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	<title>Admirals&#039; Angle &#187; Health</title>
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	<link>http://www.womenandcruising.com/admirals-angle</link>
	<description>Gwen Hamlin&#039;s column</description>
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		<title>#50 – Battling Bugs</title>
		<link>http://www.womenandcruising.com/admirals-angle/2010/10/50-%e2%80%93-battling-bugs/</link>
		<comments>http://www.womenandcruising.com/admirals-angle/2010/10/50-%e2%80%93-battling-bugs/#comments</comments>
		<pubDate>Sat, 16 Oct 2010 19:53:37 +0000</pubDate>
		<dc:creator><![CDATA[Gwen Hamlin]]></dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Health]]></category>

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		<description><![CDATA[Is the cruising lifestyle a buggy one?  What are real bug concerns on board and what remedies and preventions can you prepare [...]]]></description>
				<content:encoded><![CDATA[<p>New places bring new challenges, and unfortunately insects are one of those challenges. Some bugs are harmless, and some are a real threat to health.  Some fly (or walk!) themselves aboard, and some we carry aboard unwittingly, while others we need to worry about we encounter ashore.</p>
<p>But don’t let fear of bugs stunt your adventure! Knowing the realities versus hearsay and being ready with precautions and remedies before the critters come winging your way is a huge help.  The Admirals, as they say, have been there, done that, and below are their tips.<span id="more-798"></span></p>
<p>Before we enumerate a long list, in reality bug issues won’t likely be as bad as it may end up sounding.  Problems are occasional, not everyday.  Simple precautions, along with actions taken promptly, nip in the bud quickly what does come up.</p>
<h6>There are actually bugs we enjoy.</h6>
<p>Butterflies flitting over the water are a delightful surprise from Mother Nature.  Likewise dragonflies, resting on a lifeline, are fascinating to examine… plus they eat mosquitoes and no-see-ums.  Moths, drawn after dark into cockpit and cabin by electric lights, may edge toward irritating as they flutter between you and your book, but no harm’s done.</p>
<h6>A more alarming nighttime visitor in the tropics can be a swarm of flying termites.</h6>
<p>Like a horror movie, they stream in through an opening, before committing hari kari en masse.  When it happened to us, we sucked up every body and wing with a vacuum, but I worried about infestation for years after.  Internet articles say, however, that such swarming termites are usually colonizing “kings and queens” without the destructive “workers.” Wish I’d know THAT ten years ago!</p>
<p>However, drywood termites, the usual kind that cause trouble with boats, not only cause serious damage to wooden interiors, cores, or hulls, but can create issues with entry into certain countries like Australia.  They typically get aboard from an infested boat nearby.  Signs are discarded wings and unexplained ‘sawdust’ that is actually termite poop.  Quick action with topical or injected treatments can be enough, but unfortunately complete tenting is the ultimate solution.</p>
<p>Bugs we perceive as a threat to cleanliness are flies, ants, spiders and cockroaches, yet cleanliness aboard (no crumbs on counters or dirty dishes) is the first line of defense.</p>
<h6>Flies seem to show up anywhere they choose.</h6>
<p>They are most commonly the result of poor garbage control (either yours, the nearest town’s, or Mother Nature’s!).  Old-fashioned swatting or modern zapping with electric <span class="product_service">Racket Zappers</span> are the most sporting methods of control, but sticky fly-paper strips work well too.  Put strips near where flies congregate or near “bait” like a bit of jam in a jar.</p>
<p>Ripening fruit seems to draw fruit flies out of thin air. Intercept them by washing fruit before bringing it below, then cover fruit with a mesh dome or round of netting weighted along the edge.  Stalks of bananas are best dipped right in seawater to urge bugs of all kinds, including spiders, to miss the cruise.</p>
<p><img style="background-image: none; margin: 0px 0px 0px 10px; padding-left: 0px; padding-right: 0px; display: inline; float: right; padding-top: 0px; border-width: 0px;" src="http://www.womenandcruising.com/admirals-angle/wp-content/uploads/2010/12/aa-bugs-5.jpg" border="0" alt="" width="111" height="350" align="right" /></p>
<h6>Since ants, spiders, and cockroaches can walk aboard, they’re often a byproduct of visits to marinas or boatyards.</h6>
<p>For the walk-ons, putting aromatic spices – like cayenne pepper – on your dock lines discourages new arrivals.  Roaches can also come aboard in cardboard, especially corrugated.  Cruisers quickly learn to divest themselves of packaging materials before reaching the boat.  One couple I knew undressed everything into Ziploc bags before leaving the supermarket!</p>
<p>If crawlies get aboard, act promptly before things get out of control. Major fumigations, bombs or industrial sprays are harder on the humans than the bugs.  The most recommended counterattack for ants is <span class="product_service">Terro Ant Poison</span>;  for cockroaches, <span class="product_service">Boric Acid</span> and <span class="product_service">Combat Traps or Gel.</span></p>
<p>Interestingly, temperatures over 120 degrees are said to be lethal to ants and cockroaches, perhaps one reason we don’t always find bugs when we might expect to after boatyard storage!  Hard to be sure since we tend to go on the offensive with traps, sprays, Boric Acid and bug bombs prior to leaving our boats on the hard.</p>
<h6>For pet owners, fleas are certainly an issue.</h6>
<p>You may not find your monthly treatments in out of the way places, so bring enough with you to keep your pet flea free.  It’s probably wise to bring sprays in the event you miss your schedule.</p>
<h6>Another bug we carry aboard is the weevil lurking in flours and grains.</h6>
<p>To prevent weevils from hatching are several home remedies:  microwaving packages before stowing (this makes flour clumpy), adding a lump of dry ice, or stowing it in a canister or Ziploc with several bay leaves. If weevils hatch, either sieve them out or&#8230; consider them free protein in the day’s baking.</p>
<h6>Nobody likes to see stinging insects like bees or wasps fly aboard, but for those allergic, it can be serious.</h6>
