The Perils of Getting Sick Aboard a Cruise Ship

I am always looking for ways to educate my customers on the incredible benefit of travel protection insurance. Here is a fantastic post from Anne Campbell in her Cruising Blog. Please take heed of this valuable information.

Today on the Cruise Log, journalist Gene Sloan cites a report of a man getting kicked off a Carnival ship in Roatan, Honduras because he was sick. The unfortunate passenger had to pay thousands of dollars to get himself home in order to get the medical care he needed.

That’s the way all cruise lines handle passengers who are too ill to be treated by the ship’s medical staff. If you have travel insurance you’ll be lifted by air ambulance to the nearest U.S. or, if the distance is too great, best hospital in the region. If you don’t have travel insurance you can either pay $20,000 for an air ambulance or go to a local hospital.

This is why I believe you’re very foolish to travel anywhere outside the U.S. without purchasing travel insurance.

My father came down with the flu aboard Queen Elizabeth 2, spent days in bed with a nurse checking in on him frequently. If you come down with a virus like Norwalk, you’ll be confined to your cabin until you’re no longer contagious. Ships can handle viruses, a scraped knee and sunburn but little else.

Ships aren’t equipped to handle serious illness. There are no diagnostic tools, surgery or intensive care. While there is medicine for sea sickness and flu, not much else is available. Ships do have CPR machines but beyond temporarily stabilizing someone who suffers a heart attack, the staff can do little more.

A ship’s physician told me about a passenger whose life was saved because he had travel insurance. A passenger suffered a stroke and because he had travel insurance, the ship’s doctor was immediately patched through to a neurologist in Houston. An air ambulance quickly evacuated the passenger, taking him to a Texas hospital where he was successfully treated. However, if he hadn’t had insurance, the ship’s doctor would have had no choice but to put him ashore in the nearest port, Cartagena, Columbia, where, the doctor believed, he would have died.

I don’t know about you, but to me the thought of getting sick and being forced to go to a Third World hospital is terrifying.

Here’s another insider’s tip: Should the ship’s doctor make a misdiagnosis or provide poor treatment, forget trying to sue. Like the spa and gift shop, doctors and nurses are independent contractors. The cruise line doesn’t hire doctors and nurses; they are employed by outside employment agencies. Hence, the cruise line has no liability.

I hope I’ve scared you enough to get travel insurance before your next cruise. My favorite company is Travel Guard which you may purchase online or through travel agents.

Do you buy travel insurance? Have you ever had to use it?

Luxury Cruising-Is it for You?

Luxury cruising is not just about being pampered in paradise; it’s about unique, once in a lifetime experiences that will completely wow you. Many luxury cruise lines offer their own special “wow” factor, but it is up to you to choose what meets your fancy. Is it watching nature unfold on the plains of Africa or savoring vintage wines in the hills of Tuscany? Do want to explore the wild side of the Amazon or relax on a private Tahitian island? The possibilities are endless on a luxury cruise.

Discover the world of luxury cruising as you set sail across the sea. Sit back and relax as the staff attends to your every need. Spend your day exploring cities rich with culture and history while your evenings are filled with elaborate meals, top shelf drinks and world-class entertainment. Renew your soul at the spa or enrich your mind through education. From computer lessons to photography to cooking classes, you’ll not only discover new things off the ship you’ll also discover them onboard. But one of the best advantages of sailing on a smaller, luxury cruise is the simple fact that these intimate vessels can sail in and out of smaller ports, offering you less crowds and more intimate experiences on shore.

Simple touches can make such a difference between good and great! Luxury cruise lines pay so much attention to detail and layout, creating the perfect atmosphere for an unbelievable cruise experience. You’ll enjoy top of the line toiletries from leading brands like Acqua Di Parma in spacious bathrooms complete with twin sinks, a separate bathtub and shower, and terry cloth robes. Slumber on 350 thread-count Egyptian cotton linens; then wake up to breakfast served by your butler on your private wraparound teak veranda. Now that is cruising in style!

