About Heart Healthy Traveler

Heart Doc

Enjoy Traveling in the best of health!

Welcome to Heart Healthy Traveler, advising you on Heart Health, resources and travel tips so you can enjoy traveling in your best health, to the best destinations on the globe!

I’ll be providing insight into maintaining your cardiovascular health, taking into consideration specific medical conditions, great tips from travel experts and from our own experiences, great Heart Resources and links to Great Products. We hope to aid in providing information you need to be a Heart-Healthy Traveler and  suggest some great Vacation Destinations!

Healthy Traveling!

Heart Doc

First Time Cruising and Passports

By Joseph Stutzman

Article Source: http://EzineArticles.com/?expert=Joseph_Stutzman

Do you have your passport? This is probably the single most important item and the one that will take the longest to secure. Plan ahead and apply now. Learn how.


Many cruises actually don’t need a passport, but the rule of thumb is better safe than sorry.  For example, any cruise that starts and ends at the same port in the U.S. does not require a passport. But, what if the port you were supposed to return to was wiped out or damaged by a hurricane and you had to disembark at another port? Would you find understanding and willing-to-bend-the-rules custom agents, or will you find a stickler that won’t let you leave the ship without the proper documentation and the promise to turn over your first born child?

It is definitely better to be safe, than sorry.

So, you’ve decided to go on a cruise.
If you’ve already booked your cruise, let’s hope it is at the least, one month away. Getting your passport will take time and a little bit of money. With much stricter security measures on the borders of all countries, the requests for passports have increased.

The average wait time to get a passport is between 4 and 6 weeks, unless you pay an additional hefty fee for expedited processing, for which you may get it in as little as 10 days. You can figure that if you have held a number of jobs, none of which were for the federal government, and have moved frequently, your passport will take longer to process. A thorough background check is completed. Renewals can be accomplished online and by mail, but new applicants must apply in person.

You MUST apply in person if:

  • You are applying for your first U.S. passport-or-
  • You are under age 16-or-
  • Your previous U.S. passport was issued when you were under age 16-or-
  • Your previous U.S. passport was lost, stolen, or damaged-or-
  • Your previous U.S. passport was issued more than 15 years ago (U.S. passports are valid for 10 years)-or-
  • Your name has changed since your U.S. passport was issued and you are unable to legally document your name change

You must also include proof of your U.S. citizenship. All documentation will be returned to you, either with your passport when it is mailed to you or under a separate mailing, but ONLY the following are considered viable evidence, though you must only have one of these:

  • A certified birth certificate issued by the city, county or state
  • A previously issued, undamaged U.S. Passport
  • A Naturalization Certificate
  • A Certificate of Citizenship-or-
  • A Consular Report of Birth Abroad or Certification of Birth

If you have a previously issued, undamaged U.S. Passport or a Naturalization Certificate, that documentation will also serve as your Primary Identification.  If you do not, then you must also have additional verification of your identity in the form of:

  • A valid driver’s license
  • A current city, state or federal Government ID-or-

If you cannot present primary identification, then you must submit as much secondary identification as possible. These documents are not acceptable when presented alone, but may be accepted when presented together:

  • Social Security Card
  • Credit Card
  • Library Card
  • Employee ID
  • An Identifying Witness
    • Who is present at the time you fill out the application
    • Who has known you for at least 2 years
    • Who can prove they are a U.S. Citizen or permanent resident
    • Who has a valid primary ID-and-
    • Who is willing to fill out and sign the Affidavit of Identifying Witness (DS-71) in front of the Passport Agent.

The fees are not cheap.
There are both a Passport Card and a Passport Book. The card can be used to enter the U.S. from Bermuda, the Caribbean, Mexico and Canada at land border crossings or sea ports-of-entry. It is much more convenient to carry and easier to hang onto and less expensive than a Passport Book. The card though, is NOT valid for international air travel.For adults: the passport card is valid for 10 years. The first time applicant will pay $45. If you are a previous passport holder, then the cost is $20. For minors (under the age of 16), the card is valid for 5 years and will cost $35.


