It was around 7 a.m. that I woke up sweating all over. It didnx92t take long to find out why I was sweating. It was because my electric fan was not working. I already had a clue what the problem was, but just to be sure I switched on the light. Indeed, no light neither, so Lodwar had a power-failure again. It was too hot to stay in bed without a fan running, so I decided to go and get some breakfast.
I wanted to go to the office to work todat, but I needed internet for my work and since there was no electricity in Lodwar, I couldnx92t use the internetx85 So I just stayed home and read a bookx85
At 11:50 suddenly my fan started again! Finally I could go to workx85 But now I had to wait for Ali to come with the car to pick me up. After 30 minutes he arrived. But he asked me to stay, because there might be an emergency to Eldoret, so I had to pack my stuff for an overnight in Eldoret. We only had to wait for a confirmation.
We waited for one hour for the phone call which never came and at 13:30 I was fed up and left for the office. But, off course, just after Ix92ve started my computer (and found out that somehow I was unable to connect to the internet), Ali send me an sms:x94Come get your stuff and get your ass up to the plane. Youx92re flying to Eldoret.x94
When I arrived at our house, Ali came walking to me. x93Change of plans: youx92re going to Nairobi.x94
That was good. The plane has some small problems, which are too complicated to fix in Lodwar, but which are not big enough to fly to Nairobi to fix it. But now I could combine the flight to fix the plane with the medevac. The only thing is: we donx92t go to Nairobi for a medevac unless the patient is really dying, so I was a bit curious what kind of patient I would be carrying todayx85
When I arrived at the hangar, it was already busy there. My guard was already fuelling the plane, the patient and his armed escort (later I heard he was the father of a Member of Parliament, so he needs an escort) already arrived as well as Richard. Richard is a flight nurse, but he is the best flightnurse Ix92ve flown with so far. While other flight nurses just get sick in the plane and just watch how I help a patient in the plane, Richard is always ahead of me, at least regarding the patient, and he is really helping during an emergency. And he keeps on helping the patient during the flight, instead of vomiting, which is a big plus for a flight nurse. Richard was giving the patient some injections and I walked up to him for a briefing.
x93Richard, how are you? Tell me a story about this guy.x94
x93Well, hex92s not doing well, but Ix92ve given him some medicines which will probably keep him alive for a few hours and hopefully they can help him further in Nairobi.x94
x93So I have to behave during the flight?x94
Richard smiled: x93Yes, you better behave; hex92s very weak, so no loops or rolls. He will need the stretcher. Donx92t put the stretcher flat, but donx92t raise the backrest too much neither. He has difficulty breathing but he doesnx92t need oxygen. O, and by the way, Ix92m not flying with you. Youx92ll get some fresh meatx85x94
x93Thatx92s just great. A dying patient and a brand new flight nurse on a flight of more than two and a half hour. Youx92re really making my day here. Who is it and where is he or she?x94
Richard introduced me to the lady who would be the flight nurse.
x93So, youx92re going to fly with me to Nairobi?x94, I asked.
She appeared to be a bit nervous, which made me nervous as well. I looked a bit desperate to Richard and started my interrogation:
x93Have you ever flown before?x94
x93No.x94
x93Do you easily get sick?x94
A hesitating x93Nox94
x93Have you seen the patient already?x94
x93No.x94
x93You know what Richard has done to that patient now?x94
x93No.x94
I was starting to become a bit annoyedx85
x93Do you even know what youx92ll have to do as a flight nurse?x94 Richard pinched me.
x93O.k., I have to prepare the plane. I suggest you use the time to see the patient and think about how to keep this guy alive, because if this man dies during the flight, we will spend the Saturday evening in a police station in Nairobi, explaining why that guy died during the flight. And I know those bloodhounds at Wilson airport, if they can screw you, they will and it will take a lot of bribes or a very big mouth before we can leave that police stationx85
Last time a patient died in my plane, they even wanted to start a criminal investigation against me. Now, make sure an ambulance will be arranged to wait for us. I expect to arrive in Nairobi at 18:00.x94
I checked the plane, loaded the patient and the relative and walked up to the flight nurse who was given the last instructions by Richard.
x93We can go now. Do you know what to do now during the flight?x94
x93Yes.x94
x93Good, did you order an ambulance?x94
x93Yes.x94
x93Are you sure?x94 (usually people here say x93yesx94, even when they mean x93nox94, so I usually ask a question 3 to 4 times and take the average answer)
x93Yes.x94
x93So when we arrive in Nairobi, an ambulance will be waiting for us?x94
x93Yes.x94
That was a score of 100%, so the chance was quite high that she really called an ambulance. Besides, we really needed to go if we wanted to reach Nairobi in time, so I had no time to ask more questions. I strapped in the flight nurse beside the patient and off we went.
