What You Need to Know Before You Go
As a cancer patient, I understand first hand how challenging it can be to balance your own medical needs with a desire to live life to its fullest and explore the world. Travelling can still be an incredible experience, but it requires just a bit more preparation. Here are the most important things I’ve learned when planning a trip as a cancer patient:
1. Get Comprehensive Travel Insurance
This is non-negotiable. Travelling with a pre-existing condition like cancer means you need to ensure your insurance policy covers any medical care you may need while abroad, including emergency treatments or hospital stays. Look for policies specifically designed for cancer patients or those with serious health conditions, and read the fine print to make sure you’re fully covered.
2. Consult Your Doctor Before You Book
Always consult your oncologist or healthcare professional before planning any travel. Discuss your destination, activities, and how long you’ll be gone. They can give you guidance on managing symptoms, medications, and any potential risks, like infections or altitude sickness, depending on where you’re headed.
3. Plan Around Your Treatment Schedule
Make sure your travel plans work around your treatment schedule. If you’re undergoing chemotherapy, radiation, or any other treatment, you may need to time your trip between sessions or after treatment has finished. Be mindful of how your body might respond after treatment – fatigue and nausea can impact your experience, so give yourself recovery time to maximise enjoyment.
4. Pack Your Medications and Paperwork
Always pack more medication than you think you’ll need, and keep it in your carry-on in case of any luggage delays. Additionally, carry a letter from your doctor explaining your condition, medications, and any other medical details that might be important in an emergency. You may need this at airport security or for medical professionals overseas.
5. Know the Nearest Medical Facilities
Research the medical facilities at your destination before you leave. Make sure you know where the nearest hospital is, just in case you need urgent care. It’s also helpful to have an idea of how healthcare works in the country you’re visiting, whether it’s public or private, and if your insurance will cover treatment there.
6. Take Care of Your Immune System
As a cancer patient, your immune system might be weakened, so it’s important to take extra precautions. Bring hand sanitiser, avoid crowded places when possible, and be careful with food and water in countries where sanitation may be an issue. Speak to your doctor about any vaccinations you may need for the destination you’re visiting, especially if you’re immunocompromised.
7. Listen to Your Body
One of the most important lessons I’ve learned is to listen to your body. Travelling can be physically taxing, and as someone undergoing or recovering from cancer treatment, you may tire more easily or need more downtime. Don’t be afraid to adjust your plans, take breaks, or even cancel certain activities if you’re not feeling up to it. For example, I ensured my holiday post treatment had a holiday club for children to ensure I could rest in the morning and be on form for them in the afternoon! Your health always comes first.
Travelling with cancer is entirely possible with the right preparations. With comprehensive travel insurance and careful planning, you can enjoy new destinations while keeping your health a priority.
Safe travels!
Dr Anisha
Here are several specific health and safety concerns to consider before departing:
1.Risk of Infections
Cancer patients, particularly those undergoing chemotherapy or with weakened immune systems, are more susceptible to infections. Crowded places like airports, airplanes, or tourist attractions can increase this risk. It’s essential to practice good hygiene, avoid high-risk areas, be careful where you eat and drink and consult your doctor about any necessary vaccinations.
2.Access to Medical Care
Healthcare quality and availability can vary significantly depending on where you’re travelling. Research the local healthcare system and ensure you have access to hospitals or specialists if needed. Having comprehensive travel insurance that covers cancer-related emergencies is critical to ensure you can get appropriate treatment abroad.
3.Medications and Treatment Continuity
If you require regular medications or treatments, you need to ensure that your destination has access to these, or that you bring enough medication with you. It’s also crucial to check that your medications are legal and available in your destination country. Always bring medical documentation, prescriptions, and treatment schedules in case you need to visit a local doctor or refill a prescription.
4.Flight and Altitude Concerns
Long-haul flights and high altitudes can pose challenges for some cancer patients. Prolonged sitting increases the risk of deep vein thrombosis (DVT), especially if you have a history of cancer or are undergoing treatment. Be sure to stay hydrated, move around regularly during flights, and consider compression stockings to reduce the risk of blood clots. If you’re travelling to a high-altitude destination, ask your doctor if the altitude might exacerbate any symptoms.
