Wow Allan, that's quite a list. The good news is that I suspect your wife will find her athsma more manageable if your cruising destinations do not invovle large centers. For example, the air pollution tends to be much lower in the Caribbean
than in the Great Lakes
and further, many find that environmental allergies are also less problematic. It seems that many of the abundant plants/flowers have less impact on allergy sufferers, to the extent that the pollen etc., is different from what we have been exposed to at home (or at least, that is the explanation that I have been given).
I would expect that you would be able to keep a c-pac machine functioning on a boat (are there any 12 volt units?), by use of an inverter
. I cannot speak to ulcerative colitis but, if I am correct in assuming that it is aggravated by stress, I again suspect that you may fare better while cruising than at home.
Are puffers and insulin available in Caribbean
? Although thankfully I have never had the need to obtain them, I can only assume that the answer would be yes on any of the developed islands. You could also consider taking a large supply with you (and your pharmacist should be able to assist on the shelf-life, bearing in mind that refrigeration
on most cruising boats is a little less consistent, in terms of temperature, than the ones at home).
Good and very reasonably priced medical
care is available in Cuba
(where the medical school
is located for the University of the West Indies). Trinidad and Venezuela
. Of course, if you plan to maintain your Canadian residency, in a serious emergency
you can always find a quick return flight home for free medical care.