Monthly Archives: January 2018

What it costs to join the Peace Corps

The Peace Corps is a volunteer job and although So how much does joining the Peace Corps really cost? The answer to that question will vary for everyone depending on what country you will serve in (do I need a visa?) and what tests/exams the Peace Corps deems it necessary for you to have.  It will also vary depending on what if any medical insurance a person has, and it will vary depending on where you live.  So lots of variables, but I’ll give you my costs so that you may get a general idea of the costs.

Legal

Fingerprints–$10   at the local county law enforcement center

Mailing fingerprints–$7.21–at UPS sent certified which requires a signature

Total Legal Cost =$17.21- Peace Corps Reimbursement $0 = $17.21

Passport + Visa

I renewed my passport earlier in the year and have already been to Canada, England and Wales on it.  Also, getting a PC passport the easy way just involves getting passport photos, filling out the forms, and mailing it in.  Getting the passport the hard way, requires blood, sweat, tears, and promise of your firstborn, AND $25 for an ‘execution fee’.  The problem with this is most places that issue passports are unfamiliar with the No-fee government passport, and that is where the headache come in. Originally, I had planned to go to a Nursing conference in Toronto in October. Then I got my invitation and decided to forgo the conference (save that money for other travels). Even knowing that I didn’t NEED the passport for anything, it was still hard to let it go.

Passport photos–$22.98 (+ tax with $2 off coupon code x2).

Mailing passport and visa application–$ 10.12    (once again, sent trackable via UPS)

Total Passport + Visa Cost = $33.50 – Peace Corps Reimbursement $0 =$33.50

[Add $110 if you need to get a personal passport]

Medical + Labs

General Medical Exam

Women’s Health Exam–> I got my women’s health exam done at Planned Parenthood.  I used my regular health insurance that I have through work (which costs about $400/year and this is the first time I have used it) and it was covered at 100% so my cost was $0.  Those $400 in premiums actually paid off this year.

Total Women’s Health Exam Costs = $0

Labs–>HIV screening was a required lab for my assignment [and maybe for all of them?]  and I had it performed as part of my women’s health exam.  On a whim, I asked if they could do my other labs since I knew they weren’t set up as a primary care facility.  They said yes, and amazingly enough, it was also covered at 100%. I did have to have a special lab drawn based on my medical history. I had a physician write a prescription for it and had it done at LabCorp.

Total Lab Cost = $50

Dental

Complete dental exam with panoramic X-rays $344.00 – Peace Corps Reimbursement $60 = $284.00

Dental treatments required =$0 Luckily, I didn’t need any treatments, had no cavities, or have anything wrong with my teeth or gums.

Required Vaccinations

Yellow Fever Vaccination [ had to get this one even though I currently have one. Mine will expire on June 4, 2020 so PC is making me get a booster.]

TDaP booster [Working in the hospital the last 15 years has afforded me access to most vaccines, but as luck would have it, my current immunity will run out while in Mada, so another booster it is)]

Total for all things required: $330.71 (current running total)

The Peace Corps does provide a cost share program for some expenses but the expenses are segregated.   What I wish is that they would provide a flat fee of say $500 to pay for these expenses. They will provide up to $290 for a medical exam yet my actual costs were $0, but only $60 for a dental exam (including x-rays). My actual dental costs were $344; I wish I could have used some of that $290 for my dental exam.  I am grateful that I have health insurance and I am grateful for federal laws that allow preventative care to be covered at 100%.  It hasn’t always been like this, and I can only hope that these laws won’t be repealed.

Flu advice circa 2018

I had a little bird

Its name was Enza.

I opened the window,

And in-flu-enza.

Children’s nursery rhyme, circa 1918

There is nothing I like more than when history, science, medicine, and travel interact, although in this case, it’s not me doing the traveling, it’s the flu virus. Although I mostly write about travel, occasionally about history, less occasionally about other things, my day job [so to speak] is being a registered nurse.

It’s 2018 and even if you aren’t a medical science/history junkie like myself, you’ve probably still  have heard of the Influenza Pandemic of 1918.  It’s the illness that killed more people than WWI and the Plague [the Black Death Plague of the middle ages] combined, and while the exact strain of the 1918 flu was never isolated, we do know it contained at least one strain of H3N2.  And that my friends is what is circulating now. And why the 2017-18 flu vaccine is so ineffective. [But still, 10-25% effective is better than 0% effective].

Ok people, real advice from a real RN: The flu is real this year, Read carefully and stay at home if you feeling sick and if at all possible! So sorry for those of you who have had it or are currently experiencing its wrath. Hope this is helpful for those of you who have so far avoided it, are caring for family members, or have contact with people on a regular basis–so pretty much everyone.

THE LOWDOWN ON THE FLU:

