“Miracle on the Hudson” … and the “Sully” movie

Ray Basri, MD, FACP on the day Miracle on Hudson with survivors

Ray Basri, MD, FACP on the day Miracle on Hudson with survivors

Ray Basri MD, FACP with Mayor Bloomberg in NYC after the plane crash, Miracle on Hudson

Ray Basri MD, FACP with Mayor Bloomberg in NYC after the plane crash, Miracle on Hudson

Sully, the movie is being released in a couple of weeks. I’m asked if I’m in it.
Short answer, no. Disappointed? A bit. So how did this big Hollywood movie with Tom Hanks and made by Clint Eastwood miss my role of a lifetime?

My guess is that they cut me in editing the film and I’m on some acetate lying in a dumpster. My version of the story is that I was there in fact and did make the reality version of “Miracle on the Hudson”.

For those that didn’t read my chapter in “Brace for Impact”, I did respond to the scene of the rescue being the first and only physician there. I did so after being broadsided by an NYPD truck and still limped over to help.

When I got there, the first passengers and crew were coming into the passenger ferry terminal on the West Side of Manhattan. I sent the injured stewardess to the hospital by ambulance and met the rest of the flight crew, Sully and Capt. Jeff Skiles before all the passengers were accounted for.

Not to miss my other job as a Senior Aviation Medical Examiner for the FAA, I called the regional flight surgeon and the Federal Air Surgeon to let them know that everyone was safe when they didn’t even know any plane was down in the Hudson.

But most “too good to be true” part was that 2 of my neighbors were passengers on the plane. Diane Higgins and her mother Lulu were the last passengers off the plane. They were my connection to the event more than anything.

So in the movie “Sully”, Diane Higgins is listed in the cast as being played by Valerie Mahaffey. There is a doctor listed in the cast as “Dr. Elizabeth Davis” being played by Anna Gunn. being played by Anna Gunn.

However, there is no “Dr. Elizabeth Davis” and I get no mention. I was hoping to have Brad Pitt take my part but they made it a woman. So there is a fictional doctor being played by an actress.

That’s my claim to Hollywood Legend and I’m sticking to it.
Should be a great flick. Hope you all see it on the big screen.

FLYING AFTER SCUBA DIVING

scuba-diving

I have enjoyed scuba diving for many years. As a physician, I am fascinated with the physiology of barometric pressure and offloading gases within the body.  I did advanced hyperbaric training through Divers Alert Network and through New York Medical College where I am a Clinical Assistant Professor of Medicine.

Decompression sickness is the medical condition arising from dissolved gases coming out of the bloodstream and producing bubbles within the body. This condition is also known as the Bends.

These bubbles can migrate within the body and cause joint pain, paralysis and even death. The most common symptom is local joint pain. Pain in the arms is twice as frequent as pain in the legs. Almost all of the decompression sickness occurs within the first eight hours.

There are various forms of decompression sickness including arterial gas embolism and barotrauma. Some of the most severe conditions arise when air bubbles form in the central nervous system, spinal cord, or brain.  There are so many manifestations of decompression sickness that almost any symptoms occurring after diving could be explained as a consequence.

We typically think of decompression sickness is occurring in scuba divers. However, this also occurs to astronauts when they perform a spacewalk and the pressure in the spacesuit is lower than the pressure in the spacecraft.

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Captain Sully Sullenberger and the Miracle on the Hudson

I turned on the radio and caught the first mention of a plane down in the Hudson. Not just a plane, but a commercial airliner in the river just a half mile away.

By Ray Basri, MD, FACP

I began my morning running a couple of stress tests and then settled into the office seeing patients. That afternoon I drove to Manhattan to pick up some medical equipment on the eastside. When I got back in my car, I turned on the radio and I tuned into one of my presets, WCBS News Radio 880 and caught the first mention of a plane down in the Hudson. Not just a plane, but a commercial airliner in the river just a half-mile away.

