Northern Exposure

Somewhere along the way, Northern Maine changed for me.

I’m not sure if this post is just a story about a surprisingly good assignment or if it’s something deeper about discovering new places. It’s probably not all that deep, but there is a new part of Northern Maine that is A-O-K in my book.

"Katahdin" is a Penobscot Indian term meaning "the greatest mountain." So, technically, to say Mount Katahdin is redundant and silly - "Mount The Greatest Mountain." Anyways, it's much much bigger than anything else around. A shot from our campsite Saturday night.

“Katahdin” is a Penobscot Indian term meaning “the greatest mountain.” So, technically, to say Mount Katahdin is redundant and silly – “Mount The Greatest Mountain.” Anyways, it’s much much bigger than anything else around. A shot from our campsite Saturday night.

The speed limit has recently been increased to 75 mph north of Bangor. As far as I can tell, this stretch of highway is totally unpatrolled, and everybody knows it. I haven’t driven over 90 so much since I was seventeen. Driving this stretch at 80 to 90+ you can get from Bangor to the town of Houlton in just under 2 hours, here the interstate takes a sharp right hand turn into Canada, but getting off onto route 1 will carry you north through the farming towns of Aroostook County, or as it is known around Maine, just “the county.” About 45 minutes up that stretch of Rt 1 is Presque Isle, where Kate and I spent the last 13 weeks on assignment. I don’t know what I really expected to find all the way up in Presque Isle, but it ended up being a good town with great people. Right at the end of July, as we got towards the end of our contract, there was one week that I thought had a little bit of everything from our experience up in the county.

The week started out with the opening of the Northern Maine Fair (nohthen-Maine-Fayah). Anyone who has been to a state or county fair knows what I have gotten myself into: farm animals galore, bigger-than-your-head vegetables, carnival rides, the pinnacle of people watching, and if it can be eaten – it’s gonna be better fried, then eaten. The Northern Maine Fair is something you hear about, but don’t actually know anyone that has gone. The collection of people was… eclectic.

A little different shot I got of Katahdin later Saturday night, again from our campground. Beautiful Northern Maine skies unaltered by lights or pollution.

A little different shot I got of Katahdin later Saturday night, again from our campground. Beautiful Northern Maine skies unaltered by lights or pollution.

My days in the woods continued on Monday when out for my evening run on roads in my neighborhood, I came upon a momma bear and 3 cubs. It really was not that spectacular of a meeting – I surprised her, she definitely surprised me, and we both wanted to get further away from each other. As I back pedaled to put some distance between us, she rounded up her cubs and headed into the woods in a hurry. One cub had gotten away to the wrong side of the road, so I had some fear of continuing on with my run knowing I would have to run between a black bear and her cub. Kate was able to come from town and pick me up after I ran a couple miles in the other direction. Disaster adverted.

On Tuesday, Kate and I celebrated our wedding anniversary by going out to the nicest restaurant in town, Café Sorpresso. I had the seared scallops with maple butternut squash ravioli. Wicked good! I was stuffed to the brim. On the way home we drove up to the high part of town up on a hill where the hospital we were working at is located. We parked by the side of the road to watch the fireworks set off from the fairgrounds before calling it a night and heading on home.

OK, some admissions about this picture. It isn't from this summer. It isn't even from Maine. This is a picture of Kate and I with a group of strangers we met rafting on our first assignment together in Colorado Springs. The guy at 6/7 o'clock in the photo is Adam, he's an actor. He was on NCIS once. He had speaking lines and everything, but by the time I got the show turned on, he was playing a dead guy. Sorry I missed it, Adam. Cool people, fun day.

OK, some admissions about this picture. It isn’t from this summer. It isn’t even from Maine. This is a picture of Kate and I with a group of strangers we met rafting on our first assignment together in Colorado Springs. The guy at 6/7 o’clock in the photo is Adam, he’s an actor. He was on NCIS once. He had speaking lines and everything, but by the time I got the show turned on, he was playing a dead guy. Sorry I missed it, Adam. Cool people, fun day.

