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Bulletin - December, 1981

Civil Aviation Medical Association

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Repository Citation Civil Aviation Medical Association (1981). Bulletin - December, 1981. .

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BULLETIN (Headquarters) 801 Green Bay Road Lake Bluff, Illinois 60044 QAAAA DECEMBER 1981 312/234-6330

PRESIDENT'S A LETTER MESSAGE TO THE EDITOR I have become increasingly aware of an old problem This Bulletin contains pic• which is menacing the principles of all medical disci• torial coverage of the highly plines. That is, the para-professional entering the successful scientific meet• domain of the professional by virtue of devious ap• ing at the Kauai Surf Hotel proaches. Another is the equation of professional ser• on the beautiful island of vices into disciplines without regard to training, Kauai. Although the distanc• experience or other direct relationship. May I refer es precluded many members to Jimmy Durante's famous quote: "Everybody's from attending, it is to be trying to get into the act." hoped that you will share this Bulletin with your friends There is a real paradox in all of this. For example, it is and encourage them to join well recognized by aviation that regardless of training our active Association in an ticipation of our next and qualifications each and every pilot must be given meeting in Toronto, Canada, next September 12th - a check ride in each and every type of aircraft which he 17th, 1982. may fly. This was derived as a result of experience. The consumer assumes this assurance and certainly expects it to be endorsed. It is generally recognized One of CAMA's objectives is to bind together the that the various members of a symphonic orchestra designated Civil Aviation Medical Examiners of the are usually only qualified in their own particular World into an effective body dedicated to the promo• expertise and the consumer applauds this with enthu• tion and practice of aviation safety for the public siastic support. benefit. Why then are we witnessing an erosion of recognition In July, 1981, when it became known that FAA AME's of comparable medical disciplines which consumers were being threatened with extinction through pro• either by unawareness, disinterest, self interest or posed regulatory changes in the examiner system, the indifference appear to support? Aviation medicine is a Past-President, Dr. Hal Conwell, ably assisted by Dr. well recognized specialty. It's history and record is Bob Wick, circulated all FAA AME's. More than 200 open and clear. Its integrity is being challenged. The felt sufficiently strongly to join the Association as message is clear. This is a problem not only of Medi• being the most appropriate organization to fight on cine, CAMA, the Aviation Medical Examiners, the FAA, their behalf, the upcoming battles against the proposals. Aerospace industry, but of the public at large. The problem is simple. We know where we are (I hope). Where the United States leads, other nations usually We know where we are going (I hope). We should know follow. In these times of great change, it is only a how to get there (I hope). If we don't, as our President, matter of time before other nations are similarly Roy Stewart, might say, GOD SAVE THE QUEEN. threatened. Sincerely yours, Naturally, the majority of our Members come from the Robert A. Winstanley, MD United States, with in excess of 8,000 AME's, but there Johnstown, Pennsylvania are now 145 members from 41 other countries. This increased representation, although encouraging, is not good enough, considering that there are 12,000 LEGISLATION & AME's in 145 ICAO member states throughout the world. PUBLIC RELATIONS The past year has seen significant issues raised in It is therefore my task, and yours, to increase sub• Aviation Medicine. CAMA has spoken out clearly and stantially our membership in order to accomplish forcefully when appropriate. CAMA's worthy objectives and give the Association CAMA gave its support to the Federal Air Surgeon the necessary strength, and voice, so vital to repre• formally at a hearing in Washington D.C. in February. sent all AME's when dealing with such threats and The unfortunate Delta decision caused great havoc in the effects they may have on aviation safety. the exemption process. Some of the harm has been —Roy M. Stewart, MD rectified. CONTINUED ON PAGE 9 PICTURE HIGHLIGHTS OF CAMA'S 16TH ANNUAL MEETING OCTOBER 3-9. 1981, KAUAI SURF HOTEL, ISLAND OF KAUAI, HAWAII We found beautiful scenery. .

