Hospitalized Abroad with Altitude Sickness

Costa RicaOver Christmas break, I made the spontaneous decision to take a solo backpacking trip. I literally booked a flight to Costa Rica twelve hours before leaving the country. I had considered leaving the day before but thought I had misplaced my passport. As soon as I located my passport, I booked my ticket. The plan was to explore Costa Rica for a day or two (I’ve been before) and then hike the Incan Trail to Machu Picchu. Perhaps the hardest year of my life was 2019. Backpacking solo usually helps me to find peace. I often feel God’s presence the strongest in nature, so it seemed like a good idea. Who would have thought that I’d be hospitalized abroad?

The trip started out great. Upon arriving at the Fort Lauderdale International Airport, an agent offered me a $225 travel voucher to switch from my overbooked Spirit Airlines flight (which, as I mentioned, I booked the day before) to a JetBlue flight that left a mere hour later (a major upgrade). I quickly made friends with the fellow travelers that were rebooked with me when we all laughed when the Spirit agent asked if any of us had checked bags. Those that travel with just the backpacks on their backs are my kind of travelers. Detachment from material goods allows travelers to be less burdened so it’s easier to explore.

Hiking the Aerial Volcano

Upon arriving in Costa Rica, I rented a car with a few other solo travelers that I had just met and set out to drive to the Aerial Volcano. However, the fog thickened and we only made it halfway, so we purchased a night at a hotel. The next day, we made it to and out of the Volcano and hiked a bit. After the Volcano, I made my way back to the San Jose airport, with intentions of traveling to Peru to hike the Incan Trail. This didn’t go as planned…

solo traveler lima

My first day in Peru was lovely. I explored the capital city of Lima to its fullest. I learned a lot about Peruvian history on a walking trail, visited the mountainous coast, enjoyed Christmas markets, and went to a Peruvian advent mass. Until I arrived in Cuzco the following day with plans to hike to Machu Pichu, I didn’t begin to experience serious problems.

Peru lima mountain

Hospitalized Abroad with Altitude Sickness

I had heard of altitude sickness before but had never thought much about it. I have been hiking and skiing countless times before and had never gotten sick. However, Cuzco, Peru is about 12,000 feet above sea level. For reference, Miami is basically at sea level. I became extremely sick almost immediately when I landed in Cuzco. At first, I thought I felt simply really tired. But after sleeping fifteen hours in the hostel and only feeling worse, I knew something was definitely off. I could hardly breathe and felt extremely faint. I knew I couldn’t hesitate any longer to go to a doctor.

By the time I got to the hospital, my oxygen levels and blood pressure fell so low that they immediately hooked me up to oxygen and an IV for fluids and medicine. They hospitalized me overnight. I had never been hospitalized overnight before. Nonetheless, I felt greatly comforted by the support and care that I received at the hospital in Cuzco.

The doctors and nurses assured me that although I seemed in bad shape, they see countless cases of the same thing every day and that I would be okay. I felt especially touched by a Peruvian nurse who had done her high school and undergraduate studies in the States. Upon learning that I taught ESOL, she made it a point to share with me how strong of an impact her English teachers in Boston had had on her and how important she viewed my role. These encounters often make the world feel “smaller.”

plaza in lima

Heading Home After Being Hospitalized Abroad

When I was finally discharged from being hospitalized abroad, I knew that the best option was to cut my losses and immediately return to Miami. The most effective cure for altitude sickness is declining in elevation. Although there are treatments to adjust to the altitude, it would take more time and money. I made the judgment call that although I was stabilized and starting to feel better, there was no way that I was going to be up for hiking the Incan trail that week. I bought a new ticket (not cheap when booking the day of with limited options) from Cuzco to Miami.

Although this trip obviously didn’t pan out the way that I had hoped, I still gleaned a lot from the experience. People often ask me why I’m not afraid to travel alone. The reality is that I’m not naïve enough to think that nothing bad can happen. It can and sometimes does! However, I trust my judgment to respond appropriately when it does and know when to cut my losses. You cannot live your life on the sidelines in fear. Although I definitely wouldn’t have gotten altitude sickness in Miami, I could’ve just as easily gotten into an accident or came down with some other sickness. To live life to the fullest, you must be willing to step outside your comfort zone. Adventure awaits.

