Monday, January 20, 2014

My Name is Jamie Douglas, and I Am a Nomadic Diabetic

article from December 9, 2010
By Jamie Douglas

Wow, I finally got it off my chest! (Pancreas more likely.) I have been a nomadic traveler for most of my life, always healthy as can be. (Almost said “as a horse,” there, but I had horses, and they are not always that healthy.) From my childhood in a family of avid travelers, to my epic adventure across North Africa in my trusty Land Rover, to photographic explorations in South America, to my time sailing the South Pacific, to my various driving adventures that stretched from Canada to Panama – this is what I am talking about when I say, “Been there, done that.”

By the middle of 2010s, long after I ever planned on being around, I was still going strong, living on the road with my wife, Julie, moving from place to place, making and selling jewelry at festivals all over the United States. We were maniacs, driving long distances to bigger and bigger events, dealing with all kinds of situations, sometimes making loads of money, other times losing our rear ends.

It was during this time when I started noticing that, while driving at night, I was seeing Newtonian rings around streetlights and the oncoming headlights. When I related this to a fellow vendor in Florida, she immediately suggested I see an internist, as that, along with several other conditions I described, was symptomatic of diabetes. I promptly made an appointment, and sure enough, I was diagnosed with type 2 adult-onset diabetes. I was put on a couple of medications, made some lifestyle changes, and was able to lower my blood sugar levels.

I continued to travel and vend, then at the end of 2006, we took a great leap across the Pacific Ocean, flying non-stop from JFK in New York to Faaa, on the French Polynesian Island of Tahiti, then to Moorea, and further out to Huahine, where we spent a blissful few weeks swimming, photographing, exploring the islands, eating exotic dishes and drinking that fabulous Hinano beer and those surprisingly affordable French wines. Then it was off to Sydney, where I fell to debauching on Aussie beers and chicken schnitzel. We took a four-day train ride across the continent, continuing to debauch, followed by two months in Western Australia, where, yup, you guessed it, we debauched some more. Then it was off to Adelaide, Tasmania and the Gold Coast, and, you know...

It was as if I was on a culinary suicide mission, and I almost succeeded. We returned to the States at the end of January, and by early spring, I had gone from an overweight 195 pounds down to 120 and I needed four pairs of those cheap Wal-Mart glasses just to see my hands. But I was happy that I had gone on the trip of a lifetime, as I was obviously going to croak soon. So I did the unthinkable: I went to see a specialist, who told me I came just in time – my long-term outlook was very short, indeed. He put me on a radical regimen of medication, and within a short while, my eyesight returned to normal and I gained weight again. I don’t wear glasses now, and except for a couple of lapses, I have been in very good health.

Then we moved to South America. Before I left the USA, I went to the hated Wal-Mart, where, for about $100, I got a one-year supply of all the drugs I needed. When Julie went to the USA five months later for her father’s funeral, she brought back another six-month supply. The truth is that Wal-Mart’s decision to sell certain generic drugs at low, low prices to get people in their doors was a strike of pure genius, as the lines at the pharmacy attest to, so tell your doctor you will be traveling and see if you can take advantage of these prices.

Being well stocked and living a healthy lifestyle of walking a lot, eating plenty of fresh produce and wholesome foods, and enjoying that lovely Uruguayan Tannat, I was doing great, until about three months ago. At that point, we had relocated to a very different situation in the countryside in the Andean foothills of Patagonia, where we need our car to get anywhere. The Patagonian winter set in, our selection of good, fresh produce became severely reduced, and then I ran out of my medications. But being the stupid cheapskate that I am, I did not go to a doctor until long after I should have.

When I finally went to an internist here, he tested me thoroughly and prescribed me the same medications I had been on before, informing me that I could now just go to a pharmacy and get them without a prescription. My A1C went from 17 to 5.5, and my blood glucose levels dropped from 600 to below 100. The drugs are reasonably priced, and not needing the doctor’s visit for a prescription makes a big difference.

So what I am really trying to say is that, even if you relocate to the end of the world, say, Patagonia, your medications are readily available, at affordable prices. The test strips are about the same price everywhere, as they are made in the USA, Germany, Switzerland and Canada. So don’t be afraid of a little type 2 diabetes abroad.

I must stress, however that I do not recommend my wanton lifestyle to others, and the advice here is NOT for people with juvenile diabetes, about which I wish I understand much more, as my lovely daughter Heather passed on at the age 30 from that dreaded disease.

Live now! ...and read our blog. You never know what you might learn.
Jamie Douglas in Patagonia

I encourage you to write me at cruzansailor [at] gmail [dot] com with any questions or suggestions you may have. Disclaimer: I am not in any travel-related business. My advice is based on my own experiences and is free of charge (Donations welcome). It is always my pleasure to act as a beneficial counselor to those who are seekers of the next adventure.

