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The Hunting Report – Global Rescue Evacuates Hunting Report Subscriber from Mozambique

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Associated Press – Clifton Maloney: Body of Rep. Carolyn Maloney’s Husband is Recovered

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Letter from the Peruvian jungle

What do you do when you’re unprofessionally diagnosed with a tropical flesh-eating disease while stationed in the jungle three hours from the closest city?

Final exam question: What do you do when you’re unprofessionally diagnosed with a tropical flesh-eating disease while stationed in the jungle three hours by motorized canoe from the closest city, and an additional plane flight away from the nearest reputable medical center? You may only use resources available through a spotty Internet connection and personal contacts at your host ecotourism lodge.

Fortunately, I had a lifeline. My parents had looked into Global Rescue when I was about to start college and travel on my own. We thought of it as just in case something really awful happened and I needed a medevac ASAP. My situation in Peru never became life threatening, but I did need trustworthy guidance and a legit medical opinion.

After exhausting my scant medical resources in the jungle, my skin lesions still worsened and then all my Peruvian friends agreed I had Leishmaniasis, a disease caused by flesh-eating protozoans. Horrifyingly, the most common strain in Peru can spread to your face and cause disfigurement.

I quickly emailed Global Rescue, who had been keeping tabs on me since the start of my illness. Within minutes the same paramedic I had been in contact with previously replied with follow-up questions about my condition. He also informed a team of doctors at Johns Hopkins who tentatively diagnosed leishmaniasis from afar.

One of my lodge friends connected me with their wonderful family in Lima, who also recommended a nearby clinic. Global Rescue seconded their opinion from their list of approved hospitals. These doctors were a huge improvement over what I had experienced in the jungle. It was comforting to have a team of world-class English-speaking physicians answering my questions and making sure I received the best treatment.

This was also a great comfort to my father, a doctor but certainly not a specialist in tropical medicine. He was stuck knowing too much about the general frailty of the human body and yet too little about my specific condition. For him, Global Rescue allowed him to take off the stethoscope and just be my dad.

So to answer my exam question: surviving a remote minor medical crisis requires both quality medical and social support networks… and the two must overlap as little as possible. After all, my friends at the lodge only meant the best for me though I found out that their dubious medicinal balm gave me a chemical burn. Having Global Rescue involved meant I didn’t need medical advice from friends and family, just the love and support only they could provide.

Global Rescue had also spoken directly to my doctors in Peru and acted as a liaison to the doctors I saw in Vermont. After a multitude of tests in the States we finally determined my problems stemmed from a strain of resistant Staph, complicated by a chemical burn and secondary infections. I’m now happily on the mend and starting school again as normal, this time with quite a story to regale my friends.

-Ariel M., Vermont

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MSN.com asks, “When is travel insurance worthwhile?”

Travel writer Peter Greenberg published an interesting article yesterday titled: “When is travel insurance worthwhile?”

Travel writer Peter Greenberg published an interesting article yesterday titled: “When is travel insurance worthwhile?” He writes:

Most people’s travel insurance doesn’t include the type of coverage that everyone should have, but not everyone knows about. It’s called medical evacuation and repatriation.

You may not realize that most health-insurance plans (as well as Medicare) aren’t valid outside of the U.S. or when sailing on international waters. The cost of a doctor’s visit, hospitalization or emergency medical treatment can easily run into the tens of thousands of dollars.

So what should you do if you’re on a cruise ship, hiking in the Himalayas or traveling in a country with inadequate medical treatment? What medical evacuation and repatriation insurance does is cover any medical expenses you may accrue, plus the costs of evacuating you to a hospital or other medical facility.

But be careful, because not all evacuation and repatriation policies are the same. Some will take you to an appropriate facility at the insurance company’s discretion. Others will take you to a facility of your choice, but based on the nearest appropriate location…

He then goes on to mention companies who claim to take you either to the “nearest appropriate” facility, or a local hospital of the member’s choice.

