Not a medic, so I stand to be corrected, but short of heart attacks, strokes etc, are there many other illnesses where you can strap yourself in to the aircraft full of the joys of spring (with no signs of illness) and then be unconcious 45 mins later ?
I've got four kids, and so catch things regularly from them, and pretty much can feel it coming on.
Could it possibly be pressure at work that would encourage a captain to overlook or underestimate symptoms of illness.