Mayo Clinic Aerospace Medicine public
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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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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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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 unchecked, can resul…
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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 physical, aeromedi…
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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 away. With thes…
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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 more.…
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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 maintaining yo…
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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 streamlining efforts are…
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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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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.By Mayo Clinic Aerospace Medicine
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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 limitations will…
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On this episode we review current events -- from three new antidepressant medications announced by the FAA as allowable for aeromedical certification to a recent report released by the Aviation Rulemaking Committee (ARC) regarding advances in mental health disclosure and certification.By Mayo Clinic Aerospace Medicine
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Although almost everyone experiences ups and downs of mood and attitude, some pilots encounter mental health conditions that require detailed assessments and testing in order to qualify for their medical certificate. In this episode, we visit with Mayo Clinic psychiatrist Dr. Greg Couser to better understand what goes into these detailed evaluation…
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Obstructive sleep apnea and other sleep-related disorders are some of the most common conditions requiring Special Issuance Authorization clearance from the FAA. On this episode, we hear from a sleep disorders expert followed by discussion on aeromedical implications.By Mayo Clinic Aerospace Medicine
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The age for mandatory retirement for commercial airline pilots flying under Part 121 was raised to 65 years in 2007. A recent pitch to increase the age limit to 67 was voted down recently by the Senate Commerce Committee. What implications will this have on the pilot shortage, and what's the answer?By Mayo Clinic Aerospace Medicine
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It's second nature to pre-flight with a checklist, but what about "pre-flight checklisting" yourself? On this episode we meet one of our talented nurses dedicated to helping pilots through the process of applying for a medical certificate and passing through this part of the journey unscathed.By Mayo Clinic Aerospace Medicine
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On this episode, we pay tribute to our colleague Dr. Greg Vanichkachorn who was the master of ceremonies for the Clear Approach podcast but departed the "nest" for a better view at Delta Airlines. We launch our new format, and discuss being aware of colleagues and friends with mood issues that could lead to the unthinkable. NOTE: Potential sensitiv…
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Yes, I am alive! Welcome to the reboot of the podcast. I have been completely crushed with patient care and post COVID work, and I haven’t had much time to sleep let alone record another episode. But alas, thanks to labor laws, I have some more time now, and we are back! In today’s episode, … Continue reading Under Pressure: Glaucoma →…
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In this episode I go over what pilots need to know about treating allergies safely. Also, I do a brief overview of my new job in the Human Intervention Motivation Study with the FAA. To help, here are some key links to support your learning: Allergy Medicine Guidelines by the FAA The HIMS ProgramBy Dr. Greg Vanichkachorn MD, MPH
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