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The Doctor is in! Ask a Flight Surgeon!

Mouselovr

Well-Known Member
Contributor
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.
Guy in my OCS was originally DQed for vision. DOR'ed came back with LASIK 2 years later as a part of my class.
It can happen (especially for straight forward issues)
 

Tumbleweed33

Well-Known Member
Guy in my OCS was originally DQed for vision. DOR'ed came back with LASIK 2 years later as a part of my class.
It can happen (especially for straight forward issues)
I'm currently in the process of reapplying. When I was at OCS in Nov of 2022 the flight surgeon told me, "Get lasik and come back it will be worth it". I ended up getting PRK and it was the best money I have ever spent.

The eye doc and flight surgeon both said the OCS-DOR-LASIK-OCS process happens pretty often.
 

data

Naval Aviator
pilot
Search didn't result in much - has anyone seen successful prescriptions for GLP-1 type meds for weight loss from flight docs? I checked the NAMI guide and the most recent edition doesn't seem to mention them at all, so while I don't want to assume it seems that if TRICARE will cover it it is fair game.
 

exNavyOffRec

Well-Known Member
Search didn't result in much - has anyone seen successful prescriptions for GLP-1 type meds for weight loss from flight docs? I checked the NAMI guide and the most recent edition doesn't seem to mention them at all, so while I don't want to assume it seems that if TRICARE will cover it it is fair game.
I can't comment on if it allowed for a person in your situation, what I can tell you is I have had good luck with it. I will probably be off BP meds in 6 months (10 mg to now 5 mg), and all of my other test results are now normal. I tried quite before going this route all under the advice of my Doctor and this was the only thing that worked. I did have some side effects when I first started taking it but that subsided after about a week and learning how to adjust my eating habits.
 

aidan162

New Member
Recently got selected SNA for OCS this fall.

Passing the time by imagining all of the terrible things that could derail me from commissioning/passing my flight physical, reading through 2 decades of anecdotes on this website is of course relaxing and helpful. Would recommend.

Jokes aside, do have an occurrence (singular) of “unexplained” (it’s explainable lol, just not in the physician notes) syncope in my medical history. Otherwise I think I’m pretty clean. As is, anyone have experience with navigating something like this in your medical history at NAMI? MEPS doc seemed entirely unconcerned, but the impression I’m getting is that the flight physical is more than a handshake. Have read through the waiver guide and such so I kind of understand the lay of the land.

Waiver chances these days? Chances I will even need one? Rampant, unwarranted speculation regarding my character?

Any input/advice/insight would be appreciated!
 
Recently got selected SNA for OCS this fall.

Passing the time by imagining all of the terrible things that could derail me from commissioning/passing my flight physical, reading through 2 decades of anecdotes on this website is of course relaxing and helpful. Would recommend.

Jokes aside, do have an occurrence (singular) of “unexplained” (it’s explainable lol, just not in the physician notes) syncope in my medical history. Otherwise I think I’m pretty clean. As is, anyone have experience with navigating something like this in your medical history at NAMI? MEPS doc seemed entirely unconcerned, but the impression I’m getting is that the flight physical is more than a handshake. Have read through the waiver guide and such so I kind of understand the lay of the land.

Waiver chances these days? Chances I will even need one? Rampant, unwarranted speculation regarding my character?

Any input/advice/insight would be appreciated!
In hindsight having gone through all of this, the best thing you can do is just be as prepared as possible when you go to OCS. Have 4-5 copies of all your medical records that relate to any issues or waivers you think you might need. This will help streamline the process and make it slightly less painful. You don’t want to be worrying about getting these records while you’re at OCS because you will have very little free time to do so and you’ll want to put your effort elsewhere. If you end up having medical appointments for any waivers you need, stay on top of them and make them your number 2 priority, behind passing academics at OCS. You don’t want to risk getting rolled for failing a test.

Also in hindsight, no one on Air Warriors is going to be able to give you an exact answer as everything is a case-by-case basis. I’ve seen two people with the same exact medical issue and one get approved and one DQ’d. So don’t be like me and spend countless hours on here scouring through everything to find the answer you want. Just be prepared, stay healthy before and after OCS, and may the NAMI gods show you mercy.

Feel free to DM me if you have any other questions!
 

Mouselovr

Well-Known Member
Contributor
(singular) of “unexplained” (it’s explainable lol, just not in the physician notes) syncope in my medical history.