We capped off that week the way we did most weeks, off enjoying the great outdoors. We hopped back on the interstate at breakneck speeds and headed south to Millinocket for hiking in Baxter State Park and the best rafting in the East. Baxter State Park is a huge chunk of Maine with Katahdin as its center piece. When hikers are nearing the end of 6 months on the Appalachian Trail, they spend 100 miles in the wilderness without any towns for supplies. They are eventually spit out at the base of a 5,000ft mountain with their finish at the top – that’s Katahdin. We had a nice hike in the area on Saturday, and headed to our tent site to prepare for rafting the Penobscot River the next day. A day on the Penobscot starts with rafting over a 14ft waterfall. The second half of the day contains the Cribworks, an infamous class V rapid. The only picture of our boat in the Cribworks is of the bottom of it. Somehow we all stayed in the boat, but I think a few people had switched seats on the way through the rapid. We were having such a great escape out to the woods, that we decided to put our 2 hour drive back to Presque Isle off until Monday morning before work. At 4 A.M. we packed up our tent and silently slipped out of the campground to head back to work.

I guess that’s it. One week lived in Northern Maine that was representative of the whole experience: A lot of outdoors fun, some country time, some more classy and cultural events, and good work with good people. Now we search on for our next jobs. Where we’re looking has been a pretty rough market, so I don’ know if we’ll be living right where we want, but we’ll find something… and we’ll make the best of it!

International Travel – Reflection (part 4 of 4)

Reflections

How could Amy not bust out a move at a time like this!?

How could Amy not bust out a move at a time like this!?

So after all of that, all of the waiting, searching, and more waiting, was it all worth it? Most definitely. We were told by those that have traveled to the Middle East before us that our worldview will change from living and working here, and it no doubt has.

From a Physio perspective, there are so many opportunities, so many ways that I can contribute to the department I am part of, and so many things I can learn from others. I am working with people from over 50 different countries, in 1 hospital. The hospital is world class and offers me all that I am willing to accept. I can formulate a research hypothesis and have the means and staff to assist me in carrying it out. We have top physicians, Physios and speakers from around the world presenting topics to us and consulting with our team to make our hospital a better place. It is quite an amazing to be part of something so unique.

One more shot of Doha from the water a night.

One more shot of Doha from the water at night.

From a personal perspective, we have learned how to adapt to different living conditions and more importantly to different cultures. I have learned that being open, non judgmental and genuinely interested in others has allowed me to create trusting relationships with my patients, coworkers, and friends.

I have learned, most importantly, that people are genuinely nice, despite their class, country or religion and that we are all fighting the same battles. We have met wonderful people from our drivers (yes we all tend to have drivers out here!) to CEO’s, tried new sports (squash), adapted our old sports (“mountain biking” in a flat desert) and had our share of love-hate relationships with everything from traffic, to food, and the eternal sunshine that is Qatar.

I hope these posts have kept you engaged and maybe even gotten some to want to jump on a plane and move abroad tomorrow. Thanks for letting me share my thoughts with you!

~Amy

PT International Travel – The Prep Work (part 2)

This is part 2 of a series on travel abroad as a working Physical Therapist. For previous posts, click “previous blogs” on the menu at the top of the page.

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Whether you are following a significant other somewhere or you are looking to relocate abroad on your own, there are a lot of things you want to consider before and during the transition process. Hopefully my story will help those of you thinking about travel abroad decide to take that leap out of the US and help you figure out how to do it. The process is never ending, but the better prepared you are, the less frustrated you will get!

Souq Waqif, a marketplace and one of the favorite tourist spots in Doha.

Souq Waqif, a marketplace and one of the favorite tourist spots in Doha.

 Like I mentioned in the first post, having a contact may be your greatest advantage in landing a job abroad. Think of a friend or family that lives abroad, a coworker that worked abroad or even someone that knows someone that worked or has contacts abroad. Six degrees of separation may work here! That is generally how most of us foreigners here in Qatar ended up where we are.

Since my husband was the one who took a job that was placing us overseas, I had to do a ton of research on the possible countries – Chile, Australia and Qatar – to see if any of them would be a place I could practice. Unlike many other professions, healthcare workers usually have either the burden of proving their proficiency through re-examination (who wants to take the boards again!) or through verification.

So, before you start packing your bags for some beautiful coastline, there’s a few things you will want to research, and then continue to research throughout the process. I’ll try to keep this as condensed as possible, but here’s some quick links if you don’t want to read all of it.

On the water looking back at Doha

On the water looking back at Doha

Given that we had 3 potential locations we could move to, I started by looking into the culture and the requirements for a PT in each country. A good place to start is the World Federation of Physical Therapy (http://www.wcpt.org). They have contact info for a ton of countries, including websites, emails, phone numbers and addresses. Awesome.

