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How do I get my class 1 medical with crohns?

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How do I get my class 1 medical with crohns?

Old 1st Sep 2022, 15:48
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How do I get my class 1 medical with crohns?

Hello good people of the internett. I am a 23 years old pilot student, located in Norway. Halfway though my studies I got diagnosed with crohns. I got well extremely fast with medication and today I am in remission and feel like I've never had anything. But I still need medication to be in remission. The faces and blood tests indicate that the medication is the cause for my well being. I am using "Adalimumab (Hyrimoz, Humira)" every other week.

When I went for a revalidation of my medical class 1 it got rejected because of my crohns. The authorities said I had to prove that I was in remission with a koloskopi and then a OML restriction will be given. I gave them a koloskopi test which said that I am in remission. Then they came back with: We can not give a OML restriction to someone who already does not have a licence. So to get a medical class 1 in Norway, my only option is to quit on medication and hope to not get a relapse. My doctor strongly advised me to not stop with the medication, because a relapse is highly likely.

Right now I've almost completed all of my ATPL subjects and really want to become a pilot! My question to you guys are: How can I get a medical class 1? I've heard that in England I have a chance to get a valid medical. That in England they practice with Alternative means of compliance under CAA. But I can not seem to find any information around that. And If I went to England and got a medical class 1 there. Would that be valid in Norway? since Norway is under EASA and since Brexit CAA divided itself from EU.

My question is: How do I proceed from here? should I just give up when I've come so far? do I even have any choice?
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Old 3rd Sep 2022, 08:55
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I'm sorry that you find yourself in this situation after you've put time, effort and money into your training.

I can't give you advice about Norway as I'm not familiar with it but in general EASA terms I think you're going to face an uphill struggle to be issued with an initial class 1 medical with a diagnosis of Crohns - even if it is in medicated remission.

What I would suggest you think about is the wider future. Crohns is a disease that can often be managed quite well using lifestyle and diet measures to limit its affect on you.

Aviation as a career contains almost all of the things that are worst for you in terms of managing Crohns - Stress, irregular hours and uncertain meal times; irregular sleep; fatigue; limited ability to prepare and eat your own food; limited ability to use the toilet at the time you choose.

I think you really need to consider the effect that these things will have on your wellbeing as you go forward. Lifestyle and wellbeing are critical to managing Crohns. Can it be managed for a while as a pilot - yes it probably can but I think there is a real risk that it will accelerate the deterioration of your condition. I've known a couple of people who've developed Crohns during their career - they've struggled on for a few years then had to stop flying.

You should also consider that if you do get a medical and continue then you will have a permanent sword of Damocles hanging over you as you worry about if / when the disease will return. This in itself will be stressful and increase the risk.

Plus you should consider the options for getting employment if you've got OML for a condition that can be unpredictable and flare up - Employers will think twice (They won't admit it but they will be doubtful).

Sorry if i sound negative but i really think you should think hard about what is best for you in the long term. Could you struggle on and make it work for a few years? Probably. Will you pay for it later in life - almost certainly.

Best of luck whatever you decide
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Old 16th Sep 2022, 09:12
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The ulnar nerve supplies the small muscles in your hand which are responsible for gripping and pinching. It also gives the sensation to your little finger and the inside of the ring finger. When the ulna nerve becomes squeezed it is called ĎCubital Tunnel Syndromeí.
What Causes it?
There is no single cause for Cubital Tunnel Syndrome however any pathology that causes the tunnel to reduce in size may give rise to symptoms.

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Old 20th Sep 2022, 18:42
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What has been the last update or contact OP?
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Old 21st Sep 2022, 10:48
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Iíve decided to get off my medication and see how I do. If my condition does not get worse, Iíll get my medical class 1 with a tick. And that will be enough to get through school. After that Iíll have to see what happens
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