A lifesaving odyssey:

the tale of Baby Mary

AMREF Flying Doctors (AFD) recounts how its team took a seven-month-old to India for a vital heart operation.

In the dynamic landscape of medical assistance and medical transports, where unforeseen situations can cast a shadow of uncertainty and helplessness, AMREF Flying Doctors (AFD) emerges as a trusted partner and one-stop solution, offering global medical escort services next to its well-known air ambulance transports.
This extraordinary medical service involves a highly specialised team of healthcare professionals – nurses and doctors – each armed with a wealth of experience in critical care, emergency medicine, and pre-hospital care. Their mission: to facilitate the safe transport of patients facing a diverse array of medical conditions, ranging from traumatic injuries to complex chronic illnesses like stroke, cardiac disease, and even psychiatric disorders, on commercial carriers.
The primary clientele for AFD’s medical escort service comprises patients with travel insurance coverage, a demographic that often opts for extended hospital stays to be fit to travel on commercial carriers. This strategic choice is made by assistance companies in lieu of the more financially burdensome air ambulance alternative. The orchestration of a commercial escort flight is a complex and multifaceted endeavour, demanding meticulous planning that factors in the patient’s fitness to fly, potential discomfort to fellow passengers, and logistical challenges such as layovers and connecting flights.
A relationship with Kenya Airways
In navigating these intricacies, AFD has established a symbiotic partnership with Kenya Airways, the national carrier, which plays a pivotal role in the success of each mission. This collaboration facilitates the medical clearance of patients and ensures the seamless coordination of travel arrangements, thereby underscoring the critical role that collaboration and strategic alliances play in achieving optimal outcomes in the realm of medical escorts.
Moreover, AFD’s in-house dedicated ticketing agency plays a crucial role in securing cost-effective prices for last-minute flight bookings at any hour of the day. This becomes particularly vital in scenarios where time is of the essence, and the urgency of the situation requires prompt and efficient response. In addition, visa arrangements for medical escorts are streamlined, ensuring a state of constant readiness for prompt deployment to any corner of the globe.
A young, vulnerable patient
The compelling narrative of AFD’s medical escort service finds its most poignant expression in the heartfelt story of Baby Mary – a case that truly underscores the lifesaving potential of this innovative approach. Born with a complex congenital heart disease, Baby Mary faced a critical health crisis at just seven months old. A strategic alliance between AFD, a paediatric cardiothoracic surgeon in Chennai, India, and the determined father created a lifeline for the infant, illustrating how collaborative efforts can transform despair into hope.
The initial consideration of utilising an air ambulance was overshadowed by the weight of cost constraints, prompting the exploration of the commercial carrier option. Dr Joseph Lelo, AFD’s Medical Director, engaged in extensive consultations with the family and worked closely with Kenya Airways to craft a comprehensive plan. The result was a meticulously coordinated effort involving AFD’s medical team, Kenya Airways personnel, and an Indian critical care medical team.

