Travel Medicine about Philippines

Yesterday Dr Yates told me to go over that if one visits Philippines, which vaccines, anti-malaria drugs, antibiotic diarrhea drugs and mosquito repellents should get.

This afternoon, a patient would go to Philippines, Dr Yates asked me how I went over the questions about Philippines. Then I told the material I prepared.

Malaria Prophylaxis with mefloquine, Malarone, or doxycycline is recommended for all rural areas below 600 m (1969 ft), except on Bohol Island, Borocay Island, Catanduanes Island, and Cebu Island. Subic Bay is a risk area.

Antibiotic for diarrhea: ciprofloxacin and levofloxacin.

Dr Yates told me that typhoid in Philippines is in high risk and rabies, JE are expensive, so it is few patients want to vaccinate. After talked about it, we went to the exam room, to ask the patient’s itinerary. Then I knew the vaccines should given to the patients.

It’s really helpful to me to learn travel medicine.

Vaccinations:

Hepatitis A	Recommended for all travelers
Typhoid	For travelers who may eat or drink outside major restaurants and hotels
Yellow fever	Required for all travelers greater than one year of age arriving from a yellow-fever-infected area in Africa or the Americas. Not recommended otherwise.
Japanese encephalitis	For travelers who may spend a month or more in rural areas and for short-term travelers who may spend substantial time outdoors in rural areas, especially after dusk
Hepatitis B	Recommended for all travelers
Rabies	For travelers spending a lot of time outdoors, or at high risk for animal bites, or involved in any activities that might bring them into direct contact with bats
Measles, mumps, rubella (MMR)	Two doses recommended for all travelers born after 1956, if not previously given
Tetanus-diphtheria	Revaccination recommended every 10 years

Malaria Prophylaxis with mefloquine, Malarone, or doxycycline is recommended for all rural areas below 600 m (1969 ft), except on Bohol Island, Borocay Island, Catanduanes Island, and Cebu Island. Subic Bay is a risk area.

Antibiotic for diarrhea: ciprofloxacin and levofloxacin.

Dr Yates told me that typhoid in Philippines is in high risk and rabies, JE are expensive, so it is few patients want to vaccinate. After talked about it, we went to the exam room, to ask the patient’s itinerary. Then I knew the vaccines should given to the patients.

It’s really helpful to me to learn travel medicine.

Attending the 8th National Kaiser Permanente Travel Medicine Conference

Last weekend, I were so lucky that I could go to the conference with Dr Ansdell , Dr Yates , Jodi and Aaron. This conference included many travel medicine experts, and it’s really a rare chance for me to find out what American doctors are researching, and I learned a lot malaria, yellow fever and vaccines knowledge from several doctors. The highlight of the conference for our clinic is Jodi’s representation about the disabled traveler. This representation included Aaron and my work about disabled traveler in China.

After the conference, Aaron and I visited the Golden Gate Bridge and China Town. It’s really a exciting journey.

Enjoy the life in Hawaii

I came to Hawaii more than 10 days, and I begin to enjoy the life in Hawaii from the inadaptation of the initial days. The most important thing in Hawaii of mine is to study travel medicine, and I am really enjoying it. Doctor Ansdell and Yetes are excellent travel doctors at least in my eyes. When they know the itinerary of the patients, they always know the object of the travel; that is the one of the most important reasons I admire them. So kindly the doctors and nurses treat me everyday, when I have questions about travel medicine, they explain it to me patiently, and when I at a loss and don’t know how to express myself, they encourage me smiling and kindness.

In Hawaii, I am touched by Hawaiian’s enthusiasm. Just the day before yesterday, I strolled at the bus stop, then an old man came to me and asked if I had lost. I moved by his simple words for Hawaiian caring for and kindly to others.

If I have time before sunset, I usually go to the beach to play the beach volleyball with other tourists from all over the world. We all can’t speak English so fluently like local people, so we must speak several times to express ourselves clearly. No quarrelling and denouncing when a guy loss, just encouraging and smiling. Everybody here are enjoying the life.



I and Travel Medicine

When I graduated from HeBei medical University in 1999, I became a internal doctor in Armed Police. In 2006, I postgraduated from my alma Mater, majored in digestive medicine, and in 2008, I transferred to civilian work to China Inspection and Quarantine. At that time, I didn’t know about Travel Medicine, telling the truth, I know nothing about it.

