Wright State University CORE Scholar

Browse all Civil Aviation Medical Association Civil Aviation Medical Association Records Newsletters (MS-526)

6-1980

Bulletin - June, 1980

Civil Aviation Medical Association

Follow this and additional works at: https://corescholar.libraries.wright.edu/special_ms526_newsletter

Part of the Aviation Safety and Security Commons, and the Medicine and Health Sciences Commons

Repository Citation Civil Aviation Medical Association (1980). Bulletin - June, 1980. .

This Newsletter is brought to you for free and open access by the Civil Aviation Medical Association Records (MS-526) at CORE Scholar. It has been accepted for inclusion in Browse all Civil Aviation Medical Association Newsletters by an authorized administrator of CORE Scholar. For more information, please contact library- [email protected]. Cll/IL /TUITION /MEDICAL /ISSOCMTION

(Headquarters) 801 Green Bay Road Lake Bluff, Illinois 60044 BULLETIN 312/234-6330 CAAAA JUNE, 1980

passion for the robber but not the and mediocre standards. Whathas hap• THE PRESIDENT'S robbed, the murderer but not the mur• pened to good old fashioned pride? MESSAGE dered, the rapist but not the raped. The When I was in undergraduate school, I Courts are especially guilty of this since worked for my uncle who was a builder. they usually see only the criminals and One summer we built a house for a phy• not the victims of crime. Can you imag• sician. When it came time to install the ine another time when the President and hardware the doctor asked my uncle to Congress would bless Chrysler, which use the most inexpensive equipment Dr. Robert 3. did everything wrong, and pub!4cly-re- available because he was short of money. Poole pudiate and denigrate Exxon which did I know this comes as a shock that phy• everything right, making a huge profit sicians run short of money too. My uncle on which it paid a huge tax, employing a told him no. He said, "You may be buy• huge work force and supplying a huge ing this house but this is my house. part of the Gross National Product. When your friends see the cheap hard• There is no longer free competitionin ware, they will think I'm a cheap builder. the news industry so we are inundated So I will install the hardware planned by irresponsible interpretative journa• and you pay me when you get the mon• REMARKS BEFORE THE AIRLINE lism, scare headlines and sensational• ey." We need more people like my uncle, PILOTS ASSOCIATION ism. We simply can't believe what we the U.S. Hockey Team and Eric Heiden. AIR SAFETY WORKSHOP read, see or hear. So is it surprising that We used to have a whole country full of MARCH 4, 1980 we hear from the cockpit "this dumb people like them. HYATT REGENCY, approach plate says we should be high• I can't imagine the United States of WASHINGTON, D.C. er"? Our archaic and unfair, crazy quilt 200 years ago letting a second rate BY: ROBERT S. POOLE, M.D. income tax laws train us to cheat a little. country hold us hostage. They didn't PRESIDENT, CIVIL AVIATION Unchecked inflation robs us so we try to even let a first rate country do it. MEDICAL ASSOCIATION recoup by stealing a little. So we cheat a So times have changed. I wonder if we little on minima in IFR weather, precise can survive the next twenty years let airspeed control or we steal a little from alone the next 200 years. Abraham Lin• "PRIDE AND practice by using the autopilot too much. coln said over 100 years ago that we We don't give that extra measure of ef• would never be defeated by a foreign PERFORMANCE" fort to maintain currency or to keep enemy but only by the enemy from The medical profession has no formal abreast on new advances. We spend less within. professional performance standards. It time in the pursuit of excellence and too We can't legislate standards. We need is assumed that after four years of Pre- much time in the pursuit of pleasure. to instill in our children PRIDE by pre• Med., four years of Medicine, a year of What is it about Americans that make us cept and example. And that's when we internship, four to five years or more of demand the very best but allow us to will once again attain the highest pro• residency and specialty training and readily accept the very mediocre? Medi• fessional performance standards. multiple tests and examinations, ob• ocre Performance, mediocre products viously well motivated and dedicated individuals need no performance stan• dards. The few who are not well moti• vated probably wouldn't follow a set of BY-LAWS AMENDED arbitrary standards anyway. Professional performance standards On May 12, 1980, the Board of Direc• are a two edged sword. They are estab• tors passed the following amendment to EAL KiEDtCAL lished at a level to accommodate the the By-laws: the lowest or weakest performer in the Chapter II Section I, Subsection A to FUTURE MEETINGS group and, therefore, actually lower the be amended as follows: standards of the majority. Even the ACTIVE MEMBERS: Any duly licens• At the Board of Directors meeting held Courts have been careful in this area. In ed physician who is a member in good May 12, 1980 at the Disneyland Hotel, the past, a physician who failed to ob• standing of his local, county, state and/ Anaheim, California, the following sites tain an X-ray may have been guilty of or national medical societies, and is were selected for future annual meetings: malpractice but one who obtained X- interested in aviation medicine, or any 1981 Hawaii rays even if he misinterpreted them might individual engaged in or employed by 1982 Mexico not. But things are changing in these aviation or medically oriented industries 1983 Vancouver bizarre times. Bishop Sheen called it a may be elected to membership in the 1984 Las Vegas time of false compassion. We have com• Association. 