Getting on a plane? DON'T COUGH too much . . .

The doctors in the ER have never seen my asthmatic daughters and yet we let them diagnose and treat them, how is this different?!

Because that is a controlled situation with far more medical resources available than there is on a 5 hour flight over the ocean.

An ER doctor can call your pulmunlogist/family MD for any info he needs (and they usually do), pull past ER records, xrays, tests, etc.

I don't think he did this due to noise factor, but concern for the childs safety. Yes, I am a nurse who worked the ER and still side with the pilot.
 
The MD who cleared should be thankful the pilot did not allow her to fly. Had something happened to the girl over the ocean, HE would have been the one in hot water.
 
I'm with the Pilot-if it were a flight over land where he could have made an emergency landing if he had to, that would be different. What if the exam was wrong and this poor child had MAJOR breathing problems somewhere over the ocean? How would we be viewing this pilot if this child had died on the way and he KNEW that she was having problems before take-off? Would he get a pass because an on-board MD listened to her lungs and pronounced her fine?

A person with asthma can have an asthma attack come on out of the blue. Does this mean that asthmatics should never be able to fly? :confused3

What about diabetics?

People with a history of heart problems?

People with seizure disorders?

Where does it end?

Anne
 
A doctor will take a quick med history in an er. Did the 16 y.o. give a medical history? If an er dr has any question about a correct diagnosis, they have other test options at their disposal such as blood work, xrays etc to confirm their diagnosis.

Do you know he didn't? Do you know she didn't answer it with I got a cold a few days ago from my friend over there? If she wasn't spewing blood out of any of her appendages, her lungs were clear and she was otherwise healthy why kick her off the plane?

If they knocked her out with Nyquil, would the parent's have demanded an apology and compensation for the "drugging" of their daughter? Did anyone check to see if she had allergies or other medical problems that would have had an adverse reaction to the Nyquil? If she had been allowed to fly and they knocked her out with drugs and then it was something more severe and she got sicker, what would be the pilot and airline's responsiblity to the family then...
But they didn't knock her out with Nyquil.....didn't even give her that option apparently. I have 3 kids....13, 12 and 8 and I know for a fact that any of them could tell someone if they were allergic to something. My oldest has a severe allergy to any of the cillins. She is 13 and I'm pretty sure she could convey that to a doctor anywhere,anytime. If they really really really wanted to know call her mom on a cell before they left. I'm assuming at 16 this girl probably has had more than one cold and cough...I'm pretty sure she'd know by now if she couldn't or could take nyquil. She is allowed to operate a car and drive but not tell them she had an allergy to nyquil? Hmm odd! If it was that big of a concern over it call her parents. Get her parents permission to give her the stupid nyquil and leave the decision of if she could fly to them based on THIS argument only. The doctor cleared her, she apparently didn't have an allergy to nyquil and yet she still got booted from the plane. Still is wrong IMHO.

There are just way too many what if's in this situation and I really agree with the pilot's decision to delay her travel.
Well I don't think it was a good decision by the pilot based on the fact a DOCTOR listened to her and cleared her to fly. A medical professional with a license cleared her to fly. It's not like he was a *rent a doctor* and I'm pretty sure he'd cover himself pretty well and if she was even somewhat questionable he wouldn't clear her....in this age of malpractice and whatnot but he obviously as a physician felt she was fine to fly. The pilot should have listened as he is NOT a physician and let her go HOME to her parents.

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I hate to say it but I agree with the pilot. There are a couple of reasons why.

It is not that the kid had a cold with intermittent oughing. She was coughing nonstop. That is alot more serious. For my kids that can turn downhill very fast and they need nebulizer treatments if it is that bad. If this child did have an asthmas attack over the ocean or even in the air what could they do for her? Nothing.

I would think that at 16 she'd know if she had asthma or not and if she used a nebulizer or not....I mean she's not 2. I know at the age of 16 I knew if I had any kind of disease. Maybe I was just smart. :confused3 And still they could have called her parents and asked THEM if they were in doubt about it. I think her mom would know if she had anything really serious wrong with her like asthma or something. I know I 'd know as a mom.

Everyone keeps mentioning this doctor. How do you even know he was a doctor? Because he said he was one? He could be a holistic doctor, a podiatrist, or just some guy who is thinking of becoming one. I would not want someone medicating my child that I do not even know their credentials. This is a teen we are talking about not an adult.

