Chris,
Flew my Luscombe from Phoenix to Nome one time.... ok, it took a lot of time... anyway, got weathered in at Unalakleet for three nights. Some of the nicest folks I have met. Slept on the couch of a guy who wandered out to the airstrip and said come in out of the rain. That was 1978. Stayed in Nome all that year.
You said patients, so I am guessing you provide medical services... good on ya- as they say Down Under!
I found that the villagers in the north were much nicer than the northwest coast Indians of SE Alaska. My father, who was an anthropologist... said it could be traced back to "liesure time". Long complicated cultural anthropolgist theory about who has time on their hands to get into trouble with their neighboring villagers from the tribe down the beach a ways. Anyway, I digress. You have put the flying situation and the weather in pretty plain terms... but I don't think the AOPA or the FAA or any other alphabet really gets it. The only exception was August Assay, of the Anchorage ACO. He was the only FAA guy I ever met that fully understood the flying conditions in Alaska. He pushed the certification of Capstone phase II right through a hundred thousand pages of documentation. I was impressed and also frustrated. The FAA is legendary for impeding technological progress. It is incumbent on each pilot to equip himself (or her, lest I forget my wife is rated!) with the best gear he can afford... and go out and take a look. As you noted, there are going to be big gaps in reported conditions... and fast changes in the ceiling and vis.
As I noted in a speech to the FAA in DC once.... (I brought a piece of wax paper to the meeting) Told them the concept of being lost in Alaska can be days, hours... or even minutes. Then I held the wax paper up between me and them several times. Said that was what the vis was like when you least expect it....
Cheers,
Nick
Flying is dangerous. If you think otherwise, you are new at this sport. Mind the gravity not the gap.