SSRI Use/Concurrent

[LifeAtAltitude]

Hi All,

I’m going to try to sum this up the best I can but it’s been quite a mess. Prior to applying for my class 3 I contacted an AME and discussed the fact that I was on 2 SSRIs concurrently. The diagnosis codes are general anxiety disorder and Depressive Disorder - Single Episode. Both of them fell on the approved list, and the AME said it wouldn’t be an issue and to apply. I got deferred and then denied with no further steps due to the concurrent use.

After calling the FAA I come to find out the AME was incorrect and that concurrent use of SSRIs are not acceptable. Mistakes happen I get it, and yes I missed it also and wish I found this forum before but I can’t fix the past, I can only move forward. I then began the taper process of being taken off 1 or the 2 medications. I’ve been on only one for roughly 3-4 months now and have received favorable reports from my doctor. I saw Dr. Chien post on the first that they no longer consider the history of concurrent use as an automatic prohibition. He even cited that it’s not open season, but as it seems to me there maybe a small light at the end of this tunnel. Seems great on the front end but I’m sure there are still many hoops to jump through (alteast from seeing other threads) so I had a few questions.

1. What are the next best steps? Do I do another MedExpress App and start again? Do I dispute the one they sent back citing the use of concurrent SSRIs? Do I let further time pass of being on only 1 of the approved SSRIs?

2. Any idea of what the roadmap may be such as tests, etc that maybe required since I’m remaining on one of the approved SSRIs?

3. Any idea what documents will need to send them? I’m sure they need more than my word of being on only 1 medication at this point for the last several months. I know they don’t communicate electronically like it’s still 1901 they use snail mail. So I want to be sure I have everything that will satisfy them in my first mailing if that’s what’s needed.

4. Is this even worth it? I’ve seen so many stories online from positive “easy experiences” requiring a doctors note and report, to horror stories if tens of thousands of dollars spent on tests and so forth just to still get a denial. I realize this is the internet and you can’t take everything at face value. The cost of a PPL where I’m at is roughly 13-15K, I’m not going to spend 10k to get medically cleared (if that’s what it takes) when I’m under a doctors care and following professional recommendations pertaining to mental health.

Any information will be helpful because I’m at a dead end with my AME. A lot of unanswered phone calls, and questions. I found out he never submitted the original letter from my doctor surrounding the concurrent use, from what im seeing it wouldn’t have changed their decision but it’s the point that he’s not really doing the job other than cashing the check. I’m trying to do this the the best as I can but as this is my first time trying to fly (only pursuing a PPL) I’m a bit lost in the maze.

 

[LifeAtAltitude]

If getting this third class is even possible, I will switch to basic med if permissible following the SI which I believe is going to be needed for this. I just just wanted to throw they in as, I’m not looking to do this as a career, just a hobby and for enjoyment.

 

[bbchien]

In these situations it no longer becomes just the presence of the second commonly "amplifying" med, but of the clinical severity as expressed in the notes.

 

[LifeAtAltitude]

Thanks @bbchien. Appreciate your feedback!

 

[JakeInTheSky]

Hope for the best to you! I’ve been on 2 SSRIs concurrently myself, although I’ve been off all for about 6 months, curious as to what the FAA will say

 

[LifeAtAltitude]

@bbchien apologies for the direct notification, but there is now a new layer to this onion. I had advised the doctor that SSRI 1 was doing nothing and had a history of doing nothing and SSRI 2 was the more helpful for my situation. They wanted to “test” my theory and pulled me of SSRI 2 leaving me on SSRI 1 and it turns out I was correct. Now they want to put me back in SSRI 2 and drop SSRI 1 (which is what we should have done orginally. Do you see this causing an issue if stability can be shown in SSRI 2? I’m about to stick in a pin in all of this in all honestly.

Thanks for your help this far.

 

[pqamis]

@bbchien apologies for the direct notification, but there is now a new layer to this onion. I had advised the doctor that SSRI 1 was doing nothing and had a history of doing nothing and SSRI 2 was the more helpful for my situation. They wanted to “test” my theory and pulled me of SSRI 2 leaving me on SSRI 1 and it turns out I was correct. Now they want to put me back in SSRI 2 and drop SSRI 1 (which is what we should have done orginally. Do you see this causing an issue if stability can be shown in SSRI 2? I’m about to stick in a pin in all of this in all honestly.

