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Hogger60
22nd Nov 2013, 01:18
If you read the memo, this is only the beginning.
Once we have appropriately dealt with every airman examinee who has a BMI of 40 or greater, we will gradually expand the testing pool by going to lower BMI measurements until we have identified and assured treatment for every airman with OSA.
-Federal Air Surgeons Medical Bulletin Vol 51, No.4, pg 2.

http://www.faa.gov/other_visit/aviation_industry/designees_delegations/designee_types/ame/fasmb/media/201304.pdf

It will initially start with the guys who fit the overweight 40+ BMI/fat neck profile. But it appears his goal is to test ALL commercial pilots and controllers for sleep apnea, as they believe 30% of the pilot population suffers from this dreaded disease which of course is responsible for the high level of fatigue in the pilot force. Couldn't be the contract work rules that have been gutted, back side of the clock flying, crappy hotels, max duty days, etc., etc., etc., now could it?

Remember this testing will all be done at your expense. Even if you are lucky enough to live in a place where there is a "board certified sleep disorders specialist" (this will be especially onerous for those of us who live overseas, as "board certified sleep disorders specialist" just doesn't exist in most parts of the world outside the US) you will still have to use your days off to get the study done. And should your "sleep specialist" find that you do have sleep apnea, then there is the requisite time and paperwork to clear you to fly. Then after all this happiness has past, you will soon be lugging your nighttime sleep mask and its associated paraphernalia (treatment usually involves positive pressure breathing device which varies in size but generally the smallest travel compressor/humidifier is 6-8" sq, and weighs 2-5lbs) with you on all your trips.

Everyone should really be up in arms about this, as even those who don't fit the "Free Willy" profile of the initial cadre of testees, will be caught up in this fiasco (remember, they think that 30% of all pilots suffer from sleep apnea). Just because you have a BMI of 15-20, doesn't mean you won't soon be seen standing there while your friends at the TSA pull apart your bag to make sure your CPAP mask and machine are not some diabolical terrorist device.

airjet
22nd Nov 2013, 13:31
probably not my business but after I retired was diagnosed with "moderate sleep apnea" when I went for the test and was hooked up to about a million wires, and later to the mask, I remember thinking holy **** I`ll never sleep in this, but now after 1-1/2 years i wouldn`t even think about sleeping without the mask, it takes awhile to get accustomed to the mask, what i did was start off 2 hours on a night then 3 -4 etc, i can tell you that you will feel much much better, and better rested after sleeping with it. also because sleep apnea is really the flap in the back of your throat not opening, which means you stop breathing for a few seconds up to ONE AND A HALF MINUTES, as soon as your brain starts getting no 02, it tells your heart to beat faster, this faster ,slower, can result in AFIB.:sad:

Hogger60
23rd Nov 2013, 01:43
I am glad that you were able to take care of this after you were retired. At least you didn't have to worry about your medical or having to lug your sleep mask around on all your trips. The thing is they want to test ALL PILOTS, even those without sleep apnea.

The lucky thing for those of us overseas is that most other ICAO countries won't follow this one, as the majority of states don't have the sleep disorder specialists and clinics that will be required to test everyone. This is overreach of a grand scale for those without any symptoms at all of sleep apnea.

Radgirl
23rd Nov 2013, 09:50
Perhaps but I would hold your breath until you see the details of he policy. OSA is becoming a massive topic in medicine and as the world becomes more and more obese it is high on the radar.

The US can't possibly put every pilot through a sleep study unless the roll out is over decades. They may simply do a STOPBANG score which in reality is a couple of extra questions on the form. It is not just the rest of the world at doesn't have many sleep specialists. Even in the US you haven't a hope in hell of getting high risk patients seen before surgery and surgery in OSA carries a big risk. So to imagine pilots will all jump the queue is far fetched. Personally I am going to see if I can get a US green card and train as a sleep specialist as it seems to be a job for life

Of course in practice there is no treatment except weight loss and if they are testing the non obese there is nothing to lose:ugh: CPAP is merely management but all we do is ask the patients if they feel less tired in the day. So you get a machine, tell the nice doctor you don't feel tired, and get your job back.

Methinks the nice Mr Tilton needs to think very hard before launching his new plans

wondering
10th Dec 2013, 18:09
Why should a sleeping disorder be a problem as long as the pilot doesnīt sleep on the job/in the cockpit? I can see a problem with enlarged crews when crew members sleep in the bunk. But else. Besides, possible follow on issues like heart or circulation problems are dealt with when seeing the AME. Regardless of what caused it, if your AME finds any problem there he will address it.

Do I smell lobbying here? Should be good business for sleep labs. Makes me think maybe I should open one myself :}

Radgirl
10th Dec 2013, 18:20
Despite my slightly tongue in cheek last post this is a serious illness. Poor sleep patterns mean you are tired in the morning, perform poorly and often nod off in the day. If you have OSA I don't want to be on the same aircraft as you!! In addition sudden death at night is a possibility - please don't everyone with OSA think this is going to happen to you BUT it does have implications for long haul where crew sleep on sectors. Finally there is an increased incidence of some cardiac conditions. Your medical doesn't guarantee your heart is fine, it merely tries to pick up certain evident pathology. So from the regulator's point of view the risk of incapacitation is increased.

Of course the real issue is obesity itself. This has major implications for risk. Although obesity carries a risk of OSA, some OSA suffers are not obese

wondering
12th Dec 2013, 10:42
How many incidents/accidents can be attributed to OSA? Is there a risk analysis which warrants such harsh measures? I reckon FTL's play no small part in tired pilots.

Sometimes I wonder myself how some US pilots can fit in the cockpit of a small bizjet. ;)

airjet
27th Dec 2013, 14:13
Best bet, is plan a Barbados holiday, while you are there call -Dr, Timothy Roach (he is a OSA specialist) he can give u a sleep test, and the results within 72 hours. (he is in the book)

Dufo
27th Dec 2013, 18:35
I'm so fat no instrument can measure me. Now what :E

Ulster
31st Dec 2013, 21:14
I reckon FTL's play no small part in tired pilots

I'm sure there can't be anybody in the aviation industry who would disagree with you on that ! The issue is really more about what can be done to improve the pilots' lot on the one hand, while staying within budgets and profits on the other ! Sorry if this is slightly drifting off the thread's main topic of sleep apnoea.

Fatigue and FTL's have been discussed here before, of course. But maybe a new thread on this could be started by someone in the New Year ? I'm quite certain that an interesting and energetic debate would ensue !

airjet
6th Jan 2014, 11:09
@ Dufo hahahahha

wondering
26th Jan 2014, 16:20
AIN has two articles in itīs January issue worth reading:

FAA Wants Pilots With High Body Mass Index To Undergo Sleep Testing | Aviation International News (http://www.ainonline.com/aviation-news/aviation-international-news/2014-01-01/faa-wants-pilots-high-body-mass-index-undergo-sleep-testing)

Tilton Is Right (but he could use a good PR agent) | Aviation International News (http://www.ainonline.com/aviation-news/aviation-international-news/2014-01-01/tilton-right-he-could-use-good-pr-agent)