I’m just going to run out for a loaf of bread

I keep telling people that sailing life is NOT glamorous, but nobody believes me. Possibly because I keep posting pictures like this….

Sunset in Benji Bay

But today was grocery day, and as I sweated my way through the day, I kept thinking “none of my American friends would believe how much effort goes into shopping in the islands” So if you’re curious, here’s a shopping-day-in the-life of SV Sanitas.

Capt. Mike and I decided to divide and conquer on errands today. But, we only have one dinghy, so the day starts with a “dinghy-pool.” We left the boat at 8:30 all packed, sun-screened, and watered up for a day ashore. After bailing out the couple inches of rain that fell overnight, it was only a ten minutes ride in little Bug to the Le Phare Bleu marina where Capt. Mike caught a ride to downtown St George’s with a friend to pick up our new watermaker (hooray!) Then I piloted the dinghy 15 minutes in the opposite direction to Clark’s Court Marina on the far side of Woburn Bay. I’m not a very experienced dinghy driver, so I don’t go at full speed, and I have to admit I overcompensate a bit on steering, so I tend to zig zag, and by now my butt is completely wet from salt water splashes. But I arrive with about 30 minutes to spare before the shopping bus is scheduled to arrive, so I order a coffee and a ham and cheese stuffed arepa from the Cruiser’s Galley restaurant for 15ec ($5.50) while I wait.

Breakfast arepa

The shopping bus costs another 15ec. Patrick (aka Shademan) makes the rounds of all the marinas on Tuesdays and Fridays, picking up cruisers who don’t have land transportation and makes a loop of the most popular businesses: the bank, Ace hardware, Budget marine chandlery, IGA grocery store, and CK’s Warehouse store. I didn’t need anything other than groceries this time, but the stores are air-conditioned and the bus isn’t, so of course I stopped at each place for a few moments of cool. Grenada takes its COVID protocols seriously. Masks are required indoors, and each time I enter a shop I must take my temperature, use hand sanitizer, and sign into a log book for contact tracing. Now that I think about it, maybe it’s easier to wait in the bus. I know I said I didn’t need anything at the other stores but – peer pressure! A fellow bus rider recommended a 16ec bottle of sparkling wine at the hardware store (don’t you always buy your sparkling wine for $6.00 from a hardware store?) and I couldn’t resist.

A particularly fancy island bus (photo credit: Christopher Bancroft)
Signing the contact tracing log

Finally, about an hour after we left the marina, we arrive at the Spiceland Mall which has a small food court, some souvenir shops, an optician, and the only big American style grocery store on the island. I make a quick stop at the pharmacy and the pharmacist is very helpful in finding me treatments for a recent burn on my arm. She doesn’t even ask for a prescription for the silver sulfide cream, and she walks me around the small shop, gathering up natural cocoa butter and vitamin E to prevent scarring. 48ec ($17) later, and I’m good to go on burn treatments.

Finally, around 11:00, I make it to IGA grocery store which is the whole reason I left the boat today. In the States, I think of IGA as a small local grocery store, but here, it’s da bomb! It’s where the tourists and medical school students and expats and wealthy Grenadians shop for imported foods in air-conditioned comfort, and the only place on island where I can find gluten-free bread. The funny thing is, IGA sells their own store brand foods, and also sells the store brands from British grocery store chains. So I buy liquid hand soap from Tesco and gluten-free pasta from Waitrose, and spices from the Trinidadian brand, Baron. Luckily, it’s a good day for produce, but a bad day for eggs (completely empty shelf) and my heart gives an anxious little flutter, ‘cause we’re down to only three eggs back on the boat.

Surprise! I run into Capt. Mike here at the grocery store. Karen, on SV Soulshine who gave Mike a ride to town, also needed groceries, and IGA is the place to be! So I tell Shademan I no longer need a ride home (he doesn’t offer me any money back) and I load my three heavy bags into the back of Karen’s rental car. Where, we find that a previously bald tire is now also completely flat. Maybe I should have stuck with the bus? Capt. Mike is our hero, and he replaces the flat tire with an even balder spare, and off we go. Karen gives a turkey sandwich that she bought at IGA to the homeless man who always begs at the parking lot exit. I donate to the Salvation Army bell ringer.