1985 London ANNUAL MEETING ters. We hope to have a great surprise for you this year during the annual banquet. HIGHLIGHTS Friday will end the gala week with a physiological training course and a by Robert S. Poole, M.D., President chamber ride in the afternoon at Andrews Air Force Base. The Scientific Program Committee has As a special feature, Max Karant will prepared a timely and interesting pro• speak at the Friday luncheon to top off gram, from the CPR certification course an outstanding program. to the Respiratory Therapy Update. Mark your calendars for September 28 The Local Arrangements Committee through October 3, 1980, at Stouffer's has prepared asuper program which will National Center Hotel, right at the keep everyone busy. It will begin with entrance to Washington's National Air• the traditional reception on Sunday port (walking and luggage lugging dis• night, September 28, at which we shall tance.) Ya'll come. Hear? renew old acquaintance and meet new friends. There will be a daily luncheon with a "cracker jacks" prize every day. On Monday we shall show the brand new, thirty minute film, "Adventures in Art" with Julie Harris as commentator, based on the book by Marian King. It is a fascinating look at the world of art, and WELCOME ABOARD! is a must for the connoisseur as well as We are happy to welcome the follow• the neophyte. Miss King will be present ing new members into the fellowship of at the luncheon to autograph books for CAMA: any one interested. On Tuesday or Wednesday morning, William S. Barry, M.D. we have planned a White House Tea with Kalamazoo, Ml the First Lady. This should be interest• ing as well as exciting, and includes a Hugh B. Cowan, M.D. special tour of the White House. (The Dickinson, North Dakota White House could not commit a defi• nite date at this time, but will notify us Raymond G. Christensen, M.D. sometime during the summer whether it Moose Lake, Minnesota is to be on Tuesday or Wednesday. At the luncheon on Tuesday, Dr. Paul David Ekern Ott, M.D. E. Garber, Historian Emeritus of the Hinsdale, Illinois Foundations of American Government — t NASM will tell usabout the Smithsonian, without seeing the three documents whic and our afternoon tour of the Paul E. Howard H. Frankel, M.D. States government. The Declaration of Inc Garber Restoration and Preservation Huntington Beach, CA. Rights are displayed every day at the Nat Facility, lovingly called Garber's Harbor, and Visitors Bureau photo. and better known as the Silver Hill Facil• David S. Grauman, M.D. ity, which is a "no frills" museum dis• Fairbanks, Alaska playing more than a hundred air and space artifacts. Johs O. Hagelsten, M.D. At luncheon on Wednesday, we shall Copenhagen, Denmark delight the ladies as well as the gentle- ment with an epicurean and sartorial John L. Holmes, M.D. display which will include a special door Newport Beach, California prize. On Wednesday evening after a quiet James LaBagnara, M.D. dinner on your own, we shall, see a spe• Paterson, New Jersey cial showing of the NASM film "To Fly", following which Dr. Garber will tell us Frederico Morera, M.D. about the National Air and Space Muse• Buenos Aires, Argentina um, to make the tour on your own more interesting and meaningful. Then he will AT. Navaratnam, M.D. speak about "13 Famous Aircraft" with Colombo, Sri Lanka visual aids. A fabulous and perhaps a once in a lifetime opportunity to hear from the man who personally talked and flew with aviation's legends. On Thursday a tour of the world fa• mous Marjorie Merriweather Post's estate museum is planned, and is limited to four groups of 25 persons. So. sign up • •, early. The Tours leave Stouffers at 8:30 a.m., 10:00 a.m., 11:30 a.m., and 1:00 Mount Vernon — The plantation home c p.m. Don't miss out. most popular shrines. Situated atop a gr This year we thought we would have about 17 miles south of Washington, D.C., the business meeting at a luncheon and a ruin. Patient restoration was undertaken keep the banquet for non-business mat• Washington Area Convention and Visitor here in D.C. gives all the "in" things to do and see. Places to eat from the Beer Garden atop the Panda House at the Zoo to Dominique's finest French Restaurant known as Washington's happiest restau• rant. With its tournedos au poivre vert or the house specialty of rack of lamb and ending with a real treat, the creamy souffle' au Grand Marnier. With the Fashion Show on Wednesday, the White House Tea on Tuesday or Wednesday morning, and the Marjorie Merriweather Post Mansion Tour on Thursday, and with all the other things that Bob has planned for everyone (In• cluding the scientific sessions), CAMA's Kathy Poole Washington meeting should prove to be an adventure you won't forget. Washing• YOU'LL LIKE OUR CITY ton is contagious. It reminds you a little by Kathy Poole bit of Paris, Rome, Greece ... all rolled into one. The beautiful parks, the lay• Bob and I were standing in the middle out of the Tidal Basin, with the Washing• of Washington one morning about 6:30 ton Monument down at one end and the a.m. viewing the cherry blossoms, and Capitol Building on the other, and a thinking what a beauttful city we liveir^- reflecting pool in between. And when The Nation's Capitol has never been you cross the Memorial Bridge to the more inviting. When Al Carriere asked Virginia side and view the city from me to write an article about D.C., I Arlington Cemetery, Washington is wondered what in the world I could write something else. It is especially beautiful about . . . but looking at the Jefferson at night. Memorial with the day breaking and the For those who like to walk, there's Old Washington Monument standing in full Georgetown, the oldest and best pre• view of the Capitol, I