HIMS AME. Just breathe. We're here to help.
So You Might Need a HIMS Aviation Medical Examiner
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So You Might Need a HIMS Aviation Medical Examiner
If you have found your way to this website chances are that you or someone, you're working with has been told, recommended, or gently notified via certified letter from the FAA, that they are unable to determine your eligibility for any class of Medical. This letter is common.
"Dr. Mike" Stretanski is an actively teaching flight instructor who also runs a medically assisted opiate dependency program he is also a chemical dependency counselor and supervises two chemical dependency counselor assistants in his office. As a rehabilitation medicine physician, he is familiar with complex psychopharmacological care,
"Dr. Mike" Stretanski is an actively teaching flight instructor who also runs a medically assisted opiate dependency program he is also a chemical dependency counselor and supervises two chemical dependency counselor assistants in his office. As a rehabilitation medicine physician, he is familiar with complex psychopharmacological care, PTSD, anxiety, detoxification, tapering, depression, and basic neurocognitive and behavioral sciences.
He flies a Mooney M20-R / G and while he is a representative of the FAA as a pilot he enjoys flying, pays aircraft insurance, ramp fees, gets a BFR, maintains IFR currency, lies on his back crawling under his place and washes the oil from her and he logs on to creates a MedExpress encounter number and gets an FAA Medical exam from another AME - just like you. This means he is on "your side"
As a CFI-I he specializes in high-performance, technically advanced, complex aircraft transition training, but does do some primary training. He is president of EAA chapter 1625 at Marysville (Union County) Airport. He flies Young Eagles and is the Young Eagles Director for EAA 1625. He flies for Angel Flight NE and Lifeline Pilots. He is President and Director for IMC Club for central Ohio. He has survived THREE engine outs and 2 large bird strikes without injury.
Yes, this can be a scary time and with an unknown process and you feel like your career and goals are uncertain.
No, you cannot go under Basic Med.
Maybe you just have a history of being on an antidepressant or maybe you've got a maor NTSB incident with injuries.
Every possible effort to help you will be made.
The requirements may change a
Yes, this can be a scary time and with an unknown process and you feel like your career and goals are uncertain.
No, you cannot go under Basic Med.
Maybe you just have a history of being on an antidepressant or maybe you've got a maor NTSB incident with injuries.
Every possible effort to help you will be made.
The requirements may change and it can be a fluid process, sometimes almost seeming to be nebulous - which is why we spend a lot of time on the phone with Oaklahoma City
You probably never heard of HIMS before this, and what does Human Intervention and Motivational Study even mean? - Well, they say it sounds better than "Pilots the FAA has reason to be worried about" and "Pilots in Trouble" was already taken. HIMS is a respectful non-judgemental term for a joint program between the FAA and aviation industry to create a way to certify and monitor the health of pilots who would otherwise not fly.
Maybe you were just placed on an antidepressant for a brief period from your NP or PCP because you went through a perfectly human experience and needed a little support or maybe you need to be monitored for other medication with the FAA. We are here to help get it straightened out. However, if you are here for a DUI, especially a second
Maybe you were just placed on an antidepressant for a brief period from your NP or PCP because you went through a perfectly human experience and needed a little support or maybe you need to be monitored for other medication with the FAA. We are here to help get it straightened out. However, if you are here for a DUI, especially a second DUI or if you "did not blow and got it knocked down" you are going to have to fully and totally accept something right now. The FAA is going to expect 100% complete alcohol abstinence going forward. Not only that, you will be monitored for abstinence. Whatever was the most recent alcoholic beverage you had needs to be the last one until you no longer want to or are able to be a pilot. Anyone that tells you something else is either not a HIMS AME, does not know what they are doing, is in denial or is trying to get you into more trouble than you already have. If you find this unreasonable, unacceptable, or unobtainable then you don't understand just how much responsibility comes with the privilege of being a pilot. It is not just you or you and your passengers the FAA needs to consider, it is the effect on the airspace system. You are going to have to to some things to comply and they will be dictated by the FAA -No, you cannot just get letters from friends and other pilots and "create your own program" The FAA will outline exactly what they want and in what timeframe. You are dealing with a federal agency that will outline what you need to do. Many pilots seek to "create their own program" and send in letters, drug screens, even artwork ... all this does is waste time and brings you closer to a "failure to respond" deadline. Yes, we can call in and confirm that they are in receipt of reports that they may be asking for. Right now, it is tempting and attractive to believe that your situation is different, unique and does not and should not be processed like all the other DUI's, You feel like if you could just talk to them and explain what happened how you never ever drove with an elevated BAC before that this would all just go away.