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6 REPORT OF HAWAII MEETING

As soon as you made the approach into Lihue Airport, you knew you were in for an exciting meeting. A Polynesian paradise greeted you as you arrived at the Kauai Surf Hotel. In short, reality lived up to expectations. A surprising thing to me about our 16th Annual Symposium was that in the face of such attractive diversions, the attendance remained consistenly high throughout the scientific sessions— and what sessions they were! Thanks to Dr. Luis Amezcua, we had top quality speakers from all over the globe for the international portion. Our pilot panel was a resounding success to the point that it should be an annual occurrence at all future symposia. We managed to exploit Dr. Earl Beard, our resident expert in cardiology, on a daily basis; and if the taxpayers could be assured of getting the quality and quantity of performance that our group extracted from Dr. Rick Reighard, we would be assured of successful Reaganomics and a balanced budget within this calendar year. Oddly enough, Dr. Reighard seemed to genuinely enjoy being exploited to this shameful degree. Our thanks also to Joe Nix and Drs. Casimer Jasinski and Bob Dille from the FAA. As noted in previous Bulletins, the foundation of our membership is the U.S. AME, but there is such pleasure and enjoyment in renewing acquaitances, exchanging ideas, and measuring differences in ethnic alcohol tolerance with all of our wonderful friends from to Ethiopia, Mexico to Mecca, and a new arrival this year from Iceland. We genuinely appreciate and delight in the international atmosphere that adds so much to each meeting. Our various social events, culminating in our banquet, added a festive quality throughout our meeting. In this area, one could see the fine hand of Dr. and Mrs. Criss Kidder, whose local arrangements added to the overall success. You feel that the occasion has succeeded when the members leave smiling, sunburned, slightly overweight, and generally refreshed in new knowledge and enthusiasm for the field of aviation medicine. Hal Con well, MD Immediate Past President, CAMA

