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    Cog screen not for the FAA

    Agree on the premise that you're flying under BasicMed so reportability becomes less of an issue. Your medical safety of flight is really between you and your doc with the exception of the specific BasicMed disqualifying conditions. The progression of your condition is a reasonable concern and a...
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    Withdraw Medical Application?

    If you have a medical certificate in hand and you don't respond, they'll revoke it. That means BasicMed or light sport will not be an option until you satisfy them that you should have been issued the medical. There's no going back. You need to respond or there will be consequences that can...
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    Need a reality check on 10+ year old DUI

    You got very lucky. If he put the medical through your options would've been severely limited. Here's the deal. The FAA uses their own criteria to define substance dependence. For the 3rd class medicals required by private pilots the pertinent regulation is 14 CFR 67.307. You can google it...
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    Need CogSceeen AE defer letter

    You realize ADHD is a disorder marked by high impulsivity (amongst a number of issues), and you're demonstrating that right now. If you've been diagnosed with ADHD, your course of action is to prove that you do not have ADHD and that the original diagnosis was in error. You need a HIMS AME to...
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    Cost of HIMS AME for difficult case.

    I can't comment on your anxiety, depression, and ADHD, but I can compare it to substance dependence. The responsibilities and complexities of HIMS are demanding on airmen as well as AMEs. I don't see any way a doc could do justice to the job part-time. A good HIMS AME will be upfront about...
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    Are there updates to HIMS SI? Go to BasicMed?

    OP, just listen to Dr. Chien. Let the medical certificate lapse, then make sure you meet all of the requirements for BasicMed. Do not go back to your substance use/abuse as that would be a condition that disqualifies you under the self certifying provisions. This is especially true if your...
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    Can I sport pilot or do I have to go glider????

    If you fail, ultralights and balloons would also still be an option. Sounds like you've had some other medical issues besides the stones. I'd have an AME do a consultation and go over your history to give you an honest assessment. Don't complete the MedExpress and start an exam until you and...
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    Medical Form Mishap

    I'm assuming you had a MIP, public intox, drunk disorderly, open container charge, or some other drug/alcohol interaction with law enforcement "which resulted in attendance at an educational or a rehabilitation program". If that's the case, you answered no, and you did not disclose this...
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    Process for going from SI to basicmed

    This is the correct answer. Once you pass the "not valid after" date on your medical certificate you can operate under BasicMed if all other BasicMed criteria are met. It's a topic well covered all over this forum including citations to FAA documentation stating such. You must comply with the...
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    Will one time alcohol treatment, no prior history of dependency or abuse, prevent me from 1st class?

    Clinically speaking, 1 time of drinking to the point of being admitted to the ER is absolutely abuse. You can abuse a substance without being dependent and you can also be dependent on a substance without abusing it. I'm sure that conversation is going to go well when he discloses the visit to...
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    Will one time alcohol treatment, no prior history of dependency or abuse, prevent me from 1st class?

    Short answer: Get the medical records from the ER. You need the diagnosis codes and there's a good chance they ran a BAC on you. If they did, you're going to want to know the BAC. Take that to a HIMS AME on a consultative basis and have them review and give you advice. Do not complete a...
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    3rd Class SI stuck in HIMS

    This is why I tell people just to stay quiet until the medical is expired. Whatever you do, make sure you absolutely comply with the terms of your SI letter until 3/1/21. There is no authority to enforce the terms of an SI letter if the airman doesn't hold a valid medical. Once the medical is...
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    Special Issuance to Basic Med

    This is inaccurate. HIMS is a program enacted by policy of AMCD not by regulation. There isn't a reference to the HIMS program anywhere in 14 CFR 67 or 68. BasicMed has been enacted by regulation which trumps policy. It's very clear that an airman diagnosed with substance dependence within...
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    Special Issuance to Basic Med

    Substance dependence and substance abuse are distinct well defined disqualifying conditions referenced in CFR part 67. The terms are not interchangeable. Substance dependence is a lifelong diagnosis. Substance abuse is not a lifelong diagnosis, although someone who doesn't get the hint has a...
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    HIMS lawsuits

    I agree with your concerns in principle. I don't want to see any government agency getting in the business of defining medical conditions and I think the regs around substance abuse/dependence could use a refresh. I also think HIMS is being diluted/harmed with the latest lifetime monitoring...
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    DUI-HIMS

    Best to start a new thread rather than hijack this one.
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    DUI-HIMS

    Here's the short answer If you're diagnosed with FAR defined substance dependence you will remain on some form of alcohol monitoring for as long as you hold a medical. Substance dependence is considered a life long diagnosis and consuming alcohol after this diagnosis (lapsing/relapsing) then...
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    Student pilot: 21 year old DUI, sober for 19 years, active in recovery

    They're requesting things you've already been doing, and not some additional medical documentation or testing. This is good news. Take a breath and hang in there. I suspect this is the FAA's way of telling your HIMS AME that they're ready for him/her to request an SI and issue you if the AME is...
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    PEth Dried Blood Spot Testing

    To be clear, I don't want anyone flying that is bona-fide actively substance dependent, or abusing and putting others at risk. I somewhat agree with your sentiments. I don't see the the issue isn't so much the tools or even the use of the tools themselves, it's the FAA's definition of the...
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    PEth Dried Blood Spot Testing

    I'll set the stage with what I consider my well researched knowledge of PEth testing. I'm not defending the test, just summarizing what I've learned from a multitude of research papers and my own personal experience. The test is looking for the presence of a phospholipid in the red blood cycles...
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