A Little Ketchup

One of the many beautiful sunsets this fall from our apartment looking back on Boston.

One of the many beautiful sunsets this fall from our apartment looking back on Boston.

Another travel assignment has flown by and I again have written far less frequently than I intended. I have a short list of meaningful topics I’ve been wanting to get to, but today you’ll have to settle for just an update on the travel life.

It’s been a great autumn in the Boston area. Kate and I got a killer apartment on the coast just north of the city and have made up for a lot of lost time with old friends. Lots of fun, a few shenanigans, nice cold evening sunsets, and being here for another World Series championship have made it a great fall! It’s raining right now, but its probably one of less than 7 days it has rained during our 3 months here. It’s been a fantastic fall… but, man, am I ready to get out of here and head to Colorful Colorado!

Highland Bowl

Highland Bowl, one more reason to get out and get acclimated… that bowl ain’t gonna hike itself!

This will be our 6th year working seasonal positions out in Colorado. I have worked for the same hospital out there for 5 years now – I am so excited to get to the mountains, see good friends and co-workers, start up the low-stress life of a professionally employed ski bum, and most importantly,get to laying down some powder turns. After a delay in finding a job for the fall, this contract is running a little later in the year than I’d like it to, and some weeks of the ski season are slipping by. I’m also losing out on some precious time for altitude acclimation that makes a huge difference for some mountain races later this winter – and just trying to keep up with the other locals around town – and not being out of breath sitting at my desk at work.

 

Accord

The ol’ Accord road tripping in all its glory.

I think part of my extreme anxiousness to get out there lies in a newly fine-tuned proficiency for getting ready to move. I have no bags packed, but I feel like I have been preparing to move for 3 weeks now. Just a few drawers of clothes to shove in bags and we’ll be packed up. To add to the ease of moving this time around, we have upgraded to an SUV. I sold my old Honda Accord that I had put 120,000 great miles on (plus 70,000 miles from its original owner). It drove some of the great roads in North America – made the trip up the Alcan Highway to Alaska, drove East through Canada to Prince Edward Island, and touched the Southern and Northern tips of Rt 1. But, for two people routinely moving cross-country multiple times each year, I can’t believe it took us this long to get a bigger car. I sold the Accord this weekend on Craigslist and I am driving a rental for my last week working in home care – 4 more days on this contract – head down, nose to the grindstone. Short-Timer Syndrome be damned!

I, of course, will be updating on the Facebook and Twitter (@hobohealth) pages all along the road trip, but this trip will be less of a meander out west than some of our previous trips. We will get to catch up with some friends in Chicago along the way, but otherwise this trip is going to be a straight-shot westward in just a couple long days of driving. Expect updates soon and travel safe! -James

Get a Haircut and Get a Real Job! (Part 2 of 2)

This is part 2 of a 2 part blog on the job market and job finding in traveling physical therapy. Find part 1 here.

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For the last seven years, I have been working as a travel PT. What a job! Every few months, I tell my recruiter where I want to go, what practice setting I would like to work in, and a few weeks later I have a job that fits my criteria.  …Or at least that’s how it worked until the past 6 months.

Key West, "Home of the Sunset." Also, by car, it is about half way between Colorado and Maine.

Key West, “Home of the Sunset.” Also, by car, it is about half way between Colorado and Maine.

My wife and I have been trying to find jobs in Southern Maine. We took our first shot at Southern Maine for the first half of the summer, but struck out. We were searching during a drive back to New England from Colorado, via Key West… a side-trip I recommend on any roadtrip. After we left Florida and were heading north through Connecticut, two possible job locations started to come together. Two jobs in Northern Maine and two jobs back in a sweet mountain town in Colorado. While turning around to head straight back to Colorado sounded like the most convoluted roadtrip ever taken, the chance to spend the summer playing in the mountains was pretty enticing. In the end, the Colorado jobs had one major flaw, Kate and I would be working opposite schedules and likely only have one day off together each week. What’s the point of travel PT if you don’t have the days off to enjoy your “home” town. To be honest, we weren’t psyched about heading to Northern Maine, but we recognized that it was the smart job to take – There were two jobs, they started on the day we hoped to start working, the location was relatively close to where we really wanted to be, and we were totally striking out on Southern Maine.

A couple blogs back, I wrote about our time in Northern Maine. The assignment turned out great. Goods jobs, good people, good times, but just a really, really far drive from everything. We had a few things working against us in looking for a job at the beginning of the summer. 1. We needed two jobs, not just one; 2. We only had active licenses in three states: Alaska, Maine, and Colorado; 3. We, as always, were pretty picky about our jobs. 

