Travel Advice and Assessment before Medical and Surgical Care


Section I: Traveling by Air

  • In general, if you have the below conditions; it is prohibited to travel by air
    • Have passed 36 weeks of pregnancy (or 32 weeks if you are carrying twins, triplets, etc.).
    • Have a recent heart attack or stroke. Or any type of surgery, especially stomach, brain, eye, orthopedic (bone and joint) surgery including stomach, eye, or head injury. Please check with your doctor to see when it is safe for you to travel.
    • Have an implanted cardiac device such as pacemakers, cardiac resynchronization therapy (CRT) devices and implantable cardioverter defibrillators (ICD); please check with your doctor before travelling by air. Don’t forget to carry your personal device identification card with you at all times.
    • Have flu-like symptoms with or without tuberculosis like symptoms such as prolonged cough, weight loss, night sweat, fatigue, fever, and chest pain for more than 2 weeks. We strongly advise you to not travel at this stage, and for them to continue treatment with their current care team until his symptoms have resolved completely.
    • Are suffering from the below signs and symptoms, please check with your doctor to see when it is safe for you to travel.
      • Chest pain.
      • Any disease that you can easily spread to other people.
      • Severe sinus, ear, or nose infections.
      • Breathlessness at rest, difficult breathing.
      • Psychotic illness except when fully controlled.
      • A fever of 100 degrees Fahrenheit (38 degrees Celsius) or greater.
      • Skin rash
      • Confusion
      • Bruising or bleeding (without previous injury)
      • Diarrhea that does not go away.
      • Vomiting that does not go away (other than motion sickness).
  • During the flight:
  • Keep all of your medications in your hand luggage.
  • Drink plenty of water to help prevent hydration and to help loosen your sputum and allow you to keep your chest clear from low humidity levels in air cabin.
  • During a long-distance flight, deep vein thrombosis can sometimes occur as a result of this inactivity; make sure you get up and walk about regularly when permitted by the staff on the aircraft. Bend and stretch your legs and wiggle your feet at regular intervals (for example every 30 minutes) to encourage your circulation.
    • If you have a higher risk of developing deep vein thrombosis, your doctor can help you work out what measures you may need to take prior to flying. This may include graduated compression stockings, aspirin, or anticoagulants.
  • If you will need oxygen during the flight, this must be requested in advance. A Medical Information Form, stating your current clinical condition and the reason for oxygen requirement, must be filled out and submitted to the airlines. It may take 3-5 working days to process and subjected to the airlines approval.


Section II: Pre - operative Preparation

  • Please inform your doctor before the surgery if you have an existing medical condition for which you are taking medication and/or you have undergone any previous surgeries.
  • If you are taking anticoagulants like aspirin, Persantin®, Ticlid®, Plavix®, warfarin, Orfarin®, heparin, and Fraxiparine®, herbal supplements, and vitamins, especially vitamin E, stop these medications/supplements at least one week before the surgery or as recommended by your doctor.
  • If you smoke and drink alcohol regularly, please stop for at least one week before the surgery to reduce the chances of complications.
  • If you have any underlying diseases: cardiovascular disease / diabetes / high blood pressure / asthma / cancer / or others including any allergic to any medications and any medicines you are taking, current treatment and correlating diagnosis, please inform physician in advance.

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