I was taken off a cruise ship for a medical emergency. It was dramatic, but I was so happy I had travel insurance
In:Nobody wants to think about their long-awaited vacation coming to a screeching halt because of a sudden illness. However, life doesn't slow down even when we're miles out at sea.

If you get sick on a cruise ship, the severity of your illness will determine whether you can be treated in the onboard medical center or require an urgent medical evacuation.
Either way, you are looking at a situation that can become very costly very quickly. For example, medical evacuations can cost upward of $250,000, according to the Centers for Disease Control and Prevention (CDC).
One recent passenger shared their experience being medically evacuated from a Royal Caribbean cruise ship. The person, who goes by Ditchdoc on the Royal Caribbean Blog discussion forum website, described how the sudden onset of dizziness and shortness of breath quickly developed into a life-threatening situation.

"On the morning of the fifth day of a seven-day cruise [the Radiance of the Seas ship] was in Nassau Bahamas. I went to the gym around 7 AM even though I was feeling a little rough. I had been dealing with sinus issues, and I had [a] few drinks the previous evening. After only 2 or 3 minutes of lifting some light weights, I became dizzy and short of breath," they began.
"I left the gym and found a nearby deck chair to sit on for a few minutes. I went back to our cabin to [lie] down... [A]fter about an hour I had a bowel movement that is commonly called 'a dark, tarry stool.' I have 25 years' experience as a paramedic and 13 years' experience as a nurse, and I recognized at this point I had an upper GI bleed. That is, I was losing blood, probably in my stomach."
Ditchdoc did not want to frighten his wife and assumed that since the cruise was almost over, the issue could be dealt with when they returned home. He also wanted to avoid going to the ship's medical center, knowing the visit would likely be expensive.

Instead, he skipped a planned shore excursion and stayed back to rest, but by the time she returned that afternoon, his condition had worsened.
"She got back about 2 in the afternoon, and I walked up one flight of stairs to the Windjammer. Again, I was dizzy and out of breath and could barely get to a chair to sit down and I had no appetite. We went back to the cabin where I had another black-looking bowel movement... My wife called 911, yes, that is what you call on the ship, and convinced the person on the other end [that] they needed to come to our cabin, he continues.
After a brief check-up in his stateroom, where it was discovered that one of his symptoms was a resting heart rate of around 110, the two first responders and the security officer determined he needed to be seen in the medical center.
His time in the medical center was brief

Once in the medical center, Ditchdoc explained his symptoms, and the doctor ordered a CBC (complete blood count) test and chest x-ray.
The results revealed that his hemoglobin was at 6.8, whereas the typical hemoglobin for a healthy adult male is around 14 to 16. This quickly explained why he was feeling dizzy and short of breath, escalating the emergency medical condition.
"The primary treatment would be administering units of whole blood via an IV and a[n] esophagogastroduodenoscopy or EGD. An EGD is a tube with a camera inserted through the mouth, into the stomach to look for and correct any bleeding. It is usually done by a gastrointestinal specialist," he says.

"What could be done in the [ship's] medical center was start [an] IV to help replace fluid loss. This helps increase blood pressure even if it does not increase oxygen. Next they hung a drip of protonix which reduces stomach acid and improves clotting and finally they pushed tranexamic acid (TXA) via IV to counteract the anti-clotting effects of blood thinners like the aspirin I take on a regular basis."
Ditchdoc was thankful for the treatment on the ship, which he thinks was instrumental in slowing down and stopping the internal bleeding. However, without access to whole blood or the specialized testing needed to determine blood type, there was little choice but to transfer him off the ship to a larger medical facility that could provide the care he needed.
"By now, the ship had two doctors and four nurses involved in addition to upper management in Guest Relations, a Care Team and Security," he recalls.

"At this point, the ship had already departed Nassau Bahamas about an hour earlier. The next port had no medical facilities at all. The ship turned around and went back to Nassau."
The hospital in Nassau allegedly did not provide great care

Royal Caribbean assigned two crew members to help Ditchdoc's wife quickly pack up their cabin, along with a crew member who disembarked the ship and acted as a personal assistant and escort.
"[She helped my wife] with anything she [needed] including meals, [a] hotel and such. She would eventually pay her own way but having someone assist with our hastily packed luggage, who was familiar with Nassau, was generous and helpful. There was no charge for this assistance," he says.
He was disembarked on a stretcher and placed in an ambulance, observing people on the top decks and balconies watching the scene unfold in real-time.

"Initially they were quiet until I raised my hand and [waved] at which point they broke out into cheering," Ditchdoc adds.
He was transported to the Princess Margaret Hospital in Nassau, where he spent the next roughly 15 hours receiving minimal treatment.
"I was placed on an ambulance style cot with no sheet, pillow or blanket. A few of the staff there showed some compassion but mostly they did not seem to care whether I was there or not," he alleges.

"About 1 AM, my wife who had gone to a local hotel with the help of the Royal Caribbean Care Team Member, called me to let me know an air evacuation had been arranged. This was probably the best call I ever received in my life."
He was medically evacuated from The Bahamas to South Florida

Royal Caribbean coordinated the air evacuation through Offshore Medical Logistics. The doctor in charge of the air evacuation confirmed that the flight would arrive at noon, and the medical team would bring whole blood.
"At a time when I was not sure just what the future held in terms of getting proper treatment, Royal Caribbean staff had once again stepped up and provided exactly what was needed even though I was no longer on the ship," he remarks.
"On schedule, the air evacuation team arrived. Before we could leave my wife had to pay almost $1,000 for various 'treatments' I never got... [Once] we left the building the air crew (a nurse and a paramedic) immediately started a unit of whole blood. Another bumpy ride in an old ambulance to the airport and shortly we (my wife and I) were in the air on the way back [to] the United States about 2PM."

Ditchdoc was transferred to Broward County Hospital by 5 p.m. for further treatment, and shortly after his arrival, he saw a doctor and several nurses, along with a patient advocate. He also had blood drawn, an additional IV started, antibiotics administered, and tests scheduled, with arrangements made for admission to a private room in the medical-surgical unit.
Royal Caribbean managed to get the couple's luggage back to the U.S.

In addition to the medical care itself, Royal Caribbean also helped the couple manage their luggage under extreme time pressure.
"It was just too much and too heavy to include on the medical evacuation flight, a small Lear 35 twin engine jet. The Royal Caribbean Care Team Member [who] had been so instrumental in taking care of my wife's needs made sure our luggage was transferred to the next available Royal Caribbean ship departing Nassau, coming back to the US," he explains.
"This happened to be Symphony of the Seas returning to Port Miami two days after I was discharged from the hospital."
Always buy travel insurance

Ditchdoc was charged $3,100 for treatment aboard the cruise ship, along with nearly $1,000 by the hospital in Nassau. However, he expects both to be reimbursed by their travel insurance policy, in addition to the hotel stay and necessary food purchases.
The most costly expense was the medical evacuation, which cost over $120,000.
"I just found out what the air evacuation bill was. Are you sitting down? A bit over 126k. I was only off by an order of magnitude or so," he commented on the discussion forum thread.




























































































