Any pilot in any system should be able to come foreword with these issues. At any time if a pilot feels he is not fit to fly, he shouldn’t.
Any manager, be it a chief pilot or chief medical officer should appreciate when a pilot does this. It means that the pilot trusts the system and so it should be.
There has always been the same dilemma:
You call in "not fit to fly" for the first time and your decision will be lauded as "professional". You call in sick for the third or fouth time and may have a not so pleasant discussion with the chief pilot not much later...
