Originally Posted by
421dog
FAA, not CAA AME here….
Crohn’s is a total gi tract disease, that is likely with you forever, but doesn’t necessarily mean the end of your life as a pilot.
Most of the world has a more liberal approach to BRMs than does the FAA (they just last month approved Humera for RA as a CACI which is, as far as I know, the only exception to their blanket deferral associated with monoclonal therapies)
Anyway, I’ve got bunches of Crohns and other IBD airmen flying around happily without that stuff, but it really seems to work well, so if you’re on it, it’s working, and you’re not symptomatic, I’d bet you’ll be good to go. The likelihood of having a ‘“normal” upper and lower endoscopy with an actual crohns diagnosis is fairly low, but if it works, don’t knock it….
Appreciate your reply.
Yes, my specialist also told me that when you have Chrons, its more normal to see certain affected areas in the GI tract. But he said that doesnt mean your not in remission. He stated its more an overall picture. Taking many results into concideration.
When I was diagnosed fall 2020, I had inflammation in both the small intestin & colon. When I redid an endoscopy in july 2021. The Colon was all fine, and they found no certain signs of affected small intestine. But biopsy confirm a small area still had activity.
My current AME is booking me for a new endoscopy now, where he says that if the results are the same as in july 2021. He can argue that the Chrons is showing stability and my condition is in remission. So I am hoping for the best.
Its just frustrating to go at home, feeling all good and fine. Not be able to fly. On top of the CAA not being able to take clinical remission as a good enough remission.