Looking back, I definitely learned some lessons. Suggestions to ensure that you feel prepared include:

  1. Have your health insurance information handy. Since it was Christmas Eve, the hospital in Perú was unable to get ahold of United Healthcare back in the states. I am still trying to receive reimbursement for some of those expenses.
  2. Have a contingency plan. I’m known to be a budget backpacker. However, it’s also important to know when to cut your losses and ensure that safety takes precedence. It’s not cheap to buy a new ticket the day of or seek medical treatment abroad. 
  3. Take reasonable precautions. Anything can happen at any time at anyplace (including your hometown, so this isn’t a reason not to travel). Don’t let this scare you, but also take reasonable precautions. Always register with the embassy of your home country, know emergency numbers to call, and have proper identification and documentation. Also, research common risks and illnesses where you’re going. For example, don’t cancel a trip somewhere with common mosquito-spread illnesses out of fear, but take reasonable precautions such as using adequate bug spray (or tea tree oil) and use a sleeping net. 

Hospitalized Abroad with Altitude Sickness

by Stephanie Best

Who Says You Can’t Go Home

by Stephanie Best

“It’s a funny thing coming home. Nothing changes. Everything looks the same, feels the same, even smells the same. You realize what’s changed is you.” F. Scott Fitzgerald

Before moving to Spain to teach abroad, I refered to Orlando, Florida and Nashville, Tennessee as home. I had lived many years in both of these cities. I felt a deep level of familiarity and connectedness to these places. Living abroad changed me, and I didn’t realize how much it had until I returned to the United States. I could not merely go back to the person I was before and live the same life that I had lived before. I had changed, but the world that I left behind felt largely the same. We often talk about culture shock in addressing adjusting to a foreign country. However, reverse culture shock of former expatriates reintegrating into their home country after being abroad for an extended period of time is just as daunting of an experience.

Moving Back Home to the United States

When I first moved back to the United States, there were many things that I missed about Spain; the beautiful people, the tranquil culture, efficient public transportation, easy access to travel, international curriculum, late nights spent sipping sangria on a terrace, and beautiful churches just to name a few. However, missing Spain was not the most challenging aspect of reintegrating into the United States. The most challenges aspect was actually viewing the U.S through a new lens; a lens that seemed to be only visible to me.

A Different Way of Life

It is all too easy to take norms from one’s own culture for granted as “just the way things are.” That is until you acculturate to a different way of life. You then come home with more questions.

When I lived in Spain, there were things that I missed about the United States. Now that I am back in the United States, there are things that I miss about Spain. There are definitely some mindsets that I have adapted from living in Spain. For instance, it is often said in Spain that “Americans live to work and Spaniards work to live.” I personally can have a tendency to overcommit and stretch myself far too thin. This often leads to burnout. While having a strong work ethic is certainly a positive personal quality, I have come to see value in finding balance. There is a certain beauty in being able to sip sangria on a terrace with good friends and conversations for hours. To be truly present to those that you encounter means to not constantly be thinking of everything on your agenda.

Miami and the Unofficial Language

Upon moving back to the states, I ended up moving to Miami. Miami can best be described as a cross between Spanish and U.S culture. In many ways, this is what I enjoy most about living in Miami and has made reassimilation a bit easier. Spanglish is the unofficial language, Cubans actually do cafecito better, dancing is commonplace, and the concept of time is still circular. I am growing to appreciate the privilege of having all of the benefits and conveniences of living in my country of citizenship, while still living in a multicultural city that carries a strong international vibe.

Although reassimilation for former expatriates can present challenges of feeling like a foreigner in one’s own home country, I am grateful for the experiences that have broadened my worldview, taught me to question my assumptions, and have afforded me the empathy and understanding to serve international and immigrant students more effectively. Personal growth only happens outside of one’s comfort zone. Vale la pena.