Leaving On A Jet Plane: Medical Emergency

Hi all!
I’m sorry that I’ve been delinquent in posting but I have a really good excuse. About a month ago, I jetted the Cap’n out of here on a turbo-prop to West Palm Beach.

It started out as a normal day with the cap’n not feeling too good which we just attributed to the fun the night before. Throughout the day he felt worse and worse, I didn’t learn until later when he confessed it to the doctors that he’d been having tightness in his chest for 10 days. I finally convince him that we call BASRA (Bahamas Sea and Rescue Association) http://www.basra.org/. This is a totally volunteer organization that receives no funding from the government that needs and deserves your support. You never know if your going to be next one calling them so here is their website, if you’d like to assure that they are there for you. I am not implying that they won’t help you if you don’t donate, they help everyone in need, but like everybody in these trying financial times they need your support. This story is easier told by saying things we were fortunate in doing or having and things we wish would have had in place or done differently.

We were lucky that we were in a familiar harbour with established friends and contacts available. We were able to hand Stanley, the killer bichon, off immediately to trusted friends, Phyllis and Neil on Chapter X . I had never even considered what I would have done with a pet in the case of an emergency like this. I had barely hung up the mike from calling BASRA before a dock friend, Mads was there with assistance and an offer of a defibrillator from his boat (thank God we didn’t need it) and within minutes a member of BASRA, Chris Prewitt, whose sailboat was moored right behind us was knocking on the hull to transport us to the main dock where the boat that would transfer us to Marsh Harbour was waiting. We were fortunate they were already responding to another emergency and were at the ready. I thank God that we were not at some uninhabited cay with no one around.

It was unfortunate that we did not have an emergency bag ready just in case this should happen. Even so, I thought I did pretty well, throwing in passports, all the cash we had, (including the money our friends on Exit Strategy had given us to relay to their mooring ball owner since they were leaving for a few days), our wallets, checkbook, cell phones (but no chargers) and 3 pairs of underwear apiece. The cap’n managed to throw in a couple of packs of cigarettes. Unfortunately, I forgot extra clothes (that was solved by a scarey, creepy public bus ride to a Dollar store 5 days later. Who but sailor trash goes to a Dollar Store to shop in West Palm Beach?), cruising permit, which caused us to have to buy round-trip airline tickets when we were lucky enough to fly back to the boat. And scariest of all I forgot my make-up and toiletries. After we got back, our friends Amy and Pete, from Double Vision told us they always keep a ditch bag ready, even though they no longer live on a boat, great idea for everyone.

We were fortunate that we had established friends in Marsh Harbour who met us at the clinic and helped hold me up. Chris and Tara from OII (Out Island Internet) stood by and made Cola runs for me and used their own personal cell phones to call our family to let them know what was going on because my fingers wouldn’t work to dial and they also started to arrange a charter for us out. In the end this was unnecessary because the doctor said the cap’n would require a Medevac. Brenda from Tupps Wine and Liquors, who was worried about losing her most loyal customer (just kidding, Brenda). She gave us immeasurable support and even told me I looked great even though I knew different. And to our magical friend Patti Toler who did things that I’m sure we’re not even aware, plus she loaned me a hairbrush and some lipstick.

We were fortunate that Dr. Schwerna and his staff were on duty that night. Under their hands the cap’n became stable and I became less afraid. The emergency staff at West Palm Beach were very impressed with his treatment. We are thankful to Dr. Boyce for loaning a necessary medication from his private clinic and for his staff for bringing it over on what was now becoming a late evening.

We were unfortunate, that we did not have Medevac insurance. In fact, I have actively pooh-poohed it on several message boards, saying , “Who would want to wait 8 hrs. for a Medjet to arrive when you could charter a plane in minutes. . There was no way I would have been comfortable flying alone with the cap’n on a charter that night. He required medications and constant attention, and while a charter might be okay for a fracture, it was not appropriate for this situation.

We were fortunate that we had enough credit on our credit card to pay for the evacuation ($8,400.00 plus change) because it is required upfront. I don’t know what they do if you don’t have the money to pay. I strongly suggest you sign up with http://www.medjetassist.com/ or http://www.diversalertnetwork.org/ or another like service. The plane was Beech B-1900 with two pilots, a doctor and two EMT/nurses. They also arranged transport by ambulance to the hospital. The eerie thing is I had just asked the cap’n during our last flight over that I wonder what they do in reference to customs and immigration when you are flown in on a medical emergency. Now I know. In our case, we first had to land in Fort Lauderdale to clear in because West Palm’s customs had shut down. I was right about waiting for a jet for 8 hours, it was now the wee hours of the morning and the ordeal had started about 3:00 pm. All of us except the patient and one nurse disembarked from the plane and walked across the tarmac to the immigration office. As always there was no hurry and another Medevac plane was clearing in at the same time. There was some problem with the manifest and no one seemed to be concerned that my cap’n was having chest pains out on the tarmac. We finally cleared and then the nurse that had remained with the cap’n had to go in and clear. I was able to present the capn’s documentation for him. Finally, we were back in the air on the way to WPB.

We were fortunate that we had changed our international medical insurance (which required us to be out of the US for 6 months of the year) before we got back on the boat this year. When I couldn’t find other things to keep me up nights worrying, I worried about this requirement since we hadn’t been able to fulfill it last year due to my dad’s illness. Turns out I was right to worry.

We were fortunate for the good care at Good Samaritan Hospital in West Palm Beach. We were fortunate that the cap’n did not have an MI (heart attack) but an arrythmia that was able to be treated with meds and a change in lifestyle. We were fortunate that the docs insisted on a heart cath because we were coming back over here and they didn’t want a repeat perfomance. We were fortunate that the heart cath showed no damage and that it, according to the doctor, “looked a hell of a lot better than it deserved to” given the capn’s lifestyle. After the capn had been off cigs and rum for a week., we were fortunate that there were still a few nurses willing to take care of him.

We were fortunate to have the support of our friends who called or sent flowers when we were in the hospital and when we returned to Hope Town , several of whom were on the dock to greet us with applause and hugs.

Yesterday, we were fortunate to volunteer at the Hope Town Fire and Rescue Fair, http://www.hopetownfirerescue.com/ who shares its funds and people with BASRA.

We are very thankful to The Great Navigator upstairs for a wake-up kick in the head. I can’t brag that our new leaf has remained completely turned over. I myself, as some of you know, have never been a poster child for moderation and the cap’n is my worthy counterpart, but be reassured we are trying and will keep on trying. Believe me, it's harder than it looks.

Sorry, The Great Navigator does not have a website...

So go on up to high power now, if you feel like it, and keep us in your prayers