5.Fatigue
Cancer patients can experience fatigue, making physically demanding activities or tight travel schedules challenging. Plan for plenty of rest, and be mindful of the energy needed for activities like walking, hiking, or sightseeing. Don’t hesitate to adjust your plans to accommodate your body’s needs.
6.Sun Exposure
Some cancer treatments, such as chemotherapy or radiation, can make your skin more sensitive to the sun, increasing the risk of sunburn or skin damage. If you’re travelling to a sunny destination, be vigilant about wearing sunscreen, protective clothing, and hats, and seek shade during peak hours of sunlight.
7. Dietary Restrictions
Cancer patients may have dietary restrictions, particularly if they are undergoing treatment that affects their digestive system or immune function. In some destinations, food safety standards may differ, and it’s important to avoid undercooked or unclean food and water to prevent infections. Stick to bottled water and carefully consider what you eat, especially in areas where foodbourne illnesses are common.
By addressing these health and safety concerns and preparing thoroughly, travellers with cancer can minimise risks and enjoy their journeys with greater peace of mind.
Travellers with cancer can take several proactive steps to ensure they have access to medical care or treatment while abroad:
1.Consult Your Doctor Before You Travel
Before booking your trip, consult your oncologist or healthcare provider. They can advise on whether it’s safe for you to travel, especially if you’re undergoing treatment. They can also help you plan for any medical needs, like timing your trip between treatments, and provide you with necessary medical documents or letters for healthcare professionals abroad.
2.Purchase Comprehensive Travel Insurance
Make sure to get travel insurance that specifically covers pre-existing conditions, including cancer. Standard travel insurance may not include coverage for medical issues related to cancer, and I found I had to research companies to find a policy that covers cancer treatments, emergency care, and repatriation if necessary. Be sure to disclose your condition honestly to avoid any claim denials.
3.Research Healthcare Facilities at Your Destination
Before leaving, research the healthcare system at your destination. Identify hospitals, clinics, or cancer centres near where you’ll be staying.
4.Bring a Medical File and Prescription Copies
Carry a detailed medical file that includes:
- Your diagnosis and treatment history
- Current medications and dosages
- Allergies or other medical conditions
- A treatment plan or any upcoming medical appointments
- Contact information for your healthcare provider at home
Keep physical and digital copies of your prescriptions and, if possible, a letter from your doctor explaining your condition and the medications you’re carrying. This documentation will be helpful in case you need a refill or medical care abroad.
5.Pack Enough Medication and Supplies
Bring more medication than you think you’ll need, as availability and quality of medication can vary abroad. Store medications in your carry-on luggage, and keep them in their original packaging to avoid issues with customs. If your medication requires refrigeration, research how you can store it safely while travelling.
6.Look for International Cancer Networks or Medical Tourism Programs
Some global organisations or hospitals have affiliations with cancer centres or specialists around the world. Look for recognised international cancer networks that can provide care for travellers. Additionally, many countries have medical tourism programs with well-established hospitals offering high-quality care for cancer patients.
7.Locate Your Embassy or Consulate
In case of a medical emergency, your country’s embassy or consulate can assist you in finding local medical care or even arranging medical evacuation if necessary. It’s useful to know where these services are located at your destination.
8. Carry Emergency Contact Information
In addition to your own emergency contacts, have the details of local healthcare providers, your travel insurance hotline, and your doctor back home. In case you need medical assistance quickly, you’ll have all the information at hand.
9. Language Barriers and Translation Apps
If travelling to a non-English speaking country, familiarise yourself with key medical terms in the local language, or use a translation app that can help you communicate with healthcare professionals. Some apps are specifically designed for medical situations and can help you explain symptoms or understand doctor instructions.
By preparing in advance, travellers with cancer can ensure they have access to appropriate medical care and treatments while abroad, allowing them to travel with confidence and peace of mind.