One of the greatest benefits of luxury cruising is the crew to guest ratio, which is most often 1 crew member to 2 guests, with some ships offering a 1 to 1 ratio. So, what does this mean for you? It means more personal attention and better service. When a crew member only has you and your traveling companion to tend to as opposed to a whole slew of guests, the crew member is able to learn your desires and becomes proficient in accommodating your every wish. When you sail on a luxury cruise you’ll discover what it means to be taken care of.

Even with all this superb service, you won’t need to keep reaching into your pocket when onboard a luxury cruise line. Most luxury cruise lines do not encourage tipping. In fact, some make it very clear that tips are not accepted at all. But what kind of service do you get with a no tipping policy, you ask? The best service imaginable. The luxury cruise lines have searched high and low to find the best staff members possible, well-trained and well-disciplined, and they pay them accordingly. Experience what it feels like to come first without having to pay extra for it on a luxury cruise.

Getting to know your neighbors is a huge advantage of luxury cruising. In this day and age of mega-ships, it’s possible to meet people once onboard and never see them again. The smaller, luxury ships emanate a cozier atmosphere, setting the stage for social butterflies to flourish. You will often see the same people at dinner, in the lounge, on the deck and even on excursions. This country club ambiance gives you plenty of opportunities to meet and mingle with your newfound friends.

It’s not too early to start thinking about a luxury cruise. The best way to see the world is by sea, onboard a luxury liner, where your every need will be attended to while you sail into the most exciting adventure of your life.

Cruising with Kids/Shipping out with the Teens!

This is a great article on Cruising with Teens from the Miami Herald, it really covers the subject well.

It was one of those rare, perfect moments:

My husband, Paul, and I were stretched out in lounge chairs on the ship's deck, holding hands under a star-lit sky, a bag of popcorn between us. (Well, maybe our hands were touching while in the popcorn bag, but still!)

On the Jumbo-tron, one of our boys, Connor, 16, was whaling away on a faux Guitar Hero guitar and looking like a baby rock star. Next up was Jarrett, 14, waiting for his moment to be a guitar god.

And it hit me: Everybody was having fun. At the same time! On vacation!

I flashed back to other vacations: My husband and I, begging our teenagers to get out of bed and hit a museum, or trying to entice them to do some sightseeing. (``But, Mom, it's London! It'll be here tomorrow!'')

Finally, we'd found a vacation that two relaxation-deprived adults and two action-craving teenagers could enjoy.

Aboard a cruise ship, we could find the right balance of togetherness and privacy. Everybody could get up late (them) or early (us) without worrying about schedules or transportation. We'd go to sleep and wake up someplace new and fun.

Our only plan, on days in port, was to get out and play -- maybe go snorkeling or hike in a rain forest -- excursions the boys had selected, so they'd be keen to participate.

And if, come nightfall, they chose to hang in the teen center, it was fine with us. We had nightclubs to visit.

We thought we'd never go on one of those giant cruise ships with our kids, but when we did, it turned out to be our best vacation ever.

Here's our advice for making a family cruise fabulous:

• Match the cruise to the kids (rock walls and surfing and hot tubs, oh my!) Pizza and ice cream, 24/7. Loads of other kids. Freedom.

These ships are great for kids who like to socialize. They also offer sporty shore excursions with lots of teen appeal. Our boys were concerned that they'd be too cool for the cruise line's teen activities. Connor and Jarrett had had enough of ''lame'' teen programs offered at resorts. At the mere mention of this, Jarrett hooted, ``Ooh, boy! Let's decorate a T-shirt!''

At many places we've stayed, little kids get star treatment, while teens get a basketball hoop and an obsolete video game. Not on these ships.

On the Crown Princess, the teen center is big, and done up like your teen's Dream Living Room, with gaming consoles, air hockey, a teens-only hot tub and pool deck. (You don't want to share the hot tub or pool deck with them, anyway. They look 'way better in their swimsuits than you do. Who needs that?)

NCL's Norwegian Gem offers the Leopard Lounge for teens, with plasma TVs, a dance floor, a climbing wall, and a (very groovy) four-lane, 10-pin bowling alley.

Carnival is introducing aqua parks on their Fantasy-class ships, featuring four-deck-high twister waterslides and 82-foot-long racing waterslides -- great for kids who'd rather not get out of the pool. Ever.

