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deaddebate

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Posts posted by deaddebate

  1. I feel there may be a disconnect either with communication or improper guidance on someone's end. Whether it's mine or theirs I am not sure.

    Probably.  Determine which office finally DQ'd you (MEPS CMO, AETC/SG, etc.), and request your sponsoring unit reach out for clarification/pressure.

    Your other option may be to have the doctor approve a ground trial of the drug now.

    Good idea.  Talk to your doc; see what he thinks.

  2. First determine your exact diagnosis (or history of).  Is it Dysthymia, Adjustment disorder with depressed mood, Major depressive disorder, Unspecified depressive disorder, or something else?

    If you can find your specific ICD-9/ICD-10 code, that will help greatly.

  3. To go one step further, where does the V-22 fall into those categories?  The way I read it, as a rotary wing pilot I could potentially get into a rotary wing weapon system in the USAF as a trained asset.  Would V-22 be an option?
    That's an interesting question and outside my realm. I'd defer to the MAJCOM/A3. But if they approve it, your waiver likelihood is much better.
  4. I got a bit more information from discussion with some peers, and I should retract my optimism.  Assuming the Navy would not give you a waiver because you are not asymptomatic due to the pain, your chances of staying in fighters in the Air Force are diminished.  You also almost certainly will need an MEB/Fitness For Duty, either before you leave the Navy or as soon as you arrive in the AF.  Your best chance is probably to pursue RPA.  Whether the Navy would consider you for non-high performance airframes is a question for your Navy FS.

    • Upvote 1
  5. So I've heard in the past of Army pilots going to a fixed-wing qual course in the USAF, but realize that this no longer exists.  So if I understand you correctly, say I got picked up by a fixed-wing guard unit, they would have to send me through UPT?  Which would mean I need FCI and wouldn't get a waiver for color vision?  There's no way around this with some other course similar to FWQ?  What about the 'operational evaluation' others spoke of for USAF pilots to transfer platforms?

    If I transfer into an H-60 platform I'd be considered 'trained' and be able to get a waiver for FCII.  What about this 'operational evaluation'?  Is that not an option for me to switch platforms?

    What does RPA's have to do with this?  When I was in the USAF, but DQ'd from UPT (after PCSing to Laughlin) I asked if I could go RPA's but I was DQ'd from that along with spec ops, flight test engineer, and every other USAF job I was interested in.  Am I considered 'trained' in RPA's for some nonsensical reason?

    Is there someone at AETC I can contact about this?  Or who is the correct authority to ask?

    See AFI 48-123:

    (Replace) 6.24.7.1. Pilots of fighter, rotary wing, fixed wing (non-fighter) and Remotely Piloted Aircraft transferring from sister service to an equivalent weapon system in the Air Force are considered trained assets, FCII or RPA Pilot standards apply as appropriate. Complete all requirements for pilot’s age IAW PHA and ASIMS guidelines. This physical will be entered into PEPP for baseline comparison and into AIMWTS if flying waiver required.

    (Add) 6.24.7.2. Pilots of fighter, rotary wing, fixed wing (non-fighter) and Remotely Piloted Aircraft transferring to the AF from a different type of weapon system are not considered trained assets. Flying Class I standards apply for manned aviation platforms. These pilots would require initial FCI physical and successful completion of MFS. For those transferring into RPA, IFCII standards apply (see 6.1.1.3.). This physical will be entered into PEPP and into AIMWTS if flying waiver required.

    I have no idea what the operational and educational standards are.  There's the medical requirement--it isn't driven by what is operationally required.  Chance of a FCI waiver is minimal.  Standards change and the AF now has a RPA-only category, namely FCIIU.  That's the only options I see for you.  There are some helicopter spots in the AF, and there are numerous RPA spots, make a choice and good luck.

  6. After reading more about the condition, I realized you're actually referencing autosomal dominant polycystic kidney disease (ADPKD).  I thought you had a generic cystic kidney disease rather than the genetic disorder.  Waiver approval is very good if you are otherwise healthy (with hypertension as a known co-morbidity and necessary treatment).  The information from my previous post remains relevant and accurate, other than as follows as outlined under "Congential Urinary Anomalies":  You may also see a Urologist in addition to a nephrologist.  Any history of kidney stones or chronic UTIs must be very carefully scrutinized.

