Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Bahia Santa Maria

11/22/2011

P1030092 (960x1280)On the way to Bahia Santa Maria three milestone events happened: we caught our first dorado/mahi mahi, Carol had food poisoning and our friends hit a whale. And at Bahia Santa Maria our third milestone: flipping over a dinghy with its outboard engine on while surfing into shore.

The first is a milestone for obvious reasons. Dorado = Flaky white fish, perfect for grilling or making ceviche.

The second was a milestone because we had to deal with the fact that one of us was ill on passage. We were just starting our second night of a two night passage when Carol went down hard. I had to find a way to stand watch from 22:30 until we anchored at 08:30.

After handfuls of dark chocolate espresso beans (thanks Mom and Dad!), I enjoyed a hard earned glorious sunrise at the entrance to Bahia Santa Maria. P1030104 (1280x960)The experience has me thinking about how to handle such events in the future, or what to do if we both were sick. I’m glad that I had rested well the first 24 hours and also that we had some mild stimulants (caffeine) and symptom alleviation meds aboard. I’m also glad that Carol was able to helm while I dropped anchor. I’ve done that singlehanded before but not while sleep deprived.

We’ll let Bella Star tell the whale tale.

Bahia Santa Maria was beautiful but we were pinned down by our recovery (Carol from illness and me from lack of sleep) and also by strong winds for the first 48 hours. The following morning we had Aaron and Nicole aboard for post-whale-mashing crepes and made plans for a day on the long sand beach at the North end of the bay. Unfortunately, instead of pictures of us cavorting in the sand, I have pictures of us working on outboard engines because while making our landing attempt, we turtled. No one was hurt and we quickly hauled all of our kit to the beach, except part of a pair of sunglasses which remained AWOL.

I’m thankful that all 4 of us are good sports and team players. Otherwise, the experience could have moved from “epic” to “extraordinarily painful” quickly. As it was, we got the dinghy relaunched with the guys in it so they could row to our boat and get a dry outboard and come rescue the remainder of the crew (clearly a blue job, eh?). They came back in, staying outside of the surf line, and Nicole and I swam out to the dinghy.

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Dinghy maintenance was paired with cervezasand the planned but uneaten picnic aboard Estrellita . Both engines were purring (or at least running as well as before) by the time the afternoon was over. Good job guys!

We are not on the unlimited plan

11/15/2011
Our utilities aboard are not only heavily monitored, they are finite. We have 66 gallons of water. We can replenish our tanks with our watermaker. That takes electricity. Electricity comes from our battery bank, which is replenished with solar panels primarily but also from our engine and from a portable gas generator. When we bring food aboard, for the most part, we carry it on our backs*. We have wifi sporadically and good wifi less often.

When we see unlimited sources of either electricity or water, or when someone offers to drive us to a store, we are hyperaware of the usefulness of that resource. So aware, that we have systems and plans for what we will do when we have access to an unlimited supply. Unlimited water and electricity primarily occur when we pull into a dock although sometimes we have unlimited water while fueling which means a mad dash on my part to use it in every way possible while Carol is fueling.

Water binge: We hose down the boat, wash the floor, rinse the sinks thoroughly in a way we don't when we are being water conscious. We pull out piles of gear like salty foul weather gear, lifejackets, ropes, docklines, throw them in our cockpit well and start hosing them down. We fill up every water bottle we own, our tea kettle, our 2L nalgene bottles, and sometimes extra collapsible jugs. We hose down our sails, our anchoring gear, our cockpit seat cushions. If we have water for a few days or know we are about to take on water, we take extra long showers (which feel luxurious to us) in which I might even use rinse out conditioner (rather than leave-in).

Electricity binge: We plug everything in that runs on batteries and charge them fully. This means 3 laptops, one ereader, one gaming device, two camera batteries, and our spotlight. We enjoy movie night with our laptop plugged in – maybe even a double feature. We vacuum every nook and cranny of the boatwith our wee AC vacuum . We may even go crazy and turn our fridge on high.

Groceries: If we are being driven to the grocery, we load the cart with everything we need and/or love having aboard but is too heavy to carry much of in backpacks: juice, sparkling water, motor oil, coolant, canned goods, booze, sacks of rice and flour. If we are on foot, we have a rule that we don't pass a grocery on the way home without bringing a few bags with us. If we remember to do this, bag by bag, we stay relatively topped up without having to do any epic groceries on foot.

Wifi: In addition to the normal internet banking errands, the social media errands, and the photos, videos and posts for this blog, we keep a list of things we want to do the next time we have internet. This list includes “things we want to wiki” – crazy, huh? This list is in…our book of lists. Seriously, we have a book of lists.

*I’ve never understood the question “how do you get exercise on a boat?”. I row, paddle, winch, crack, haul, lift and (soon) swim. I may not get as much of certain kinds of exercise as I like, but I am certainly not lacking for exercise generally. Now, whether we eat too well on board is another story…

Long Beach – Yoga on the Bluff

10/12/2011
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A big thank you to the owner of Trilogy Yoga who runs yoga-by-donation classes daily on the bluff overlooking Long Beach, CA. Although I was rained out of the opportunity of taking more than one class I enjoyed my sunny day of vinyasa while watching boats sail below and it motivated me to do yoga more often.

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Playing Doctor

10/04/2011

While kiteboarding at Long Beach, Carol decided to donate a piece of his toe to a sting ray.

