Flight Crew Air Transport Pilot (ATP)
Flight Crew Last 90 Days 240; Flight Crew Type 6198
Workload; Human-Machine Interface; Time Pressure
Deviation / Discrepancy - Procedural Clearance; Deviation / Discrepancy - Procedural Published Material / Policy; Flight Deck / Cabin / Aircraft Event Illness / Injury
Air Traffic Control Issued New Clearance; Air Traffic Control Provided Assistance; Flight Crew Requested ATC Assistance / Clarification; Flight Crew Returned To Clearance; Flight Crew Diverted; General Physical Injury / Incapacitation
Human Factors
Approximately 3 hours into flight passenger became acutely ill with bladder pain. Onboard medical doctor diagnosed patient to be suffering from obstructed bladder. After multiple attempts to insert catheter failed doctor insisted patient would need immediate hospitalization or risk renal failure. After conferring with medlink and dispatch decision was made to divert to Anchorage international. Captain advised flying crew to [advise] Edmonton ATC and request clearance to ANC. Clearance received was direct to TIBOY then ANC. Due to distance to TIBOY being almost 700 miles the fix was not visible on navigation screen. When FO proceeded to clean up original route to PVG along with new route discontinuities by using the divert now prompt; we believe TIBOY fix was inadvertently erased. No course changes were noted due to fact that Direct ANC was very close to the same direction. Other FO on duty was coordinating with dispatch for fuel dump necessity as well as communicating with Captain who was already in cabin when decision was made to divert. No problems were noted until approaching Anchorage FIR. ATC asked flight crew what route they were assigned from Edmonton ATC and Captain; who was now back on the flight deck replied we are on a direct to ANC as had been requested. ATC noted there was a discrepancy and route deviation and requested a phone call once on the ground. Call to ATC was made shortly after blocking in and ill passenger was removed. ATC informed Captain that no loss of separation had occurred and they would be filing a report and requested we inform them on our report as well.
[Report narrative contained no additional information.]
B777 flight crew reported a passenger became ill while on an international flight. A diversion was requested and; with the exception of a minor route deviation; successfully executed.