domingo, 28 de octubre de 2012

Cruise Ship Medical Papers



Cruise Ship Medical Papers

Gathering all my paper work together to return to ships, I stupidly thought I had another six months on my medical papers. Turns out, I only have four months left. Nowadays you have to return to the ship with a medical for the entire contract. You can’t renew your medical half way through your contract like before and the paperwork is only valid for two years. So, I’ve now got to renew my medical papers before I can return to ships. Is someone trying to tell me something?

What’s a cruise ship medical? Basically it’s a huge list and group of tests. First round is always the quick fire “yes or no” round where you’re asked about 60 questions like:

Do you wear glasses/contact lenses?

Have you ever had surgery?

Do you take any medication?

The only question they don’t ask, is what size underwear you wear!

You’ll also have a quick eye and colour blindness test.

Next are the blood tests. Usually the doctor will take about four vials of blood. The tests: complete bloody analysis (sugars, cholesterol, white and red blood cell levels etc.), sexually transmitted diseases (remember, cruise ships are knocking shops at sea!), drugs tests and finally a HIV test.

Round 3 consists of your reactions and getting your knee cap hit with a medical hammer, much to the doctor’s amusement! Also, one or two chest X-rays to confirm that you don’t have TB (tuberculosis).

If you’re female, you can expect a pregnancy test too. Don’t forget, you’ll also be signing an agreement stating you won’t get pregnant while working on cruise ships. If you do, you’ll be fired quicker than you can say “Wham Bam, Thank You Ma’am”!

That’s not the only thing girls will have to do. The check list also requires you to have a mandatory pap test. In my humble opinion, a trip to the gynaecologist for a job or to return to work is slightly degrading! This in many countries would be illegal or straddling between legal and illegal. Having said that, some doctors will just tick the pap test off, giving you the all clear, without you having to spread your legs! My first doctor did. Unfortunately, not all will!

Once that is done and you’ve handed over your money (usually around 3-500 US dollars), you’re ready to return or join cruise ships as a crew member/staff.

Prices obviously vary between countries and medical facilities. A friend of mine, Lee, had his medical papers renewed in Miami at the song of $300. Myself and many others used a recommended private doctor in England and paid approximately $480 (300GBP). According to Zoran, a previously team mate, it costs around €150 in Serbia.

Being in Uruguay, I didn’t think I’d have too much problems in renewing my cruise ship medical at a good price. How wrong can you get?

Going to my parent’s hospital, Mautone in Maldonado, I spoke to the head receptionist.  I know Magdalena very well due to my Mum’s extensive stays, treatments, tests/result collecting at the hospital. She’s the one to talk to! After about thirty minutes of waiting and Magdalena making a series of calls and running around for answers, I got a final price. Because I wasn’t a member hospital, I’d have to stump up a fee. Not a problem, I was expecting it. Jumping through a few hoops, Magdalena managed to get the price down for me: I was Uruguayan, lived in the country and area and my parents are “VIP” members. The final price, $750! That’s without the pap test!

Driving around, we stopped off a couple more medical facilities for prices. Unfortunately, no one could do the whole shebang. I’d have to go to numerous different clinics and labs for testing. Just to see a doctor to fill out two pieces of papers (Quick fire “yes or no” round) would cost between $60-80. No one had the slightest idea how much the blood and other tests would cost. They did, however, let me know that it’d be “very expensive”. There's also no telling when you'll get the results back.

My other Uruguayan friends and Hernan from Argentina all had their medicals done for free because they are members of hospitals/health clinics.

Back at home and speaking to my parents, it’s an extensive, time consuming process just to become members of Mautone hospital. Also, I’d have to have the majority of the tests done (you don’t get the results though) to become members.

Flights to the States are also on the rise, thanks to South America going into summer/high season and the monopoly the aviation companies flying from this part of the world have. Unlike Europe, there’s no competition between rival companies. A one-way ticket to Miami is $1,300 plus.

