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The Human Intervention and Motivational Study, also known as the HIMS Program is an occupational substance abuse treatment program dedicated to helping all pilots return to the cockpit or flight deck. HIMS-trained AMEs, neuropsychologists, and psychiatrists in conjunction with employers, union representatives, and other support organizations work together to evaluate and support pilots with substance disorders or dependence, or other mental health conditions. On this episode, we discuss the program as well as lessons learned from the recent Advanced HIMS Seminar held in Louisville, Kentucky.

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Episodes of syncope or loss of consciousness can result from something as simple as a brief fainting episode -- up to the level of a severe head injury.  How it's documented and the testing required for FAA purposes can be critical. On this episode, we discuss the aeromedical implications of syncope and stand down times depending on the various severity of head injuries as well as a less common condition known as transient global amnesia (TGA). What testing is required and what information will the pilot with a loss of consciousness need to track down to have a successful journey towards flying again?

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On this episode we review the technology of coronary artery CT scanning and CT angiography. Although used as an effective screening tool for certain individuals, is this imaging something that pilots should pursue?  What happens if an elevated coronary calcium score is identified?  Will a pilot still be able to retain their medical certificate, and how much additional testing might be required?

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The FAA medical application, Form 8500-8, is completed electronically through the electronic platform called MedXPress. Are you ready for your next flight physical? What potential pitfalls are there with filling out the application form and how can you prevent those? We cover some of the most common applicant questions as well as places on the form that pilots can potentially get in trouble.

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On this episode, we review aeromedical certification consequences of passing kidney stones.  Major issue or just a "small pebble" in the shoe of a long aviation career?  Plus, we break down the new Air Force One Boeing 747 plagued by delays and cost overruns.

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On this episode we cover some of the topics discussed at the recent FAA aviation medical examiner grand rounds such as more information on color vision screening and CACI qualification for "low T," and we meet the newest addition to the Mayo Clinic aeromedical team.

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From stories of a pilot getting knocked out by a wild horse while walking along a beach to discussing the details of aeromedical certification with bladder cancer, this episode has a little bit of everything.

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On this episode, we discuss bundle branch block and what is required if a heart transplant is required for severe cardiac disease.  What is bundle branch block? Is it a deal breaker? And is it even possible to get a medical if a pilot experiences a condition that requires a heart transplant?

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On this episode, we discuss what pilots need to be prepared for after undergoing heart valve repair or replacement.  How long is the stand down time?  What tests are needed? What should the cardiologists say in their note in order to avoid sabotaging the chances for a medical certificate?

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On this episode, we look at a common condition unfortunately experienced by many pilots -- whether flying recreationally or for a living -- coronary artery disease.  What tests are needed and how can a pilot be adequately prepared through the process of obtaining a Special Issuance Authorization?  Do you really need to get a coronary angiogram after a stent is placed?  What type of stress test do I need? Are there any tricks to being ready and what is the earliest a pilot can see their AME to get a new medical?