<p>Obviously, anyone with allergies should not go to sea without multiple sting kits.  Many wasps have a sweet tooth, attracted by (but also caught by) things like empty soda cans.  In Mexico, bees sometimes come seeking fresh water in a damp sink.  A small bowl on the foredeck will draw them away from living spaces.</p>
<p><img style="background-image: none; margin: 0px 0px 0px 10px; padding-left: 0px; padding-right: 0px; display: inline; float: right; padding-top: 0px; border-width: 0px;" src="http://www.womenandcruising.com/admirals-angle/wp-content/uploads/2010/12/aa-bugs-3.jpg" border="0" alt="" width="180" height="218" align="right" /></p>
<h6>Finally we have the most irritating of flying pests – mosquitoes and sandflies – whose bites itch and become readily infected when scratched.</h6>
<p>Worse, they can be a serious threat to cruisers’ health.  In the tropics the nighttime mosquito Anopheles can carry malaria especially in non-urban areas, but it’s the daytime Aedes aegypti found everywhere that can deliver dengue fever.  Even northerners now need to worry about mosquito-borne <em>West Nile Virus</em>. Plus, pesky sandflies (aka no-see-ums) not only wield monstrous bites, but they can carry <em>Leishmaniasis</em>, a parasitic disease that causes slow-to-heal skin sores and infections (occasionally much worse.)</p>
<p>Because of flying insects’ complicated threat, most Admirals have chosen to forgo anti-malarial drugs (and their complications) in favor of more comprehensive prevention.  First and foremost is anchoring away from shore.  All these pests have small territories and venture offshore only in the stillest of nights.  For those nights, or nights upriver or in marinas, screens over portholes, hatches and companionways are essential.</p>
<p>Fitted screens, such as come with some modern production boats, are nice, but with a little creativity, it is easy to retrofit any boat.  Several Admirals have external screens that fit over hatches “like showercaps” or with sewn weights around the edges or, most simply, squares of netting held down by a circle of rope.  We had squares of screen edged with Velcro we could stick up from inside.  Because screens cut down airflow, using interior fans to restore the breeze not only cools your sleep, but keeps whining bugs away.  Flying bugs don’t like wind.</p>
<p>In the cockpit citronella candles and mosquito coils are useful (as are other aromatics like garlic, aromatic herbs, and catnip oil!). So is a portable fan.</p>
<p><img style="background-image: none; margin: 0px 0px 0px 10px; padding-left: 0px; padding-right: 0px; display: inline; float: right; padding-top: 0px; border-width: 0px;" src="http://www.womenandcruising.com/admirals-angle/wp-content/uploads/2010/12/aa-bugs-6.jpg" border="0" alt="" width="225" height="225" align="right" />Staying away from shore during intensely buggy times is best, but since we visit villages to experience their feasts and festivals, sometimes it can’t be helped.  Off the boat, the best choice is to cover up completely and/or dose with <span class="product_service">DEET-based repellant</span>.  Both are a pain in the behind, but the alternatives are mighty bad.  The more DEET, the more effective and the longer-lasting the protection (See <a href="http://www.deet.com/" target="_blank">Deet.com</a>), but keep DEET insecticides away from important plastics like glasses, camera screens, watch faces and radio screens!  When bugs are really thick, consider treating screens, awnings, hats, clothes, socks and backpacks with <span class="product_service">Permethrin</span>, which will also kill ticks, chiggers, mites and more than 55 other bugs.</p>
<p>By stocking your onboard arsenal to the Admirals’ recommendations before leaving port, you should be fully equipped to keep bugs in line.  In this area, preparation is worth a lot of cure!</p>
<p class="contributors_list"><strong>Contributing Admirals</strong>:  Mary Heckrotte, <span class="boat_name">CAMRYKA</span>; Karyn Ennor, <span class="boat_name">MAGIC CARPET</span> ; Bev Feiges, <span class="boat_name">MV CLOVERLEAF</span>;  Sheri Schneider, <span class="boat_name">PROCYON</span>; Maribel Penichet, <span class="boat_name">PAPER MOON</span>;  Katherine Briggs, <span class="boat_name">SANGARIS</span>; Mary Verlaque, <span class="boat_name">I WANDA</span>;  Judy Knape, <span class="boat_name">URSA MINOR</span>;  Ellen Sanpere, <span class="boat_name">CAYENNE III</span></p>
<p><em>This article was published in the September 2010 issue of <a href="http://www.seafaring.com/" target="_blank">Latitudes and Attitudes</a>.</em></p>
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		<title>#30 &#8211; Taking Care of Ourselves</title>
		<link>http://www.womenandcruising.com/admirals-angle/2009/02/30-taking-care-of-ourselves/</link>
		<comments>http://www.womenandcruising.com/admirals-angle/2009/02/30-taking-care-of-ourselves/#comments</comments>
		<pubDate>Mon, 23 Feb 2009 20:40:00 +0000</pubDate>
		<dc:creator><![CDATA[Gwen Hamlin]]></dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Medical care]]></category>

		<guid isPermaLink="false">http://www.womenandcruising.com/admirals-angle/2009/02/30-taking-care-of-ourselves/</guid>
		<description><![CDATA[<p> Concerns about health care preoccupy most cruisers preparing to go away from their home country the first time.  In the First World, we tend to associate the quality of health care with the quality of its infrastructure – nice offices, state of the art equipment, and big staffs.  We imagine we will not find [...]]]></description>
				<content:encoded><![CDATA[<p><a href="http://www.womenandcruising.com/admirals-angle/wp-content/uploads/2009/07/77-gwen-blood-pressure.jpg"><img style="display: inline; margin: 0px 0px 0px 10px; border-width: 0px;" title="Getting blood pressure checked" src="http://www.womenandcruising.com/admirals-angle/wp-content/uploads/2009/07/77-gwen-blood-pressure-thumb.jpg" border="0" alt="Getting blood pressure checked" width="260" height="189" align="right" /></a> Concerns about health care preoccupy most cruisers preparing to go away from their home country the first time.  In the First World, we tend to associate the quality of health care with the quality of its infrastructure – nice offices, state of the art equipment, and big staffs.  We imagine we will not find that in countries where people still live in tin-roofed shacks.  What will we do if we have a problem?</p>
<p><span id="more-161"></span></p>
