MD88 just level FL310 when cabin attendant had a very ill passenger. Captain requested priority handling and return to mke. Company wanted aircraft land msn account closer and after numerous turns to get down landed msn. Emt's meet aircraft and passenger was removed from flight. No doctor on board.

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Attributes
ACN	365738
Time
Date	199704
Day	Mon
Local Time Of Day	1801 To 2400
Place
Locale Reference	atc facility : mke
State Reference	WI
Altitude	msl bound lower : 31000 msl bound upper : 31000
Environment
Flight Conditions	VMC
Light	Night
Aircraft 1
Controlling Facilities	artcc : zau
Operator	common carrier : air carrier
Make Model Name	MD-88
Operating Under FAR Part	Part 121
Navigation In Use	Other Other
Flight Phase	cruise other other other
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Qualification	pilot : cfi pilot : atp
Experience	flight time last 90 days : 200 flight time total : 15000 flight time type : 4600
ASRS Report	365738
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : commercial pilot : instrument
Events
Anomaly	other anomaly other
Independent Detector	other other : unspecified
Resolutory Action	flight crew : declared emergency other
Consequence	other

Narrative:

Leveled off at FL310, in cruise. Flight attendant came to cockpit emotionally concerned. Passenger sitting in xx was having stroke/heart attack type symptoms. No doctor was on board. We requested turn direct mke (home domicile/departure point/descent profile -- 150 NM) chicago gave us priority handling -- outstanding job! Company then requested land in msn (county airport). We did not understand this, they said it was closer, however, with the descent profile we had to do turns to get down in time to land msn. Landed msn without problems. Emt's met aircraft, gave passenger oxygen, checked blood pressure. Found she was heavily medicated and was traveling with son and daughter. She had history of medical problems. Her doctor would not give us a release to allow her to continue as she had requested. Captain's decision, deplane passenger, seek medical release before further flight! Flight continued onto destination lax. Difficult occurrence at the beginning of a 3 leg red-eye mke-lax- las-mke.

Original NASA ASRS Text

Title: MD88 JUST LEVEL FL310 WHEN CABIN ATTENDANT HAD A VERY ILL PAX. CAPT REQUESTED PRIORITY HANDLING AND RETURN TO MKE. COMPANY WANTED ACFT LAND MSN ACCOUNT CLOSER AND AFTER NUMEROUS TURNS TO GET DOWN LANDED MSN. EMT'S MEET ACFT AND PAX WAS REMOVED FROM FLT. NO DOCTOR ON BOARD.

Narrative: LEVELED OFF AT FL310, IN CRUISE. FLT ATTENDANT CAME TO COCKPIT EMOTIONALLY CONCERNED. PAX SITTING IN XX WAS HAVING STROKE/HEART ATTACK TYPE SYMPTOMS. NO DOCTOR WAS ON BOARD. WE REQUESTED TURN DIRECT MKE (HOME DOMICILE/DEP POINT/DSCNT PROFILE -- 150 NM) CHICAGO GAVE US PRIORITY HANDLING -- OUTSTANDING JOB! COMPANY THEN REQUESTED LAND IN MSN (COUNTY ARPT). WE DID NOT UNDERSTAND THIS, THEY SAID IT WAS CLOSER, HOWEVER, WITH THE DSCNT PROFILE WE HAD TO DO TURNS TO GET DOWN IN TIME TO LAND MSN. LANDED MSN WITHOUT PROBS. EMT'S MET ACFT, GAVE PAX OXYGEN, CHKED BLOOD PRESSURE. FOUND SHE WAS HEAVILY MEDICATED AND WAS TRAVELING WITH SON AND DAUGHTER. SHE HAD HISTORY OF MEDICAL PROBS. HER DOCTOR WOULD NOT GIVE US A RELEASE TO ALLOW HER TO CONTINUE AS SHE HAD REQUESTED. CAPT'S DECISION, DEPLANE PAX, SEEK MEDICAL RELEASE BEFORE FURTHER FLT! FLT CONTINUED ONTO DEST LAX. DIFFICULT OCCURRENCE AT THE BEGINNING OF A 3 LEG RED-EYE MKE-LAX- LAS-MKE.

Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.