Thanks for your help this far.

Email him directly http://www.aeromedicaldoc.com. There’s really not much that’s going to be able to be done advice wise without reviewing your file. The good news for you is a second ssri is no longer an absolute “rule out”, so if it’s an approved diagnosis, no suicidality, and you are stable on one you may get it. It looks like it may be out of your budget though. You will be getting a cogscreen($2-3k) a HIMS psych eval($3-4k) and whatever it costs for Dr. Bruce (or another HIMS AME, but in my opinion 90%+ don’t know what the hell they’re doing) to look over your record, and then for you to fly to Chicago, rent a car, stay in a hotel for a night etc. Depending on if you’re in the wrong area, you may be traveling across the country to get your evals done too. you’ll probably be right around $10k to get the medical. It’s possible to get it for less if you price shop and travel for your evals, you may be able to get them for closer to $2k each.

You also said you’re under a doctors care, following professional advice on your mental health. That and a dollar will get you a cup of coffee, unless it’s a board certified psychiatrist. Meaning, you will need to transfer your care to a board certified psychiatrist if you’re currently using your pcp to manage your prescriptions. Might not add much money if you have good insurance, but it’s certainly an additional headache to think about. I only bring this up because it seems your doctor has no idea what he’s doing. The PCP guys get about a month of psychiatry training, and often prescribe an ssri “to see if it helps”. A psychiatrist would not prescribe dual ssri for “general anxiety and unspecified depressive disorder”.

Hopefully this helps a little bit. I’m sure it’s not what you wanted to hear, but there may be a path for you. Definitely reach out to Dr Chien though, after all he wrote the damn thing, and I’m just some stranger on the internet.

 

[pqamis]

Hope for the best to you! I’ve been on 2 SSRIs concurrently myself, although I’ve been off all for about 6 months, curious as to what the FAA will say

You should reach out to Dr. Chien directly as well. For your case it comes down to how long you were on them. You said around 5 years. If it was 4 years and 11 months, you may be able to get an SI. If it was 5 years and 1 month, you may be able to get an SI, but it would be 6 months after you went back on an SSRI. 5 years is recurrent, and they won’t approve anyone with “untreated recurrent disease”. It must be treated and monitored, and the only approved treatments are the approved drugs.


Of course if there was any suicidal intent, you’ll be flying sport for 10 years from that date. What are your career goals? If this is just hobby you might find sport pilot good enough. If not, send Dr. Bruce an email. Be sure to include exact dates, exact diagnosis’s, if anywhere in your record it mentions suicide in a way that is not “patient denies ideation”. From your original post, it sounds like going back on 1 SSRI might cause you some health issues, so don’t make a healthcare decision based on what the FAA wants from you.

a good place to start is requesting your file from whoever diagnosed you, and emailing Dr. Bruce once you find the above info. The off SSRI path will cost you a few thousand, the on SSRI path will be about double. (Sport pilot doesn’t require a medical and would be free).

 

[LifeAtAltitude]

You should reach out to Dr. Chien directly as well. For your case it comes down to how long you were on them. You said around 5 years. If it was 4 years and 11 months, you may be able to get an SI. If it was 5 years and 1 month, you may be able to get an SI, but it would be 6 months after you went back on an SSRI. 5 years is recurrent, and they won’t approve anyone with “untreated recurrent disease”. It must be treated and monitored, and the only approved treatments are the approved drugs.


Of course if there was any suicidal intent, you’ll be flying sport for 10 years from that date. What are your career goals? If this is just hobby you might find sport pilot good enough. If not, send Dr. Bruce an email. Be sure to include exact dates, exact diagnosis’s, if anywhere in your record it mentions suicide in a way that is not “patient denies ideation”. From your original post, it sounds like going back on 1 SSRI might cause you some health issues, so don’t make a healthcare decision based on what the FAA wants from you.

a good place to start is requesting your file from whoever diagnosed you, and emailing Dr. Bruce once you find the above info. The off SSRI path will cost you a few thousand, the on SSRI path will be about double. (Sport pilot doesn’t require a medical and would be free).