This meant a ride in the back of the lifeguard truck down the, er, long, sandy beach, Baywatch style. A big kudos to the Long Beach lifeguards. They soaked his foot in hot water until the sting went away and then dropped us and our gear at the Alamitos Bay Yacht Club where Dr. Livia treated the gash.

Before - bloody with wine, after – saline wound wash, peroxide, iodine and pickle bandages.

Sting ray - ouch Sting ray - ouch

Sting rays are friendly creatures as long as you don’t step on them. Knowing they were around, Carol shuffled his feet as he went out into the water BUT once kiteboarding, in a moment of beginner confusion, his foot slipped off the board and POW, stung.

Prescriptions for the Offshore Medical Kit

5/08/2010
I recently had the bulk of the prescriptions filled. We had been delaying because some expire less than 2 years after you get them and so every month delayed was an additional month of usefulness. However, we have great extended health care coverage right now so we definitely wanted to get them while we were only going to pay 20% of the cost.

Prescription meds

The next time we need to refill we should be in Mexico and buying even cheaper drugs.

For those new to the blog, we've already discussed finding a knowledgeable doctor-cruiser, what we put into our offshore medical kit including a prescription list, and which vaccinations I was given. 

I have a belly full of live typhoid virus

3/23/2010
As an update to "I am a human pincushion" I realized I never jotted down what vaccinations were recommended by the travel clinic for our long-term cruising plans.

First I had to update a vaccine that I had no idea I was supposed to have again as an adult (i.e., who knew I needed a polio booster?) and also get a regular immunization that everyone needs every so many years (i.e., tetanus). Those two came together with diptheria as one shot.

After that, the doctor recommended a relatively simple set of vaccines initially* for our travels. Nothing as dramatic as I had worried. I walked out of the office with the first shot (above) and 3 other shots.

Hepatitis A (my second of the 2 required) -  at least 20 years
Hepatitis B (my first of the 3 required) - at least 15 years
Yellow Fever (one shot) - 10 years
Typhoid (oral) - 4 years

I went back for my second Hep B a month later and still need a third in the Fall. Right now I am taking the oral typhoid pills which are attenuated live virus, need to be kept in the fridge, have to be taken every other day on an empty stomach and make me feel dizzy and headache-y. Blech. Better than typhoid I suppose, the risk of which apparently starts in Mexico and continues as you head South.

- Livia

*I say initially because as we travel to various regions we will need to check to see what the health issues are at that time. We may need Japanese Encephalitis for example at some point and likely and update to typhoid.

Offshore Medical Kit

2/18/2010
Offshore Medical Kit

A .pdf copy of the Offshore Medical Kit we keep on board SV Estrellita 5.10b can be found here*.

We keep the kit in three places: the BIG kit (shown) in the aft cabin, a small red bag for cuts and scrapes (shown) easily available at the nav desk by the flares and odds and ends in the bathroom.

Rather than go with a commercial kit I decided to make our own because we would be more familiar with the contents and could be more choosy about what went inside. We had a sturdy cooler bag and we used ziplocs with a boat-proof marker to organize the contents into easy to find sections.

A brief overview of how we came up with this list is here. We used a large number of sources but want to give particular credit to Mahina's Offshore Cruising companion and Beth & Evan's Medical List as .pdf. All mistakes and deviations from their lists are, of course, our own.

A free online copy of Where There Is No Doctor can be found here and Where There Is No Dentist here. On both of those pages you can either download individual chapters or the entire book at the bottom of the page.

Caveats: Of course, consult your own medical professional especially with regard to the prescriptions. What works for us may not work for you and/or we may have written something down incorrectly.

*If you want to send someone a link to this list, please send them directly to this post rather than directly to the link because we may change the file location.

I am a human pincushion

2/07/2010
One of the things I've been working on is our medical kit. I searched online forums, read Mahina's Offshore Cruising companion, and talked to my Mom*.

I created a preliminary list of supplies and we've purchased most of them. A few of the more exotic items (airway kit? suture kit?) we are waiting to buy until after advanced first aid courses. I've ziploc'd all of the items into organized bunches and they are in a cooler bag. Now we have a good excuse to keep the cooler bag which we can always empty and use briefly when we "need" to bring cold beer on shore.

Then, I had a surprisingly good visit to the local travel medicine center where I found my last source of wisdom for the medical kit.

I was explaining our story to the doctor so that she would understand why I wasn't completely sure where I was going but that it would definitely be isolated, rural, and all along the tropical zone of every-kind-of-disease-imaginable and she said "Oh yes, I understand. I've crewed on boats as far as Vanuatu".

I was speaking to a doctor who was also a cruiser. How perfect is that?!

After she ordered a list of vaccines that would make my shoulder hurt for a week and require several follow up visits with even more shots, we went over my medical kit list item by item during which she made fear inducing comments like "oh you'll definitely want something stronger than that for skin fungus."

Then she gave me her schedule so I can come back in a few weeks after looking into a bunch of issues and items she had brought up and get our prescription meds. Sweet!

It is completely legal for a ship's captain to obtain prescriptions for medicines that will not leave the ship, but try telling that to a pharmacist while asking for injectable pain killers and antibiotics. Sounds fishy.

It's easy to remember the "easy" tasks that go south and so I wanted to publicly record one potentially difficult task that went much easier than planned - finding someone willing to give us prescriptions.

EDIT: Added for posterity. The books Where There is No Doctor and Where There is No Dentist are available for free online.

*Although many mothers are wise, mine also happens to be a nurse.

LIQUID MOTIVATION

Click on the dollar and buy Livia and Carol a cold frosty one:

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