My hero!

Back at he marina, it takes us two trips to get all of our bags and our new watermaker from the car to the dinghy, and it’s a very tight fit for the Captain and I to squeeze in as well. Bug is moving a lot slower with this load. We make a pit stop at the concrete fishermen’s dock in lower Woburn bay, where I duck into a local restaurant / convenience store and buy a tray of thirty non-refrigerated eggs for 30ec ($11) The owner admonishes me for not bringing my own egg cartons, and makes me promise to bring the tray back to her tomorrow. I balance the tray of brown eggs on top of the watermaker box, and Capt. Mike and I carefully maneuver around our pile of stuff and stand up in the dinghy all the way back to Sanitas to avoid getting totally soaked as we motor upwind.

We’re gonna need a bigger boat

Finally back to the boat around 1:00, we hoist everything into the cockpit, then down the companionway stairs into the galley. Then the real fun begins – figuring out where to put everything we bought! I wrestle with my top-loading fridge, trying to keep the meat and dairy in the coldest part, and the bread and condiments in what our thermometer calls “the danger zone.” Too bad the warmer danger zone is the only part of the fridge that’s easy to reach. I spread out the fruit and veg that will be stored unrefrigerated to let it dry – air conditioning in the supermarket makes for a lot of condensation, and storing away wet onions or apples will cause them to go bad more quickly.

Drying veggies
Refrigerator chaos

Phew! By about 2:00, I’ve put everything away, drank a huge glass of water, and I’m beat. I feel a sense of accomplishment for the day, like I’ve done something momentous, although looking back on it, I’ve done nothing but buy a week’s worth of groceries. Good thing we’ve learned to slow way down in this nomad life!

Back to the Boat!

International travel is possible again, but you’ve really gotta want it

After our epic Long Trail backpacking adventure, Mike and I spent a few more weeks visiting family and attending the Annapolis Sailboat Show and then, suddenly, it was late October and time to return to Sanitas and the Caribbean. Who would’ve thought we’d still be dealing with border closures and COVID restrictions in fall of 2021? Definitely not me!

We found a pirate in Queens!

Our first challenge in returning to the islands was to figure out what to do with all of our stuff. Somehow, whatever we packed to bring home back in June bred and multiplied in the back of our Ford Escape and we suddenly owned way more junk than fit in our luggage. Visiting “The Land of Plenty” will do that to you. Also, a Costco membership card.😜 Some of it, we’d bring back with us – American toiletries and supplements are very expensive in the islands, as are gluten-free foods. Extra clothing we donated to charity. Luckily, almost all the clothing I bought as “land clothes” for our visit came from a thrift store so it was easy to part with – almost like renting warm clothing that we wouldn’t need when we returned south. Speaking of thrift stores, here’s a great nomad life hack for you…if you are returning home from your trip with a little more than you started with, consider buying an extra suitcase from Goodwill. We bought 2 huge pieces of luggage for $6.99 each and filled them as close as we could get to the 50-pound airline limit. Then we donated them on arrival in Grenada. Just don’t forget to pay for your bags in advance to avoid paying more at the airport! Even international flights don’t always include free luggage these days.

Yeah, we’re gonna need a bigger luggage cart

The next challenge is to comply with all the entry requirements of your destination country. That’s complicated by the fact that restrictions change quickly, based on the number of active cases in a country, and on whether the US is considered “high risk” at the time. When we traveled from New York to Grenada at the end of October, the rules were:

  • Only fully-vaccinated visitors are allowed to enter. We brought hard copy and digital copies of our vaccination cards
  • Apply for a Travel Authorization form one week before your flight
  • Have a negative PCR test result, taken within 72 hours of travel
  • Pre-pay for a 2nd COVID PCR test to be administered at the airport upon arrival in Grenada
  • Book two nights in an approved quarantine hotel in Grenada where you’ll stay until your arrival test results are available
  • Print everything to show the airline prior to checking in, or use an app such as New York’s Excelsior Pass

Our flight from JFK left before 7:00am on a Monday morning, so our covid tests were complicated by the weekend. We tried to take advantage of free testing at a Rite-Aid on Friday morning. But when we didn’t receive results by Saturday afternoon I panicked and paid $160 per person to get a test that guaranteed results by Sunday at 5:00 pm. It was a good decision. Capt Mike didn’t get his free test results until we arrived to the airport – I would have been totally freaking out if the results of our paid tests hadn’t been available!

