Feast or Famine

When we last left off (Just Go With It – 5/9/14), I was headed 3,000 miles west out to Hawaii with the verbal assurance that there would be work when I arrived, but without anything in writing. Would there be work when I reached the islands? Would I be a kept man depending on my wife to bring home the bacon? Exactly how much snorkeling can one unemployed PT do in 13 weeks?

After some flip-flopping* back and forth, the work seems like it’s coming. In fact, I think I’ll have too much work in 2-3 weeks.

I arrived here 6 days ago, on Friday night. Luckily, the day before, my employment packet and job offer arrived in the mail from a private practice I have been speaking with. So, I learned how much I was going to be paid hourly if I worked, but had no guarantee of any hours. All there was to do was to get my feet on the ground in Hawaii and hope for the best.

O'hana Papaya

Papaya from the back yard garden! Included in the garden are the following trees that I can identify: 4 papaya trees, 2 mango trees, a hot pepper tree, and a coconut bearing palm tree.

When we arrived, we spent the weekend Craigslisting to find an apartment and a cheap car for the next three months. We found an awesome o’hana apartment! O’hana is the Hawaiian word for family, they call what we know as a mother-in-law apartment an o’hana. Because this island is essentially a big volcano with the top portion sticking out of the ocean, everything is on a hillside, and, therefor, everything has an ocean view. Our ocean view mother-in-law apartment is quite the pad – it also has a pool and a fruit-bearing garden in the backyard. Bugs, mostly cockroaches, are simply a fact of life in Hawaii. When we were out here a few years back, I had an old Toyota Camry with a roach problem. This time around, I have upgraded to a Toyota 4-Runner with a roach problem. I think bigger cars come with bigger roach problems…  back to the contract story.

I didn’t have any wok scheduled for this past Monday, so after dropping Kate off at her job, I popped in to visit the contract manager at the community hospital who I’ve been talking with about setting up an agency contract. All I had heard at this point was “we will need you, we will have work for you.” When I arrived on Monday, the story had changed, “It sounds like we may not need you at all,” says the contract manager. Uh oh, I was depending on there being work when I got out here. So, my efforts were refocused on the independent contract with the private practice. Originally I had told them I would be available Mon/Wed/Fri with the hopes of filling in at the hospital on Tues/Thurs, but with the changes in what I was hearing from the hospital, I offered to work all five days per week at the private practice. Right now, I don’t have a lot of appointments scheduled, but I can see how after evaluations are performed, and a few days go by, the schedule will grow considerably into a full 30-40 hours of work. This one private practice job should be just fine.

This morning, I heard from my recruiter on the hospital job, “James, call me when you wake up, I have good news.” The hospital changed their tune – census is up, and they need some extra help. At this time, I’m feeling conflicted about what to do. The private practice is bending over backwards to accommodate me and to try and fill my schedule. At this time, there’s not a very full schedule, but a couple weeks will fix that – unfortunately, they aren’t will to guarantee any hours. The hours patients are there with me are the only hours I get paid. On the other hand, the gig with the agency at the hospital will pay more and there may be a couple days worth of guaranteed hours.

4runner

The roach mobile, o’hana in the background!

When it rains, it pours. I’m currently working about 10 hours this week with a long-weekend quick approaching, it’s been a nice break, but I need to get back to consistent work. On the horizon, I can potentially expect 60+ hours of work any given week. While the thought of bearing down, working long hours, and stacking up piles of cash is appealing to me, I’m in paradise (again) for 3 months, and I’m not going to blow it by working indoors 60 hours a week.

For now, it’s back to waiting. I’ll have to see what the hospital really wants from me before I commit to anything. If they do guarantee hours, the decisions will get difficult – will I choose the higher paying guaranteed hours? Or will I stick by the practice who has not guaranteed me any hours, but has been good to me thus far?

Time will tell, for now it’s back to researching which beach to camp on for my 3+ day weekend.

Happy Memorial Day! Aloha!

