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  1. jcj

    A320 into the French Alps

    I was at the FAA in OKC doing my AME basic seminar when this went down. In fact, we met with the FAA's main psychiatry consultant the same day this happened. They were inundated with media calls, etc - especially since they guy still had a valid U.S. medical from when he was training in AZ.
  2. jcj

    What is this insignia?

    thanks much
  3. jcj

    What is this insignia?

    A friend of a friend found this in a box of personal items he received from his mother related to his father's service in the Navy. The only other information I have is that he served on a destroyer, I think in 1950's or 1960's. I was wondering if anyone could identify it? Thanks much
  4. jcj

    The Doctor is in! Ask a Flight Surgeon!

    My understanding is that there has been a much greater need than originally anticipated to evacuate service members of all branches from the recent several years of overseas deployments becasue of asthma-related issues. Apparently the affected service members were "good to go" by the prior...
  5. jcj

    Worried about my vision

    It used to be that PRK was the only acceptable vision correction surgery for military aviation because PRK doesn't involve creation of a corneal flap (LASIK does). There was concern that the high-G maneuvers that can be associated with some types of military aviation could dislodge the corneal...
  6. jcj

    BUMED

    I'm a civilian general & trauma surgeon at a Level I trauma center, civilian pilot and former corpsman in my younger days. I deal with compartment syndrome a lot, we see it pretty often in trauma patients with leg fractures and vascular injuries. We do compartment pressure tests pretty often...
  7. jcj

    "Quirks" of Past Aircraft

    I've read somewhare that the nickname of the SB2C was "Sonuvabitch 2nd class"
  8. jcj

    How hard is the FALANT test?

    Here's some more information on the Farnsworth (FALANT) lantern test. I don't know if there is a simulation online. Some AME's (civilian flight surgeons) have them in their office. The Air Force is moving to a test (can't remember name) that's even more stringent than the PIP test.
  9. jcj

    Make Money Flying Civilian on Weekends

    The CFII who did my instrument rating was a USAF pilot on AD doing her initial C-130 training (I'm in Little Rock). It was a little unusual in that she had her CFI/CFII and other ratings, taught & flew charter before getting picked up for an ANG C-130 pilot slot. She was an exceptionally...
  10. jcj

    Government Shutdown - Take action for or against saluting

    so what was decided about saluting during a government shutdown? :D
  11. jcj

    Throw A Nickle in the Grass...

    Bottom row of the montage, 3rd from the right. USAF exchange officer?
  12. jcj

    Vets dies waiting for ambulance to take him to the same hospital.

    A couple of ways this could happen - none of which are acceptable. This happens at non-VA hospitals as well. Fortunately it's extremely rare. When it happens usually at first the family is just happy that their loved one is actually alive. After that wears off in an hour or so, they pretty...
  13. jcj

    Vets dies waiting for ambulance to take him to the same hospital.

    As Spekkio has mentioned, there's lots of important info not addressed in the news report. The hospital where I practice is on a university campus with lots of buildings, we don't send our hospital code blue (medical emergency response) team to buildings that aren't physically attached to the...
  14. jcj

    Flight MH17

    I think this issue is going to turn out much bigger than just a Russia-(and the separatist rebels they support)-Ukraine-US issue. The majority of pax were Europeans & apparently the European countries are seriously pissed, Australia has demanded an explanation from the Russian ambassador and...
  15. jcj

    PLC with a 6 year major?

    Others can give you more detailed information, but the first problem I see is that if you tried to do what you've described above you would be trying to enter a Marine Corps officer commissioning program while working towards a nursing degree. The Marine Corps doesn't have nurses (or...
  16. jcj

    Cold Pad Pump vs TriCare

    Peer-to-peer review means that they want your orthopedic surgeon to call & talk to a physician reviewer who works for the insurance company to explain why you need the device. I'm a general surgeon, and the couple of times I've had to do this have both been United - they cave as soon as I call...
  17. jcj

    I screwed up....am I screwed?

    I'm a civilian (not military) pilot, but I'm also a surgeon & I teach in our med school and PA program so I know college & education stuff pretty well. I had to do the same thing a long time ago to get into med school. You can pull up out of this, but you'll have to hit it hard & don't give...
  18. jcj

    I own a business, what do I do

    To add to Hozer & CAVU, regarding attorneys remember who the client is. The client of the JAG is the U.S. Government, including the Navy - includes you (once you're in) as long as you aren't crossways with the Navy. They can probably give you good acquisition related advice. A qualified...
  19. jcj

    Arrested after getting accepted to OCS, but before heading out..just read.

