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The Doctor is in! Ask a Flight Surgeon!

Empire16

Well-Known Member
I am currently in primary and I have an asthma waiver. I am only required to keep an inhaler on me at all times when I fly (not that I need or use it). It is entirely dependent on how severe your symptoms, if you have any, are. Your general service waiver will be handled at MEPS. They handled my waiver process after I graduated from OCS, and they sent me down to Walter Reed Hospital in Washington D.C. where they did a full battery of cardio-pulmonary tests, then sent it to NAMI.

Edit: After graduating OCS, I was kept in Student Pool there for a few months for the waiver process. NAMI takes time, unfortunately.
I am already selected. Just curious about the future. The only NAMI concern is 5 years without a prescription filled but, that is mainly due to my mom just using my prescription/it being a family inhaler in case of an emergency. I haven't had to use it for an emergency in many many many years I dont even recall. I already had a PFT and passed. For those at OCS how hard is it to get a waiver?
 

Nax

Member
I am already selected. Just curious about the future. The only NAMI concern is 5 years without a prescription filled but, that is mainly due to my mom just using my prescription/it being a family inhaler in case of an emergency. I haven't had to use it for an emergency in many many many years I dont even recall. I already had a PFT and passed. For those at OCS how hard is it to get a waiver?
At OCS its really a tossup, no real way to predict it short of having a good PFT. The past medication might raise issues depending on how long ago it was. Usually anything past 7 is a red flag, but I had medications in the past 3 due to Air Force shenanigans.

However if you have a good PFT, maybe they will probably have you do an Methacholine Challenge Test as well and if that's good then you should be golden.

I had to go through a full battery of tests simply because my PFT was abnormal.
 

Framer

Member
Question:

Active duty service member here. Previously on medication two years ago for one cycle (a month) of Wellbutrin due to adjustment disorder (that's what my doc put on my medical record.) Haven't been to medical since then, was recommended therapy.

Been to therapy every week since, and its been very helpful. It's not even about my past issue that I've mostly resolved, now it's just to help me work around problems that arise in my life, nothing ever significant for me to be in the same situation as the past.

I understand I'll need a waiver for my welbutrin usage, and also for my therapy, but am I allowed to be currently in therapy when I apply for my waiver, or is that counted as "treatment" that is listed on the NAMI waiver guide?
 

joetting21

NFO Select
Question. selected for SNFO, had to get a waiver at MEPS due to previous SSRI use. I was on the medication for about a year and have been off for almost a year now. It was stated as situational (abusive relationship) and I have had no symptoms or other issues in almost 2 years, I probably never should have even went on the meds. Anyways, I had all positive documentation (stats as stable/no symptoms, no probability of reoccurrence) and psych evaluation that I submitted and got a waiver from MEPS. Is it possible I could get DQ on my flight physical for this? What are the odds it could get waived on the flight physical if I am DQ?
 

Mouselovr

Well-Known Member
Contributor
I understand I'll need a waiver for my welbutrin usage, and also for my therapy, but am I allowed to be currently in therapy when I apply for my waiver, or is that counted as "treatment" that is listed on the NAMI waiver guide?
You won't need a waiver for therapy or adjustment disorder, but you will likely need one for wellbutrin. I don't think there's any need for you to stop going to therapy.
Anyways, I had all positive documentation (stats as stable/no symptoms, no probability of reoccurrence) and psych evaluation that I submitted and got a waiver from MEPS. Is it possible I could get DQ on my flight physical for this? What are the odds it could get waived on the flight physical if I am DQ?
Make sure to bring your documentation with you to OCS. It will help with your waiver process. You've got all the "green-light" paperwork stating you're doing better.

To both of you, if you dig through my profile, I've written some in-depth comments on the NAMI BH process. In short, you'll need a psych eval at OCS which involves a painfully long computer test and a convo with one of the base's therapists. My gut says both of you should be fine since you've been off meds and free of symptoms for at least a year. Make note of that when you talk to the flight doc/psych eval. NAMI docs will ultimately decide as BH is on a case-by-case basis, so its less of "I was on meds + xyz diagnosis" and more the context of what happened/how you are doing now/can the stressor reappear down the line?
I recommend taking a quick read through the NAMI waiver guide for an idea of the criteria they are using to PQ or DQ applicants.
 
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taxi1

Well-Known Member
pilot
Been to therapy every week since, and its been very helpful. It's not even about my past issue that I've mostly resolved, now it's just to help me work around problems that arise in my life, nothing ever significant for me to be in the same situation as the past.
I wish they would change the name from therapy to something that is more analogous to physical strength training, maybe Mental Resilience Training. Just like strength training, who wouldn’t benefit from it?
 

Pianistwithwings

Grumpy Cat
None
I’m starting to see “the writing on the wall,” for a medical DQ from aviation due to total disk replacements, and possible heart issues.