<p>The good news is my admirals assert that they are much healthier cruising than they were back home.  They attribute this to spending more time outdoors and less in crowded or enclosed spaces, to being more active and having a better control of what they eat, and of course to living more stress-free lifestyles.  However, just as things do go wrong with the boat, no matter how careful our maintenance, things can and will go wrong with our bodies as well.</p>
<p>Some cruisers are more regimented in their preventive care while others wait for problems to crop up.  Most of us have been taught to maintain regular checkups, gynecological exams and mammograms, as well as, more generally, dental and eye exams.  Because of living so much in the sun, most cruisers add dermatological exams to that list.  Cruisers who migrate regularly back to their home base often schedule their checkups with their regular doctors. This has the advantage, particularly as you get older, of having someone who has a baseline on your health against which to plot changes, and it is particularly desirable, if you have a physician you like and trust, if you can arrange to communicate with him/her by email when issues come up.</p>
<p><a href="http://www.womenandcruising.com/admirals-angle/wp-content/uploads/2009/07/dscn0552.jpg"><img style="display: inline; margin: 0px 10px 0px 0px; border-width: 0px;" title="Pharmacy, Luperon, Dominican Republic" src="http://www.womenandcruising.com/admirals-angle/wp-content/uploads/2009/07/dscn0552-thumb.jpg" border="0" alt="Pharmacy, Luperon, Dominican Republic" width="260" height="204" align="left" /></a> But overseas cruisers who do not fly home or who do not have such long-term trust relationships usually choose to get checkups and care from local doctors as they need it.  It is probably true that in many of the countries we visit, the infrastructure of fancy offices and new equipment may not measure up to what we are used to.  But it is also true that most cruisers find they get just as good care as they would at home at a fraction of the cost and can even get great deals on elective surgeries like LASIK, tooth implants or cosmetic surgeries!  And guess what?  Sometimes the facilities and equipment are more advanced than back home!</p>
<p>Kathy of <span class="boat_name">Hale Kai</span> gets all her check-ups and tests done in the Caribbean.  “It&#8217;s easy to find the name of a good doctor through the cruising grapevine. A doctor&#8217;s visit generally costs about $20, the doctors aren&#8217;t in a hurry like they are in the US, plus they don&#8217;t delegate away as much of the work. You can even order tests that you want directly from a lab without always having to go through a doctor, and they, too, usually cost less.”  I personally can second that finding for Central America, Mexico, Polynesia and Fiji. To make things easier and more complete for foreign physicians, many cruisers, particularly those with ongoing conditions, carry an onboard file of recent tests, exams, or x-rays.</p>
<p>Lower costs for medical care lead some cruisers not to bother carrying medical insurance.  These uninsureds are usually younger (invincible!) folk, individuals on tighter budgets, or those who have Medicare to fall back on.  Regarding invincibility, a young cruising family we know recently had to air-evac out their eight-year old daughter for suspected appendicitis. The evacuation, the surgery, and the week’s stay in the hospital ended up costing them about $4000 <em>after</em> the hospital cut its bill in half.  The father figured that would have been about the cost of medical insurance for his family of four for a year.  But what if the hospital hadn’t cut their fees, or what if something else happens?</p>
<p>A majority of my Admirals do carry medical insurance.  Some are lucky and have health care coverage through their husband’s military benefits or through their own retirement packages.  A few purchase non-US insurance, such as the popular plan in Mexico for about $250 or similar plans in Europe.  However, most of the rest carry private insurance with high-deductibles conceived to protect them against catastrophic accidents or illnesses while paying for routine medical expenses out of their own pockets.  Two international policies popular with cruisers from IMG (<a href="http://www.imglobal.com/" target="_blank">www.imglobal.com</a>) and IHI (<a href="http://www.ihi.com/" target="_blank">www.ihi.com</a>) cover cruisers inside and outside the US, although the premise is that you remain outside the US much of the year.  Wherever your coverage is from, be sure you understand the ramifications of your policy. For example, a typical domestic policy might only cover you outside the US for 60 days, while one of the cruising policies won’t let you be in the US for longer than six months.</p>
<p>Mary of <span class="boat_name">I Wanda </span>points out a curious plus of private insurance. “During our cruise, Christian was diagnosed with cancer (and successfully treated). <em>Had we still been working, this would have ended our cruising dream</em>, because once you have a serious condition you become uninsurable in the US. We would have had to continue working until we were eligible for Medicare &#8212; 27 years later!”</p>
<p>Many cruisers augment their insurance with very affordable <span class="product_service">DAN</span> insurance (<a href="http://www.diversalertnetwork.com/" target="_blank">www.diversalertnetwork.com</a>). Even for cruisers who don’t scuba dive, membership in DAN includes DAN TravelAssist, giving you up to $100,000 of evacuation assistance coverage.  It was DAN that covered and coordinated Randy of <span class="boat_name">Procyon</span>’s air evacuation from the Galapagos to Quito that I wrote about in this column in the <a class="publication" href="http://www.womenandcruising.com/admirals-angle/2008/01/" target="_blank">January 2008 issue</a>.</p>
<p>Of course there are many times when we cruisers are out of reach of shore-based medical care and must take care of ourselves.  First-aid courses and kits are a must, and some cruisers augment these further with EMT or wilderness medicine training. Most physicians in or out of the country will write prescriptions for drugs like antibiotics and painkillers that cruisers could need in offshore emergencies or remote situations.  “We do self-treat far more readily than we would if we lived in the US,” says Mary of <span class="boat_name">Camryka</span> from Panama, “keeping a supply of antibiotics, antihistamines, painkillers, treatment for dysentery, etc. and relying on our <a class="publication" href="http://www.amazon.com/gp/product/0911910182?ie=UTF8&amp;tag=womeandcrui-20&amp;linkCode=as2&amp;camp=1789&amp;creative=390957&amp;creativeASIN=0911910182" target="_blank">Merck Manual</a> and other books such as <a class="publication" href="http://www.amazon.com/gp/product/0942364155?ie=UTF8&amp;tag=womeandcrui-20&amp;linkCode=as2&amp;camp=1789&amp;creative=390957&amp;creativeASIN=0942364155" target="_blank">Where There is No Doctor</a>.”  Additionally, the HF radio, particularly Ham radio nets, become indispensable for seeking emergency help from volunteer physicians on call, particularly on passage.</p>
