Backcountry Pilot • Medical Mayhem

Medical Mayhem

Discuss the legality of flying the backcountry, FARs, advocacy, and aviation relevant legislation. Registered users only.
23 postsPage 1 of 21, 2

Medical Mayhem

Just thought I’d share a few things I have learned over the past few months, hopefully it can save others from unnecessary troubles.
When you start a new medication (in my case blood pressure medication) or have a new condition, you can look up the AME’s guidance on the FAA website: https://www.faa.gov/about/office_org/he ... s/aam/ame/. The guidance has categories for virtually every medical issue an applicant can face, and then gives the AME a checklist as to whether the situation warrants approval, denial, or deferment. You can look this up before you visit your AME and print off the documents or go over them in their office with them. In my case I ASSUMED he knew what he was doing based on his position. He deferred me (which he admitted was a mistake after reviewing the guidance)to OKC for the BP situation which has taken 5 months of letter writing to resolve. (Finally received my medical today). By the time I made it home from the office visit and was able to look up the info and call his office to discuss the situation it was too late, he had already hit the “defer” button on his system.
If you have a condition that you feel may affect your medical here is my advice: Look it up on the website, schedule a visit with the AME you plan to use (WITHOUT FILLING OUT THE 8500 FORM) and CONSULT with the AME. You can visit them anytime like a normal doctor and get their opinion as to what they will do, if they are OK with your situation THEN fill out the 8500 and go in. Once the paperwork gets started you have to be either approved, deferred, or denied. If the AME tells you it will be difficult to pass you, then you still have the option of utilizing your current medical to acquire a Basic Medical, which has less stringent requirements and less hassle with OKC. Moral of the story is no one cares more about your paperwork than you do, especially the closer you get to OKC! Take the initiative and prepare ahead of time, and don’t be afraid to go over things in their office. Believe it or not doctors can be incorrect too.
Side note: calling the Aeromedical headquarters in Oklahoma is a complete waste of time, it is essentially a telemarking call center where no one knows anything. If you call your regional office they are sooooo much better and are actually helpful (in my case emailing documents to speed up the process). Their numbers are available from the link above as well.
Happy Flying
IdahoWilly offline
User avatar
Posts: 36
Joined: Tue Aug 13, 2019 8:38 pm
Location: Greenleaf
Aircraft: Cessna 182

Re: Medical Mayhem

I’m looking forward to the day when I can slide peacefully into non-commercial flying and just go basic med. No more FAA doctors, if I can drive I can fly - including instructing.
Karmutzen offline
User avatar
Posts: 711
Joined: Tue Apr 24, 2012 7:47 pm
Location: Great Bear Rainforest
'74 7GCBC, 26" ABW, Aera 660 feeding G5 and FC-10 FF.

Re: Medical Mayhem

IdahoWilly wrote:Just thought I’d share a few things I have learned over the past few months, hopefully it can save others from unnecessary troubles.
When you start a new medication (in my case blood pressure medication) or have a new condition, you can look up the AME’s guidance on the FAA website: https://www.faa.gov/about/office_org/he ... s/aam/ame/. The guidance has categories for virtually every medical issue an applicant can face, and then gives the AME a checklist as to whether the situation warrants approval, denial, or deferment. You can look this up before you visit your AME and print off the documents or go over them in their office with them. In my case I ASSUMED he knew what he was doing based on his position. He deferred me (which he admitted was a mistake after reviewing the guidance)to OKC for the BP situation which has taken 5 months of letter writing to resolve. (Finally received my medical today). By the time I made it home from the office visit and was able to look up the info and call his office to discuss the situation it was too late, he had already hit the “defer” button on his system.
If you have a condition that you feel may affect your medical here is my advice: Look it up on the website, schedule a visit with the AME you plan to use (WITHOUT FILLING OUT THE 8500 FORM) and CONSULT with the AME. You can visit them anytime like a normal doctor and get their opinion as to what they will do, if they are OK with your situation THEN fill out the 8500 and go in. Once the paperwork gets started you have to be either approved, deferred, or denied. If the AME tells you it will be difficult to pass you, then you still have the option of utilizing your current medical to acquire a Basic Medical, which has less stringent requirements and less hassle with OKC. Moral of the story is no one cares more about your paperwork than you do, especially the closer you get to OKC! Take the initiative and prepare ahead of time, and don’t be afraid to go over things in their office. Believe it or not doctors can be incorrect too.
Side note: calling the Aeromedical headquarters in Oklahoma is a complete waste of time, it is essentially a telemarking call center where no one knows anything. If you call your regional office they are sooooo much better and are actually helpful (in my case emailing documents to speed up the process). Their numbers are available from the link above as well.
Happy Flying