The good news is that - YOU WILL HAVE THIS OPPORTUNITY in your personal statement. The FAA is accountable to the American People/ the tax payers and when an accident happens, every news media outlet will know the public record of the pilot and questions will be asked as to why they let someone fly. Therefore you cannot just ay it was a one-time thing and expect it to go away. So .... no, we cannot say a letter from you PCP, your friends, parents, coach, is a
substitute for a HIMS psychiatric evaluation or neuropsychological formal report when and if they are requested.
We will share a story here
A student pilot once came to us with a history of brief incarceration, and a long list of charges of cocaine trafficking, kidnapping, assault, extortion and even attempted murder. He was open and honest, he was involved in a certain "organization" outside of the United States and had been done with that life for 10 years. He began by saying, "I was a really bad dude at one point in my life and my record shows it". In his personal statement to the FAA he reported that he "really screwed up and want to see if there was any chance at all he could be a pilot", It took some time, it wasn't free and there were a lot of hoops to jump through, but he eventually got special issuance. We saw him monthly for several years, and now is completely done with the HIMS program and flying both cargo and transport for an international airline. He never needed a lawyer for the FAA.
So there is hope.
WARNING - CAUTION !!!
ONLY A LETTER FROM THE FAA and under the correspondence of a HIMS AME will outline what is needed and in what timeframe. Letters are often redundant and ask for things that have already been sent. It is only by calling in and speaking directly to OKC as the HIMS AME are we able to get things clarified, cleared up an
WARNING - CAUTION !!!
ONLY A LETTER FROM THE FAA and under the correspondence of a HIMS AME will outline what is needed and in what timeframe. Letters are often redundant and ask for things that have already been sent. It is only by calling in and speaking directly to OKC as the HIMS AME are we able to get things clarified, cleared up and eventually certified.
You do not qualify for Basic Med, period. If you get a Dr to sign off on Basic Med, it is not valid and YOU are held responsible to know that - not the signing Dr. That is something you attest to in the Basic Med Course.
Do not pay money to online or in-person "consulting firms" or well-meaning "medical departments" of aviation advocacy organizations. People have paid thousands of dollars to these people who claim to know what the FAA wants and what to do in what order. Most of the time they have ABSOLUTELY NO STANDING WITH THE FAA and thereby NO AUTHORITY or ability to predict what the FAA will want or require. They range from well-meaning and well-intended but knowing just enough to be dangerous to being outright predatory to someone who may have had their whole career and life turned upside-down, because of one bad decision, bad night or regretable incident. They often make cases far more complex and cause many more problems sometimes adding over 2 years to the certification process. If you do not meet face-to face with an HIMS-AME who is listed in this directory -
https://www.faa.gov/pilots/amelocator/media/hims%20independent%20medical%20sponsors.pdf
even if they say they work with, work for, are retired from the FAA etc. then you are not in the right place and are potentially being scammed.
DO NOT TAKE ADVICE FROM OR IMMEDIATELY HIRE A LAWYER.
This does not intimidate or frighten the FAA in any way shape or form and only adds cost to what is already a potentially expensive process. Opening with legal representation is usually unnecessary, and also looks like you are hiding something or feel like you are in a position of being able "call the shots". This does not bode well with federal regulatory agencies in general.
When and if you need a lawyer, you will need someone certified in aviation law - ignore this if you have been sent here by an aviation attorney.
Many well-meaning well-intended lawyers, who are very good at what they do, who truly have their hearts and minds in the right place, have told pilots to do things that in the world of criminal defense or real-estate law is sound advice, but not at all what you want to do with the FAA. This is also true if a lawyer is a pilot themself, but is not certified or very experienced in aviation law.
When and if the time comes that you need legal representation with the FAA, we will assist you in finding the correct type of lawyer or at least make sure you don't get the wrong type - but this is very rare situation.
If there's been a major incident, accident, or you find yourself heading into an NTSB hearing, especially if someone has been hurt, then if goes without saying that you need qualified legal counsel and your medical certification may be the least of your worries, but showing cooperation and getting into compliance may be part of your counsel's defence strategy.