Thanks for the info! Yea so far I'm right around 2.5k for the cogscreen, and got quoted roughly 2.5k for the evaluation. They do both offer to pay using a Health Savings Account, but its still a substantial amount of money for a gamble. My HIMS AME is awesome and has been guiding me through the process without price gouging so that I'm thankful for. He did say that just because you get a pysc exam and cogscreen doesnt guarantee special issuance and from reading some of these stories, id rather gamble the 5k on black in vegas then I would trusting the FAA at this point. I understand why they have requirements, but a lot of folks said it just turns into asking for more and more testing which equals more and more money. It doesnt even seem like getting off both medications would do anything to change the outcome anyway. From reading they are still going to ask for all of these tests no matter how long you have been off of the medication(s) so whats the point? Oh well, it was a dream that is now killed. Appreciate the feedback.

 

[LifeAtAltitude]

Email him directly http://www.aeromedicaldoc.com. There’s really not much that’s going to be able to be done advice wise without reviewing your file. The good news for you is a second ssri is no longer an absolute “rule out”, so if it’s an approved diagnosis, no suicidality, and you are stable on one you may get it. It looks like it may be out of your budget though. You will be getting a cogscreen($2-3k) a HIMS psych eval($3-4k) and whatever it costs for Dr. Bruce (or another HIMS AME, but in my opinion 90%+ don’t know what the hell they’re doing) to look over your record, and then for you to fly to Chicago, rent a car, stay in a hotel for a night etc. Depending on if you’re in the wrong area, you may be traveling across the country to get your evals done too. you’ll probably be right around $10k to get the medical. It’s possible to get it for less if you price shop and travel for your evals, you may be able to get them for closer to $2k each.

You also said you’re under a doctors care, following professional advice on your mental health. That and a dollar will get you a cup of coffee, unless it’s a board certified psychiatrist. Meaning, you will need to transfer your care to a board certified psychiatrist if you’re currently using your pcp to manage your prescriptions. Might not add much money if you have good insurance, but it’s certainly an additional headache to think about. I only bring this up because it seems your doctor has no idea what he’s doing. The PCP guys get about a month of psychiatry training, and often prescribe an ssri “to see if it helps”. A psychiatrist would not prescribe dual ssri for “general anxiety and unspecified depressive disorder”.

Hopefully this helps a little bit. I’m sure it’s not what you wanted to hear, but there may be a path for you. Definitely reach out to Dr Chien though, after all he wrote the damn thing, and I’m just some stranger on the internet.

Also I use a Nurse Practitioner that is overseen but a physiatrist. I understand what you’re saying though. Do you have any experiences with these types of screenings by chance and know a good place to get them done if it gets to that point?

 

[pqamis]

Also I use a Nurse Practitioner that is overseen but a physiatrist. I understand what you’re saying though. Do you have any experiences with these types of screenings by chance and know a good place to get them done if it gets to that point?

I’ve never done one, but there’s some really good write ups on here. The cogscreen one is something you CAN “beat” if you practice ahead of time. Search that up on here and on Reddit and you’ll find exactly what the tests are, so you can practice. Basically if you can function at work, you got through school and you can drive, you should be able to pass no problem.

The Psychiatric one you cannot “beat” because it is purely subjective, but according to what I’ve seen and read it’s really just an interview after a doctor reads all your record. If you’ve never had an attempt, self harm etc, you should be fine. Just don’t lie. These are people who have spent their careers applying their expertise to court cases. They will sniff you out.

You can find the list of approved neuropsychologists/psychologists by googling “faa hims neuropsychologist”. That is the cogscreen one.

The psychiatrist one is gatekept for some reason, but if you go ahead and seat “hims psychiatrist” or just “psychiatrist” you will find several people who posted the list. You can get it via FOIA request (but if an AME shares it with you, they lose their designation).

You can certainly call around the psychologists and price shop for the cogscreen. You could probably get it under $2k in certain areas. The psychiatrists might question how you got their info, but a lot of them list it on their website and are happy to help.

To me it sounds like you’re not insane or anything. How long were you on both of them, and how long total has this course been? If the notes really don’t show anything crazy, I could totally see you getting it. And BasicMed would be an option after your first special issuance expires. I believe that is 1 year.

I suggest you do some price shopping, see if it’s reasonable for you, and go from there. Also keep an eye on congress and see if they jam that bill through.

 

[LifeAtAltitude]

I’ve never done one, but there’s some really good write ups on here. The cogscreen one is something you CAN “beat” if you practice ahead of time. Search that up on here and on Reddit and you’ll find exactly what the tests are, so you can practice. Basically if you can function at work, you got through school and you can drive, you should be able to pass no problem.

