If you are suggesting that low motivation to fly is causing these problems, well yes! there could be a remote (very remote) possibility. What kind of psychotherapy did you have in mind? Secondly, the period of observation (and therapy) has to be weighed against his course duration, loss of service seniority etc. etc. Now! if he had low motivation to fly as it is, isn't he better off as a ground duty officer. I just hope you are not suggesting that he has very high motivation to fly which is being undermined by these decisions. If he had high motivation, it is unlikely to be related to his LOC episodes, and what psychotherapy is needed then? Sudhanshu ----- Original Message ----- From: dilish malik To: indaemed@xxxxxxxxxxxxx Cc: USM Bish Sent: Monday, March 29, 2004 7:57 PM Subject: IndAeMed_F: Re: [Indaemed_Freelist.Org] Disposal of ?VVS case On Mon, 22 Mar 2004 USM Bish wrote : >On Mon, Mar 22, 2004 at 07:53:42PM +0530, SS Mishra wrote: > > >[first part totally snipped] > > > > Now the question comes : was the disposal too harsh? For those > > of us who are fond of quoting the US policies on the matter , > > I'd like to attach the article from ASEM of May 2003. Please go > > through its introduction which quotes a number of policies on > > the matter, both from Europe and from America. > > > >I would put it this way, it depends upon the diagnosis that you >have put. If the diagnosis is unfitness because of VVS alone, I >would say it is NOT justified. If you have history of multiple >spontaneous syncopal attacks, simply out of the blue, or maybe >because of intense psychological pressures, it fits the bill of >rejection because of some inherent defect (possibly >unidentified) which may predispose him to similar fainting >spells, under stressful situations, which would not be >condusive to combat a/c flying. He has had a single episode >which could not be reproduced with medical provocations. > >If he has been made unfit for Acute Hypoxia induced LOC at 30 K >ft of hypoxia on two episodes, it is still too harsh ... this >IS the expected physiological response. Hardly any opinion on >Doughal's list is at variance. > >Snipped >The bald head in action once again ... > >Bish > >-- Dear Bish Sir, I once again fully endorse your bald head opinion. I would add further that the decision might not have been wrong but it was definitely very hurried, telescoped to one aspect only (that is physiological surmising), unscientific (pardon me the decision makers) and definitely a bad example for the aviation community. We could have reassessed him after 6 months after good psychotherapy, conditioning and some more ground tenure for seeing his perseverence for return to flying. I fear his motivation to fly was masked. Any takers ? cheers Dilish. >: >-------------------------------------------------------------- >Wg Cdr (Retd) US Mohalanobish bish@xxxxxxxxxxx >GF-01, Carleston Classic usmbish@xxxxxxxxxxxxxx >03, Carleston Road +91-80-30611448 >Cooke Town, Bangalore - 560005 98451-71863 (Mobile) >----------------------------[http://geocities.com/usmbish/]-- >: >