Is there a doctor on board?

Back to Table of Contents | June 2011 Cover Story Is there a doctor on board? Ten physicians share their stories about mid-air medical emergencies. By Jeanne Mettner

For physicians heading off on a vacation or looking forward to getting home after a long conference, hearing the call for a doctor on an airplane can evoke a variety of responses. Those who spend their days and nights dealing with emergencies might be quick to stand up and confidently offer to help; others, concerned that they may not be able to handle a situation outside their specialty, may slump in their seats and secretly wish they had become anything but a physician.

The Medical Emergency Kit

According to the International Air Transport Association’s Operational Safety Audit program, all planes carrying more than 100 passengers on flights lasting more than two hours must be equipped with at least one medical kit for use by doctors or individuals with appropriate qualifications or training. The kit should include the following:

Stethoscope Sphygmomanometer Airways, oropharyngeal Syringes Needles Intravenous catheters Antiseptic wipes Disposable gloves Sharps disposal box Urinary catheter System for delivering intravenous fluids Venous tourniquet Sponge gauze Tape adhesive Surgical mask Emergency tracheal catheter (or large-gauge intravenous cannula) Umbilical cord clamp Nonmercury thermometers Basic or advanced life support cards Bag-valve mask Automatic external defibrillator (required on U.S. carriers) Flashlight and batteries

In addition, the kit should include the following medications: epinephrine, injectable antihistamine, dextrose, nitroglycerine tablet or spray, analgesic, injectable anticonvulsant sedative, injectable antiemetic, bronchial dilator inhaler, atropine, adrenocortical steroid, diuretic, medication for postpartum bleeding, sodium chloride, aspirin, and an oral beta blocker.

Regardless, it’s not unlikely that physicians will one day hear those words and find themselves serving as first responders on an airplane. MedAire, a company that provides on-the-ground medical assistance for commercial airlines around the world, reports that more than 19,000 in-flight emergencies occurred among the airlines they served in 2010, of which about 470 required a premature landing. As only a third of commercial airliners in the world use MedAire, that number likely is a gross underestimate of all the in-flight emergencies that occurred. What’s more, airlines are not required to report emergencies unless they prompt the pilot to divert the flight. “There is no central data repository for the number of in-flight emergencies, and no one agency or organization has been put in charge of keeping track of those figures,” says Claude Thibeault, M.D., medical advisor to the International Air Transport Association, an international trade body for the airlines, and former chair of the Aerospace Medical Association’s Air Transport Medicine Committee. Although numbers are not firm, we know that in-flight emergencies happen often enough that a physician is likely to encounter one.

Sugar Land Migraine - News


Is there a doctor on board?
Is there a doctor on board?

The call ended up being for a passenger with a migraine headache, and someone else volunteered to tend to the passenger before she could. “That reaction made me realize what I already knew: I will always be a little different because of what I




How to Eliminate Migraines and Headaches in Less than a Week ...

The cost to society is also enormous. Migraine headaches add $13 billion to $17 billion to our healthcare costs each year. These costs include medications, emergency room visits, hospitalization, physician services (primary care and specialty), laboratory and diagnostic services, and managing the side effects of treatment.

Migraines have indirect costs too. A headache is the most frequent pain-related complaint among workers. Focusing specifically on migraines, one study found that the annual cost to employers exceeded $14.5 billion, of which $7.9 billion was due to absenteeism and $5.4 billion to diminished productivity.( ii )

So this is a HUGE problem—both to those who suffer and to society as a whole.

Worse, migraines are hard to treat and very difficult to prevent with conventional approaches. There are a host of preventive drugs — calcium channel blockers, beta-blockers, anti-seizure medications, antidepressants , and more—which work poorly, if at all, and are accompanied by frequent side effects. Some doctors are now even using Botox to paralyze neck muscles in the hopes of easing migraines.

There is also a new class of medication called triptans (like Imitrex, Maxalt, and Zomig) that can stop a migraine once it starts. Though these have made migraine sufferers handle the attacks better, they also have serious potential side effects, including strokes, and are expensive. Still other treatments can lead to addiction or dependence. Not a pretty picture. And for many, none of these treatments work very well or at all.

The problem with migraines is the same one we see so often in medicine: We treat the symptoms, not the cause. We only deal with the effects of something and not the underlying 7 keys to UltraWellness . But using Functional Medicine I have been able to get nearly 100 percent of my patients migraine free within days to weeks!

In this article I am going to explain how I do that. I will tell you the story of one of my patients (a doctor herself) who, after years of suffering from migraines, finally came to me looking for relief. You will learn what I did to help her (as well as many others) and how you can apply the same measures to overcome your migraines. And I will give you 14 tips that will help you identify and treat the real causes of your headaches.

Dozens of Migraine Patients, Dozens of Different Cures

Many of my patients are doctors themselves and are often at the end of their rope. One was a physician from the Mayo Clinic, the Mecca of conventional medicine. This woman had severe, disabling migraines that made it nearly impossible for her to function at work. She depended on oxycodone (a strong morphine-like narcotic) and Zofran (a powerful anti-nausea drug used for chemotherapy patients).


Sugar Land Migraine - Bookshelf

Migraine and Other Headaches

Migraine and Other Headaches

Severe lowering of blood sugar levels means that the brain cannot obtain ... Vascular headaches, particularly migraine, may be triggered by low blood sugar. ...

Psychological abstracts

Psychological abstracts

... PA, Sugarland, TX) Peripheral Neurostimulation for the Treatment of Chronic, ... —Up to 5% of the general population suffers from transformed migraine. ...

She Bets Her Life, A True Story of Gambling Addiction

She Bets Her Life, A True Story of Gambling Addiction

pressure, temperature, posture, and altitude; low blood sugar; and more. ... Ophthalmic migraines are almost impossible to abort, and medications don't ...

Pulmonary vascular disease

Pulmonary vascular disease

She lives with her family in Sugar Land, Texas. In May of 1990, ... I thought I was going to have a migraine headache, which was not unusual for me, ...

Country Wisdom & Know-How, Everything You Need to Know to Live Off the Land

Country Wisdom & Know-How, Everything You Need to Know to Live Off the Land

MIGRAINE TEA Many healers believe that a plant's appearance and habits reflect its ... 10—20 violet flowers Powdered egg-white mix Fine costor sugar 1. ...

Everyday Articles Directory


Sugar Land TX Neurologist Doctors - Migraine Headache Causes ...
Sugar Land Neurologist Doctors physician directory - Learn about migraine headache including symptoms such as intense throbbing pain in the temple area of head. ...

Sugar Land TX Neurologist Doctors - Cluster Headaches ...
Sugar Land Neurologist Doctors physician directory - Consumer medical information on cluster headaches, includes causes, preventive treatment and symptoms of a ...

Migraine - Causes, Symptoms and Treatment of Migraine
A migraine can be disabling — with symptoms so severe, all you can think about is finding a dark, quiet place to lie down. ...

A.Y. Shukla, M.D., P.A. - Neurologist, Richmond, Sugar Land ...
His specialties include stroke, emg, neck pain, back pain, sleep apnea, carpal tunnel syndrome, tia, chronic pain management, and headache and migraine ...

Hall - Headache lincoln migraine
Headache lincoln migraine. Doris Kearns Goodwin, author of Nebraska College in physician assistant studies ... Sugar land headaches; Sugar land headaches; Migraine : Neurogenic ...