FAA Sleep Apnea - Page 3 - Airline Pilot Central Forums

#21

undflyboy06 , 11-17-2013 08:32 PM

Part Time

What about guys that have a lot of muscle and a stocky frame? That can easily put you in the over weight bench, even though you are healthy.

#22

forgot to bid , 11-17-2013 08:33 PM

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Quote:

Originally Posted by Carl Spackler

Oh, I see. Cam would look like a fatass next to you.

No wonder you get all the women.

Carl

You know, maybe you have a good point. Maybe my body fat percentage is too low. I've always noticed that women don't notice me.

Maybe I need to be fatter so they'll actually see me better. A Taco Bell run all of sudden seems to be in order...

#23

f10a , 11-17-2013 08:34 PM

Gets Weekends Off

This should have been implemented decades ago! Almost everyone I fly with is grossly overweight and it's embarrassing when being seen next to a foreign flight crew who has to pass the strict BMI requirements of the JCAB/EASA/CAAC etc medical.

#24

forgot to bid , 11-17-2013 08:35 PM

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From a 2009 thread....

Quote:

Originally Posted by TurboDog

The FAA is moving forward with an NTSB recommendation to require additional sleep study testing for a medical certificate if you have a history of sleep apnea, and/or if you meet certain criteria that would increase the likely hood of you having the disorder. I would imagine the additional criteria would be in the form of height and weight standards. Pretty much anyone over 200lbs would be a candidate for such testing.

I am a victim of sleep apnea myself and I have been through the entire process and I can tell you that it is a royal pain in the arse. First an initial sleep study would be required. If the initial study showd signs of sleep apnea you would be required to seek further treatment. Types of treatment include surgical procedures to remove your tonsils(if you still have them,) septoplasty, removal of your uvula, removal of a portion of your upper pallet, a procedure where they break your lower jaw and place steel extenders in it to move your lower mandible forward, implants put into your tongue to pull your tongue away from the back of your throat and a few others. Most often times one of the above procedures is coupled with the use of a mouthpiece worn while sleeping, or the use of a CPAP or BIPAP machine that goes over your face while you sleep. It usually takes a multiple approaches and even then, usually the Apnea doesn't go away completely. Cure rate is usually around 33-40% in adults. Losing weight also helps, but losing weight as a single solution is not an approved therapy per the FAA.

Once one of the above treatments is complete the pilot must undergo a follow up sleep study to determine the effects of the procedure. After my procedure, I am still required to use a CPAP machine and I have to undergo annual Maintenance of Wakefulness Testing to make sure I don't get sleepy during the daytime.

The MWT is an all day test that usually starts around 6:30am. They hook a bunch of wires up to your head and chest(similar to the sleep study) and put you on a bed in the sitting position in the dark. The room looks like a hotel, or bedroom. They close the door for 30-40 minutes and you have to sit there in the dark and not fall asleep. You just sit there. They watch you on camera the hole time to. You can't do anything to keep yourself awake either. No singing, humming, slapping yourself in the face etc. You have to sit still. Once you come out of the dark room you are confined to their clinic. You cannot leave the hospital. With about 2 hours in between tests, you go back into the bedroom and do it again. You repeat this process until approximately 5:00pm. This test flat out sucks.

Here are my thoughts....

I am a young man of about 225lbs and I am 6' tall. I am willing to bet that nearly 75% of the guys I fly with are shorter and much bigger than me and all suffer from Obstructive Sleep Apnea. It goes undiagnosed because the tests are expensive and you have to have a reason to get tested for it. Do you snore at night? Chances are, if you snore, you will be one of the FAAs prime suspects when you get your medical. Question is, will guys near 60 years old, or between 60 and 65 be willing to go through all of this just to be able to fly for a few more years. My quick answer is no.

Any thoughts?

Quote:

Originally Posted by Pitbull

As an Anesthesiologist before becoming a pilot, I can tell you with certainty that everyone has sleep apnea. The more fatigued you are and sleep deprived, the deeper you fall into sleep and thus have apnic episodes. This is physiologic. The sleep apnea business is different. They want everyone to get CPAP machines etc, just a scam. If you don't get enough slep, you will have sleep apnea, 140 lbs, or 240 lbs, its all the same. If they use this against you it is just a tool to remove you without fair scientific judgement and I would pursue this to the top if it was me they were after.

Quote:

Originally Posted by mdojet

I just called the FAA regarding Sleep Apnea which I have. I am furloughed and thought I'd jump threw the hoops before I get recalled. Last Summer I did a sleep study and confirmed I do have sleep apnea. I was issued a CPAP and the Sleep and Lung clinic monitored me threw a wireless device on the CPAP machine itself. My numbers are back in the normal range. I have to supply the FAA with all the paperwork of the Dr's findings from the sleep study plus the records of them monitoring me. They also said that when I got to my doctor for my 1st class physical, present these items to him and he can get an over the phone temporary approval to issue me the 1st class.
If you are a person that gets sleepy during the day, which I'm not, then there is that 'Daytime wakeful sleepiness' test but not everyone has to do it. All depends on the results of the sleep study and there after.
Hope this helps.

#25

Busdrivr , 11-17-2013 08:43 PM

Gets Weekends Off

The future FAA Medical Exam

Question. Who is going to pay the $2,000 bucks for the pilots sleep study?

#26

forgot to bid , 11-17-2013 08:52 PM

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Quote:

Originally Posted by Busdrivr

Question. Who is going to pay the $2,000 bucks for the pilots sleep study?

Bigger question, if that anesthesiologist is right and everyone has a form of it, and if weight is not the only issue, and the FAA pushes for bmis below 30 to be tested (ie everyone), and there is a profit to be made by selling you CPAP machine, how much would grounding most pilots skinny or fat cost?

#27

RJtrashPilot , 11-17-2013 10:24 PM

I have shiny jet syndrome

Everyone get as much LTD insurance as possible!

#28

80ktsClamp , 11-17-2013 10:38 PM

Da Hudge

I get the BMI 40 thing.. few people are that muscular to be fit at 40 BMI. However, my normal weight is considered overweight in BMI (I'm 5'9 and BMI above 30). I played football and continue to lift, though not at a crazy level anymore. BMI is a very very poor measurement and tells very little.

That being said, get the fat senior guys out.

#29

asiabased , 11-17-2013 10:58 PM

Line Holder

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#30

Skyone , 11-18-2013 03:21 AM

Gets Weekends Off

We'll, kind of look at it like this......not everyone who has a BMI over thirty is fat, tubby, whatever you want to call it, but most likely everyone that is a tubby will have a BMI over thirty.

I can remember flying with one captain who was unable to sit straight in a L1011 Tristar because of his gut. Walking through the terminals he sweat like a hog. Probably had good blood pressure and EKG though...Good to go.

The foreign airlines certainly do take a look at the BMI. I agree it is a bogus number for some, but for the great unwashed, probably not. It also does not take into consideration different bone structure.