7 The official statement from the Deputy Federal Air Sur• BRITISH AME'S geon reads: "Over the years, Mr. Harris has been TO MEET repeatedly recognized for his achievements outside of The British Association of Aviation Medical Examiners this agency. He has been elected a Fellow of the is holding its next Scientific Meeting in the historic Aerospace Medical Association and given the Award old university city of Cambridge, England during the of Excellence by the Aviation Psychologists Associa• week-end of April 16 - 18, 1982. The subject of the tion. Notably, two physician organizations have awarded meeting will be psychiatric disorders as they relate him honorary membership for his contributions to to aviation. It will include the problems of early aeromedical education—The Flying Physicians Asso• recognition, non-drug management, and will also refer ciation and the Civil Aviation Medical Association." to alcoholism. Most recently, Mr. Harris was the recipient of the John A. Tamasiea Award, which is given annually for A full social programme is being arranged including "significant contributions to the art and science of a Civic Reception by the Mayor of Cambridge in the aviation medicine and its application to the general Guildhall, an Elizabethan Banquet in the Hall of Kings aviation field." College, a half-day walking tour of the Colleges, and a Theatre Supper followed by a Cheese and Wine HONORARY MEMBER party. There will also be a visit to Duxford Airfield Dr. Rufus R. Hessberg was awarded an Honorary where the Imperial War Museum keeps its collection Membership by the Civil Aviation Medical Association of old aircraft, armoured vehicles and naval exhibits. at the 16th annual meeting held on the Island of These include a First World War RE 8 and from later Kauai, Hawaii. The honor was presented to Dr. Hess• years a Junkers 52, a P 51, a B 17 and a B 29. berg in recognition of his enduring interest and There are also many old civil aircraft including the pre- contributions to the art and science of Aviation production Concorde-01. Medicine. This should be an interesting and entertaining meeting. STILL AT IT So do make a date and plan a vacation around it and Your CAMA Business Counsel, received the following take this opportunity of visiting our beautiful country. letter: The cost includes the full scientific programme, ac• Dear Mr. Carriere: commodation in a first-class hotel, all meals and the Upon the recommendation of the Academic Deans, I social events. From Friday afternoon, April 16th until am pleased to appoint you to the Faculty of the Sunday afternoon April 18th, the charges arei.130 for Division of Continuing Education at Northwestern a single room and i200 for a twin. Al Carriere has University for the academic year 1981-82. application forms which should be returned with a de• posit of i25 Stirling per person made payable to Needless to say, Al was very pleased with this "AAME Cambridge Symposium Account". Mail to: re-appointment, to teach his Public Relations Course Dr. Victor B. Maxwell for the 27th year. Gatley Health Centre, WHO TRAVELS MOST? Old Hall Road, We are all aware th°at a number of CAMA members Gatley, are veritable globe trotters. Whenever we talk to Silvio Cheshire, Finkelstein, or Bob Wick, or Hal Conwell—and there S.K.8 4DG. are others too—they usually say, "Well, I'm off to Hong Kong, " or, "Just got back from Senagal", or, "I leave for Australia next Monday"! And what about Captain Pat Palmer who is an airline pilot? What we want to know is this: what CAMA member HAVE YOU HEARD? has traveled the most miles in 1981? We offer the To the new members listed elsewhere, we extend a winner two free activity tickets for some event at heartfelt welcome. We urge you to take an active the Toronto meeting in 1982. So send in your entries. part in the conduct and/or business of the Civil Oh, in all fairness . . .airline pilots may not enter Aviation Medical Association. We particularly need the contest. Fair enough? articles of a medical nature, or dealing with the prob• lems of Civil Aviation medicine, or, indeed, the diffi• 1982 MEETING culties to be encountered by AME's because of Dr. Roy M. Stewart, CAMA President, held a special pending regulations. We also need news about mem• plans meeting at the Park Plaza Hotel, Toronto, the bers—a trip you took, a lecture you gave, a course site of our next annual meeting. Attending the you are teaching, letters to the editor, etc., etc., etc. meeting were the following: Mrs. Roy M. Stewart, This is your Bulletin, and it will only be as good as Dr. and Mrs. James M. Wallace, Dr. and Mrs. Criss the degree to which you take part in its publication. Kidder, Dr. William J. Delaney, and Al & Harriet Carriere. So—let's hear from you. Dr. Wallace is in charge of the scientific program. KUDOS Roy and Pamela Stewart will handle local arrange• ments and special events. They will be assisted by Our good friend, Mr. James L. Harris, Chief of the Criss and Nancy Kidder, Bill Delaney, and Pat Palmer. Aeromedical Branch of the Civil Aviation Institute, recently received a Special Achievement Award Based After a tour of the hotel's facilities, the group dis• on Performance. The award was made for Jim's efforts cussed a number of items: publicity, funding, CME in developing, managing, and conducting the designa• credits, exhibits, the printed program, advertising ted Aviation Medical Examiner (AME) Seminar Programs. sales, tours, and special events for the ladies.