thought we could served part of the city. You can start at give you a run-down of what you can do the restored Old Stone House at 30th and see in our city. and M Streets, dating from 1765.. .Then First, there's the White House, then there's the historic town of Alexandria, the Capitol and Congress in full session. George Washington's "Home Town". Or you could visit many of our muse• Walk a while, shop a little and then take a vlo American should visitWashington, D.C., ums. There's the Smithsonian (with its break and have lunch at any one of the ;h serve as the foundations for the United castle-like structure), the National Gal• cute little cafes. There are other places lependence, the Constitution and the Bill of lery of Art. By the way, we plan to show a which are lesser known and just as ional Archives. — Washington Convention 30 minute film at the luncheon Monday. lovely . . . The Woodrow Wilson House, "Adventures in Art" is an excellent intro• preserved as it was when he died in 1924. duction to Art, and should really be seen Then there is the Textile Museum, before going to the Art Museum. displaying rare tapestries and Oriental The African Art Museum is a unit of rugs. Two blocks in the opposite direc• the Smithsonian, and is located in the tion, down Massachusetts Avenue past town house once occupied by Frederick the many embassies, The Anderson Douglas. The Lincoln Memorial, Arling• House Museum, a palatial residence in ton Cemetery, with Custis—Lee Man• times past and displaying military mem• sion and the Kennedy Center, Museum orabilia and works of art. Then across of History and Technology, Air and the street the Phillips Collection, a dis• Space Museum (showing its great short tinguished gallery of "Modern Art". I film "Living Planet" on a huge screen). It guess I could go on and on. And if you will be opening a new gallery called especially feel brave and wish to venture "Early Flight", an aeronautical exhibi• out of D.C. there's Mount Vernon just tion of 1913, with early aircraft, and 16 miles away. Baltimore, Maryland just clothing worn during flights. Other im• 35 miles; Fredericksburg, Md. the hearth portant sights . . . National Gallery of of the Washington family just 45 miles Arts new East Building, the Hirshorn away. It's a small sleepy quaint little Museum and Sculpture Gardens, and town steeped in southern tradition. Then, particularly the National Archives, now of course, there's Williamsburg, Virginia, displaying the Declaration of Indepen• 165 miles away. Harper's Ferry, West dence, the Constitution and Bill of Virginia, and the growing town of Frede• Rights . . . rick, Maryland, 35 miles away. The end For those who must jog, we have of September and first part of October Washington's most favorite place, the is probably the best time to visit Wash• Potomac shoreline, passing the Kennedy ington. With the summer tourists gone, >f George Washington is one of America's Center and Lincoln Memorial, then we almost have our city to ourselves. I assy knoll overlooking the Potomac River across the river by the Memorial Bridge have listed below names and phone the home was once abandoned and virtually to Arlington Cemetery and back around numbers that might be of interest and by a women's group. Photo courtesy of the the Tidal Basin. help. We can't wait to show you our city. s Bureau. The Washington Calendar Magazine See you in the Fall. PHONE NUMBERS IN WASHINGTON Medical Examiner in issuing a certificate Dial-a-Park, 426-6975. Daily activities to an airman who may not necessarily in the capital parks. have been benefited by instruction in Dial-a-Museum, 737-8811. Announce• aircraft since his initial license was ments on new exhibits and special events awarded. Never should it be a function at the Smithsonian. of the examiner to be a "policeman"; Dumbarton Oaks, 338-8278. Record• however, each of the Aviation Medical ing announces which flowers are in Examiners is first of all a physician. A bloom at one of the city's loveliest gar• physician interested in excellence in dens. medicine, excellence in examinations Kennedy Center for the Performing of the best possible quality, and main• Arts, 254-3600. taining the Aviation Community and Washington Convention and Visitors more especially the Medical Aviation M. Young Stokes, III, M.D. Association, 737-8866. Recorded an• Community on a pinnacle of respect nouncement of current events. and confidence. We may consider an Metro, 832-4300. Route and schedul• AN OPEN LETTER airman foolish or negligent if he fails to ing data on subways and buses. take advantage of periodic instruction CONCERNING CAMA reviews — more than the token biennial flight review. Similarly, Aviation Medical SOME USEFUL ADDRESSES MEMBERSHIP Examiners must also stay "current", with Washington Convention and Visitors Dear Aviation Medical Examiner: the most up-to-date information pertain• Association, 1575 I St. N.W., Suite 250, ing to the regulations, and the require• Washington, D.C. 20005. Ask for calen• Have you thought recently of what is represented by the medical certificate ments, not only for themselves as exam• dar of events and guides to dining and iners, but also the requirements of the accommodations. given to an airman following his exami• nation by an Aviation Medical Examin• pilots, whose medical certificates they National Capital Region, National Park er? As we well remember, the pilot's may be issuing. At the present time Service, 1100 Ohio Dr. S.W., Washing• license does not expire. Only the medi• there is no formally organized body of ton, D.C. 20242. Ask for information on cal certificate need be renewed by peri• Aviation Medical Examiners in the camping and events in national park odic re-examination. There is no age United