*In Hawaii, flip-flops are called slippahs. example: Take ya slippahs off when ya come in da house, brah.

Home is Where

“Where do you live?” It’s a simple question that is likely to be asked at the start of a conversation with any stranger. It’s a question that is easy for most people and that the asker expects a quick answer to.

For any traveling healthcare worker who has been at this for a while, it’s a loaded question. My mind races over a series of responses, “I have an apartment in Maine, but I’m rarely ever there.” “Well, the IRS says I live in…” “I live part of the year in Colorado and keep going back there.” I usually settle on the most simple response, secretly hoping the conversation will change topics, “I live here right now, but I move a lot for work.”

But, NO! They can’t drop the inquisition, it always continues on, “You move a lot? Well where’s your home base? Where are you from? When are you going to settle down? What does your wife do?”

I, again, try to keep the answer simple. Again, hoping the conversation can move along from this complicated topic, “Well my wife is a therapist too, so we move from contract-to-contract together. We’re both from New England, but we’ve been doing this a while now, so we have some fairly scattered roots at this point.” Meanwhile, I’m thinking, “This poor guy was expecting an easy answer. There isn’t one.” Traveling PTs don’t fit most people’s pre-determined mold of what a life, home,and job should look like.

There’s a whole host of issues, social and logistical, that complicate the home question both extrinsically and intrinsically. First is the IRS, travelers live by their rules and we do the best we can to try to maintain a life that fits their rules. Unfortunately, certain states have laws that complicate the picture by having loose standards for what a fulltime resident is and taxing people based on that status. I’m looking at you, Maine! I am certain that there is a traveler out there somewhere who has the perfectly wrong combination of living situations and who is taxed as a permanent resident by multiple states.

Don’t get me going on the system for forwarding mail by the post office. OK, do get me going. Every 3 to 6 months I head to the USPS website and submit my change of address forms. To their credit, the post office usually gets me my mail, but sometimes that mail makes a few stops along the way to reach me. I have attended weddings and received the invitation afterwards. Gad zooks!

The years since starting travel have started to really add up for me. I used to be able to intuitively know how many years ago I was in Hawaii, or how many winters I had spent in Colorado. When I showed up back here 3 weeks ago, I went around telling people it was either my 4th or 5th year coming back, I wasn’t really sure… WRONG! After some counting by figuring out what years I was in which apartment, I have come to the realization that this is winter number 6 (out of the last 7) that I am living out here in Colorado. How can we tell people where we live if we don’t even know!?

On the return, Saturday, 3 weeks ago, Kate and I quickly moved into the same employee apartment building that we have lived 3 years prior. On Sunday, we drove 1.5 hours to the local Costco and stopped by our storage area on the way back. It turns out that in our storage area, with all of our skis, 7 pairs between the two of us, was a ton of stuff that we have accumulated. Kitchen supplies, wedding pictures, snow tires for the car I sold this year, a painting I picked out of the trash at work 4 years ago, a bag of clothes to take to the local consignment store, beer brewing kit, computer printer, and our beloved 18 inch Christmas tree. I hesitate to say we keep a lot of junk here, because most of it has a purpose, but we do have a lot of “stuff” here. By Monday morning at 10, we had our ski passes and we were on the mountain where, by chance, we ran into a group of friends and skied with them all day. On Tuesday, Kate and I returned to work where we were greeted with hugs, a one-hour orientation, and quickly slipped into a seamless afternoon full of patients. Yeah, this is familiar, good friends, the old apartment, great job, and all my… “stuff.” Since the first year here, unlike many other places I’ve lived, people are willing to quickly include me in the small group they call “locals.” It’s tempting to call this “home” or to at least be less committal and admit that I live here, because I do have an established life here.

Back on the ski lift, a familiar conversation ensues, “Where do you live?”

“Here.” “… in the winter. This is my 6th season.”

The quick response, “Where do you go the rest of the time?”

Here we go again. Why doesn’t this conversation get any easier? 🙂

I used the word “inquisition” above, so this video seems pertinent. Until next time, travel safe!

