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Copyright© 2002, 2003, 2004

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 HOW TO PREPARE YOUR PERSONAL MEDICAL 'PORTFOLIO':

THE ONE THING EVERY TRAVELER  MUST DO

TO PREPARE FOR A MEDICAL EMERGENCY


By Marlene R. Fedin, The Wellness Concierge®

 

Are You Prepared for a Medical Mishap?

Contacts You Must Include Compile Your Medical Profile

Package Your Data: "Info to Go"

Ensure That Your Medical Wishes & Rights Are Honored Become an Organ Donor

Resources:

Medical-ID Jewelry Medical Power of Attorney Forms Advance Directives

 

Why Every Traveler Needs to Carry a Medical “Bio” and Contact Sheet
As anyone who has ever experienced a medical emergency on the road can tell you, your life can get out of control very quickly—with potentially life-threatening results. Although you can’t control the outcome of a medical event, you can provide needed information to assist those who come to your aid, in essence helping them to help you.

 

Taking the time to ensure that detailed—and accessible—information on your medical history and healthcare wishes is available not only ups the odds of getting proper care and a better outcome, it also adds to peace of mind (yours and your family's)—something we can’t get enough of these days. And when you know that you've done what you can, you're less stressed about how you'll cope should an emergency arise.

 

In a few simple steps, you've freed yourself to relax and enjoy the trip—wherever it takes you. That's a great ROI on your "portfolio."

 

Are You Really Prepared for a Medical "Event"?

If you pride yourself on being a take-charge traveler, you may think that toting a credit card, having health insurance, and knowing how to secure medical assistance on the fly means you’re covered in the event of a medical mishap on the road. Think again.

 

Even healthy folks have accidents and previously undiagnosed health problems can emerge unexpectedly. So whether you travel in "perfect" health or have a pre-existing or chronic condition, you need to plan ahead to ensure that accurate personal medical information is easily and quickly accessible. Your life could, quite literally, depend on it.

 

If you've got your own professional and personal support team (a 24/7 executive assistant or other staffer, stay-at-home spouse, personal assistant, etc.), a lot of this may seem like unnecessary overkill. (When you've got a lot of people watching your back, whose lives, in fact, may revolve around taking care of you and your needs, you may think you can "skip the details" here. Don't—just let your team do the footwork.)

 

For the average traveler who encounters a serious emergency, however, you can never have too much information. You would be amazed at the difficulty you can experience when trying to track down equally mobile at-home personal and medical contacts.

 

Please note: This column provides information in the context of domestic travel.

 

Who You Gonna Call? Provide Contact Information

Of the essential contacts for whom you should provide detailed information, the first, and perhaps most important, are these two:

 

Medical Caregivers

Provide the names, titles (cardiologist, surgeon, etc.), medical practice and/or hospital affiliations, and phone numbers (including cell, emergency service, and pager numbers) of those who may need to be contacted in case of an emergency. Even if you don't regularly see a doctor, at least provide the name of the primary care physician who has your basic medical records.

 

It’s vital that you detail your relationship and note if you are currently receiving treatment from a particular physician. (Don't overlook dentists, eye doctors, chiropractors, or podiatrists you visit regularly.) If you think it’s hard to contact healthcare providers during regular office hours when you’re home, imagine a stranger trying to identify and locate your healthcare team without such information!

 

Healthcare Insurance Provider

Be sure to include the name of your healthcare insurance provider, relevant phone numbers for approvals and questions (try to get direct numbers where possible rather than a central system which wastes a lot of time while you navigate your way to a live representative), and information on your plan, including your ID, policy, and member numbers. (You should also carry your plan card, but in case your card is unavailable this is your backup.)

A medical facility will often ask for this information first. And in today's "managed care" healthcare system, you often can't gain access to your physicians (or even leave a message with an answering service) without first supplying this information.

If you don’t have any healthcare coverage, indicate that as well. You can’t be denied medical care in a true emergency and this issue has to be addressed if you are to be admitted to a hospital or receive medical attention.

TIP: If your company has a department or individual who handles your insurance, make sure to include that person's name and direct number. They can often expedite your care and may be more accessible and helpful than dealing directly with an insurance provider's customer service.

In addition to your medical contacts, you also need to provide:

Personal Contacts

List immediate family members, friends, and/or professionals (attorney, etc.) who should be notified. Be sure to detail their relationship (spouse, partner, family, friend, etc.) to you and indicate the priority of notifying them. (Hint: It's easier if you designate one person as your personal contact. This person may or may not be the one to whom you've delegated your medical power of attorney.)

