10 yrs later - drug induced psychosis

[Tripleseven]

Looking for some direction before I fill out the med express app or talk to an Ame
I had undiagnosed drug induced psychosis, and a civil commitment for 90 days in 2012
I did treatment and that was basically it..
I was only on meds during that period and the last hospitalization was in the same period

I don’t have any documentation after this as ive never been hospitalized , few doctors visits none involving mental health and no criminal cases

I’ve held a commercial drivers license and a dot medical card for almost 10 years

Im only interested in a class 1 medical
I really don’t have any documentation I can bring so what can I get now
Should I get a neuro psych evaluation
Should I talk to an Ame and see what they think, there’s only one hims ame around me

Or do I just apply and see what they want.

All of this was so long ago I don’t know even about getting medical records.
Any help would be appreciated

 

[Lindberg]

I had undiagnosed drug induced psychosis, and a civil commitment for 90 days in 2012
I did treatment and that was basically it..
I was only on meds during that period and the last hospitalization was in the same period

You were diagnosed with something that led to the commitment and that you were treated for, what was it? The FAA won't be concerned with what you thought the diagnosis was but what the professionals actually diagnosed. What drugs were you on? And what medication and what treatment did you receive? You may not want to answer all these questions here.

You should gather all the records you can and schedule a consultation with a HIMS AME. If the AME you contact doesn't understand the need for a consultation or doesn't do consultations, find a different one.

 

[robin ardoin]

^^^^^ What he said. ^^^^

 

[Tripleseven]

Trying to request medical records thanks
Think they get rid of them after 7 years

 

[flyingron]

Trying to request medical records thanks
Think they get rid of them after 7 years

Not necessarily. Seven years only applies to credit reporting agencies. Medical providers could have longer or shorter retention periods.

 

[bbchien]

Definitely needs the records B4 anything can be said, at all.

 

[robin ardoin]

Not necessarily. Seven years only applies to credit reporting agencies. Medical providers could have longer or shorter retention periods.

...and typically applies to physical copies. In the age of EMR's (electronic medical records), most providers/facilities will have access to much of the record even though the prescribed time to legally maintain a physical record has passed.

 

[Lindberg]

Even in the age of EMRs, records availability can vary, and compliance is not guaranteed. I had to call a congressman and a ****ty community hospital's accrediting organization just to get records of an ER visit that happened three months prior. Even still, they came up with barely enough....

Their first answer was, "We don't have any record of you being treated here." I told them my insurance company's claims audit department would be very interested to hear that.

OTOH, the orthopedics practice I use has records of tests and surgeries going back to the '90s.

 

[flyingron]

Believe me, I know. I tried to pull up some ancient medical records the we wanted at one point but even though the provider was still around, his office couldn't find it. Back when I worked in the medical industry, a study showed that 25% of requests for medical imagery from the records wasn't able to be satisfied. We were working on the early PACS systems to try to improve that situation.

 

[robin ardoin]

In Louisiana, I only have to keep physical records for 7 years (including radiographs). They have not updated rules related to retention of EMR's in private practices yet but we have electronic records of clerical aspects of our patient's care going back 28+ years even though the physical record was destroyed. My clinical notes are still handwritten. I don't have a full "EMR" software package as my partner and I are dinosaurs and are not providers to any insurance company thus EMR's are not needed. However, we digitize all patient's clinical 'paper' records and it is stored with the other data entry. All of our radiography has been digital since 2008. All digital information is kept indefinitely and, if a patient requests a copy, we will provide one even for records that we legally are not required to retain. In Louisiana, a provider must produce a copy of the medical record upon request and do so in a timely manner (I don't recall the time allowed but it definitely would be on the order of less than 30 days. It sucks that a hospital could not provide a complete record and do so in a couple of weeks.

 

[Tripleseven]

Really at a loss what to do
i also have a twic card, I’ve done fingerprinting and the fbi background they have the same disqualifications

The dot medical has practically the same questions as medex but apparently I shouldn’t have that either
I really don’t need to go through all this and have them talk to the fmsca and start going through my med cards
Which is kind of the only medical proof I have for a special cert…

 

[Lindberg]

Really at a loss what to do

1. Gather all the available records.
2. Consult with an AME known the working with tough cases.

i also have a twic card, I’ve done fingerprinting and the fbi background they have the same disqualifications

View attachment 136663


The dot medical has practically the same questions as medex but apparently I shouldn’t have that either
I really don’t need to go through all this and have them talk to the fmsca and start going through my med cards
Which is kind of the only medical proof I have for a special cert…

Did you previously disclose your history?

 

[TCABM]

…Im only interested in a class 1 medical…

The only need for a Class 1 is for airline/career aviators. If you’re hinging the rest of your working life and $100K or more in training and education to get there, you shouldn’t be hinging your decision on SGOTI.

You should engage a HIMS AME who’s done a lot of successful difficult cases for a consult to understand what the FAA will accept.

Unfortunately, failure to disclose with the FAA is a federal felony, so that’s not an option unless you want a new legal problem in your life.

The FAA medical process isn’t a judgement of you, it’s a regulatory decision whether your medical history complies with the law and international treaty requirements. This means there may be documentation you will be asked to produce and you cannot. That doesn’t necessarily close doors, but it certainly can make them difficult and expensive to unlock and open, which takes a lot of time.

If your history is certifiable, it’s still at least a year of training and another year or more to complete the flying experience requirements. Realistically, that’s three or more years from now before that could all be accomplished.

The next question is how do you become competitive for the entry level airline(ish) job. What’s the industry trending towards for education and experience? Hiring models appear to be trending towards programs like SWA’s Destination 235 or UA’s Aviate program. Is that a path you’re will to take?

Just some things to consider as you consider this endeavor.

 

[Jameskerr3]

If i could chime in here- im currently training to be a peer specialist- its good to work on things to improve life for yourself whether its the common flu you had or a medication induced psychosis ten years ago. dont worry so much about the medical certificate- you have time i think and you can further education or find really cool and fun hobbies in the mean time. Keep progressing towards what makes you feel good in life within reason. You could always reapply for the class 1 medical- Sending best wishes- James

 

[WDD]

Im only interested in a class 1 medical

The only need for a Class 1 is for airline/career aviators. If you’re hinging the rest of your working life and $100K or more in training and education to get there, you shouldn’t be hinging your decision on SGOTI.

To the OP: Can you clarify that indeed your end goal is to be an airline pilot?

Just for some perspective. An airline will launch their own background check. They won't just see that you have a 1st class medical and call it a day. For example, my PPL CFI had American Airlines comeback and request comments from him on things like an out of state speeding ticket a decade ago. It appears to me that the airlines - who are liable for lot of money if they hire someone with a history that does something wrong - have ways of finding things.

I also can see how the records may just not exist anymore. I have no idea what to do in that case.

 

[bbchien]

How are you going to prove it was "drug induced", which FAA views as "an assertion" without the record to "substantiate" the claim?
B