The Psychiatric one you cannot “beat” because it is purely subjective, but according to what I’ve seen and read it’s really just an interview after a doctor reads all your record. If you’ve never had an attempt, self harm etc, you should be fine. Just don’t lie. These are people who have spent their careers applying their expertise to court cases. They will sniff you out.

You can find the list of approved neuropsychologists/psychologists by googling “faa hims neuropsychologist”. That is the cogscreen one.

The psychiatrist one is gatekept for some reason, but if you go ahead and seat “hims psychiatrist” or just “psychiatrist” you will find several people who posted the list. You can get it via FOIA request (but if an AME shares it with you, they lose their designation).

You can certainly call around the psychologists and price shop for the cogscreen. You could probably get it under $2k in certain areas. The psychiatrists might question how you got their info, but a lot of them list it on their website and are happy to help.

To me it sounds like you’re not insane or anything. How long were you on both of them, and how long total has this course been? If the notes really don’t show anything crazy, I could totally see you getting it. And BasicMed would be an option after your first special issuance expires. I believe that is 1 year.

I suggest you do some price shopping, see if it’s reasonable for you, and go from there. Also keep an eye on congress and see if they jam that bill through.

Thank you so much. I really appreciate this information. Last question if you know the answer cause I can’t get a solid one…. Since it’s been over 60 days since this class 1 got deferred, I’m going to switch to class 3 not that it really matters the outcome but I have no desire to do this as a career at this point, would I get all of these tests done before hand, or fill out a new medexpress indicating off all medications (if I can get off both), get the class 3 exam followed by a note from my prescribing physician (id ask the board certified psychologist to do that) and see what they ask for? Reason I ask is I never got anything from them saying I needed any tests, it just said they couldn’t issue due to concurrent use at the time. They did say I could ask for reconsideration however they never stated what I needed to do to do that.

 

[bbchien]

No you can't "beat the cogscreen". "They've thought of that".

There are over 100 versions of it and cogscreen inc. records who you are, so if you go to another vendor, it doenst give you the same test....sigh. What you can do are things like lumosity so you get generally familiar with the format, and thus reduces anxiety, which impedes performance. But don't O.D on Lumosity- it only makes you good at Lumosity.

FILL THEIR SQUAREs. And, with EXACTLY what is required.

 

[LifeAtAltitude]

No you can't "beat the cogscreen". "They've thought of that".

There are over 100 versions of it and cogscreen inc. records who you are, so if you go to another vendor, it doenst give you the same test....sigh. What you can do are things like lumosity so you get generally familiar with the format, and thus reduces anxiety, which impedes performance. But don't O.D on Lumosity- it only makes you good at Lumosity.

FILL THEIR SQUAREs. And, with EXACTLY what is required.

Thanks Dr. Chien,

I’ll start doing those just to prepare. Not even out to beat it because I don’t want to be approved and have something happen in the sky due to an underlying issue. Are you familiar with the deferral process at this point and since it’s been 60 days since I got the letter that didn’t have next steps would I need to apply on medexpress, do the exam, and send a doctors note (which I know isn’t to valuable) and wait for next steps?

 

[UTLonghorn_1979]

Thanks Dr. Chien,

I’ll start doing those just to prepare. Not even out to beat it because I don’t want to be approved and have something happen in the sky due to an underlying issue. Are you familiar with the deferral process at this point and since it’s been 60 days since I got the letter that didn’t have next steps would I need to apply on medexpress, do the exam, and send a doctors note (which I know isn’t to valuable) and wait for next steps?

Having taken the full cog screen and shorter version, I can say it’s not necessarily difficult, it can be long. I wish I’d taken a lunch break vs powering through the 4-6 hours of testing, which includes a 100 question “psych” deal to make sure your answers are honest and legitimate.

The hardest part, in my opinion, is the number sequence addition test. Basically it’s some voice that just says random numbers then you have to sum the numbers in some order, not total sum, but for instance the voice says sequence of “9, 2, 7, 5, 8, 5.”

The responses/answers would be 11, 9, 12, 13, 13.” So you have to sum the first 2, then remember the prior number in sequence and add to the next number, or something like that. It was last September when I took it.

Any sort of brain or logic games, as well as visual logic would be good.

Good luck!