 

Most important, be sure to include “back-up” contact names on your list. Even with cell phones and pagers, your first-choice contact may not be reachable.

 

Indicate who has legal medical power of attorney for you (your spouse or someone else) and provide as much contact information for that person as you can.

 

TIP: Make sure you provide your contacts, especially the person who has your medical power of attorney, with a copy of each trip's itinerary, complete with land phones and cell numbers where you can be reached (hotel, branch office, client's location, etc.).

 

In the event that your illness is related to a general outbreak or shared experience (such as eating contaminated food or exposure to some contaminant) or a local health problem, your itinerary can be an important tool not only for your personal medical care, but also for health authorities tracking the problem.

 

When picking a designated contact, consider their availability.  My closest and most trustworthy friends are my designated emergency contacts. However, all of them travel extensively. Given their jet-setting ways, the likelihood of them being around is low, so I've included the phone number of a reliable neighbor. She's the point man—plus she has quick access to my apartment.

 

TIP: If you live alone, it’s even more critical that you provide such information since there’s no one at your home number—the place authorities are most likely to call in the absence of other information.

 

Business Contacts: Don't assume you'll be fortunate enough to be traveling with an associate—or that he or she will be available to help. (They may also be involved in the accident for which you're being treated or otherwise unavailable.) Provide detailed information on who to contact at your corporate or base office, including your boss, supervisor, or manager and any support staff with whom you work.

 

If you’re traveling to a branch office or a client meeting, include that information as well. (In a life-or-death-situation, your thoughts, if any, won't be on letting folks know you are delayed. But in the more common emergencies you're likely to encounter, you may be very concerned that a diversion for medical care that results in a missed meeting not lead to you being perceived as some flaky, no-show type. With a number at hand, even if you can't speak, someone else can relay the message.)

 

Trip Itinerary: You should carry a complete and accurate trip itinerary that includes your flight details, hotel, and appointment info. (If your company or travel agent does not provide one, you can make a master template in Excel or Word and print and e-mail it as needed.)

 

BEFORE YOU GO:

Don't forget to update contact information before each trip so you are always carrying accurate information.

Always leave a printout or e-mail copy of your contact information with your designated office and home contacts.

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Compile Your Personal Medical History and Details

When a medical emergency occurs, speedy and accurate communication of your medical condition and history is vital. Without it, a condition could be overlooked or mistreated. Absent the details of your drug allergies, for example, you could be given medications that could exacerbate a condition or threaten your overall health—and be more serious than the emergency for which you’re being treated!

 

If you’re unconscious or unable to think or speak clearly, how can such information be obtained? Even if you’re awake and clear-headed, such details may not readily come to mind. (Maybe you’re an exception, but most people tend to lose focus pretty quickly when they’re bleeding or in severe pain. Even minor traumas can find us stumbling for words and recall. You’d be surprised at what you forget in even a minor emergency.)

 

For those reasons, every traveler should compile a detailed history to be carried with them on the road. Everyone should provide the following information regardless of their current state of health:

Personal Medical Data: The Bare-Minimum Basics

► Your blood type (You can save precious time with this single piece of information and you'd be amazed how many of us don't know our own blood type.);

► Your date of birth (Your age can be a factor in diagnosis and treatment.);

► Any allergies you have to either over-the-counter or prescription medications;

► Pre-existing health conditions (diabetes, heart disease, epilepsy, etc.);

► Any recent (within the last six weeks) surgery or medical procedures, including oral or facial surgery, you have undergone;

► Any speech, hearing, visual, memory, or other physical condition that may not be obvious to an observer;

► Note whether you wear glasses or contact lenses, and include a copy of your prescription for them;

► The location and type of a pacemaker or any other kind of medical device (shunt, diabetic pump, etc.) that has been implanted or attached to your body.

 

NOTE: If you are pregnant, make sure you note this prominently at the top of your information sheet. Depending on how far along you are in your pregnancy, it may not be obvious that you're pregnant and you could receive treatment that might endanger your baby.

 

If you're actively trying to conceive or there is any possibility that you might be pregnant and not know it, note this as well. (Now is not the time to worry about privacy.)

 

 

Additional Essential Personal Medical Information

For a thorough "portfolio" of information, you should also include:

► A list of the prescription medications you are currently taking along with the dosage and frequency and the reason they have been prescribed (Some meds are prescribed for multiple conditions and it’s important to know the condition for which they’ve been prescribed.);

► A list of any over-the-counter (OTC) products and dietary herbs, vitamins, or supplements you are taking. In some instances, travelers have developed allergic reactions or other problems while taking such products and often fail to tell others that they are taking them, thinking they are “harmless” or irrelevant. In other cases, there may be a problem with an unanticipated drug interaction.

