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The Doctor is in! Ask a Flight Surgeon!

FormerRecruitingGuru

Making Recruiting Great Again
Hi all,

I am a senior NROTC midshipman (graduating late) and am working through the aviation medical process right now. I haven’t done the eye exam yet but I did the physical exam and testing. I understand that there was a NAVADMIN recently published detailing several conditions for which a waiver will not be recommended. One of those conditions is Autism. When I was 4, I was diagnosed with PDD-NOS, which if I understand now is just wrapped up under the Autism Spectrum umbrella. Later, the words Asperger’s and General Anxiety Disorder popped up on pharmaceutical records. For context, I took buspirone for about two years in elementary/middle school. I haven’t taken it in over ten years. This was an issue back when I applied for my NROTC scholarship. I underwent extensive evaluations for Autism, and I scored normal on ALL of them. The psychologist I saw wrote that I do not meet the criteria for Asperger’s, autism, or anxiety. However, it feels that the word “Asperger’s” has been permanently stamped in my medical file for the navy. I didn’t conceal anything in the flight physical questionnaire - I reported the past diagnosis and handed the flight surgeon the aforementioned report. The doc let me explain my “history” of Asperger’s and said the report looked good.

While this was reassuring, the new NAVADMIN for waivers is pretty damming. I feel like if NAMI looks at my case I have a good chance of getting cleared - however, that document seems to make it pretty clear that they won’t even look. I feel like my psychological report makes it pretty clear I don’t actually have any of this stuff and gives proper evidence. I’ve been working with my NROTC unit and the person in charge of coordinating medical stuff is optimistic. What are my chances/is there anything more I can do to strengthen my case/advocate for myself more? The prospect of not even being considered due to such a new policy change is just so disheartening.

Check out some of @Mouselovr ‘s posts, particularly about NAMI.
 

Gatordev

Well-Known Member
pilot
Site Admin
Contributor
It sounds to me like you don't have a history of Autism. You have a document stating that any previous diagnosis was in error. That's a (relatively) good place to be, medically.

After fighting with NAMI for 20 months and finally getting a diagnosis reversed, I never put I had history of the original diagnosis down on in any subsequent medical paperwork because I truly didn't have a history of it. I just had a history of being misdiagnosed.

Now, all that said, I can also sympathize that NAMI might not make all of this as black and white as I've stated, and thus the problem with NAMI. But I'd continue to use your unit staff, as they're your best advocate right now. I would just encourage them to continue to wave that misdiagnosis letter in NAMI's face as much as possible when necessary.
 

Ygracia20

Member
I am currently down at NASP getting my long form physical completed, and I had to go to some specialists at NHP regarding some incidental findings on a ct scan. Although I was cleared from the specialist as NCD for whatever was found, I did notice on the clinical report in genesis that my BP was registered as 133/93 and technically it’s not supposed to be greater than 140/90. My question is will NAMI kick back my waivers/upchit because of that high reading or will they only utilize the bp reading on my long form physical which measured at 138/86?
 

FormerRecruitingGuru

Making Recruiting Great Again
I am currently down at NASP getting my long form physical completed, and I had to go to some specialists at NHP regarding some incidental findings on a ct scan. Although I was cleared from the specialist as NCD for whatever was found, I did notice on the clinical report in genesis that my BP was registered as 133/93 and technically it’s not supposed to be greater than 140/90. My question is will NAMI kick back my waivers/upchit because of that high reading or will they only utilize the bp reading on my long form physical which measured at 138/86?

Do you think 3 points will matter?
 
Just got cleared today!
Congrats!! That’s great news for you. I have a history of taking SSRI medication and I saw a therapist for just over a year, with the last visit being almost 3.5 years ago. The problem was I had one ER visit 9.5 years ago where I reported a brief thought of self harm (more like an intrusive thought in hindsight) and 5 uses of Marijuana. Hoping for the best and have my medical records ready, but trying to mentally prepare myself if I can’t get through. I’m on no meds now at 28 years old and never been better, never had any loss of work or function etc. My old therapist has agreed to write to my recruiter on my behalf as well so I’m hopeful
 

rudysixx

New Member
Hello!

I have been selected for Pilot Immediate Select and was accepted for SNA position with an OCS class date for this fall. I got through MEPS just fine but needed a waiver for a kidney stone that I had (at the time of MEPS) roughly 4-5 months prior. This is the only kidney stone I have ever had. I have a letter from my doctor stating I am stable and according from my current health condition would not cause a sudden incapacitating event with various urine and blood samples. I am currently a pilot in the civilian world and also have received an updated medical approving me for first class standards. I have a letter from the Commander of Navy Recruiting Command stating that my waiver was approved for unrestricted, restricted, and staff corps. My concern/question, when I get to OCS it will have been 11 months since the occurrence and the NAMI waiver for renal stones requires 12 months since last occurrence to apply for the waiver. Is this something that I need to be worried about? Since the 12 month mark being so close would they go ahead and allow me to apply? Should I look into pushing my OCS class date back? What are the general thoughts about my situation? Thank you.
 

