> many visits to Africa.

>

> A couple things are at issue though:

>

> 1. As you plan to travel to India, you need to take into account

malaria

> prophylaxis....whether you need this in the areas you're traveling

to; which

> sets of pills to proactively take; and so forth. Some of the

antimalarials

> are contraindicated in those with declining kidney function. Your

neph will

> know, and the public health dept where you live can advise you on

travel to

> anywhere...what vaccinations; etc.

>

> 2. You will very much want to take along a kidney-friendly

regimine for

> bacterial infection as well as an anti-diarhhea (sp?) medication

(like

> Imodium). Again, consult your neph on that, as many antibiotics are

> murderous to already-wounded kidneys, and you want to take the

correct ones.

>

> 3. Your current pills and potions: you will need enough of these,

of

> course, but also copies of your prescriptions in the event you run

out, you

> lose your supply, your bags get stolen...you get the idea.

>

> 4. TRAVEL INSURANCE. An absolute must, and I don't mean just for

the cost

> of the trip....I mean for the cost of putting your fuzzy self back

on an

> airplane to be repatriated to a place where decent medical care

exists. It

> does in India, but really in fairly large population centers only.

You do

> NOT want your kidneys to fail and be stuck overseas....I mean this

one, a

> friend injured herself on holiday and had to pay, upfront, $50,000

to get

> herself on an air ambulance back to the US (she broke her back in

Jamaica).

>

> 5. The Rules. Sounds odd? Well, certain things overseas you

don't want to

> eat, drink, or do. Your public health folks can fill you in, but

most of

> this surrounds what foods to eat (i.e. no raw ones), never drinking

the

> local water supply, only bottled or purified (NOT even to brush

your teeth

> with), and as you have kidney troubles you MUST be religious about

following

> the guidelines in this regard. The Rules also apply to malaria and

mosquito

> management. No joke, you don't want dengue fever (trust me, I've

had it.

> Its awful. Brazil, however, was wonderful).

>

> 6. Painkillers. Be careful here, many of the 'usual' ones are

> harmful...among them ibuprofen and so on. Bring your own tylenol

with you

> when you travel.

>

> 7. Medical care (locally). Be ready to explain in simple terms

your

> disease process and the fact that your kidneys are compromised and

why.

> This is important...many medications are as I have said problematic

in

> people like us. I suggest the equivelant of a medic alert bracelet

or neck

> chain, or at the BARE MINIMUM brief your traveling companions on

do's and

> don'ts for you medically. In my case I carry a folder for this

right within

> my passport; my companions are briefed; and each is given a list of

what

> MUST NOT be prescribed. Typically, at least one of my companions

is local,

> so we make certain any up-front translation issues are covered with

the

> local if (s)he doesn't speak English. The danger here is of course

some

> accident or illness that renders you incapable of communicating.

The good

> part about India is of as a former jewel in the Empire crown, many

folks in

> the larger cities will speak English as a matter of course.

>

> In large measure, you simply need to be more cautious than the

average bear

> in dealing with diseases and such overseas; which tablets you can

take and

> which not; and so on. It is all, however, very manageable.

>

> Drop me a note after the first of the year and I will fill you in

as to how

> Egypt went in regards to kidney issues.

>

> Until then, cheers, Bart

>

>

>

> Travel question

>

>

>

>

>

> I was told by my neph two years ago that the best things I could do

> for my condition were to 1) maintain my blood pressure at a

> normal/low level and 2) avoid upper respiratory tract and

> gastrointestinal tract infections. I was wondering if any of you

> have done much foreign travel, and if so, did you have problems in

> other (particularly developing) countries? Also, have you ever been

> warned against any vaccinations because of IgA? I'm traveling to

> India next year, and I know there are many vaccinations recommended-

> just wanted other people's perspective on this issue.

>

>

>

>

>

>

>

>

>

> To edit your settings for the group, go to our Yahoo Group

> home page:

> http://groups.yahoo.com/group/iga-nephropathy/

>

> To unsubcribe via email,

> iga-nephropathy-unsubscribe

> Visit our companion website at www.igan.ca. The site is entirely

supported

> by donations. If you would like to help, go to:

> http://www.igan.ca/id62.htm

>

> Thank you

>

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Share on other sites

And enjoy Egypt!

