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  • Aeromedical Forum

    James D. Latkin PhD MD, CFI, CFII, MEI, Airline Transport Pilot, FAA Senior Medical Examiner|May 1, 2018

    Have you ever thought that flinging yourself through the air at several hundred miles an hour, several miles above the earth in a tiny cylinder of aluminum is a bit odd? Probably not. You're a pilot and flying is the best thing conceivable. However, your body may not agree with you. Even in the most modern of commercial aircraft, the environment is not what you normally experience on your front porch. The cabin altitude is usually around 8,000 ft. MSL, a big jump for us Midwesterners. Oxygen... Full story

  • Flying with Hepatitis C

    James D. Latkin PhD MD, FACP CFI MEI Airline Transport Pilot, FAA Senior Aviation Medical Examiner|Apr 1, 2018

    Not too long ago a pilot friend wandered into the clinic looking pretty rugged. His appetite was bad. He'd been losing weight. Felt tired all the time. He really got alarmed when he noticed his eyes turning yellow and his legs swelling. He was feeling a little confused at times. He was worried. We did a few blood tests that confirmed what I was suspecting-hepatitis, an inflammation of the liver. In this case it was due to Hepatitis C virus. Hepatitis C Virus, HCV or Hep C as it's often called, i... Full story

  • Aeromedical Forum

    James D Latkin, CFI, CFII, MEI|Mar 1, 2018

    A couple of years ago, one of our pilots strolled off the tarmac and ducked behind a tree to relieve himself. Much to his horror he produced a bright red urine stream. He had previously felt great. He had no pain. It was a bolt out of the blue. I promptly received a call from a very agitated airman and arranged for him to see the appropriate specialist pronto. An expedited visit to the urologist revealed that he was one of some 68,000 adults in the United States who are diagnosed with bladder... Full story

  • Surviving in the Cold: What to do After You're Down

    James D Latkin, PhD, MD, FACP, CFI, CFII, MEI,|Feb 1, 2018

    Well, it's still winter in Minnesota. Last month we talked about cold injury and how to avoid it while pre-flighting and operating your aircraft in a Northern winter. Now let's look at how to stay alive just in case you missed something in your preflight and had to make a forced landing. If you had to put her in a field in Southern Minnesota, it's probably no more than a half mile walk to the nearest farm house. If you're north of Hinckley or flying out west however, it is probably not going to... Full story

  • Aeromedical Forum

    James D. Lakin, PhD, MD, FACP, CFI,CFII, MEI....|Jan 1, 2018

    If you've looked out the window recently, you've probably noticed its winter in Minnesota. Thus, it's time to talk about how you can easily loose bits and pieces of your anatomy on the tarmac if you are not respectful of the cold. Not all of us have the luxury of a heated hangar. When we're flying cross-country in winter, it usually means doing some pre-flights on a windy, frigid stretch of concrete. That's an ideal set-up for freezing some part of you-Frostbite! The mildest form of Frost Bite... Full story

  • Flying with Glaucoma: A CACI Condition

    James D. Lakin, Phd,MD, FACP, CFI, CFII, MEI,|Dec 1, 2017

    I don't know about you but that kind of call from ATC always gives me the willies. Someone is buzzing around out there. They don't have enough sense to turn on their transponder, if they have one, and I'm not picking them up with my peripheral vision. It makes you realize how difficult "See and Avoid" really is. Imagine how much more so that would be if hunks of your peripheral vision were gone. That's what happens in early glaucoma. That's why the FAA is really concerned if you have it.... Full story

  • Flying with High Blood Pressure: A CACI Condition

    James D. Lakin, PhD,MD,FACP,CFI,CFII,MEI|Nov 1, 2017

    Back in March of 2013, the FAA started defining “Conditions AMEs Can Issue (CACI).” They realized that many uncomplicated illnesses that had required a decision by the FAA in Oklahoma City could be monitored by a local Aviation Medical Examiner (AME). It’s been nearly five years since the FAA started granting this discretion to AMEs and it seems to have worked out well. There has been no increase in accidents attributed to this delegation of oversight and life has become a lot easier for pilot... Full story

  • Sudden Pilot Incapacitation: Yikes!