At the moment, I feel like I’m going around in circles and not getting anywhere. If I paid $750 for the medical plus a flight to the States (if I’m sent there) I’m looking at $2,050 minimum before I even start work and earning. Depending on the ship I’m sent to, that’s between 1.5-2 month’s work to get out of the red.
More than ever, I really wish I was back in Europe. It may be up Shit Creek without a paddle, but it certainly does have a large amount of advantages!

I’ve been dealt a pretty shitty hand and not quite sure which card to play next. The big, multi-million Dollar question is: What do I do? Is it financially possible for me to go back to working on cruise ships? I wonder how most people in my position pay for it all. Keeping in mind I’ve just had surgery for a work related “injury”, it is really worth going back to cruise ships on both financial and health levels? Or will I just be burning a great hole in my pocket, especially if more surgery could be on the cards and messing up my wrist some more?

sábado, 27 de octubre de 2012

Fit to Return to Work



Fit to Return to Work

27th October 2012

The good news is, my right wrist has been operated on for Carpal Tunnel Syndrome. After a series of tests, having my wrist tapped to check for pain and pins and needles, and electric shocks being sent down my arm, I had Open Release surgery. Open Release surgery consists of a small slit in the palm of my hand and the tissue being removed/cut away from the median nerve. The procedure takes about twenty minutes.

It’s a strange feeling as you are under local anaesthetic and can feel what’s going on. Cutting my skin sounded like someone cutting into fabric! You can feel the tugging, but there’s no pain. A tiny stream of blood trickles but it doesn’t tickle. I wish I could have taken a photo, but I wasn’t allowed to look and had my face covered by a sheet!

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Straight After Surgery

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Sausage Fingers

After surgery, the median nerve was “stretching out” and it felt as if there were continuous volts of electricity pounding through my hand to my fingers. It wasn’t necessarily painful at first, just very uncomfortable. 

A week later and the stitches were out. Having said that, as soon as the stitches came out, the slit slid open and up flowed a small current of red. Butterfly stitches were then applied to keep the wound closed.

Four days later the butterfly stitches were nervously removed by myself. All that was left was a pink-red, scabbed line and a couple of pin-point dots.

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Butterfly Stitches and Tape

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Stitches Out and Tape Removed

In between all of this, I was going back and forth to the surgeon’s office for medical leave paper work for Image and their American Maritime medical company. Quite frustrating as they need an update every month, even if the surgeon has signed me off for two months. In return I received a whopping $6 a day medical leave payment!

Once the two months was up, I was back again with another piece of paper in my hand for him to fill out. He must have been sick of the sight of me! The surgeon knew what my job consisted of – repetitive movements and lifting/moving heavy weights. As a precaution, he signed me off as “fit to return to work but on light duties for 1 month”. Why? Chances of Carpal Tunnel Syndrome returning are high with my type of job. Being a ship photographer and only 25 took that “high” rocketing up. The surgeon actually expects me back soon to have my median nerve released again, if I carry on with the job I’m currently doing.

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Five Weeks Later

A month and a half later, I’m officially off medical leave, fit to return to work!

Here comes some bad news. I’d gone back to the surgeon to let him know that I have pain, swelling and pins and needles in two and a half of my fingers in my right hand. Annoyed, he explained that the Ulnar nerve in my wrist which controls the (right half) middle to pinkie finger must be trapped too.

Turns out, as my medical debark papers from the cruise ship stated “Carpal Tunnel Syndrome”, that’s what I was tested and operated for. As the pain was all across my hand, the surgeon didn’t think the check both nerves and thought once the median nerve was released, all the pain and aching would stop. Instead the Ulnar nerve is trapped inside the Guyon’s Canal.

What’s the solution? More Open Release surgery, but it can’t be done for a long time because I’ve just had one batch of surgery and the tissue will still be scarred. Wonderful! Just what you want to hear! 

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In the meantime, I can take anti-inflammatories and wear a wrist brace for support. Wearing a wrist or hand brace was always on the agenda as a way of guarding the scar on my palm and prolonging any chances of Carpal Tunnel Syndrome returning. It’s disheartening and frustrating knowing both nerves could have been released at the same time. I will, however, be holding out for as long as possible until I get the Ulnar nerve sorted.