Every firefighter would say, “Wow, I’m on it.” I called in to Orange County fire control. I turned on my red lights and drove west cross town to the New York Water Ferry terminal at 38th Street. As I drove there, I had thoughts of 9/11, especially when I got to the West Side Highway going south. I wondered what the rescue would entail. I considered possible injuries during landing such as blunt trauma, deceleration injuries, near drowning, and hypothermia. The weather was in the 20s and moderate wind. The Hudson River was 42 degrees. That would give those in the water only a few minutes to be pulled out.

Thomas Jefferson once said, “I’m a great believer in luck, and I find the harder I work the more I have of it.

I believe in luck and opportunity. Coincidence brought this physician into the fire service 27 years ago. It stuck with me and I with it. I work at my office most days practicing internal medicine and cardiology. I work about 50 miles northwest of Manhattan in Orange County. I am a deputy county fire coordinator and do medical exams for the Federal Aviation Administration in the office. I spend a lot of time with firefighters and pilots. They share a lot in common. Most will be there in a tough time doing everything possible for anyone else. They also are brighter, well-trained, and experienced in handling difficult situations, and even spend endless hours going through simulations of near-death scenarios.

Just my kind of people.

I parked on the West Side Highway and made my way past three security check points into the terminal. It looks like an airport lounge perhaps 120 feet long and 40 feet wide with high ceilings. It is modern with glass along the riverside but no views of the water due to the gangways. When I first got inside, I noticed it was sort of quiet. No shouting, screaming, or panic. That was the first sign that it was good news.

I found the EMS Lieutenant in charge, checked in, and offered my help. He said all the passengers in the area had been triaged and tagged green, with the exception of one with orthopedic injuries tagged yellow. EMS transported this passenger within a few minutes.

The thought started slowly that this was a miracle. Everyone alive and safe, but then I considered that there may be others still not on shore. I asked about that and was told it looked like everyone made it out okay. Major sigh of relief. I called the FAA regional office at JFK Airport and spoke with my boss, Regional Flight Surgeon Dr. Harriet Lester. She patched the call into the Federal Air Surgeon’s office in Washington, D.C. I reported that all was well on the scene.

I looked around the room and saw most of the passengers sitting quietly by themselves, most in their own clothes and some wrapped in sheets or turnout coats. Coffee was being distributed, and their hands were shaking. Most looked straight ahead, absorbed in thought. A few groups of two or three passengers spoke softly about the landing. One told me that touching down in the Hudson had been as gentle as any runway landing. I didn’t see many cell phones. When I asked why, everyone said they have already made the important calls. While some New Yorkers would call everyone in that situation, the reality is that it was a quiet time.

There were several head counts done. There were many detectives, some FBI, and emergency management doing interviews of all the passengers. The flight crew was a bit off to the side by the windows. They were smiling and confident. They said it was the only successful water landing of a commercial airliner ever and they had done it. The captain, Chesley B. Sullenberger, III, was standing away from the passengers quietly accepting congratulations. His uniform was as impeccably pressed as if he was boarding his flight. He was soft spoken and gracious. Later, I spoke with Mayor Bloomberg, who is an accomplished fixed wing and rotary pilot. He spoke glowingly of the pilot and first officer’s skill to bring the plane in safely.

Everyone had been in the water up to at least their shins. Some passengers were soaked, and they got out of their clothes and into sheets, then blankets. One young man was in his best suit, tie set just right, and I went over and said to him that he looked just like he was going to an interview. He laughed and said he did just before getting on the plane. His name is Richard Jamison and he finished his internship interview early so he could take an earlier flight home. I told him I would be delighted to call the program director on his behalf so that this was not his first and last visit to NYC. I told him about the possibility some passengers may develop post-traumatic stress disorder (PTSD). I had read some research recommending giving those at risk beta-blocker blood pressure medication soon after their experience. Some studies showed that this lessens the severity of PTSD later by diminishing the mind’s initial reaction to the stress. I kidded around that this would be a good place to test the theory. We spoke for a while and he seemed to relax. Would his life change after this? He said he would let me know.