    James D. Lakin, PhD, MD, FACP, CFI, CFII, MEI|Oct 1, 2017

    March 29 this year, a Boeing 737-300 (AA 1353) was on short final heading into KABQ down in Albuquerque when the First Officer suddenly slumped forward, unconscious. Fortunately, the Captain noticed, summoned paramedics, and landed the plane safely. Attempts to revive the First Officer were unsuccessful, the presumed cause of death being a heart attack. Fortunately, life-threatening incapacitation of pilots in a commercial setting is rare. Even more rare is the flight's safety being... Full story

  • Urinary Tract Infections and Flying

    James D. Latkin, PhD,MD,FACP, CFI,MEI|Sep 1, 2017

    General aviation is great. You can jump in your airplane (after appropriate and exhaustive pre-flight planning, of course), point her in any direction you please and buzz along for as long as winds, weather, avgas and ATC allow. What's not so great is that very few of our aircraft have rest rooms. I have yet to see a C-172 with a loo. I know you can buy nifty little plastic bags filled with super absorbent gunk from Sporty's. Of course there is always the old milk bottle. I have yet to convince... Full story

  • Aeromedical Forum

    James D. Latkin|Aug 1, 2017

    A little while ago an airman came in with a set of chest muscles that made him look not so much like Superman as a tom turkey. He was quite muscular all over. It was obvious that he'd been working out. Really? To get to the point where you look like a super-hero action figure? Talking with him, I found out he'd been diagnosed with low testosterone or "Low T" as they say in the TV ads. He'd been using hormone patches, although I thought he might have been going at it a little more than his doc... Full story

  • The FAA's New Approach to Sleep Apnea

    James D. Lakin, PhD, MD, FACP, CFI, CFII, MEI|Jul 1, 2017

    It's been almost five years since we talked about sleep apnea (September, 2011) and the FAA's approach to this problem has been updated. Obstructive sleep apnea (OSA) is very common. .It affects anywhere from 9% to 28% of adults. It happens when the upper airway becomes obstructed during sleep causing disruption of normal sleep patterns. It is usually caused by overweight. Fat tissue in the neck can block the airway, causing an interruption of air flow. It seems to occur more commonly in men... Full story

  • Melanoma:The dark spot that can do you in!

    James D. Lakin|Jun 1, 2017

    Our cousin had a dark black spot on her lower leg for a couple of years. Her local doc told her not to worry. It got bigger. She let it slide for a few months as she and her husband were moving up here to The Cities. I got her in to a dermatologist who biopsied it and confirmed what we both were thinking and dreading-malignant melanoma. It had spread throughout her body. She was dead six months later. Unfortunately, this tragic story is a common one. The incidence of this form of skin cancer... Full story

  • Basic Med, the Alternative to a Third Class Medical

    James D. Latkin|May 1, 2017

    Over the last two months we've covered the basics of BasicMed, an alternative to the Third Class Medical for flying legally. We've talked about what kind of flying you can and can't do under BasicMed; what you have to do to qualify under BasicMed; who is better off using BasicMed or a traditional Third Class Medical. Just in case you've missed them you can read the last two articles on the Minnesota Flyer web site. So let's say you've decided BasicMed is right for you. Just like the Third Class... Full story

  • Aeromedical Forum

    James D. Lakin|Apr 1, 2017

    Last month we took a look at some of the provisions of BasicMed, a new way to legally fly without a Third Class Medical Certificate. We talked about the restrictions on aircraft type and operation as well as the basic procedures a pilot will have to follow if she/he elects to go this route to establish medical qualification. Bottom line-if you are a healthy person under the age of forty, it's probably easier and more cost effective to stick with the traditional Third Class Medical. If, however,... Full story

  • Aeromedical Forum

    James D. Lakin|Mar 1, 2017

    Last month we took a look at some of the provisions of BasicMed, a new way to legally fly without a Third Class Medical Certificate. We talked about the restrictions on aircraft type and operation as well as the basic procedures a pilot will have to follow if she/he elects to go this route to establish medical qualification. Bottom line—if you are a healthy person under the age of forty, it’s probably easier and more cost effective to stick with the traditional Third Class Medical. If, how... Full story

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