    1. Everyone on this board is trying to help you - so ears open & mouth shut. 2. Get the best damn lawyer you can get, and get him/her right this second - do everything he/she says exactly when he/she says do it - probable advice will be to STFU NOW! - do it. 3. Good on you for keeping your...
  20. jcj

    The Doctor is in! Ask a Flight Surgeon!

    Sorry - just read this & first chance to reply. Caveat - I'm not a psychiatrist In just about every disease of situation I can think of (psychiatry or not), just treating for several years without some type of reasonable followup is inappropriate. Bipolar disorder or depression would...
  21. jcj

    The Doctor is in! Ask a Flight Surgeon!

    If the physician who made the bipolar diagnosis really was unlicensed and practicing fraudulently at the time he made the diagnosis, you may wish to have handy the records to confirm that when you get your psych workup, etc. You should check with the state medical board of whatever state he was...
  22. jcj

    Flying clubs / General Aviation

    Unfortunately, the aero clubs are drying up although there are some left - particularly at some AFB's. Some bases have them at a nearby GA airport rather than on base. Here's a link to a list of Navy Flying Clubs...
  23. jcj

    Question about MEPS and medical records and confidentiality.

    And to add to the good advice Time Bomb has given you, also know that in the civilian HIPAA world there are many other ways your PHI can (and must be) be legally disclosed. I just mentioned the common ones. law enforcement or judicial agencies can get to the PHI with an investigative letter or...
  24. jcj

    Question about MEPS and medical records and confidentiality.

    Privacy and security of Protected Health Information is a really big deal in both the military and civilian health care community these days. In fact, although HIPAA is mostly an administrative and civil law, it has a criminal component. Persons who access protected heath information without a...
  25. jcj

    Question about MEPS and medical records and confidentiality.

    HIPAA (the Federal health care privacy law) applies to DOD but there are many exceptions to HIPAA. If the individual collecting the records is a member of the health care team (usually a corpsman in the Navy) and their job requires access to your record (such as if they are responsible for...
  26. jcj

    Medical Condition "Bible"

    These are both fractures & you should report them - even if it means a call to your recruiter with a "I forgot to report them when I filled out my forms". Unlikely either will be a problem with your accessioning, provided you don't have a malunion (failure to heal) the fractures have healed...
  27. jcj

    Medical Condition "Bible"

    thanks penile fractures are just as bad as they sound like they would be - maybe worse. In humans there's no bone down there to be fractured, what happens is the structures that fill up with blood when one is "ready" can get lacerated - in other words torn open - when things get too wild and...
  28. jcj

    Air Force Academy Informants

    Perhaps so, but...
  29. jcj

    Medical Condition "Bible"

    (I'm a general & trauma surgeon & I know a fair amount about fractures. I also do some work with clinical informatics.). As Tycho-Brohe, R1 and others have pointed out, "fracture" is a synonym for a break, which usually means of a bone. There are exceptions, for example cartilage can be...
  30. jcj

    Air Force Academy Informants

    I was at work today with a couple of my surgical residents & in between talking about gunshot wounds & broken bone misery (we are a trauma service) I got to give them some real world advice: "Life sometimes takes unusual paths. If you ever find yourself in handcuffs and you're not absolutely...
  31. jcj

    China ADIZ

    So with all the talk about closing Commisaries & avoiding DUI's did we not not not seem to notice that China declared a hugely expanded ADIZ and, of course, our first response is to fly right through it with a 2-ship cell of B-52's. In all fairness, apparently the B-52 mission had been planned...
  32. jcj

    Commissaries Closing?

    Absolutely not. I'm just saying that the good ole' USA has some companies that have huge and efficient grocery supply chains and are really good at running grocery stores at a nice profit. Maybe they can do a better job at running CONUS commissaries then DECA, ans return the savings to go to...
  33. jcj

    Commissaries Closing?

    Agree From a purely fiscal standpoint, cutting DOD back to a level similar to pre WW 2 that is essentially a mostly reserve force with a small AD cadre designed to respond to a direct attack on the US, with a minimal global forward deployed presence still isn't nearly enough to get the national...
  34. jcj

    Commissaries Closing?

    Agreed, particularly with regard to governmental activities that don't bring in revenue and can't be structured to be self-supporting - such as fire and police protection. These activities are almost always purely tax supported and the obligation of government leaders is to be lawful and...
  35. jcj

    Commissaries Closing?

