Agreed... seems a bit fishy that he asks to fly quite low, inquires about landing at JFK, requests a beach landing and that it may be ok as he's a paramedic (before any emergencies are declared), is denied, inquires where he can land on a beach, then speaks of engine trouble and later a passenger's medical condition, before landing on the beach. (Apologies for the run-on). If there was a medical emergency and not a mechanical issue, it would make sense to divert to JFK, just a few miles away with suitable emergency response equipment.