Well how do you know he wasn't one? WE don't know because we weren't there, we don't really matter because it's done and we have no idea if he is or isn't though that's pretty easy to check out when you are sitting on the GROUND and not in flight. A quick call to the medical board would be sufficient. Call his practice. 2 min phone call and you'd know. But who knows if they bothered with that? I don't. They said doctor......I think he went to medical school so on that fact I won't speculate.

That all being said, I would not want to be on a plane with anyone who is coughing nonstop for 10 hours or even 2 hours. You may say you are not contagious but how do I know that? Obviously this kid was really sick so that's a moot point here but let's be honest, this isn't just a coughing fit, this is nonstop. I would have concerns for my family as well.

We have no idea if she would have coughed for 10 hours or 10 more seconds. She wasn't given any option. I have a cough right now. I've had it for a LONG time. I have coughing fits for 5 min and don't cough for another 5 or 6 hours sometimes. I've been to a doctor. I'm NOT contagious yet by this logic if I got on a plane and started coughing I'd be kicked off. I'm not contagious, cough for a few minutes then not again but hey kick me off just because I *might cough longer or I might be contagious*

I only hope that a chaperone stayed with the girl and she wasn't left on her own in NY.

I'm pretty sure someone had to stay with her as there would be no way she could get around. So not only did it mess with this girl and her parents but another person as well for basically a cough that was cleared by a physician.....whatever kind of physician he was. I hope they get compensated for the extra hours they were forced to sit and wait and I hope they will be apologized too in the future as well.
 

A person with asthma can have an asthma attack come on out of the blue. Does this mean that asthmatics should never be able to fly? :confused3

What about diabetics?

People with a history of heart problems?

People with seizure disorders?

Where does it end?

Anne

The difference is that people who have a condition usually travel with their meds.
 
The article I read yesterday said that one of the teachers stayed behind with her. They had to buy toothbrushes and clothing as their luggage was already on the plane and the carrier wouldn't take it off for them. They also had to pay for a hotel room and meals out of pocket.

Anne

I thought it was against FAA regs for luggage to be on a plane that a passenger was not also on? Everything I have heard before was that if someone was kicked off a flight, for whatever reason, they also had to remove the luggage.

In this situation I think the pilot was being a bit paranoid and thinking of the worse case scenario.
 
Ya know, I think what this comes down to is as a ticketed passenger, we must abide by the rules and contract of carriage of the airline. We are in a sense, a paying guest on the plane and the airline and it's representatives have the right to decide whether we stay on the plane or not. No where does it say we have to like or agree with the decision.

The pilot made the decision to have the girl take a later flight. It is what it is and if the family doesn't like it, they don't have to use Continental again.
 
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I would think that at 16 she'd know if she had asthma or not and if she used a nebulizer or not....I mean she's not 2. I know at the age of 16 I knew if I had any kind of disease. Maybe I was just smart. :confused3 And still they could have called her parents and asked THEM if they were in doubt about it. I think her mom would know if she had anything really serious wrong with her like asthma or something. I know I 'd know as a mom.[/COLOR]


That all being said, I would not want to be on a plane with anyone who is coughing nonstop for 10 hours or even 2 hours. You may say you are not contagious but how do I know that? Obviously this kid was really sick so that's a moot point here but let's be honest, this isn't just a coughing fit, this is nonstop. I would have concerns for my family as well.

[COLOR="Blue[B]"]We have no idea if she would have coughed for 10 hours or 10 more seconds. She wasn't given any option. I have a cough right now. I've had it for a LONG time. I have coughing fits for 5 min and don't cough for another 5 or 6 hours sometimes. I've been to a doctor. I'm NOT contagious yet by this logic if I got on a plane and started coughing I'd be kicked off. I'm not contagious, cough for a few minutes then not again but hey kick me off just because I *might cough longer or I might be contagious*
[/B]


QUOTE]

I bolded that part because you do not have to have asthma to require a nebulizer treatment. 2 weeks ago I was in the ER because I could not breathe. I was administered a nebulizer treatment because it was so bad that I could not even carry on a conversation. I had a cold that apparently had gotten the best of me. I do not have asthma. I did however have bronchitis and most likely pneumonia but since I am pregnant they could not take an X-Ray to be sure. I also had to recieve a steroid shot because my breathing was so bad. I am an adult who has never had a nebulizer treatment in my life. So yeah, I'm sure she could have told them if she had asthma but if she never had any such attack how would she know?

Also- the original post said that she was coughing nonstop. It didn't say she had a coughing fit etc. Nonstop is the key word here.
 