States aside from an Internation• units. limit, either lower age or upper age for al Organization which is the Civil Avia• issuance of a medical certificate. There tion Medical Association. Through is no weight limit. A great deal of judg• CAMA, it is possible for Aviation Medical ment must be utilized by the Aviation Examiners to be abreast of everything pertaining to change or new ideas in both aviation and aviation medicine. Would you want to fly as a passenger The Editor's Corner with a pilot who had been examined by The subject matter alone is worth an AME whose currency of information noting, with topics as varied as "AME is questionable? Of course not. Forthese Standards in Great Britain"; "Medical reasons it is important to each of us to Regulation and the Flight Environment"; encourage all Aviation Medical Exam• "The Toxicology of Aviation Combus• iners, and all physicians with an interest tion"; and "Adventures in Art". in aviation and aviation medicine, (as Captain Pat Palmer of Air Canada will these are prime prospects) to apply for discuss, "Human Factors in Aircraft De• membership in the Civil Aviation Medi• sign"; while Past President Hal Walgren cal Association. will talk about "Product Liability and In addition to programs of excellence, Malpractice". Dr. Hewitte Thian and Dr. many in conjunction with F.A.A., the Forrest Bird will discuss, "Helicopter International aspect of CAMA offers ad• Intensive Care Service". And the medi• ditional advantages for all of us. We are cal highlight of the meeting may very doing a favor to our associates, col• well be an up-date on Respiratory Ther• leagues, and yes even to our competi• apy by the man who knows more about it tors by encouraging their membership Dale J. Ducommun, M.D. than most physicians. in Civil Aviation Medical Association. If For the social program there will be you will contact these physicians per• To me, the most difficult part of writ• the usual annual banquet, preceeded by sonally, the likelihood of a favorable ing is not the writing itself, but deciding a social hour. In addition, there will be response is enhanced ten fold. If you what to write about. This time I am lucky five lunches, each one with something prefer to submit names and addresses to because I've had a sneak preview of the planned for your entertainment. A "Tea the Headquarters Office in Lake Bluff, great program, social and scientific, that at the White House", a visit to the Smith• Illinois, we will see that an application Bob and Kathy Poole are planning for sonian, a Tour of Majorie Merriweather form and appropriate information is sent us. Post's famous mansion, Hillwood, and directly to the prospects. Work for much more. Despite all this, Bob and To begin with, the Pooles are Wash- CAMA, and thereby strengthen your Kathy have even managed to include a ingtonians, and so have a first-hand own position in Aviation Medicine. knowledge of our nation's capital and free afternoon and several free evenings. its environs: restaurants, places of inter• If to all the above you add the Cate• Very truly yours, est, and also a personal knowledge of gory I Credits which are available the non-tourist items. through an arrangement with the Aero• The program offers, as you can see space Medical Association, I don't see M.Young Stokes, III, M.D. elsewhere in this issue, talks by a num• how you can fail to register. I feel we Chairman ber of outstanding speakers, and activi• should all support this meeting to our Membership Committee ties and tours that will provide entertain• utmost to show our appreciation of the Civil Aviation Medical ment, education, and fun. great job done by Bob and Kathy Poole. Association LEGAL BRIEFS Contributed by Harold N. Walgren, M.D., J.D., CAMA Past President OFFICE IN THE HOME The Internal Revenue Service has in recent years become increasingly restrictive in allowing de• duction of expenses for maintaining an office in one's home. Code Section 280A, enacted in the Tax Reform Act of 1976, requires that the office space in the home be used "exclusively" and "regularly" as the taxpayer's "principal place of business" or that the taxpayer "meets with" patients, clients or cus• tomers in the normal course of such trade or business. Such restrictive requirements are onerous. Actually, it is quite usual and customary for physicians to do a great deal of work at home. They answer phone calls, think through medical problems, read scientific literature, etc. Often their profes• sional library is at home. It is illogical to deny expense deductions for professional and business activities simply because they were done at home. A recent Tax Court case gives some relief. The court chose to broadly interpret the home office rules of Code Section 280A. Dr. E. R. Curphey, a dermatologist, worked a 40-hour week in the hospital. He lived in a 2 room condominium. One room was set aside exclusively for the management activities related to 6 rental Harold N. Walgren, properties. Dr. Curphey deducted the expenses of the home office and his driving expenses between M.D.. J.D. his home office and the rental properties. The IRS developed an acute episode of bronchospasm with cyanosis, followed promptly by a V-Tach. The court took a liberal stand. Dr. Curphey's rental property management was sufficiently systematic and continuous to be classified as a business. It was quite reasonable for him to conduct that business from his home office. Being a hospital employee did not prevent him from having more than one principal place of business; namely, one at the hospital and one at his homeoffice. Additionally, driving expenses were allowed between his home office and his rental properties as being travel expenses between businesses. Score one for us!