8 CAMA EDITORIAL CONTINUED FROM PAGE 1 CAMA spoke out again in support of the present As 1981 draws to a close, I would like to say a word of physical examination itervals, this in opposition to thanks from all of us to the CAMA officers, trustees positions of the AOPA and the Flying Farmers. and committee members. A special word of thanks should also go to Al and Harriet Carriere. They all Seeing little difference physiologically between flying have labored long and diligently on CAMA's behalf. a glider or flying a powered aircraft, CAMA spoke out The new year will afford us numerous opportunities in favor of requiring periodic physical examinations for to serve. Sometimes it is helpful to pause a moment glider pilots. and renew one's resolve. CAMA will continue to monitor issues relating to the Let's try to work with the learned professions of law health needs of the aviation industry and will not and theology in speaking out on substantive issues shirk from the task of speaking out clearly and force• such as definition of death, do not resuscitate, abor• fully when appropriate. tion, right to die, etc. Hal Walgren, MD Let's try to take a greater interest in the law in order to participate actively in its development. CHOOSING Quality control is an internal function of a learned pro• AN AIR fession. Let us continue to insure that our professional TRANSPORT conduct in medicine is of the highest order. SERVICE President Reagan's actions indicate that he means Michael N. Cowan, MD what he says. Let's give him the support that he needs Physicians contemplating air to balance the budget, thus reversing out inflationary transport for their patients excesses. need to be familiar with the Let's foster self-discipline so that our industrial output sources providing the ser• will once again return to a position of respect in vice, types of equipment, the world. and the cost factors that are The new U.S. tax law of 1981 is wide ranging. Let's involved. seize this opportunity to do some effective estate The aircraft vary from pres• Dr. Cowan is medical director planning with our spouses and families. surized and unpressurized of Air Ambulance, Inc., San single engine or twin engine Carlos, California, and senior Let's resolve to speak up when the news media fails craft to turbojets and pure aviation medical examiner for to say it the way it really is. jet airplanes. The lightly pres• the Federal Aviation Admini• Let's continually insist that our courts administer surized twin engine aircraft in stration. He is board certified justice and are responsive to human needs for law the 220+ mph speed cate• in allergy and immunology, and order. gory is efficient for short-to and is a fellow of the Ameri• medium-range transport. Sing• can Academy of Allergy. Let's curb our excesses and rediscover some of life's le engine planes are less costly and generally have simple pleasures — a walk, a thought, a touch, a smile, adequate speed and carrying capacity, but using twin a good turn daily. engine craft avoids the small risk of needing to make It has been an interesting year. I thank you for the an emergency landing. A professional pilot would privilege of serving as your editor. probably land safely, but the patient would be delayed Harold N. Walgren, MD, JD reaching the medical facilities he needs.

Turboprops and jets are best for distances of 500 STAFF FOR THIS ISSUE miles or longer. They are expensive, however, and many Editor Hal Walgren, MD have runway length requirements too great for small Assistant Editor & airports. Use in Korea and proved the value of Production Manager Al Carriere helicopters, but for a flight of over 75 to 100 miles a fixed-wing aircraft is usually preferable. Contributors Roy M. Stewart, MD Robert A. Winstanley, MD The width of the doors and interior configuration will be important criteria for choosing a plane when your Hal Conwell, MD patient travels with bulky equipment. The frame protec• Dr. Victor B. Maxwell ting a patient with a neurologic or orthopedic injury Michael N. Cowan, MD may be difficult to load. There must be room around the patient for the attendant to provide emergency CONTENTS procedures if necessary. President's Message 1 Questions you should ask in choosing an air service Letter to the Editor 1 include: Highlights of Hawaii Meeting 2 —Who is the medical director of the company and British AME Meeting 8 where can he be reached? Have You Heard? 8 —Who are the attendants and what is their training? Choosing an Air Transport Service 9 —What aircraft are available, and will the one chosen New Members 10 suit your patient's needs? CONTINUED ON PAGE 10