    If you have intracranial cysts as a complication of the ADPKD, that would probably be concurrently considered as a separate condition related to "Subarachnoid Hemorrhage, Non-Traumatic."  You would likely need a Neuro consult and associated additional testing, and be referred to ACS at WPAFB for further consideration.

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  7. If you're flying the same or similar airframe/platform, you'll need to pass AF FCII standards IAW AFI 48-123 para 6.24.7.1.  Yes, you will need a separate AF Waiver.  The condition is listed in the AF waiver Guide under "Kidney Disease, Chronic."  Thankfully, the FCII waiver is very achievable.

    For FCII and Trained, Kidney Disease stages 1-3 are waive-able and all exams can be accomplished locally, Stage 4 requires a TDY to WPAFB (ACS) and waiver is unlikely.  Stage 5 is not waive-able.  You will need a recent Nephrology consult.

    Contact your Navy FS and coordinate with an AF FS to discuss the AF-approved Hypertension and Pain medications available to you, and make sure you are taking the right meds.  You need to demonstrate control on these medications for the waiver to pass.  The list is known as the "Official Air Force Aerospace Medicine Approved Medications," last updated on 30 May 2015.

    Separate of all this is the (non-flying) Accession/Retention standard for the Air Force.  I believe you are very lucky that you are currently serving, and you must not have a break in service in your conversion to the AF.  AFI 48-123 para 4.2.1. would not apply to you because you are already Commissioned.  Therefore, DODI 6130.03 (Accession) does not apply, just the normal retention standard of the Medical Standards Directory, which states:

    J11 - Cystic kidney (polycystic kidney), when renal function is impaired, or when ongoing specialty f/u more than annually is required.

    Because you are well controlled and at the earliest stages, I think you might get away with not needing an MEB also.  Either way, your Recruiter will probably need to push a waiver for you and it will similarly probably be approved.  Get your gaining unit to write a nice memorandum of support, including some statement of needing Pilots to meet mission requirements and that you are excellently qualified among their applicants.  Those letters do help.

    If unfortunately your condition and prognosis is poor, you MUST get any LOD benefits through the Navy.  The Air Force Reserve would deny your LOD because the Navy owned you at the time of diagnosis and development.  Are you AD Navy or Reserve Navy?

    Finally, I looked for similar cases in the AF flying waiver system and your chances are very good.

    • Upvote 1
  8. Did you wear glasses during the test?  Even if you don't need glasses to manifest to 20/20, glasses may help and become required for flying duty.  You'll probably need a Defective Depth Perception waiver.  You may need to accomplish an independent Optometry/Ophthalmology evaluation for further scheduling and processing.  Talk to your Officer Accession Recruiter.

  9. Thanks deaddebate. I owe you a beer if the opportunity arises. It seems that I fall under a class I and IA. I'm assuming I would be categorized as a class IA as my left eye puts me into the lower class?

    No, if you're pursuing pilot, you'll probably get FCI with a myopia waiver.  Your vision doesn't dictate your desired category, it dictates whether you get approved, waivered or denied for a given category. 

  10. Question from a civilian:

    I am due to fly (fast jet) with an Air Force unit on Thursday next week. I have a root canal and filling scheduled this Friday (tomorrow)

    ISTR that, in previous medicals, I have been asked about recent dental surgery. Would Friday's root canal and filling DQ me from getting my passenger medical?

    Call your Flight Med Clinic or go during sick call hours. You should have been DNIF'd. You need an Aeromedical Dispo.

  11. Jumping in on the vision waiver band wagon here, my recent vision exam showed -2.75 in my left eye and -1.50 for my right, but my vision is correctable to 20/20. Should there be any concerns for not getting a waiver to fly fighters? I found the following "Vision & Refractive Error Standards" in AFI48-123, but it's dated 19 July 2012 and I can't seem to find and updated version. Also, I keep finding various answers to this with people that have similar vision.Thank you. 

    That's the old standard.  Here's the current:

    OEux5JK.jpg

    And here's the waiver criteria, if you exceed the levels above:

    Cl1G5ui.jpg

  12. The Medical Standards Directory (MSD) recently updated and fully created an independent RPA category.  Previously FCIIU generally was only considered or pursued as a back-up following waiver denial for other higher categories (FCI, IA, or IIX).  It can now be more easily screened and pursued individually by local MTF's, and most importantly waivers will be easier to delineate and pursue for solely FCIIU applicants.

