Introduction
Hi everybody, I am looking to gather some advice on how I should proceed or if I should not proceed at all. I have looked through various threads but could not find any situation that was similar to mine. I plan to give as much information as I can so in order to get the most accurate advice plausible.
The best advice here is to contact Dr. Chien and see if he's interested in taking on your case. Ignore all the doom and gloom telling you to spend $10k on a lawyer and that an AME "works for the FAA" and they're just itching to rat you out. If you pay an AME for their medical opinion and services you are paying them to act as your personal physician. If you're really worried about it don't sign any records or disclosure release the AME requests and don't fill out a MedXPress.
You've never held a medical or pilot certificate so the FAA doesn't even know you exist. Anything you've got is well documented already and you're going to have to deal with it if you want to fly. I'm sure there are plenty of stories about AMEs submitting unsolicited information to the FAA to "get" a pilot. I've heard a few myself from other pilots and straight from AMEs. Dr. Chien isn't that guy.
As Dr. Chien has opined you hit the BAC number for demonstrated tolerance and thus meet the criteria for substance dependence as defined by 14 CFR 67.307(a)(4)(ii)(A).
I'm not a lawyer, but I do have first hand experience of what it takes to obtain and hold a SI for substance dependence. You've got 2 choices.
Choice 1 - HIMS
You're in for a long and expensive road. You'll have to immediately begin some form of 3rd party monitored random alcohol testing. In addition to simple abstinence, you'll have to demonstrate recovery. You'll have to work some form of recovery program (possibly inpatient, but not necessarily) and aftercare activities (AA, SMART, etc. ). There will be frequent in person follow ups with your AME. You'll have some combination of visits with psychiatrists, neuropsychologists, and substance abuse professionals. During this whole time you'll be documenting clinical proof of abstinence and recovery.
You'll spend somewhere north of $10k to get issued and it will not be a quick process. Once issued your ongoing monitoring costs will vary, but $1k-$2k per year isn't out of the norm. Your medical certificates will be time limited to something like 6 months for a substantial (years) period of time. You will only be able to obtain medical certificates from your chosen HIMS AME for years.
You will be under some form of random alcohol monitoring for as long as you choose to hold a medical certificate.
If you're not willing to completely stop drinking alcohol as long as you hold a certificate don't bother.
Choice 2 - Legal action based on 14 CFR 67.307(a)(4)
You're in it for a long, expensive, and uncertain road. You hire a lawyer. You start the uphill battle with next to no evidence of true recovery to a Federal Air Surgeon that enforces a policy of lifelong monitoring for any pilot ever diagnosed substance dependent. The onus will be on you to prove "established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years." Right now you have ZERO evidence to meet this standard. You'll spend a lot of money without a guaranteed outcome, burn at least 2 years, most likely end up spending more money on appeals. During these legal activities you may or may not receive good advice about the activities necessary to fill the medical record with clinical evidence of recovery. Also, the FAA medical division will stop communicating with you and take no action on your case as you have begun an adversarial legal process. IF you succeed then great. If you fail then it's back to square 1 and you try back through HIMS where you'll spend another few years before getting issued if you comply.
If you go the legal route and succeed, you should never drink again. If you do drink, an argument could be made that you meet 14 CFR 67.307(a)(4)(ii)(D)
"Continued use despite damage to physical health or impairment of social, personal, or occupational functioning." This will put you in the position of possibly being in violation of 14 CFR 61.53(a)(1) if you operate an aircraft after drinking.
As a pilot you'll be trained and required to understand the FARs. You can read the full text of the quoted regs here:
https://www.law.cornell.edu/cfr/text/14/chapter-I
You most likely can obtain a medical, the question is how much is it worth to you. Good luck!