 

Craigslist

I buy and sell a ton of stuff on Craigslist. If you’ve never been on the site, but know only of the more dubious publicity it has received, I’m here to tell you, “Craigslist is safe, and you probably won’t get kidnapped.” But seriously, I’ve met nothing but nice and honest people during my Craigslist transactions. To sweeten the pot, you can find fantastic deals on just about anything. There’s a blog-turned-book by a Canadian guy demonstrating the general goodwill of people and the good finds of Craiglist. Kyle MacDonald traded one large red paperclip up to a house in 14 even trades over the course of a year! Check it out at his website: One Red Paper Clip

Bottom line, Craigslist and a bunch of other online sites are a great way for you to find things you need on assignment for cheap and sell them when you’re done with them. In some areas, Craiglist isn’t necessarily the go-to site, there may be a better, local option – think about classifieds on the local paper’s webpage. In Maine, I’ve found that Craigslist has a good local popularity, but there’s also Uncle Henry’s, a long-time printed buy-and-sell listing that is now available online. If you’re on assignment near a military base, there’s a good chance someone has set-up a Facebook page to buy, sell, and trade on and around the base.

Here’s my hit-list of the best ways I have used the internet to barter for things I need on assignment:

Housing

My very first travel assignment, I had the staffing agency set me up with my housing. It was a great way to get out there on the road and do the traveling without having to worry about lodging. As I’ve gotten more comfortable over the years with how travel PT works, I’ve gotten better at finding my own housing.

The tough part is, and has always been, finding a place that is: (a.) Furnished; and (b.) available for a short lease. I’m yet to find something that has more in this niche market than Craigslist. Type in furnished and the town you are headed to, and you are bound to have a couple good leads on your pad for the next 13 weeks.

 

AirBnB.com is a newer site that allows people to rent out their places privately. I haven’t yet stayed in a place I found on Air BnB, but have heard of people getting great deals on this site. Depending on your tolerance to being a complete vagabond, you can find anything from a futon to crash on for a night in someone’s living room to a house all to yourself for the length of the assignment. The site allows you to filter your search well to fit your needs and displays ratings from people who have previously stayed at the crash-pad you may be considering.

Car

For my wife and I, we find it very difficult to take long road trips in separate cars. Two drivers in one car allows us to drive longer hours in a day and travel more safely and comfortably. Our solution is to drive one car to our assignment and buy a car when we get there. This also works well in places you may fly into to work like Alaska or Hawaii. We have bought six cars on Craigslist and one RV… only one deal ended poorly. My wife ended up selling a beat up Passat for $200 and a bag of mangoes – true story. More often than not, we are able to sell the car at the end of the assignment for more than we bought it for. Speaking of which, anyone looking for a 1997 Honda Civic in Maine? With only 208,000 miles on it, it’s a steal at $1200.

Hawaii Car

Putting the car I bought on Craigslist in Hawaii to good use. Not the Passat. Put a kayak on it!

The car I’m typically looking at is $3,000 to $5,000, but I have gone cheaper at times, like with the Civic. Two things I can recommend are to ask lots of questions, people are typically willing to be perfectly honest, and take the test drive into serious consideration. On that one deal that went south in Hawaii (the Passat and the mangoes), there were clear signs during the test drive that we shouldn’t buy the car, but got so wrapped up in the mentality of “we need a car now” that we ignored the lousy shifting and ended up transmissionless 2 weeks later.

With with all things bought online, but particularly with cars: BARTER! Everybody on Craigslist is listing their stuff for a bit more than they would actually take to let go of it. Find out how little money they will take!

Housewares

I have this buddy who used to be a traveler, but fell in love with a dietitian on assignment. Now, they are married and have a great house in a cool neighborhood. This guy buys everything on Craigslist and isn’t afraid to walk away from anything but a spectacular deal. I was visiting him a few weeks ago and as I walk into his kitchen he’s really ( I mean REALLY) excited and blurts out, “Guess how much all the appliances in this kitchen cost!” This guy has gotten a full top-of-the line kitchen for chump change including a killer oven, fridge, and microwave.