► A summary overview of your medical history including any surgeries, hospitalizations, accidents, or other medical "events" you've experienced from childhood through the present time, including details of any disease or condition for which you are currently being treated;

► A brief summary of your family's relevant medical conditions. (Knowing that your mother is being treated for diabetes or a heart condition, or that you have a family member who has had seizures, an aneurysm, a stroke, or circulation problems, for example, can help with an accurate and prompt diagnosis when a formerly healthy person develops a physical problem with no seeming relationship to their general state of health.)

TIP: If such information or family is unavailable, note that as well. It will save others from wasting time trying to contact deceased or otherwise unreachable relations.

If you're an international globe-trotter, add:

A list of immunizations (type, date, etc.)

 

If you have a chronic or other diagnosed health condition, you should also include:

Your most recent (six months or later) cholesterol and blood pressure readings (which indicate factors such as high cholesterol or high blood pressure that could contribute to some medical conditions and influence treatment);

If you have a heart condition that requires monitoring, you should carry a copy of your most recent ECG—or provide ready access to a healthcare provider who can provide a copy on demand. (If you don’t want to carry it around, you can store it on a number of paid online services such as Instant EKG.)

 

Medical Records Access Information

Many primary-care physicians and medical practices have a special department (Medical Records) that handles your medical files. Get the contact name and direct phone numbers and list them with your other medical contact information. In some situations, you can avoid unnecessary or risky procedures by having your records reviewed before additional expensive or risky testing is initiated.

 

TIP: Such information is rarely retrievable after normal business hours (and medical-practice hours of operation may vary from the standard 9-to-5 of business operations). If you have records that need to be available 24/7, consider storing them in an online or electronic service. Yes, there are security issues but the farther you travel and the more precarious your health, the more important it is to have complete access as needed.

 

If you’ve "parked" your medical info with an online or electronic service, indicate how to access this stored data. Include company names, phone numbers, Web URLs, and ID and password information needed for authorized access for a healthcare organization or provider. If a smart card is required, carry the card with you and indicate that a card is needed.

 

TIP: Make sure you sign on with a reputable carrier and one who will, if necessary, bend the rules if you need emergency access and don't have passwords or other IDs readily available.

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Bit by Bit: Putting It Together

Now that you've compiled the contact info and medical data, you'll need to keep it in a stable, durable format that you can carry with you. Because the key here is ALWAYS carrying the info on your person.  A readable hardcopy in your wallet, handbag, or luggage is an essential backup but you could be separated from them (think lost, stolen, or otherwise missing).

 

The simplest method? A typed or printed card or sheet of paper that you fold and stash in your pant or skirt pocket or on something that you can wear (say, around your neck or waist) or otherwise keep on your body (See Medical-ID Jewelry).

 

Some very clever folks have their typed or printed information photocopied (on heavy card stock, say 100#) and reduced to index-card-size sheets that they laminate for durability. These folks suggest carrying them in the same case as your airline tickets and/or passport because they are equally valuable.

 

With more and more folks wearing security ID info attached to chains around their neck or on key chains, you could also add your cards to them. Of course, you'll need to keep the key chain in your pocket at all times and keys have this damnable way of getting lost. (All of these methods, of course, have their drawbacks but I note the simplest because it's got to be easy enough for the average person to embrace.)

 

In the not-too-distant future, we'll have chips with implanted in our bodies and medical caregivers will be able to quickly scan our body for the data. We'll never have to worry about misplacing, forgetting, or losing the info. Till then, alas, we'll need to rely on decidedly un-tech formats and personal vigilance.

 

Smart Cards, Online Storage, and Other Options

Some folks have created Web sites with their own information or signed on for services that provide free or fee-based medical record storage that is accessed online or via scanable or machine-readable smart cards.

Aside from the obvious security issues with these formats, there’s the more important issue of access. Even if you're on the ground and in a well-equipped medical facility, the equipment needed to scan or read a card may not be available or you can't access the Net. And if you are, heaven forefend, on a plane that's in mid-air these options are useless. Even with their air-to-ground telemedicine connections and in-flight defibrillators, airline personnel and any available passengers with medical training still require instant information to act. Your "old-fashioned" sheet or card will be more usable for on-the-spot care.

 

Backup: Important But No Substitute for 'The Real Thing'

Some of you may already have such information stashed on your PDA, a CD or Zip disk, in a file on your laptop, or on a printout back home or in the office. That’s a great idea for your personal reference and as a backup for your family, but it won’t do a thing to help on-site emergency medical teams or on-the-fly good Samaritans.