Looking on the bright side, my wrist will one day be fixed. Having said that, my job as a cruise ship photographer will probably have to draw to a close soon. My work as a photographer, won’t! 


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Straight After Surgery

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Six Days Later

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Six Days Later: My fingers look like fingers again

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Seven Days Later 

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Shower Time!

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Eleven Days Later

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Five Weeks Later

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Three Months Later

miércoles, 24 de octubre de 2012

The Perfect Storm



The Perfect Storm

23rd October 2012

After the calm comes the storm. The perfect storm.

During the night I was woken by the strong wind and rain playing havoc outside. Waking up early and standing at the kitchen window, armed with coffees, Mum and I stared out into the garden.

The tops of the pine trees were being tossed around by the wind. Pine cones were launched towards the ground, foliage was swept into the sky and every so often, loud thuds would confirm another tree branch had lost the fight against the raging wind. In the corner of the garden, an entire tree, one of the smaller pines, had given way. The roots spiking out of the ground, the tree was now feebly propped up against the fence. The swimming pool, once clean and crystal clear was now sporting a coat of dust, cones and pine needles.

Turning on the local news, the presenter confirmed Uruguay has issued a red alert. We are in the midst of a perfect storm. School, offices and local businesses had been closed down until further notice. Footage even showed a massive tornado ripping its way through La Rocha. The waves at Montevideo were surpassing the beach walls, engulfing passing vehicles. The winds, however, were at their strongest in Punta del Este (where I live), reaching top speeds of 181km/h.

Although it’s very nice taking photos of pretty, picturesque scenery, fit for a holiday magazine, it’s the bad weather that’ll provide a photographer with some of the most stunning and effective shots imaginable.

Grabbing my camera and ignoring the weather warnings to stay indoors, Mum and I jumped in the car. We decided to have a look at Punta Ballena (Whale Point) and work our way back to Punta del Este. The drive was slow. Parts of the road were completely covered in sand. The wind continuously threatening to take my car off the road.

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Punta Ballena

Punta Ballena was a sight to see. The waves were ferociously crashing against the rockery. Parking the car near a quaint little cottage on the rockery. The eased up enough to allow me to get out with my camera. The enormous waves were higher than the single story building. The crashing waves sent up almighty sprays of water, enveloping the property. One side of the stone cottage was smothered in beige, brown sea foam. When the wind blew, the foam was swept away, scattering across the land as if it were snow.

Scrambling into the car when the heavens opened again. I drove a couple of hundred meters to the very point of Punta Ballena. Turning off the engine, a loud whistle filled the car and the wind rumbling against the vehicle. The car shook frantically from side to side, until you could almost feel it tilting us to the right. Both my Mum and I were genuinely expecting the car to topple over. After only a couple of seconds, it was enough for Mother Nature to let us know we weren’t welcome.

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Cottage by the Sea

One of my favourite places in Uruguay to take photos is just off Punta Ballena. It’s a narrow strip of bay with a ragged wall of rocks running along either side. At one end is the sea, while at the other is a deep cave. Looking down, as we were leaving Punta Ballena, the monstrous waves were swallowing the area, sending a dense spray high into the air. A spectacular sight!

Driving down to my favourite beauty spot, it soon became evident that the high tide and colossal waves weren’t going to let us even step foot onto the beach. Sitting in the car, shooting out of the window, I tried to catch the waves smashing into the rocks only to be met by heavy sheets of rain. Watching the scene in front of us, I noticed the tide was coming in further. Soon the car park, situated about a metre above the beach, would be flooded. It was time to leave before getting caught out and stuck in the mix of mud and sand.

Ahead of us, the town of Punta del Este looked to be clearing. The tower blocks were peeking through the mist and the rain was settling down. Isla de los Lobos with no longer completely hidden in the overpowering fog.

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The palm trees at the Conrad Hotel were violently dancing against the wind and the streets of Punta del Este were deserted. Signs had been flattened and left in tatters, spread out along the side of the road. Not far along, my Mum spotted something lying on the beach. Pulling over, it was an enormous sea lion, its face now bare bone. A few seagulls were certainly making a meal out of what was left of the sea lion!