There is a chance in 2008, I attended selective examinations sponsored by IMMAT. At that time, I knew about of Travel Medicine for the first time. Though I didn’t get the scholar to study Travel Medicine in US, I was really interested in it how ever, and the doctor must think the country which the traveler will go or ever went, symptom, laboratory investigation and vaccination histories over  before he diagnose. While in TianJin International Healthcare Center, which is the clinic I work, I take charge of physical check-up, having nothing to do with Travel Medicine. In our center, a consultant doctor provides simple Travel Medicine information to the travelers. When the traveller tells him where he wants to go, the doctor takes the continent into account, not the country, not to mention the city. My center only has the MMR, YF, typhoid vaccines and anti-malaria drugs.

This year, I got the chance of studying Travel Medicine in US by my endeavor. In Kaiser Permanente Travel Medicine Clinic, I know the truth of Travel Medicine and admire the knowledgeable doctor Ansdell and Yates. I hope I can be them by my study.

To be one’s best

This morning, I took No 2 bus to the Kaiser Permanente Travle Medicine Clinic, lots people in it, and some hadn’t a seat, standing and waiting to their destination. Stopping at a stop, the bus kept stillness for a while and the driver got off. I puzzled what had happened, as soon as I saw the driver let the bus’s stair low down and slowly push a handicap, sitting in a wheelchair, to get on the bus, I understood and moved. The driver laid him at one side of the bus and bounded one of the wheelchair’s leg to a pipe of the bus by a rope, in case sliding while the bus turn off.

It’s a very common thing in American’s life, while in China, the bus hasn’t a folding stair, and perhaps there is no enough room for a wheelchair. The result is that the handicaps can not go out by themselves. It’s difficult for them to go to school or find a job, and they can only become a burden to their relatives. A little of them earn living by doing business. On the other hand, the handicaps in America can do what they want by the help of the society.

Who is to say that the handicaps can’t to become Stephen William Hawking? Just as

Seymour St.

John’s opinion, the fifth freedom is to be one’s best, whoever he is. I don’t know how many years later, the handicaps in China can do what they want and to be their best, and I don’t know how will American do when they have five times people, and has no enough source.

Maybe the hypothesis isn’t important, improving is better.

Day trip to Pearl Harbor

Pearl Harbor like a shining pearl necklace attracts tourists all over the world, of course include me, to visit the famous harbor of the Second World War.

On morning, as early as we can, my partner and I took the bus to the Pearl Harbor. As soon as I walked into the harbor, facing the Arizona memorial lying peacefully near the bank, listening to the audio tour explaining the heartbroken history, the miserable history opened up to me step by step. With other tourists stepping into the Arizona memorial by navy’s ship, we were all shocked by the list of the dead young navy’s name. The Arizona wreckage, which more than one thousand heroes in it, lies quietly besides the memorial, telling the world unforgettable, miserable regretless story.

Standing on the board of uss Missouri, watching the Arizona, I think the paradise visits it while clouds around it. Every hero lives in the paradise and also lives in our memory like shining pearl.

Now, we may forget the war, mourn the dead, understand the tragedy, honour the heroes.

Just arrived Hawaii

It’s nearly a week since we came to Hawaii, and I am really enjoying the whole experience. First, I  was fascinated by the charming sight of Honolulu, and second, I admire the American travel medical doctor’s professional knowledge, and last but not least, I am shocked by the humanistic and strict medical system of American.

Just yesterday, my partner and I moved to the apartment, near the Waikiki beach, which Dr Ansdell rented for us, and it’s like a festival to us, because we can cook Chinese food . The most important thing for us is that we can surf on line, search useful knowledge, call our parents on internet.

By internet, I have the chance to record my feelings about the three day’s study. At first, I was really somewhat afraid of not understanding what the American doctors talk about, and then at a loss. I was relieved by familiar with the circumstance and moved by the doctors’ kindness.

Today, we go to the Waikiki beach to swimming and playing beach volleyball. All tourists from all over the world, they all are very kind and polite. It’s really a wonderful day.