FormerRecruitingGuru

Making Recruiting Great Again
Hello!

I have been selected for Pilot Immediate Select and was accepted for SNA position with an OCS class date for this fall. I got through MEPS just fine but needed a waiver for a kidney stone that I had (at the time of MEPS) roughly 4-5 months prior. This is the only kidney stone I have ever had. I have a letter from my doctor stating I am stable and according from my current health condition would not cause a sudden incapacitating event with various urine and blood samples. I am currently a pilot in the civilian world and also have received an updated medical approving me for first class standards. I have a letter from the Commander of Navy Recruiting Command stating that my waiver was approved for unrestricted, restricted, and staff corps. My concern/question, when I get to OCS it will have been 11 months since the occurrence and the NAMI waiver for renal stones requires 12 months since last occurrence to apply for the waiver. Is this something that I need to be worried about? Since the 12 month mark being so close would they go ahead and allow me to apply? Should I look into pushing my OCS class date back? What are the general thoughts about my situation? Thank you.

Are you asking if the kidney stones will lead to a NAMI whammy? Even if you're just within a month window?
 

rudysixx

New Member
Are you asking if the kidney stones will lead to a NAMI whammy? Even if you're just within a month window?
Essentially yes. As I said in the initial reply just looking for general thoughts, ideas, opinions from others experience. How will this play out at NAMI?

Just for reference: Is this something that I need to be worried about? Since the 12 month mark being so close would they go ahead and allow me to apply? Should I look into pushing my OCS class date back? What are the general thoughts about my situation?
 

joetting21

NFO Select
Essentially yes. As I said in the initial reply just looking for general thoughts, ideas, opinions from others experience. How will this play out at NAMI?

Just for reference: Is this something that I need to be worried about? Since the 12 month mark being so close would they go ahead and allow me to apply? Should I look into pushing my OCS class date back? What are the general thoughts about my situation?
Different medical issue but similar admin situation. 12 month mark required per NAMI guide, but when I go to OCS I will be around 10-11 months. I was able to talk to a flight surgeon down at Pensacola, the general consensus was that as long as you have all your documentation and it’s noted that you don’t have any continued negative effects, you should be fine to go to OCS earlier than the 12 month mark. Flight docs exact words, “it’s called a GUIDE for a reason”. It’s situation dependent. Especially if you will hit the 12 month mark while at OCS, I was advised you can wait and submit for the waiver once you hit the 12 months.
 

rudysixx

New Member
Different medical issue but similar admin situation. 12 month mark required per NAMI guide, but when I go to OCS I will be around 10-11 months. I was able to talk to a flight surgeon down at Pensacola, the general consensus was that as long as you have all your documentation and it’s noted that you don’t have any continued negative effects, you should be fine to go to OCS earlier than the 12 month mark. Flight docs exact words, “it’s called a GUIDE for a reason”. It’s situation dependent. Especially if you will hit the 12 month mark while at OCS, I was advised you can wait and submit for the waiver once you hit the 12 months.
Joeetting21,

Just what I was looking for, thank you. As you said, it is situation dependent but still good information to have.
 

FiveSevenK9

Member
Are you asking if the kidney stones will lead to a NAMI whammy? Even if you're just within a month window?
Just had a friend get a kidney stone while in TMG after graduating OCS and unfortunately he got NAMI whammy’d. I don’t know much more than that but I hope you’re able to avoid this situation. I think it is important for you to know nothing is ever guaranteed. I wish you the best. If you have any OCS questions feel free to ask me.
Joeetting21,

Just what I was looking for, thank you. As you said, it is situation dependent but still good information to have.
 

rudysixx

New Member
Just had a friend get a kidney stone while in TMG after graduating OCS and unfortunately he got NAMI whammy’d. I don’t know much more than that but I hope you’re able to avoid this situation. I think it is important for you to know nothing is ever guaranteed. I wish you the best. If you have any OCS questions feel free to ask me.
You are correct, nothing is guaranteed and every situation is different. I am keeping my hopes up that with the documentation I have from my doctor, new FAA medical, verification from MEPS, no symptoms, etc. that things will go smoothly. I hate to hear that about your friend, aviation is a tough gig overall but the medical standards add some serious weight to the difficulty.
 

FiveSevenK9

Member
You are correct, nothing is guaranteed and every situation is different. I am keeping my hopes up that with the documentation I have from my doctor, new FAA medical, verification from MEPS, no symptoms, etc. that things will go smoothly. I hate to hear that about your friend, aviation is a tough gig overall but the medical standards add some serious weight to the difficulty.
After my whole journey, if you want certainty you’ll clear, join the marines, get cleared at the start, go to ocs and tbs, serve, then lat transfer to navy 😂. It’ll probably be faster than getting dq after Navy OCS and trying to fight back in.
 
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