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The Doctor is in! Ask a Flight Surgeon!

Did recruiting really do that much damage to you?
I just wanted to make sure I read this document correctly: http://www.med.navy.mil/sites/nmotc/nami/arwg/Documents/WaiverGuide/01_Physical_Standards.pdf

To be an NFO, my blood pressure just has to be under 140/90 correct? My recruiter keeps saying the result needs to be under 130/80, but NAMI seems to say something different. I got DQ'd from Aviation at MEPS with a BP of 133/90, so if the under 140/90 result is the correct one, then I was just one point off.
For all aviation, and every annual exam I've received before and after getting my wings, the blood pressure cutoff is 140 on the top end. If it's above, you can do the 3 day test where you do it twice a day and they average it out and if it falls below the 140 you're good to go. Remember some of the personnel administering this test aren't there to help you get your designation, and it's up to you to push for what you want. I always was over the 140, even now, and always have to do the 3 day test with a bunch of cardio to get below it, but once I do I'm fine and I've been flying just fine for years. Don't let something that small crush your dreams and future.
 

utswimmer37

"Descent Planning"
pilot
Second the whole fight for what you want. I've requested the manual cuff for mine after they do the auto test. Auto I'm typically 10-15 pts above. With the manual I'm magically 132/84 every single time. Granted I've had some extremely 'understanding' individuals administering the test but I made it through. Go on a cardio and lean meat binge a week out...then coffee, cigarettes and donuts the day after. Best of luck.
 

Hopeful Hoya

Well-Known Member
pilot
Contributor
Yeah mother is an MD and she said the auto cuffs have the tendency to read high, so if you're above the limit definitely request a manual read as well.

Congrats on the wings by the way!
 

Jad4400

Active Member
For all aviation, and every annual exam I've received before and after getting my wings, the blood pressure cutoff is 140 on the top end. If it's above, you can do the 3 day test where you do it twice a day and they average it out and if it falls below the 140 you're good to go. Remember some of the personnel administering this test aren't there to help you get your designation, and it's up to you to push for what you want. I always was over the 140, even now, and always have to do the 3 day test with a bunch of cardio to get below it, but once I do I'm fine and I've been flying just fine for years. Don't let something that small crush your dreams and future.

Second the whole fight for what you want. I've requested the manual cuff for mine after they do the auto test. Auto I'm typically 10-15 pts above. With the manual I'm magically 132/84 every single time. Granted I've had some extremely 'understanding' individuals administering the test but I made it through. Go on a cardio and lean meat binge a week out...then coffee, cigarettes and donuts the day after. Best of luck.

Yeah mother is an MD and she said the auto cuffs have the tendency to read high, so if you're above the limit definitely request a manual read as well.

Thanks for the pointers! I'm going in for a three day test next week starting Tuesday, and the military nurse whose volunteered to do them seems pretty understanding. I've cut out all my caffeine and reduced my sodium, cardio'd hard and I have three days worth of beet juice ready to go. I've also been using my home BP kit and so far I've been around 130/80, so I think I'll be ready!

Good pointer too about the manual pump, I'll ask if I can get that one too.
 

exNavyOffRec

Well-Known Member
Yeah mother is an MD and she said the auto cuffs have the tendency to read high, so if you're above the limit definitely request a manual read as well.

Congrats on the wings by the way!

I forgot about that, I am always higher on the auto, not by much, the HMC I worked with said he would see auto up to 10 points higher, he would brief his applicants that were given the auto to ask for manual if they were above and it worked every time!
 

Flash

SEVAL/ECMO
None
Super Moderator
Contributor
Thanks for the pointers! I'm going in for a three day test next week starting Tuesday, and the military nurse whose volunteered to do them seems pretty understanding. I've cut out all my caffeine and reduced my sodium, cardio'd hard and I have three days worth of beet juice ready to go. I've also been using my home BP kit and so far I've been around 130/80, so I think I'll be ready!

Hydrating and good rest also help, with the eye exam too.
 

utswimmer37

"Descent Planning"
pilot
Congrats on the wings by the way!

Thanks, long time coming. Bumped up those eye standards too which should ease that BP down lol. I just need to chill the F out. SERE screening tomorrow and I'm still getting puckered up over these tests. Wooosaaaa
 

Jad4400

Active Member
Yeah mother is an MD and she said the auto cuffs have the tendency to read high, so if you're above the limit definitely request a manual read as well.

