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Tiffany Hawk

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Why Can't Airlines Get It Right?

Posted: 01/15/12 08:00 AM ET

Because passengers expect too much.

I'm not denying that there are bad flight attendants out there. God knows I've seen them. Hell, on a really bad flight, I've probably been one. But lately, when it comes to high-profile airline "horror stories" the problem is usually the passenger.

Last week, the Wall Street Journal embraced the story of one such passenger. En route from Rome to New York, Marisa Acocella Marchetto became nauseous, pale and began experiencing a searing pain under her rib cage, so she asked a flight attendant if they had anything for an upset stomach. Of course, a 767 isn't a CVS and isn't licensed to dispense medication other than aspirin (some airlines won't go that far), so they didn't. Marchetto got upset about this, even though she now admits that she had a spicy dinner and forgot to bring a Tums. So she curled up into the fetal position and then asked the flight attendant to page for medical assistance.

If a doctor had responded, the flight attendant could have checked his or her credentials and then allowed the physician to assess Marchetto's condition and begin proper treatment. When no one answered the page, Marchetto asked the flight attendant to call her doctor on the ground.

Even if he could have been reached in this emergency, a crewmember can't begin using directed medical intervention -- there are extensive medical kits onboard for emergencies with pills, injections, defibrillators, etc. -- based on the instructions of an anonymous voice whose credentials can't be checked. Obviously.

Instead, the flight attendant called MedLink, a global response program and level-one trauma center in Phoenix that has been vetted by the FAA. Because the symptoms were consistent with a heart attack, the doctors there decided that a precautionary emergency landing was the safest course of action, presumably aware that the flight would soon be crossing the North Atlantic.

Suddenly, Marchetto decided all she needed was an antacid. So why did she want a doctor paged or her own doctor called? What could either have done to get her an antacid?

Well, at the mention of an antacid, a nearby passenger offered up a Nexium, a pill for heartburn sold by prescription only. News flash: Flight attendants can't write prescriptions or dispense prescription drugs.

Regardless, Marchetto was then under the care of the doctors at MedLink, who preferred to get her on the ground for treatment, what with her fetal position and pale color and growing anxiety and the fact that she has asked for a doctor and commandeered the flight attendant for all this time. Clearly there was a good chance that they were dealing with more than an upset stomach.

Perhaps fearing the rage of other passengers or being asked to pay the tens of thousands of dollars it would cost to divert, Marchetto then insisted it was nothing but heartburn and she didn't, in fact, need a doctor. But as flight attendant Bobbie Laurie points out on his blog Up, Up and a Gay, once MedLink is called, a crewmember can't legally or morally override that doctor's decision and administer an antacid, or any other protocol, instead.

I'm no medical expert, but I'm pretty sure that the friendly nurse passenger who turned up to proclaim that it wasn't a heart attack (based not on extensive testing but on observable heart-rate) couldn't have trumped a physician's orders either. Nor would it have been legal for her to administer the prescription Nexium without, um, a prescription.

So, they diverted to Shannon, one of the last possible landing fields before heading out over the Atlantic Ocean. Fortunately, Marchetto began feeling all better. Still, to be safe, she was taken to the hospital for observation. Lo and behold, after all that drama, she had some heartburn and was given an antacid.

And now the Wall Street Journal is proclaiming the crewmember who spent an entire flight administering to this woman's needs "The Flight Attendant from Hell." She is even compared to Kathy Bates's psychotic, kidnapping character in the thriller Misery.

As someone who has asked my pilots for an emergency medical landing -- which leads to untold costs for the airline, mountains of paperwork and hundreds of pissed off passengers -- please believe me that diverting is the next-to-last thing any crew wants. The last thing they want? To kill someone because it was easier to keep going.

Besides, what if this flight attendant had listened to Marchetto's changing tune and somehow convinced the pilots to press on over the ocean to New York? Ask RyanAir who is under fire for not diverting when a passenger, who declined that option, was later found to be suffering a heart attack.

When you work for an airline, it seems you just can't win.

 

Follow Tiffany Hawk on Twitter: www.twitter.com/tiffanyhawk

Because passengers expect too much. I'm not denying that there are bad flight attendants out there. God knows I've seen them. Hell, on a really bad flight, I've probably been one. But lately, when i...
Because passengers expect too much. I'm not denying that there are bad flight attendants out there. God knows I've seen them. Hell, on a really bad flight, I've probably been one. But lately, when i...
 
 
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This user has chosen to opt out of the Badges program
12:42 PM on 01/31/2012
Have you submitted your article to WSJ? I hope so, for a balanced perspective.
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Montanagrl
10:34 AM on 01/17/2012
ok - S**t happens. Turbulence. Fear Crying babies. Gas.

