Week 8
Today in class, Klaus helped to clarify the blood data as everyone was a bit confused. It was good to find out his expectations and his insights into the data. We can either you john testings data and design something specifically for him or use the spreadsheet to design something regionally.
I went back and looked at the spreadsheet because I have spent the most time analyzing that and I looked at what I found most interesting that could have the potential to become a project. The aviation medicals and HCG results I think are most interesting. So I started to research a little bit into them .
AVIATION MEDICALS 464 - DAVID ONLY, 168 LIP, 1 HCG - pregnancy, 156 GLY, 1 GGT, 1 ELE, 1 CRP, 1 AST
People tested for LIP and Gly mostly – cholesterol and diabetes
Liver and kidneys are also tested sometimes – CRE/ELC and LFT
Pregnant one also tested for NUC,CBC,CRP,
The control of blood lipid levels (cholesterol and triglycerides) is an important step in controlling heart disease, stroke and heart failure. Anyone interested in their long-term health and well-being should attempt to reduce their lipid levels if elevated. Pilots traditionally have had some reluctance to monitor lipid levels and intervene against elevated levels for fear of adverse effects on their medical certificate. This reluctance is unjustified. Many methods for lowering cholesterol exist without using medication. Cholesterol control with dietary changes and nutritional supplements is not reportable on the FAA Airman’s Medical Application. Cardiovascular disease
David is the only medical examiner in the Wellington region that is qualified to do aviation medical assessments for grade 1
Class 1 medical certificate
The Class 1 medical certificate standard applies to holders of an Air Transport Pilot Licence, Commercial Pilot Licence (other than balloons), Multi-crew Pilot (aeroplane) Licence, Flight Engineer Licence or Student Flight Engineer Licence.
Since April 2018, holders of a Commercial Pilot Licence can undertake some operations with a Class 2 medical certificate - see details below.
Unless otherwise advised by the Aviation Medicine Section, a Class 1 medical certificate is valid for one year. A Class 2 certificate is generally granted at the same time as a Class 1 certificate, but with a longer validity.
Class 2 medical certificate
The Class 2 medical certificate standard applies to holders of a Recreational Pilot Licence, Private Pilot Licence and a Commercial Pilot (Balloon) Licence that want to exercise the full privileges of their licence. A Basic Class 2 (details below) is an alternative, but with some operational restrictions.
Holders of a Commercial Pilot Licence can conduct commercial flights that do not carry passengers with a Class 2 medical certificate if the maximum take-off weight is less than 8618 kilograms. This includes flight training. Read the legislative instrument (CASA EX25/18) that permits this condition.
A minimum of a Class 2 (or Basic Class 2) medical certificate is also required by a student pilot before they can fly solo. Some Designated Aviation Medical Examiners (DAMEs) can grant Class 2 medical certificates on the spot, generally valid for four years for applicants less than 40 years of age on the day of the medical examination or two years for those aged over 40 years.
https://www.casa.gov.au/licences-and-certification/aviation-medicine/classes-medical-certificates
They can be encouraged to stop smoking by pointing out the effects of increased cardiac risk on their medicals as they get older (a CVD risk greater than 10% requires regular proof that there is not a cardiovascular condition).
She will then check:
• Height, weight and waist circumference.
• Blood pressure.
• Urine for protein & sugar.
• Pulse.
• Peak flow. (These are done at each medical).
• ECG – resting.
• Spirometry.
All applicants must also supply lipid and blood sugar tests at the first medical, CPL applicants must also supply an Eye Specialist (CAA approved person) report, and an audiogram (also for PPL if they wish to fly IFR). The doctor may require a CXR if the applicant comes from an area of increased risk of TB.
CPL pilots repeat a full medical every year (6- monthly if aged 40+, and flying passengers as a solo pilot). They are required to repeat: • A resting ECG every 2 years from age 30, every year from age 70. • An audiogram every 4 years from age 36. • Lipids and glucose at age 36, then every 2 years from age 40. • CVD risk is assessed every year. • Spirometry at 46 and 56 if they have ever been a smoker.
http://www.gpcme.co.nz/pdf/GP%20CME/Sunday/Auckland%200830%20Wiles.pdf
CVD risk assessment using age , duration of diabetes, smoker, Gly result, cholesterol, blood pressure, albuminuria - the presence of albumin in the urine, typically as a symptom of kidney disease.
Hcg – tests for pregnancy
Levels differ at different stages of pregnancy
The hCG blood test is performed to:
• confirm pregnancy
• determine the approximate age of the fetus
• diagnose an abnormal pregnancy, such as an ectopic pregnancy
• diagnose a potential miscarriage
• screen for Down syndrome
Cancers that can cause higher-than-normal hCG levels include:
• cancer of the uterus, or choriocarcinoma
• lung cancer
• breast cancer
• ovarian cancer
Noncancerous conditions, such as cirrhosis, ulcers, and inflammatory bowel disease (IBD), can also result in hCG levels being elevated.