Now there were another two passengers with luck and coincidence that afternoon. While I was working with the injured passenger, I heard, “Dr. Basri, is that you?” from behind me. I turned around and it was Diane Higgins and her mother, Lucille. I doubt either of us could believe a friend and patient could meet their doctor like this. Fortunately, they were safe and sound. Diane and her husband, John, live in Goshen, as I do, and John is a former fire commissioner, as well. None of us could get over the little hometown reunion. Diane was worried that her elderly mother may have been injured, so I gave her a thorough exam. Lucille was fine but a bit cold so I got her shoes and socks off and wrapped her feet in a blanket. We will be telling this story at the firehouse for many years to come. We thought no one back home would believe the coincidence, so we took photos. Sometimes, truth is stranger than fiction. Just good luck all the way around.

 

Dr. Basri is a senior aviation medical examiner who practices internal medicine and cardiology inNew York. He is also a volunteer firefighter with the Excelsior Hook and Ladder Company in Middletown, N.Y, and deputy Orange County fire coordinator. In addition to his private practice, Dr. Basri is an attending physician at Orange Regional Medical Center, consulting staff at The Valley Hospital in Ridgewood, N.J., and a Clinical Assistant Professor of Medicine at New York Medical College.

Revolutionary Virtual Medical Care via Skype Now

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Please use our Online Scheduling System to arrange the consultation or call to the listed numbers in our website.

Before your Consultation please fill out “Patient Forms” or be ready to have answers for these questions regarding with your medical history.

 

 

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Pilot Medical Certification Questions and Answers

Q

 

uestions & Answers:

 

medical

http://www.faa.gov/licenses_certificates/medical_certification/faq/

  1. What is a medical certificate?
  2. How do I obtain a medical certificate?
  3. Who must hold a medical certificate?
  4. What class of medical certificate must I hold and how long is it valid?
  5. What medical standards must I meet in order to qualify for a medical certificate?
  6. What medical conditions does the FAA consider disqualifying?
  7. What are the minimum and maximum ages for obtaining a medical certificate?
  8. Can I get my student pilot certificate at the same time I take my initial flight physical?
  9. What does it cost to get a medical certificate?
  10. Am I prohibited from exercising the privileges of my pilot certificate during medical deficiency?
  11. I have some medical problems and would like to learn whether I can be issued airman medical certification. Where can I get further information?
  12. Is a pilot required to report to the FAA that he or she has undergone LASIK or other laser eye surgery to correct vision?
  13. Can I appeal if my application for medical certification is denied?
  14. How does the appeal process work?
  15. How can I contact the FAA about my medical certificate?
  16. What should I do if I hold a foreign medical certificate or endorsement and I want to exercise pilot privileges in the United States?
  17. I lost my medical certificate; how can I obtain a copy?

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Successful Return Of a Career Commercial Airline Pilot

I am a senior aviation medical examiner for the FAA.  Part of my duties is to provide pilot with medical consultations so that despite medical issues, they can continue to be certified his meeting the requirements for duty.

I am a specialist in diagnostic cardiology and use the tools of trade to facilitate special issuance for these pilots.  Doing so often means the difference between continuing one’s career and livelihood or beginning a forced disability or retirement.

I routinely help pilots navigate the administrative hurdles necessary to regain medical certification.   Over the years pilots being examined for FAA certification have chosen me as their primary physician 80% of the time.  They do this because they know that my skills allow me to diagnose earlier and began treatment when needed.

I am also keenly aware that regaining ones medical certification after cardiac event wires an intimate knowledge of the process.  I am often able to recertify a pilot after exactly six months which is the minimum required under FAA guidelines.

As an example of this, the following letter illustrates a routine case of pilot who suffered a myocardial infarction and cardiac stents.  I routinely provide the cardiac  evaluations including stress testing so that a comprehensive report can be submitted to the FAA.

The following letter is taken directly from the records of the pilot who successfully resume his career he currently maintains excellent health.

Courtney Scott, DO

Manager, Aeromedical Certification Division
PO Box 26080
Oklahoma City, OK 73126

Re:  Capt Smith
DOB: 05-22-55

Dear Dr. Scott,

I performed the cardiovascular exam as per protocol for the first request for Authorization for Special Issuance of a First Class Medical Certificate.

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