I started by emailing the contact for Chile. The biggest questions I was asking at first were 1. Do they accept a US licensure carte blanc, on a case by case basis, or do they require all international PT’s to take an examination? 2. Is Spanish (or Arabic for Qatar) a requirement or are there hospitals where the primary language among healthcare workers is English? I also checked out Chile’s physiotherapy webpage that I found on www.WCPT.org and googled hospitals in Santiago, Chile. Everything was in Spanish. The email I received from their PT association was in Spanish. Fluency seemed like a must at this point. So for Chile, I waited on proceeding until I had a better idea if we would end up there.

Next was Australia. I started by checking out http://www.physiotherapy.asn.au but also contacted a college professor as well, knowing that she practiced there. In Australia, they evaluate each candidate on a case by case basis, but chances are, an exam was likely. Now, being 6 years out of school, I would want to know that I would be here for at least a few years if I was going to study for another board. Again, further search was put on hold. But I couldn’t help to check out New Zealand, since I was looking in that part of the world. http://www.physioboard.org.nz/index.php?Registration-Overseas-QualifiedPhysiotherapists . Now this is the kind of information I was looking for! Direct information on how to apply as an international PT. Perfect. Now only if we were going there instead!

I saved Qatar for last. This is where we ended up and was probably the most complex process I have ever endured! I began with checking out background information on Qatar which is a moderately liberal/conservative Islamic country in the middle east. We have to be married to live together. I can drive, walk around, and do most things as I would in the US. It is respectful to have my shoulders and knees covered when in public. English is the common language given the hundreds of languages that are spoken here. So it seemed I should be able to transition here with moderate ease.

We then started by asking my husband’s company a ton of questions to find out if I should come over with my husband of if I needed to wait before I made my move. The big questions – sponsorship, benefits and education qualifications. I will get into these topics in the next blog and the details of what I specifically had to do to be eligible to work in Qatar.

Back to Travel

As I frequently do, I’ll begin this blog with an apology. The last couple writings from me have been exactly what I hate in a blog, whiny. However, don’t mistake me, I meant what I said.

I need to explain my over-arching intent for a short moment. I like talking about travel, but also want to write about physical therapy (another passion of mine) and about the logistics of this travel PT business. I think I have a lot to offer in these realms, and I always hope that others will participate and add to the conversation and body of travel PT knowledge!

So, while I’ve strayed from the path in the last few posts I intend for this blog to be concise, amusing to a chuckle-worthy level, and mostly about my travels as a Traveling Physical Therapist. I will now complete this blog in the form I feel most at peace with:

This is the 4th winter Kate and I have spent in Aspen. I have posted some of my favorite photos over those four years below. I hope you’ll take the time to click through the thumbnails to the full size pictures and enjoy some of the memories with us.

In addition, I plan to have my nice camera with me over the next few weeks to hopefully catch some other nice photos that I may share here before the up coming road trip in exactly 4 weeks!

Enjoy!

Travel Healthcare Websites

I had something I wanted to blog about, I have totally forgotten what that was. I got on a tear tonight. I’m excited, I’m on fire.

It all started when a friend wrote to see if Kate and I would be at the traveling healthcare conference that’s coming up in October in Vegas. I love the idea of it, I’d love to be a contributing part of it, and I know that no matter what, it’d be a great time.   …in fact, maybe we’ll go.

However, it led me on a little exploration of its organizers and the sites that are similar to HoboHealth. There are more sites than you would think and as best I can tell, HoboHealth is the smallest of these site that will turn up on a few basic google searches. What got me so fired up is that everyone else is fricken SPONSORED! Isn’t the purpose of our sites to help fellow travelers, to advise them in the ways to get the most out of their employment and travel experiences!? Let face it, staffing agencies are financed by us working in whatever job is available and willing to pay for us, not by us waiting around for our perfect assignment. While there are VERY GOOD staffing agencies, there is a direct conflict of interest in them paying us to give good advice!!! A site promising to aide travelers in their decisions cannot be funded by the very entities travelers are doing business with.

I have my own recruiters that I trust greatly, and I have plenty of companies that have failed at the task of holding their travelers’ needs at the center of their business. If you are one of the very few recruiters that works with me, know that Kate and I consider you within our personal circle and have the greatest trust in you. I wish I could plug my friends here, but it undermines the whole point of this website: To help travelers navigate the complicated business of travel PT and to help travelers have positive, well supported assignments in their own paradise.

I’ve spoken with some of my recruiters before about partnering, but never followed through, I never really knew why. I’ve visited sites identical to HoboHealth with 5 times the visitors and wondered how they got all that traffic. Tonight, when I realized those sites are advertising some of the very staffing agencies I despise, I figured out why this site has remained both independent and less visited. Our participants are real travelers just looking for tips from other travelers with no bias. Staffing agencies make their money on the work we do. They should be pleased to have us work for them and should work hard to keep us happy and protected. I love the opportunity here to help other travelers find the same joy in travel physical therapy that my wife and I have.

