“Ambulatory Care” (Viewpoint, March 2013) is very timely with aircraft going longer and longer. It reminds me of my early days as a junior copilot with Pan Am on DC-6s and 7s — especially the Africa trips. We would depart Lisbon, Spain, headed for Johannesburg and as the junior pilot — we had three pilots and two engineers — I got bunk time first and during daylight. Naturally, you couldn't sleep as you came in the night before from the U.S. All day you were over desert and, as with the ...

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