<p>There are several areas worthy of special attention for cruisers wanting to keep healthy in the tropics.  Keeping hydrated is important; dehydration can bring on urinary tract infections, contribute to kidney stone formation, exacerbate the effects of diarrhea and muck up body chemistry when scuba diving.  Another is protecting yourself from insect bites (and diseases they transmit like malaria or dengue) with protective clothing, screens,  and spray with DEET as well as treating bites promptly with sting-sticks or hydrocortisone cream so you don’t scratch.  Cuts, sores, blisters, scrapes and scratched bug-bites MUST be treated with topical antibiotics, covered with band-aids, and kept out of sea water (although sterile saline – boiled water with added salt—is good) to control rampant infections.  This past season in the Pacific, we have personally known a half-dozen cruisers struggling with infections, including two that had to be med-evac’ed out, and one who nearly lost his foot!   As a doctor in Fiji told my husband, “Americans hate to cover sores, but in the tropics, a bandage is a must.”</p>
<p>So, in the end, overseas cruisers find that health care is far less a preoccupation than they worried it might be.  Most first aid kits are tapped for little more than band-aids and antibiotics, and medical help is available when you need it.  Indeed, by the time you have some years of experience under your belt, you may find yourself preferring the simpler medical systems overseas to America’s McMansion medicine.</p>
<p class="contributors_list"><strong>Contributing Admirals</strong>:  Kathy Parsons, <span class="boat_name">Hale Kai</span>; Katherine Briggs, <span class="boat_name">Sangaris</span>; Mary Verlaque, <span class="boat_name">I Wanda,</span> Mary Heckrotte, <span class="boat_name">Camryka</span>; Jane Kilburn, <span class="boat_name">Lionheart</span>;  Laura Bond, <span class="boat_name">Bolero</span>; Rachel, <span class="boat_name">Ventana</span>; Susan Richter, <span class="boat_name">Wooden Shoe;</span> Debbie Leisure, <span class="boat_name">Illusions</span>; Cindi Blondin, <span class="boat_name">Tashmoo</span>;  Ellen Sanpere, <span class="boat_name">Cayenne III</span>; Janet Garnier, and others.</p>
<p class="note">This article was published in the January 2009 issue of Latitudes and Attitudes.</p>
<hr size="1" />
<p class="note"><strong>Related articles</strong> (on this website)</p>
<ul>
<li class="note"><a href="http://www.womenandcruising.com/admirals-angle/2008/01/17-the-need-to-know/" target="_blank">The Need to Know</a> (Admiral&#8217;s Angle column #17)</li>
</ul>
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		<title>#21 &#8211; Fitness</title>
		<link>http://www.womenandcruising.com/admirals-angle/2008/05/21-fitness/</link>
		<comments>http://www.womenandcruising.com/admirals-angle/2008/05/21-fitness/#comments</comments>
		<pubDate>Fri, 23 May 2008 19:56:00 +0000</pubDate>
		<dc:creator><![CDATA[Gwen Hamlin]]></dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Fitness]]></category>
		<category><![CDATA[Health]]></category>

		<guid isPermaLink="false">http://www.womenandcruising.com/admirals-angle/2008/05/21-fitness/</guid>
		<description><![CDATA[<p>Keeping fit is not the automatic “gimme” from the cruising life that one might imagine. I know I was hopeful, that my plump bod, simply by moving aboard, would magically transform into one of long lean lines.</p>
<p>That magic did not happen. My reality and the reality of most of my Admirals is that we live [...]]]></description>
				<content:encoded><![CDATA[<p>Keeping fit is not the automatic “gimme” from the cruising life that one might imagine. I know <span style="text-decoration: underline;">I</span> was hopeful, that my plump bod, simply by moving aboard, would magically transform into one of long lean lines.</p>
<p>That magic did not happen. My reality and the reality of most of my Admirals is that we live a life of reasonable activity balanced by a reasonable intake of food – very little of it the processed crap of American diets and almost none instantly available without cooking it ourselves. The lifestyle promotes flexibility as we are forever clambering up and down companionways and in and out of dinghies, and there is definitely an isometric toning going on simply by living on a moving, tilting platform. Even so, many cruisers have enough time to get lazy, and when we do we must resort to the dreaded “E”-word: Exercise.<span id="more-152"></span></p>
<p>“The key here is to get involved in something healthy that you really enjoy and want to do,” advises Jane of <span class="boat_name">Lionheart</span>, who has just taken up kite-surfing. “Don&#8217;t try and convince yourself you are going to go running, if you hate the fact that all your bits wobble and bounce as you huff and puff along a hot and humid dirt road in the middle of nowhere causing the locals immense amusement if not confusion or offense! It just doesn&#8217;t happen.”</p>
<p>Probably for those reasons, the most common fitness pursuit reported, perhaps surprisingly, is walking. I say surprisingly, because unless you are in a marina, you can’t just step out the front door for a walk around the block. There’s the getting ashore by dinghy, to a dock if you are lucky, but up a sandy beach if you’re not. This means a bottle of water, a towel and a change from water shoes to socks and sneakers. For some, their walking regime is no more than that which results from searching a new town for groceries or parts and carrying them back; a day in town can often be exhausting!</p>
<p>When you stay in port long enough, daily walks have time to become a regimen: this morning a loop through town this way, the next day another. “So many cruisers never see anything other than what is right along the waterfront,” observes Debbie of <span class="boat_name">Illusions</span>, who walks regularly on her own. “I’ve walked safely everywhere just by asking advice from other cruisers and locals before setting out.” If you don’t like exploring alone and your partner isn’t enthusiastic, never fear. It seems that in almost every place cruising boats gather, a walking group will soon coalesce, meeting ashore at first light when temperatures are cool.</p>
