That’s where I’m confused. I’m an initial issue case for obstructive sleep apnea which according to the documentation I’ve read requires a special issuance. Yet I’ve read on this board that if you have all the required documents ready to go an AME can issue in the office. When I went in for a consult the AME said the same thing. I gathers all the paperwork, made my appointment, and did the exam. AME submitted all the docs electronically in medexpress, printed out my medical, signed it, and I walked out with a class 3.
From what I’ve read on the FAA website, OSA wasn’t a CACI item but they can based on the documentation I read it’s unclear to me what (if anything) happens next from them.
Sure hope the AME didn’t screw up and issue when they shouldn’t have…