
Before heading off into the great unknown, it's important to make sure you're wearing clean panties... Or so my mother always told me.
That should be the philosophy behind your health and studying abroad. Make an appointment with everyone. Here's my list and it should be yours, too:
General Physician: Have your ears looked in. Have your knees knocked on. Have your moles looked at! I was referred to a dermatologist after 2 moles arose suspicion. If you are consistently taking any prescription medications, have your physician sign off on them on paper, and carry it with your passport. My doctor also signed a piece of paper that cleared me for international travel and logged it with the university. Ask for a copy and take that with you, too.
Optometrist: Make sure you have enough contacts to last you the whole trip! And ask about some eye antibiotics in case you get a light infection from sleeping in your contacts/swimming/running with scissors. Have your prescription signed for, and keep a copy with you.
Dermatologist: Especially important if you're going to a tropical climate. It never hurts to hear the horrors of skin cancer to put it all in perspective. They also may want to remove fishy looking moles.
Dentist: While getting SCUBA certified, I learned that an unidentified cavity can cause your tooth to implode or explode during descent and ascent, respectively. Awesome, right?
Lady Doctor: If you're prone to issues, ladies, ask for antibiotics. Have those antibiotics signed for, have him/her make a copy. You never know how accessible these things will be in a foreign situation.
Sexual Health: Get tested for STDs before you leave. It's the responsible thing to do. Ladies, stock up on birth control, and have the prescription signed for and copied.
Psychiatrist: I see a lovely woman for my raging insomnia. She gives me wonderful drugs. Guess what she did? She signed for them, and then made copies of the documents. Do you see a pattern here?
Travel Nurse: This is more important if you're going to less economically developed parts of the world, or if you'll be working in remote areas. They'll tell you which vaccinations you should get, based on the area you'll be in.
Now, I am one of the 30-40 million Americans who is without insurance at any point during the year. If you are insured, the list above will be easy for you to complete. However, if like me, you aren't insured, here are some money-saving options.
General/Mental Health: As a student, you have limited insurance that allows you to see these physicians. Tell them you are uninsured from the get-go. They will prescribe you the generic drugs (which are EXACTLY the same as the name-brands). I suggest having them filled at Wal-Mart or Sam's Club, as they tend to charge the least for their medications, but feel free to shop around otherwise. And if you DO need something expensive, ask your doctor if they know any pharmacy in the area with sample packs. These can literally save you HUNDREDS of dollars per prescription.
Travel Health/Immunizations: Ask your general physician or travel nurse for a list of the health clinics in the area. Shop around for the best price on immunizations by calling the different clinics. Mizzou was charging $42 for the Tdap booster, and I got it for free at the St. Charles County Health Center.
Dentist/Optometrists/Dermatologists: These doctors frequently send out promotional fliers in the mail offering significantly reduced prices to first-time patients. Snag these. You can also find such promotions on the internet. And when buying contacts, ask your optometrist whose brand they're promoting, these will often be the cheapest. Buy in bulk!
Lady Doctor/Sexual Health: County clinics and Planned Parenthood are your best options for exams and tests. They charge on a sliding scale, and most undergrads can get exams and medications (including birth control) for free.
*Note* Take enough medication with you to last your entire trip. And if I hadn't made it obvious enough before, have all of your prescriptions signed for and keep the documents with you all the time.
Starting with a clean slate, and being prepared seems like the best idea. I'm hoping that my precautions will prevent me from needing to see the doctor while I'm abroad.... which brings me to my last point...
It's amazing what your travel insurance DOESN'T cover (you will be forced to purchase this insurance one way or another). Check the exclusions clause of your policy. Check it again, and let it be a warning.
In lighter news, I started packing yesterday. Sort of. Well, I carried a bunch of stuff from my room and threw it on the floor in my living room in the same vicinity as the luggage that I had also thrown there. So, now my living room is covered in pink bags and miscellaneous items, like little travel-sized deodorant and travel books. I attached a charming mobile photo of the scenario. My grandmother is not happy, but tolerating the mess... including the one I've made of the dining room table. Preparing for 4 and a half months is a messy business!
Countdown to take off... 19 days!
27 January 2010 Edit: I went to the dentist for the first time in 5 years and I still have never had a cavity. I'm pretty proud of this. My teeth are squeaky clean and my smile is 100% ready for the trip!
Another major life adjustment... I have decided to go cold turkey on my sleeping medications. They aren't as effective anymore. I'm 2 days in and have a total of 5 hours of sleep. Hopefully tonight will be better. We'll see!