I guess the education part of my post is difficult to understand for some. Do you run to the doctor every time you have a cold? My point is that there a lot of people out there that do not realize this including the management folks. If one has the fortitude and points this out to the requesting party then they really do not have a leg to stand on. As an educated pilot I determine if I am fit to fly over everyone else. If the occurrence happens often, then maybe I would need to seek medical help and a doctors note is no big deal.