There were a couple things we could have done differently to address our above weaknesses: 1. Nothing can really be done about us needing two jobs instead of one, it’s the only downside about traveling with a companion. 2. We could have kept more licenses active to expand the potential search area. We previously had Massachusetts licenses, but had let them lapse. If we had applied for New Hampshire licenses, we could have lived in Southern Maine and commuted across the border to New Hampshire; 3. We could have been more flexible about what jobs we would work. We turned down SNF jobs based on setting alone, if we were more willing to work in a greater variety of settings, we would have found work more easily.

By mid-July, we were back on the job search, hoping to start-up down in Southern Maine the Monday following our Friday wind-down up North. Got it?

Northern Maine sure is beautiful, it's just really far from everywhere.

Northern Maine sure is beautiful, it’s just really far from everywhere.

After a few weeks of searching for jobs, it wasn’t looking good, again. Friday came and went, we moved out of our rustic one room cabin in Northern Maine and headed down to our condo in Old Orchard Beach (OOB). We had hoped to spend the next several months living in the condo in OOB, but after 4-5 months of keeping an eye towards the Southern Maine travel PT market, it seemed like a job, nevermind two jobs, was going to be really hard to come by. It was time to pull out the stops. Along with our recruiters searching for jobs for us, we were conducting our own search for clinics that might not be willing to work with a staffing agency but that would entertain hiring an independent contractor. I’ve written in the past about finding independent contracts, but it wasn’t meant to be this time. A couple phone conversations with office managers and clinic owners yielded nothing. It seemed that just as a job would start to look promising, someone who was willing to sign on permanently would swoop in and take the position.

I try to stick with 2-3 companies that I trust to find me the assignments I want. But, in a situation like I was finding in Southern Maine, it was time to start calling around to the agencies further down the list. “Phishing” was something I rediscovered through calling recruiters further down my list. Phishing is when you see a posting online for a job, but when you call the company advertising the job, the job doesn’t exist. They say something like, “Oh, someone just took that job. Let me see what else I have in that area for you.” Bottom line, the job doesn’t exist, it never did exist, and they’ll post the same imaginary job online next week. They just want to get information on you and see if the can talk you into taking a different job. It’s dishonest and dirty.

Luckily, one lesson had been learned from the search through Southern Maine several months earlier. We might need to expand the search beyond Maine’s borders if jobs continued to be elusive. We had considered New Hampshire licenses, but New Hampshire has a longer process for licensure, and it didn’t seem like having our NH licenses would make all that many more jobs available to us anyways. We each had an expired Massachusetts license and a number of friends living around the Boston area. We had started the process of re-activating our Massachusetts licenses, but had several states to get verifications from before the licenses would be ready. While we waited for the licenses to come through, we shifted gears to focus on Boston instead of Maine. Quickly, we had some options popping up. On Kate’s first phone interview in Boston, difficulties continued. The interview started backwards. Kate was to call the facility, rather than the facility calling her – the way it usually works. After several minutes of trying to make the receptionist understand that she was calling in for a scheduled interview, Kate was asked to call back later. So, she did call back a few minutes later. This time, she was connected to the person she was scheduled to interview with, except he connected her to a supervisor who told her that they were not interested in hiring a traveler at this time. By far the strangest interview either of us has ever not had.

Within the following week, two jobs had been offered in the Boston area, but as always happens, opportunities in Maine were popping up at the same time. In the end, a decision had to be made and 1 bird in your hand is worth 2 birds that are not in your hand (or something like that), so we accepted the Boston jobs. It left us with a couple weeks off, but it was far better to know the job searching was done. So a couple weeks were spent doing a lot of work around our apartment, doing a lot of couch-surfing at friends’ places, and sneaking in some beach time. One last speed bump and work would start on Monday…

Thursday before we started work, a scare – Our Massachusetts PT licenses would not be ready until Tuesday and our new boss was threatening to cut off the assignment if the licenses weren’t in hand when we were scheduled to start work. A series of frantic phone messages to the MA licensing board, an email, and maybe even a fax somehow produced our licenses on time.

Our view of Boston from our new abode. I'll be enjoying this view daily over the next 12 weeks.... guess we're down to 9 weeks already.

Our view of Boston from our new abode. I’ll be enjoying this view daily over the next 12 weeks…. guess we’re down to 9 weeks already.