I think the aviation medicals has the most potential to create a transformative experience for pilots.
Examples of transformative experiences/inspiration for my project
I went back and looked at the spreadsheet because I have spent the most time analyzing that and I looked at what I found most interesting that could have the potential to become a project. The aviation medicals and HCG results I think are most interesting. So I started to research a little bit into them .
AVIATION MEDICALS 464 - DAVID ONLY, 168 LIP, 1 HCG - pregnancy, 156 GLY, 1 GGT, 1 ELE, 1 CRP, 1 AST
People tested for LIP and Gly mostly – cholesterol and diabetes
Liver and kidneys are also tested sometimes – CRE/ELC and LFT
Pregnant one also tested for NUC,CBC,CRP,
The control of blood lipid levels (cholesterol and triglycerides) is an important step in controlling heart disease, stroke and heart failure. Anyone interested in their long-term health and well-being should attempt to reduce their lipid levels if elevated. Pilots traditionally have had some reluctance to monitor lipid levels and intervene against elevated levels for fear of adverse effects on their medical certificate. This reluctance is unjustified. Many methods for lowering cholesterol exist without using medication. Cholesterol control with dietary changes and nutritional supplements is not reportable on the FAA Airman’s Medical Application. Cardiovascular disease
David is the only medical examiner in the Wellington region that is qualified to do aviation medical assessments for grade 1
Class 1 medical certificate
The Class 1 medical certificate standard applies to holders of an Air Transport Pilot Licence, Commercial Pilot Licence (other than balloons), Multi-crew Pilot (aeroplane) Licence, Flight Engineer Licence or Student Flight Engineer Licence.
Since April 2018, holders of a Commercial Pilot Licence can undertake some operations with a Class 2 medical certificate - see details below.
Unless otherwise advised by the Aviation Medicine Section, a Class 1 medical certificate is valid for one year. A Class 2 certificate is generally granted at the same time as a Class 1 certificate, but with a longer validity.
Class 2 medical certificate
The Class 2 medical certificate standard applies to holders of a Recreational Pilot Licence, Private Pilot Licence and a Commercial Pilot (Balloon) Licence that want to exercise the full privileges of their licence. A Basic Class 2 (details below) is an alternative, but with some operational restrictions.
Holders of a Commercial Pilot Licence can conduct commercial flights that do not carry passengers with a Class 2 medical certificate if the maximum take-off weight is less than 8618 kilograms. This includes flight training. Read the legislative instrument (CASA EX25/18) that permits this condition.
A minimum of a Class 2 (or Basic Class 2) medical certificate is also required by a student pilot before they can fly solo. Some Designated Aviation Medical Examiners (DAMEs) can grant Class 2 medical certificates on the spot, generally valid for four years for applicants less than 40 years of age on the day of the medical examination or two years for those aged over 40 years.
https://www.casa.gov.au/licences-and-certification/aviation-medicine/classes-medical-certificates
They can be encouraged to stop smoking by pointing out the effects of increased cardiac risk on their medicals as they get older (a CVD risk greater than 10% requires regular proof that there is not a cardiovascular condition).
She will then check:
• Height, weight and waist circumference.
• Blood pressure.
• Urine for protein & sugar.
• Pulse.
• Peak flow. (These are done at each medical).
• ECG – resting.
• Spirometry.
All applicants must also supply lipid and blood sugar tests at the first medical, CPL applicants must also supply an Eye Specialist (CAA approved person) report, and an audiogram (also for PPL if they wish to fly IFR). The doctor may require a CXR if the applicant comes from an area of increased risk of TB.
CPL pilots repeat a full medical every year (6- monthly if aged 40+, and flying passengers as a solo pilot). They are required to repeat: • A resting ECG every 2 years from age 30, every year from age 70. • An audiogram every 4 years from age 36. • Lipids and glucose at age 36, then every 2 years from age 40. • CVD risk is assessed every year. • Spirometry at 46 and 56 if they have ever been a smoker.
http://www.gpcme.co.nz/pdf/GP%20CME/Sunday/Auckland%200830%20Wiles.pdf
CVD risk assessment using age , duration of diabetes, smoker, Gly result, cholesterol, blood pressure, albuminuria - the presence of albumin in the urine, typically as a symptom of kidney disease.
Hcg – tests for pregnancy
Levels differ at different stages of pregnancy
The hCG blood test is performed to:
• confirm pregnancy
• determine the approximate age of the fetus
• diagnose an abnormal pregnancy, such as an ectopic pregnancy
• diagnose a potential miscarriage
• screen for Down syndrome
Cancers that can cause higher-than-normal hCG levels include:
• cancer of the uterus, or choriocarcinoma
• lung cancer
• breast cancer
• ovarian cancer
Noncancerous conditions, such as cirrhosis, ulcers, and inflammatory bowel disease (IBD), can also result in hCG levels being elevated.
I think the aviation medicals has the most potential to create a transformative experience for pilots.
Examples of transformative experiences/inspiration for my project
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