FEBRUARY 15, 2006
VOLUME 3 NO. 3

PHYSICIAN LIFE

Snowbirds doc pulls high Gs

Major Karen Breeck is happiest up in the clouds




Major Karen Breeck and famous Snowbirds Tutor jet

Last August Major Karen Breeck was heading out to her new posting in Moose Jaw as physician to the famous aerobatic squadron, the Snowbirds. She heard they were going to be performing at an air show in Thunder Bay so she decided to make a pit stop on the drive out from Ottawa. It turned out to be a fateful decision. As she was standing with the crowd watching the team warm up, one of the planes suddenly veered toward the ground and disappeared at high speed behind the trees. A pilot was down.

Major Breeck was drafted into duty there and then.

Someone tossed her a uniform and in an instant she was transformed from civilian to soldier. They rushed out to find the pilot, not knowing if he was alive or dead.

The scene they found was terrible — the magnificent Tutor jet was nothing but a mangled, burning mess of steel. But to everyone's relief, Snowbird 8, Captain Andy Mackay, had managed to eject before the plane hit the ground. Major Breeck and others treated him for minor injuries on the spot and then transferred him to the local hospital.

It was quite a beginning.

WING AND A PRAYER
As flight and wing surgeon at Moose Jaw's huge 15 Wing base, Major Breeck is responsible not only for the health of the 85-strong Snowbirds team, but also everyone else on the base. 15 Wing is home to the NATO Flying Training program for Canadian and international pilots. Luckily she's got a team of medics and two local civilian doctors to help.

Major Breeck's first experience with military planes was in 1999 while she was studying at the University of Toronto's aerospace medicine course. Completing her first solo cross-country flight in a Cessna 150 completely changed the then-rookie's perspective. "I have a lot more respect for pilots now," she remarked.

Now she's one of them. She goes up in the air with the Snowbirds team as often as she can and loves to fly. "There are three places where I am away from the normal physician distractions of cell phones, pagers and emails: scuba diving, assisting in an operating room and up flying."

So what's it like up there? "Flying with the Snowbirds is an indescribable visual experience. You feel like you should be able to just reach out and touch the wings of the aircraft beside you, in front of you, behind you..." recounts Major Breeck dreamily. "It's like the best rides at Canada's Wonderland, Calaway Park and Disneyland all put together into one."

Snowbird flying machines

The Snowbirds' past has been riddled with dramatic accidents, including spectacular mid-air collisions. The squadron has been flying the same jets, the beloved Canadian-built CT-114 Tutor, since 1971. But the pilots and everyone connected with the team insists the planes are safe and there are no plans to replace the 35-year old jets for now.

According to the Air Forces website, "The basic Tutor is only slightly modified for use by the Snowbirds. Modifications include: a smoke generating system, a unique paint scheme for added crowd appeal, and a highly tuned engine to enhance engine response in low level flying."

In fact Major Breeck says flying is a big part of her job. "It's very important for the doc to fly with the team," she explains. "For reasons of flight safety, every member of the team has to be 100% fit. To properly assess that fitness you must not only know and understand the stresses of their jobs but also gain their trust to talk openly and honestly with you about any concerns or problems they may have."

"Part of my personal gold standard in determining a patient's fitness is the question 'Would I fly with them?'" she continues. "It's rare that a doctor's decision on workplace fitness can have such a direct and immediate potential impact on our own lives. It's always a humbling experience to place your life in the hands of your patients. "

Flying those old Tutor jets is extremely physically demanding. "Flying with the Snowbirds is a workout," explains Major Breeck. "They repetitively pull anywhere from minus 3 to plus 5 "G" (or five times their body weight). Each pilot must be physically and mentally fit to withstand these acceleration "G'' Forces and maintain 100% concentration on the job at hand during their amazing formation manoeuvres with nine planes."

Major Breeck is well aware of the popular perceptions of air force pilots, and she says that the "right stuff" stereotype isn't completely unwarranted. In fact, she says, physicians and pilots are pretty alike in that regard. "The similarity between the two professions gives me a unique insight into what I do," she says.

But Major Breeck insists that even though the Snowbird's current team of pilots are all men, it's not a macho work environment. "Everyone works together," she says. "The atmosphere is incredible — everyone's so professional."

UNLIKELY RECRUIT
A Calgarian, Major Breeck hadn't seen much of eastern Canada before heading out to the Rock for university. "I absolutely fell in love with Newfoundland," she says. After her BSc she decided to stay on for med school, which she followed up with master's degrees in occupational health and women's studies.

Major Karen Breeck gears up to take flight

In a scene straight off a recruiting poster, Major Breeck describes when she first learned to love the freedom flying offered. It started on a quiet Newfoundland lake during med school: "My psychiatry professor owned a float plane. We would take off in the early morning and go land on a lake somewhere and sit there with our Tim Horton's coffee and a doughnut. Then we'd fly back and do our rounds."

The army recruiters would come often to campus, looking for people to sign up for The Medical Officer Training Plan, the tuition-subsidy plan available for med students in any of the last three years of study. She was intrigued by some of the non-medical activities the program opened up, such as flying, diving and serving at sea. With the float-plane breakfasts firmly in mind, Karen Breeck joined up.

In 1993 she was selected to do the flight surgeon course at a state-of-the art facility in Toronto, which features the only centrifuge in Canada and a hypo/hyperbaric chamber that can simulate the deepest "dive" in the world. She later went on to a University of Toronto Fellowship in Aerospace Medicine and a residency in the US Air Force in operational aerospace medicine. She's done tours of duty in far-flung places, including a month in Honduras with the DART team after Hurricane Mitch devastated the area.

To make matters even busier, Major Breeck was also elected president of the Federation of Medical Women of Canada (FMWC ) at around the same time she was posted to Saskatchewan. She said she was particularly honoured the organization chose a military doctor as its president during 2005, the Year of the Veteran. She points out that women have always played an important medical role within the military since the earliest days of Canada's existence." I feel like the FMWC is kind of coming full circle," she says.

When she finds a little rare down time, Major Breeck relaxes with yoga, the piano and publishing research on aviation medicine. The busy major's colleagues sing her praises, calling her "hardworking" and "an amazing woman."

For all the apparent adventure, glamour and even danger that she seems to have sought out throughout her career, Major Breeck insists she's not your typical adrenaline junkie. "Growing up, I wore glasses and was always sitting and reading," she says. "It never occurred to me that I'd be flying, it just didn't seem to fit with my skill set."

 

 

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