  1. You CAN get the flu even if you received the flu vaccine. This is true every year,but especially this year, since this year’s vaccine has a range 10%-25% effectiveness. [The H3N2 strain is particularly difficult to grow and add to a vaccine and that is the predominant strain of the circulating virus.]
  2.  If you find yourself victim of the flu, you have a virus. It lasts 7-14 days during which you are going to feel like you want to die; you may/will have fever, chills, severe headache, sore throat, chest congestion, nasal congestion, coughing, sneezing, sore throat, severe weakness/lethargy, nausea/vomiting, diarrhea and severe body/joint aches. Viruses DON’T get treated with antibiotics; it has to run its course.                                                    
  3. Go to your primary care doctor, urgent care, or telephone triage nurse FIRST, but know there is little they can do to help you. The only thing they can help you with is medication for severe coughing unresponsive to over the counter medications or severe diarrhea/vomiting. You do not need antibiotics unless you develop a secondary lung infection.
  4. DO. NOT. COME. TO. THE. ER… UNLESS you have shortness of breath, cannot keep down fluids for 24 hours, have persistent liquid stools accompanied by dizziness, have a sustained fast heart rate or low blood pressure.
  5. Tamiflu is an antiviral drug that is found to be mostly ineffective, and comes with significant side effects and price tag.  It’s also only effective if taken within the first 48 hours of contracting the virus.  Most people don’t know they have the flu until after this window has closed.
  6. DO take Tylenol AND Advil/Motrin/Aleve [pick one; don’t take all] at MAX doses [unless contraindicated by other health issues or allergies] to alleviate fever, headache and body aches.
  7. DO take over-the-counter flu remedies. DO be careful taking combinations of different medications to avoid overdosing and over treating [example; some flu medicines already have Tylenol (Acetaminophen) in them; read the bottle].
  8. Use home remedies such as “hot toddies” [whiskey/lemon/honey, if appropriate, and obvs… FOR ADULTS ONLY], hot showers, vapor rubs, vapor humidifiers, essential oils, onions around your neck, potatoes under the bed, ect.
  9. Drink fluids! All kinds of fluids. At every waking moment. DO NOT underestimate the  power of fluids. Hot liquids and soups may be helpful. Try to maintain nutritious intake. Milk products may thicken mucus and worsen coughs. If your urine is yellow or darker, you are not drinking enough.
  10. Coughing… this is IMPORTANT: If it’s productive [stuff coming up], DO NOT suppress it with meds. If it’s non-productive [dry and annoying], DO suppress it. Make sure you’re properly hydrated, especially with a productive cough. Proper hydration thins out secretions and makes them easier to cough up and out. Elevate your head when you sleep to decrease coughing/secretions.
  11. PLAN AHEAD.   Stock up on medications, juices, drinks, soups, popsicles, and broth so you’ll be ready. This time of year it is not unusual to find store shelves empty. You will not feel like going shopping when you are sick… which brings me to my next point.
  12. DO NOT GO OUT IN PUBLIC FOR ANY REASON!  Someone with a compromised immune system, an elderly person, an infant, or someone in poor health can easily die from the flu. You don’t want to be the one who exposed them. For the love of all things holy, DO NOT send a child with a fever to school during flu season. DO NOT go to work with a fever.  Or church. Or anywhere else where you think it might be OK.  Fever means you are in the contagious period where you can spread the virus to others.
  13. PLEASE. PLEASE. PLEASE. WASH YOUR HANDS WITH SOAP AND WATER!! OFTEN.

Professional disclaimer:

[Take meds responsibly. My advice is my opinion from personal and professional experience. I am not liable for any actions taken or not taken based on these recommendations.]

Application, timeline, and clearance

It was nearly 18 months since the time I first submitted a Peace Corps application until I got on the plane to Philadelphia for staging.
September 2016: I officially decide to submit a peace corps application nearly 20 years after hearing about the program for the first time.  My application was immediately selected as ‘under consideration’ for Peace Corps | Lesotho for Healthy Youth. Not overly excited but decide if selected, I would go.
January 4, 2017: Peace Corps interview.  Quite possibly the worst interview ever. I interview at home via web cam in scubs after 24 hours of being on call/work.  I was barely coherent and only remember that  the interview lasted 45 minutes when I was told it would most likely last 90.  Probably not a good sign.
March 1, 2017 : I was notified that I was no longer under consideration for Peace Corps | Lesotho for failure to receive recommendations on time. I was not surprised based on the atrocious interview and one missing recommendation. Found out one of recommendation writers never received the form.  Begin new application for Peace Corps, and submit with an updated resume, and different recommendation writers. Hit ‘submit’.
March 8, 2017: Once again, I am placed ‘under consideration’. This time for Peace Corps | Madagascar–Community Health.  I am much more excited about this opportunity.  Talk to recruiter by phone and says interviews won’t start until the application cycle ends… so July 1st would be the earliest opportunity. Tell my recommendation writers not to expect anything until then.
May 4, 2017:  Recruiter was wrong. Interviewed for PC | Madagascar.  Interview went much better than the last time lasting almost 1.5 hours. Feel much better about my chances, but realize the know by date is September 1, 2017. So I’m still not getting my hopes up.
May-July, 2017:  Check my email about once a week [usually on Saturday night while I am at work] as to not miss anything and to not be obsessive. And to preserve my sanity.
July 27, 2017: Receive invitation. Almost miss it due to the ‘checking email once a week’ strategy.
July 29, 2017:  Formally accept invitation.
August 2, 2017:  Received a bunch of tasks to complete with a deadline of September 30, 2017 5:52pm.
August 4, 2017: Get fingerprints and mail off fingerprint card for legal clearance.
August 4, 2017:  Make dental and medical appointments for later in August.
August 5, 2017: Get passport photos and fill out requisitions for Peace Corps Government Passport and Madagascar visa
August 9, 2017: Received notification fingerprints have arrived and the FBI is opening a file on me.
August 24, 2017: Dental visit…Teeth are in good condition.
August 29, 2017:  Medical Exam.  Body in good condition
September 15, 2017:  Have special lab drawn that could not be drawn
October 6, 2017:  Finish my last activity for my Bachelor’s of Science in Nursing. Graduation isn’t until December, but I’m not attending.
October 2017:  On going saga with med office about a missing lab. Frequent communication with PC med office about missing lab.  Deadlines extended for lab.
November 6, 2017:  Received final medical and dental clearance so as long as nothing happens between now and then, I’m in the clear.
December 29, 2017: Receive final  legal clearance
December 30, 2017:  Receive more ‘tasks’ in a new portal.  Paperwork very similar to starting a new job with banking info required, emergency contacts, press release info, ect.