Overview of the Situation
A 47-year-old Indian seafarer, with no significant past medical history, was hospitalized in Germany presenting with fatigue, abdominal cramps, vomiting, and shortness of breath.
Initial Client Requests
Hospital assessments revealed liver dysfunction and infection, a pancreatic tumor with metastatic spread to the liver, malnourishment, poor oral intake, and an abdominal fluid collection (ascites). The patient, preferring to receive any treatment in his home country, declined a biopsy and palliative chemotherapy.
Escalation and Challenges
As the patient’s condition deteriorated, new information indicated increasing instability with a high risk of rapid deterioration. The initial plan for a nurse escort was revised to a doctor escort to mitigate potential complications during the flight.
Action Plan Implementation
MedResQ’s doctor collaborated with hospital staff to optimize and prepare the patient for transfer, requesting further drainage of ascites before the flight. The patient was transported by ambulance to the airport and required significant observation and treatment during the 2-sector business class flight.
MedResQ’s Response in Action
The MedResQ doctor provided continuous monitoring and care throughout the transfer. Upon arrival, the patient was admitted to a local hospital in India, where he was able to see his family before passing away a few days later.
Successful Resolution
By remaining flexible and responsive to new medical information, MedResQ ensured the patient’s safe repatriation. Changing the escort type from a nurse to a doctor prevented a failed repatriation, reducing costs and delays, and allowing the patient to be with his family in his final days.
