First class medical and cerebral palsy

jrh

Well-Known Member
I'd like some advice on the best way to apply for a first class medical certificate with cerebral palsy.

I'm not sure if this will even be an issue, but I'd rather talk to people here on JC before talking to a medical examiner.

I currently hold a second class medical. I also have a very mild case of cerebral palsy.

For those of you who do not know, cerebral palsy is a condition affecting the central nervous system. Most people who have it have had it since birth. It essentially disrupts or blocks the signals from the brain to a person's muscles. It can range in severity from making a person hardly able to speak and wheelchair bound, to hardly any noticeable symptoms in day to day life.

For me, it hardly affects my life. I have low dexterity in my left hand. I can grip objects and push buttons, but I can't isolate my fingers well enough for activities like typing. I also have muscle tightness in my right leg and walk with a slight limp.

When I first started flying, I was able to get a 3rd class no problem. When I upgraded to a 2nd class, the AME just asked for a letter from my family physician stating that I live a normal life and have no known balance impairments. He said that for a 1st class medical I might need to get a statement from a neurologist stating I was safe to fly, but he wasn't sure (this AME wasn't authorized to issue 1st class medicals, so I would need to visit another AME in the future).

As it is now, when I reapply for medicals I check the "Neurological impairment" box and write in "Previously reported, no change". The AME hasn't asked any questions.

If I report it as such for a 1st class application, would there be any problems? Or would the AME see "Previously reported, no change" and not make a big deal out of it?

As a somewhat related issue, does anyone think the physical appearance of this condition would limit me in my career at all? While it would be nice if nobody discriminated in this world, it seems like a lot of pilots fit the "tall, athletic" physical profile. I've wondered before what passengers would think about a short guy with a slight limp marching out to their Citation or 737. Will not "looking the part" of an airline pilot hinder me?
 
I'm not sure if it is disqualifying or not, but I'd think at the very least you should be able to get a SODA. My best friend has CP. His case is mild like yours, and I see no reason why he'd be unable to perform airline pilot tasks. Also, its very hard to immagine you'd be able to pass a second class and not a first class. The difference is small, and I could be mistaken but most disqualifying conditions are disqualifying for all three classes and the differences are things like eye sight and blood pressure.

Anyway, I'd go with the AME's recommendation of seeing a neurologist. That way if the neurologist does have bad news, at least you can keep your second class. If its good news you can just go get you first class.

As for looking the part, I'd like to be able to tell you it will be fine but as you said the world is not perfect so your guess is as good as mine. How bad is your limp? My friend has a little bit of a limp also, but I knew him for about a year before I knew about his CP and actually didn't notice his limp that whole time until he pointed it out to me. I can see it now, but before I was aware of his condition I just thought that was how he walked and didn't really think anything of it. If you can get the first class medical, I wouldn't stress too much about your appearance. If you build some good credentials for yourself, I think that will make more of an impression to an employer than your apperance.
 
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Anyway, I'd go with the AME's recommendation of seeing a neurologist. That way if the neurologist does have bad news, at least you can keep your second class. If its good news you can just go get you first class.

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This was what I was wondering about, and why I wanted to bring this up on JC before I apply for a medical. I heard that if I apply for a 1st class and it gets denied, I lose the medical entirely, or it becomes a huge paperwork hassle, or something. Is this true? Or if I apply for a 1st class and it gets denied, can I easily get a 2nd class like usual and keep on flying?

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As for looking the part, I'd like to be able to tell you it will be fine but as you said the world is not perfect so your guess is as good as mine. How bad is your limp? My friend has a little bit of a limp also, but I knew him for about a year before I knew about his CP and actually didn't notice his limp that whole time until he pointed it out to me. I can see it now, but before I was aware of his condition I just thought that was how he walked and didn't really think anything of it. If you can get the first class medical, I wouldn't stress too much about your appearance. If you build some good credentials for yourself, I think that will make more of an impression to an employer than your apperance.

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Sounds like I have the exact same deal as your friend. Most people don't notice my limp until I point it out to them. It also improves dramatically with regular exercise. Even people that notice my limp say it goes away almost completely after a summer of cycling several times per week (biking is a serious hobby of mine...seems like a lot of people with CP are into biking for some reason).
 
If it were me, I'd get the note from the neurologist just to have my bases covered. If you go in to get the 1st and get an AME that isn't too friendly, you could be looking at a year or more before you get your medical back. If you have AOPA, definately call and ask them about this.
 
see this earlier post. the link at the bottom should have some answers:

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Anybody know offhand?

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6. What medical conditions does the FAA consider disqualifying?
The following conditions are listed in the regulations as disqualifying medical conditions; however, in many cases when the condition is adequately controlled, the FAA will issue medical certification contingent on periodic reports.

Diabetes mellitus requiring hypoglycemic medications
Angina pectoris
Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant
Myocardial infarction
Cardiac valve replacement
Permanent cardiac pacemaker
Heart replacement
Psychosis
Bipolar disease
Personality disorder that is severe enough to have repeatedly manifested itself by overt acts
Substance dependence
Substance abuse
Epilepsy
Disturbance of consciousness without satisfactory explanation of cause
Transient loss of control of nervous system function(s) without satisfactory explanation of cause.
Other conditions not specifically listed in the regulations are also disqualifying. For further information refer to the Guide for Aviation Medical Examiners at


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Further Info for AME's can be found here - Click Here

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it seems like a lot of pilots fit the "tall, athletic" physical profile.

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You need to spend more time around airports. Just as many are as wide as they are high.
 
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it seems like a lot of pilots fit the "tall, athletic" physical profile.

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You need to spend more time around airports. Just as many are as wide as they are high.

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But may not have been so the day of their interview.
 
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it seems like a lot of pilots fit the "tall, athletic" physical profile.

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You need to spend more time around airports. Just as many are as wide as they are high.

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But may not have been so the day of their interview.

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"They lost 40 pounds on the Krispy Creme diet"

-----large lady from Mr. Deeds at the party
 
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"They lost 40 pounds on the Krispy Creme diet"


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Jimmy Tango's "Ride the Snake" program?
 
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Jimmy Tango's "Ride the Snake" program?

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Thanks to you're program, I've realized something. I'm the devil!
 
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