which affects the neurovestibular system and culminates in mild to severe signs and symptoms such as vertigo, dizziness, fatigue, nausea, and disorientation – plagues almost all space travelers within their first few days in orbit. Space travel can also have a profound impact on the psyche of the crew members as delineated in anecdotal writings composed after their retirement. Space travel can adversely affect the body's natural biological clock (circadian rhythm); sleep patterns causing sleep deprivation and fatigue; and social interaction; consequently, residing in a Low Earth Orbit (LEO) environment for a prolonged amount of time can result in both mental and physical exhaustion. Long-term stays in space reveal issues with bone and muscle loss in low gravity, immune system suppression, and radiation exposure. The lack of gravity causes fluid to rise upward which can cause pressure to build up in the eye, resulting in vision problems; the loss of bone minerals and densities; cardiovascular deconditioning; and decreased endurance and muscle mass. Radiation is perhaps the most insidious health hazard to space travelers as it is invisible to the naked eye and can cause cancer. Space craft are no longer protected from the sun's radiation as they are positioned above the Earth's magnetic field; the danger of radiation is even more potent when one enters deep space. The hazards of radiation can be ameliorated through protective shielding on the spacecraft, alerts, and dosimetry. Fortunately, with new and rapidly evolving technological advancements, those in Mission Control are able to monitor the health of their astronauts more closely utilizing telemedicine. One may not be able to completely evade the physiological effects of space flight, but they can be mitigated. For example, medical systems aboard space vessels such as the International Space Station (ISS) are well equipped and designed to counteract the effects of lack of gravity and weightlessness; on-board treadmills can help prevent muscle loss and reduce the risk of developing premature osteoporosis. Additionally, a crew medical officer is appointed for each ISS mission and a flight surgeon is available 24/7 via the ISS Mission Control Center located in Houston, Texas. Although the interactions are intended to take place in real time, communications between the space and terrestrial crew may become delayed – sometimes by as much as 20 minutes – as their distance from each other increases when the spacecraft moves further out of LEO; because of this the crew are