BasicMed

Lindberg said:
Most posters here have told you that no one looked at their anus during the basic med exam. Is you're the same anon who's posted that your great is keeping you from flying, I hope you'll seek out a doctor like that. Maybe your PCP can recommend a GP she trusts.
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There are just as many who've posted their doctor has examined their anus or performed a prostate exam during their BasicMed exam. The MD above can't even listen to heart/lungs through a t-shirt and bra, which honestly feels...off. Why does he need someone in a gown?

Me personally, my PCP's supervising MD refused. And when you ask around locally, you're told if your PCP can't do it, you must be hiding something, and this isn't for people who don't have consistent care. Really limits those of us who see NPs and PAs because that's what we get in rural America.

But like I said, just a warning to the OP. I don't know if there's a solution.
 
Basic Med is now the way to go. The rules changed and you can fly much larger aircraft under Basic Med
 
Anonymous said:
The MD above can't even listen to heart/lungs through a t-shirt and bra, which honestly feels...off. Why does he need someone in a gown?
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To be fair, heart and breath sounds are most accurately auscultated without any intervening fabric such as a shirt or bra. I've always felt that I had a bit less than complete exam when my internist auscultates through my shirt/scrub top during my annual physical. Yes, I have been with him for a number of years and have, as far as we know, excellent cardiac and pulmonary health. WHen I am performing pre-surgical exams, I slip my stethescope under garments instead of asking my patients to disrobe; I feel that I offer a better exam with that method.

As far as the rectal exam... I don't see that as relevant for a BM exam.
 
Anonymous said:
…
Me personally, my PCP's supervising MD refused. And when you ask around locally, you're told if your PCP can't do it, you must be hiding something, and this isn't for people who don't have consistent care. Really limits those of us who see NPs and PAs because that's what we get in rural America.

But like I said, just a warning to the OP. I don't know if there's a solution.
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I’d move or stop by a DOT doc in a box that offers the service.

TeamCME has a map of BasicMed docs that includes at least one office in most states, and they’re just one of who knows how many DOT medical examiners that provide the service.

Sometimes it’s just easier to say “I prefer a Class 3 or higher” and leave it at that. But doom-and-gloom is not the case for the vast majority of folks who want to go BasicMed.
 
TCABM said:
But doom-and-gloom is not the case for the vast majority of folks who want to go BasicMed.
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Frankly, I get a little tired of the whining from people who don't have a Basic Med doc within 30 minutes driving time. I flew from Orlando to Chicago to have Bruce do my Class 3. People can't drive a couple of hours if necessary once every 4 years to get a Basic Med exam? Really?!
 
TCABM said:
1. MedXpress does not specify anus, but it does ask about Stomach, liver, or intestinal trouble. The Guide for AMEs covers exam techniques though. That specifically states visual or digital rectal exam is not required unless indicated by past medical history or symptoms and my be performed at the discretion of the examiner and applicant.
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Not on the pilot facing side of it, but it's been on the AME side since everything was done on paper.
My old AME just noted that all pilots are a--holes and checked the box and went on.
 
Half Fast said:
Thanks to MOSAIC, you can now fly much larger aircraft with just a driver's license, Basic Med not required.
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One pax, daytime, no IFR, slowish planes. That's why I'm going through the hassle of getting a third ... to get BM immediately after.
 
Half Fast said:
First time I’ve heard a Bo called a slowish plane, but I guess it depends on your perspective.
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The VS1 in KCAS seems to be hard to find, but with VS0 in KIAS getting past 55 on some models, how many are actually MOSAIC compliant?
 
midlifeflyer said:
I mentioned the V35B specifically because I used it as one of the examples in a MOSAIC presentation I did a few weeks ago. Got lots of wide eyes for that one! Here's the stall chart from the manual for the V35B with VS1 at max gross, 0 bank highlighted.
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Are you using this as an example of a Bonanza that's was MOSAIC-compliant? The chart shows stall speed at 2400 lb is 55 KCAS and at 3400 (max gross) it's ~64 KCAS. My apologies if I missed the point.

Nauga,
at the blunt end of the spear
 
TCABM said:
1. MedXpress does not specify anus, but it does ask about Stomach, liver, or intestinal trouble. The Guide for AMEs covers exam techniques though. That specifically states visual or digital rectal exam is not required unless indicated by past medical history or symptoms and my be performed at the discretion of the examiner and applicant.

2. I can’t speak to others’ experience, only mine. My PCM has never required any disrobing for any of my BasicMed exams. Of course that may be due to having an established relationship with my PCM and if I went to a DOT doc-in-a-box my experience may be different however I would have no problems questioning and educating a physician that asked me to disrobe for a BasicMed exam. On top of that, I would also have no problem walking out in a doc that insisted since there’s exactly zero consequences to do so.

3. Your life, your choice, but the fact remains it is not a requirement to disrobe for a BasicMed exam.
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form -"Abdomen and viscera: (including hernia): □ 9. Anus: (not including digital examination): □ 10. Skin: □ 11. G-U system:(not including pelvic examination):"

To examine an anus, a physician does not necessarily need to insert a digit. He/she does need to see it and/or touch it to comply in good faith, generally speaking. So were I an examining doc performing a BME, I would have no problems educating a pilot who attempted to tell me that I do not need to see their anus and genitals. (see also=22. Anything else the physician, in his or her medical judgment, considers necessary.)

Generally speaking, to fulfill the requirements of the form, the doc must either view the anus and genitals, touch them, or image them.

Personally, I'd rather have a doc take a quick look, than touch my junk. Your life, your choice.
 
nauga said:
Are you using this as an example of a Bonanza that's was MOSAIC-compliant? The chart shows stall speed at 2400 lb is 55 KCAS and at 3400 (max gross) it's ~64 KCAS. My apologies if I missed the point.