Congrats on the wings by the way!

Thanks again for the suggestion with the manual, I got my pressure checked over three days with one of those and I clocked in at 120/60, so my pressure is now non-disqualifying!

Now I just have to take the ASTB and my packet will be ready!
 

Dougo

Active Member
Hi, so perhaps there might be some answers floating around for what I'm actually going through but I wanted to get fresh insight.

I am currently in student pool here in P'Cola , SNA. About two weeks ago I dislocated my shoulder, went to the ER and got it reduced back into place. Yes it hurt like hell, but had to be done!

Went over to the flight doc and he informed me it had been my second occurrence, more to come on that.

Case being he said I more than likely needed surgery and essentially made it seem like my flying career would be over, given I needed a NAMI/NOMI waiver but I have had to show zero pain, full range of motion and strength back to 100%. He mentioned the whole process could be anywhere from 6 months to a year... I just went with it and assured him it wasn't the second dislocation... Finally he mentioned the orthos would have the last say in the matter.

Back to my supposed "initial" dislocation. Three years ago I fell down and hit my shoulder/ arm, felt some pain but had movement what not, the AF doc never reduced my shoulder I had full range of movement, 100% strength, just a bit of pain because I'm assuming it was sore it clicked once when I moved it when I fell but that's it! MRI was taken and Xrays, the doctor concluded I had miniscule lesion in my shoulder and just put me on light duty for a while, rest and ice. He told me it was nothing to worry about and that it would heal up on its own in a few months and it did never any pain never anything at all!

So, I'm just lost here because realistically I have never had a prior dislocation, and hoping to see what the insight here might be...

Am I SOL and have to get the surgery or with my explanation will Ortho be flexible?
 

xcinman

Awaiting my commission in May
I am a college student and currently 2 years away from starting my application process for SNA/SNFO with Intel as my third choice. I am an elite collegiate distance runner which has led to a few issues regarding my health. The only issues I have had are stress fractures. I have had 1 diagnosed stress fracture and two diagnosed stress reactions. None of been recurring(same location). I have had blood work done to check on specific things. It didn't show anything other than low vitamin D levels. I personally believe the cause is from overtraining(90+ miles a week during high school) and then a constant spiral of imbalances in my biomechanics.

Regarding all of this, I would definitely plan on getting all documents regarding these visits(MRIs, doctors visits, etc. ), but would these issues need a waiver. My main concern is that these issues would disqualify me from OCS as a whole and not any specific designator. Is that probable considering the history I have? Or can I avoid it(I don't plan on trying to hide anything whatsoever)?
 

TimeBomb

Noise, vibration and harshness
Per DoDI 6130.03, "Stress fractures (733.95, V13.52), recurrent or single episode during the past year" are disqualifying for initial entry into military service, and will require a waiver of standards for commissioning. You don't say when your last episode was, so you may not require a waiver for commissioning, depending on the examiner's interpretation of "recurrent" vs. "multiple". Provide all available documentation to the MEPS examiner. Specific communities will have their own requirements, but that's a bridge to be crossed later.
R/
 

xcinman

Awaiting my commission in May
Per DoDI 6130.03, "Stress fractures (733.95, V13.52), recurrent or single episode during the past year" are disqualifying for initial entry into military service, and will require a waiver of standards for commissioning. You don't say when your last episode was, so you may not require a waiver for commissioning, depending on the examiner's interpretation of "recurrent" vs. "multiple". Provide all available documentation to the MEPS examiner. Specific communities will have their own requirements, but that's a bridge to be crossed later.
R/
Ok, thank you for that response! My first one was during my senior year of high school, and my last one was fall of my sophomore year in college. Hopefully by the time I apply, these will be far out enough to not lose an issue, God willing that I don't have any more throughout the course of my training.
 

Jkarsh2

New Member
Does anyone know how waivers for lattice degeneration are handled? The waiver guide states it is handled on a case-by-case basis.

Ive been told that there are less than "3 clock hours" per eye and it's "trace observable". I'm receiving treatment for it soon via retinopexy procedure. The specialist performing the procedure said that I should have the same risk of retinal detachment as everyone else assuming all goes well, and he'd write that in my procedure notes.

What else will they look for when determining whether to waive or not?
 
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