Too sick to travel? When to put yourself on the no-fly list

By | March 14th, 2010

For Carol Margolis, it was an almost-ruptured eardrum.

She’d flown with a bad cold and sinus congestion, which made it difficult to equalize the pressure in her ears. After her doctor told her she’d nearly torn the lining between the inner and outer ear, and suggested she stay away from planes for a few weeks, she grounded herself.

“My hearing is too precious to risk,” says Margolis, who runs a travel Web site in Lake Mary, Fla. “I paid the change fees and stayed put.”

Not everyone makes the same choice. A recent poll by TripAdvisor suggests 51 percent of air travelers say they’d rather fly while infected with the flu than pay a $150 airline change fee. A similar survey by msnbc.com found nearly 60 percent of travelers would fly infected instead of taking the hit to their pocketbook.

That’s something worth considering as we approach the peak of the flu season. For every one Margolis, there’s at least one other passenger who refuses to cancel. Like Amanda, who asked me not to reveal her last name. She flew with the flu, even though she didn’t want to.

“I called Southwest to bump my flight by a day, and while the rep was kind, she couldn’t do anything but offer me the opportunity to pay the $300 change in fare,” she says. “Since this was not a possibility for me, I reluctantly dosed myself with cold medicine and endured the unending stares of everyone on the shuttle, in the security line and boarding around me on my flight and endured the most miserable six hours of my life flying.”

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In case you’re wondering why Amanda wouldn’t let me publish her last name, have a look at the comments other travelers left for her when she confessed to being an infected passenger.

When should you add yourself to the “no-fly” list?

When your doctor tells you to stay home
“Some symptoms are just too high-risk to consider flying at all,” says Steven Schueler, an emergency room physician and chief executive of DSHI Systems, a health information systems company. If you suspect you may be too sick to fly, he recommends a medical risk assessment that considers both the seriousness of the symptoms as well the potential diagnosis. And if your doctor says don’t fly — don’t fly.

If the Centers for Disease Control says so
The CDC won’t necessarily come out and say, “Don’t fly if you have such-and-such,” but it does publish a helpful page on infectious diseases it’s trying to shield travelers from. Certainly, it’s safe to assume that if you have something like Tuberculosis, you might want to check yourself into a hospital instead of board a plane. The CDC site has suggestions to help avoid the spread of Swine Flu that should also be heeded.

If you’re on the sick list
The list comes to us courtesy of Michael Zimring, the director of the Center For Wilderness & Travel Medicine in Baltimore: Don’t fly if you’ve had a significant sinus congestion, surgery on a lower extremity, a recent heart attack or cardiac surgery, uncontrollable heart failure, or recent abdominal or neurosurgery. “A patient of mine just had an emergency appendectomy and he wants to leave for Vegas in a few days,” he says. “That is a no-no.” Why? The patient will have residual air in his abdomen from the surgery and when he gets to altitude, the air will expand within the closed confines of his abdomen and cause major problems. Ouch!

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  • MrsBk

    I flew home from Europe just before Christmas with a cold. It turned into a bad infection that required 3 months of antibiotics and nearly burst eardrums. It would have been cheaper to change my flight that pay for the antibiotics, let me tell you, but it was the day before christmas, and we had no choice.