Class 2 FAA medical with Mitral valve prolapse, mild mitral regurgitation, and mild tricuspid regurgitation.

[flyingsong37]

Good evening,
I am wanting to get my class 2 medical from the FAA. I have been diagnosed with the conditions named on the thread, only one Dr has heard my murmur, and I get a DoD flight physical yearly, they haven't heard it since. I was just curious what hoops I will need to jump through to get this taken care of. As far as what tests need done, will waivers need submitted, and will it be stressful Everytime it comes to renew it. Thanks!

 

[flyingron]

This can be issuable if you don't have any complications. You'll go through a barage of tests at the initial deferral (echo cardiograms and the like), but if things remain stable, the subsequent renewals shouldn't be delayed. Best to find a GOOD AME pre-application and get all your ducks in a row with regard to testing (and to review any possible disqualifying complications).

 

[bbchien]

Done witin 90 Days prior to application:
Cardiologist's office visit eval.
Stress treadmill (I rec. Stress TM echo, CPT 93350 or -51!) to a heart rate >= 90% of (220-yourAge) and nine minutes' duration. Also get all the tracings (30 of them, NEVER faxed)
HbA1c and Lipid profile
Echocardiogram (seated CPT 93325).

Get 'em all <90 days prior to any flight physical.....

 

[flyingsong37]

Done witin 90 Days prior to application:
Cardiologist's office visit eval.
Stress treadmill (I rec. Stress TM echo, CPT 93350 or -51!) to a heart rate >= 90% of (220-yourAge) and nine minutes' duration. Also get all the tracings (30 of them, NEVER faxed)
HbA1c and Lipid profile
Echocardiogram (seated CPT 93325).

Get 'em all <90 days prior to any flight physical.....

Thanks for the info! If I submit all of this day of the physical, assuming everything is normal, how much of a delay do you think this could cause. Also, my last echo was 5 years ago and report states the regurgitation is considered a "normal" variant. Do you believe this could change over a five year course? Super nervous about not being able to get issued the medical sorry for all the questions.

 

[TCABM]

Thanks for the info! If I submit all of this day of the physical, assuming everything is normal, how much of a delay do you think this could cause. Also, my last echo was 5 years ago and report states the regurgitation is considered a "normal" variant. Do you believe this could change over a five year course? Super nervous about not being able to get issued the medical sorry for all the questions.

A technique is to have all the required info in hand and schedule a consult with the AME who’s going to do the exam. That consult should tell you whether so submit the MedXpress app/hand over the confirmation number or not.

The first time you see the AME should not be to have the exam. You’ll likely want an initial consult on what’s needed. Then, work to get the required testing/documentation, then review it with the AME as a consult, then do the exam.

If you’re a Tricare guy, the cardiology consult and associated tests may take a bit to set up unless you’ve got a facility like BAMC nearby (they did mine).

You can also try to have this conversation with your flight surgeon to see how they can help get the right stuff the first time. DoD aeromedical and the FAA are separate beasts, so don’t think just because it’s a nothingburger for DoD that it’ll be the same with the FAA. They know nothing about you/your history, so treat it like your first security clearance investigation.

 

[bbchien]

You need a more current echo. It changes.
If you have everything and its' all favorable, think ten weeks from exam, to certificate.
Heed TCABM's advice.