If you’re a site like HoboHealth without corporate backing, get in touch, let’s help each other help others. If you’re a traveler, ask questions and learn how to travel happily with companies that will support you, not companies only looking to earn their profit off your skilled work. I have found the companies that are willing to support me in my extravagant travels to awesome places with awesome people, I want you to find yours.

Oh man, I’m fired up…. and I finally feel like there’s a purpose to this very time consuming hobby.    🙂    Thanks for reading, I promise more light-hearted travel pictures soon.

 

Legality Schmeegality

I don’t really like blogs that are a pointless rant, so I promise I’ll try to keep this productive and at least a little informative for anyone who hasn’t yet been through  getting a new state license.

Kate and I are currently seeking our Washington and Alaska licenses for some potential work this coming summer. We have 4 licenses in common; I have Illinois and Vermont, and she has Florida, 7 states total. To simplify things, we’ve dropped being current in all but two states, our Home State which is the Vacation State (seems contradictory), and Colorful Colorado. Simplify? Yeah, I thought so, until both Alaska and Washington requested official license verification from every state where I hold or have ever held a license as part of their PT License Application. That’s a spousal-total of 11 licenses that need verifying through mostly snail mail and hand written checks. Who uses mail and checks!?!? Even the USPS has online options so that you don’t have to use the mail!

The Best:

1. Florida – $25 and an online submission will get you verified

2. Colorado – No fee and you may fax your request.

 

The Worst:

1. Hawaii – For only $15 per request you can have a verification sent within 20 days of receipt of your written request via mail.

2. Vermont – Written request. They’ll deposit your check and then have no record of your request.    <– happened to me

3. Illinois – Don’t bother calling, you’ll be on hold for 2 hours.

 

So, back to point, I’ve spent four hours getting these 2 applications together and probably have another 2 hours to go. Most of this time is a result of pre-internet legislation that dictates you do things as you would when mail and and personal checks were pretty much your only options. Part of the reason these laws have persisted is that no one likes to open their practice acts. When a practice act is modified, it offers a chance for other professions and interests to alter the law for their benefit as opposed to the benefit of PTs, PTAs, and patients. HOWEVER! Should you find yourself in a state with an open practice act and the chance to have your voice heard, please beg that licensure be brought into the 21st century, argue against the arbitrary barriers that keep well qualified professionals from practicing in a place that could probably use them, and educate your colleagues on the difficulties these laws place on state employees who must waste their time dealing with all kinds of paperwork for information quickly and easily available on the internet (fsbpt.org).

Really, I’m being a little melodramatic. Getting your license in a new state is generally a matter of paperwork, if your status as a PT/PTA is healthy, there’s no reason you won’t be licensed if you can get the paperwork to the right places in a timely matter. We’ve been licensed in many states now and have a greater burden because of it, if you’ve only worked in one state, it’s pretty straight forward.

Well I have to run, I’ve got some applications to fill out and an currently open Colorado Practice Act to leave my mark on.  🙂

Patients! They’re everywhere, AHHHHH!

The first story that has to be told from my recent trip to Tulum, Mexico is about the nice lady (a.k.a. crazy wacko) I sat next to on the plane.

As therapists, you see people who could use your services everywhere: the kid walking down the street using his crutch on the wrong side, the old man whose family is struggling to get him into the car, or just Aunt Ida chatting away at Thanksgiving dinner about her bunions. Aunt Ida aside, I try not to let my desire to get involved in these people’s lives take over. Aside from all the practical reasons not to get involved, there’s an ethical line that gets crossed when an off-duty healthworker starts injecting his/her opinions into a person’s private life.

Be careful, patients are everywhere and they want your PT brain.

While I frequently have to restrain getting involved, this past week’s experience was different… I wanted to run away. As I settled in for the 4-hour flight into Cancun, the lady next to me started telling me how she would be getting up frequently because of her debilitating back pain. I immediately recoiled into defense mode. How could I keep her from finding out I’m a PT? How would I read JOSPT without giving away my secret identity? I am not treating this  lady for the next 4 hours, this is my VACATION!!! ….and this patient was clearly CRAZY! Keep it to yourself, lady!