…and that’s how we ended up working for the next 12 weeks in Boston. Our housing is another story for another day that also ends well, but the couch-surfing, or more accurately, futon-surfing, continued into the first week of work.

This post has dragged on much longer than I like, so it pains me to keep writing, but I believe this topic of the current job market is a very important one, and there are points to be made. I would like to discuss some highlights from the above story about how my wife and I finally got two jobs nearby where we wanted to be in what , locally, was a very difficult market. 1. We recognized a tough market locally and expanded our search methods through looking independently and using additional recruiters; 2. We were able to improve our possible job options by getting an additional state license and expanding our search area; 3. Even though the jobs we got didn’t start right away, we accepted them because we were willing to be flexible.

This whole post is about being flexible and opening yourself up to more opportunities. Carry extra state licenses, look with a couple recruiting companies, consider varied practice settings, and be willing to be patient for a couple weeks. Traveling physical therapy is a job that has a lot of upsides to it. We may be in a small dip in our employment options, but the market will recover quickly and there are currently numerous opportunities out there for anyone willing to be a little flexible. I hope that you can take some of these strategies, apply them to your own situation, and continue living the dream as a traveling PT.

I personally plan on reinstating more of my expired licenses to expand the possible jobs options. There’s a good job out there in a great location, open up your possibilities and allow yourself to find it.

 

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.

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!

Vagabonds, Vagabonds Everywhere

Balloon

Launch site of the first trans-Atlantic balloon flight – Presque Isle, Maine. Jonathan Trappe, who is really cool thinks this is really cool. It must be.

It’s been too long since my last post, so let’s get right into it.

I realized recently that one of the fascinating things about being a Physical Therapist and traveling is all the different people that we get to meet and get to know as we work with them. This thought started when a man showed up at the door of our cabin looking to rent it, because our landlord has left the “For Rent” sign out front. We got to talking about this first TransAtlantic Hot Air Balloon launch site which is just down the road. At this point, the guy introduces himself Jonathan Trappe and whips out his phone to show Kate and I why he finds the balloon memorial so fascinating. “I guess it’s just a small group of us that find that kind of thing really cool. This is my balloon,” he says while showing a picture on his phone of him hooked into a harness attached to a bunch of toy-like latex balloons floating above the clouds. I say to him that it looks like he’s pretty far up. He says, “Yeh, this picture is taken at 20, 000 ft above the Alps!” You gotta check this stuff out ClusterBalloon.com – There’s place down the street that Jonathan might rent. I hope he does, maybe we can be friends.

I don’t know why this came as some sort of revelation to me that I get to meet a lot of people doing what I do – afterall, being able to be a social creature at work is one of the major reasons I got into PT in the first place. Now, I’ve been practicing for 7 years (which through some very rough math works out to 12,000 to 14,000 hours in the clinic), and I can think of a lot of really interesting people that I’ve been fortunate to meet. There’s a couple of patients I’ve treated that opened my eyes to some different and cool stuff. There was this Buddhist monk that would show up for her treatments in her burnt-orange monk robe we’d talk about the different veins of Buddhism. She’d tell me about how she was one of the first female monks in her particular denomination of Buddhism, how it was the most pure of the denominations, and how she brought it to the US several decades back. Just a fascinating woman, I don’t really remember all that much else about her, but she definitely sticks out in my mind as a cool person to have known.

There was this man in his late 80’s I saw for home care a few years back. He opened my eyes to the religion of Spiritualism. He was a leader nationally in the Spiritualist Church where they believe when people die they exist in the same world as us as spirits. To dumb it down: they believe in ghosts. And this guy was a medium who could communicate with the dead. He lived with this much younger roommate who was a tarot card reader. They were always making this soup that I can distinctly remember the smell of – It may have been some sort of mix of the soup and just the particular smell of their place that I remember, it was very distinct. I go over and work with this man a couple times a week. Somewhere inbetween he and the tarot card reader telling me fascinating stories and explaining more about Spiritualism, we’d sneak in a few exercises and some work to improve his mobility. He believed that anyone could be trained to be a medium — that you didn’t particularly need to have a knack for it. Besides this religion that fascinated me, he was just a sharp, open minded guy that I think of occasionally and wish I had kept in touch with. I did think to call him one day, but enough time had passed that I had changed phones and didn’t have his number anymore. Too bad, I’d like to know how he’s doing….. and take him up on that medium session he offered.

"Hey! Look a van with a New Hampshire plate. What are the chances out here in Alaska. On an unrelated note: Brrr, It's cold, glad we're not in a tent...."