He continues:

Another company, Global Rescue, will transport you back home in the event of a medical or other type of emergency. (In one dramatic instance, Global Rescue evacuated a number of members from Mumbai, India, to Singapore within seven hours after terrorists attacked the Taj Mahal Hotel in November 2008. Now that’s what I call customer service!)

Finally, Greenberg encourages his readers to read the fine print. He points out that a number of companies restrict the sort of activity that is covered under their plans: SCUBA diving, bungee jumping, etc.

We also encourage people to read the fine print. They’ll find that Global Rescue places no limitations whatsoever on the sort of activity that members can enjoy under our plans. If we did, it sure would be a hard sell to the U.S. Ski Team, the American Alpine Club, and similar organizations that recommend our services.

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MSNBC – MSNBC’s Peter Greenberg comments on Global Rescue

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A busy summer in Africa, from Mozambique to Ethiopia

While Global Rescue’s personnel have been very active in Africa this summer, due in part to the growing numbers of safari enthusiasts in our ranks, the nature of the missions are anything but predictable.

While Global Rescue’s personnel have been very active in Africa this summer, due in part to the growing numbers of safari enthusiasts in our ranks, the nature of the missions are anything but predictable.

The last injury you might expect on safari is a detached retina from a bumpy ride in a jeep. But that’s exactly what happened to one of our members, who called from Mozambique to report of a loss of vision in one of his eyes. After Global Rescue doctors and Johns Hopkins specialists recommended he see a specialist immediately to prevent further damage, he was evacuated from the bush in Mozambique to Johannesburg where he was evaluated at a medical center of excellence. Our member had his retina successfully re-attached there and further damage to his eye was averted.

A few months prior, Global Rescue medically evacuated a hunter who had suffered a stroke in the highlands of Ethiopia. That was the beginning of what would be an eventful season in Africa: a 16 year-old girl bitten by a Vervet monkey in Zambia, a woman with an injured rib in South Africa after being knocked off the jetway at the airport and countless other medical calls from Nigeria, Kenya, Liberia and Tanzania.

As of this writing, Global Rescue had dispatched a security team, led by a former Navy SEAL, to Uganda to rescue a 22-year-old woman who was trapped in a house surrounded by rioting tribesman and gunfire. Be sure to checkback with Rescuewire to find out how that operation is resolved…

 
 

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Global Rescue Sponsors Conservation Efforts in Asia

Global Rescue, a committed sponsor of exploration and conservation efforts worldwide, is proud to support Global Wildlife Conservation’s efforts.

The Annamite mountain range on the Laos-Vietnam border represents the sort of remote terrain that beckons to our adventurous members – unexplored wilderness in a remote corner of the world – and it also happens to be the sole refuge of an elusive animal that is a few breaths from extinction. Global Rescue, a committed sponsor of exploration and conservation efforts worldwide, is proud to support Global Wildlife Conservation’s efforts to identify the biodiversity of these wild regions, and the human threats to its survival, especially from poaching.
 
Global Wildlife Conservation (GWC) members recently returned from a meeting in Laos organized by the world’s international experts on the Saola, part of a broader mission to map out the habitat of the antelope-like member of the bovid family and one of the rarest mammals on Earth. The numbers range from perhaps a dozen to no more than a few hundred. It was only discovered in 1992. No Western scientist has ever seen one in the wild, and the few instances where they were kept in captivity, the animal survived only a few weeks.

“The Saola is a unique animal, charismatic and mysterious, called the giant panda of the region by some,” explained GWC’s Wes Sechrest.

The major obstacle to the species’ recovery is poaching, Sechrest explained, whereby illegal hunters use snares or dogs to trap the animals both for meat and for trophies. Scientists and conservationists continue to find evidence of increased poaching activity in the field.