To take it out on the over-worked and underpaid f/as is just flat out wrong. There was a time I wanted to BE an International Flight Attendent. Went to college in Europe so I could get a good command of French and German (that didn't happen). It was on all the trans-Atlantic flights back and forth that I realized: I REALLY don't want to be a flight attendent. Too much abuse. So I became a commodities broker instead. Go figure.

But I digress. People! PREPARE. Your carry-on should contain not only a supply of any meds you take regularly, but your own little med kit: a roll of Tums, some tylenol, immodium, OTC sleep-aids, candy if you're diabetic, etc. You just never know.
08:12 AM on 01/17/2012
I am a Continental airlines f/a and I salut ms. Hawk for publishing this story. It should be on all major tv news stations so people will learn to appreciate our job.
I love my job and take a lot of abuse from passengers who seem to think we are there as private nurses , teachers,mothers and trash collectors.Maybe it's time someone will educate them about flying and behaving in the friendly skys
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01:21 PM on 01/16/2012
Sorry, but once MedLink is involved, nobody else has any say in the matter and their recommendations MUST be followed. Operational concerns are still the province of the Captain, of course; had Shannon been below minimums, MedLink can't tell the Captain to go try the approach anyway but the flight does have to deviate to the closest acceptable airport.with medical facilities available.

Like it or not, MedLink calls the shots in cases like this and nobody else can override their medical decisions.
VA Jill
Retired RN, Army mom. Bring the troops home!
12:44 PM on 01/16/2012
In this case, the flight attendant followed procedure and apparently did all she could. Ms Marchetto needs to get over herself. However, that said, There most definitely *are* problem flight attendants. I never fly United if I can help it because I find their flight attendants almost universally surly. If you hate your job and your clientele so much, go do something else. Unlike (apparently) some others, I've never had a problem with Southwest flight attendants. USAir is spotty but generally okay; their problem is that they never have enough box lunches! I find Delta pretty much like United.
06:34 PM on 01/16/2012
I became a flight attendant at the age of 59 (I am now 60), and I fly for a regional airline that is contracted by bothe Delta and United to fly their Delta Connections and United Express flights respectively. I love my job and I' m sure it shows since I get quite a few positive comments and written commendations. I also get many comments stating that I am the best UA flight attendant they have ever flown with in their many years of flying. I take it as quite a complement, but an unfortunately stinging indictment of the many other UA FAs. I have been a passenger long before I was an FA, and my approach is one of just plain kindness, consideration and a sincere concern for service MY passengers. Even a career UA FA wrote a note of commendation for me to give to my Chief FA, commenting that I was the best she's seen. It's sad since I dont do anything other than offer sincere smiles, assistance and conversation...because that's what I want and expect as a passenger. That doesn't mean that I take any guff from cranky, mean passengers, I can hold my own in a professional yet stern manner. I have a sense of humor and a little fun with my passengers, and this ensures their attention during the all-important announcements.
12:55 AM on 01/16/2012
that's why I don't eat the airline food!!
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Tiffany Hawk
12:15 PM on 01/15/2012
A Twitter user (@jpmcdonough) pointed out that I could have made it more clear that the Wall Street Journal story's author was Marisa Acocella Marchetto, the passenger in question.
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oferdesade
11:23 AM on 01/15/2012
i'd like to say a good word about flight attendants: especially on elal. they go out of their way to provide excellent service even in these times of cutbacks that make their lives harder. the sad part is the cynicism of their bosses. on el al, for example, you get 25 points for a return flight tel aviv rome. you need 800 p;oints to get a freebe. you dont get any points for tickets purchased on their special deels website. your points get old and you lsoe them after a relatively short time. the result - people will stop buying elal tickets on the ineternet, which is becoming the major source for buyinf=g tickets. the attendants, who sweat blood will have to be fired. the cynical desk jockeys will get a raise.
10:59 AM on 01/15/2012
Culture, culture, culture - if Americans can't see that's the root of their problems, they can stew in their own juices.
12:16 PM on 01/15/2012
At what point did this become a problem exhibited by ALL Americans? Marisa Acocella Marchetto apparently feels entitled, and is enabled by her high profile (how many of us could publish such a polemic as hers in the Wall Street Journal?) - but that's an entirely different problem. I'm quite sympathetic to the position taken by Ms. Hawk here, and I think the vast majority of Americans would be as well.
08:52 AM on 01/16/2012
If you don't see it yet, you will when it finally drowns you.