As a traveler, you can’t get too weighed down with larger appliances, but any furnished apartment is going to be lacking something you need – a toaster, a microwave, a grill, a decent coffee pot. Hop online, see what’s available. You can typically get good stuff so cheap that if it doesn’t fit in the car at the end of the assignment, it won’t hurt to part ways with it.

Surfboard

One of the Craigslist surfboards… just remembered that a teenage girl sold it to me. Hence the neon green ankle strap.

Toys

I don’t have a ton of toys. They take up a lot of space in small apartments, and it’s much easier to travel light. But, come on, there’s some stuff you just need. In Hawaii, I bought a surfboard at the beginning of the 6 month assignment and bought a second board halfway through. I surfed three days a week on these boards, used the heck out of them, and was able to break even by selling them on Craigslist when it was time to leave.

In Colorado, it’s ski and camping equipment. For anyone who spends significant time doing outdoor sports, you know there’s always something better, stronger, more light-weight, more durable, and better than what you have. I have also found that the upgrade doesn’t need to be brand new. There is a huge marketplace online for gently-used gear. There’s a slew of auction sites like Ebay that will do the trick if you know exactly what you want, but if it’s something you need to get the right size or fit, you’ll probably find yourself right back on Craigslist finding someone local that you can meet, take a good look at what they’re trying to sell, and come to a price that leaves both of you feeling like you ripped the other person off. And when you’ve worn out whatever it is you bought, there’s someone out there on the internet looking for that very thing who is willing to give you money for your worn out junk. What’s more American than that!? Happy bartering and safe travels!

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I had written this a couple months back for another travel website, so it needs some updates:

-The Civic sold 3 days after being posted on Craigslist.

-Using Craigslist, we found and bought a car that we hope will last us for the next several years. It has a small dent on the bumper, but got it for thousands less than we would have at a dealer.

-We started a new assignment around Boston this week. Found an awesome apartment just outside the city, across the street from the beach… on Craigslist.

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.

THE Housing

Finding an apartment here was TOUGH! …more on this in a minute.

There’s a lot of different ways to get your housing on travel assignment. By far the easiest way is having your staffing agency set up the housing for you. If you don’t know the area and really have no preference on location, the housing is typically pretty nice and turn-key ready. On the other hand, you could take the tax-free housing stipend and find housing on your own.

There is a financial advantage to figuring out the housing on your own and taking the cash. It keeps all the money in your reimbursement package and away from the resources it takes for a staffing agency to find and arrange your housing. In fifteen-or-so assignments, I’ve only had my recruiter get housing for me once. If you haven’t searched for your own housing on assignment, you’d be surprise at the amount of temporary and furnished housing that is available. Craigslist is how we almost always find our housing. If we can get to the assignment a few days ahead of time, that’s usually enough time to hit Craigslist hard and find good housing in a fun neighborhood before work starts.

It turns out Anchorage rental housing has a 98% occupancy rate. That’s REALLY high. We were lucky enough to have an open invitation with friends in Wasilla, whom we ended up crashing with for over 2 weeks. [whom?] There was so little availability in rentals around Anchorage that we really didn’t get a chance to see many apartments. Luckily, among the 3 apartments we looked at, was a nice two bedroom, utilities included, deck, washer/dryer, and parking.

The apartment is more than we like to pay for rent, but with a location convenient for work, plenty of room for visitors, and slim pickings for other options…. it’s worked out just fine. Which is a lovely segue to the larger message: With a little patience in finding housing and finding a job everything works out just fine. As a travel PT or PTA, you may go a week or two without a job or work for a week while living in an extended stay with all your junk in your car, but IT ALL WORKS OUT JUST FINE.

The Things We Look For In An Apartment:

-Furnished               -Short-term lease

-Washer/Dryer        -WiFi

-Parking                     -Utilities included