Managing cancer while flying, especially on long-haul flights, requires careful planning to ensure your comfort and safety. Here are my top tips to help make the journey more manageable:
1.Consult Your Doctor Before Flying
Always speak to your healthcare provider before planning any trip, especially if it’s long-haul. Your doctor can help assess your fitness for flying, particularly if you’re undergoing treatment or have any conditions like anaemia, blood clots, or lung issues that may affect air travel.
2.Stay Hydrated
Aeroplane cabins have low humidity, which can lead to dehydration Drink plenty of water before and during the flight. Limit caffeine and alcohol, as these can increase dehydration.
3.Prevent Deep Vein Thrombosis (DVT)
Cancer patients, particularly those undergoing treatment, are at an increased risk of blood clots or DVT, especially on long flights. Here’s how to reduce that risk:
- Move Around Frequently: Walk around the cabin every hour or so, and do seated leg exercises to improve circulation.
- Wear Compression Stockings: These help improve blood flow and reduce the risk of clots.
- Consider Medication: Ask your doctor if you should take blood-thinning medication before the flight to prevent clotting.
4.Pack Medications in Your Carry-On
Always keep your medications with you in your carry-on luggage. Bring more than you need in case of delays, and make sure they’re in their original packaging with copies of your prescriptions. If your medications require refrigeration, speak to the airline in advance to make arrangements.
5.Carry Documentation
Bring a letter from your doctor explaining your condition, treatment, and the medications you’re taking. This can be helpful at airport security and in case you need medical care during your trip. It’s also wise to have travel insurance details and emergency contacts readily available.
6.Manage Fatigue
Cancer treatment can lead to increased fatigue, which can be worsened by long flights. To manage this:
- Book Direct Flights: If possible, avoid multiple connections to minimise travel time and stress.
- Choose comfortable seating if possible, to allow for extra comfort and legroom.
- Take Rest Breaks: Plan plenty of time to rest, both during the flight and after you land, to avoid overexertion.
7.Plan Meals Carefully
If you have dietary restrictions due to cancer treatment, like avoiding certain foods or needing easily digestible meals, contact the airline ahead of time to arrange special meals. Bring your own snacks if necessary, especially on long flights where food options may be limited.
8.Protect Your Immune System
Airports and aeroplanes are full of germs, and cancer patients, especially those with weakened immune systems, are more susceptible to infections. Here’s how to protect yourself:
- Wear a Mask: Consider wearing a face mask to reduce exposure to airborne germs, especially in crowded areas.
- Use Hand Sanitiser: Regularly sanitise your hands and avoid touching your face, particularly after handling public surfaces like seatbelts or tray tables.
- Wipe Down Surfaces: Bring sanitising wipes to clean tray tables, armrests, and seatbelt buckles.
9. Consider Jet Lag and Time Zone Changes
Cancer treatment can affect your energy levels and disrupt your sleep, which may be further impacted by jet lag. To minimise its effects:
- Adjust to the Destination Time Zone Gradually: Try to shift your sleeping schedule a few days before departure to match your destination’s time zone.
- Stay Hydrated and Move Around: These simple measures can also help reduce the effects of jet lag.
- Prioritise Rest Upon Arrival: Allow yourself time to rest and recover after the flight to avoid overexertion.
10. Plan for Emergencies
Know the location of medical facilities at your destination in case you need care upon arrival. Carry emergency contact numbers, including for your doctor back home, your travel insurance company, and local medical providers.
By following these tips, you can help make flying more manageable, even while undergoing cancer treatment, ensuring that your health and comfort are prioritised throughout your journey.
Managing medication treatments and fatigue during travel can be challenging for cancer patients, but with proper planning and self-care, it can be more manageable. Here are some key strategies for dealing with both:
1.Plan Medication Schedules Around Time Zones
If you’re crossing time zones, consult your doctor about adjusting your medication schedule. Stick to your normal routine as much as possible, but when time zone changes make this difficult, your healthcare provider can help you adjust doses to avoid missing or doubling up on medication.
