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  #1  
Old 11-18-2013, 02:49 PM
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Brantel Brantel is offline
 
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Location: Newport, TN
Posts: 7,489
Default BMI & OSA: New Hurdles To Jump Thru For Medical Certification

Since I fit the profile of the profiling that is about to start by the FAA's aeromedical group, check out this news:

http://www.avweb.com/avwebflash/news...s220978-1.html

Notice that the new policy has no limiter. Might as well have said that all pilots will be required to be tested and treated for OSA!

"Once we have appropriately dealt with every airman examinee
who has a BMI of 40 or greater, we will gradually expand the
testing pool by going to lower BMI measurements until we
have identified and assured treatment for every airman with
OSA."


To identify and assure treatment for every airman with OSA means that all pilots will eventually have to be evaluated. There are millions of people out there with normal BMI's that have OSA. Ask most any sleep doctor and they will tell you that OSA is a risk factor for obesity not the other way around.

Where do they get these people?

Starting soon at a AME near you, have a BMI higher than 40 (soon to be lowered per the policy letter)? Well guess what, you just earned a trip to the sleep doctor for a bunch of time consuming and expensive test!

Here is a BMI calculator for those that may be interested:

http://www.nhlbi.nih.gov/guidelines/...MI/bmicalc.htm
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  #2  
Old 11-18-2013, 03:24 PM
rockwoodrv9 rockwoodrv9 is offline
 
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Unbelievable. I am amazed everyday with more regulations and ways they think they can "fix" anything. Cradle to grave protecting me from myself.
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  #3  
Old 11-18-2013, 03:33 PM
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Default

I'm even more amazed that medical professionals give ANY credibility to BMI.
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  #4  
Old 11-18-2013, 03:41 PM
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Buggsy2 Buggsy2 is offline
 
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Default

FYI, OSA = Obstructive Sleep Apnea.

If you have OSA it can be serious, and I've heard stories of people who had it, got it treated, and experienced an astonishing new vitality from the better sleep they were enjoying.

However the treatment is an obnoxious breathing mask thing with attendant gizmotronic box which provides a slightly elevated pressure to your mouth and nose, preventing the apnea and thus the constant stop/start breathing which is so harmful. I went into a store that provides these gadgets and everyone was obese...seems a fundamentally better treatment would be a serious plan to lose weight.
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  #5  
Old 11-18-2013, 03:54 PM
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N941WR N941WR is offline
 
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Location: SC
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So it sounds like those that "all sleep apnea victims" will have to pay for their AME and a sleep specialist.

Then he wants to go after anyone with an extra 20 to 30 pounds on them. Hasn't he looked at the average age of pilots today? Almost everyone over 30 years old has an extra 20 to 30 pounds on them.

It sounds like they are not going to regulate us out of the air but do it via our medicals.

Once they find out all the pilots have dropped their 3rd class medicals and switched to LSA what are they going to do?

This it total BS!

Sounds to me like they aren't going to drop the 3rd class medical.
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  #6  
Old 11-18-2013, 04:04 PM
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pmccoy pmccoy is offline
 
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Default BMI Woes

My company requires blood work for our health insurance plan. You have to pass three out of four values to get the lowest rate (Blood Pressure, Blood Sugar, Cholesterol, BMI). I nailed them all, except BMI. I am way to high.

In the last year I have dropped 40 pounds and my BMI has dropped from 35 down to 30. That's still to high for my company insurance plan. If this FAA medical requirement goes through, it may be to high for them as well.

I am tired of other people telling me I am fat. I choose my lifestyle. It's my choice to loose the weight or not. Period.
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  #7  
Old 11-18-2013, 04:08 PM
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Brantel Brantel is offline
 
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Quote:
Originally Posted by N941WR View Post
This it total BS!
You got that right!

I am not against people getting checked for OSA if they have a reason to believe they have it, I am against this type of rule making that profiles certain individuals without just cause and I am also against new rules that have no limits.

This is the first rule that targets pilots that are overweight. Where is this going to lead?
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  #8  
Old 11-18-2013, 04:30 PM
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Neal@F14 Neal@F14 is offline
 
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Quote:
Originally Posted by Brantel View Post
This is the first rule that targets pilots that are overweight. Where is this going to lead?
Only skeletons will be allowed to fly?
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  #9  
Old 11-18-2013, 04:28 PM
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BJohnson BJohnson is offline
 
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Default BMI of 40

According to the calculator, for someone 6ft 2in, that equates to a weight of 315lbs. Ideal weight for the same height is around 180 - 210. So this is more about 100 pounds overweight not 20 to 30 lbs. There are many other issues to be worried about at that weight. Something other than OSA will make the medical tough to keep. There already was a requirement to test for OSA if your neck size was greater than 18 inches.

I do not say this lightly. In 6 months I dopped 100 lbs this year through just controlling my consumption and working out . Talk about improved vitality! And the aircraft has gained 100 lbs of useful load without any mods. The human body is amazing on how it can correct itself if treated properly.
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  #10  
Old 11-18-2013, 04:42 PM
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Brantel Brantel is offline
 
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Location: Newport, TN
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Quote:
Originally Posted by BJohnson View Post
According to the calculator, for someone 6ft 2in, that equates to a weight of 315lbs. Ideal weight for the same height is around 180 - 210. So this is more about 100 pounds overweight not 20 to 30 lbs. There are many other issues to be worried about at that weight. Something other than OSA will make the medical tough to keep. There already was a requirement to test for OSA if your neck size was greater than 18 inches.

I do not say this lightly. In 6 months I dopped 100 lbs this year through just controlling my consumption and working out . Talk about improved vitality! And the aircraft has gained 100 lbs of useful load without any mods. The human body is amazing on how it can correct itself if treated properly.
Yes, initially that is exactly right. What happens when they do what they say they are going to do in that memo and reduce the BMI to 35 or 30 or even less to meet their goal of finding all pilots with undiagnosed OSA?

While you should be very proud of your accomplishment at losing weight, the real challenge is keeping it off long term. I hope you can beat the statistical data that shows that on average those that are of a starting BMI of 30 or more typically fail to keep lost weight off long term. I sure hope you are the exception. I do not wish obesity on anyone. Great job!

Quote:
Originally Posted by BJohnson View Post
There already was a requirement to test for OSA if your neck size was greater than 18 inches.
I just searched the entire "2013 Guide For Aviation Medical Examiners" and found nothing that indicates this is true. Where did you learn this information?

There is a suggestion to be tested in the AIM for BMI's greater than 30 or neck sizes over 17" in men. This is not a requirement however to get issues a medical, only a suggestion.
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RV-10, #41942, N?????, Working on Wings
---------------------------------------------------------------------
RV-7/TU, #72823, N159SB
Lyc. O-360 carbed, HARTZELL BA CS Prop, Dual P-MAGs, Dual Garmin G3X Touch
Track N159SB (KK4LIF)
Like EAA Chapter 1494 on Facebook

Last edited by Brantel : 11-18-2013 at 04:58 PM.
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