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Travel Advice and Assessment before Medical and Surgical Care
Section I: Traveling by Air- In general, if you have the below conditions; it is prohibited to travel by air
 Have passed 36 weeks of pregnancy (or 32 weeks if you are carrying twins, triplets, etc.).
 Have a recent heart attack or stroke. Or any type of surgery, especially stomach, brain, eye,orthopedic (bone and joint) surgery including stomach, eye, or head injury. Please check with yourdoctor to see when it is safe for you to travel.
 Have an implanted cardiac device such as pacemakers, cardiac resynchronization therapy (CRT)
devices and implantable cardioverter defibrillators (ICD); please check with your doctor before
travelling by air. Don’t forget to carry your personal device identification card with you at all times.
 Have flu-like symptoms with or without tuberculosis like symptoms such as prolonged cough,weight loss, night sweat, fatigue, fever, and chest pain for more than 2 weeks. We strongly advise
you to not travel at this stage, and for them to continue treatment with their current care team until
his symptoms have resolved completely.
 Are suffering from the below signs and symptoms, please check with your doctor to see when it issafe for you to travel.
 Chest pain.
 Any disease that you can easily spread to other people.
 Severe sinus, ear, or nose infections.
 Breathlessness at rest, difficult breathing.
 Psychotic illness except when fully controlled.
 A fever of 100 degrees Fahrenheit (38 degrees Celsius) or greater.
 Skin rash
 Confusion
 Bruising or bleeding (without previous injury)
 Diarrhea that does not go away.
 Vomiting that does not go away (other than motion sickness).
- During the flight: Keep all of your medications in your hand luggage.
 Drink plenty of water to help prevent hydration and to help loosen your sputum and allow you tokeep your chest clear from low humidity levels in air cabin.
INFO-VISIT-00222-E-I-T-0618-Rev01
33 Sukhumvit 3, Bangkok 10110, Thailand Tel: +66 (0) 2066 8888 Fax: +66 (0) 2011 5100 www.bumrungrad.com

Page 2 of 3Travel Advice and Assessment before Medical and Surgical Care During a long-distance flight of 4 hours or longer (Also see https://www.cdc.gov/ncbddd/dvt/travel.html),
deep vein thrombosis can occur as a result of this inactivity; make sure you get up and walk about
regularly when permitted by the staff on the aircraft. Bend and stretch your legs and wiggle yourfeet at regular intervals (for example every 30 minutes) to encourage your circulation.
- If you have a higher risk of developing deep vein thrombosis, your doctor can help you work out
what measures you may need to take prior to flying. This may include graduated compression
stockings, aspirin, or anticoagulants.
 If you will need oxygen during the flight, this must be requested in advance. A Medical Information
Form, stating your current clinical condition and the reason for oxygen requirement, must be filled
out and submitted to the airlines. It may take 3-5 working days to process and subjected to theairlines approval.
Section II: Pre-operative Preparation- Please inform your doctor before the surgery if you have an existing medical condition for which you aretaking medication and/or you have undergone any previous surgeries.
- If you are taking anticoagulants like aspirin, Persantin®, Ticlid®, Plavix®, warfarin, Orfarin®, heparin, andFraxiparine®, herbal supplements, and vitamins, especially vitamin E, stop these medications/supplements
at least one week before the surgery or as recommended by your doctor.
- If you smoke and drink alcohol regularly, please stop for at least one week before the surgery to reduce thechances of complications.
- If you have any underlying diseases: cardiovascular disease / diabetes / high blood pressure / asthma /cancer / or others including any allergic to any medications and any medicines you are taking, current
treatment and correlating diagnosis, please inform physician in advance.

INFO-VISIT-00222-E-I-T-0618-Rev01
33 Sukhumvit 3, Bangkok 10110, Thailand Tel: +66 (0) 2066 8888 Fax: +66 (0) 2011 5100 www.bumrungrad.com

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Travel Advice and Assessment before Medical and Surgical Care
Section III: Travel Risk Assessment

Deep Vein Thrombosis
Cancer treatment within last 6 months or current palliation?
Paralysis or paresis or cast of lower extremity?
Bedridden for at least 3 days in last 4 weeks or major surgery in last 12 weeks?
Tenderness localized along deep venous system?
Swelling of entire leg?
Unilateral calf swelling >3cm compared to other side?
Unilateral pitting edema?
Superficial collateral veins?
Prior deep vein thrombosis ?
Alternative diagnosis as or more likely than deep vein thrombosis?
Cardiovascular Problems
Uncomplicated myocardial infraction within 7 days?
Complicated myocardial infarction within 4-6 weeks?
Unstable angina?
Decompensated congestive cardiac failure?
Uncontrolled hypertension?
Coronary artery bypasses graft within 10 days?
Cerebrovascular accident within 3 days?
Uncontrolled cardiac arrhythmia?
Severe symptomatic valvular heart disease?
Uncomplicated percutaneous coronary interventions (e.g. angioplasty with stentplacement) within 5 days?
Infection
Do you have any of these following symptoms?
- Cough- Fever- Runny nose
- Diarrhea- RashHave you contacted closely with anyone with those symptoms or tuberculosis ordiphtheria or any other diseases?
Have you has any past medical history of drug-resistant infection?
Last reviewed in June 2018
INFO-VISIT-00222-E-I-T-0618-Rev01
33 Sukhumvit 3, Bangkok 10110, Thailand Tel: +66 (0) 2066 8888 Fax: +66 (0) 2011 5100 www.bumrungrad.com

Before going to
Bumrungrad Hospital
Yes No Not sure