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Articles written by james d. lakin phd md facp


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  • COVID-19 Vaccines: Get 'em Before They're Hot!

    James D. Lakin PhD MD FACP CFI|Feb 1, 2021

    t is my sincere hope that the day is near when I will not be devoting this column exclusively to Corona Virus Disease 2019 (COVID-19). However, more Americans are dead from COVID-19 than died in the entirety of World War II. Pilots are in a unique exposure position. So it’s critical that we understand our options in dealing with this pandemic. As I write we are seeing a surge from the post-Thanksgiving, Christmas and New Year’s gatherings. A new, more highly infectious strain of the virus is spreading across the country. It’s going to get w...

  • Seat Belts and Shoulder Harnesses: Use 'em!

    James D. Lakin PhD MD FACP CFI, CFII MEI Airline Transport Pilot FAA Senior Medical Examiner|Oct 1, 2020

    The NHTSA isn't the only federal agency that has fun crashing things! Our own FAA's Civil Aerospace Medical Institute (CAMI) in Oklahoma City has blasted a number of perfectly good airplanes to smithereens in the interest of aviation safety. One thing they have found is that both seatbelts and shoulder harnesses are pretty darn good things to have around-around you the pilot! None of us plan on having an accident or an incident. Yet we all know that in spite of our best planning and precautions...

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI CFII MEI Airline Transport Pilot FAA Senior Medical Examiner|Jul 1, 2020

    This spring I received a note from an airman wondering about his odds of getting off a Special Issuance. Five years previously he had a heart artery calcium scan which showed heavy calcification in one of his coronaries-arteries that supply the heart muscle with blood. He reported this to the FAA. They promptly requested additional studies including a stress test and imaging studies. These looked OK, according to the airman. However, they placed him on a Special Issuance requiring these tests... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI,CFII,MEI, Airline Transport Pilot, FAA Senior Medical Examiner|May 1, 2020

    A couple of months ago we talked about the then looming pandemic. Well here it is and it looks like it's going to be around for a while. The good news is that Minnesota has done an effective job of slowing the rate of viral transmission of SARS Cov 2 (Serious Acute Respiratory Syndrome Coronavirus 2) and reducing the rate of development of clinical Covid 19 (Coronavirus 2019) illness. The bad news is that the duration of the epidemic may be prolonged, albeit at a lower intensity. So assuming that you're not going to spend the next two years... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI,CFII,MEI,Airline Transport Pilot, FAA Senior Aviation Medical Examiner|May 1, 2020

    As I sit in my office at Airlake, a King Air is revving up its engines. Good Lord it's loud and I have the benefit of 30 yards separation and a wall between me and it. Pity the lineman that's out there waving his batons. Ever since Wilbur and Orrville ran their Flyer down the sand at Kitty Hawk the business of powered flight has posed a threat to the hearing of pilots. So how to retain what hearing you have after an adolescence of rock concerts? First of all, let's talk about sound. You may... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI,CFII,MEI, Airline Transport Pilot, FAA Sen. Medical Examiner|Apr 1, 2020

    How many months are we into winter? How many pounds have we put on? Since you can only get so much exercise from throwing around snow, it's hard to avoid the "Late Winter Couch Potato Syndrome"! Lack of physical fitness and overweight are bad enough for the Average Joe. It sets you up for anything from lower back pain to hypertension to heart attacks. For a pilot, deconditioning can lead to problems in stamina, alertness and the ability to respond to the emotional and physical stressors... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI,CFII,MEI,Airline Trans Pilot,FAA Sen. Aviation Medical Examiner|Mar 1, 2020

    One thing about the aviation community, we get around. We are exposed to many different terrains, population, cultures and, unfortunately infections. If you’re flying under Part 121 or 135 you often cover a lot of territory and come into contact with a lot of people and a lot of viruses. Many General Aviation operations also fall into that category. Given all that, a lot of pilots have been wondering about the Coronavirus epidemic that started in China in January. It is spreading. The possibility of coming in contact with it is not as remote a... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI, CFII, MEI, Airline Transport Pilot, FAA Sen. aviation Medical Examiner|Feb 1, 2020

    What better flying weather than a crisp clear February day in Minnesota. You’d think you were flying a helicopter with the short takeoff runs. The air is smooth and the visibility unlimited in bright sunshine. The reflection from the snow is dazzling. I sure hope you didn’t forget those sunglasses! Sunglasses are a very important and often underappreciated piece of a pilot’s equipment. They are critical to optimize visual performance in the cockpit. If you have a good pair, they will reduce eye fatigue, reduce the negative effects of harsh... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI,CFII,MEI, Airline Transport pilot, FAA Senior Aviation Medical Examiner|Jan 1, 2020

    It's winter flying season! Some of the best conditions imaginable can be had on a clear crisp winter morning in Minnesota. You ease the throttle forward and suddenly your C172 feels like a P52 Mustang as it takes off in nothing flat. Same with the climb as you plow through that calm solid air. So what could go wrong on a day like this? Unfortunately, weather that's good for aerodynamics isn't necessarily good for pilots. Of course, I'm talking about cold injury, something I try to touch on... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI, CFII, MEI, Airline Transport Pilot, FAA Sen. Med. Examiner|Dec 1, 2019

    Aviation training doesn’t come cheap. So, when the FAA offers it for free, you might want to take a hard look. Of course, there’s a catch. Training is done in Oklahoma City, the headquarters of the Civil Aerospace Medical Institute (CAMI) which does take a few gallons of avgas to reach. However, this time of year, odds are it’s a good deal warmer and sunnier than here at home. Now that I’ve almost talked you into it, what training is available? The two big programs are CAMI’s Physiological Training Course and Basic Survival Skills for Gener... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI, CFII, MEI, airline Transfer pilot, FAA Sen. Med. Examiner|Nov 1, 2019

    The weather is cooling down and you probably are cranking up the cockpit heater more often now. That’s fine. It’s hard to keep her straight and level when your teeth are chattering. But with the comfort of cockpit heat comes the possible discomfort of doing yourself in. Do I have your attention? Most general aviation aircraft use a time honored heating system where intake air is passed over the exhaust manifold of the engine. If you’ve ever bumped against a tailpipe you know that it’s red hot and has plenty of heat to spare. Using that heat to... Full story

  • Aeromedical Forum

    James D. Lakin PhD MD FACP, CFI, CFII, MEI, Airline Transport Pilot, FAA Sen Medical Advisor|Oct 1, 2019

    A couple of months back an older gentleman came in for a flight physical. He’d flown a number of years ago and wanted to “get back in the game” now that all the kids were through college and on their own. His health record looked good. He seemed a reasonable candidate for hopping back into the cockpit. Then we tested his vision. Much to our mutual surprise he was blind as a bat! Well, not really blind but he was having trouble seeing 20/100. In case you’ve forgotten what the funny numbers... Full story

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