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Ensure That Your Medical Rights and Wishes Are Honored

OK, here’s a scenario: You’re unconscious or otherwise unable to communicate, but you aren’t dying and you have a viable source for obtaining your medical data. You’re receiving the required care from qualified providers in an established medical facility. You’ve got nothing to worry about, right? Not necessarily.

 

Medical conditions can change quickly or unexpectedly, and choosing medical treatment is not always clear-cut. Having advance directive documents such as a medical power of attorney (that lets you designate someone to make decisions on your medical care if you are unable to make them) and a living will (that states your wishes if you are unable to communicate at the end of your life) can be vital.

 

TIP: Partnership for Caring provides free state-specific advance directive documents and instructions. You can find more about a Medical Power of Attorney (also known as a Durable Power of Attorney for Health Care) at legalzoom.com.

Completing the appropriate forms for your state and then leaving instructions and the forms with your family and legal representative (as well as the person to whom you've given medical power of attorney) is one way to ensure that your wishes are honored. But even if you’ve had the foresight to prepare such documents, getting them to medical caregivers can be problematic—what if your next of kin or attorney can’t be reached? Or what if your forms aren’t readily available (say locked in a safe-deposit box in a closed-for-business bank or in another unreachable location)? These are details you need to address now so that you don't have to worry later on.

Given today's technology, you've got a number of options to prevent this problem. Depending on your level of concern, you may want to employ all of them.

First, you can keep back-up hard copies at home and your office. Second, you can store scanned copies of the originals on a CD, Zip disk, or other portable back-up media that you can take with you. (Make sure they are properly labeled and not "locked" so that they can be accessed via any computer.) In a worst-case scenario, someone can be dispatched to the local Kinko's if the location you're in doesn't have equipment on which you can use your back-up media.

Relying on forms stored on your laptop is not optimum since it may not be available or accessible. Services such as MedicAlert®'s National Repository for Advance Directives provide central and confidential storage of your documents with 24/7 worldwide access.

 

Consider Becoming an Organ/Tissue Donor

Many people verbally express a desire to become donors but don't follow up with the necessary paperwork. If you're serious about becoming a donor, take a few moments and complete the appropriate steps to make your wishes legal and enforceable.

 

TIP: Legal experts indicate that family members are ultimately responsible for signing off for program participation. In some states or situations, even the availability of your donor card and driver's license with your wishes clearly indicated may not guarantee that your donation is made. Make sure that your family, your legal representative(s), and whoever holds your medical power of attorney is aware of your wishes. Always provide copies of your donor card or other legal documents indicating your wishes to your family.

 

Rules and regulations vary by state and you can get details from your state's donor network or a local organ procurement organization. For more information on what's involved in organ donation, review the Health Resources and Services Administration's FAQs. You can download a business-size donor card or request that one be sent to you (1-888-ASK-HRSA). 

 

Don't forget to fill out the card and carry it with you at all times.

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Tried-and-True: Medical ID Jewelry

You don’t have to have a serious health condition to benefit from wearing a medical identification bracelet or pendant such as those offered by Medic Alert. But if you do have a non-apparent disability or chronic condition or one that could lead to an episode requiring immediate intervention (e.g., if you’re an epileptic, a diabetic who could go into insulin shock, have severe allergies, or have heart arrhythmias), wearing an identification device that lists your relevant health concerns can facilitate proper treatment.

 

In addition, providers such as Medic Alert offer 24-hour phone access to trained representatives who will provide your medical history (a hard copy can also be requested); 800-825-3785.

 

Fashion-Conscious Alternatives

If you're turned off by the idea of wearing traditional medical-alert jewelry, consider  more fashionable options. Celebs are ordering Lauren Hope's stylish beaded combinations, but at prices starting around $40, they're within reach of most travelers.

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Copyright© 2002 to 2004, Marlene R. Fedin; no reprint or reuse, on or offline,

without express permission of the author

 

UPDATED LINKS
Every effort is made to provide current, working links. However, given the nature of the Web and the frequency of change on individual sites, some links may not be available. If you can't find a noted resource or you find an error, please e-mail The Wellness Concierge®. I'll correct errors and provide you with updated information, where available.
 

SOURCES

Information is compiled from medical and scientific journals and related professional publications, which have vetted the research data that they present. Additional information resources include medical and other professionals that I have interviewed.

 

DISCLAIMER
The material you see here is provided for information purposes only and is not a substitute for consulting a healthcare professional.

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