Date: 201604
Location: ZZZ.ARTCC, US
Aircraft: B737 Undifferentiated or Other Model
Operator: Air Carrier
Operating under: Part 121
Flight plan: IFR
Mission: Passenger
Flight phase: Cruise
Airspace: Class A ZZZ
ATC / advisory: Center ZZZ
Reporter organization: Air Carrier
Reporter function: Captain; Pilot Not Flying
Reporter qualification: Flight Crew Air Transport Pilot (ATP)
Human factors: Communication Breakdown; Other / Unknown
Anomaly: Deviation / Discrepancy - Procedural Published Material / Policy; Flight Deck / Cabin / Aircraft Event Illness / Injury
Detector: Person Flight Attendant; Person Flight Crew
When detected: In-flight
Result: General None Reported / Taken
Contributing factors: Human Factors
Primary problem: Human Factors

Narrative: While at cruise the Lead Flight Attendant called and said; 'I just want to keep you in the loop in case it gets worse; we have a passenger who is lying down in the aft galley in a ball. She is incoherent and mumbling.' I told the Lead Flight Attendant that I intended to call Medlink. She then said that we did not need to do that and she would let me know if things got worse. I repeated that I intended to call Medlink and asked her to find out her name; age and if she had taken any drugs or alcohol. I found the appropriate frequency for AIRINC and had them patch me through to dispatch. I then explained our situation to our dispatcher and requested a patch to Medlink. This communication was very broken. We were dropped a few times and dispatch and Medlink had a hard time understanding us. While I was talking to Medlink I called the Lead Flight Attendant back and attempted to get the information and requested she locate a Medlink checklist that past flight attendants have given to me. She said that the lady was now on oxygen and had taken a Motrin and a glass of wine and would be alright and I did not need to contact Medlink. I told her that I was already talking to them and requested the info I had requested earlier. She then stated that there was a language barrier and she could not understand the woman; but she was doing better. I again asked her if she could find out her name and age. The flight attendant then asked if I wanted her to rummage through the passengers belongings. I said no just do the best you can and ask her. She then said that the passenger just wanted to be left alone and was tired. I again asked her to do the best she could and find out the information that Medlink was requesting. She then said 'Here talk to Flight Attendant B' and would not coordinate with me anymore. This flight attendant gave me the seat number and estimated her age. He stated that the passenger was acting like she was really drunk and about to pass out. I asked him if he smelled alcohol on her and he replied no. I relayed this information to Medlink finally. The Medlink Dr. requested that we have the passenger lay on the floor with her feet up.Upon landing I asked our Lead Flight Attendant to debrief our flight with us as I felt that we had a communication breakdown. She said we did have a communication breakdown because she did not want me to call Medlink and I did anyway. I informed her that my calling of Medlink was not her decision to make and that getting the opinion of a trained doctor was the safest course to take as well as relieving us from liability for not seeking out medical help for a sick person. She stated that she has medical training as a flight attendant and that in the future she will not call the pilots until it is a dire emergency and she wanted us to call for help and we will just be out of the loop. I feel this is an unacceptable and dangerous attitude. Medlink is not just for dire emergencies and waiting until someone becomes very sick could have grave consequences for a sick passenger someday.




Synopsis: B737 Captain was informed by the Lead Flight Attendant that a passenger is down in the aft galley; but it is not necessary to contact Medlink at this time. The Captain disagrees and contacts Medlink; which upsets the lead Flight Attendant.