Parking up just outside Punta del Este port, we had a walk along to the view point. The sea was lapping at the sides of the wooden walk way. The yachts in the harbour were swaying to and fro, making me wonder what it must be like to sail in such a small vessel during such weather. Taking a couple of photos of my Mum, holding on to her hat as the wind threatened to snatch it from on top of her head, we couldn’t help but stare in amazement at our surroundings. 

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View Point

Just as we turned to make our way back to the car, a wave hit the side of the view point, splashing water up to our knees and squirting upwards through the gaps in the wooden floor panels. You couldn’t help but laugh as we waddled along back to the car, taking a couple of side steps as the wind took hold of us.

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Hold on to Your Hats!
 
At Playa de los Ingleses, the road is roughly three meters above sea level. The waves were slapping against and over the concrete wall lining the beach and road, sending bucket loads of water onto the road. You’re completely blind for a couple of seconds as the sea water covers the windscreen. An Argentinian 4x4 had parked up on the side of the road closest to the sea. Inside children were screaming at the top of their lungs and laughing their heads off as a wave splashed up against the wall and over the car.

Parking on the opposite side of the road, I got out to take photographs. I wasn’t the only one. Mum staying in the car, winding the window down to get a better look. The car was now completely covered in sea scum, staining the windows, making them difficult to see out of. A massive wave hit the wall, followed by a succession of splashed as the wave made its way along the curved wall. It was absolutely amazing to see. It wasn’t long until the road was flooded!

Moving along, we parked up at the corner of Playa de los Ingleses to watch the waves make their way along the way. A different angle of view. My Mum’s window was still down and I could see a wave coming.

“Mum, don’t you think you should do your window up?”

“Oh yeah” she’s forgot the window was left open.

Not really seeing what was going to happen, she slowly started to wind up the window (Chinese cars without electric windows – great stuff!) and guess what happened next? Two waves crashed into each other, before hitting the wall, sending gallons of water up into the air and straight through the open window. Freezing for a couple of seconds, we were soaked.

Looking at my Mum, she started to laugh before saying something typical “I didn’t think that was going to happen!” Howling with laughter, soaking wet and somehow my camera, perched on Mum’s lap, was dry. What was Dad going to say?

All we can say is, he missed a bloody good day out. Best part of all, I’ve got the photos of Uruguay’s perfect storm prove it!

For more photos go to www.facebook.com/TicklePhotography

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My Mum Punta del Este Port 

Calm Before the Storm



Calm Before the Storm

22nd October 2012

After a long, teeth chattering winter in Uruguay, summer was finally on its way, bypassing spring. The sun was shining and thermometer’s mercury started to head north. Holiday makers and locals flocked to the beach to soak up every single ray of sunshine. Reports and warnings of bad weather were coming in, but after the weather we’ve been experiencing, there had to be some kind of mistake, surely?

Looking out the window in the morning, the sky was grey, sea mist and dark clouds were rolling in, turning the usually picturesque town of Punta del Este into scene fit for a horror film. It drizzled and the wind picked up a little. It wasn’t enough to deter me from going for a jog along the beach.

I love jogging along the beach, especially on cold, drizzly days. After jogging approximately 2.5km, a little further than the Dedos de Punta del Este (Punta del Este Hand/Fingers), I decided to turn back and head home.

Out of nowhere the rain began lashing down, each drop hitting my face felt like a needle pricking into my skin. For a second I honestly thought it was hail stones. The winds which were relatively strong before we becoming menacingly fierce and the tides were rapidly invading the beach. Trying to run, a gust of strong wind nearly knocked me off my feet. It really was taking “sweeping a girl off her feet” to a whole new level! The slow journey back home, soon became one long struggle; trudging through the wet, water logged sand, flooding streets and walking against a barricade gale force winds.

Walking through the door, at a snap of your fingers, the rain stopped. Grey clouds parted, winds dropped and the sun smiled its way through the dark, lighting up the land and sky.

The calm before the storm…