Originally Posted by shoelu
(Post 1846499)
What happens if you have a BMI of 35 and a 17 inch neck but raise no concerns when questioned by your ME?
Do you snore?---No, never. Do you sleep soundly throughout the night?---Yes, always. Do you experience daytime sleepiness?---No, never. Do you suffer from hypertension?---No. Do you smoke?---No. Does the ME simply mark you down as showing no signs of OSA? If so, won't everyone just learn the correct answers to the diagnostic inquiries? But, and this is my guess and I only play a doctor on the internets, OKC could always come behind them and say no one is required based on BMI and neck size. Actually, I need to go back and read the OPs link, there was a guide for AMEs I believe there. My other thought is one smart sleep study place will learn that it is lucrative to find few to no pilots have OSA. But I've never been to one of these places but it seems to me that people that go there want to be found with OSA so they can get the machines? Is that a logical assumption or am I off? Because if it was the case then they'd probably default to positive for OSA now please pay this referral? Or is that just a dentist thing? FWIW, if the solution was wear a dental implant and out the door you go. I wouldn't lose much more sleep over this and that would be good because I can't stay awake anymore during the day. But I'd rather see simple solutions then surgeries and loss of medical. But my guess is some folks in the FAA don't get kickbacks if the solution is simple. :D There I said it. |
Originally Posted by forgot to bid
(Post 1846528)
FWIW, if the solution was wear a dental implant and out the door you go.
73M - OSA + FAA survivor. |
Originally Posted by N9373M
(Post 1846817)
Same thing for a t-shirt with a tennis ball woven into the back (to keep you from sleeping on your back)
|
Originally Posted by shoelu
(Post 1846499)
What happens if you have a BMI of 35 and a 17 inch neck but raise no concerns when questioned by your ME?
Do you snore?---No, never. Do you sleep soundly throughout the night?---Yes, always. Do you experience daytime sleepiness?---No, never. Do you suffer from hypertension?---No. Do you smoke?---No. Does the ME simply mark you down as showing no signs of OSA? If so, won't everyone just learn the correct answers to the diagnostic inquiries? Denny |
Originally Posted by rvr1800
(Post 1845144)
Why not? Hasn't been an issue for the over 100 years we've been doing this now. Maybe the Wright brothers had OSA?! We better start from scratch.
Also any of a number of fatigue-involved accidents might have been affected in the past. It's a reasonable suspicion, and can't be disproved. |
Originally Posted by rickair7777
(Post 1846879)
Two mesa pilots in a CRJ fell asleep, overshot one of the Hawaiian islands, headed out to sea and almost flamed out before they made it back to land. CA had OSA for sure, I believe that incident was the catalyst although the post-colgan fatigue studies probably played a role.
Also any of a number of fatigue-involved accidents might have been affected in the past. It's a reasonable suspicion, and can't be disproved. There was also an article on this but according to it the NTSB has not found it to be a cause of any accident. The pilots who have had known OSA and had accidents had accidents that had nothing to do with falling asleep. http://www.planeandpilotmag.com/pilo...l#.VQ2st454p_M |
Also from the FAA:
OSA is almost universal in obese individuals who have a body mass index over 40 and a neck circumference of 17 inches or more, but up to 30% of individuals with a BMI less than 30 have OSA. http://cdn.avweb.com/media/newspics/...ton_md_fas.gif I think the ATA will get this shutdown at that point. :D |
catch 22, must keep the medical profession properly paid for stupidity.
|
Originally Posted by Karnak
(Post 1846868)
Could be effective. I've flown with a few pilots that use their wardrobe to prevent them from sleeping on females.
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Originally Posted by rickair7777
(Post 1846879)
Two mesa pilots in a CRJ fell asleep, overshot one of the Hawaiian islands, headed out to sea and almost flamed out before they made it back to land. CA had OSA for sure, I believe that incident was the catalyst although the post-colgan fatigue studies probably played a role.
Also any of a number of fatigue-involved accidents might have been affected in the past. It's a reasonable suspicion, and can't be disproved. |
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