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John Rei Trasmañas

High Altitude Crisis: A Stroke at 30,000 Feet



I recently had a dramatic experience that highlighted the importance of proper disease management. On a 14-hour flight from the USA to the Philippines, I led a medical rescue team to help a passenger named Evelyn, who was close to a fatal event.


Halfway through the flight, an announcement called for medical professionals. I responded and found Evelyn, a diabetic passenger, in distress. She was disoriented and unable to communicate clearly. Some suggested giving her orange juice, assuming low blood sugar, but I insisted on checking her levels first. A fellow passenger provided a blood sugar meter, which read "HI," indicating extremely high levels.


Evelyn's blood pressure was dangerously high as well. Without proper medication on board, we relied on fellow passengers who had insulin and blood pressure meds. We administered these and monitored her condition, gradually stabilizing her blood sugar and blood pressure. By the time we landed, Evelyn was coherent and responsive.


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This experience teaches three key lessons:

  1. Never discontinue medications without a doctor's advice.

  2. Always keep medications in your carry-on bag for easy access.

  3. Carry monitoring devices, like a blood sugar meter, to accurately assess your condition before taking action.


Managing chronic diseases like diabetes and hypertension is crucial to preventing severe complications like heart attacks and strokes. Stay informed, stay prepared, and always prioritize your health.

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