Nomad man
You gotta wear your hat, so you don’t crush it!

After that, everything went smoothly. A 3am alarm got us to JFK in plenty of time for Mike to drop off me and my massive pile of luggage while he parked. I have nothing but positive feedback for JetBlue. Just a week after the Southwest flight cancelation fiasco, and a week before the American Airlines meltdown, every JetBlue employee we interacted with was professional and helpful. Our flight was about half full and on time, and it felt wonderful to take our first breaths of warm, humid island air when we deplaned at Maurice Bishop international airport. We arrived on a local holiday, but the clear-in process was still smooth and efficient. After our third nose swab in four days, we collected our bags and hopped into a taxi for the short trip to Sunflower Apartments.

I’d planned ahead and ordered delivery of grocery basics (eggs, fruit, pasta, potato chips, and booze) for our 48-hour quarantine. It was brilliant! The delivery van from IGA arrived at the apartment at the same time as our taxi. After Lauren in security took our temperature and showed us around, we settled in for quarantine, aka well-deserved rest and recovery period. With air conditioning and lots of Netflix movies, we barely minded, and we were officially cleared around 4:00 pm on Tuesday. Just in time to go out to eat at Greek Kitchen before restaurants closed round 5:00 for COVID curfew.

Sanitas is one of those masts, way over there. (View from our quarantine apartment)

Do all these Covid protocols sound strange to my fellow Americans? Well, Caribbean island nations are still taking Covid quite seriously, especially since many have limited medical facilities. But they are also balancing safety with the need to improve the economy and to restore tourism. Both Grenada and St Vincent have recently removed the quarantine requirement for fully-vaccinated visitors. Grenada now only requires a rapid antigen test on arrival, rather than the costlier PCR test. And they’ve significantly lowered the cost of the tests for departure, which are required when you return home to the States. While Covid-related protests have turned violent in the French islands, Grenada feels safe and peaceful – especially as the beautiful weather means we live our lives almost entirely outdoors all winter long. I’m very glad we were able to return to Sanitas this fall, and I’m really looking forward to being able to sail more and explore more than we’ve been able to for the past two years!

Celebrating our freedom from quarantine

Grenada or bust! 🇬🇩 (aka more swabs up the nose)

Way back in March 2020, we said to ourselves, “Let’s just sit tight through this Covid-19 thing, and we’ll be able to cruise again next year.” Cue 2021, and we’re STILL sitting tight and waiting for the world to open up again and to let us travel freely again. I’ve seen a lot of friends recently posting warm weather travel pictures on Instagram – and you’re mostly visiting US states territories such as the USVI, Puerto Rico, Hawaii, or the Florida Keys. So you get it! While travel is possible again these days, testing costs and quarantine requirements still make travel between countries tricky and expensive. Or maybe I’m just trying to convince myself that we made the right decision to spend five whole months in the Grenadines 😜

June 1st is the official start of hurricane season in the northern hemisphere so after our extended farewell party circuit of the Grenadines, we dug out our boat paperwork, To-Do lists, and links to government websites and started planning our trip back to Grenada. On May 1st, Grenada issued a new policy stating that fully vaccinated visitors could bypass most of quarantine. Hooray! Instead of the two-week quarantine we performed last year, vaccinated visitors just need to get a PCR test within 72 hours of arrival in Grenada, submit a bunch of health forms and documents, get tested again on arrival in Grenada, and quarantine on the boat until we get negative results from the arrival test – from 24-48 hours. This makes a lot of sense, and hopefully will allow the Caribbean islands to fully reopen to tourism in the fall. We used the two weeks after our second shot to say goodbye to all of our favorite places, as described in my last post, and then I went to work planning for a smooth transition between countries.