The difference is that people who have a condition usually travel with their meds.

I don't travel with my nebulizer under normal circumstances.

There are no "meds" for a seizure.

There are no "meds" to stop a heart-attack.

Anne
 
I don't travel with my nebulizer under normal circumstances.

There are no "meds" for a seizure.

There are no "meds" to stop a heart-attack.

Anne

Well we do travel with a nebulizer and if you are seizure prone you are usually on meds to begin with. Of course anyone could just have a seizure but if you have a history then most would be on meds. As far as a heart attack, no, you can't stop one obviouly and that is pretty much like getting hit by lightning. You never know if it can happen to you.
 
My allergies have been bothering me lately and I have coughing spells. I flew several weeks ago and boarded with extra water, cough drops and meds so I wouldn't disturb fellow passengers on a red eye.

I still had several outbursts of coughing and worried that a F/A would say something.

I feel for the girl but understand the pilots concern.
 
I don't travel with my nebulizer under normal circumstances.

There are no "meds" for a seizure.

There are no "meds" to stop a heart-attack.

Anne

fyi

The first antiepileptic drug was bromide, used in the late 19th century. Its side effects, however, made it a less than ideal medication. In 1912, phenobarbital became the main drug prescribed for epilepsy, and it is still used today. However, its usefulness was limited to generalized tonic clonic seizures and, to a lesser degree, simple and complex partial seizures. It had no effect on absence seizures. It had a sedative effect on some people and produced hyperactivity in children.

Between 1960 and 1974, only one new drug was approved for use.
In 1938, diphenylhydantoin, which had failed to be an effective sedative, was discovered to have seizure-preventing properties. It was marketed as Dilantin, and it is still a major drug in epilepsy treatment today. Its generic name was later changed to phenytoin. While Dilantin was effective in the same broad spectrum as phenobarbital, it too had no effect on absence seizures.

In 1945, trimethadione (Tridione) was developed as the first drug for use in absence seizures. For the next fifteen years a series of new antiepileptic drugs was developed, all of which were variations on the same basic chemical structure, which were effective against different types of seizures.

After 1960, the U.S. Food and Drug Administration (FDA) regulations became more strict, requiring that a new drug had to be not only safe but also proved effective against the particular illness it was used to treat. Since antiepileptic drugs had a relatively small sales volume and the costs of testing and marketing new drugs were substantial, U.S. drug companies virtually stopped investigating and developing new products to combat seizures.

Between 1960 and 1974, only one new drug, diazepam (Valium) was approved for use in the treatment of epilepsy. Its major contribution was effectiveness in the treatment of status epilepticus. In 1974, carbamazepine (Tegretol) was approved, and in 1978, valproic acid (Depakene).




What Medications Are Used to Treat a Heart Attack?

The goals of medication therapy are to break up or prevent blood clots, prevent platelets from gathering and sticking to the plaque, stabilize the plaque and prevent further ischemia.

These medications must be given as soon as possible (within one to two hours from the start of your heart attack) to decrease the amount of heart damage. The longer the delay in starting these drugs, the more damage can occur and the less benefit they can provide.

Medications for this purpose may include:

Aspirin to prevent blood clotting that may worsen the heart attack.
Antiplatelets to prevent blood clotting.
Thrombolytic therapy ("clot busters") to dissolve any blood clots that are present in the heart's arteries.
Any combination of the above


My asthma is severe enough that I alway bring a nebublizer with me.
 
The MD who cleared should be thankful the pilot did not allow her to fly. Had something happened to the girl over the ocean, HE would have been the one in hot water.
__________________

good point!
 
Well we do travel with a nebulizer and if you are seizure prone you are usually on meds to begin with. Of course anyone could just have a seizure but if you have a history then most would be on meds. As far as a heart attack, no, you can't stop one obviouly and that is pretty much like getting hit by lightning. You never know if it can happen to you.

Not to be rude, but I think you are missing my point. There are hundreds of medical emergencies that can happen to people with a pre-disposition for them--and there is no where that anyone needs to declare this predisposition--in fact it's most likely illegal to ask questions to find out.

There are also hundreds of things that can happen to people who have never been sick in their life. People who are ill get on planes to take long international flights every day, and the airlines allow them on without batting an eyelash. Yet a girl who is medically cleared is refused passage. Something is just terribly wrong with that picture.