>

> ,

>

> I have been encouraged by my neph to continue my vigorous travel

schedule,

> and have had no trouble receiving the requisite

vaccinations....typhoid,

> DPT, Hep a,b, and so forth...indeed, I am spending 3 weeks

traveling all

> over Egypt starting in just a few days. Previously I have traveled

all over

> the Far East, rich and poor country alike...though this will be my

first of

> many visits to Africa.

>

> A couple things are at issue though:

>

> 1. As you plan to travel to India, you need to take into account

malaria

> prophylaxis....whether you need this in the areas you're traveling

to; which

> sets of pills to proactively take; and so forth. Some of the

antimalarials

> are contraindicated in those with declining kidney function. Your

neph will

> know, and the public health dept where you live can advise you on

travel to

> anywhere...what vaccinations; etc.

>

> 2. You will very much want to take along a kidney-friendly

regimine for

> bacterial infection as well as an anti-diarhhea (sp?) medication

(like

> Imodium). Again, consult your neph on that, as many antibiotics are

> murderous to already-wounded kidneys, and you want to take the

correct ones.

>

> 3. Your current pills and potions: you will need enough of these,

of

> course, but also copies of your prescriptions in the event you run

out, you

> lose your supply, your bags get stolen...you get the idea.

>

> 4. TRAVEL INSURANCE. An absolute must, and I don't mean just for

the cost

> of the trip....I mean for the cost of putting your fuzzy self back

on an

> airplane to be repatriated to a place where decent medical care

exists. It

> does in India, but really in fairly large population centers only.

You do

> NOT want your kidneys to fail and be stuck overseas....I mean this

one, a

> friend injured herself on holiday and had to pay, upfront, $50,000

to get

> herself on an air ambulance back to the US (she broke her back in

Jamaica).

>

> 5. The Rules. Sounds odd? Well, certain things overseas you

don't want to

> eat, drink, or do. Your public health folks can fill you in, but

most of

> this surrounds what foods to eat (i.e. no raw ones), never drinking

the

> local water supply, only bottled or purified (NOT even to brush

your teeth

> with), and as you have kidney troubles you MUST be religious about

following

> the guidelines in this regard. The Rules also apply to malaria and

mosquito

> management. No joke, you don't want dengue fever (trust me, I've

had it.

> Its awful. Brazil, however, was wonderful).

>

> 6. Painkillers. Be careful here, many of the 'usual' ones are

> harmful...among them ibuprofen and so on. Bring your own tylenol

with you

> when you travel.

>

> 7. Medical care (locally). Be ready to explain in simple terms

your

> disease process and the fact that your kidneys are compromised and

why.

> This is important...many medications are as I have said problematic

in

> people like us. I suggest the equivelant of a medic alert bracelet

or neck

> chain, or at the BARE MINIMUM brief your traveling companions on

do's and

> don'ts for you medically. In my case I carry a folder for this

right within

> my passport; my companions are briefed; and each is given a list of

what

> MUST NOT be prescribed. Typically, at least one of my companions

is local,

> so we make certain any up-front translation issues are covered with

the

> local if (s)he doesn't speak English. The danger here is of course

some

> accident or illness that renders you incapable of communicating.

The good

> part about India is of as a former jewel in the Empire crown, many

folks in

> the larger cities will speak English as a matter of course.

>

> In large measure, you simply need to be more cautious than the

average bear

> in dealing with diseases and such overseas; which tablets you can

take and

> which not; and so on. It is all, however, very manageable.

>

> Drop me a note after the first of the year and I will fill you in

as to how

> Egypt went in regards to kidney issues.

>

> Until then, cheers, Bart

>

>

>

> Travel question

>

>

>

>

>

> I was told by my neph two years ago that the best things I could do

> for my condition were to 1) maintain my blood pressure at a

> normal/low level and 2) avoid upper respiratory tract and

> gastrointestinal tract infections. I was wondering if any of you

> have done much foreign travel, and if so, did you have problems in

> other (particularly developing) countries? Also, have you ever been

> warned against any vaccinations because of IgA? I'm traveling to

> India next year, and I know there are many vaccinations recommended-

> just wanted other people's perspective on this issue.

>

>

>

>

>

>

>

>

>

> To edit your settings for the group, go to our Yahoo Group

> home page:

> http://groups.yahoo.com/group/iga-nephropathy/

>

> To unsubcribe via email,

> iga-nephropathy-unsubscribe

> Visit our companion website at www.igan.ca. The site is entirely

supported

> by donations. If you would like to help, go to:

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>

> Thank you

>

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