GWC’s goal is to provide local governments with the scientific information necessary to create sound policies to increase soala populations, and also to promote awareness of the problem in the United States, especially among the Vietnamese-American and Lao-Ameican communities.

Other recent conservation efforts by GWC have focused on the Cardamom Mountains region in southwest Cambodia, one of the last remaining large expanses of wilderness in that part of the world. Most of the region is largely unexplored and the distribution of species unknown, although the few surveys completed have discovered significant populations of threatened species such as Siamese Crocodiles and Asian Elephants.

Until recently, access to the Cambodian mountains was prevented by security concerns, and even today exploration of the remote areas presents health and safety risks from land mines, unexploded ordinance, malaria and dengue fever.

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Global Rescue sponsors expedition to what might be modern man’s oldest footprints

Global Rescue, a committed sponsor of exploration and conservation efforts worldwide, is proud to support Global Wildlife Conservation’s efforts.

An expedition to Northern Tanzania earlier this month collected data from a set of ancient human footprints that may turn out to be the world’s oldest of modern man.

The prints are in hardened ash about a mile from the base of an active volcano, and are believed to be about 120,000 years old. While there are known footprints of other human ancestors, such as Australopithecus afarensis, that date back more than 3 million years, and others from the Homo genus dating back more than 350,000, if confirmed by later analysis, these are likely to be the oldest Homo sapiens footprints known to scientists.

The group was led by Dr. Cynthia Liutkus, assistant professor of geology at Appalachian State University. Accompanying Dr. Liutkus and her student, Kate McGinnis, were Dr. Michael Manyak, an expert in expedition medicine, and Mr. Jim Brett, a conservationist and ornithologist who first brought this discovery to the attention of scientists. Global Rescue was one of the sponsors of the expedition and stood by to provide medical evacuation support, if needed, from the remote African plains. Dr. Manyak and Mr. Brett are also members of The Explorers Club and carried The Explorers Club Flag awarded to Mr. Brett for this expedition.

 
Dr. Manyak described the trip to the location as a “five-hour drive over rough roads” from Arusha, a northern Tanzanian outpost best known as a jumping-off point for expeditions to Mt. Kilimanjaro.

Mr. Brett was made aware of the site in this remote location by local Maasai herders as well as employees of the nearby Ngare Sero Tented Camp, and organized the first scientific study conducted at the site. The data from laboratory analysis and photos will be submitted to a major scientific journal for publication. Further excavation and protection of the site are goals in the near future.

 

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Magazine photographer has narrow miss with unnecessary surgery in Thailand

Sometimes the best travel medical insurance is simply expert advice about what you don’t need if you're hospitalized abroad.

Sometimes the best travel medical insurance is simply expert advice about what you don’t need if you’re hospitalized abroad.

For every handful of stories of travelers who land in foreign hospitals, there is always a tale of an operation gone awry, or one that was unnecessary altogether: A businessman on vacation in Mexico who falls off a horse and has emergent hip surgery, only to find out months later in the United States that the ball of his femur keeps falling out of its socket. Or the software engineer in the Middle East who dies on the operating table because the cardiologist had never performed that kind of procedure before.

A magazine photographer was on a photo shoot in Thailand last month, lifting heavy equipment, when he felt a sharp sting in his back. The pain he experienced became so unbearable and immobilizing that he called Global Rescue, whose medical staff explained the dangers associated with this kind of injury. They directed him to a qualified hospital and then sent a critical-care trained paramedic to Bangkok to assist him.

The Bangkok facility where he was examined is considered the best in the city for that specialty and the doctor assigned to his case was trained in the United States. After examining the MRI of the patient’s herniated disks, the Thai doctor decided that the surgeons in Thailand would need to fuse five of the vertebrae together.

The paramedic initiated a conference call with the Thai doctor and Global Rescue’s physicians, who in turn consulted Johns Hopkins orthopedic specialists to discuss the diagnosis. They arrived at the conclusion that the patient could and should fly home for surgery as long as he could be accompanied by a medic, who would be able to inject him on board the aircraft with pain killers and anticoagulants.

