What do you think?
Rate this book


It's a job that brought her into contact with all walks of life; her patients included drug mules and fugitives, schizophrenics and stowaways, refugees and tourists. And with the threats of a nerve agent poisoning or a Level Four viral epidemic always in the back of her mind, Dr Green found herself on the frontline where the decisions are made about who - or what - was allowed to leave the airport's borders.
FLIGHT RISK reveals the drama that takes place behind-the-scenes of an airport and what is needed to make critical decisions in this hidden no-man's land of geopolitics, terror, tragedy and medicine.
218 pages, Kindle Edition
First published June 28, 2018
...In a lot of young doctors, it’s a dark, sardonic humour that to outsiders probably looks quite callous. Like the so-called ‘ash cash’. When a patient died and was due to be cremated, somebody had to sign a form confirming they were definitely dead and that there were no defibrillators, pacemakers, implants or anything metal that might bugger up the cremation burners.The book is a real page turner explaining the job of a doctor at Heathrow. The job is not of helping people who have got sick in the airport, that was not the author's responsibility. The job was of certifying people coming into the country - sometimes still on the plane, as not carrying certain infectious diseases like TB. Or any that the Immigration officers wanted screening for. Or those people who became ill after deplaning but before leaving the airport. Some of these were drug mules carrying large amounts of cocaine in their bodies.
The way we earned our ash cash was to go down to the mortuary, take the body from the fridge and then check it for any lurking accoutrements before signing the form. We got something like £18 per form that we signed. Inevitably, if regrettably, a competitive element sprang up as to which department earnt the most ash cash each month. It was invariably us in the oncology department or the respiratory teams who won this rather macabre competition.
I looked around the plane I saw men, women and children with their noses and mouths covered with disposable cotton. The truth is, these kinds of masks have a very limited window of efficacy and are only made for very short-term use. As soon as your breath moistens and warms them up, they’re rendered pretty ineffective, a fact to which I’m fairly certain most of the people wearing them were oblivious.So my little road trip around New England where social-distancing and mask-wearing weren't in evidence, especially in the crowded tourist resorts of Bar Harbour and Ogunquit, didn't really make much difference then. Still I am vaccinated but now they are saying we need a third booster...
Our work on TB diagnosis came under the Immigration Act too. This was probably the largest part of my role because anyone coming into the UK for more than six months from a country where TB was endemic, say on a work or student visa or as an immigrant, had to be X-rayed, and there were X-ray machines at every terminal. … If an incoming passenger brought a recent chest X-ray that clearly came from a hospital and confirmed they were healthy, that was also acceptable, although we had to be careful because there was quite a black market in ‘clear’ X-rays in certain territories. Sometimes they were of such poor quality I couldn’t see what the hell was going on, and at other times and X-ray would have a date on it but no name, so it might have been a snapshot of any old bones. It was well known to us that in parts of some countries you could pick and choose your X-rays from an array of different ones, all hanging up on a stall like a row of tea towels, so these we treated with a degree of scepticism. On more than one occasion I had men present me with X-rays on which I could clearly see the breast shadow of a woman. (54)The writing is nothing outside the ordinary, but 'airport doctor' is a new one to me, and the material is a good lot of fun.