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The Doctor is in! Ask a Flight Surgeon!

ChemTeach

New Member
There are conditions mentioned, then there are conditions covered under "other", the best thing you can do is get the documents together and let your OR run with it, my concern if I was your OR would be that you said the kidney is "functioning normally to its size", to me this does not equate to a "normal functioning kidney" which would raise lots of red flags.
ok thank you. I will be careful of the wording and make sure to include my recent blood tests. These showed an eGFR above even the normal range for my age.
 

TimeBomb

Noise, vibration and harshness
ChemTeach,
Per DODI 6130.03, "Asymmetry in size or function of kidneys" is disqualifying for entry into military service. You will need a waiver of standards simply to commission or enlist. Obtaining a waiver for aviation would be the next step, and, in my opinion, is not a sure thing. Prior urologic surgery and an abnormal kidney in an applicant may not be an achievable outcome.

My recommendation would be to have all your surgical reports and a recent nephrology consultation to include in your commissioning package. I think that will afford you the best opportunity, recognizing that it will be uphill all the way.

V/R
 

ChemTeach

New Member
ChemTeach,
Per DODI 6130.03, "Asymmetry in size or function of kidneys" is disqualifying for entry into military service. You will need a waiver of standards simply to commission or enlist. Obtaining a waiver for aviation would be the next step, and, in my opinion, is not a sure thing. Prior urologic surgery and an abnormal kidney in an applicant may not be an achievable outcome.

My recommendation would be to have all your surgical reports and a recent nephrology consultation to include in your commissioning package. I think that will afford you the best opportunity, recognizing that it will be uphill all the way.

V/R
Well this is concerning, but I will work on getting the necessary paperwork. Thanks for your help.
 

Cooperd0g

Member
pilot
@ChemTeach I'll respond to your PM on the other forum as well. MANMED 15-47 does not specifically say anything about a smaller kidney. DODI 6130.03 does have that line. However, just because something is disqualifying doesn't mean you can't get a waiver. The current ARWG also says it is disqualifying, but that a waiver may be granted on a case by case basis. @TimeBomb is both experienced and correct. While there is no guarantee, if you legitimately have normal kidney function you will likely get a waiver.
 

NavyOffRec

Well-Known Member
@ChemTeach I'll respond to your PM on the other forum as well. MANMED 15-47 does not specifically say anything about a smaller kidney. DODI 6130.03 does have that line. However, just because something is disqualifying doesn't mean you can't get a waiver. The current ARWG also says it is disqualifying, but that a waiver may be granted on a case by case basis. @TimeBomb is both experienced and correct. While there is no guarantee, if you legitimately have normal kidney function you will likely get a waiver.
One thing the OP said that caught my eye was that he said it was 1/3 the size and had normal kidney function for a kidney that size, so does that mean it has 1/3 the function of a normal size kidney? If that is the case then not having same function as a normal kidney might sink him, but the data in the test will be vital.
 

Cooperd0g

Member
pilot
One thing the OP said that caught my eye was that he said it was 1/3 the size and had normal kidney function for a kidney that size, so does that mean it has 1/3 the function of a normal size kidney? If that is the case then not having same function as a normal kidney might sink him, but the data in the test will be vital.
Lab tests don't work that way. You can't test an individual kidney function without invasive procedures. He could have one kidney and normal labs and would likely get a waiver.
 

NavyOffRec

Well-Known Member
Lab tests don't work that way. You can't test an individual kidney function without invasive procedures. He could have one kidney and normal labs and would likely get a waiver.
ah ok, when he said it had "normal function for a kidney that size" I was under the impression they had a way to determine kidney function on each kidney.
 

ChemTeach

New Member
Lab tests don't work that way. You can't test an individual kidney function without invasive procedures. He could have one kidney and normal labs and would likely get a waiver.
ah ok, when he said it had "normal function for a kidney that size" I was under the impression they had a way to determine kidney function on each kidney.
To provide some insight, I was actually wrong about the size. Recently (as in this past Monday) got an ultrasound before going to the nephrologist. Turns out the "smaller" kidney (right) is 10cm, and my left kidney is 13cm. Both fall within the normal size range now, and given my completely normal kidney function, seems like it is even more of a non-issue than I originally thought.
 
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