    Basically this marks a change to accommodate more RPA applicants.  I imagine this is just further cultural shift towards the RPA community and to more quickly disposition borderline pilot exams and push more folks to RPA than a simple, universal DQ in some instances.

  13. AFI 36-2905 updated last week.  Mothers now get a PT test deferment for a full year after they deliver.  It doesn't specify how long they get Fitness Restrictions (what exercises they can or can't do), but that the Fitness Assessment Exemption (not testing) goes to the 12 month after delivery, and the member would become non-current/overdue on the 1st day of the 13th month.

    As currently implemented, this is purely a personnel standard that is partially implemented through medical, but it is technically not a medical deferment or deployment restriction.

  14. Short answer: yes, frequently.

    I believe excessive phoria is lumped in with the Defective Depth Perception category.  Looking in the waiver guide, linked in my sig, it shows about a third of waivers for for FCI for retinal hole/tears are DQ'd.  The DP is probably unlikely to be DQ'd.  It is a definite possibility, but I wouldn't worry about it much.  I suspect the odds are in your favor.

  15. I'm not inclined to watch it again.
    Pointed the gun and I had to close the window.
    2, same.

    Really? I guess I'm just jaded and numb.

    I have a Documenting Reality account and I regularly browse 4chan--this stuff doesn't phase me. I'm not trying to sound like an internet tough guy. I'm just surprised by everyone's delicate sensibilities when discussing the video, here, in the news, and on social media.

  16. http://www.defense.gov/News/News-Transcripts/Transcript-View/Article/614654/department-of-defense-press-briefing-by-secretary-james-and-gen-welsh-on-the-st

    SECAF James: We currently have seven career specialties that are still closed to women. We, of course, are the most open at the moment of all the services, having the majority of our jobs open, but there are still seven that are not open, and they relate to the special operations world for the most part. So as you reference, what we have been doing is, we have been working on establishing gender-neutral and operationally and occupationally relevant standards, and once we have them in place, it certainly would be my anticipation that we would be in a position to open up these jobs to women in the future. Of course, I have not yet received the recommendations from the field, nor has the chief, so we're awaiting those. And then we in turn owe the secretary of defense our Air Force recommendations by around the first of October, and then we would anticipate a public announcement towards the end of the year, beginning the 1st of next year. [...] a team that has included people from the special operations world, is establishing these standards that women appear to be doing well, some women, as well as some men, because these are hard standards, as you can imagine. The key thing is, we don't want to lower standards. And so I'm optimistic about the outcome.

  17.  

    http://www.defense.gov/News/News-Transcripts/Transcript-View/Article/614654/department-of-defense-press-briefing-by-secretary-james-and-gen-welsh-on-the-st

    SECAF James: And indeed, Russia's military activity in the Ukraine continues to be of great concern to us and to our European allies. And I think Secretary of Defense Carter put it quite well last week when he said that our approach to Russia needs to be strong and it needs to be balanced. Now, rotational forces and training exercises help us maintain our strong and balanced approach, and we will certainly be continuing these in the future. For the Air Force, an F-22 deployment is certainly on the strong side of the coin, and so today, we are announcing that we will very soon deploy F-22s to Europe to support combatant commander requirements, and as part of the European reassurance initiative. Airmen who are a part of this inaugural F-22 training deployment will train with our joint partners and our NATO allies across Europe as part of our continued effort to assure our allies and demonstrate our commitments to security and stability of Europe. But for operational security reasons, we cannot share with you the exact dates or the locations of this deployment.
    [...]
    Q: General Welsh, can I ask you a couple of things? First on the F-22, if it's part of the European reassurance initiative, then straight up, is this not a message that the Air Force is delivering to Putin and the Russians? [...]
    CSAF Welsh: Yes ma'am. I would tell you the F-22 deploying to Europe is just a continuation of deploying it everywhere we can to train with our partners. We're going to be doing a training deployment, we'll operate with a number of different air forces. We'll get the F-22 into facilities that we would potentially use in a conflict in Europe, things like the bases where we do aviation attachments, to places where we do air policing missions. They'll train with some of our European partners. They're there primarily for an exercise, training with our European partners. So this is a natural evolution in bringing our best air-to-air capability in to train with partners who have been long and trusted ones.

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