Medical conditions and medications
FOR PILOTS WITH MEDICAL CONDITIONS AND ON MEDICATIONS:
"Airmen: As of December 31, 2018, there were 540,725 medically certified airmen age 16 and older, and 42.9%, 19.2%, and 37.9% were issued a first, second, and third-class medical certificate, respectively. Across all medical classes, the average age was 41.5 years, 92.8% were male, and 7.2% were female. . The mean BMI for both females and males was 24.1 kg/m2 and 27.1 kg/m2, respectively. Nearly 6% of issued certificates required a special issuance. The most commonly reported medical condition was hypertension with medication, at 8.3%" ( 2018 Aerospace Medical Certification Statistical Handbook )
(1) IF YOU HAVE A MEDICAL CONDITION: click on the following links to access the FAA protocols as it pertains to your specific medical condition;
DISEASE PROTOCOLS: https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/dec_cons/disease_prot/
MEDICAL DISPOSITIONS:
https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/dec_cons/disp/
CACI ( CONDITIONS AME CAN ISSUE):
Please access the FAA website to see if and how the medical condition may affect your medical certification; click on the given link or just google “FAA medical certification, disease protocols” and click on the disease protocol that applies to you ( for example, if you have Obstructive Sleep Apnea, then choose Obstructive Sleep Apnea from the list of disease protocols); In addition, you should also become familiar with the FAA medical dispositions for the medical condition that applies to you; for most common conditions of aeromedical significance, just google “ FAA medical certification, decision considerations” and chose the appropriate item; ( for example, for any disease related to the heart, just press on heart and then the appropriate medical condition to identify what is needed for your visit with Dr. Manna for medical certification) .
(2) IF YOU ARE CURRENTLY ON MEDICATIONS access the FAA website to see if the medication is acceptable for medical certification; you can also access AOPA on-line to look up if/how they may affect your medical certification process.
FAA site : https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/pharm/dni_dnf/
AOPA site: https://www.aopa.org/go-fly/medical-resources/medications-database
(3) IF YOU HAVE A SPECIAL ISSUANCE LETTER OR WAIVER: please remember to bring it with you as required to do so by the FAA, along with any documentation outlined in your letter. A fee will be charged for processing Special Authorization paperwork to the FAA: $25 for physician review and forwarding; $75 for a current status report or written narrative covering outside medical records.
(4) AME CONSULTATION FOR DISQUALIFYING MEDICAL CONDITIONS: Dr. Manna also offers consultation to pilots, including those with health conditions that may otherwise be considered disqualifying. In certain situations, the FAA may exercise discretionary authority under the provisions of Authorization of Special Issuance to issue an airman medical certificate. As part of the consultation, Dr. Manna will meet with the pilot to address questions regarding medications, certification eligibility, and to review medical records as they relate to your FAA medical certificate. The AME consultation is not a part of your medical exam. Pilots with questions about their medical history, medication usage or other concerns about the exam are encouraged to schedule a consultation prior to the exam.
14 CFR Part 67 identifies the following as disqualifying conditions: Angina Pectoris; Bipolar Disorder; Cardiac Valve Replacement; Coronary Heart Disease (that has required treatment or, if untreated, has been symptomatic or clinically significant); Diabetes Mellitus (requiring insulin or other hypoglycemic medications); Disturbance of Consciousness (without satisfactory medical explanation of the cause); Epilepsy; Heart Replacement; Myocardial Infarction (Heart Attack); Permanent Cardiac Pacemaker; Personality Disorder (severe enough to have repeatedly manifested itself by overt acts); Psychosis; Substance Abuse and Dependence; Transient loss of control of nervous system function(s) without satisfactory medical explanation of cause.
THERE ARE THREE POSSIBLE OUTCOMES FOR YOUR FAA MEDICAL CERTIFICATION:
1. MEDICAL CERTIFICATE ISSUED: Assuming the standards are met, Dr. Manna will issue a new medical certificate on the day of your exam. This is the expected outcome and is the case in the vast majority of exams.
2. MEDICAL CERTIFICATE DEFERRED: Deferral is an intermediate decision whereby there is a questionable medical condition with regard to eligibility for medical certification. In such cases, Dr. Manna will complete the examination and defer the application and medical certification to the Regional Flight Surgeon in Jamaica , New York or to the Aeromedical Certification Division in Oklahoma City.
3. MEDICAL CERTIFICATE DENIED: Airmen failing to meet FAA Medical Standards, particularly those with disqualifying conditions listed FAR Part 67, or in the Guide to Aviation Medical Examiners, may be issued a denial letter revoking the airman's current medical privileges. Subsequent to such action, the FAA may reinstate the certificate if the airman can demonstrate resolution or aeromedically safe treatment of the disqualifying condition. Google “FAA medical certification standards synopsis” to review the standards for First, Second and Third Class medical certificates;
Please note that this visit is not considered a therapeutic visit or evaluation. Therefore tests requested under the requirements of the airman certificate are not covered under the scope of general medical services. Please understand that we are not treating you for medical conditions at this exam.