  • Adult Passport Book & Card $95 same for renewal
  • Adult Passport Book $75 same for renewal
  • Adult Passport Card $45 $20 for renewal

Applicants will also pay an Execution Fee of $25 per passport book or card. The book or card fee and the execution fee must be paid on separate receipts and few agencies will accept cash.  For applicants in the U.S., you may pay an additional fee of $60 for expedited service. Additionally, all applicants are strongly urged to pay an additional $14.96 for Overnight Delivery for each application. You also have one more option if you are unable to present evidence of citizenship-you can pay $60 for a File Search. This is only to verify a previous U.S. Passport or a Consular Report of Birth Abroad.

Yes, it takes time. Yes, it takes money. And in today’s environment you will not find much sympathy for not having the proper documentation or for a lost passport or passport card.

  • Run copies of your passport documentation, to include the passport card or book.
  • Keep one copy of everything with you and one copy of everything at home in a safe place.
  • Do NOT keep it in a safe deposit box.  If, for example, you are robbed on a cruise ship, you want someone at home to have easy access to this documentation. You may have to have it faxed to the ship or the port.

And plan ahead.
It may take weeks just to order your Certified Copy of your Birth Certificate. This copy must have a raised seal of certification issued by the legal authority in the city, state or county where you were born. You can send in your original, of course, but it is not recommended.

In fact, if you are even thinking about a future cruise, I would get my paperwork in order and apply now. This will ensure that you already have your passport in place and you can concentrate on the more important details, like where you want to go and what you want to see.

Window On The Heart- Nuclear Cardiology

In the early 1070’s, when I was in medical school, cardiology had a problem in the evaluation of the heart.  On the one hand, a lof of information about heart function could be evaluated by cardiac catherization and coronary arteriography, but this involved involved puncturing an arterin the groin or arm and inserting slender tubes near and into the heart.  This procedure carried a small but increased risk of serious complication.  On the other hand, the evaluation of patients short of catherization involvedindirect evidence shuch as the electrocardiographic response to treadmill exercise, a procedure of limited accuracy.  We could never see the heart except by the shadows cast by x-rays.

Then in the late 1970’s, all this began to change.  Advances in ultrasound, allowed the anatomy and contractile function of the heart to be visualized in a spectacular fashion, but a measure of blood flow through the coronary arteries was still lacking.  This need was met by nuclear medicine applied to cardiology.

Nuclear cardiology, as it came to be called, consisted of the simple intravenous injection of a radioactive tracer that is taken up by the heart in approximate proportion to blood flow through the coronary arteries.  An image of the distribution of this radioactivity is obtained using special cameras that “see” radiation.  At first these images were recorded in shadowy fashion on photographic film, but later high speed computers allowed the acquisition of a three dimensional distribution in computer space which could be looked at from any angle and “sliced” like a loaf of bread, for more accuracy.  Today, a nuclear cardiology examination consist of a rest study followed by a second study during some kind of stress which cand be treadmil exercise or “checmical stress” uning drugs that simulate exercise-related stress.

Significant blockages in the coronary arteries, due to atherosclerosis, show up as decrease in blood flow to certain sections of the heart usually only with stress, but sometimes at rest if a prior hear attack has occurred.

Nuclear Cardiology has revolutionized the evaluation of heart disease along with other high tech imaging techniques such as coronary CT scans and stress ultrasound.  Today we can use these amazing methods to give us a window on the heart.


Safe and Healthy Travel Survival Guide

Survival Guide to Safe and Healthy Travel

There’s nothing better than travelling abroad and sampling the delights of other cultures. However, if you are one of the millions of Americans considering an international vacation, there are a few things you need to be aware of to ensure a safe holiday and a happy return.

First, check whether your destination carries any health risks. The World Health Organization (WHO) website is a great place to search for such information.

The U.S Department of State has country-specific information pages that will alert you to any threat of natural disaster, crime, disease, and etc. in the area which you will be visiting. It’s a great resource if you plan to travel off the beaten path.

