I'd say in terms of his medical certificate, he's gonna have to fight very hard and very long now to prove his innocence.

I don't quite understand what you mean by innocence? Would it be possible to please clarify what you mean? Thank you.

Guilty until innocence is proven.

He will now need to prove +100 % he is medically fit and it can NEVER happen again - a bit like getting your virginity back.

It's surprisingly not that hard to get your medical back after heart attacks and bypasses. I know of multiple and it was a lot faster than I would have ever thought possible. It all depends on whether your condition is treatable. On the flip side, I know of someone with a minor condition that doesn't have a treatment plan and his only option is a safety pilot.

If an artery is blocked for example and a stent goes in or a full bypass operation, problem solved, probably get back your medical.
If you've got a condition that causes your heart to go crazy when you have too many coffees and is un-treatable, then you likely aren't getting it back again.

What bend alot said.

I imagine he's going to have to work very hard to prove that this won't happen again.

Amazing effort by ATC. Just a classy effort all round.

An aside, I for the life of me can't understand the AVMED bashing at it pertains to this thread.

Just listened to the ATC recordings. Wow - just wow.

That recording could be held up as a demonstration of rising to the occasion and clear communication. As someone else said, he'd make a great flight instructor. It's easy to forget what a huge skill set the guys and girls in ATC have. A complete professional.

I believe the controller holds a pilot licence and there was an instructor present. Couldn't have hoped for a better outcome really.

A couple of points regarding the audio recording:

1. Communication is key: The student pilot luckily spoke and understood English natively which is not always the case with student pilots who start their flight training in Australia. He also had some prior knowledge of flying and associated lingo, and he could orientate himself around Jandakot*, all of which helped him understand the controller. By his own account, he tuned in TWR frequency by himself. I surmise that the clear communication was a calming factor to both himself and the controller.

2. It's surprising to hear all these other calls while an emergency is unfolding.

* Just imagine the same situation at Moorabbin:
TWR: Can you see GMH on your right side?
Student: !!?

The bit I listened to was, I believe, full of calls on another frequency, maybe more than one other frequency. I guess they were using a scanner of some kind and it recorded everything.

Apparently the US Navy want to offer him a job as a LSO ;)

All will be revealed in the ATSB report.