All right. Welcome. My name is Divine. This is episode 631 of the Divine Intervention Podcasts.

And into these podcasts, we're going to be addressing a topic I title travel medicine.

This is going to be a two-part series because it's just going to be too much to load into one podcast.

Okay, it's going to be a two-to-three-part series, but I'm going to try to keep it to two parts.

And the thing about travel medicine is, number one, it tends to contain a bunch of obscure things. Number two, these obscure things tend to show up a lot on the USM&E exams. Number three,

if you just know a few key things, you're going to be pretty good to go with these topics.

And then number four, the USMLEs, they really do want you to emphasize mechanisms in your

understanding of these topics.

Okay.

So we're going to try to address this in a format that's going to be very helpful to you for

your USMLA exams.

All right.

So first things first, what if they give you a question about a patient that is about to

travel to someplace and requires pre-travel vaccines?

How long before traveling should you give those people those necessary vaccines?

Well, I would hope you're picking the answer choice that talks about two to four weeks,

right?

Two to four weeks.

The thing is you want to give these vaccines two to four weeks, right? Two to four weeks. The thing is you want

to give these vaccines two to four weeks before the person travels. Why? Because you want

them to mount an adequate antibody response. You want them to mount an adequate antibody response.

And the thing is sometimes you may even have to stretch out that timing to longer than four weeks if it's a

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