Aviation Medicine

So two parter, is having a deviated septum a DQ condition and would i have more hoops to jump through if i had it fixed before FC1 vs waiting, getting cleared, and fixing it afterward? i only ask because my FC1 date keeps moving further and further and would like to get it fixed if able.

Just wondering what the normal pulse rate range is and if they check at the flight physical. My blood pressure is fine, but the trainer at the gym told me my resting pulse is 90 and that it is high for someone who works out. I maintain a healthy lifestyle overall, so it doesn't make sense to me - have worked out regularly for years and haven't eaten red meat in 10+ yrs. Anyone know the range they are looking for?? Thank you. (90 is when I am relaxed - I imagine at the physical I will be nervous, so I am concerned it will be even higher) -Lauren

Regarding how to read a perscription... Yes, I have already "searched" - my specific question has not been dealt with. Okay, I have (cyclo) +2.75 -1.50 by 097 OD. I simply want to know: a.) would I need a "excessive refraction" waiver? To my understanding, I would not because +2.75 (+) -1.50 = +1.25 which is under the +2.00 cutoff. Is that correct? Do you add the hyperopia (2.75) to the astig (-1.50) to get the "meridian" total?? b.) my manifest refraction was under the standards both individually, and added together. As I am aware, I have not been looked at for a waiver. Thus, I am assuming that the above is how it is done-I also got some of my info fr…

I have a few ROTC buddys who had PRK but were just DQd becasue of "corneal haze". After I get back from FT I am going to get PRK as well. What exactly is it? Is there anything I can do now to prevent it? is it common? I am hearing so many FC1 tragities it seems getting a slot is only half the battle

I have learned that you must be off all ADD medication for at least 12 months to get into AFROTC much less Flight training. Is this true for Anxiety medications as well? I keep on emailing these different flight doc's but quite frankly they arent very helpful. They keep saying I need to first be evaluated. All im asking for is the policy relating to anxiety med's. Thanks

I am an air traffic controller and therefore have a class II medical. I have two CONUS TDYs coming up where I will need to fly across the country. I know it is somewhat ironic but I get very nervous when I fly . I am considering asking the flight doc for something to take the edge off for these flights. I can be DNIC during the TDY as I won't be doing any controlling. I'm just afraid that even being a nervous flier might have some negative impact on my medical. I decided to post this issue here to hopefully get some insight from fliers and medical professionals before deciding to actually bring this up with the flight doc or not. Thanks in advance for any info/opinions…

This is mostly aimed at the other medics, but I'd like to hear from some retrainees on the forum. The other week, a patient came to my office for a special duty clearance with a very short turnaround. The member had previously applied for an unrelated job and was medically cleared by the person I replaced. He obviously wasn't selected, so he applied for a different position. As he had been approved relatively recently for the first job, he thought it would be a pretty quick review process and relative formality for me to review his record and generate his 422. He's not wrong in that assumption; if another 4E reviewed and cleared him, I hoped the clearance process woul…

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The recent Germanwings crash has stirred a lot of discussion on several topics: 1. Importance of having more than one person in cockpit at all times 2. Reporting mechanisms for mental and medical health from all sources of medical care 3. How to address depression and mental health disorders in pilots I have read quite a few blogs and editorials suggesting there is no room for depression or mental health issues in anyone allowed in a cockpit. My personal opinion is that this is the wrong direction to go. There needs to be a way for pilots who are depressed to get back in the cockpit, a pragmatic rational approach is preferred to a 'zero tolerance' on…

Can anyone talk to the assignment process once an 11F is medically disqualified from all flying duties but remains qualified for military service? Would the fighter porch remain ownership and determine assignments? Is conversion to a new AFSC possible? Which office would control the process and decide the outcome? Thanks for the help.

I don't fully understand tuberculosis but I know that when I was 8 I tested positive and it was visible in my left lung. I had to take medication for a year and my lung went from abnormal to normal. A year after ending medication I was re-examinde and was found normal. All of this documentation has been submitted at MEPS and DODMERB. I am PPQ but fear that this will hinder me at Brooks. What do I need to know about Tb and it's effects on my Class 1 physical. Am I going to lose my pilot slot?

My recent vision diagnosis was 20/40+1 and 20/30 in each eye. I am farsighted (Hyperopia). My near vision is perfect. With correction in the eye exam, I was only able to get 20/20-1 in one eye and 20/25 in another. My correction was +2.00 in one eye and +1.50 in another. I have never worn contacts or glasses since I was a kid. If I were to wear contacts, do you think my vision would improve to 20/20 in 6 months? (thats when the next board is due). I am considering just shooting for lasik this month ASAP. But I worry that I might be biting off more than I need.

Hi, I am a USAFA cadet, but I have taken the OVT depth perception test many times for solo flight considerations. The results were failures, so I am wondering if one needs to pass the OVT to be CSO medically qualified?

