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During the long flight back to Chile, Nutbeam was African Lips Flag Black History Month Shirt so tired that he had trouble recalling medical knowledge and making choices. And that posed some serious dangers, given that Roberts’ condition required constant monitoring and there were important medical decisions to be made. Around Rothera, for example, they needed to be flying high to pass the tall mountains below. Roberts, however, had a low circulatory blood volume due to his bleed, which affects how long he could tolerate high altitude without the need for more blood.
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Nutbeam was also fortunate to have a dedicated team that helped to keep his sleep-deprived mind in check. In addition to the team aboard the plane, there was a remote support network keeping a close eye on their journey from afar. During stopovers, when they were able to communicate, colleagues abroad informed the team of weather conditions to help ease the logistical decision making. Nutbeam also had regular debriefs with his boss in the UK about treatment and what to do in various circumstances.
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When the plane landed in Rothera, for example, Roberts had another gastrointestinal bleed. There was a doctor there to help. But Nutbeam didn’t want to leave Roberts, even though he was exhausted. A call from his boss in the UK put things in order. She told Nutbeam to let the local doctor take over so he could get some sleep: he was the only one that could look after Roberts during the remaining flight. “It was the best advice in the world,” says Nutbeam. “Otherwise I think I would have stayed with him and been even more tired and psychologically broken for the final leg of the journey.”
Just as importantly, however, the virus itself had not yet fully adapted to life in a human body. Contrary to expectations, it is not normally within a flu virus’s interests to kill the host. “It’s not good for the virus to kill the host as soon as it infects it, because that host has less chance of passing the virus on to other people,” says Barclay. Instead, it just needs to hitch a ride for long enough to spread through your coughs and sneezes. As a result, most viruses evolve to become less pathogenic overtime – but the 1918 virus had not yet made those African Lips Flag Black History Month Shirt adjustments.