<p>My husband and I favor getting away from town. When we first started out, we hiked many islands of the Eastern Caribbean: the groomed hikes on tiny Saba’s Mt. Scenery, the extinct volcano of St. Eustatius, scrambles to waterfalls on Nevis, Dominica and Grenada, all hikes listed in cruising and travel guides. By the time we reached Trinidad we were able to keep up with the weekend Hikeseekers group on its vigorous Sunday excursions in the lush mountains of Trinidad’s North Coast. “It is amazing what more you see of an island when you walk regularly,” agrees Debbie, who favors climbs on Carriacou, St. Vincent and Martinique.</p>
<p>The difference regular walking makes in weight management becomes immediately obvious when you stop. As we headed west through the islands off Venezuela, we fell out of the walking habit and gained twenty pounds! It wasn’t until we reached Central America and Mexico where we walked regularly again that that weight came back off.</p>
<p>One might think that water-based exercise would be the logical option for cruisers. Indeed, cruisers with rowing dinghies are invariably more fit than those who rely on motors, but they are by far in the minority these days. Inflatables can be rowed with the outboard up; it’s great upper body exercise, but it’s cumbersome and the oars are a pain to set. Kayaks, on the other hand, are quite popular, especially among cruising women who enjoy the independence the kayak affords. If rigid kayaks take up too much room on deck, consider an inflatable one. You won’t set any records to windward in them, but they’re comfortable and relatively lightweight, so you can launch them single-handed. Windsurfing and kite-surfing are also vigorous sports you can take with you, but again there is the equipment/space issue. Likewise scuba diving.</p>
<p>Surprisingly, many cruisers become wimps about swimming for exercise. It is either too chilly or too choppy, there are too many sting-y things, too much current, too many boats pumping overboard, or too much dinghy traffic. Plus there is always the specter of sharks, whether realistic or not. Plenty of cruisers will take their dinghy to outer reefs and snorkel for hours, but usually at a sight-seeing rate that is hardly aerobic. In the Sea of Cortez, where ciguatera is not an issue, we and our friends spent a great deal of time free-diving for dinner – either spearfishing or gathering shellfish from the bottom. This ups the aerobic ante quite a bit. My solution to the swimming issues is to don a Lycra suit and hood, mask and fins (it is always safer to swim with fins any time there’s the chance of ocean or tidal current) and snorkel-swim a brisk crawl around the perimeter of the anchorage. It’s a great workout, you are pretty visible splashing along, and you learn a lot about the underwater topography as you go.</p>
<p>I am often asked if bikes are a good thing to have aboard. We’ve had friends who’ve carried full-size bikes and fold-ups, and no doubt there are places – the shoreside roads of Pacific atolls are particularly inviting – where they would be cool to have. They are definitely useful in ports or during extended yard stays, but the space they take up in between and the effort it takes to maintain them in the salt air environment weighs heavily against them in my book, especially since they are a prime target for thieves. So unless you were a serious biker before cruising, consider rentals first.</p>
<p>All the above aerobic exercises involve getting off the boat. What can you do on board, particularly underway?  We’ve all seen virtuous souls out on their foredecks uninhibitedly doing some regular workout – (most memorable is a woman, singing blithely along to her IPod, doing her kickboxing regime on her Deerfoot’s foredeck,!) Cindy of <span class="boat_name">Tashmoo</span> says she tries to do some Pilates, push-ups and crunches for 20 minutes every morning. Kathy of <span class="boat_name">Hale Kai</span> has a hand-weight routine she has adapted to the space in her main salon, because she has “never liked exercising on deck in view of other boats.” I myself have a little routine I do that mixes weights, calisthenics and yoga which I will do on the back deck if I get up before my neighbors.</p>
<p>The biggest trick to these workouts is adapting to the odd spaces, equipment and moving platform of your boat. One of the best presentations of this is Kim Hess’s book <span class="publication">Yoga Onboard</span>. In it she relieves you of the idea that a yoga pose must be done a certain way, by breaking the move into bits and adapting them to different parts of the boat. Recently I recorded a session with my favorite yoga teacher on a tiny digital recorder enabling me to take her soothing voice to the back deck with me.</p>
<p>As for underway, most Admirals do something in the cockpit on watch, whether it is crunches, leg lifts, or as Judy of <span class="boat_name">Ursa Minor</span> calls it, “dancing and stretching and just flailing around to music on my IPod.” After all, you may be on watch…, but nobody’s watching.</p>
<p>Looking over this column, it reads like I am a pretty fit person. Well….as ashore, consistency is the secret, …and THAT is something I have NOT mastered.</p>
<p class="contributors_list"><strong>Contributing Admirals</strong>: Debbie Leisure, <span class="boat_name">Illusions</span>; Ellen Sanpere, <span class="boat_name">Cayenne III</span>; Judy Knape, <span class="boat_name">Ursa Minor</span>; Kathy Parsons, <span class="boat_name">Hale Kai</span>; Jane Hockley, <span class="boat_name">Lionheart</span>; Maribel Penichet, <span class="boat_name">Paper Moon</span>; Cindy Blondin, <span class="boat_name">Tashmoo</span>; and others.</p>
<p class="note">This article was published in the April 2008 issue of Latitudes and Attitudes.</p>
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<p class="note"><strong>Related</strong> articles (on this website)</p>
<ul>
<li><span class="note"><a href="http://www.womenandcruising.com/admirals-angle/2008/04/20-beauty-da-boat/" target="_blank">Beauty &amp; da Boat</a> (Admiral&#8217;s Angle column #20)</span></li>
</ul>
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		<title>#18 – Seasickness</title>