What went on for the next 4 hours was a delicate dance: She would ask me to get her carry-on down from the over-head. I would stash my PT magazines behind safety manuals in the seatback pocket. She would pace in the isles. Other passengers would uneasily wonder why. She would intermittently display her gabapentin bottle on the tray table. I would try to disguise JOSPT while reading by sliding as far to the opposite side of the seat as possible. She would talk on-and-on about her back pain, and I would nod politely.

When it came close to time to land, I thought I had made it through without revealing my secret, but there was one more test. My single serving friend had one more piece of information to make my blood boil. She was looking forward to her quick trip through customs and baggage claim. “You know, if you ask for a wheelchair, the airlines have to give you one.”

So, back in the terminal, as I stood in the hour-long customs line, I looked to the side and saw her cruising by in the wheel chair. She had won again, the crazy bird gets the worm.

Be careful on your travels this Thanksgiving weekend, patients are everywhere. Don’t trust Aunt Ida, I think she’s hiding something.

Let’s Break Some Stuff

 

Last week I went to Pumpkinfest up the street from where I living. I went with my wife, her young niece, and her mother. I expected a quaint family-fun-filled afternoon with little to keep me entertained. What I encountered was a high-fueled world of motorized legumes and high speed orange destruction that left me begging a 3-year-old to let me watch just one more pumpkin get fired through the side of a demolished pick-up.

I’ll keep it brief and let the pictures and captions do the story telling, but a little history first. Pumpkinfest (and Regatta) started within the decade and has grown steadily year-by-year. The pictures are from the second Sunday of the 10 day festival. While Sunday is the climax of the event, it does not include the “Pumpkin Parade” where dozens of 300+ lbs pumpkins are carted through town before the big events, and it most certainly does not include the last day’s “Pumpkin Drop” where giant pumpkins are smashed by dropping them from a height onto a car. Sounds cool,I would have liked to have seen it… but someone has to work in this town.

Enjoy the pictures.

-James

P.S. Click on the thumbnails to see the full pictures.

Local Fare

Yup, this is why I choose to travel over picking a steady home with 2 labrador retrievers, a fenced in back yard, and 1.5 little rug rats. I’ve traded a steady job for 2 storage areas full of my stuff in 2 states that I don’t currently live or work in and a 300 sq ft apartment without a dresser.

Why? Permanent vacation and enjoying everything a new place has to offer.

While writing this blog I drank a Lobster Ale by Belfast Bay Brewing Co of Belfast, ME. It was delicious. Incidentally, I drank it out of a "Surf's Up - Hawaii" koozie, a nick knack from last summer's assignment.

I’m going to put myself through a 30 second drill. In the next thirty seconds I will type as many things as I can think of that I enjoy in each place I move to that are unique to each location: READY. SET. Let’s GO!

-Food
-Drink
-Runs
-Micro-brews
-Hikes
-Accents
-Customs
-History
-Scenic Views
-Nick Knacks

OK, so I started to run out of time when I came up with scenic views. That may be stretching it, but each part of the country does has it’s own look about it that is uniquely beautiful. After “scenic views” I looked out my window and saw a souvenir store full of nick knacks, I apologize. I would like to also acknowledge “micro-brews” is a subcategory of “drinks.” This does not bother me, and I stand by what I wrote on a 30 second clock.

In all seriousness, I love the variety. Talking with the locals, enjoying the local specialties, and absorbing a little bit of each location into who I am. This is what I think it’s all about.

Flexibility

...but no travel PT jobs

Well, the honeymoon’s over.

No, really, we just got back from our honeymoon to my mother-in-law’s house with few immediate options for a new job. This is a first in my 5 years of traveling. I have never passed my start date without some sort of job lined up. But, I guess it’s all I can expect without having seriously put some attention towards finding an assignment until sometime last week. This time does seem different than others, though. There’s no immediate attractive job options on the horizon in the great state of Maine. One option to start 3 weeks from now has arisen, but I’d rather be working today.

So what do you do when the jobs you’re looking for are dried up? Well, we’re scrambling to get our Massachusetts’ licenses. For some reason the 20 short miles of New Hampshire between Maine and Massachusetts is blocking all the decent jobs from coming North. So, the current deal is that we are waitingfor our job updates and hoping to see our Massachusetts’ licenses materialize. Then, we can grab a couple jobs down there if nothing pops up here in the meantime.

I guess it’s not all that bad, having to be a little flexible this month is quite a fair trade for the many years of easy and fun traveling I’ve done. I need to get going, my margarita needs a refill and there’s some lobsters that need cooking. Ah, the way life should be and I’m sure there’s a couple jobs on the horizon.