The swab up the nose doesn’t get any easier

Sunrise on Monday May 10 found the crew of Sanitas at the dinghy dock in Bequia, heading to the hospital for our “leaving SVG” Covid test. These tests must be processed manually in a lab on the main island. Test appointments are super early so that the nasal swabs can be put on a ferry and sent north to St Vincent. It sounds so logical but… island time! Capt. Mike and I sat on the ground in front of the tiny hospital from 6am until about 7:15 when we handed over 104ec per person (around $40) and finally were taken into an air conditioned shipping container and got the old swab up the nose. Our test didn’t make it on the first ferry, but they must have made it on the next one – we were thrilled to get our test results via email first thing Tuesday morning. By that time, we’d sailed back down to Union Island, the southernmost point available to clear out of SVG.

Negative test results in hand, I pestered the ports authority in Carriacou until they replied with an email granting us permission to sail to Tyrell Bay exactly five months to the day after we cleared in. How crazy is that? We cleared out on exactly the day our cruising permit expired and made the short nine-mile sail south. The travel gods continued to smile on us, as we passed our health assessment quickly, and before we even made it back to the boat, we got called back for our “arrival in Grenada” Covid test. Before noon on Wednesday, we settled in cheerfully on Sanitas, making the best of our 48-hour wait for results and freedom.

What do we do to occupy ourselves while confined to a teeny boat during quarantine? Well, I’m obviously catching up on blog posts 😀 We cooked up some comfort food treats, like homemade gluten free pizza, and a delicious steak dinner. We reviewed our To-Do list for prepping Sanitas for hurricane season, and started to check off a few items that could be performed in advance. We did more planning; booking our haul-out date and an apartment, and even booking flights back to the US. We binge watched a young adult fairy romance series on Netflix (don’t ask how the algorithm decided we’d enjoy that one) and rewatched both seasons of Derry Girls. We even (and this is a little pathetic in retrospect) packed go bags. So if we heard the Port Authority call us over the VHF radio, we could simply pull on our nicer “customs and immigration clothes”, grab backpacks stuffed with boat paperwork, wallets, and swim suits, and after clearing in we’d be all set to walk over to Paradise Beach to celebrate our freedom. But… Thursday crawled by. And Friday morning turned into Friday afternoon. And other boats in the quarantine anchorage started calling the ports authority asking when we could expect results. About 4:00 I got an e-mail addressed to “Dear Captains” stating that they hadn’t received our test results, so we’d have to stay in quarantine through the weekend. Say what? Our 48-hour quarantine just turned into five days. I didn’t bring enough Netflix or sweet and salty snacks for that much time!

Go bags at the ready!

Capt. Mike and I took turns being grouchy and then optimistic all weekend. We have a rule in our marriage that only one of us is allowed to be in a funk at a time. We polished stainless, wiped down closets with mildew killer, ate the rest of our cheese and crackers and chips and cookies, and somehow made it until Monday. Finally, at 10:30 we got the call on the radio to come in for our health clearance certificate. As I write this, it is 11:30 Monday morning, exactly 5 days or 120 hours after our supposedly 48-hour quarantine started. We brought our health certificate over to customs and immigration across town to FINALLY check in. The customs officer told us they are open from 1pm to 3pm. The officer must have seen my face, ’cause he said “ok, I know this is a stressful time. I can process you now” I gotta say, I’ve had my fill of Island Time for a while 🤣 We’re official now, and planning to sail to Grenada tomorrow. Phew!

The captain clearing us in… Finally!