		<link>http://www.womenandcruising.com/admirals-angle/2008/02/18-seasickness/</link>
		<comments>http://www.womenandcruising.com/admirals-angle/2008/02/18-seasickness/#comments</comments>
		<pubDate>Sat, 23 Feb 2008 19:22:00 +0000</pubDate>
		<dc:creator><![CDATA[Gwen Hamlin]]></dc:creator>
				<category><![CDATA[Beauty & Health]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Seasickness]]></category>

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		<description><![CDATA[The most asked-about issue of cruising! What are the realities and how you combat [...]]]></description>
				<content:encoded><![CDATA[<p>To get in the mood for this piece we took our boat <span class="boat_name">Tackless II</span> on a round trip passage to the French island of Futuna about 250 miles north of Fiji. A friend visiting from the States was looking forward to his first open ocean passage. It should have been a nice reach up and back. It wasn’t. The north bound leg was an obnoxious slog by motor. In the anchorage, we were bewitched by baguettes, croissants and <em>tiare</em> blossoms into staying too long and got beset by nasty five-foot swells pinning us in (couldn’t get the dinghy up to escape). Once we did get out, we had 25-30 knots (the forecast was for 15-20) 50 to 60 degrees off the bow. <span id="more-148"></span></p>
<p>Our friend got sick about a half hour out of Savusavu, and he pretty much stayed that way the whole nine days. He had not brought seasickness meds, and the only ones I could find aboard expired with the last century. In Futuna we borrowed some Australian tablets called <span class="product_service">Qwells</span>, and they gave him a two-day respite in the rolly anchorage, but we weren’t underway an hour on our return when he was forced to take to the sea berth for the duration. Our friend says he hasn’t been seasick since he was 25. In the States, he has his own boat, plying the waters of the Gulf, the Intracoastal and the Chesapeake.</p>
<p>Seasickness stems from a mismatch in the brain between the motion information supplied by our eyes and our inner ears. Some people are more susceptible than others, and sometimes it’s just a matter of timing. I am one of those obnoxious people who don’t get seasick. I don’t say “never.” I’ve had headaches on occasion, and I once went two days on a brisk beam reach where I couldn’t go below to cook or work the radio as I usually do. But that’s once in thousands of sea miles. My husband Don regularly gets kind of quiet and unsmiling on the first day or two at sea and does not go below if he can help it. Our usual remedy is to split a Coke. The resulting burp usually cures things for us.</p>
<p>If I felt as miserable as our friend looked, if I felt that miserable for one day let alone nine, I have trouble imagining that I could make cruising my life!</p>
<p>And yet people do. Quite possibly a majority of the cruisers out there! Almost every one of my Admirals admits to getting seasick at least some of the time.</p>
<p>“<em>I never gave seasickness much thought before we left Miami in 1996,</em>” says long-term racer Ellen of <span class="boat_name">Cayenne III</span>. “<em>So when we crossed the Gulf Stream, I didn’t have one <span class="product_service">Bonine</span> aboard and I suffered all the way to Nassau, horizontal and in the dark. By the time we got to St. Croix, I knew I had a problem, a killer concern that could affect the life I had chosen.</em>”</p>
<p>My Admirals pretty much agree that drugs are required, but they differ widely on which one works the best. Ellen espouses <em>Bonine</em>, an over-the-counter product. “<em>It causes less dry mouth than other OTC products, doesn’t cause drowsiness, and is easier to find than <span class="product_service">Stugeron</span>.</em>” Not available in the US, Stugeron is a product many far-ranging cruisers recommend. Jean of <span class="boat_name">Jean Marie</span><strong>, </strong>on<strong> </strong>the way for their second circumnavigation, says she and her husband always take a <em>Stugeron</em> 1-2 hours before departure. “<em>One seems to be all we usually need; it allows our bodies to get accustomed to the motion, although in rougher conditions, I’ll take a second</em>.” Kathy of <span class="boat_name">Hale Kai </span>also likes <em>Stugeron</em>. “<em>It doesn’t make me as sleepy as some of the other OTC meds.</em>” Like Jean, she usually takes a pill before departure. “<em>But if I don’t, and later start getting queasy, it usually works for me to take one when I first feel the symptoms and then take a nap.</em>”</p>
<p>Donna of <span class="boat_name">Exit Only</span>, however, says she cannot use <em>Stugeron</em>. “<em>Instead I use a <span class="product_service">Scopolamine</span> patch, cut it in half, and apply only one half at a time.</em>” Cutting <em>Scopolamine</em> patches used to be a popular thing for smaller women and scuba divers who wanted to reduce the dosage, but as Judy of <span class="boat_name">Ursa Minor</span><strong>, </strong>also a patch advocate, says, “<em>Recently I’ve read warnings that the patches shouldn’t be cut, so I guess I won’t do that anymore!</em>” Lisa of <span class="boat_name">Lady Galadriel</span> likes the new low-dose 12-hour <span class="product_service">Dramamine</span>. “<em>I do get a little sleepier, but it doesn’t diminish my performance when I’m needed.</em>” Lisa tried <em>Stugeron</em> once, just a half a pill, but “<em>it put me on my butt. I couldn’t wake up.</em>”</p>
<p>Clearly, what seasickness remedy will work for you will come from some trial and error. All of the Admirals have tried wrist bands, ginger, ear drops (Motion-eze), “a cotton ball in one ear” , “cotton balls moistened with vodka behind both ears,” “crackers”, “pretzel rods” and fizzy sodas like Coke or ginger ale, and they are fairly unanimous that these cures may work in light conditions, but aren’t up to 25 knots in the open sea. Donna found the “electronic stimulation watch” (a techno variation of sea bands’ acupressure) worked well for her, but Karen of <span class="boat_name">Sequester</span> says she couldn’t stand it for the ten days it took to sail north from New Zealand.</p>
<p>If they differ in their choice of pharmaceuticals, my Admirals completely agree on strategy. Here is a checklist I’ve assembled from their suggestions.</p>
<ol>
<li>Be as informed as possible about the upcoming trip to lessen anxiety. Anxiety is not the only reason people get seasick, but it is a contributing factor.</li>