“Hey! Look a van with a New Hampshire plate. What are the chances out here in Alaska. On an unrelated note: Brrr, It’s cold, glad we’re not in a tent….”

The travel really increases the amount of people from less-than-ordinary circumstances that pass through my life. When actually out traveling on the road or in airports, I don’t typically go out of my way to chat up people, I’d rather not deal with the inconvenience of them asking me where I live :-), but occasionally someone will creep into the daily interactions and stick as a memory. The only reason cluster-balloon-guy stopped in is because the “For Rent” sign was still up. If we had been well settled into a place for months or years, that sign wouldn’t have been out there and Jonathan wouldn’t have come-a-knocking. “New Hampshire” was the name dubbed to the couple on the Alaskan State Ferry ride to Washington who were driving a big van displaying a New Hampshire license plate and with a big aluminum canoe strapped to the top of the van. We first met them in the line of cars waiting to get onto the first boat out of the Anchorage area. The gentleman of the couple noticed our Maine plates and came strolling over saying something like, “Hey! Maine!? We’re from New Hampshire!” We continued to see this couple everywhere on the 10 day trip down to the lower 48. We saw them on the boat, we saw them out in Juneau on a 2 day stop there, and we even passed them on the highway headed out of Bellingham, Washington. My most amusing memory (of these people whom we never really got to know that well) happened one afternoon on the boat when seas were rough and water was splashing and blowing up over the top of the several story high ship. New Hampshire was hanging out nearby and I remembered they had been tenting out on the deck of the ship. It wasn’t unusual for people to tent on the deck of the ship, but this was getting late in the season and they had the only tent out there in November. The tent was tied to a railing after they were overhead paged on the boat to attend to their tent. According to the ship’s crew, it’s not unusual for winds to whip up, taking unsecured tents weighed down with gear right off the boat into the Gulf of Alaska. I was a little scared to ask them if their tent was out on the deck during this patch of rough seas, but I remember as things calmed a bit and no more water was coming over the top of the ship, Mr. New Hampshire stands up and very matter-of-factually says, “I guess I’ll go see if the tent is still there.” What a character, and neat people living a cool life, cracks me up.

Anyways, just because I feel like there’s supposed to be some conclusion here, let me say this: I like meeting people and I think PT and traveling is a nice combination that lets me meet some pretty cool people. We’re trying to buy a second car off Craiglist this week, that’s a process that lends itself to some strange people getting involved… should be fun!

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.

PT International Travel – An Introduction (part 1)

People are ALWAYS asking me about travel abroad. Unfortunately, I have never traveled abroad to work and know very little about it. Recently, a friend, packed up her bags and headed for Qatar where she has now resumed work as a Physical Therapist. She has been kind enough to put some of her experiences to paper and share them with us.

Over the next month or so, we will post several blogs by Amy Sheridan about her experiences finding work abroad and the logistical and cultural obstacles that she has contended with.

Without further a-do, here is an introduction to Amy and we will soon follow-up with the next several pieces.

-James
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Doha, Qatar largest city. A population of about 1 million.

Doha, Qatar’s largest city. A population of about 1 million.

Ever think of working as a PT abroad? My husband and I had been throwing that idea around for a year or so before a great opportunity arose for him as an engineer in Qatar. We jumped, and I left my physical therapy job in the US and followed him there. Why Qatar? Why work abroad when you can work as a traveling PT in the US? Well, hopefully our tales will give you some background on not only work and play life abroad but also on the process that I had to go through to work in Qatar.

Prior to jumping ship, I worked as a Sports and Ortho PT in a private outpatient clinic in Boston. I had been working there since graduating from Northeastern University in 2006. Having a boss that traveled to the Middle East for 10 or so years to treat athletes actually prepared me to work abroad. I always thought it would be awesome to start traveling with him there. Instead, I ended up here myself.

Amy getting around Qatar via some local transportation.

Amy exploring Qatar via some local transportation.

The number one reason we ended up in Qatar, of all places to relocate to, was contacts. And patience. My husband must have posted his resume on 50 job websites for work all over the world without a single reasonable follow-up (very frustrating, I might add!) before a conversation with a subcontractor led him to a brilliant contact and a job. My job also came from a contact I made 3 years ago at a conference. If that’s not an ad for keeping old business cards, I don’t know what is!