Royal Caribbean's newest and largest ships, Freedom of the Seas and Liberty of the Seas, offer surfing. Some of Royal Caribbean's larger ships have ice-skating rinks. Rock walls seem to be de rigueur these days. And the activity-of-the-moment seems to be Wii games competitions, with mammoth screens so that everybody can watch the action.

(Parents: Please resist the temptation to ''Dance with the Stars'' on the big screen. All the coolness points you've gained by taking your teens on this trip will vanish in one bad boogie moment.)

Aboard the Crown Princess, the organized activities for teens really got rolling at 9 p.m. or so, with many of these designed to break the ice, like karaoke, talent shows and a goofy take on the Dating Game. Makeovers, sports tourneys, and a bank of video games quickly attracted hordes of kids.

Our boys loved it -- too well, we discovered by the end of Day Two, when we realized we'd barely seen them. That's when we decided to . . .

• Schedule face-time with the kids. On days at sea, you won't see them much. Your teens will likely choose to sleep in, roll out of bed for a late (huge) lunch at the buffet, and head to the teen center or the pool.

How to get some face-time with them? Plan a time to touch base each day and make them stick to it. We had dinner every night with Connor and Jarrett, always at the same time, so they couldn't ditch us and claim ignorance.

Surprisingly, the boys were happy to accompany us to the ship's entertainment venues, so we saw plenty of comedians (with PG-13-rated material), a mentalist who could mind-read people's cell phone numbers (Connor thought this was a handy skill), and some cheesy-but-energetic stage shows.

Most nights, the boys headed to the teen center after we caught an early show en famille. That was fine with Paul and me. We boogied our way through the ship's various nightclubs. Badly.

• Schedule kissy-face time with each other. We happily club-hopped until the wee (for us) hour of 11 p.m. We also discovered a way to ditch our own teens -- and everyone else's: the adults-only pool area. Ahhh! We grew to love that peaceful spot.

After the first day or so at sea, we got into the rhythm of shipboard life and, wonder of wonders, quit worrying about the kids. We even had some, ahem, romantic moments, and enjoyed other grown-up pleasures, like relaxing in the hot tub and winning a little cash in the casino.

That's when we realized what we like best about cruising -- the happy balance of couple time and family time.

• Let them pick the shore excursions. Did you come all this way to hear your teens moan about going on ''another stupid hike?'' You did not.

Give them the list of shore excursions, clarify your budget, and let 'em have at it. Yes, this means you will be riding dune buggies and banana boats instead of visiting forts, charming villages and duty-free shops, but so be it. You will do things you never thought you'd do, like ultimate power snorkeling, helmet diving and zip-lining through a rain forest.

You will have a fabulous time. So will your kids. And you'll earn loads of street cred simply for agreeing to all this.

Visit your cruise line's website where you can preview shore excursions and pre-book your favorites. We didn't do that, alas, and some activities that sounded great to us were filled by the time we boarded the ship.

• Set the ground rules early. Deal with expenses right away. If your kids are soda drinkers, many ships offer unlimited drink cards you can buy. You can opt not to give them bill-signing power with their cruise cards. Agree beforehand on cell phone use so they don't run up huge roaming charges for calls and text messages.

If the ship's curfew sounds late to you, or your teens are youngish, set your own curfew. This is especially important if you're sharing a cabin and don't want to hear rowdy kids crashing into the room after midnight. Which brings us to . . .

• Opt for as much space as you can afford. Face it, your kids aren't little anymore, and they take up a lot of room. They also hog the bathroom. Splurge on a family suite, or two rooms, instead of sharing a stateroom.

A suite works really well if you're earlier risers, like we are, and your kids like to sleep until noon, like ours do. With two connected rooms, early birds and night owls can co-exist happily, and (bonus) you'll still know when they roll in at night. That super-sensitive parental radar will kick in, even if you're 1,000 miles out to sea.

• Pick the right week. Even if you're Posh and Becks, your kids do not think you're fabulous. They'll spend time with you, sure, but 'round-the-clock togetherness won't cut it. They need to be with their own tribe. To make that happen, pick a vacation week sure to be jam-packed with other teens -- summer vacation, spring break, Easter week, and the week between the Christmas and New Year's holidays. The ship will be more crowded, for sure, but what would you rather have: happy teens or a better shot at a poolside lounge chair?