The girl had a common cold. Anyone in the waiting area at the airport with her had already been exposed to it. So that's really not even an excuse. I'm not sure what the issue was with the pilot, but I think he made a very bad judgement--especially because she was cleared by a doctor. Like I said, if my doctor cleared me to fly, and I was denied passage there would be a lawsuit. I don't expect my doctor to fly the plane I'm boarding anymore than I expect the pilot to play doctor. Either one is morally and legally wrong.

Anne
 
The pilot made the decision to have the girl take a later flight. It is what it is and if the family doesn't like it, they don't have to use Continental again.


I know I wouldn't use them again if it were me or my child!!!!!!:thumbsup2
In fact I'm pretty sure I will never use them after this incident.
 
Sometimes you have a cough and you aren't contagious. When I flew to WDW last Dec, I was as sick as a dog. I was taking a lot of meds to control any sneezing/coughing. I knew that folks on the plane with me wouldn't be too happy if they thought they were going to get sick from my germs. My flying companions very nicely allowed me to sit in the window seat so I could sleep..thanks TLinden and CamColt!!! But, after about 3 days, I was feeling much better, except for one thing....I would get these coughing fits. They would be so bad I would start tearing up from it. I got more dirty looks. I wasn't contagious....it just happened. Even tried telling people they were't going to get sick. When I got home, I found out that my new B/P meds were causing the cough!!!
I can imagine how awful that poor girl felt...and her poor parents, what a nightmare for them.

My Mom had the same reaction from her BP meds too! It was really strange and drove her nuts until it was figured out.


I have been diagnosed with a blood clotting disorder and heart problems...I travel with no meds. None have been perscribed.
 
I know I wouldn't use them again if it were me or my child!!!!!!:thumbsup2
In fact I'm pretty sure I will never use them after this incident.

That's the beauty of free enterprise. You have a choice of carriers to fly.

I would have no problem flying them.
 
I bolded that part because you do not have to have asthma to require a nebulizer treatment. 2 weeks ago I was in the ER because I could not breathe. I was administered a nebulizer treatment because it was so bad that I could not even carry on a conversation. I had a cold that apparently had gotten the best of me. I do not have asthma. I did however have bronchitis and most likely pneumonia but since I am pregnant they could not take an X-Ray to be sure. I also had to recieve a steroid shot because my breathing was so bad. I am an adult who has never had a nebulizer treatment in my life. So yeah, I'm sure she could have told them if she had asthma but if she never had any such attack how would she know?

You're right....you don't have to have asthma to need treatment. You also don't have to have some weird communicable disease that makes you cough. Sometimes a cough is a cough....plain and simple and sometimes it's not. I still don't think after being cleared MEDICALLY by a doctor ON SITE that they should have denied her right of passage.

So we should live all by the "what if's" in life no matter where we go or what we do? I "might" have a heart attack while driving...should I not drive? I might have a stroke, I might have a seizure........or I might NOT have them. It was not an OBVIOUS disease or problem medically that she had. It was a COUGH! Most people don't end up in the ER needing a nebulizer so I think possibly you might be "swayed" based on your personal experience recently. She apparently had nothing else rather than a basic cough.

I would think they her checked temp *even by feeling her head someone would KNOW if she was hot* and listening to her lungs it's obvious she DIDN'T have bronchitis OR pneumonia since you were diagnosed without an x-ray

I'm sure she could have been flagged by listening to her chest and lungs. When you get those things you wheeze and any trained physician OR nurse would be able to hear it if it was THAT horrible.

She wouldn't know if she had asthma but I find the likelihood of her "getting asthma" at that particular time highly circumspect. In 10 hours she'd get asthma? Weird. Obviously she DIDN'T and had just a cough and I think they over reacted on this one!


Also- the original post said that she was coughing nonstop. It didn't say she had a coughing fit etc. Nonstop is the key word here.

Yeah it said she coughed NONSTOP....but how long did they let her cough before they yanked her off the plane? NONSTOP while she was on the plane could have been 2 min or 20. Did she stop once she got off??Dunno. Could she have stopped?? Likely but again we don't know. I still think based on the article that the pilot circumvented a physician and kicked a young woman off a plane who had a COUGH.
[/QUOTE]

As for the contract of carriage......Continental claims they CAN deny passage to someone who exhibits a communicable and KNOWN disease that threatens the safety of other passengers. She had a cough.....that's it. How that differs from someone flying with a cold or recently had the stomach flu, is getting the stomach flu or has diarrhea now is beyond me. It's a cough. An ordinary cough that a doctor said she could fly with. But hey...thankfully I don't fly continental so it doesn't matter!
 














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