Travel in the time of Coronavirus

Here we are in December of 2020 – are you longing to travel? Me too! We’ve been in the tiny island nation of Grenada for six months. That’s the longest we’ve been in any one country (including the US) since 2017. Hurricane season is over and Caribbean nations are starting to cautiously relax their coronavirus restrictions and to reopen for tourism. Hooray! But that sure doesn’t mean that it’s easy or cheap to travel yet. Follow along with me on the thrilling adventure of sailing twelve miles and overcoming infinite bureaucratic red tape to get from Grenada 🇬🇩 to St Vincent and the Grenadines 🇻🇨

First of all, the protocols for entering each country have been changing weekly – it’s hard to keep track! St Vincent has actually done a pretty good job of updating a web page with their requirements. In a nutshell, we have to pass a Covid test in Grenada, then travel to SVG and take a second test, quarantining while we wait for the results. If both tests are negative, we are free to clear in and explore the country. Sounds easy, right? 😜 Obviously, you are not familiar with the concept of island time. (Skip to the end if you just want to know how much it cost)

We’ve spent the past three weeks on the island of Carriacou, a pleasant day sail north of the big island of Grenada, and still part of the country of Grenada. From our anchorage, we could look northwest and see Clifton Harbor Union Island – the southernmost island in St Vincent, less than 12 miles away. But …. until last week, the only open port of entry for SVG was on the main island of St Vincent, over 50 miles further north. AND the only clinic in Carriacou that does Covid tests only performs the tests on Mondays and Wednesdays at 1:00pm. Then they put the tests on a ferry and ship them back to Grenada for processing. Talk about adding time and complexity to the process! We waited until Union Island reopened to visitors (giving them a week to work out the kinks) and then Cheryl on SV LeefNu put together a spreadsheet of all of the steps in the process and we went to work!

Step 1: Request permission to travel to St Vincent

On Wednesday December 2, I sent an email to SVGARRIVALS requesting permission to travel from Carriacou to Union Island over a week later, on 10 December. I attached a “Request to quarantine aboard” form with lots of details about our boat, crew, travel history and health status.  I didn’t receive any sort of response until late Friday afternoon when I wrote back and asked politely whether I should cancel my PCR test appointment on Monday. That did it. I received an email stating we were approved!

Step 2: Pre-travel Covid PCR test

I can’t believe I made it all the way to December 2020 without a q-tip up the nose! Well, no longer. We dinghied ashore and joined a small parade of other sailors walking toward the L’esterre Health Clinic. The nurse looked a bit taken aback to see us all lined up at the front door. She muttered, “I hope I have enough swabs” and directed us one at a time to the office to pay. Then another long wait in the hot airless clinic until being called into the nurse’s office to get poked. She had exactly enough tests for the 16 people who showed up that day. The nurse was surprisingly gentle, and we were free again one hour and 820ecd ($300) later. Yikes! Now the clock is ticking. We need to make sure we can get to SVG within the 72 hours that this test is valid. I’d cry if we missed our chance and had to get a second test and shell out ANOTHER $300 bucks.

Step 3: Wait for test results. Stress out. Jump each time you get an email notification

There’s a long list of paperwork we need to submit to St Vincent 24-hours before we arrive. But the very first item on the list is our negative test results. So we hold our breath, cross our fingers, and hope the tests made it onto Monday night’s ferry to Grenada and hope that the General Hospital isn’t too overwhelmed to process our tests quickly. Did I mention that St Vincent only performs tests on Monday, Wednesday, and Thursday? So if we miss our scheduled arrival on Thursday, we’ll have to go on Friday, wait on a quarantine mooring ball until Monday to get tested, and THEN stay in quarantine until we get the results. Or, they might not let us in at all because our Grenada test results would be older than 72 hours. Oh, the stress!

Step 4: Lots more paperwork – finalize permission to travel to SVG

On Wednesday morning at 8:30, our friends on SV Holiday and SV LeefNu received their negative test results via email. But nothing for Sanitas. I sent an email. I made a call. Nothing. We waited…and waited…and grew more and more nervous. Finally, around 11:00 we hopped in the dinghy and traveled back to the clinic. Apparently they spelled our name wrong when they wrote down our email addresses. That’s an easy fix! With the correct address, they sent the results and we were good to go. Negative, as expected, of course- there’s only one active Covid case in all of Grenada, and it was imported on a flight from the US 😞

I rushed to a picnic table outside the grocery store where I could get free wifi and started filling out the rest of the required paperwork. My goal was to get everything submitted before noon (island bureaucrats take long lunch breaks) and to meet the “submit 24 hours in advance” requirement. I barely made it!