Also, stick with shorter cruises, a week or so in duration. Longer cruises tend to draw an older crowd. And stick with the less-exotic locations. If you cruise the Baltic, say, or the Mediterranean, you'll get an older, sophisticated crowd, and not as many families. Save the exotic destinations for your vacations à deux. The Caribbean routes are always tops with families.

• Pick a big ship. Everybody sings the praises of the posh little ships. For romantic getaways, sure. But if you're cruising with teens, you want lots of teens. Bigger ships mean more passengers, and bigger, more tricked-out teen centers.

• Savor the small stuff. Some things you just can't plan. We all wandered out to the deck one night and realized the lounge chairs had been covered with blankets, and an almost-first-run film was playing on the ship's giant movie screen. We found four chairs, pulled them together, and watched a movie under the stars, complete with goodies. We had a wonderful, cozy time -- as a family. It doesn't get better than that!

Ring in the New Year

2008 is upon us and it’s now time to start thinking about your next cruise getaway. This year, many new ships will be hitting the high seas, new destinations will be visited and more exotic itineraries have been added. But what does this mean to you? If you love cruising or have ever considered a cruise vacation, then it means a lot.

This year’s number one, do not miss destination is without a doubt, Northern Europe. There are nearly ten cruise lines sailing throughout Scandinavia, Russia and Northern Europe this summer including the yet to be launched Carnival Splendor, which will sail a 12-night itinerary from Dover. Marvel at the beauty of the Norwegian Fjords and discover the Baltic capitals on a range of itineraries from 6 to 14 nights.

2008 will bring a number of new ships into service. In addition to the Carnival Splendor, cruisers will get to experience the MSC Poesia, the MSC Fantasia, Holland America’s Eurodam and the much anticipated Celebrity Solstice. These ships are bigger and better than ever, offering more public space, more balconies, more restaurants and lounges, and so much more.

Another trend in 2008 is an increase in cruising from the west coast. This year you’ll see more ships sailing from Los Angeles, San Diego and San Francisco then ever before. Disney will operate 7-day Mexican Riviera cruises all summer long aboard the Disney Magic, NCL is offering five consecutive cruises to Mexico and Princess is also bringing back their popular Mexican Riviera cruises in 2008.

Whether you decide to cruise popular and historical Northern Europe, experience the exotic charm of Mexico or simply kick back and relax on a tropical Caribbean cruise, 2008 is your year to set sail.

There's a Monster Coming!!

In 2009, the largest Cruise Ship ever built will debut. Royal Caribbean just laid the keel on its new monster ship, codenamed Genesis. This ship will be the first of two identically sized ships ordered by Royal Caribbean and scheduled to be docked in Fort Lauderdale, FL. It will also be the world’s most expensive cruise ship with a cost of $1.24 billion. This vessel will hold up to 6,400 passengers. Here is an artist’s rendering of what this new behemoth will look like.


At this point we have very few details on what will actually be onboard the ship. We know that all parties privy to any of Genesis' innovations (shipyard workers and RCI execs) have signed non-disclosure agreements.

But, there are some people talking. Speculation has ranged from the bizarre (onboard plastic surgery) to the more reasonable (flight simulators) to the mundane (two FlowRiders rather than the one already on the Freedom-class trio).

Here's what we do know:

The naming of Genesis 1 and 2 is likely to take place in May of 2008. According to Royal Caribbean representatives, neither ship will be called Genesis of the Seas. Revelations on itineraries will also appear at around the middle of next year.

Both Genesis ships will homeport in Ft. Lauderdale's Port Everglades for at minimum their first year of service.

As of right now, no ports are prepared to handle Genesis -- both in terms of increased passenger load and needed port infrastructure.

A new Jamaican cruise port, Falmouth, is being constructed to accommodate the coming RCI beasts. The port is one of at least six that will be ready to accommodate the Genesis vessels in the Eastern and Western Caribbean when the ships launch.

I, for one, cannot wait for this ship and I will be booking a cabin on this new monster ship as soon as Royal Caribbean releases cabins for booking. It is just my humble opinion, but I believe this ship will be a massive hit in the Caribbean market!!