2.Pack More Medication Than You Think You’ll Need
Always pack extra medication in case of delays or extended stays. Bring at least a week’s worth of extra doses, and store them in your carry-on luggage, not in checked bags, to ensure they are always accessible.
3.Keep Medications in Their Original Packaging
Keep your medications in their original containers to avoid any issues with customs or security. Include a copy of your prescription and a letter from your doctor explaining your need for the medication, especially for controlled substances or injectable medications.
4.Consider Storage Requirements
If your medication requires refrigeration, such as some types of injectable drugs, inform the airline ahead of time. Many airlines are able to store medications for you during the flight. Bring a portable cooler with ice packs for use during transit, particularly for airport stop overs.
5.Set Reminders for Medication Timing
Travelling can disrupt your routine, making it easy to forget when to take your medication. Set alarms on your phone or use a medication-tracking app to remind you when it’s time to take your doses.
6.Carry a Comprehensive Medical File
Bring along documentation that includes your diagnosis, treatment plan, a list of current medications, and emergency contact details for your healthcare provider. This can be helpful in the event of a medical emergency or if you need to refill prescriptions abroad.
Managing Fatigue During Travel
Let’s face it, travelling can be tiring at the best of times, let alone if you are having cancer treatment or have had treatment,
Here are my top 10 tips to combat the fatigue:
1.Schedule Plenty of Rest
Plan your itinerary with built-in rest periods. Avoid over-scheduling your days, if you are experiencing cancer-related fatigue. Take breaks throughout your trip to recharge, and don’t hesitate to skip activities if you’re feeling tired.
2.Book Comfortable Accommodations
Choose accommodations that offer the comfort you need to rest and recuperate. Ensure access is appropriate for your needs eg lifts etc. If possible, try to minimise transit times and select accommodations close to key activities.
3.Prioritise Direct Flights
When possible, opt for direct flights to minimise the stress and fatigue associated with stop overs, security checks, and changing planes. If you must take a connecting flight, schedule ample time between flights to rest.
4.Move Around During Flights
Prolonged sitting can increase fatigue. Get up and move around every hour or so during the flight to promote circulation. Simple leg stretches and walking in the cabin can help reduce muscle fatigue.
5.Stay Hydrated
Dehydration can exacerbate fatigue, so it’s important to drink plenty of water throughout your travel, especially during flights, where cabin air is dry. Avoid alcohol and caffeine, which can lead to dehydration and make fatigue worse.
6.Rest Before You Feel Exhausted
Travel can be physically and mentally exhausting. Rest before you become overly tired. Take naps or short breaks during the day, and avoid pushing through fatigue, which can weaken your immune system and delay recovery.
7. Listen to Your Body
It’s important to listen to your body’s signals. If you’re feeling too tired to participate in an activity, allow yourself the flexibility to change plans. Your health and well-being should always take priority, even while traveling.
8.Plan Light Activities
Choose less physically demanding activities that won’t drain your energy. For example, opt for scenic drives, gentle walks, or cultural experiences that don’t require a lot of exertion. Pace yourself and plan just one or two major activities each day.
9.Ask for Assistance
At airports, train stations, or large attractions, don’t hesitate to ask for assistance. Many airports offer special services for passengers with health conditions, including wheelchair assistance, priority boarding, or access to lounges where you can rest.
10.Consider Travel Insurance
Purchase comprehensive travel insurance that covers medical emergencies, especially those related to your cancer treatment. This gives you peace of mind in case your fatigue worsens, or you need to visit a hospital while traveling.
By carefully managing your medications and planning for periods of rest, you can minimise the impact of cancer-related fatigue and enjoy your travel experience. Preparation and flexibility are key to staying healthy and comfortable on the go.
Here are specific steps that cancer patients can proactively make before flying to ensure a smooth and comfortable experience:
1.Notify the Airline of Your Medical Condition
Many airlines offer special services for passengers with medical conditions. You should notify the airline well in advance of your flight, especially if you have specific needs, such as:
- Medical equipment: If you need to bring medical devices, oxygen tanks, or other equipment, inform the airline early. Airlines have protocols for handling these items and may need to make special arrangements.
