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A denial is never really permanent. You can always reapply later. Just understand that the requirements are unlikely to change.

Basic Med is perfectly legitimate. There should be no ready to feel the need to tell someone you are flying under Basic Med vs a 3rd class medical.

Once it makes it to the bladder it generally doesn't cause any more pain on the rest of the journey, which typically only takes a day or two.

SSRI cases seem to be taking about a year in review.

We have a client who doesn't want Basic Med because he flies a turboprop in the flight levels. Think of the question about disability benefits as just another way for the FAA to ask "how are you doing?" the same way the want to know about meds, appointments, etc. Having a disability does not...

This article answers most of your questions. Yes, after 5 years you shouldn't need an SI if you meet the requirements. Correct, you won't meet CACI because you had high risk features (invasion and chemo). How hard? That all depends on how well you are doing and how good your documentation is...

I concur with lbfjrmd. There are a variety of types of HIMS cases and the history behind each will play into the length of the review process. Currently we are seeing SSRI cases take over a year.

For sure. We have several other articles on our Pilot Doctors blog you may want to reference as well. Check out our article on Flying as well.

Sorry, misinterpreted how you laid it out. But honestly, it is impossible to answer your question with only the limited information provided. Clearly there is something holding up your approval. Part of it could just be the massive backlog at the FAA.

You are doing to need to be in the HIMS program. You can use the ones recommended above or find a HIMS AME near you via Pilot Doctors.

We also have this article on our AME directory. Filling Out MedXPress. Start Your Flight Physical Right.

You ability to get a medical will be directly related to the quality of the documentation from your treating physician as it pertains to your current status, how your insomnia was resolved. We have an upcoming blog post on the concept of the detailed clinical progress note.

For the vast majority of the clients we identify as needing HIMS services they usually also need a HIMS AME. In those situations it is typically better for the local HIMS AME to recommend the other associated HIMS professionals since they are more likely than us to know the quality of work. This...

I think we're saying versions of the same thing. As fellow HIMS AMEs, I think we should discuss this topic privately and provide a joint statement that resolves confusion instead of creating it. The FAA's stance on this is pretty clear. You can reach me at contact@wingmanmed.com. Also, if you...

A HIMS AME should also be able to spot a poorly made diagnosis with a lack of quality documentation and that a pilot, or prospective pilot, should not forever be labeled and prevented from flying because they sought help from the wrong person.

Which part do you disagree with? The part where I said an old diagnosis needs up to date proof that is no longer a current condition?

You highlight my point. Many VSOs don't actually understand VA disability. They know how to file paperwork and they know what conditions can rate what percentages. They may also know how the local C&P examiners will perform the exams. But they don't actually fully understand the process.

AOPA is a fantastic organization. Both my business partner and I are members. However, their medical advice is lacking. They can answer simple questions. They can try to prompt the FAA. But they cannot actually guide you through a complicated process or move your case. Even with us, we will only...

This is why we started our own VA service for pilots. The traditional path of VA disability is ripe with intentional and unintentional fraud at many levels. If a person doesn't have a current problem, then they shouldn't claim things. If the individual doesn't actually meet the diagnostic...

Exactly. Present at the time of the disability evaluation.