The Exotic Islands of the Southern Caribbean

Vibrant blue waters, white-sand beaches, swaying palms and the sounds of a steel drum band often come to mind when thinking about the Caribbean. Been there, done that also comes to many experienced travelers minds.

Many cruise travelers have had the opportunity to visit the most popular islands in the Eastern and Western Caribbean, but how many of us have sailed south to discover the more exotic, unspoiled islands? But what makes these southern islands more exotic than their northern counterparts? Part of it is due to the fact that most of the Southern Caribbean islands still enjoy a strong colonial influence. The majority of the southern islands, at one time or another have belonged to larger European countries like France, the Netherlands and the U.K. and many of these islands are still considered territories. Think of the Southern Caribbean as a little piece of European charm surrounded by a warm tropical paradise and you’ll understand why they are so special.

Just east of Puerto Rico, lies the island of Tortola. The largest of the British Virgin Islands, Tortola is home to some of the best white-sand beaches around as well as rugged mountain roads that lead to breathtaking views. In close proximity to Tortola is the neighboring island of Virgin Gorda with her unusual rock formations know as “The Baths.” These huge granite rocks give way to quiet coves and lush grottos where swimmers can soak their cares away in the hidden pools.

Heading south east, you’ll come to the island of Antigua, which is one of the largest boating islands in the Caribbean and home to 366 beautiful beaches; one for every day of the year. Just southwest of Antigua lies the island of St. Kitts. This beautiful island boasts pink sand beaches, rolling green hills and dormant volcanoes. While you are there, you must visit the 350-year-old Romney Manor Estate and Brimstone Hill Fortress National Park, two of the must see sites on St. Kitts.

Farther south in the Lesser Antilles, you’ll find the French island of Martinique as well as St. Lucia, Barbados and Grenada. From the islands’ architecture to its enchanting local flavor, Martinique exudes a distinct French feeling you won’t be able to miss. The lush island of St. Lucia with its twin Piton peaks offers the best of both worlds. Get back to nature as you explore verdant rain forests, discover striking waterfalls and unique sulfur springs, then kick back and relax on the unspoiled golden beaches. The once British controlled island of Barbados is rich with English influence which is apparent in its sports (like Cricket) as well as its English architecture that dates back to the 17th century. The spice capital of the Caribbean, Grenada is the most fragrant of the islands where you will find nutmeg, cloves, ginger, cinnamon and cocoa on many of the spice estates. This island is also considered one of the most picturesque ports in the Caribbean with its lush vegetation, mountainous terrain and colorful colonial architecture.

To the west of the Lesser Antilles, you’ll find the Netherlands Antilles and the island of Bonaire and Curacao. Bonaire is famous for its diving with 100-ft visibility and a colorful array of tropical fish and vibrant coral reefs. Dutch influence can be seen throughout the island of Curacao, especially in its architecture which is a replication of the houses built in Amsterdam but painted with a distinctly Caribbean color palette. Be sure to explore Hato Caves where you’ll find two large caverns with ancient Indian petroglyphs and a mystical underground lake.

So when you’re ready to head to a warmer climate but you want something new, head south and discover the European enriched, unspoiled islands of the Southern Caribbean. With so many choices to choose from, you won’t be disappointed.

European River Cruising, Is It For You?

The rivers and canals of Europe are open for travel. As many as 20,000 total miles of inland waterways let travelers absorb European culture at a relaxed, leisurely and up-close pace. The waterways of Austria, The Czech Republic, England, France, Germany, Hungary, Ireland, Italy, The Netherlands, Portugal, Russia and others now have many options to meet the growing demand for river cruising.

No longer an obscure way to see old Europe, travel by river is one of the best ways to venture out and take in the heart of the continent. Travelers who return from river cruises carry memories of very intimate encounters with the countryside, local people, and fellow passengers. River cruise and barging travelers inevitably become true enthusiasts for the experience.