 

[LifeAtAltitude]

Having taken the full cog screen and shorter version, I can say it’s not necessarily difficult, it can be long. I wish I’d taken a lunch break vs powering through the 4-6 hours of testing, which includes a 100 question “psych” deal to make sure your answers are honest and legitimate.

The hardest part, in my opinion, is the number sequence addition test. Basically it’s some voice that just says random numbers then you have to sum the numbers in some order, not total sum, but for instance the voice says sequence of “9, 2, 7, 5, 8, 5.”

The responses/answers would be 11, 9, 12, 13, 13.” So you have to sum the first 2, then remember the prior number in sequence and add to the next number, or something like that. It was last September when I took it.

Any sort of brain or logic games, as well as visual logic would be good.

Good luck!

May I ask if this was on SSRI or off SSRI? What was the outcome if you don’t mind me asking. Thank you for the feedback!

 

[UTLonghorn_1979]

May I ask if this was on SSRI or off SSRI? What was the outcome if you don’t mind me asking. Thank you for the feedback!

On SSRI.

 

[DJTorrente]

Basically it’s some voice that just says random numbers then you have to sum the numbers in some order, not total sum, but for instance the voice says sequence of “9, 2, 7, 5, 8, 5.”

The responses/answers would be 11, 9, 12, 13, 13.” So you have to sum the first 2, then remember the prior number in sequence and add to the next number, or something like that. It was last September when I took it.

Which clearly proves you're qualified to fly an airplane.

Or not, in which case you strap on a 6,000 lb. SUV and hurdle yourself over the public roads.

 

[UTLonghorn_1979]

Which clearly proves you're qualified to fly an airplane.

Or not, in which case you strap on a 6,000 lb. SUV and hurdle yourself over the public roads.

yeah, I honestly don't see the relevance of 90% of the test as a bearing on your ability to pilot an airplane. I get if you're testing for ADD/ADHD, as being able to sit and concentrate for 4-6 hours certainly would be an issue for someone with that.

otherwise, just seems like another reason to deny someone their medical. I can honestly say I know pilots that are businessmen, Drs. lawyers, etc. that would not be able to pass the full Cog screen if they had to take it.

 

[PrepForDepature]

Funny that you mention that because I had the same question as far as reapplying. I applied about a year to year and a half ago, was denied due to similar issues, got off the SSRI medications, made some life style changes, happier now then ever and was going to apply again (class 3). I read online (I know it’s just the internet) but AMEs can issue even if you check that you’ve had a denied medical application. So if that’s the case, and you list no meds, and you select the issue on your “ever in your life question” which in my case is anxiety will I get into a pickle if the AME issues? Anything I can do to increase my chances of getting approved as it’s “history” now. @bbchien gave some great advice and always has. Any idea on someone denied for SSRI use and reapplying? Another forum said don’t list the ever in your life question “forget” to do it, be truthful about no meds, but it seems like IT 101 that it would flag in their system and that’s not something I’m really to risk no would I want that in my conscious. Good luck to you @LifeAtAltitude. I know it’s a web that can seem hard to get out of, but it takes time. I haven’t personally gone through it because at the time financially as I was doing it as a hobby wasn’t going to invest 10k into a medial. But I do know some guys/gals that went through it and it can be a pain.

 

[LifeAtAltitude]

Funny that you mention that because I had the same question as far as reapplying. I applied about a year to year and a half ago, was denied due to similar issues, got off the SSRI medications, made some life style changes, happier now then ever and was going to apply again (class 3). I read online (I know it’s just the internet) but AMEs can issue even if you check that you’ve had a denied medical application. So if that’s the case, and you list no meds, and you select the issue on your “ever in your life question” which in my case is anxiety will I get into a pickle if the AME issues? Anything I can do to increase my chances of getting approved as it’s “history” now. @bbchien gave some great advice and always has. Any idea on someone denied for SSRI use and reapplying? Another forum said don’t list the ever in your life question “forget” to do it, be truthful about no meds, but it seems like IT 101 that it would flag in their system and that’s not something I’m really to risk no would I want that in my conscious. Good luck to you @LifeAtAltitude. I know it’s a web that can seem hard to get out of, but it takes time. I haven’t personally gone through it because at the time financially as I was doing it as a hobby wasn’t going to invest 10k into a medial. But I do know some guys/gals that went through it and it can be a pain.