Step 5: More waiting…for final approval from St Vincent

Now we needed to wait for St Vincent to reply to my paperwork with a “Stamped Approval Form.” If we show up without this approval, St Vincent can use their coast guard to turn us away from entering the country. However, we still need to clear out of Grenada, and the customs and immigration office is only open until 3:45pm. So more nervous waiting. Finally, I emailed St Vincent customs. They replied that they were waiting for my negative Covid test results. Aargh! That’s what I spent an hour at a supermarket picnic table working on! So…I sent all that paperwork in again. Finally, I received approval.

Step 6: Clear out of Grenada

Captain Mike took our passports and boat paperwork to customs and immigration, paid to catch up on our cruising permit fees, and successfully acquired our exit papers. Phew! We celebrated with burgers and gin & tonics at Big Citi grill 🍔🍸😎

Step 7: Travel to Union Island. ANOTHER Covid test

We woke at first light, as excited as if it were Christmas morning. It feels great to be moving again! Anchors up at first light, and we had a lovely sail to Clifton Harbor on Union Island. Upon arrival, a gentleman in a dinghy marked with a yellow flag met us and escorted us to a mooring ball in the quarantine area. More waiting. Eventually, we were paged via VHF radio “Sanitas, you are cleared to come ashore.” We donned clean clothes, masks, and actually remembered shoes. We dinghied to the Bougainvillea dock, also marked with a yellow flag. Only one boat was allowed ashore at a time and once there, we handed over our boat paperwork and passports (Gulp. I hate to give up our passports. But they are successfully ensuring we won’t skip out on quarantine). We got our second PCR test in less than a week, and boy this nurse really went after it! She didn’t just tickle my brain with the swab, she really twisted and turned it and ground it around – ouch! Back to our mooring ball to wait. Again…. Did I mention the test swabs in SVG also have to take a ferry ride north to St Vincent to be processed? 🙄

Our quarantine view…

Step 8: Another quarantine

We kept ourselves busy through yet another quarantine by cooking, studying French, doing our Christmas shopping, and doing boat projects. But after a few days with no update on our test results, we stayed to get antsy.

Haircut time!

Final Step: Clear into SVG. And hand over a bunch of cash.

Finally, around 4:30 on Monday afternoon, a dinghy with a yellow flag approached. “Do you have good news for us?” Capt. Mike asked. “Unfortunately, I have bad news,” he said “You failed your test and have to take another.” What?!? How is that possible? The man in the dinghy let out a big laugh. “I’m just messing with you!” he said, and handed back our passports and paperwork, as well as a bill for the tests and processing fees. I don’t think that’s very funny, do you?

How much did all this cost?

  • Covid test in Grenada (2 people) = 820ecd or $305US
  • Covid test in SVG (2 people) = 324ecd or $120US
  • Clearing agent fees = 205ecd or $76US
  • Quarantine mooring fees (4 nights) = 245ecd or $92US
  • Cruising permit (1 month)= 70ecd = $27US
  • Total in US dollars = $619
  • Stress and worry about missing a deadline, and all those swabs up the nose = priceless 🤣

Don’t get me wrong, I’m not really complaining about the cost or the process. I understand that we’re very lucky to be able to visit these beautiful countries. And, of course, I respect the desire to protect islanders from Covid-19. The hospitals here really couldn’t handle an outbreak. I’m not even upset about the cost – these islands have had their economy tank with the lack of tourism. But now that we’ve got a 6-month visa in SVG, I don’t anticipate moving around much this season!

Celebratory drinks at Happy Island 🏝️

Everybody’s favorite topic – medical care for nomads!

It’s been two years since Capt. Mike and I have had medical insurance in the USA. Part of our travel plan for 2020 was to fit in a little medical tourism trip to Cancun to get dental work, blood work, and recommended cancer screenings done. But…. it’s 2020….all plans are off! Instead, we spent 6 months in Grenada so we tried our best to find healthcare providers to take care of our needs here.

