Re: Don't send the guy to get a First Class!
Ty Webb said:
Are you guys nuts?
The first thing the guy should do is get an evaluation from a NON-AME. Find out if he even has this disorder! There's probably a good chance that he doesn't even have it . . . and if he does, he will be talking to someone who specializes in this disorder.
If he goes to an AME and says he has a history of some disorder, the AME may or may not be qualified to determine if he has it, but if he goes and self-reports that he has some condition based upon some evaluation ten years ago, he will have opened up a can of worms and left a paper trail that may be very difficult to fix later.
My advice would be to go to a specialist first, get cleared, THEN go to an AME.
I disagreed with what you say, but did a little research, and resolved some of the disagreement, but not all.
Even if he goes to a "NON-AME" and finds out that he does not have ADD, he still must report it on the 8500-8, APPLICATION FOR MEDICAL CERTIFICATION.
18. Medical History - HAVE YOU EVER IN YOUR LIFE BEEN DIAGNOSED WITH, HAD, OR DO YOU PRESENTLY HAVE ANY OF THE FOLLOWING?
m. Mental disorders of any sort, depression, anxiety, etc.
Clearly, he must anser YES to the above as he has IN HIS LIFE been diagnosed with a "Mental disorder." Even if the diagnosis was incorrect, it must be reported and explained.
Here's where I think you might be right about not just going to an AME unprepared. He must put something in the EXPLANATION block that will satisfy the AME that the diagnosis, whether it is correct or incorrect, past or present, is not disqualifying. He should know ahead of time what he'll put there - - word for word.
I've also read the FAA's published guidance on the matter
EXAMINATION TECHNIQUES ITEM 47. Psychiatric and can see no reason why ADD in and of itself would be disqualifying. That said, we're always talking about a human when we're talking about an AME, and there's no way to absolutely insure objectivity or error-free judgment.
So, I agree to the extent it's better to be prepared. He ought to know exactly what should be put in the Remarks section to mitigate any of the objections the AME might have to granting the medical.
Although I have no idea who these people are(
Pilot Medical Solutions, Inc. ), I think I'd be interested in the opinion of someone LIKE them. Perhaps they can prepare the guy for the medical in the same way a guy might prepare for the interview. They might have "just the right words" to put in the remarks section to make the AME happy, or know "just the wrong words" to avoid - - the ones that might set off alarm bells and whistles.
Having said all that, I still think he'd do fine.