Over the next few blogs, I’ll share the seemingly never ending production of preparing to relocate, the millions of questions we asked before and during the relocation process, securing visas and residency, idiosyncrasies of living in another country, culture shock, and finally what it is like to work in Qatar. I’m hoping that my experience will guide any of you looking into it or in the midst of the process.

-Amy

Alaskan Ferry Trip

Every experienced traveling health care worker should consider an assignment in Alaska. The Alaska Marine Highway (AMHS) has to a part of the travel plans!

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Our first ship, the Kenicott, this was bigger than our second ship, but smaller than our last.

When Kate and I were preparing to head up to Alaska from our annual winter assignment in Colorado, we researched the ferry up to Alaska and missed our window to book tickets. Hoping to travel in late April or Early May, I called to AMHS at the beginning of March, but found all the slots to bring our car along filled up, we knew better on the way back and scheduled several months out. Now is as good a time as any to describe the clientele and lodging on the boats of the AMHS: This is the mode of transport for inter-village travel, retired fisherman, vagabonds, gypsies, hippies, and general rapscallions. So, as a traveling PT, you’ll fit right in.

We stayed in three different types of “state rooms” on our three ferries. The “state rooms” are as small as a 5 foot by 8 foot closet containing a card table that miraculously converts into a bunk bed. The ritzy-er state rooms have their own bathrooms and just a little bit more space.  Now, the regular ol’ rapscallions, they prefer the no-accommodations-version of this ride. All over the boat, people lie out in their sleeping bags, setup tents duct taped to the deck, and generally get by on sleeping where and when they can.

Arriving into Juneau, our first major stop of the trip.

Arriving into Juneau, our first major stop of the trip.

There are 11 ships that cover 3,500 miles of “highway”. The AMHS has been awarded the title of “All-American Road” which apparently is very prestigious among the country’s scenic highways and byways. By all normal standards, the network of ferries serving the coastline of Alaska is just another interstate highway. Many of the towns the AMHS services have no other roads to them and can only be reached by sea or air. Because there are no other ways into these towns, any type of vehicle you can imagine gets driven onto the car deck of the ferry. I drove our over-packed car onto the car deck and saw an Alaska Airlines tarmac vehicle, smaller boats, multiple prison laundry vans, and a bunch of assorted hippy-wagons. …an eclectic group of vehicles for an eclectic group of people.

The Alaska Marine Highway is awesome. I came away from 6 months in Alaska feeling really good about my experience, but also feeling like I had missed some sort of “bush” experience off the beaten path. Anchorage was great, and, as they say, “it’s only 15 minutes from Alaska.” But, there’s a less accessible part of Alaska… the majority of Alaska… that I hadn’t seen yet. Pull out a map sometime, check out exactly how far away Alaska is and how big it is. Alaska is north of much of the Yukon. Alaska is 2 times bigger than Texas. There’s enough coastline in Alaska that at low tide it’s 3 times bigger than Texas. Overlaid on a map of the lower 48, Alaska touches both Disney World AND Disneyland. Alaska is really far away, and Alaska is really big.

A bald eagle grabbing a snack somewhere between Sitka and Ketchikan.

A bald eagle grabbing a snack somewhere between Sitka and Ketchikan.

The trip on the state ferry fulfilled all my needs for exploration and Alaskan solitude. We traveled 10 days on three different boats down the coast of Alaska and through the inner passage past British Columbia. After a rough ride across the gulf of Alaska and a few short stops in small villages, we arrived in Juneau and had a couple days to explore. Having our car with us, we were able to drive around. We enjoyed dinner at a cool little restaurant on Douglas Island which is connected to Juneau by a bridge. We only saw Douglas in the dark, but it apparently is home to a community-run ski resort, seems like a really cool place. Back in Juneau, the next day, we enjoyed an awesome hike in the snow above Mendenhall Glacier, stopped by Alaskan Brewing Company for some samples, and had a shockingly authentic time at the Red Dawg Saloon. At the Red Dawg, we walked in on about a dozen rowdy locals who at the time had their glasses raised in the air for a toast. They welcomed us for a couple beers and talked our ears off…. Funny people, funny place. At 3 AM we got back on the ferry and spent the day cruising down to Sitka, a town of about 8,000 on the Pacific Coast of Southeast Alaska.

