Got a letter from a Doctor at Transport regarding my class 01

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Redmud
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Got a letter from a Doctor at Transport regarding my class 01

Post by Redmud »

I got a letter from a Doctor at Transport Canada, 16 months after doing my last medical requesting blood work cholesterol/triglycerides etc. due to me weighing in at 116Kgs... I’m an athletic and very tall, big Canadian boy... WTF? I am in good health but the Doc said they’re worried about heart decease... because my BMI is high.
My question on the forum is: is this normal to receive such letters, have others gotten them too? Should I be worried? I’m laid off at the moment, so not flying and hence haven't renewed my medical. The letter says to mail in the blood work prior to or at the time of my next renewal.
Any and all feedback is appreciated!
Thnxs
Red
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CL-Skadoo!
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Re: Got a letter from a Doctor at Transport regarding my class 01

Post by CL-Skadoo! »

How was your blood pressure / heart rate when you were in there? Any family history that they would know about? Out of curiosity are you over or under 40?

BMI alone shouldn't trigger that response, but BMI with history, or other indicators might. I know they were rolling hard on sleep apnea tests for people with higher bmi a while back. They've really been pushing this stuff lately, so you're not alone.
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altiplano
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Re: Got a letter from a Doctor at Transport regarding my class 01

Post by altiplano »

I'd call and push back if you're healthy. Explain they have the wrong impression of your build and health.

I had Transport come at me once about 15 years ago, a month or two after a medical where my BP rang slightly over 120. I'm a football player, athletic type build at +/-200lbs.

The guy at Transport started explaining that with over a 42" waist (or something ridiculous like that) and my height and weight they required additional testing... I stopped him there and told him that I didn't have a 42" waist, the jeans I was wearing were 32s, so I wasn't going on for any more tests, he fumbled a bit said his calculation was otherwise, I told him he was wrong and that I had a medical signed and valid for a year and I never heard from them again.

BMI is such a waste of time for a large section of the population - it means nothing real. It came up at my last medical and I told the doctor that if Transport is so concerned, why they don't add a caliper measurement and get a real body fat %? That they aren't really shows that they can't be that concerned, they're just being bureaucrats.

BMI is a joke and the sooner the skinny-fat pencil pushing desk jockeys at Transport figure it out the better. Maybe they can get a measurement that really benefits pilot health

Best running back of all time Walter Payton? Overweight.

Best line backer of all time Mike Singletary? Obese.

They both ran 4.6 40s.

Dwayne Johnson? Obese with a BMI well into the 30s and a body fat measurement of 10.5%.

https://www.menshealth.com/weight-loss/ ... -with-bmi/
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GoinVertical
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Re: Got a letter from a Doctor at Transport regarding my class 01

Post by GoinVertical »

I know a few guys that have gotten the same letter. As far as I can tell it is often based on BMI with no other contributing factors.

Waste of time. Would be nice if they would just let the doctors do their jobs.
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Redmud
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Re: Got a letter from a Doctor at Transport regarding my class 01

Post by Redmud »

Thanks for all the feedback guys. I am turning 50 soon, no family history and Blood Px active and at rest are both well and I had my heart checked at a separate doctor using a cycle and ECG. He told me I am extremely fit for my age. I’m just a big guy. I used to lift regularly, now only once in a while.
That letter really pissed me off. I guess I’ll just get the blood work done and go for my next medical.
I noticed they sent the letter to my AME too. So, I’ll just give him the blood work.
I am just worried that some Doc at Transport might get the idea to pull my medical and send me for a battery of testing...
Thanks again
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ahramin
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Re: Got a letter from a Doctor at Transport regarding my class 01

Post by ahramin »

Transport Canada can and do pull medicals. In the case of those letters, you still have a valid medical and they obviously don't have a reason to pull it or they already would have. These fishing letters may be for a real problem or for nothing other than some misinterpretation, misreading, statistical nonsense, or false claims. In my case I called the regional medical office and told them that they were mistaken and I had no idea what they were talking about. They insisted that I would have to respond to the letter. I asked them if I still had a medical and they said yes so I told them to either pull my medical or leave me alone. Got another letter from them saying that it seems they were mistaken and that's the last I heard about it.

If you are certain that your weight is healthy, I wouldn''t worry about it. Just forget about it until your next renewal and then send in the blood work.
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5x5
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Re: Got a letter from a Doctor at Transport regarding my class 01

Post by 5x5 »

Just did my medical a couple of days ago and asked my doc about a similar letter - not BMI but an issue that had been resolved 4 years ago - and got the following. Apparently the regional Chief Medical Officers all tended to be old and rather long in the tooth and hadn't necessarily kept up with the rest of the world vis-a-vis current medical practices and concerns. Now they mostly retired and new management in the medical area are working to catch up and requesting testing that should have been done previously according to the new norms.

Now absolutely everyone is entitled to bitch and complain about it all they want but my view is I want to be healthy and I'm in an occupation where it's a requirement for ultimate safety as it's not just me at risk when I fly but also my passengers. And since it's a requirement to undergo repetitive examinations I do so. If things change in the medical field I accept that the doctors and managers involved are qualified to do their jobs and if they decide they need information today that they didn't before I'm going to provide it. As a pilot I'm certainly not qualified to accurately determine what's medically required or not, no matter how much internet I read.

I realize that stating this opens me up to potential criticism for being a "sheep" and mindlessly accepting bureaucracy, but whatever, it's merely my personal opinion.
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Redmud
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Re: Got a letter from a Doctor at Transport regarding my class 01

Post by Redmud »

Thanks for the feedback people!
Red
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