During the flight everyone behaved according to their role in the flight: the relative just enjoyed the scenery, sometimes looking back to see if his uncle was still alive, the flight nurse was attending the patient and the patient was really looking like he could die any moment. But Richard insured me that the patient would survive the flight, so I just focused on flying the plane.
At 17:58 I touched down in Nairobi and I taxied to the apron just to find out there was no ambulance waiting for usx85
It was last year that a patient died on me while we were waiting for an ambulance and that feels even worse than when a patient dies during the flight. So I didnx92t want to let that happen. Time to ask the flight nurse some more questions.
x93I thought you called an ambulance? Now, where is the ambulance?x94
No answer, just a shy (and maybe embarrassed) nurse looking at the ground.
x93And your patient is dying now, while wex92re waiting for an ambulance. I want to know what youx92re going to do nowx85x94
x93I donx92t know. Let me call the ambulance.x94
x93No, you take care of that patient now. I didnx92t fly 600 kmx92s with him just to let him die here. Ix92ll let the relative call an ambulance.x94
The relative called the ambulance:x94They are coming.x94
x93That is not good enough. Where are they and how long will it take before they are here?x94
The relative started calling againx85
Meanwhile a custom-rat came walking to me.
x93Welcome to Nairobi. I come to collect the landing and navigation fees.x94
x93First of all: Ix92m busy at this moment. Second: I pay the fees as soon as I file my flightplan back to Lodwar, as I always do.x94
x93That is not the procedure.x94
x93Ix92m sure itx92s not, but thatx92s how I always do it and thatx92s also how Ix92m going to do it this time. Now if you excuse me, I have work to do.x94
The relative came back to me: x93They are in a traffic jam.x94
x93How long before they are here?x94
And the relative started calling the ambulance again. And at the same time Ali called me:
x93Niels, how are you? Did you arrive in Nairobi safely? Is the patient still alive?x94
x93Yep, the patient is still alive, but there is no ambulance here.x94
x93Well, thatx92s not your problem now, is it? Why are you still waiting with them?x94
x93No, it is not my problem, but the patient is still using my stretcher and if I would just kick him out of the plane and let him lie on the apron, I might get a guilty conscious in later lifex85 And I donx92t want to risk getting a guilty consciousx85x94
Ali laughed: x93Good luck then. Ix92ll call you later.x94
And again the relative came back to me: x94They donx92t know when they will arrive. It is a big traffic jam.x94
x93O.k., Ix92m getting sick of this. That guy is dying and Ix92m getting hungry, let me call the tower for an ambulance. It will cost you 2000 shilling extra, but that will be your problem. You can sort it out with the flight nurse.x94
I called the tower and 3 minutes later an ambulance arrived at my plane. And with the ambulance, the custom-rat came back as well. I ignored the rat and helped loading the patient and the passengers in the ambulance.
x93To which hospital does this patient need to go?x94, the driver asked me.
x93I donx92t know. Ask the flight nurse or the relative.x94
x93They donx92t know neitherx85x94 the driver replied.
The rat overheard the conversation and apparently he smelled blood. He started to raise his voice to me.
x93So youx92re transporting a patient while you donx92t know where he needs to go to?x94
x93No, I’m not. He needed to go to Nairobi and here we are.x94
x93It doesnx92t work that way.x94
x93O.k., in that case, can you show me the regulation stating that a pilot should know the final destination of every passenger he is carrying?x94
x93You know there is no such regulation. But this patient is your responsibility.x94
x93My responsibility over this patient has ended when we closed the doors of that ambulance up there. He is not my problem anymore and to tell you the truth, I donx92t care where he is going to. Now are we going to create a problem over here or can I go? Ix92m really hungry now.x94
The rat hesitated a moment and then he walked away. Finally I could go and eat and prepare for a few days spending in Nairobix85