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Scott: Fudging the Physical

Fudging the Physical

Written by John R. Scott   
Is he being responsible to either himself or his passengers?
It was another six-month medical for Cee Pee. His 40th birthday had been in April so now, according to the GTC (Gods of Transport Canada) the risk factor of having some sort of medical problem is likely to be twice as much as it would have been before, because of some actuarial data.

The thing he wondered was whether he should advise the Civil Aviation Medical Examiner (CAME) about his last visit to his family doctor when he had been complaining about all too- frequent headaches and his blood pressure was now at 140/95. Fortunately, the prescription of 10 mg of Zestril had brought him back down to 125/85. Cee Pee hadn’t bothered to tell his family doctor that he was a pilot – after all, he hadn’t asked, so why tell him? Cee Pee also chose not to include this medication on the annual medical form for his Airline Transport Pilot Licence. He knew that the urine test wouldn’t disclose anything and that the CAME wouldn’t ask any questions that he would have to openly lie about. After all, he has a mortgage on his new house and his eldest kid goes to university this year. He couldn’t tell that he was anything different than he was before or after taking the Zestril. But is he being responsible to either himself or his passengers (AIP 3.4)?

There are some 750 certified CAMEs across the country. They issue approximately 58,000 medical certificates to holders of aviation personnel licences. They are the initial ‘line of inspection’ and have taken recurrent training courses in aviation medicine provided by Transport Canada. Is the aviation medical different from the normal medical that one would undergo as a CEO or whatever?

The CAMEs may appear to be somewhat aloof as they conduct their review, but the questions they ask have the potential of revealing a considerable amount about the interviewee: How he disrobes in preparation for the physical is actually an opportunity for the physician to view the ease with which he moves, bends, etc.