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This aircraft declared a medical mayday to Toronto Centre over North Bay. The ACARS flight data is inaccurate, it's purported triangular approach path is even inexplicable when such flights make a beeline instead of meandering around. The 1st officer suffered some undisclosed ailment. Who knows, possibly asthma. Something debilitating. The cause hasn't been published.
The Captain would've assumed control as a medivac flight and given #1 landing priority. EMS rendezvous once coming to a stop on the assigned runway and on to whichever nearby hospital for hopefully a speedy recovery. In all, delaying the flight to NJ by maybe an hour.