this post was submitted on 24 Oct 2023
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chapotraphouse
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No anti-nautilism posts. See: Eco-fascism Primer
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It used to be a lifetime grounding before 2010, so some people might not be aware of the new rules.
w.r.t. HIPAA, the flight surgeon/“aviation medical examiner” can see your records because you’re their patient, but only those you have on file with their specific group, i.e. Sutter Health. Most guys I know go out of group and out of network with someone a few cities over. It’s not exactly cheap but it’s once a year at most and it keeps them in the air.
Their rationale is that if something ever happens that leads to them being outed, that same something will have rendered them too dead to care.
And they’re right. The vast majority of drug testing in medical exams cannot detect SSRIs. Same goes for post-accident drug testing. They’re usually discovered through toxicology reports on the dearly departed.
To tell the truth, not disclosing an SSRI is the tamest lie to the FAA I would have come across yet.
That tracks with the testing, the most commonly screened substances (generally groups of substances sold as a 'panel') are readily converted to water-soluble metabolites in the body and are pissed out to sub-detectable levels in just ~4 days, the biggest exception being our big dry boy, kushbomb. Generally someone wanting to catch you pissing hot has to do so randomly.
This has been a wellspring of information, my sincerest thanks Mr. Ulyanov!