The journey begins
The odyssey commenced on Christmas Eve, with the AFD medical escort team overseeing the safe transport of Baby Mary. The journey, while not without its challenges, showcased the team’s expertise, dedication, and seamless collaboration with Kenya Airways, ensuring a smooth and secure transfer. Baby Mary, requiring sedation throughout the flight and equipped with an oral gastric tube for supplemental feeding, remained stable during the sixhour journey to Mumbai.
Upon arrival, a transition to an airport ambulance marked the next phase of the odyssey. Accompanied by parents and the AFD medical team, Baby Mary met the next medical contingent, who assumed responsibility for the infant’s care. The subsequent two-hour flight to Chennai witnessed Baby Mary’s continued stability, culminating in a safe arrival at the hospital where the critical procedure awaited.
While the decision to utilise a commercial carrier for such a delicate case may raise eyebrows, AFD remained steadfast in its commitment to its core values: deep passion for its mission, its customers, and its personnel. The organisation’s determination to ‘Get it done, now’ was palpable as the family sought an affordable lifeline, and AFD rose to the occasion, finding an innovative solution to provide much needed assistance while upholding the highest standards of care.
A positive outcome
In early March, a heartwarming update arrived at AMREF Flying Doctors’ headquarters in Kenya: a brief video clip of Baby Mary playing in his cot. The successful congenital heart surgery had set the infant on the path to recovery, marking a poignant and triumphant conclusion to his medical journey. The conclusion of this saga stands as a testament to the collaborative efforts, innovation, and unwavering commitment of AMREF Flying Doctors in their noble mission to save lives and provide exceptional medical escort services.
In essence, the tale of Baby Mary reflects not only the success of a single mission but also serves as a powerful metaphor for the broader impact and potential of AFD’s pioneering approach to critical medical escort services. It signifies the relentless pursuit of excellence, the breaking down of barriers, and the unwavering commitment to providing timely and lifesaving solutions in the face of adversity. The odyssey of Baby Mary is not just a story; it is a testament to the transformative power of collaborative efforts of the whole AMREF Flying Doctors’ team, who go above and beyond to provide the most efficient and most extraordinary care for each patient cared for under AFD’s wings.

 

This article originally appeared in
Assistance & Repatriation Review | April 2024

Shortly after the first contact, AFD was able to confirm that the patient held valid insurance and coverage and started making arrangements for the patient to be transported in a more adequate facility. It was determined that a transport to Nairobi, Kenya, was the best option for better medical access, as well as for organising the patient’s repatriation home. Quotes for the evacuation to Nairobi via Air Ambulance were obtained and the flight done by the AFD Team was confirmed for the following day at first light, as Arusha Airstrip is a daylight operation only.

Whilst AMREF Flying Doctor’s aircraft was on the way to Arusha, the hospital bill was settled, and the patient was prepared for transport. Upon arrival, AFD’s team picked up the patient from the hospital as per AFD’s policy of bed-to-bed-service, to assure seamless treatment and monitoring throughout the transfer.

As Nairobi had not been a planned destination for the patient or his wife, AMREF Flying Doctor’s team assisted with several services, such as placing a payment guarantee at the hospital, obtaining a phone SIM card for the patient’s wife, and arranging a hotel for her near to her husband’s hospital.

The patient remained in hospital for 24 days, during which he underwent various tests and investigations, had a surgical intervention for the fractures, and underwent physiotherapy. AFD’s medical team continued to monitor his progress, and when the patient was eventually declared fit to fly on a commercial airline with medical escort, AFD was tasked to arrange the same.

Being well versed in arranging commercial escorts worldwide, AFD’s team started the process by obtaining medical clearance from the commercial carrier that would take the patient, his wife and AFD’smedical escort back to Canada. AFD also purchased the tickets, arranged for ground ambulance and wheelchair assistance throughout the trip, and coordinated his arrival back home.

An in-person pre-flight assessment was performed by AFD’s medical escort prior to the flight to assure that the patient was sufficiently stable and well informed about all steps of the trip.

The repatriation went very well, the patient remained stable and was comfortable at all times. Upon arrival in Ottawa, the AMREF Flying Doctor’s team escorted the patient and his wife to his residence and returned to Nairobi the day after.

Another successful case and mission done by AMREF Flying Doctors – who are equipped for all kind of assistance and aero-medical needs in Africa. Due to AFD’s deep understanding of the circumstances and longstanding experience in providing medical services and assistance in Africa, AFD’s team could support the client on every step of the way. From the first medical information, followed by the initial aeromedical transport to the nearest centre of excellence, covering the costs in all hospitals, to the commercial medical escort that brought the patient home AMREF Flying Doctors was always there for the patient, while helping the insurer to fulfil the obligations towards his client in the best way possible.

FIRST PUBLISHED IN – Assistance & Repatriation Review | April 2023

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