Nauga,
at the blunt end of the spear
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That's what I saw, in general.
 
nauga said:
Are you using this as an example of a Bonanza that's was MOSAIC-compliant? The chart shows stall speed at 2400 lb is 55 KCAS and at 3400 (max gross) it's ~64 KCAS. My apologies if I missed the point.

Nauga,
at the blunt end of the spear
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Damn! You are correct! Wrong Chart. deleting. But I know there are 35s that are.

Edit: Ahh, here we go. It's a E35. Admittedly slower, only about 150-160 KIAS.

1770145042079.png
 
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nauga said:
And that's another reason to love MOSAIC :)

Nauga,
one tile at a time
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Actually, not the "V" series. I listed the ones which are just above.

BTW, I'm embarrassed to say I used that other graph in the presentation. But I'm glad to have been called out on it so I could correct it. A bit surprised that none of the audience caught the dumb error (it was live, not webinar). I just sent an email to the group I did the presentation for.

So, thank you.
 
SFDukie said:
form -"Abdomen and viscera: (including hernia): □ 9. Anus: (not including digital examination): □ 10. Skin: □ 11. G-U system:(not including pelvic examination):"

To examine an anus, a physician does not necessarily need to insert a digit. He/she does need to see it and/or touch it to comply in good faith, generally speaking. So were I an examining doc performing a BME, I would have no problems educating a pilot who attempted to tell me that I do not need to see their anus and genitals. (see also=22. Anything else the physician, in his or her medical judgment, considers necessary.)

Generally speaking, to fulfill the requirements of the form, the doc must either view the anus and genitals, touch them, or image them.

Personally, I'd rather have a doc take a quick look, than touch my junk. Your life, your choice.
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Please, then, do educate me. If a senior AME does not need to see and touch my anus and vulva to sign off my first class medical that I use to fly a 777 across oceans, why do you need to see them to make sure I can fulfill BasicMed requirements and putz around the pattern in a 172? Any doctor claiming this is necessary shows poor medical judgement at best, and...something else at worst.
 
Anonymous said:
Please, then, do educate me. If a senior AME does not need to see and touch my anus and vulva to sign off my first class medical that I use to fly a 777 across oceans, why do you need to see them to make sure I can fulfill BasicMed requirements and putz around the pattern in a 172? Any doctor claiming this is necessary shows poor medical judgement at best, and...something else at worst.
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You don’t. My constant, boring refrain is that, unlike AMEs, our personal physicians don’t look at the AME Guide. If we want our physicians to know that the “Anus” question can be answered based on patient history, it’s our job need to educate them. I did that with my PCP for the opposite reason. She wanted to leave the box blank because she doesn’t do that procedure.

No, it ”should” not be necessary. But, as a wise CFI used to say, “it’s not your fault, but it is your problem.”

Now, if the physician knows that but wants to do it anyway, that’s between you and them, and has nothing to do with BasicMed requirements.
 
I’d never read the guidance for AMEs with respect to med exam.
It’s quite strange, and in my opinion, illogical.
For instance, it seemingly specifies visualization of the abdomen
“Observation: The Examiner should note any unusual shape or contour, skin color, moisture, temperature, and presence of scars. Hernias, hemorrhoids, and fissure should be noted and recorded.”

With respect to the anus- It specifically says “
  • If PMH or symptoms do not warrant examination of these items, the AME should mark “normal” in AMCS and annotate in Item 60 that the exam was not indicated and not performed.”
I stand corrected.
 
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Anonymous said:
It most certainly does, under section 9. Yes, we all know the FAA form has the same and AMEs never do it, but you can also read the threads here where MDs have required it for BasicMed "because it's on the form."
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Go to a chiropractor instead.
 
Anonymous said:
Please, then, do educate me. If a senior AME does not need to see and touch my anus and vulva to sign off my first class medical that I use to fly a 777 across oceans, why do you need to see them to make sure I can fulfill BasicMed requirements and putz around the pattern in a 172? Any doctor claiming this is necessary shows poor medical judgement at best, and...something else at worst.
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I think the FAAs thinking is like this... "But you could have diarrhea uncontrollably that splatters on the instruments causing an electrical short and fire therefor causing the plane to crash."
 
Anonymous said:
Please, then, do educate me. If a senior AME does not need to see and touch my anus and vulva to sign off my first class medical that I use to fly a 777 across oceans, why do you need to see them to make sure I can fulfill BasicMed requirements and putz around the pattern in a 172? Any doctor claiming this is necessary shows poor medical judgement at best, and...something else at worst.
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If you have a Class I, why do you need a BasicMed? As for a doctor "claiming this is necessary," it's the form that claim's it's necessary. In true fact, the whole exam accomplishes nothing. While there's nothing they're going to see on your anus that affects your ability to fly, neither are they going to see anything in your mouth, nose, throat, skin, or lymphatics that does.

Stop impugning the motives of doctors who follow the instructions on a government form you gave them. And again, if you have a Class I and fly 777s across oceans, why do you care what the BM exam entails? For that matter, why do you even know?
 
Dana said:
"Patient is a living human and therefore he or she has one. Next item..."
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Not if they have undergone an abdominal perineal resection. ;) Of course, in that instance, they would not likely be worrying about BasiMed.
 
Anonymous said:
Please, then, do educate me. If a senior AME does not need to see and touch my anus and vulva to sign off my first class medical that I use to fly a 777 across oceans, why do you need to see them to make sure I can fulfill BasicMed requirements and putz around the pattern in a 172? Any doctor claiming this is necessary shows poor medical judgement at best, and...something else at worst.
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Again, ANUS is on the AME side of the medical application. Where do you think the basic med checklist came from?
 
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