Flying High LLC 

POBox 1005 

Higley, AZ 85236 

Phn: (480) 252-0021 

Fax: (877) 849-0021 

RECEIVED 

MAR 2 7 2012 

HEARING DOCKET 

United States of America 

NATIONAL TRANSPORTATION SAFETY BOARD 

OFFICE OF ADMINISTRATIVE LAW JUDGE 

In re the Matter of 

FEDERAL AVIATION 

ADMINISTRATION, 

Petitioner, 

and 

Flying High LLC, 

Respondent, 

) Docket No. TBA 

) FAA Matter No. 2011WP070116 

) 

) RESPONDENT'S ANSWER TO ORDER j TO SHOW CAUSE 

) 

) 

) 

) 

) 

) 

RESPONDENT'S ANSWER 

Respondent, Flying High LLC, hereinafter "Respondent," hereby files his Answer 

to Administrator's Order to Show Cause as follows: 

1. Sean B. Cooke, Manager, Respondent failed to submit its answer to the Administrator's 

Complaint due to a family medical emergency that occurred in the month of January. 

Both the respondent's daughter's were admitted to the Cordon's Children's Hospital 

Intensive Care Unit on January 11th, 2012. During such time both the respondent and his 

wife spent day and night with their daughters until their release on January 24th, 2012. 

Please see exhibit A) It was during this time that Flying High LLC was served the 

Procedural Order, dated January 9th, 2012. It was through Sean B. Cooke's oversight due 

to the intensive follow up care that the answer was not filed and by no fault of the 

Administrator or FAA counsel. 

PRAYER 

Based on the foregoing, Respondent prays that this matter proceed before an 

Administrative Law Judge and that the complainant's request for relief not be granted. 

1 
CERTIFICATE OF SERVICE 

I hereby certifY that I have on this date sent via facsimile one copy and mailed, by regular 

U.S. Mail, an original and one copy of the foregoing Respondent's Answer addressed to: 

Federal Aviation Administration 

800 Independence Avenue, S.W. 

Washington, DC 20591 

Attention: Hearing Docket Clerk, AGC-430 

Wilbur-Wright Building, Suite 2W1000 

The Honorable Richard C. Goodwin, Administrative Law Judge 

Office of Hearings, M-20 

U.S. Department of Transportation 

1200 New Jersey Avenue, S.E. 

Washington, DC 20590 

Fax: (202) 366-7536 

And further, that I have this date sent via facsimile one copy and mailed, by regular U.S. 

Mail, a copy of the foregoing Respondent's Answer addressed to: 

Adam Runkel, Esq. 

Office of the Regional Counsel 

Federal Aviation Administration 

Western-Pacific Region 

P.O. Box 92007 

Los Angeles, CA 90009-2007 

Fax: (310) 725-6816 

Dated: March 21, 2012 

3 
PATIENT DISCHARGE INSTRUCTIONS 

BANNER DESERT MEDICAL CENTER 

1400 South Dobson Road, Mesa, AZ 85202 

(480) 412-3000 

Name: COOKE, ABIGAIL MARIE MRN: 1665018 FIN: 71515647 Nursing Unit: 05 PICU 

These patient discharge instructions will help you care for your child at home after a hospital stay. Your 

nurse or doctor may give you other information to meet your special needs. 

You should call 911 anytime your child has the following: 

1. Your child is hard to wake up or not acting right. 

2. Difficulty or trouble breathing. 

3. Color change or blue lips. 

You should call your Physician if your child: 

1. Is unable to take their medication. 

2. Is not drinking/eating/making urine. 

3. Has an unexpected fever. 

Warning: Smoking/Second hand smoke causes lung disease, heart disease, and other health 

problems. If you or someone in the household smokes, we strongly advise you to quit. If you need more 

information about how to quit smoking, or how second hand smoke can affect your child, please contact 

your healthcare provider. 

Drowning Prevention Tips: Drowning is a leading cause of death for children. Keep your child safe by 

following these simple steps: 

1. Never leave a child unattended in or around water. 

2. Enclose pools and spas with a five foot fence and a self closing gate. 

3. Make sure your child learns to swim. 

4. Keep rescue equipment and a telephone close to the pool. 

5. Water wings, floaties, and air filled toys will not keep a child from drowning. 

6. Store empty buckets and other containers upside-down. 

7. Close and lock toilet lids. 

8. Learn and practice CPR. 

Asthma: If your child has been treated for asthma, please refer to your Home Management Plan of 

Care. 

Car Seat Safety: Car seats save lives! All children/infants must be properly restrained. Please see your 

state regulations. 

Electronically Signed By:NOVALES MD, JACI ANNE 

1 of 8 Patient COOKE, ABIGAIL MARIE 

Jan/24/2012 14:34:51 
'f Diagnosis: RSV bronchiolitis 

,_ H. influenzae pneumonia 

k Respiratory failure 

DISCHARGE DIAGNOSIS 

MEDICATION INFORMATION 

The following vaccinations have been given during your child's hospitalization: ________________ Date _____ _ 

COOKE, ABIGAIL MARIE has been given the following prescriptions, follow-up instructions, 

and list of patient education materials: 

Note: 

Take Next Dose 

Date!Time 

Please take all medications listed as prescribed. If any of your previous home 

medications are not listed, they may have been stopped. New prescriptions may include 

changes to your previous home medications. Do not resume any previous home 

medications that do not appear in this list without first speaking to your physician. Any 

specific questions regarding your medications should be addressed with your 

physician(s) and pharmacist. 

Patient Management of Medication Information 

1. Keep a list of your current medications, including over-the-counter medications and 

herbal products. 