A traveler can journey Europe's waterways in a variety of ways. River cruising most often refers to river going cruise ships typically carrying fewer than 250 passengers. As such, river cruising ships are much smaller than mass-market, ocean-going vessels, but as river boats go, are on the larger end of the scale. Western and Central Europe have many river routes to offer the larger cruise boats. Popular itineraries include the Danube visiting Hungary, Austria and Germany and the Elbe River through Germany and the Czech Republic. In France, the Rhone and the Soane meander through Provence and Burgundy, while the Seine takes passengers through Paris and Giverny. In Northern Italy, the Po offers exciting opportunities with a variety of river cruise companies. Finally, the Volga, connecting St. Petersburg and Moscow provides a decidedly different way to port between these two magnificent cities. River cruises tend to be affairs of luxury, with an emphasis on informal, but upscale travel. Relaxation and intensive sightseeing are the main activities, as organized entertainment is somewhat limited on most river cruises, except for the occasional lecture or sing-along. Mostly, the crew allows passengers to enjoy their time as they see fit.

Cabins on larger river vessels vary in size from 90 square feet on older ships to over 200 square feet on newer. Most rooms are outside cabins, meaning they have windows for optimal sightseeing. The least expensive cabins are lower in the boat, while passengers pay more for higher rooms with better views. Cabins come with basic amenities, such as hair dryers and televisions, and are often very nicely furnished. The larger river cruise vessels have telephones and even Internet service.

Many first time river cruisers are delighted to discover that, unlike ocean cruising, there is very little boat motion. The mandated slow speeds and flat waters of the rivers ensure a quiet, placid voyage. It is often difficult when not on deck to even know the vessel is underway!

On longer trips, 10 days or more, the typical river cruise passenger is a well-traveled individual often over the age of 60. Shorter cruises typically attract a younger crowd. River cruises on the larger vessels do not always allow children under 12 as passengers, so make sure to check on any restrictions for families. The passenger manifest will be a mix of European and North American travelers, but most crews speak at least some English, and many are fluent. Individuals who require physical assistance when traveling should check with their travel consultant to determine the accessibility of any particular vessel for disabled passengers.

Meals have always been a special part of cruising, and river cruises have maintained that tradition. On river cruise vessels, food is a key part of the experience, prepared by a dedicated chef, the ship's captain, or a restaurateur in a small village. Europeans take great pride in their culinary skills, and practically everyone who has ever cruised along the rivers and canals of Europe has at least one story about an unforgettable meal or food experience. Special dietary considerations can often be accommodated if requested early in the booking process. On self-drive barges, travelers can stock up on provisions from the villages and cook on board, or splurge at dining opportunities along the way.

Crewed barges with meal service and more amenities are sometimes referred to as "Hotel Barges": smaller vessels with a passenger capacity of as few as six to as many as 50. Hotel barges tend to be much slower than river cruisers, and due to their smaller size, can enter more narrow waterways like canals, in addition to the larger rivers. Hotel barges range from Spartan accommodations to luxurious rooms with gourmet meals, fine wines, and bicycles for self-guided shore excursions. Cabins vary in size and most often have private baths with showers. Many barges have saunas and hot tubs on deck. Most are without telephones or Internet service, though, as such modernity is typically absent in the barge market.

The peak season for river cruising is much the same as European travel in general, late spring through mid-fall and early November. The shoulder season, a real value, ranges from early March through mid-May. The autumn months coincide with grape season, and several cruise lines are fully booked during this time by wine connoisseurs. Finally, April is tulip season and cruises in and around the Netherlands are particularly popular then.

As always, pack as lightly as possible, as space on the smaller barges can be at a premium. Your cruise operator will no doubt provide you with a list of recommended items to bring, but the usual recommendations of hats, sunscreen and sunglasses are often overlooked but very important, because so much of your time will be spent outdoors.

Regarding travel budgets... amenities offered by the cruise and barge operators and the travel season determine costs. For high-end river cruises and hotel barges, $2,100 per person, double occupancy and cruise only, is a common brochure cost for a seven day cruise. 12 day cruises often range from $2,800 upwards, but discounts are usually available for most itineraries through your travel agent. Other cruises may be had for as little as $800.00 for a seven day itinerary. Costs typically include all meals, tour excursions, and accommodations. Tips and gratuities are expected, ranging from $10 - $35 dollars per day. Your travel consultant will have many resources on hand for finding the best possible values.

Europe and its waterways await you!