...And Finally, the Big Move Abroad

article from December 8, 2010
By Jamie Douglas

When the decision has been made that you will be transferring to that tropical paradise, which you have done all your research on and, with any kind of luck or foresight, you have visited before the Big Move, there are, as in all things in life, several scenarios:

The Corporate Move

The first is the simplest. Your transnational corporate subsidiary tells you to report for work at their national headquarters in Parador by January 15. You probably knew this was coming, so with the help of the human resources department, housing, schools and transportation will all have been arranged, and all that is left to you is to get what you really can’t live without into a few suitcases and wait for the movers to come and pack everything up nicely, protecting your valuables by wrapping them in several layers and putting them in oversized boxes (They get paid by cubic foot, or cubic meter, so the more the merrier).

As simple as that all sounds, and it is, in your soon-to-be vacated part of the world, be prepared for a different story at your destination. For some reason, things never work out as you imagine they will. To start things out, that lovely moving van that came to your house only went as far as the warehouse, where all your goods are put into a “van pack” (their fancy name for a big wooden box), or, if you are lucky and you or your company sprung for the extra few grand, you will have a sealed, locked, bonded container all to yourself.

Now, after a suitable interval of time has elapsed and your container has sat at the port of departure out under the sun and the elements for months, they finally find the cheapest intermodal freight company to deliver your goods to Parador, where you have been living with your family for these same months, being promised that your shipment will arrive “any day now.” No big deal, as your transnational corporation is used to that and, in all likelihood, will have put you and your family up in a hotel or apartment.

The Self-Made Move

If you are making the Big Move on your own, the beginning scenario is very similar, except that you will probably have gotten rid of many things that you won’t necessarily need at the other end (HIGHLY RECOMMENDED), because: a.) You are the one paying for it, and b.) they have everything you will need in your future home country. There may be a smaller selection, and the couches will not be so overstuffed. If you are smart, you will leave the family heirlooms with the family – you know, in corner hutch, all the original glass that your great-great-great-great-grandmother brought with her to the New World in the 17th century.

You, too, will wait and wait, until that steamer finally comes up the river to the banana plantation dock in Parador, where they promptly drop it from 5 feet above the bed of the truck, and then, with the load unsecured, race to customs, where they unload it then take great delight in playing with your daughter’s Barbie collection and your son’s radio remote dune buggies.

When they finally tire of that, or a load with more interesting stuff comes in, they call you in, give you the bill, which you have to pay on the spot, and the shipment is released right when one of those torrential tropical rainstorms has moved in. It is dropped onto another flatbed truck and dumped at your doorstep (that is, again, if you are lucky).

In either case, avoid shipping electronics and things that rust easily. Electronics, TVs, nice stereos, etc. are generally subject to very high import duties, and then there is the problem of the broadcast standards. Will your new home have NTSC or Pal? They are highly incompatible. You’d do best to sell your stuff at home and get new or used equipment where you end up. It may cost a little more but will save you problems in the end.

Now, despite the descriptions above, there are actually moves that do go by the book. If you are a diplomat, for example, or it’s just your lucky day, by golly, three weeks to the day, all your treasures are delivered to your door, intact and with courtesy, by good people who will help you carry that heavy piece of furniture up that spiral staircase to your study. This is something to celebrate!

In the end, after you are all settled in, meet your new neighbors, make new friends, and your kids are learning this new language at an amazing pace and you realize that you can’t go shopping without them, I can sort of assure you (if your are at all poly-culturally inclined), that it will all have been worth it.

Oh yes – and then there is the third scenario: The Nomad! That was our move. But you will have to wait until the next installment for the true adventure of our dramatic escape.

Until then,
Jamie Douglas

I encourage you to write me at cruzansailor [at] gmail [dot] com with any questions or suggestions you may have. Disclaimer: I am not in any travel-related business. My advice is based on my own experiences and is free of charge (Donations welcome). It is always my pleasure to act as a beneficial counselor to those who are seekers of the next adventure.

Wednesday, January 15, 2014

News from Around the Hemisphere, Jan 15, 2014 (original post)

This article from January 15, 2014 has been relocated.

Please click here to read.

Thank you for your interest!

Monday, January 6, 2014

Expat News and Info Jan 6, 2014: Libya, Brazil (original post)

This article from January 6, 2014 has been relocated.

Please click here to read.

Thank you for your interest!

Thursday, January 2, 2014

About Those Plans to Become an Expatriate... (original post)

This article from January 2, 2014 has been relocated.

Please click here to read.

Thank you for your interest!