<li>Prepare food for the crew for the first three days, including “grab &amp; go” meals like sandwiches and “two-way foods” like bananas, applesauce, peaches and oatmeal.</li>
<li>Gather together all things you will need in the cockpit – meds, sunscreen, hats, charts, binoculars etc. – to minimize the need to go below</li>
<li>Do all departure preparations the day before, including checking out and hoisting the dinghy. Leave yourself some time to relax, but avoid alcohol.</li>
<li>Avoid leaving straight from a protected marina. Anchor out.</li>
<li>Have something in your stomach before departure (not just coffee!)</li>
<li>Engage as much as possible in boat operations. Steering almost always helps.</li>
<li>Avoid tasks with prolonged close visual effort. Likewise, avoid reading. (Try books on tape to while away the time!)</li>
<li>Get as much fresh air movement as possible. Use fans when below.</li>
<li>If all this fails and you must retreat below, lie down as near to the center of the boat as possible, the salon cabin sole if necessary!</li>
<li>Keep a bucket handy, so you don’t have to risk hanging over the side. If the side beckons, absolutely be sure to have on your harness. (“First you’re afraid you’re gonna die; then you’re afraid you won’t.”*)</li>
<li>Guard against dehydration, especially if you are vomiting. Force yourself to sip fluids (water or Gatorade). Get a prescription for and keep seasickness suppositories in the medicine chest against the chance things get bad. They are the only real option when you can’t keep anything down.</li>
</ol>
<p>Here’s the good news: For most people, seasickness goes away within 72 hours, and over time, your susceptibility – your sea legs – will get better and better.</p>
<p>“<em>The moral of the story is that just because you get seasick once, doesn’t mean you always will,</em>” says Judy of <span class="boat_name">Ursa Minor</span><strong>,</strong> “<em>and even if you do, it usually goes away<strong>.</strong> I’d never let seasickness deter me from sailing off enthusiastically into the sunset.</em>”</p>
<p class="contributors_list"><strong>Contributing Admirals</strong>: Ellen Sanpere, <span class="boat_name">Cayenne III</span>; Jean Service,<span class="boat_name"> Jean Marie</span>; Kathy Parsons, <span class="boat_name">Hale Kai</span>; Donna Abbott, <span class="boat_name">Exit Only</span>; Judy Knape, <span class="boat_name">Ursa Minor</span>; Lisa Schofield, <span class="boat_name">Lady Galadriel</span>; Karen Cary, <span class="boat_name">Sequester</span>; *Jan Loomis (formerly of <span class="boat_name">Meridian Passage</span> and author of the <span class="publication">Healthy Cruiser Handbook</span>), and others.</p>
<p class="note">This article was published in the January 2008 issue of Latitudes and Attitudes.</p>
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		<title>#17 – The Need to Know</title>
		<link>http://www.womenandcruising.com/admirals-angle/2008/01/17-the-need-to-know/</link>
		<comments>http://www.womenandcruising.com/admirals-angle/2008/01/17-the-need-to-know/#comments</comments>
		<pubDate>Wed, 23 Jan 2008 19:14:00 +0000</pubDate>
		<dc:creator><![CDATA[Gwen Hamlin]]></dc:creator>
				<category><![CDATA[Skills]]></category>
		<category><![CDATA[Stories]]></category>
		<category><![CDATA[Communications]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Medical care]]></category>
		<category><![CDATA[Radio]]></category>
		<category><![CDATA[Safety]]></category>

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		<description><![CDATA[Suddenly alone: A true story illustrating why women on boats need to have the skills and attitude to meet [...]]]></description>
				<content:encoded><![CDATA[<p>Women cruising are challenged in small ways nearly every day, but every once in a while a big challenge comes along, and whether we have the skills and the attitude needed to meet it determines whether or not there will be a happy ending. <span id="more-147"></span></p>
<p>Consider the story of Sheri Schneider of the Gozzard 44 <span class="boat_name"><em>Procyon</em>.</span> After many years of preparation and short-range trips to the Bahamas and Maine, Sheri and her husband Randy &#8212; in their 40s, fit and with Randy recently retired from the US Coast Guard &#8212; left Beaufort, NC bound for the Panama Canal by way of the Western Caribbean. They had a long-planned rendezvous with friends they’d made in the Bahamas to transit the canal and head for the Pacific. All went well on the transit, and they got an auspicious start on their first long passage – six days from Panama to the Galapagos – with near perfect sailing conditions.</p>
<p>On their first morning in Puerto Ayora, however, Randy woke with stomach pain. “We blamed it on the arrival lunch with our friends the day before and continued on with an island tour. But throughout the day and the following night, Randy’s conditioned worsened, and after some fruitless visits to the local clinic we realized the problem was becoming serious.” Thanks to their membership in <span class="organization">DAN</span>*, Sheri was able to make one call and the medical evacuation to Quito was arranged. Within a half hour of arriving in the emergency room, Randy was in surgery for a perforated ulcer!</p>
<p>Being sick in a foreign country where the language is different and the standard of care may not seem to measure up to what we’re used to is an anxious experience many cruisers encounter in their travels. Likewise, leaving the boat in an unfamiliar anchorage does not help. Yet both these experiences went well for Sheri and Randy because of two fundamental assets: membership in DAN, which coordinated every aspect of the emergency evacuation, and friendships with other cruisers they could rely on. Unfortunately, because the doctor in Quito recommended six weeks of recuperation, Sheri and Randy were forced to watch those friends sail on without them.</p>
<p>“When we finally departed for the Marquesas, we made great time, averaging over 160 miles a day the first nine days.” On May 8, however, with 1266 miles to go, a badly-timed lurch knocked Randy over and he fell onto the cockpit table hitting his back and his head. “At first we were most worried about a concussion, but the next morning Randy woke with major stomach pains again. “ Although the symptoms were somewhat different, by the 10<sup>th</sup>, he could no longer manage his watches and was out flat below. He could not keep food, medication or water down, and he had not passed anything in days. Abruptly Sheri found herself single-handing a forty-four foot boat, standing all the watches, doing the navigation, handling the sails, even attending to the engine. They were halfway across the Pacific. “I was very much afraid Randy might die.”</p>
