Narrative:

The purser advised that our relief first officer had spent most of first two hours of flight in restroom extremely sick. Two volunteer doctors who were attending diagnosed an apparent kidney stone because pain moved toward lower back abdomen. Following a consultation with a company contracted doctor through dispatch the decision made to have the attending physician administer a vicodin shot.the pilot's condition stabilized and the decision made to continue the flight with the remaining two pilots. The sick pilot was declared incapacitated for further flight duties. I sought guidance from the duty flight manager as to our legality to continue flight with the remaining crewmembers projected at ten plus hours of flight time. Response received was 'captain you are legal to continue flight beyond eight hours with a two man crew'. The remaining first officer and I made the joint decision that we were both fit to continue flight projected at ten plus hours.the ill first officer improved throughout remainder of flight and was met by flight operations personnel upon block in and support was provided by flight management to return him and his wife to their home. Ideally; the purser should have notified the cockpit earlier when he recognized the relief first officer was spending an inordinate amount of time in the rest room and not in the rest seat. I sought guidance from the company in regards to far legality because I did not have appropriate resources to do so myself. Only after persistent ACARS communication did I receive the information I sought.

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Original NASA ASRS Text

Title: The Relief Pilot became incapacitated two hours into a transatlantic crossing. Utilizing the best judgment of two on board and one remote physician the remaining flight crew of a B767-300 elected to continue the flight to its destination. The Relief Pilot responded positively to ameliorative efforts by the on board physicians enroute and was assisted to his home upon arrival by company Flight Managers.

Narrative: The Purser advised that our Relief First Officer had spent most of first two hours of flight in restroom extremely sick. Two volunteer doctors who were attending diagnosed an apparent kidney stone because pain moved toward lower back abdomen. Following a consultation with a company contracted Doctor through Dispatch the decision made to have the attending physician administer a Vicodin shot.The pilot's condition stabilized and the decision made to continue the flight with the remaining two pilots. The sick pilot was declared incapacitated for further flight duties. I sought guidance from the Duty Flight Manager as to our legality to continue flight with the remaining crewmembers projected at ten plus hours of flight time. Response received was 'Captain you are legal to continue flight beyond eight hours with a two man crew'. The remaining First Officer and I made the joint decision that we were both fit to continue flight projected at ten plus hours.The ill First Officer improved throughout remainder of flight and was met by Flight Operations personnel upon block in and support was provided by Flight Management to return him and his wife to their home. Ideally; the Purser should have notified the cockpit earlier when he recognized the Relief First Officer was spending an inordinate amount of time in the rest room and not in the rest seat. I sought guidance from the company in regards to FAR legality because I did not have appropriate resources to do so myself. Only after persistent ACARS communication did I receive the information I sought.

Data retrieved from NASA's ASRS site as of April 2012 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.