Sounds like you've already read the waiver guide:
p119.
"10.9 SYNCOPE;AEROMEDICAL CONCERNS: Loss of consciousness in flight. WAIVER: A waiver is not required for simple episodes of vasovagal syncope, with known precipitating causes such as pain or the sight of blood.... A waiver is necessary for unexplained syncope, recurrent syncope, syncope associated with pathology (e.g. cardiac conduction or valvular defect), syncope with LOC > 1 minute, delay in recovery of normal function > 5 minutes, or G-LOC > 18 seconds, or syncope associated with convulsions lasting over 6 seconds. Non-waiverable situational syncope includes cough-, postural-, Valsalva-, and exertion-induced syncope. Other types of syncope with be considered for waiver on a case-by-case basis"

Waiver chances are based on individual conditions, not a blanket term.

I've touched on it a couple of times on the forum:
1. MEPS docs are not NAMI docs. They generally cannot speak on the medical requirements for a flight physical.
2. The NAMI physical is incredibly daunting and it's easy to spook yourself reading anecdotal experiences on the forum. Its a lot of uncertainty and a big barrier to entry into something you want to do.
3. A vast majority of NAMI Whammies are related to eyes. Most other conditions are waiverable.
4. Agreed with the comment above. Bring multiple copies of your medical records with you. They will lose them and ask for them again.

Good luck.
 

aidan162

New Member
Sounds like you've already read the waiver guide:
p119.
"10.9 SYNCOPE;AEROMEDICAL CONCERNS: Loss of consciousness in flight. WAIVER: A waiver is not required for simple episodes of vasovagal syncope, with known precipitating causes such as pain or the sight of blood.... A waiver is necessary for unexplained syncope, recurrent syncope, syncope associated with pathology (e.g. cardiac conduction or valvular defect), syncope with LOC > 1 minute, delay in recovery of normal function > 5 minutes, or G-LOC > 18 seconds, or syncope associated with convulsions lasting over 6 seconds. Non-waiverable situational syncope includes cough-, postural-, Valsalva-, and exertion-induced syncope. Other types of syncope with be considered for waiver on a case-by-case basis"

Waiver chances are based on individual conditions, not a blanket term.

I've touched on it a couple of times on the forum:
1. MEPS docs are not NAMI docs. They generally cannot speak on the medical requirements for a flight physical.
2. The NAMI physical is incredibly daunting and it's easy to spook yourself reading anecdotal experiences on the forum. Its a lot of uncertainty and a big barrier to entry into something you want to do.
3. A vast majority of NAMI Whammies are related to eyes. Most other conditions are waiverable.
4. Agreed with the comment above. Bring multiple copies of your medical records with you. They will lose them and ask for them again.

Good luck.
Thanks fellas good insight in both replies
 

Ricky98

New Member
Hello, A couple years ago I got stung by a bunch of bees around 15–20 stings and ended up going to the ER because later that day I felt sick I had nausea and started vomiting. No trouble breathing, no swelling, no rash, no EpiPen was prescribed and doctor said it was just the amount of venom gave me a toxic reaction .

I saw this quote in the NAMI Waiver Guide under Miscellaneous Conditions: “A generalized reaction to 100 wasps is a normal response, which does not fulfill the criteria of the generalized reaction described above. Anaphylaxis from a single sting is a different matter.”

Seems like my situation falls in line with that not an allergic or hypersensitivity reaction, just a toxic response from multiple stings.

I’m planning on applying for SNA/SNFO

Just want to confirm anyone ever have something like this come up? Do flight docs even care about this sort of thing as long as it’s clearly not allergy related?
 

Gatordev

Well-Known Member
pilot
Site Admin
Contributor
You are probably fine. Answer the question asked on the questionaire and don't answer questions that aren't being asked.

That said, who was the poor bastard that had to set the standard at 100 wasp stings?
 

Ricky98

New Member
You are probably fine. Answer the question asked on the questionaire and don't answer questions that aren't being asked.

That said, who was the poor bastard that had to set the standard at 100 wasp stings?
Appreciate the response,

Would something like that need to have allergy testing beforehand to rule it out, or is that only if someone flags it during OCS at the flight physical?

Trying not to overthink it, just want to know what to expect if it comes up. Appreciate the help and yeah, whoever took 100 wasp stings for that policy deserves a medal
 
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