Rakarayirwa kuenda kuMediterranean muna 1908, "Scorpion" yakabva kuPhiladelphia, Pennsylvania, musi wa22 October 1908. Musi wa4 December 1908, yakasvika kuConstantinople muOttoman Empire kuti itore mabasa sechiteshi chengarava, asi yakarayirwa kuenda kuMessina, Italy kunobatsira vanhu vakanga vapona pakudengenyeka kwenyika.
ipapo. Akatsigira International Medical Service kubva 3 kusvika 8 January 1909, akabva adzokera kuOttoman Empire. Kubva musi waFebruary 10 kusvika musi waJuly 15, akanga ari kuNaples, kuItaly, achigadziriswa. Akadzokera kuConstantinople musi wa20 Chikunguru ndokutora mabasa echikepe chechiteshi, izvo zvaisanganisira basa reU.S. Embassy. Kubva musi wa27 Mbudzi 1910 kusvika musi wa28 Ndira 1912, akanga ari kuTrieste muAustria-Hungary nokuda kwekugadziriswa kwakakura, uye muna February 1912 akadzokera kuConstantinople. Muna August 1912, akabatsira vanhu vakanga vawirwa nokudengenyeka kwenyika muOttoman Empire uye, muna October 1912, apo Hondo Yenyika Yokutanga yeBalkan yakatanga, akatanga kushanda kubatsira vanhu vokuAmerica vakabatwa munharaunda dzinopesana.