MEDICAL REIMBURSEMENT PLANS Medical expense reimbursement plans have become increasingly popular, especially for professionals working with closely held corporations. Medical expenses can be paid directly or by reimbursement. Accident and health insurance can be provided by the employer (corporation). Benefits can also be provided for the employee's spouse and dependents. Some employees may be excluded from the plan. Those who have been employed less than three years or who are less than age 25 may be excluded. Part-time (less than 35 hours a week) and seasonal (less than 9 months) employees may also be excluded. The plan must not discriminate as to participation eligibility or benefits provided. If the plan is self-insured, as is often the case, the new Internal Revenue Code Section 105 (h) applies. The highly compensated individual must not be singularly benefitted to the exclusion of other eligible employees. Tests for determining such an individual are as follows: 1. The five highest paid officers. 2. A shareholder who owns more than 10% in value of the employer's stock. 3. An employee in the highest paid 25% of all employees. If plan payments made are found to be discriminatory in favor of a highly compensated individual, such payments are deemed to be excess reimbursements. The individual must then recognize the excess reimbursements as personal income that year. Medical expense reimbursement plans are an excellent employee benefit, especially for the close corporation. Care must be given to avoid discrimination as to both participation and benefits provided.

EDITORIAL STAFF

Editor Dale J. Ducommun, M.D.

Assistant Editor Albert Carriere JOHN F. KENNEDY CENTER — The nation's newest memorial is the spectacular John F. Kennedy Center for the Performing Arts. The center, Which opened Sept. 8, 1971 Contributing Editors iealures a Concert Hal), Opera House, Elsenhower Theater for drama and film theater Kathy Poole The white marble structure is 600 feet long and soars 135 feet above Washington's Robert S. Poole, M.D. Potomac River. It features the world's top entertainment. Photo courtesy of the Wash• M. Young Stokes, III, M.D. ington Area Convention and Visitors Bureau. Harold N. Walgren, M.D., D.J. Washington Cathedral, Washington, D.C. — The only Gothic cathedral currently under construction in the world, this building towers over the northwest quadrant of the nation's capital. President Theodore Roosevelt laid the cornerstone in 1907. The build• ing is due for completion in the mid-1980's. Photo courtesy Washington Area Convention and Visitors Bureau.