9 Donald D. Johnson, MD Dr. Anwar Shah Shaheer WELCOME ABOARD! 1800 North Point Drive P.O. Box#76 We welcome the following new Stevens Point, Wl 54481 Ariana Afghan Airlines members into the fellowship Kabul, AFGHANISTAN of CAMA. Richard Lee Kurz, MD Box 369 Roger W. Sherman, MD Bruce A. Bagley, MD Kelseyville, CA 95451 8955 S.W. 87th Ct. 694 Troy Schenectady Rd. Miami, FL 33176 Latham, NY 12110 Harvey Liebhaber, MD 8515Delmar Elliott Solomon, MD Todd Bailey, MD St. Louis, MO 63124 28 Popham Road 2201 Martin Street Scarsdale, NY 10583 Irvine, CA 92715 Captain P. Mackenzie British Caledonian Airways Ray E. Stowers, D.O. Paul G. Bauer, MD Gatwick Airport 158-B E. Sunset Drive 3201 W. Peoria Avenue, #805-D Horley, Surrey TW6 2JA ENGLAND Medford, OK 73759 Phoenix, AZ 85029 John W. Metcalf, Jr.,MD F. James Taylor, MD Patrick E. Callaghan, MD 141 Brady Circle W 4644 Lincoln Blvd.,Ste. 508 4800 NE 20th Terrace Steubenville, OH 43952 Marina del Rey, CA 90291 Fort Lauderdale, FL 33308 Thomas C. Miller, D.O. Anthony P. Urbanek, DDS, MD Graeme Cameron, MD 109 E. First 1916 Paterson St., Ste. 502 Kornhausgasse2 Stanton, TX 79782 Nashville, TN 37203 Basle, 4051 SWITZERLAND William C. Owens, MD Milton D. Westberg, MD Edward L. Carruth, MD 6016 Emerald 2 Professional Drive 5002 Highway 39 N. Boise, ID 83704 Gaitherburg, MD 20760 Meridian, MS 39301 Jesse O. Quillian, MD Dr. Gonzalo Zapata-Vera Leal Peter J.L. Chapman, M D Commerce Union Bank Bldg, Suite 1504 Fdo. Montes de Oca #6 Chief Medical Officer 633 Chestnut Street Col Condesa, Mexico 11 DF British Caledonian Airways Chattanooga, TN 37450 Gatwick Airport Stanley J. Zimmerman, MD Horley, Surrey TW6 2JA ENGLAND R. Graham Reedy, MD 7800 Fannin 860 Cole Street Houston, TX 77054 Carl R. Coleman, MD Enumclaw, WA 98022 3600 Olentangy River Rd. Columbus, OH 43214 Vincent J. Rizzo, D.O. 31511 Gratiot Jeff J.Coletti, MD Roseville, Ml 48066 27 Serpentine Lane Old Bethpage, LI., NY 11804 CONTINUED FROM PAGE 9 —What are the qualifications and level of experience of the pilots? Robert E. Cox, MD —What insurance does the service have, and does it include aggravation- 206 S. Monroe of-injury coverage for patients known to be medically at risk? Rushville, IL62681 —Will the company assist patients in obtaining third-party payment where

J. Robert Dille, MD applicable? 335 Merkle Dr. —What are the charges for the flight? Norman, OK 73069 Aviation insurance required by law for all air taxi operators limits liability to injuries caused by pilot error or by malfunction of the aircraft, such as a col• Richard J. Foster, D.O. lapsed gear. It does not cover adverse effects a person may suffer from the P.O. Box 66 aviation environment. In some cases, passengers who are known to be medi• Saline, Ml 48179 cally at risk are specifically excluded from coverage. Aggravation-of-injury coverage is thus one of the important differences be• Carlos Palafox Gomez, MD tween true air ambulance services and air taxis. Considering the patient and Lorenzo Rodrigues #4 medical personnel on board for transport by air ambulance, it is reasonable Mexico D.F. 19D.F. to expect insurance limits of $10 million with no per-seat limitation and with aggravation-of-injury coverage. Dr. Peter D. Hopkins A valuable resource to help you judge the adequacy of an air ambulance CP Air service are physicians who have been designated Aviation Medical Examiners Toronto Operations Centre by the Federal Aviation Administration. These physicians usually are pilots P.O. Box 69 and are knowledgeable in aviation physiology. They can help you decide what Toronto International Airport is medically best for an individual patient. Toronto A.M.F. Ont., L5P1A5 CANADA Reprinted from CONSULTANT the Journal of Medical Consultation Copyright © 1979, Cliggot Publishing Co. PRINTED IN U.S.A.

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