WE NEED TO RESPOND TO THAT CERTIFEID LETTER YOU ARE HOLDING, WITH A LETTER OF ACCEPTANCE INTO A SPECIFIC AME's HIMS PROGRAM BEFORE WE CAN GET A RESPONSE FROM THE FAA AND BEGIN A DIALOGUE WITH THE FAA AND START PROVIDING THE FAA WHAT THEY ARE WANTING TO BE ABLE TO MAKE A DECISION ON YOUR CASE.
If we do nothing - you WILL get your medic
WE NEED TO RESPOND TO THAT CERTIFEID LETTER YOU ARE HOLDING, WITH A LETTER OF ACCEPTANCE INTO A SPECIFIC AME's HIMS PROGRAM BEFORE WE CAN GET A RESPONSE FROM THE FAA AND BEGIN A DIALOGUE WITH THE FAA AND START PROVIDING THE FAA WHAT THEY ARE WANTING TO BE ABLE TO MAKE A DECISION ON YOUR CASE.
If we do nothing - you WILL get your medical pulled for "failure to provide" and you can NOT go under Basic Med.
The letter we get back from the FAA will note what we need to do. The HIMS-AME needs a copy of your full medical record, and a release form was in your letter. This takes time but we can ask for an extension based on that and as long as we respond, you should not get the "failure to provide"
The details of what your program will entail, or, whether or not you will definitely need to be in the HIMS program depends upon your situation. Statistically, the most common reason to be referred to the program is a DUI. Other reasons can include the need to be on certain antidepressants or other mental health issues such as anxiety and depression. Requirements range from a simple evaluation by the HIMS AME in an office setting and all the way to long-term monitoring with ongoing evaluation which may include HIMS Psychiatric evaluation and Neuropsyche evaluations. You might be required to use a portable alcohol monitoring device, or get blood work, but one things is certain, this is not going to just all go away if you write them a letter, get a bunch of references or have an attorney sent them a letter.
ANTIDEPRESSANTS
If you are here because of medication management and are on and or coming off an antidepressant, we will need to talk about the reasons you were started on the medication and what would happen without it. We really need to sit and talk about options, but this is usually the easiest of the many reasons for HIMS referral. We all have good and bad days. Needing help at certain times in life does not mean we have an inherent problem. Fortunately, the FAA has what is known as SSRI pathways I and II. We simply need to get the pathways followed.
Once you do get the special issuance, then, and only then, can you go under Basic Med.
A HIMS aviation medical examiner functions as an IMS (Independent Medical Sponsor) coordinating the case and records. Statistically, the most common reason to need one is due to DUI charge or other substance abuse issues, however, you may also need to be referred to this program for history of depression, anxiety, or needing to be treated
A HIMS aviation medical examiner functions as an IMS (Independent Medical Sponsor) coordinating the case and records. Statistically, the most common reason to need one is due to DUI charge or other substance abuse issues, however, you may also need to be referred to this program for history of depression, anxiety, or needing to be treated with antidepressant medication.
In the case of alcohol or other substance use disorder, the role of the HIMS AME is to coordinate getting all the records together, as well as, peer pilot reports, AA or NA sponsor notes, Sober Link, and whatever else is needed to manage your case and communicate with the FAA. All HIMS medical examiners must first be Senior FAA medical examiners who have completed their tenure as Junior FAA medical examiners.
Under no circumstances is the HIMS AME, or any AME for that matter, directly involved in your care. They do not write prescriptions, provide mental health counseling or other health care services. This is the same thing as if you’re being treated for high blood pressure, the AME will tell you, and may even help you get set up with the primary care physician to get treated for the blood pressure so that you can be certified. However, they will not treat the high blood pressure themself. There are rare cases where a pilot has a primary care or other physician who also just happens to be an AME. This may or may not be an issue but is generally discouraged.
Any HIMS certified Senior AME can accept you as your IMS, but there is not "duty to accept" and depending on your case you may be advised that a different HIMS AME may be better suited to your case.
Once in a HIMS program, you need permission from the FAA to change your HIMS AME - this happens most often when pilots move geographically or get reassigned different routes. These transitions are usually smooth.
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The website for his main medical practice is www.ISPROCcom
This site can be used for scheduling in the Columbus office located inside Lane Aviation at KCMH - John Glenn Columbus International Airport
He has had 3 “engine outs", one in-flight fire and 3 bird strikes ... so he has earned his grey hairs and his puppy "Kolny" (who you will meet in the office) is named for the 10 mile IAF for Rnav 27L GPS Approach at KOSU.
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