Germ & Worm

Drs. Paul Pottinger and Chris Sanford

Internationally-renowned travel health experts, Drs. Paul Pottinger and Chris Sanford, answer your most pressing (and most embarrassing) questions on maintaining good health during your global travels.

  1. 2 days ago

    115: VENOM! A conversation with Dr. Richard Clark about things that sting and bite

    Oku ke fefe hake? Today, travel medicine specialist Dr. Chris Sanford talks with emergency medicine physician and toxicologist Dr. Richard Clark about things that bite and sting! Questions include: Where in the US is the risk highest for black widow bites?What activities would put someone at elevated risk for a spider bite?Let’s talk about scorpions. Scorpions scare the hell out of me. I’m told that the stings are incredibly painful. In the world, and in the US, where are these a threat?Let’s talk about bees. Are they a worldwide issue?After a bee sting, how many folks will develop symptoms affecting the entire body?If someone has had severe symptoms in response to a bee sting—such as swelling, or trouble breathing—how should they prepare for potential future stings?How much time does someone have, with a severe reaction, before they reach an emergency room?In the US do you need a doctor’s rx for an epi-pen?How often should it be replaced?How do beekeepers avoid getting bee stings, and developing allergies to bees?Where do people need to be concerned about venomous ants.What can someone do to reduce the risk of ant stings?After an ant sting, what’s the best in-the-field treatment?Should we all be like Indiana Jones and avoid all snakes? Where in the world do we need to be concerned about poisonout snakes?There’s a little poem that purports to describe the risk of being bitten by a coral snake, it goes Red on yellow, kill a fellow; red on black, friend of Jack (or "venom lack"). Is that accurate?Suppose someone is hiking in rattlesnake county, and a rattlesnake bites them. What can they do prior to reaching an emergency room? (And what about the cowboy "cut and suck" approach?)Is there benefit—potential protection—by wearing thick boots?And, with a hiking pole, what can I do with leaves, or other stuff on the trail, if anythingHow fast is a snake's striking speed? And how far can they strike?Sometimes people ask me if they should carry antivenom with them? Is that realistic?In the US, how many people are killed by snakes each year? We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com. Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford’s & Dr. Pottinger’s alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.

    115: VENOM! A conversation with Dr. Richard Clark about things that sting and bite
  2. 4 Aug

    112: Breathing Easy in Wildfire Season

    Lolma! Today, travel medicine specialists Drs. Paul Pottinger & Chris Sanford answer your questions about travel health and safety, including: Earplug recommendations for noisy sporting events or concerts?I am planning a trip to Nairobi soon, should I worry about cholera keeping in mind an outbreak in nearby Sudan?Flying when pregnant: What are the rules?What is up with the Legionnaire's Disease outbreak in New York City?How best to deal with wildfire smoke in the American West?Can I catch brucellosis from a bison at Yellowstone?What can you tell us about the case of Marburg Virus infection in Uganda? We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com. Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford’s & Dr. Pottinger’s alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.

    112: Breathing Easy in Wildfire Season
  3. 28 Jul

    111: Grand Mystery in the Grand Canyon

    Kam na mauri! Today, travel medicine specialists Drs. Paul Pottinger & Chris Sanford answer your questions about travel health and safety, including: I seem to do better with gluten sensitivity when I travel in Europe... is this a real thing?Please tell me about the mystery illness recently reported in Grand Canyon?Please update us on the Ebolavirus / Bundibugyo outbreak.I have just read about Chagas Disease in San Diego... what gives?What is happening with cyclosporiasis in the USA?Germ recently mentioned using maggots for chronic wound infections... REALLY??There seems to be an early outbreak of West Nile Virus infection in the USA... are you concerned about this? We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com. Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford’s & Dr. Pottinger’s alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.

    111: Grand Mystery in the Grand Canyon
  4. 21 Jul

    110: The Gut Microbiome: "I Contain Multitudes"

    Na nga def? Today, travel medicine specialists Drs. Paul Pottinger & Chris Sanford answer your questions about the role of the human gut microbiome in travel health and safety, including: What is the gut microbiome?What is the impact of travelers diarrhea and antibiotics on the microbiome?How can travelers maintain a healthy gut microbiome?What are probiotics, and are they helpful?What about fecal microbiota transplantation?What do we really know about how the gut microbiome impacts our wellness including mood?If I DO need to take antibiotics for traveler's diarrhea, what drug and dose is least bad? We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com. Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford’s & Dr. Pottinger’s alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.

    110: The Gut Microbiome: "I Contain Multitudes"
  5. 7 Jul

    108: Advice from the CDC--Trustworthy or Tainted?

    Salaam! Today, travel medicine specialists Drs. Paul Pottinger & Chris Sanford answer your questions about travel health and safety, including: If I boil water at an altitude of 14,000 feet, will it be safe to drink even though it will not achieve 100 degrees Celsius?Should I take a aspirin to prevent blood clots on a long flight?What about compression socks--will those help reduce my chances of getting a blood clot?If I have questions about my medications, who's the best source to ask?Are CDC recommendations still trustworthy, or tainted by politics and madness?What's "shared decision making" in the medical context?Will I need to worry about mosquito bites during my upcoming trip to Viet Nam?Am I at risk of catching chikungunya during my upcoming trip to Argentina? We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com. Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford’s & Dr. Pottinger’s alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.

    108: Advice from the CDC--Trustworthy or Tainted?

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Internationally-renowned travel health experts, Drs. Paul Pottinger and Chris Sanford, answer your most pressing (and most embarrassing) questions on maintaining good health during your global travels.

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