You should also learn to pack certain emergency items in case they are required. The Centers for Disease control has a great list of what to take for emergency medical care.

Always make at least two copies of your passport and travel documents. Carry a spare copy with you in separate luggage than your original, and leave another set with a trusted relative at home.


American Heart Month

February is American Heart Month; an entire month dedicated to the organ of love. The national awareness event, led by the American Heart Association, began in 1963 to encourage Americans to join the battle against our country’s leading cause of death: cardiovascular disease.  By raising funds for research and spreading knowledge about a heart-healthy lifestyle, we can all do our part to lower the millions of cases of heart-related illness or death each year.

When Snoring Becomes a Problem

by Christian Goodman

Snoring.  It’s something we all grow up knowing about.  Granddaddies snore after Thanksgiving dinners.  Moms tease dads about their snoring.   Sometimes it’s mom who snores.  The point is, snoring is quite common.  At some point we have all snored or known of someone who did.

What we cannot all readily discern however, are the reasons behind snoring.

“The Stop Snoring Exercise Program” forced me to examine various causes of snoring and incorporate them into the system.

Why we snore

These contributors are not within our control.

  • First of all, it may be hereditary. That’s right; certain physical characteristics may just be family traits we can’t avoid.
  • Large tonsils and adenoids can contribute to snoring.
  • Gender can increase your odds of snoring. Males tend to snore more.
  • Age also contributes. The older most people get, the less toned they are.
  • Muscle tone, or rather the lack of, around the throat can lead to snoring.
  • Reduced air flow through the nose due to an illness or having allergies
  • A poor night’s rest.

We can change some of the other reasons that we snore. Among these ‘changeable’ reasons are such things as being overweight or out of shape, a history of smoking, alcohol, medications, or simply our sleep posture.

Issues from Snoring

People who snore suffer.  So do those who love and live with them.

Couples resign themselves to separates rooms when sleeping – creating distance where normally closeness would reign.  Our physical and emotional well being suffer.

We have study after study proving the value of a good night’s sleep.  But we also have sleep studies proving that snoring is waking many up throughout the night.  It’s a nuisance that’s robbing us of the most rewarding ‘deep’ sleep that our bodies crave.

Why Do You Snore?

Snoring with a closed mouth can be the result of tongue position. It can deter air passage.

If you sleep with your mouth open, it’s much more likely that your throat tissues are causing this bothersome Zzzzzzzz. Back sleepers have cases that are generally milder in nature.  A change in position and concentration on good posturing will often give this group relief.

When snoring occurs in all sleeping postures and mouth positions, additional issues may present.  For the larger majority however, a simple lifestyle change to get in better shape or some attention to finding a position for optimal air passage can make a difference in a sleepless night and a night full of rest.

My program was created to help people stop snoring fast. It’s easy and requires little effort.   A few daily exercises can lead to the very sleep you’ve been deprived of.


Christian Goodman is a well known natural health researcher and the creator of many natural health alternatives. A recent work is his stop snoring treatment, which has now provided help to thousands of people to stop snoring.

You CAN Stop Snoring!

Migraines – The “Top Billing” of Headaches

by Christian Goodman

If you suffer form very painful headaches and have done so since you were young, chances are you may suffer from migraines, which are often also experienced by other members of your family.

More often than not, a migraine only affects one side of the head. It usually causes miserable pain that can last anywhere from 4-72 hours if not treated, and typically requires you to take to your bed.  An attack is debilitating and sufferers are usually left feeling crippled and exhausted after the head pain has passed.

Medical experts have yet to discover why for some people, there can be long periods without headache, and not others. Other symptoms, similar to those of flu, are experienced by the patient, like light sensitivity and chills, and a feeling of light-headedness.

Normally, those who suffer from migraine attacks are between the ages of 10 to 40. No one knows why migraine happens in these age groups, but by the time someone reaches fifty, attacks almost never occur.

Members of the same family are often cursed with migraines and there is believed to be a hereditary link; however, science has not yet proved that there is, in fact, a genetic factor at work.