Thanks for your feedback. In my opinion I Definitely wouldn’t “forget” anything especially something that will conflict with an older application on file. They maybe slow but I’m sure they will eventually catch that. Maybe call your AME to see what they advise or see if Dr. Chien has any suggestions pertaining to the reapplication. My AME said I could be proactive, get an aviation physc evaluation first, send that in with the medical application given that’s if favorable, and see if they will do the SI without the CogScreen since there is a history and I’m not longer on the medication. Maybe go that route? He said they may ask for more but you never know until it’s on paper. Again Dr @bbchien is an actual senior AME, one of the authors of the pathway itself so he would be the best source atleast in this forum. It maybe a thousand or 2 for the physc eval, but then they will either issue the SI or ask for a cog screening (from my my HIMs said) He said it’s up in the air with them sometimes, no pun intended. Good luck.

 

[DJTorrente]

Another forum said don’t list the ever in your life question “forget” to do it, be truthful about no meds, but it seems like IT 101 that it would flag in their system and that’s not something I’m really to risk no would I want that in my conscious.

I can't see "forgetting" anything an applicant already disclosed in a prior application being a viable path to flying. Its trivially easy -- even the FAA -- to compare a current application to a former one and discover the discrepancy. Lying on the form is its own offense, and fertile ground for denial.

 

[bbchien]

I read online (I know it’s just the internet) but AMEs can issue even if you check that you’ve had a denied medical application.

100% false. The lockout is electronic and by the home office.

 

[LifeAtAltitude]

100% false. The lockout is electronic.

@PrepForDepature prime reason you can’t believe everything you see. 2 bad forms of bad advice to forget and that an AME can issue. Im personally going the physc eval route unless Dr. Chien or my AME says otherwise and just get the whole cog and stuff done now. To break it down my plan and again this is just me and my situation:

1. Reapply for class 3, listing no meds which is the truth. Obtain evidence I have been off both for atleast 60 days.

2. Check that I’ve been denied before

3. List my ever in your life question honestly.

4. Get the independent Aviation Physc Evaluation.

5. Wait 2 years for them to review the report and respond.

6. Pray they don’t ask for the cog screen although I’ll bet they are going to.

7. Get that done wait another 2 years for them to review.

8. Switch to basic med if SI is approved so I never have to deal with this again.

It’s a game. Gotta play to win.

 

[wellknow]

why not do cog screen upfront

 

[LifeAtAltitude]

why not do cog screen upfront

From what my provider said, they maybe satisfied with the FAA psychiatric evaluation and evidence of being off medication. I’m doing off SSRI, whereas on SSRI (from my gathering) would 100% require the cog screen. He also said they may not. But one thing he can almost guarantee is that a physiatrist evaluation would need to be done. Due to the CogScreen being a rather large investment I’d rather hold off in case they don’t need it. Another way to approach is to send the letter from my medical provider indicating I’m off meds and the time I’ve been off, but as others have said that won’t do much as they will still ask for more things. I suppose this is an option as thier 60 day auto denial was deferred indefinitely. Not surprised as anything from the FAA will take a minimum of 60 days. I’m not an expert and this is my first time going through this. And again I’m looking to do this as a hobby so all I have is time and when working with the FAA you have to have time!

 

[wellknow]

makes sense. i am almost two years into process and jumping out of my skin. i applaud your patience. cogscreen not cheap.

 

[LifeAtAltitude]

makes sense. i am almost two years into process and jumping out of my skin. i applaud your patience. cogscreen not cheap.

Are you doing on or off SSRI?

 

[wellknow]

on

 

[LifeAtAltitude]

on

I can say from what I heard that on SSRI is a much more involved, complicated, timely, and expensive process. This is not saying off SSRI is any easier because from the sounds of it there is a strong chance they are going to make me jump through the hoops as well. From what my HIMs said, nothing is guaranteed. If he could absolutely 100% say they would ask for the cogscreen than I would go get that done as well before my next application. I know on SSRI just by looking at the guidelines requires it. But he said with the off SSRI they evaluation similar to everyone on an "individual basis" so I'm hoping with evidence that I'm off, and a FAA pysc evaluation that will satisfy them as to my ability to hold a 3rd class medical. Again this is a all hope, this is my first time navigating this process. I wish you the best of luck and keep fighting.

 

[wellknow]

thanks. i prefer to think the faa is motivated by safety concerns. btw my cogscreen was 3k. or 3200. good luck!