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Mayo Clinic Clear Approach

Mayo Clinic Aerospace Medicine

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Mayo Clinic Clear Approach tackles medical topics important to commercial aviators, recreational pilots, or just folks interested in things that fly. Current topics from the Federal Aviation Administration (FAA), National Transportation Safety Board (NTSB), and aviation trends are explored in a serious but sometimes humorous way. Mayo Clinic Clear Approach focuses on a perspective from "the other side of the gurney." Let us navigate the storms of aeromedical certification, medical issues tha ...
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The Aerospace Medicine Podcast

Daniel Olaiya and Rohan Sant

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Hosted by doctors Daniel and Rohan, this is a podcast committed to informing, involving and inspiring anyone interested in the field of Aerospace Medicine. Join us for fascinating deep dives and talks with experts in the field.
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Send us a text On this episode, we discuss a pilot who was charged with making false statements on the FAA medical application form and what implications that might have including possible jail time or fines. How does one balance the need to be complete with that of unnecessary worry about missing a non-relevant medical visit?…
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Send us a text On this episode, we review the recently announced FAA strategy for hiring more air traffic controllers -- all while addressing the first pollen burst of the year and how pilots can navigate using antihistamines and other medications without jeopardizing their medical certificate.By Mayo Clinic Aerospace Medicine
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Send us a text At the latest AME Grand Rounds, medical examiners heard updates from the FAA regarding a recent listening session in which a variety of aviation-related organizations provided insight into how the FAA's medical divisions could improve -- and they're listening. On this episode, we review the updates from the latest information session…
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Send us a text Although a very common condition, the presence of glucose intolerance or what the FAA calls "pre-diabetes" can result in medical certification -- and in some cases, does not even require Special Issuance Authorization. What are the newer drugs allowed and what is required to obtain or keep your medical certificate?…
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Send us a text The Human Intervention and Motivational Study, also known as the HIMS Program is an occupational substance abuse treatment program dedicated to helping all pilots return to the cockpit or flight deck. HIMS-trained AMEs, neuropsychologists, and psychiatrists in conjunction with employers, union representatives, and other support organ…
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Send us a text Episodes of syncope or loss of consciousness can result from something as simple as a brief fainting episode -- up to the level of a severe head injury. How it's documented and the testing required for FAA purposes can be critical. On this episode, we discuss the aeromedical implications of syncope and stand down times depending on t…
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Send us a text On this episode we review the technology of coronary artery CT scanning and CT angiography. Although used as an effective screening tool for certain individuals, is this imaging something that pilots should pursue? What happens if an elevated coronary calcium score is identified? Will a pilot still be able to retain their medical cer…
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Send us a text The FAA medical application, Form 8500-8, is completed electronically through the electronic platform called MedXPress. Are you ready for your next flight physical? What potential pitfalls are there with filling out the application form and how can you prevent those? We cover some of the most common applicant questions as well as pla…
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Send us a text On this episode, we discuss bundle branch block and what is required if a heart transplant is required for severe cardiac disease. What is bundle branch block? Is it a deal breaker? And is it even possible to get a medical if a pilot experiences a condition that requires a heart transplant?…
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Send us a text On this episode, we look at a common condition unfortunately experienced by many pilots -- whether flying recreationally or for a living -- coronary artery disease. What tests are needed and how can a pilot be adequately prepared through the process of obtaining a Special Issuance Authorization? Do you really need to get a coronary a…
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Send us a text Last month, the FAA announced changes in screening for color vision deficiency. On this episode we discuss what pilots will be directly affected and address some of the common questions being asked right now by our patients and aviation medical examiners across the country. What tests will be allowed? What happens if my AME doesn't h…
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Send us a text Mayo Clinic's Section of Transportation Medicine was joined recently by U.S. Air Force flight surgeon and FAA Senior AME Dr. Sheyna Gifford. On this episode of the podcast, she discusses her philosophies and approaches to a successful flight physical -- and the importance of professionalism in pursuing an aviation career.…
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Send us a text This week the FAA announced significant changes in screening for color vision deficiency, and also declared a change in how the agency will interface with pilots in the future -- expect more denial letters coming in the mail after the first of the year.By Mayo Clinic Aerospace Medicine
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Send us a text On this episode we take a look at the current updates on Basic Med announced this past week by the FAA, and also look at a new "fast track" process for adjustment disorder that may allow pilots originally having to go through an extended mental health evaluation be rapidly certified by their aviation medical examiner.…
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Send us a text Hemochromatosis is an iron storage disease that affects not only the liver, but also the heart, kidneys, and central nervous system. Although not the most common condition, it is often associated with a genetic abnormality -- and those with the gene are typically unaware of it until middle-age. The key is in screening for it -- befor…
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Send us a text Male hypogonadism, otherwise known as "low T" is a common diagnosis received by adult males, including those who operate aircraft. Many medical providers who prescribe testosterone supplements do not "speak airplane," making aeromedical certification challenging in certain cases. What does it take to obtain or maintain a medical cert…