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Global Rescue’s African Medical Director describes dangers lurking on the Dark Continent

In “The Snows of Kilimanjaro,” Ernest Hemingway’s lead character, Harry, is scratched by a thorn while on safari and develops gangrene in his leg. His life flashes before his eyes as he lies dying, awaiting…

In “The Snows of Kilimanjaro,” Ernest Hemingway’s lead character, Harry, is scratched by a thorn while on safari and develops gangrene in his leg. His life flashes before his eyes as he lies dying, awaiting an air ambulance from Nairobi that he knows will not arrive in time. The story does not have a happy ending.
That was written in 1936, a long time ago in terms of medical care,and yet gangrene is still a risk for safari travelers, said Dr. Phil Seidenberg, African Regional Medical Director for Global Rescue. Tetanus and a number of other illnesses that are easily treatable in the developed world are a recurring problem in Africa, as are illnesses that doctors rarely see in the United States these days.
 
But the greatest risk to travelers on safari is “blunt trauma from direct contact with an animal,”Dr. Seidenberg said.
 
Just a few days before giving this interview, the Zambia-based emergency room physician treated a 60-year-old man who was gored by a Cape buffalo. The tourist was paddling a canoe down the Lower Zambezi when he came in contact with the herbivore.Statistically the most dangerous of Africa’s “Big Five” game animals, this encounter went horribly wrong. The 2,000-pound animal charged, head lowered, and the beast’s horn punctured and tore off a piece of the man’s scrotum as it threw him into the air. Luckily, the buffalo wandered away before it finished him off, as frequently happens with these animals. Bleeding and in agony, the tourist, who had no travel assistance provider, endured a four-hour overland drive to the nearest medical center.
 
Dr. Seidenberg works at the emergency room at the University Teaching Hospital, a sprawling, 1,800-bed facility in Lusaka, and regularly sees injuries inflicted by big game in the surrounding bush. “Hippos are probably the most dangerous,” he said. “They’re faster than you might think.”
 
Other fearsome injuries he sees include bites from poisonous snakes, especially the black mamba and spitting cobra.
 
The Texas native originally went to Zambia on a public health mission with Massachusetts General Hospital, and he and his wife decided to live there. Now he directs all of Global Rescue’s medical missions on the continent.
 
Thousands of Global Rescue members travel to Africa every year, and its highest peaks are where most of the missions have taken place.Last summer, for example, Global Rescue worked two missions in the mountains of Tanzania. In one case, one of its members was showing signs of high altitude pulmonary edema (HAPE) on the summit of Kilimanjaro, so Global Rescue evacuated the man to his home in the United States.
 
There are roughly 1,000 medical evacuations from that mountain every year and between 20 and 30 deaths.
 
Even Harry, from Hemingway’s novel, hallucinated that he was aboard the rescue plane, off to meet his maker on the snows of Kilimanjaro.

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Wall Street Journal Notes Global Rescue’s Work With Injured Students Abroad

The 'Informed Patient' column in the Wall Street Journal last week explored the subject of keeping students safe while they're away from home for the summer, and mentions the story of a Global Rescue member who…

The ‘Informed Patient’ column in the Wall Street Journal last week explored the subject of keeping students safe while they’re away from home for the summer, and mentions the story of a Global Rescue member who was treated for gall bladder complications while in Togo. All of the stories — including a 14-year-old girl diagnosed with encephalitis in China and a college student who was hospitalized in Chile after eating undercooked fish — spoke of narrow misses with disaster and did not shed a positive light on the summer programs that sent the students abroad. This is the second warning from the mass media in about a month’s time about the holes in many programs’ coverage and disaster plans for students. Last month, USA Today profiled a number of students who were sick or injured on programs that lacked medical evacuation coverage, or any plans for crisis response (see below.)