Excellent advice all. The only thing I would add is it’s also worth a call to AOPA pilot services. And finally, if you do think it’s going to be a problem of any kind, try to get an appointment with a Senior AME. They have a little more latitude to approve.

MTV
mtv offline
Knowledge Base Author
User avatar
Posts: 10514
Joined: Sat Feb 25, 2006 1:47 am
Location: Bozeman

Re: Medical Mayhem

Excellent advise.

FWIW the FAA also makes work an abject PIA for us AME's as well.

I've been helping our local and not so local pilots (I commonly have pilots come in from 100+ miles away for exams) as an AME for 20+ years but I'll be due for CME and re-certification next year.

I'm going to let it lapse and cash out.

The Feds have been irritating unappreciative and obtrusive regarding my practice for too long and I'm just about ready to be done with them.

Sadly this will suck for southeast Washington. I am one of the only AME's in this section of the state.
Mountain Doctor offline
User avatar
Posts: 641
Joined: Fri May 01, 2015 3:33 pm
Location: Richland
Aircraft: Maule MXT-7 180A

Re: Medical Mayhem

Mountain Doctor wrote:Excellent advise.

FWIW the FAA also makes work an abject PIA for us AME's as well.

I've been helping our local and not so local pilots (I commonly have pilots come in from 100+ miles away for exams) as an AME for 20+ years but I'll be due for CME and re-certification next year.

I'm going to let it lapse and cash out.

The Feds have been irritating unappreciative and obtrusive regarding my practice for too long and I'm just about ready to be done with them.

Sadly this will suck for southeast Washington. I am one of the only AME's in this section of the state.


Sorry to read this Doc. I don’t blame you but I hope for the sake of those pilots you reconsider.
gbflyer offline
User avatar
Posts: 2317
Joined: Sun Oct 14, 2007 5:35 pm
Location: SE Alaska

Re: Medical Mayhem

It's a hard decision...

I'm tired of the FAA breathing down my neck and second guessing sound medical decisions as they recall some of my approvals. They have increased their surveillance of my work and I just don't like them, or government in general. I lose money on every airman I see, but that's not the motivator. You would think the Feds would have some appreciation but they don't care about, or for, GA in general I believe.

It's gotten worse over the decades I've been doing this.

I have mandatory repeat indoctrination training coming up; every 3 years. For this session I'd have to go to OKC at my own expense and give up the better part of a week of my life, my paying practice, and my girlfriend and I'm just not willing to do that anymore.

Now that many pilots can use Basic Med I don't feel as bad, but I do Second Class medicals every day.
Mountain Doctor offline
User avatar
Posts: 641
Joined: Fri May 01, 2015 3:33 pm
Location: Richland
Aircraft: Maule MXT-7 180A

Re: Medical Mayhem

Get your basic med now. If you lose your medical, and are waiting to get it back, your basic med doc and you decide you are ok to fly *no grounding meds, grounding condition is resolved* you can fly.

That's what I'm doing right now. Feds say 6 months to get 1st class back (at a minimum)

Just get basic med before you need it.

Jake
C130jake offline
Supporter
User avatar
Posts: 127
Joined: Tue Oct 16, 2012 5:53 pm
Location: Minneapolis

Re: Medical Mayhem

C130jake wrote:Get your basic med now. If you lose your medical, and are waiting to get it back, your basic med doc and you decide you are ok to fly *no grounding meds, grounding condition is resolved* you can fly.

That's what I'm doing right now. Feds say 6 months to get 1st class back (at a minimum)

Just get basic med before you need it.