    I'm guessing the press is pushing this in part to bring more attention to the effects of the sequester. For those who don't know (probably everyone here does), NEX related stuff is required to be self supporting, DECA (Commissary) is not as it is supported by appropriated funds. One...
  36. jcj

    What to wear to enlistment swearing in...

    Don't forget the go-faster's - and the over-the calf white socks for the summer months (sock length @ candidate's discretion for the winter). Seriously - this young man's signing his contract appointment aside - all of us have occasion to wear nice civilian clothes from time to time. The Ask...
  37. jcj

    What to wear to enlistment swearing in...

    This will be one of your first official acts to interact as an officer candidate in a professional military environment. Those you'll be interacting with will be in appropriate military uniform or appropriate civilian attire (likely business casual). You will show respect for the office you...
  38. jcj

    NFL bans guns for off duty police

    And I should have said - I'm not at all suggesting it's a good, bad or "somewhere in between" decision. I'm not qualified to make that call from the LEO viewpoint. But I do a lot of risk management stuff, and I see "CYA for management" written all over this. As you've mentioned, I am guessing...
  39. jcj

    NFL bans guns for off duty police

    I think I can understand the NFL decision from a different viewpoint. The NFL is a smoothly run big business, and the games are a big deal. There's a lot of security planning, in fact the NFL has its own security division (which I presume works with the local stadium venues to ensure that...
  40. jcj

    The Doctor is in! Ask a Flight Surgeon!

    good for y'all
  41. jcj

    The Doctor is in! Ask a Flight Surgeon!

    I am guessing that being in Newport they have the MCT for OCS candidates drill down to a science. If the MCT is done right it really is reproducible & shouldn't change so I have no idea why they would want it repeated. But there's no sense in fighting this one - you wont win. I guess it's the...
  42. jcj

    The Doctor is in! Ask a Flight Surgeon!

    got it & thank you. I'm guessing the MEPS is sending them to contractors who they trust to get it right, and given the importance asthma has had on deployability these days, I am guessing that the MEPS are watching the quality of those tests very closely. I would have counted those studies in...
  43. jcj

    The Doctor is in! Ask a Flight Surgeon!

    It's been a long time since did anything with NAMI but since the first MCT was done in a military facility if this new MCT is indicative or suggestive of asthma they will have to decide how to reconcile the discordant results of the same test done twice in the military system in the same patient...
  44. jcj

    The Doctor is in! Ask a Flight Surgeon!

    (disclaimer: not a flight surgeon or a pulmonologist, but I'm a general surgeon also boarded in critical care so I know a lot of pulmonology, also a civilian commercial pilot & was an 8404 corpsman back when I was young). I also just ran through the literature quickly to refresh my memory...
  45. jcj

    HELP!! Trying to make sure my fellow 4/C doesn't get kicked out of the unit

    And in today's world of data scraping, everything's on the record. Especially public record incidents, which this is. A military officer is in a public trust position. It's probably not a problem (except for an ass chewing) if his boss hears about it from him first. But how do you think his...
  46. jcj

    OCS Contract with a AFROTC DQ?

    The other degree you may see on someone who does this type of practice is an EdD. As LFCFan points out, it's about the professional qualifications and licensure of whoever does the testing, not necessarily which of the relevant doctoral degrees they have (PhD, PsyD, EdD) as long as they have...
  47. jcj

    HELP!! Trying to make sure my fellow 4/C doesn't get kicked out of the unit

    Just to be clear I am not at all saying hang the kid. I am saying he messed up. Accept responsibility, do whatever damage control can be done, learn from it and move on. What damage control can be done is to let your CoC know ASAP and go see the judge in the role of a respectful, honest good...
  48. jcj

    HELP!! Trying to make sure my fellow 4/C doesn't get kicked out of the unit

    I debated whether or not to even respond again, but here goes: There is still ignorance, denial and attitude in your post. First the ignorance - at this early stage in your career this is potentially a really big deal - likely a deal killer because as a 4/C you likely haven't built the...
  49. jcj

    HELP!! Trying to make sure my fellow 4/C doesn't get kicked out of the unit

    1. Bad news never gets better with age - he should disclose to his CoC now if he hasn't already. Maybe the freshmen advisor can help make that happen the best way it can, but it needs to be fast. If his CoC finds out from anyone else but him, he's fucked. And whatever he does now or later -...
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