Here is some info on the rules around disqualification due to Kidney issues:
"
Decision Considerations - Aerospace Medical Dispositions
Item 41. G-U System - Urinary System
Note: A history of recent or significant hematuria requires further evaluation.
Disease/ConditionClassEvaluation DataDispositionHydronephrosis with impaired renal functionAllSubmit all pertinent medical information and status reportRequires FAA DecisionNephrectomy (non-neoplastic)AllSubmit all pertinent medical information and status reportIf the remaining kidney function and anatomy is normal, without other systemic disease, hypertension, uremia, infection of the remaining kidney - Issue
Otherwise - Requires FAA DecisionNephrocalcinosisAllSubmit all pertinent medical information and status reportIf calculus is not in collecting system or renal pelvis - Issue
Otherwise - Requires FAA DecisionCalculus 11
Renal - Single episodeAllSubmit current metabolic evaluation and status reportIf there is no residual calculi and the metabolic workup is negative - Issue
Otherwise - Requires FAA DecisionRenal ? Multiple episodes or Retained StonesAllSubmit current metabolic evaluation and status reportInitial Special Issuance - Requires FAA Decision
Followup Special Issuance?s -
See
AASI ProtocolUreteral or VesicalAllSingle episode and no retained calculi, submit current metabolic evaluation and status report (Ureteral stent is acceptable if functioning without sequela)If metabolic workup is negative and there is no sequela or retained calculi - Issue
Otherwise - Requires FAA Decision
11 Complete studies to determine the possible etiology and prognosis are essential to favorable FAA consideration. Determining factors include site and location of the stones, complications such as compromise in renal function, repeated bouts of kidney infection, and need for therapy. Any underlying disease will be considered. The likelihood of sudden incapacitating symptoms is of primary concern. Report of imaging studies (KUB, IVP, or spiral CT) must be submitted in order to conclude that there are no residual or retained calculi."
Here is some info I found on what they want for AME assisted renewal of SI medicals for people with Kidney issues:
"
Special Issuances
AME Assisted - All Classes - Renal Calculi
AME Assisted Special Issuance (AASI) is a process that provides Examiners the ability to re-issue an airman medical certificate under the provisions of an Authorization for Special Issuance of a Medical Certificate (Authorization) to an applicant who has a medical condition that is disqualifying under Title 14 of the Code of Federal Regulations
(14 CFR) part 67.
An FAA physician provides the initial certification decision and grants the Authorization in accordance with
14 CFR ? 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination. If this is a first time issuance of an Authorization for the above disease/condition, and the applicant has all of the requisite medical information necessary for a determination, the Examiner must defer and submit all of the documentation to the AMCD or
RFS for the initial determination.
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
- An Authorization granted by the FAA;
- A statement from your treating physician regarding the location of the retained stone(s), estimation as to size of stone, and likelihood of becoming symptomatic; and
- A current report of appropriate imaging study (IVP, KUB, Ultrasound, or Spiral CT Scan) and provide a metabolic work-up, both performed within last 90 days.
The Examiner must defer to the AMCD or Region if:
- If the treating physician comments that the current stone has a likelihood of becoming symptomatic;
- If the retained stone(s) has moved when compared to previous evaluations; or
- If the stone(s) has become larger when compared to previous evaluations."
Also take a look at this FAA Medical Bulletin for more info on Kidney stones:
http://www.faa.gov/library/reports/medical/fasmb/media/200803_color.pdf
Page 33 of this document also relates to the issue:
http://www.faa.gov/other_visit/avia...elegations/designee_types/ame/media/mcspt.pdf
