It all depends on the attitude of the AME. My AME has been our family doctor for 30 years. He delivered my grandson . we’ve become friends, as are my accountant and attorney.
He was an AF Flight surgeon before that. He flies, gives lessons and teaches ground school for free to cadets..
When I go in for a physical, he makes it clear that he is “wearing his AME hat”. Even then, there have been times when he has said to me”thats prolly something to tell your family doctor.
It has worked out really well for me. I always considered my health above my ticket, so I didn’t try to hide anything.


My advice, if you care; if possible make your AME your friend. Take him flying, or out for lunch. He’ll probably loosen up and have a hundred questions.
YMMV “.