We were lucky enough to have a friend in Sitka, who, much like our friend I mentioned in the previous blog, is doing a stint with the Native Corporation Hospitals. Gio has it good. He lives in a picturesque log cabin just out of town and occasionally gets to make some trips out to the bush by small plane to treat patients in secluded Alaskan villages. Gio took us around and gave us the ultimate locals’ tour of Sitka. Two times we went to Whale Park, an area of town with a view out over a cove. Both times we went, like advertised, there was a pod of orcas far out in the water, but diving up and down, spouting water up into the air. We also took a day hike up through the snow for a scenic view of town and it’s volcano on a neighboring island (Mt Edgecombe). To cap it all off, we stopped at Baranoff Island Brewing Company on the way back to the ferry. Great beers – in a small town – on an island – a long way from everything. Who knew?

The last leg of our ferry trip was 3 days with only one quick stop in Ketchikan. We enjoyed a make-shift turkey dinner on Thanksgiving and eventually made it into Bellingham, WA. What a trip. A must do. Put it on the list.

I’ve added some photos below of some of our pictures on the trip. Click on one to open up the gallery. Enjoy!

 

Alaska Wrap-Up!

We are again on the edge of an epic road trip. Kate and I are celebrating the first of 37 days off from work and really excited for the upcoming trip as we pack up and get ready to hit the road. This trip is going to be a really neat way to wrap up our time in Alaska. Before getting back to the lower 48, we will take a 10 day water ferry down the coast of Alaska seeing glaciers, sea life, and stopping in a few smaller Alaskan towns along the way.

Today, I really just wanted to share with you some of my favorite memories from the last 6 months. Alaska is a must-do for any experienced travel healthcare worker. As I’ve shared previously, getting set-up here was tougher than most assignments, but the adventure and experience was well worth it.

During our time here, “Champ,” the RV we bought for chump-change, became our access portal to weekend adventure and camping without fear of rain, cold, or bears. Champ drove us as far south from Anchorage as Homer, a small coastal town at the tip of the Kenai Penisula, “where the land ends and the sea begins.” Down in Homer we met up with a nurse friend, Anna, that I had met on assignment in Colorado. She has found her way out hereto the great north the way a lot of other nurses and PTs have, working for the Native Hospital Corporation… If you’re open to being in Alaska for a couple years and paying off some loans, look into it, but that’s a whole other commentary for a different time. We knew Anna had adventurous plans for the weekend, but the end result was the coolest weekend this summer. The weather was perfect, 70 degrees and flat seas. We hopped on a water taxi that took us across the bay to a marked trailhead on a rocky and secluded beach. Feeling like we were exploring untouched land with bear spray strapped on each of our hips, we hiked into a glacial lake with ice bergs floating in it that had recently broken off the glacier at the opposite end. Past the lake, we hiked out to another isolated trailhead on another beach where we had tied off kayaks to paddle a couple miles over to the town of Halibut Cove. On the way to Halibut Cove, we paddled our kayaks across the flat bay seeing sea otters at close range, halibut swimming right underneath us, and giant starfish latched onto the bottom in more shallow water. Before taking the water ferry back to Homer from Halibut Cove, we explore the isolated community of 37 people that I think is best described as a super-rugged artists’ commune. One girl managing an art gallery told us about how in the winter she takes her snow mobiles across the bay to play hockey on the glacial like we had come from. Now that’s Alaskan.

Champ also took us as far north as Denali National Park where we visited when my parents visited in July. In the park, we managed to not see a single bear, but did see a caribou up real close. One of the things I love most about our national parks system is how quickly you can be way, way away from all other people. There’s a fact out there that goes something like: only 10% of visitors to National Parks ever go more than 1 mile from paved roads… that’s not the exact fact, but in Denali National Park with 7,370 square miles and one main road, you get the point. On the trip back down from Denali, we spent the night in Talkeetna, a fun outdoorsy town, but more importantly we spent the night all together in Champ. And slept like rocks. Anyways, that was another great weekend away in Champ.

My other favorite adventures that were a little closer to home were climbing O’Malley Peak which is one of the most prominent peaks visible from Anchorage, seeing the Northern lights from our apartment several weeks ago, and several weekend trips down to Girdwood including when we skied at Alyeska our first weekend here.

But, it’s time to go. We get on a ferry on Wednesday and do the ghetto version of an inner passage cruise before an all-corners of the country trip visiting family and couch surfing with friends. Eventually in mid-December we’ll land back in Colorado and do the usual and extraordinary winter gig back there.

Also, in exciting HoboHealth news, Amy Sheridan, a friend who has recently started working as a PT in Doha, Qatar will be sharing her experiences on this blog. I know Amy has stories for us, and I can’t wait.

Stay tuned, many, many updates in the next few weeks!

(Click the photos below to enlarge!)

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