Anyone have any thoughts on the recent articles that have been coming out of the NYT hammering military medicine? Although military medicine has its unique challenges, I found the articles unjust. Here are the links to the articles: https://www.nytimes.com/2014/06/29/us/in-military-care-a-pattern-of-errors-but-not-scrutiny.html https://www.nytimes.com/2014/09/02/us/smaller-military-hospitals-said-to-put-patients-at-risk.html?_r=0 1. Fat on tragic anecdote, sparse on scientific rigor. 2. Who are they comparing us to?! It seems like all the comparisons are to 'leading civilian hospitals'. Is it really fair to compare Winn Army Hospital to Johns Hopkins a…

Sorry if this is the wrong forum for this, or if it's been covered elsewhere (I did search), but I've been having loads of trouble simply getting my MEPS physical completed and was wondering if anyone had any advice. I went to MEPS initially in mid-November, and during my talk with the doc he said that since they were missing documents for my Lasik (they'd been sent, but not received, apparently), I'd need to return for a workup with a MEPS eye doc. I wasn't really looking forward to more time off work, long drives, and time spent at MEPS, but no big deal. Since then, however, my recruiter's requests for me to return to MEPS have been cancelled something like five ti…

I recently went on PDT with AFROTC and was disqualified for my Jet Orientation ride because of a "heart murmur" that was heard by the flight doc using a stethoscope. I had never heard anything from any of my other doctors about it both before and after his finding and the ones after looked very hard to find it. They heard nothing, but to be sure they sent to me get an echocardiogram done. I had already taken 2 electrocardiograms too be sure nothing was wrong and they both came back normal, even though they do not diagnos heart murmurs. The echocardiogram results were just given to me and it said the following: Description Of Procedure: Technical quality of study is g…

Any current aviators that are in with active, but controlled IBS-C/D? I know the waiver guide considers the condition non-DQ if asymptomatic and controlled by diet, but requiring meds or symptomatic requires review and waiver. What is the likelihood of receiving this waiver based on experience? Any input is greatly appreciated!

I found this link and am a bit worried. I can see everything easiery with my eyes opened, sitting 36 inches from the screen in a dark room like they do with the actual test. When I close one eye it takes a second for my eyes to adjust then I can read the 80/90 lines fairly easily. The red ones are a little more difficult for me. Can anyone say whether this is easier/harder than the actual test? I got hired for a UPT slot with a guard unit and am taking my FC1 in a couple weeks and am worried about this portion of it. Thanks to everyone!

I have had 2 pneumothoraxes 3 years apart. Will this be a problem down the road?

I received my FC1 back today from AETC and I was disqualified for the hip to knee measurement (28in). I called the base that I took the original FC1 and they told me to come in and they would do it again. I went in,they did it again and I passed(25 in). I had pretty good idea that something was screwed up because I am only 5'11 and I do not have freakishly low knees. My question is this. When I send my stuff back in to AETC will they recheck the entire thing or will they look at the amendment that says I'm not a freak and stamp it passed. I'm worried because I am running out of time for the upcoming reserve board. Thanks

I read back a way and I see that pilots are not allowed to use Propecia. Is Rogaine allowed? Are hair transplants allowed? P.S. Why is Propecia not permitted?

History -> I had PRK back in April of 2007, everything went well and I passed my FC1 in January of this year. My FC1 states "pending completion of MFS" as I expected it to, and I know that there will be add'l PRK testing done there since it had not been quite a year since surgery at the time of my flight physical. In anticipation of MFS (and since it has been 11 months since my FC1), I scheduled an eye exam with a local ophthalmologist who also happens to be a recently retired AF flight surgeon. I had the full exam done to include corneal topographies, etc.. Everything looked fantastic. His only comment was that my right eye seemed dry under the microscope (a commo…

I was flying today and as I did my 45 deg turn I plugged up my ears. I didn't realize until I landed and took off my headset that I could barely hear anything. I do have some type of head cold, not a bad one.. It's prob allergies. Anyway I managed to pop my ears back to normal, one tends to plug back up. Is there anything to do to prevent this.. any tricks? besides not flying. Also what are some tricks to popping your ears back to normal? Thanks guys.

I went through my FC1 physical at Wright Pat a few months ago. They determined that I have an enlarged spleen (splenomegaly). They said that this is disqualifying until I can determine its cause. Since then I've had 4 rounds of blood work, ultrasound, CT scan of abdomen and pelvis, and a bone marrow biopsy. Besides a slightly enlarged spleen (17 cm), I'm completely healthy. My blood, CT scans, and bone marrow are perfect. Is this waiverable and if so what can I do to help prove my case? Thanks!

I'm looking for some advice on what to do in this situation. I'm a civilian pilot with a first class medical who will be applying to the guard/reserve in about a year. Starting back as far as I can remember I would get sick an average of once a month or so (sometimes more, sometimes less) with stomach aches/intestinal pain lasting 1-3 hours. I chalked it up to a weak system and didn't make any changes. Doc said I might have "IBS". I had some tests done early on in life and they came back negative (including Celiac). Around last March it began to get much worse. I was getting stomach achs an average of twice/week. My Dad has these exact same symptoms and once he stoppe…