Jake



So you can hold both a Class 1 and a Basic? How does that work :-k
Tangogawd offline
User avatar
Posts: 92
Joined: Sat Oct 27, 2012 12:06 am
Location: Wasilla
Aircraft: '62 C-180E
'69 7GCBC

Re: Medical Mayhem

As long as yo meet the requirements of Basic Med and don't have any of the grounding conditions, and your current medical is not denied, suspended or revoked you can fly under Basic Med. This is from the AOPA website.


To qualify for BasicMed you must:
• Hold a valid U.S. driver’s license and comply with any restrictions (for example, corrective lenses, prosthetic aids required, daylight driving only, etc.).
• Have held a valid FAA medical certificate, regular or special issuance, on or after July 15, 2006
• If you’ve never held a medical certificate, you will need to get an FAA medical certificate, regular or special
issuance, from an AME one time only.
• If your regular or special-issuance medical certificate lapsed before July 15, 2006, you will need to get a medical certificate from an AME one time only.
• If you have a medical history or diagnosis of certain cardiac, neurological, or mental health conditions, you will need a one-time only special issuance for each condition.
• If your most recent medical certificate has been suspended at any point in time or revoked, your most recent authorization for special issuance was withdrawn, or your most recent medical application was denied, you will need to obtain a new medical certificate before you can operate under BasicMed.

This is my understanding
185Midwest offline
Supporter
User avatar
Posts: 437
Joined: Sun Sep 30, 2018 11:58 am
Location: Fort Wayne
Aircraft: C-185

Re: Medical Mayhem

Here is the link with the requirements, limitations, as well as other links to all of the online courses and doctor checklists you will need, straight from the fuzz. https://www.faa.gov/licenses_certificat ... basic_med/
Happy flying!
IdahoWilly offline
User avatar
Posts: 36
Joined: Tue Aug 13, 2019 8:38 pm
Location: Greenleaf
Aircraft: Cessna 182

Re: Medical Mayhem

Just a side note on the Basic Med, for those that it may affect. No flying into Canada with the Basic Med. I believe it was recently accepted for flying into Mexico and the Bahamas with BM. Hopefully Canada will approve it in the near future.
WWhunter offline
Supporter
User avatar
Posts: 2036
Joined: Sat Apr 02, 2005 1:54 pm
Location: Minnesota
Aircraft: RANS S-7
Murphy Rebel
VANS RV-8

Re: Medical Mayhem

C130jake wrote: Get your basic med now. If you lose your medical, and are waiting to get it back, your basic med doc and you decide you are ok to fly *no grounding meds, grounding condition is resolved* you can fly. ...


There was a thread about this on the supercub site, written by the medical guru (who's an AME).
About getting a BasicMed in addition to your (1st, 2nd, 3rd class) medical. It made a lot of sense.
hotrod180 offline
Supporter
User avatar
Posts: 10534
Joined: Wed Jan 26, 2005 11:47 pm
Location: Port Townsend, WA
Cessna Skywagon -- accept no substitute!

Re: Medical Mayhem

Another tactic is to fill out your FAA MedXpress online and book an appointment with your AME for a "consultation." Let the AME do the physical and show him/her your paperwork, but don't let the AME open it up online. Once the AME opens your application, you're committed. If there are no issues, then give the AME your MedXpress number and they can finish the online portion. If there is an issue, you can discontinue and go elsewhere for Basic Med (or if the AME will do Basic Med and considers your "issue" not to be relevant to flying, notwithstanding the FAA's opinion, the AME may do the Basic Med). If the AME doesn't open up your MedXpress application online, it will eventually expire.
pipeliner offline
Supporter
User avatar
Posts: 158
Joined: Tue Jan 03, 2017 10:20 am
Location: Eagle River, AK
Aircraft: '57 C-182A floats/wheels

Re: Medical Mayhem

pipeliner wrote: Another tactic is to fill out your FAA MedXpress online and book an appointment with your AME for a "consultation." Let the AME do the physical and show him/her your paperwork, but don't let the AME open it up online. …..