A condition that causes an inflammation of blood vessels in the brain is said to be a factor in migraine attacks. People with sensitivity in this area normally suffer from migraines.   Also, women have a three times greater chance of having migraine, while men have an eight percent chance of suffering from the problem.   Science can’t yet explain why this is so.

A distinct warning called an aura usually happens before the migraine attack by 10-30 minutes. Signs that you are experiencing the aura mostly involve the senses and can include:


Problems with vision

Reduction in the sensations of taste

Difficulty with verbal skills

This is only a short list, and other symptoms can and do happen.   Migraines can also attack even without the aura, and builds up to an extreme intensity which is provoked more by continuous motion, light and noise, and often results in nausea and vomiting.

Some medical experts believe it is the contracting blood vessels that are responsible for the migraine with aura effect.  It might be that it is the expansion of the blood vessels afterwards that causes the headache; those who are afflicted say the headache is often so intense that it impedes their regular routine, disrupting daily activity and often keeping them awake at night. You may experience one or more triggers with each attack.  The most common complaints are bad weather, particular foods and beverages, being at great height, bright lights, insomnia and stress.

I have such compassion for those who suffer with migraines that I created a program to help eliminate them. The Migraine and Headache Relief program is a simple to use plan with astonishing results in reducing or completely eliminating the sharp pain of headaches.

You will be given easy to do exercises in my Migraine and Headache Relief Program, and it will only take you a few minutes a day to do. By doing the exercises, you won’t have to live with the constant threat of migraines.


Christian Goodman is a well known natural health researcher and the creator of the natural health alternatives blog. His latest work is the migraine headache treatment , which has now helped thousands of sufferers to eliminate of their migraines naturally.

Understand & Heal Migraine & Headache

One Million Ways To Get A Headache – And How To Heal Them All

by Christian Goodman

Nowadays, there are plenty of ways, a million in fact, to get a headache. You can get a headache when you hit your head on something, when you forget your caffeine intake, when you eat ice cream too fast, when you get too stressed, too tired, or when you get sick.

In the United States alone, about one in every six people suffer from Chronic headaches and migraines. They suffer infrequently, but regularly. When this happens, it’s hard for the rest of the body to do any kind of work when the head is suffering from great pain. Studies have shown that about $50 Billion is lost every year due to workers not being able to work because of chronic headaches.

Where does all that money go? Into the medical industry, I imagine.

Doctors and pharmaceutical companies these days make fortunes off sales of headache and migraine medications, treatments, and therapies. The problem is that while these treatments may be effective in providing temporary relief from the symptoms, they do nothing to address the underlying cause of headaches and migraines.

Which is none other than oxygen deprivation. But don’t count on the pros to tell you that.

Our body is composed of cells, and every single cell needs oxygen to function properly. Lack of oxygen in the cells in the head will make the veins inflamed and brush against the nerves of the brain, and this is what causes chronic headaches and migraines.

It gets worse since most of us don’t breathe properly and have bad posture. All these things prevent us from getting the right amount of oxygen and causes us to have chronic headaches and migraines.

If only the medical industry admitted and addressed this underlying cause, the American Economy will not be losing so much money and manpower.

And as usual, it’s Christian Goodman to the rescue

My Migraine and Headache Relief Program bypasses the symptoms of migraines and headaches and addresses the problem at the very source. The program will show you, through some very simple exercises and practices, how to increase oxygen intake and restore the body’s natural balance.

Aside from curing yourself of headache and migraine, you will also be in much better shape than ever before. You’ll be surprised at how much you have been missing before.

Wouldn’t you like to see just how much?


Christian Goodman is a popular health researcher and an author of several ground breaking natural health alternatives methods. One of his resent innovation is his natural migraine and headache program . You can learn more about Christian on his blog.



Quick Tips: Staying Active When You Travel

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To stay active and healthy, you need to find ways to make physical activity part of your daily routine. But when you travel because of work or for other reasons, you lose that routine. Fitting in your exercise habits can be hard.

But as with so many things, a little planning can go a long way toward helping you keep your healthy habits on track. Try these tips to keep your physical activity going when you travel:

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