FEATURE //
Medical Treatment in a Foreign Country: Learn to Expect the Unexpected
by Amanda Kendle
No one wants to get sick while traveling. Heck, we don’t want to get sick when we’re at home. But if you have an accident or illness while you’re on the road, it helps to be a little bit prepared for what might greet you when you walk into the hospital or the doctor’s surgery. Getting prepared, however, isn’t always that easy.
Experiences With Doctors in Foreign Countries
If you browse the internet before your trip, you’ll easily find a thousand and one recommendations for the kind of health insurance you just have to have. What you’ll have a lot more trouble finding are any ideas about what to expect if you actually have to visit a doctor or a dentist while traveling abroad.
That’s a pity, I think, because when you’re sick or injured, the last thing you want is to be confronted with a raft of cultural curiosities that you’ve never expected. Negotiating new ways of doing things can be fun when you’re happy and healthy, but when all you want to do is get better, you want this to be simple.
If you have a chance, ask friends who’ve spent a long time abroad about their experiences with the medical system in various countries. Even if they haven’t traveled or lived in your destination, your mind will be opened to a few unusual possibilities that could at least lessen the shock value if you’re unfortunate enough to get sick while traveling.
Let me give you a couple of my own examples to help get the acclimatization started.
Dental Drama in Japan
Love getting a root canal filled? Of course not. But it’s still one step above getting an infection in said root canal after just a month or so in Japan. As I was living and working there, I asked my school for a recommendation. They sent me to a dentist who “spoke English”. Yeah, right. Not only did he not know any English after “hello”, he was so nervous about having a foreign patient that he was shaking.

Fun with Dental Dams © Betsssssy
I moved on to a less terrified dentist, but found his only solution was to extract my tooth. I was pretty sure that my dentist back home wouldn’t have recommended this, so I fled the surgery (after getting some better painkilling tablets from him). I finally found another dentist who fixed me up without shaking or extracting.
Tip to take away: You might be the first foreigner a doctor or dentist has to treat, and they could be more freaked out than you. But no matter what happens, try not to consent to treatment you don’t want.
Bonus tip: I also discovered the beauty of powdered medicine in Japan. It’s apparently rare to prescribe actual solid pills or tablets, which was great for me, because I hate swallowing them. The powder doesn’t always taste that great, though.
Gallstones and Alternative Medicine in Slovakia
If you’ve got a major health problem to deal with, you really should consider returning home.
A friend of mine got sent to a (truly) English-speaking doctor in Bratislava to deal with his gallstones. He was expecting minor surgery; he got four bottles full of Chinese tablets to swallow daily for three months. And the insistent doctor wouldn’t do it any other way. (Incidentally, the tablets didn’t help).
Tip to take away: You might not get what you want. That’s the same at home, but even truer abroad. If you’ve got a major health problem to deal with, you really should consider returning home.
Specialists and Special Treatment in Germany
No matter what my problem was, my “house doctor” in Germany would send me to a specialist. Under the German health care system, specialist doctors don’t cost any more than regular general practitioners, so it’s common to get referred along. Off the top of my head, I can think of three regular check-ups that my general doctor at home would usually do, but that I got referred for in Germany.
However, if you’re lucky enough to have a decent amount of medical coverage in a country where the system is pretty socially-minded, like Germany, you might be pleasantly surprised at the services you get. After I slipped a disc in my back, I was prescribed a heap of physiotherapy, and didn’t have to pay anything at all.
Tip to take away: Remember that some countries have medical systems vastly different from yours. Sometimes that means your treatment will be even better; sometimes it means that simple things just take longer.
Expect the Unexpected
So, to sum up: expect the unexpected. Like all aspects of foreign cultures, medical systems will vary a great deal. A doctor’s surgery or a dentist’s clinic might not even look anywhere near the same. In some you’ll have to take your shoes off; in others, you might not be able to make an appointment, but just sit and wait for hours until it’s your turn.
If you’re unlucky enough to be ill while you’re traveling, try to get help as fast as you can, and then see the positive side. You’re having a typical local experience, and will no doubt have a few stories to tell after you get better. You see – getting sick is not all bad.
Have you had any interesting experiences with doctors, dentists or hospitals while you’ve been traveling? Please share the knowledge with all of us by leaving a comment below.
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About the Author
Amanda Kendle is an Australian travel addict, writer and English teacher who's visited more than thirty countries. As well as regular blogging jobs including Jaunted, HotelChatter and Vagabondish, she writes magazine articles and is working on her first novel. She can be reached at her personal blog - Not A Ballerina.















April 30th, 2008
This is great, Amanda. Not something you see discussed very often.
Again, I’ll reference my time living in Korea. It was the first time I had health insurance through a job, so I figured I might as well go to the dentist (it’d been 6 years!). They told me I needed my wisdom teeth out, and I didn’t argue. My dentist spoke great English and even had a good sense of humor. She wanted to do it in two gos, as I guess is usual for Koreans under localized anesthesia. I told her I’d rather get it over with in one, and she agreed. No problems at all, and now I can say I had my wisdom teeth out in East Asia!
May 1st, 2008
Thanks, Hal. Yes, I was really surprised at how little information is around on it – even though sharing the experiences can help a lot of travelers out.
Does that mean you also lost your wisdom in Korea … just kidding =)
May 5th, 2008
I had to have a root canal wile I was living in the Middle East, it was a horrible experience.
First I had to argue with the dentist for 20 minutes so she would open the syringe package in front of me so I could be sure that I did not get a used needle, something still done in some 3rd world countries.
Then she did not use enough Novocain, when I asked for more she said that I would have to pay extra – before I could get more.
After the root canal my tooth still hurt and eventually snapped in half. Fortunately I had to go to Singapore for a few days so I had it fixed there.
Overall it cost me weeks of pain and over a grand down the drain
May 5th, 2008
i got my first check-up in japan last summer.
it was totally different than i had expected (it took a minute to figure out the eye exam). it was overall not too terrible, but i shouldn’t have expected to be made to feel comfortable. i would have liked a little forewarning that the doctor was going to abruptly roll up to me in his chair and pull my shirt up and get the nurse to feel under my bra to check my “heartbeat.” apparently, the more discreet “stethoscope down the shirt” method hasn’t become popularized yet. the nurse also told me to lie down, then unbuttoned and unzipped my pants to feel my stomach.
i live in a smaller town, so perhaps larger cities are different.
i know there are japanese doctors who speak english, but they are rarities.
May 6th, 2008
James – I feel your pain! Root canal problems are truly horrible, especially far away from home.
Jenny – interesting experiences! No Japanese doctor ever wanted to listen to my heartbeat and now I’m glad!
You reminded me about eye exams – I was surprised, for example, that in Germany you don’t have to read letters off a chart like we do – there are a bunch of circles that don’t quite join up and you have to explain which direction the opening of the circle points. Very tricky for me to express in another language!