2. Update your medication list when medications (including over-the-counter medications 

and herbal products) are discontinued, doses changed, or new medications are added. 

3. Carry your updated, current medication list with you at all times in case of an emergency. 

4. Share your updated, current medication list with your primary care physician and other 

health care providers. 

Electronically Signed By: NOV ALES MD, JACI ANNE 

3 of 8 Patient COOKE, ABIGAIL MARIE 

Jan/24/2012 14:34:51 

----
FOLLOWUP CARE INFORMATION 

Please call the doctor's office to make a follow-up appointment. Verify the office address 

BEFORE going to the appointment. 

With: Address: When: 

MOLLY FINLEY 

3420 S MERCY RD GILBERT, W'th' 2 _ 3 AZ 852970419 I In 

(480)219-3346 Business (1) days 

Comments: 

Or Dr ljaola 

Electronically Signed By: NOV ALES MD, JACI ANNE 

4 of 8 Patient COOKE, ABIGAIL MARIE 

Jan/24/2012 14:34:51 
CONTINUING CARE 

These are your continuing care instructions after you leave the hospital. 

Diet I Nutrition 

Activity 

Case Management/ 

Social Services 

Nursing 

Physical Therapy 

Occupational 

~herapy 

Respiratory Care 

Central/ PICC Line 

Speech Language Continue feeding Plan of Care: Breast feed OR use slow flow nipple in 

Pathology elevated sidelying position. Provide external pacing as needed. 

[Wound Care 

Cardiac 

Rehabilitation 

Diabetic Education 

Other 

Electronically Signed By:NOVALES MD, JACI ANNE 

5 of 8 Patient COOKE. ABIGAIL MARIE 

Jan/241201214:34:51 
EMERGENCY DEPARTMENT EXAMS/TESTS/PROCEDURES 

If you were cared for in this hospital Emergency Department, you will see these exams, 

tests and procedures listed on this page. 

No Available Information 

No Available Information 

6 of 8 Patient COOKE, ABIGAIL MARIE 

Jan/24/2012 14:34:51 
PATIENT EDUCATION INFORMATION 

f:\RONCI":::ouns [Infant/lnddler] 

The lungs have many small breathing tubes. These tubes are called bronchioles. If the lining of these 

airways becomes inflamed and swollen, the condition is called bronchiolitis. It occurs most often during 

the first 5 years of life. Infants under 12 weeks or children with a chronic illness are at higher risk for 

developing severe bronchiolitis. Complications include pneumonia and dehydration. 

Bronchiolitis often occurs in the winter. The condition starts with a cold. The child may first have 

increased mucus, a nmny nose, mild cough, and fever. After a few days, the cough may get worse. The 

child will start to breathe faster, wheeze, and grunt. In severe cases, breathing stops for short periods. 

Bronchiolitis is treated by stabilizing the child's breathing. Mucus in the nose and mouth may be 

suctioned. Medications may be given for a cough or fever. Children who have difficulty breathing or 

eating may be hospitalized. They may receive intravenous (IV) fluids, oxygen, or a breathing machine. 

Symptoms usually subside in 2 to 5 days, but they may continue for weeks. In some cases, antiviral 

medications may be given to help prevent a recurrence. Infants who have bronchiolitis are most likely to 

have recurrent wheezing when they get older. 

HOME CARE: 

Medications: The doctor may prescribe saline nose drops to thin the nasal mucus. Medications to treat 

fever or wheezing may be prescribed. Follow the doctor's instructions for giving these medications to 

your child. 

General Care: 

Ensure frequent and quiet eating times. For infants, use a medicine dropper to give small amotmts of 

breast milk, formula, or clear liquids, as prescribed by your doctor. Give I to 2 teaspoons every I 0 to 

15 minutes. For older children, give small amounts of clear liquids often. 

Clear your child's nose with a suction bulb. Squeeze the bulb first, gently place the rubber tip into one 

nostril. Slowly release bulb. The suction will draw the clogged mucus out of the nose. 

Wash your hands well with soap and warm water before and after caring for your child. This will help 

prevent infection. 

Have your child sleep in a slightly upright position to make breathing easier. 

Avoid exposure to air pollution and cigarette smoke. They can make breathing more difficult. 

FOLLOW UP as advised by the doctor or our staff. !fa chest x-ray was done, it will be reviewed by a 

specialist. You will be notified of any new findings that may affect your child's care. 

SPECIAL NOTES TO PARENTS: If your child has a chronic illness and any difficulty breathing, 

call the doctor. 

GET PROMPT MEDICAL ATTENTION if any of the following occur: 

• Fever greater than 100.4°F (38°C) 

• Continuing symptoms, more difficulty breathing, or a blue tinge around lips and fingemails 

7 of 8 Patient COOKE, ABIGAIL MARIE 

Jan/24/2012 14:34:51 
• Poor feeding 

• Signs of dehydration, such as dry mouth, sunken eyes, or urinating less than normal 

© 2000-2011 Krames StayWell, 780 Township Line Road, Yardley. PA 19067. All rights reserved. This information is not intended as a substitute for 

professional medical care. Always follow your heahltcare professional's instructions. 

Yes- Patient/Parent/Guardian/Legally Authorized Representative 

verbalizes understanding of discharge instructions. 

Additional Comments for verbalizing understanding of instructions 

Comment: 

If you requested your medical information electronically, you will be receiving an email with further 

instructions. 

Electronically Signed By:NOVALES MD, JACI ANNE 

8 of8 Patient COOKE, ABIGAIL MARIE 

Jan/2412012 14:34:51