Although there’s a massive medical school on the island, training America’s future doctors, there’s not really a robust healthcare system or a modern public hospital. There is a small private clinic, St Augustine’s Medical Center, or SAMS, that’s a good option for emergencies. Our friend Cheryl on SV LeefNu had a good experience there treating broken ribs. But I don’t think I’d want to undergo a major surgery here if I had the option to go elsewhere. Many residents, who can afford it, also travel off island for significant medical care.

We started out with the easy stuff – a dental cleaning. Well, I THOUGHT it would be easy! Of the 5 or 6 dentists recommended in my local cruisers FaceBook group, most were taking appointments 4 months out! So I went with the only one I could see within two weeks. I found that the quality of the dental care was….ok. COVID precautions were in place (masks, hand sanitizer, chairs blocked off in the waiting room). A very pleasant young woman dentist, working out of a faded old fashioned office, gave us a thorough exam and a good cleaning. However, no X-rays, and no measurements for gum disease. She pretty much just poked at our typical American teeth and said “everything looks good.” There’s no lab to fabricate crowns on the island, so dentists must order such devices from the US and that takes another three months turnaround. I guess “Replace slowly failing crown” will stay on my to-do list for another year.

Cost for routine dental exam and cleaning = 165 ecd or $61US

Look at those pearly whites!

Up next, annual skin cancer screening. We are two very pale people, living outdoors in the Caribbean, so we make it a priority to get every spot checked out every year. There’s exactly one dermatologist in Grenada, Dr Jenny Issacs. The directions to find her office are “go to the downtown vegetable market, walk up the hill, look for the hand-written sign on the wall next to the used book store.” Again, covid precautions made us feel safe. We even had to bring our certificate from the health ministry stating that we’d passed a covid test and completed quarantine. Dr Issacs has been practicing in Grenada for over 30 years, and she’s licensed as a GP as well as a dermatologist. She’s very kind and thorough, and she listened to all of our concerns and requests for prescriptions to top up the boat first aid kit, writing us prescriptions for antibiotics and my thyroid pills. She examined Mike’s bald head and told him “you have so little melanin in your skin, you should be cruising in Scandinavia”, lol. She wrote him a prescription for Efudix, a cream used to treat pre-cancerous spots. We carefully followed the directions for a two-week treatment, and it seemed to work great! No more rough, red spots! She found one tiny irregular dark spot on my cheek and recommended a biopsy “Out of an abundance of caution”

  • Cost per person for dermatologist appointment = 150ecd or $55US
  • Cost for large tube of Efudix = 460ecd or $170US

Prescriptions are kind of expensive here… But so is everything imported, I suppose! It seems strange to me that prescription meds are priced by the pill, rather than by the month or by the dose. I take a very common generic thyroid medicine, but in the entire time I’ve been in Grenada, I could not find the dose I need in a single pill. Is there a conspiracy in all of Grenada’s pharmacies to make twice the money by selling twice the pills?

Cost of generic thyroid meds = about 55ecd or $20US per month

So that dermatologist appointment led to a biopsy appointment. Sheesh. The spot was so small, I had to point it out to the nurse. The surgeon was very nice – also a sailor who plans to retire and move into a boat in a few years (although he said his wife wouldn’t want to live in one as small as ours). I was nervous about the procedure (after all, it was on my face) but Capt. Mike was there to take care of me, and it really wasn’t bad at all. Three days later and I had the stitches out. Two weeks later, I got the biopsy results – negative – and I could pretend the whole thing never happened. Don’t forget your hat and sunscreen!

Cost for biopsy: including surgeon fees, lab fees, facility fees, initial consultation, and suture removal = 780ecd or $289US.

In addition to these doctors appointments in Grenada, I saw a doctor in Antigua to follow up on my shingles case, and to get routine bloodwork and a cervical cancer screening. So all in all, I got quite a bit of medical care outside the USA this year! If you are used to $20 co-pays and $10 generic prescriptions, these out-of-pocket expenses might sound like a lot. But, when you consider that the premiums alone on my high-deductable ACA plan were over $900 per month, and compare that to the emergency-only international plan that we currently have for about $2600 per year, we can pay for a lot of doctor’s appointments and prescriptions and still come out ahead! Maybe I’ll finally get around to that crown in 2021?