<p>From their first boat, a Macgregor 26’, Sheri and Randy worked at their sailing together. Obviously his Coast Guard career gave Randy a huge head start, but he insisted Sheri learn everything he did, and she was lucky that he was a good teacher, “a natural explainer.” They continued to learn together as they graduated over the next twelve years from the Macgregor in California and Oregon to a C&amp;C 37 in Newport, RI, and finally in North Carolina to <span class="boat_name">Procyon</span><em> </em>which they had built for them<em>. </em>Having the boat built meant they could have her fitted just the way they wanted, and four years later Sheri would have cause to appreciate the cutter-rig’s furling sails, controls led back to the cockpit, integrated cockpit navigation, and the single electric winch installed in consideration of Sheri’s bad shoulder.</p>
<p>But to Sheri on her own in the Pacific, the most important piece of equipment on <span class="boat_name">Procyon</span> was their SSB radio. Although their closest friends were long arrived in the Marquesas, Sheri could still be in touch with them via the morning crossing net. Alerted to her crisis, other boats on passage joined in to lend moral support by radio throughout the day, and three nearby Norwegian-flagged boats listening to the net changed course to maneuver into VHF range. Additionally Dr. Tom Walker of the catamaran <span class="boat_name">Quantum Leap,</span><em> </em>although 500 miles ahead, daily talked Sheri through monitoring Randy’s vitals and administering treatments (enemas fashioned from a first aid kit syringe and some heat shrink tubing administered ten minutes every hour in an effort to ease the suspected blockage and combat dehydration.) “You can’t get that kind of support over a satellite phone.”</p>
<p>While Sheri juggled being both a full-time skipper and nurse, her friends, recognizing that Randy’s deteriorating condition required evacuation, took on contacting the authorities. Working with the USCG and French Navy, a nearby container ship enroute from Panama to Papeete was diverted to a rendezvous. Meanwhile, the Norwegian boats converged on <span class="boat_name">Procyon</span> and launched a dinghy to facilitate the transfer to the 700’ vessel.</p>
<p>This was Sheri’s worst moment. The ship could spare no crew to help with <span class="boat_name">Procyon</span>. Would Randy’s care aboard be any better than she was giving? Could Randy last the 2-3 days it would take the ship to reach Papeete? And should she go with him…which would mean abandoning the boat?</p>
<p>Suspecting he would refuse to go on that basis, Sheri decided to stay with their boat, but watching the ship steam away after Randy was hoisted aboard was an awful moment. “How would I find him? How would I get news? Had I made the right choice? As long as he was in the bunk below, I’d known I could count on him for a hug and to answer questions. Now I was on my own.” That night Jan and Eva on <span class="boat_name">Necessity</span> shadowed her and kept watch for both boats so Sheri could try for some much-needed sleep, but all the uncertainties continued to haunt her.</p>
<p>The morning brought good news. Unknown to them, the container ship had a French woman doctor as passenger who’d promptly put Randy on an IV. Hydrated and on a stable platform, his insides finally got a break, and the blockage, probably an intestinal adhesion from the surgery that had broken away in the fall, passed. Randy rebounded overnight and was able to tell her himself on the morning net.</p>
<p>Unfortunately, with 800 miles still remaining to Nuku Hiva, the wind was dying. Motoring now, Sheri had to deal with such practical issues as fuel supply and a clogging filter. Alerted to her concerns, their friends on <span class="boat_name">Endangered  Species</span> and <span class="boat_name">Wind Pony</span> in Nuku Hiva filled all spare fuel jugs and shuffled crew so that one boat could motor out to meet her with help. “I can’t tell you what it felt like when I saw <span class="boat_name">Wind Pony </span>motoring over the horizon, blasting Aretha Franklin’s “Respect” over their speakers.”</p>
<p>Now, fifteen months (and some thorough medical checkups later), Sheri and Randy sit on the lovely <span class="boat_name">Procyon</span> shifting gently on her mooring in Musket Cove as Sheri tells me this story. Around us are moored many of the players from this saga, friends for life. The Schneiders have sailed 5000 more miles since the Marquesas, including the vigorous roundtrip to New Zealand, with no further problems, and they have many more they mean to sail. “I didn’t want to go, you know,” says Randy. “It was a fait accompli by the time I knew about it. But I knew she would be okay. She had the abilities to do it.”</p>
<p>“And that’s the point of telling this story,” says Sheri, “that <em>women need to know</em>. They need to know about evacuation insurance, and they need to know about the importance of an SSB radio and how to use it to get help and support from nearby. But most of all they need to know their boat systems and how to sail the boat if the worst happens. Women came up to me afterward and called me a hero, but there’s not a thing heroic about it. It’s just being <em>able</em> to do what you have to.”</p>
<p class="note">*<span class="organization">DAN</span> or <span class="organization">Diver’s Alert Network</span> is not just for scuba divers. Join at <a title="Diver's Alert Network" href="http://www.diversalertnetwork.org" target="_blank">http://www.diversalertnetwork.org</a></p>
<p class="note">This article was published in the December 2007 issue of Latitudes and Attitudes.</p>
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<p class="note"><strong>Related articles</strong> (on this website)</p>
<ul>
<li class="note"><a href="http://www.womenandcruising.com/admirals-angle/2006/12/4-peace-of-mind-emergency-skills/ " target="_blank">Peace of Mind—Emergency Skills</a> (Admiral&#8217;s Angle column #4)</li>
<li><span class="note"><a href="http://www.womenandcruising.com/admirals-angle/2009/02/30-taking-care-of-ourselves/" target="_blank">Taking Care of Ourselves</a> (Admiral&#8217;s Angle column #30)</span></li>
</ul>
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