- Seating: If you require extra legroom due to mobility issues or are at risk of deep vein thrombosis (DVT), request a seat with more space. You can also ask for an aisle seat to allow easier access for moving around during the flight.
- Wheelchair or mobility assistance: If you experience fatigue or mobility challenges, request a wheelchair or electric cart to help navigate the airport. This service can help conserve your energy and prevent exhaustion.
2.Request Special Assistance at the Airport
Airports often provide special assistance services for passengers with health conditions or disabilities. You can request help with:
- Security Screening: Passengers with medical conditions may require special handling at security checkpoints. You can request a private screening if you have sensitive medical equipment or need privacy. If you’re carrying medications, let the security staff know.
- Expedited Check-in and Boarding: Some airlines offer priority check-in or boarding for passengers with medical needs. This can reduce the stress of standing in long lines and give you extra time to settle in before the flight.
- Transportation Between Terminals: For large airports, you can arrange for transportation between terminals or to the boarding gate using electric carts or shuttles.
3.Obtain a Fit-to-Fly Letter from Your Doctor
In some cases, airlines may request a fit-to-fly letter from your doctor, especially if you have recently undergone surgery, are currently in treatment, or need to fly with medical equipment. The letter should include:
- Your diagnosis and medical condition.
- Any treatments or medications you’re currently receiving.
- Specific needs during the flight (e.g., oxygen).
- The doctor’s statement that you’re fit to fly.
This letter can also be useful at security checkpoints or if you need medical assistance during your trip.
4.Carry Medical Documentation and Prescriptions
Make sure to travel with a complete medical file, including:
- A list of all your current medications, dosages, and schedules.
- Copies of prescriptions (in case you need to refill medication abroad).
- A summary of your diagnosis and treatment plan.
- Contact information for your healthcare provider at home.
Keep these documents in your carry-on bag so they’re easily accessible if needed. It’s also helpful to bring a note from your doctor explaining why you’re carrying certain medications, especially if you’re bringing controlled substances, injectable drugs, or liquid medications that exceed TSA limits.
5.Bring Medications and Medical Supplies in Your Carry-On
Always pack your medications, medical supplies, and any necessary medical devices in your carry-on luggage. Never check these items, as checked luggage can be delayed or lost. If your medications require refrigeration (such as some injectable cancer treatments), bring a portable cooler with ice packs, and coordinate with the airline about in-flight storage options.
6.Plan for Infection Control and Immunosuppression
If you’re immunocompromised due to cancer treatment, it’s important to take extra precautions to avoid infections while traveling:
- Wear a Mask: Especially in crowded airport areas or on the plane, wearing a face mask can help reduce exposure to airborne germs.
- Hand Hygiene: Bring hand sanitiser and disinfectant wipes to clean surfaces like tray tables, armrests, and seat belts. Wash your hands frequently and avoid touching your face.
- Vaccinations and Travel Health: Check with your doctor about any vaccinations you might need, particularly if you’re traveling to a country where certain diseases are common. If your immune system is weakened, some vaccines may not be recommended.
7.Pack Extra Medications and Supplies to ensure you won’t run out while abroad.
8. Ensure you know where the local hospitals are near your destination in case of a medical emergency and carry a list of emergency contact numbers, including your doctor at home and local medical providers.
Also, ensure your travel insurance policy covers cancer-related emergencies and provides access to medical care in the country you’re visiting.
9.Consider Compression Stockings and Mobility Aids
To reduce the risk of deep vein thrombosis (DVT) during the flight, particularly for cancer patients who are at higher risk, consider wearing compression stockings. These help improve blood circulation during long periods of sitting. If you have difficulty walking long distances due to fatigue or treatment side effects, bring a cane or other mobility aids for extra support.
By making these preparations, travellers with cancer can minimise risks and ensure their journey is as smooth and comfortable as possible.