Questions:
Is there a process for a qualified officer to apply for other less physically demanding communities, or should I be starting my civilian job search while Limdu, Medboard, TDRL and PDRL process plays out?
 

Mouselovr

Well-Known Member
Contributor
I’m starting to see “the writing on the wall,” for a medical DQ from aviation due to total disk replacements, and possible heart issues.

Questions:
Is there a process for a qualified officer to apply for other less physically demanding communities, or should I be starting my civilian job search while Limdu, Medboard, TDRL and PDRL process plays out?
Are you already in service or applying?

Navy friend of mine just got waived for a cervical TDR still in student status.
There's also this article from the AF:

Not sure about the heart issue but I've seen some pretty intense heart waivers......

And yes, if you med DQ, you will be offered to redesignate to whatever you want that you are med qualified for.
Best of luck.
 

Flash

SEVAL/ECMO
None
Super Moderator
Contributor
Is there a process for a qualified officer to apply for other less physically demanding communities, or should I be starting my civilian job search while Limdu, Medboard, TDRL and PDRL process plays out?
And yes, if you med DQ, you will be offered to redesignate to whatever you want that you are med qualified for.

As already mentioned, from my experience medically DQ'd folks are usually treated well and if qualified allowed to transfer to the community of their choice (within reason). Do you have an interest in Intel, Supply, HR or anything else that Navy officers do? Getting trained up and experience in those jobs would help ease the transition to civilian life considerably. If you are limited from doing sea duty though the options may narrow considerably.

I am not too familiar with medical retirement but a good buddy from college was going to just be discharged by the Army before he fought it and got 70% medical retirement from them. I don't know the full details or how it works out with VA disability, but make sure you are well aware of your rights and options are if it comes to that. @TimeBomb or others may have more details on that.
 

Pianistwithwings

Grumpy Cat
None
Are you already in service or applying?

Navy friend of mine just got waived for a cervical TDR still in student status.
There's also this article from the AF:

Not sure about the heart issue but I've seen some pretty intense heart waivers......

And yes, if you med DQ, you will be offered to redesignate to whatever you want that you are med qualified for.
Best of luck.
That’s good news. Hopefully will be able to keep my flight pay then.
As already mentioned, from my experience medically DQ'd folks are usually treated well and if qualified allowed to transfer to the community of their choice (within reason). Do you have an interest in Intel, Supply, HR or anything else that Navy officers do? Getting trained up and experience in those jobs would help ease the transition to civilian life considerably. If you are limited from doing sea duty though the options may narrow considerably.

I am not too familiar with medical retirement but a good buddy from college was going to just be discharged by the Army before he fought it and got 70% medical retirement from them. I don't know the full details or how it works out with VA disability, but make sure you are well aware of your rights and options are if it comes to that. @TimeBomb or others may have more details on that.
For the heart issue all I know is the anesthesiologist said I need to get checked out by a cardiologist for something I don’t remember now because of surgery meds for disk replacement. Yes active duty, but worried about running out of time on limdu.

Thank you @Flash and @Mouselovr your responses answer my questions.
 

lightcoors

New Member
Question: I received a document stating that I have been DQ'd from SNA and NFO due to lumbar lordosis. I was told by my recruiter to contact the Office of Navy Medical Records, but have not gotten a call back from them. This was in order for me to figure out exactly what I need to provide in order to overturn the DQ.

Do you know what information I need to provide / requirements there are in order to get this overturned?

If anyone knows a good phone number / email to contact for that office it would be greatly appreciated as well.

Cheers!
 

FormerRecruitingGuru

Making Recruiting Great Again
Question: I received a document stating that I have been DQ'd from SNA and NFO due to lumbar lordosis. I was told by my recruiter to contact the Office of Navy Medical Records, but have not gotten a call back from them. This was in order for me to figure out exactly what I need to provide in order to overturn the DQ.

Do you know what information I need to provide / requirements there are in order to get this overturned?

If anyone knows a good phone number / email to contact for that office it would be greatly appreciated as well.

Cheers!

Civilian applicants shouldn’t be contacting MEPS, NAMI or navy recruiting directly.
 

lightcoors

New Member
Civilian applicants shouldn’t be contacting MEPS, NAMI or navy recruiting directly.
Hello - Thanks for you response!

I was unaware of this. What should the course of action be then? I was told to contact that office and that one of the other applicants did the same thing in the past in order to prepare exactly what the they needed instead of going back and forth multiple times.
 

FormerRecruitingGuru

Making Recruiting Great Again
Hello - Thanks for you response!

I was unaware of this. What should the course of action be then? I was told to contact that office and that one of the other applicants did the same thing in the past in order to prepare exactly what the they needed instead of going back and forth multiple times.

Your recruiter is the middle man and should be sending things up and down for you.

Was it a letter from navy recruiting command?
 
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