Yes, I'm slacking...

I had a migraine headache and it slowed me down a bit but I'm back and thanks to drugs and osteopathy, I am better.
So here's what's happened while you've been gone (where were you , anyway?)...
I got a call about a patient who was being sent to the Role 3 as a medevac for "a little chest pain and shortness of breath." No big deal. He was coming in at 2300 so I went to bed with my phone next to the bed. I figured they could call me if anything happened. I woke up, checked my phone and no call. All good. Around 100 I got a call that he was "ready to be picked up." Cool, I thought. I will toodle on down in the forerunner and pick him up and bring him back to the clinic, read his chart and ask him if he wanted to go home. I walked in to talk the the  PAD (admitting corpsman) who was gathering his stuff for me to take with him. As I was talking a doctor tapped me on the shoulder to ask me if I was here about Mr. X. "Yes I'm, " I said. "Ok, well he's intubated and has been given thrombolytics because I think that he has had another pulmonary embolism. He's still unconscious. Would it be easier for you if we tried to extubate him?" Um, you mean to get him into my SUV? Ah, cause I didn't bring a ventilator. Maybe if I drove with the windows down...
Turns out that, as they said in "Cool Hand Luke," we had a failure to communicate. He needs a medevac. Quickly. One with a bunch of fancy medical stuff in it. And a doctor, nurse, respiratory therapist. You know, the usual. "I'll be right back," I told the doc. I went down to the ICU and there was Mr. X. Not looking so good. I told the nurse not to extubate him (pull the tube out). "There's no way we're doing that," she said. I love ICU nurses. Literally. So off I went to start writing emergency emails. I told the staff at the clinic my story and that the docs will have to cover for me. No problem. They are great at pulling together and working as a team when they have to. So phone calls were made, emails were sent. Updates provided. Many trips back and forth to the Role 3. The pt.left at 0200 that day. He is in Dubai and actually doing better. Step one of why I had a migraine.