The AME I use doesn't "start the exam" until he opens up your medexpress application.
Before opening it, he asked me if I wanted to have him proceed with the exam,
and warned me that it's a one-way street and there's no do-overs if you don't pass.
BTW his nurse had already checked my blood pressure & vision,
which he said is what accounts for about 90% of the failed exams.
FWIW my BP & vision were OK, but I decided to go with BasicMed anyway,
so he didn't open the online application.
hotrod180 offline
Supporter
User avatar
Posts: 10534
Joined: Wed Jan 26, 2005 11:47 pm
Location: Port Townsend, WA
Cessna Skywagon -- accept no substitute!

Re: Medical Mayhem

The way I see it unless you need a certain class medical for either the flying you are doing or the type of equipment you are flying Basic Medical is a great option.

MW
185Midwest offline
Supporter
User avatar
Posts: 437
Joined: Sun Sep 30, 2018 11:58 am
Location: Fort Wayne
Aircraft: C-185

Re: Medical Mayhem

185Midwest wrote:The way I see it unless you need a certain class medical for either the flying you are doing or the type of equipment you are flying Basic Medical is a great option.
Can you fly out of the country with basic med?
MW
On The Fly offline
Supporter
User avatar
Posts: 199
Joined: Wed Nov 01, 2017 4:56 pm
Location: Hampton
Aircraft: C`182K

Re: Medical Mayhem

Good point to remember. If you have a FAA medical and a basic if your FAA medical is suspended, revoked, etc you also loose your Basic.
a3holerman offline
User avatar
Posts: 278
Joined: Mon Oct 05, 2015 7:29 am
Location: Cape Cod
Aircraft: Cessna 185

Re: Medical Mayhem

C130jake wrote:Get your basic med now. If you lose your medical, and are waiting to get it back, your basic med doc and you decide you are ok to fly *no grounding meds, grounding condition is resolved* you can fly.

That's what I'm doing right now. Feds say 6 months to get 1st class back (at a minimum)

Just get basic med before you need it.

Jake


That is not correct. If the Feds pull your FAA medical it also invalidates your Basic.
a3holerman offline
User avatar
Posts: 278
Joined: Mon Oct 05, 2015 7:29 am
Location: Cape Cod
Aircraft: Cessna 185

Re: Medical Mayhem

On The Fly wrote:
185Midwest wrote:The way I see it unless you need a certain class medical for either the flying you are doing or the type of equipment you are flying Basic Medical is a great option.
Can you fly out of the country with basic med?
MW


Mexico- yes.
Bahamas- yes.
Canada- no.
AOPA is supposedly working on them, we'll see.
It would be nice for those of us living along the border,
or travelling between Alaska & the lower 48,
if the US would standardize with Canada.
Besides BasicMed, light sport, owner maintenance category, & ADS-B requirements come to mind.
hotrod180 offline
Supporter
User avatar
Posts: 10534
Joined: Wed Jan 26, 2005 11:47 pm
Location: Port Townsend, WA
Cessna Skywagon -- accept no substitute!

Re: Medical Mayhem

hotrod180 wrote:
On The Fly wrote:
185Midwest wrote:The way I see it unless you need a certain class medical for either the flying you are doing or the type of equipment you are flying Basic Medical is a great option.
Can you fly out of the country with basic med?
MW


Mexico- yes.
Bahamas- yes.
Canada- no.
AOPA is supposedly working on them, we'll see.
It would be nice for those of us living along the border,
or travelling between Alaska & the lower 48,
if the US would standardize with Canada.
Besides BasicMed, light sport, owner maintenance category, & ADS-B requirements come to mind.



Like!! :D :D Hope Canada gets onboard too.
8GCBC offline
User avatar
Posts: 4623
Joined: Thu Aug 05, 2010 11:55 pm
Location: Honolulu
Aircraft: 2018 R44
CFII, MEI, CFISES, ATPME, IA/AP, RPPL, Ski&Amphib ops, RHC mechanic cert, RHC SC— 3000TT

DISPLAY OPTIONS

Next
23 postsPage 1 of 21, 2

Who is online

Users browsing this forum: No registered users and 0 guests

Latest Features

Latest Knowledge Base