Commercial Fixed Wing
Flight Crew Air Transport Pilot (ATP); Flight Crew Multiengine; Flight Crew Instrument
Flight Crew Last 90 Days 132; Flight Crew Total 10962; Flight Crew Type 10393
Distraction; Workload; Training / Qualification
Deviation / Discrepancy - Procedural Published Material / Policy; Flight Deck / Cabin / Aircraft Event Illness / Injury
General Physical Injury / Incapacitation
Company Policy; Procedure; Human Factors
Yes; not a typo.  Multiple trips to MIA of late. Have some today.  Returning passengers barely ambulatory when boarding the aircraft.  Some otherwise healthy women are wheelchaired to the plane because they basically can't walk.  It appears that MIA is a destination for medical tourism for butt enhancement.  We have used medical kits for leaking incisions.  Most of the  'patients' board with very large pillows to sit on modifying the seat with 8 to 10 extra inches of cushion and some can not sit in the seat regardless of the crew instruction.  Crew and flight attendants are frustrated by this trend. Most of the literature on-line recommends not flying immediately after this procedure for 10 to 14 days.  Possible blood clots are a quoted reason.  These flights seem pre-loaded for medical emergency.  Some guidance needs to be published for crew guidance.  We are not an air ambulance service and should not be boarding these passengers directly from the recovery room post-op.
An Air Carrier Captain reported flights departing from MIA airport routinely have passengers which have recently received posterior implant surgery. The reporter stated these passengers are flying too soon after surgery and require special handling on the flights but there is no guidance for the crews.