A local AME doctor was well known for keeping pilots in the air. In fact, one exam room was plastered with photos and letters of thanks from mil and comm types that were still able to make their living in a cockpit. After a few of his exams, I concluded that one was bound to pass the exam as long as he had at least the faintest pulse. Always walked out with a medical cert, but never a clue as to the state of my health. The current guy gives me the finger and squeezes the tender bits, but I have a better feeling leaving that I'll be healthy enough to make it to the next exam.