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Send us a text On this episode, we discuss a couple of conditions not commonly seen in pilots but which can make a difference in terms of aeromedical certification. We look at pectus excavatum, otherwise known as "funnel chest," and how pilots with speech impediments can still qualify for their FAA medical certificate.…
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Send us a text Pacemakers are amazing devices that can help regulate heart rhythms, synchronize arrhythmias, and can be career saving for certain pilots. On this episode, we discuss certification requirements for aviators who will need Special Issuance Authorization for pacemakers. A little preparation goes a long way.…
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Send us a text Psoriasis is a chronic and incurable condition involving the skin that is sometime associated with arthritis and other autoimmune conditions. There are a variety of treatments for this disease and we discuss aeromedical implications to minimize delays in certification.By Mayo Clinic Aerospace Medicine
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Send us a text On this episode, we review aeromedical certification requirements for a relatively uncommon disease called hemochromatosis -- a condition that involves elevated iron levels in the blood that can result in liver failure and may affect multiple other organs. Screened and taken care of early, it is completely controllable but left unche…
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Send us a text In this episode, we go single pilot and cover one of the most common valvular heart issues -- mitral valve regurgitation. For stable established cases of mild severity, a pilot might not even need Special Issuance Authorization. CACI qualification is possible, and if appropriate testing is obtained ahead of the time of the flight phy…
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Send us a text Drones, love 'em or hate 'em, are here to stay. The FAA announced groundbreaking approvals this week for commercial drone operations of delivery packages involving unmanned aircraft outside the sight line of drone operators -- paving the way for packages to be delivered remotely to your doorstep using drones operated by pilots miles …
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Join us for the opening episode of our new Season, where we hear from our partners at the Canadian Society of Aerospace Medicine. CSAM was set up in 2019 by pioneers in the field, from whom you hear today. Their stories highlight the range of careers within aerospace medicine and a breadth of experience. A high-reaching episode from passionate pion…
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Send us a text One of the most common medical conditions encountered by pilots is elevated blood pressure. On this episode we discuss what is allowed for maximum blood pressure levels, what medications are approved, and the options available to pilots who find themselves dealing with hypertension.By Mayo Clinic Aerospace Medicine
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Send us a text Mitch and Clay return from vacation and step back up to the Clear Approach podcast microphone. On this episode, they discuss updates to the FAA's approach to "uncomplicated" anxiety and depression, review the FAA streamlining efforts for re-certifying pilots with Special Issuance Authorization related to coronary artery disease and m…
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Send us a text Most of us take for granted the bean-shaped organs located along our flanks that are responsible for filtering the blood and maintaining fluid balance in the body. But what happens when things go wrong with the beans? How will this affect aeromedical certification for pilots? This episode covers current requirements for obtaining and…
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Send us a text Several announcements this week to FAA aviation medical examiners by the agency will significantly decrease the burden on pilots with certain uncomplicated mental health conditions, eliminate the need for exercise stress tests for renewal of Special Issuance Authorization for pilots with coronary artery disease -- and other streamlin…
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Send us a text The presence of a tremor has, in the past, delayed efforts of pilots to become medically certified. Use of CACI criteria now streamlines the process. In this episode, we review what is required and touch base on the new FAA reauthorization bill that was signed into law last week.By Mayo Clinic Aerospace Medicine
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Send us a text Pilots often forget to report arthritis or musculoskeletal injuries on their FAA medical application. On this episode, we walk.....er, tiptoe....through the process of reporting these common conditions and what is allowed by the FAA to maintain your flight physical.By Mayo Clinic Aerospace Medicine
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Aerospace Medicine Podcast takes AsMA 2024 This short episode is from the Aerospace Medicine Association’s Annual scientific meeting, taking place in Chicago, Illinois, where our team have been in the last week! Listen for catch-ups with former guests, and an insight into the flagship event of the Aerospace Medicine year. Recommended in this podcas…
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Send us a text The Aerospace Medical Association (ASMA) is the largest gathering of aviation and aerospace experts in the country with its recent annual meeting concluding in Chicago this week. We discuss some of the highlights and then review recent FAA updates regarding use of certain medications for weight loss.…
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Send us a text Asthma is a common condition in the general population and is often worse during allergy seasons in the spring and fall. Is being diagnosed with asthma a significant barrier to obtaining a medical certificate? We discuss stages of asthma severity and how FAA medical certification may be affected.…
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Send us a text Atrial fibrillation is the most prevalent treated heart arrhythmia. We meet with a cardiology expert to discuss assessment, treatment, and new trends in taking care of the condition -- and then review your pathway to aeromedical certification.By Mayo Clinic Aerospace Medicine
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Send us a text The thyroid is often considered the "black box" gland -- not only to patients and pilots, but also to their providers. In this episode, an expert in thyroid disease helps navigate common thyroid conditions, and we discuss the resulting aeromedical implications. Can a pilot still get a medical with thyroid problems, and, if so, what l…
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Send us a text One of the most common issues affecting pilots is that of visual acuity. On this episode, a Mayo Clinic optometrist covers the most common eye issues facing pilots. Are those aviator shades worth it? Should pilots be worried about cataracts or glaucoma, and what about monovision correction or LASIK? Listen to find out....…
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