Also when questioned about my activities while out sick (with ALPA present) they also don't seem to understand there's a lot of things that make me "unable to exercise the privileges of my first class medical" that makes me not legal to fly but perfectly fine.

Example. Couple years ago. Delta discontinued coverage for a medication my SI requires, and had me switch to another allowed medication. FAA requires 2 weeks no fly when changing medication and 72h when changing dose of current medication.

I was asked why I was at a mountain bike race while out sick. One of the ACPs saw me at the race (his kid races). We had to explain that while I was fine medically, FAA protocol required me to not fly for two weeks, and oh, by the way the med change was required because Delta changed the formulary again.

For the record I got 3rd in the 45+ Clydesdale (over 200#) group. on an ancient hardtail Trek 4500

Just because my medical isn't valid (temporarily) doesn't mean I'm laid up on the couch on an IV and ventilator. In a lot of cases its I'm running out the clock on FAA mandatory waits on dose changes, medication changes etc.

Or, I have a prescription for a very heavy duty muscle relaxer. I might have to take it 1-2 times a year. 8 days mandatory no fly even though I'm OK for all but flying the next day. (Day of, I'm in la-la land)