Table 1 – Waiver criteria for renal stones
Flying Class Category Waiver Potential
Waiver Authority
I, IA Single episode
Recurrent, bilateral, or
retained
No waiver required, but
full workup required on
FC I/IA physical.
No
AETC
II Recurrent or bilateral#
Retained*#
Yes
MAJCOM
Yes
MAJCOM
IIU Recurrent or bilateral
Retained*
Yes
AFMSA
Yes
AFMSA
III Recurrent or bilateral
Retained*
Yes
MAJCOM
Maybe
MAJCOM
ATC/GBC Recurrent or bilateral
Retained*
Yes
MAJCOM
Maybe
MAJCOM
SMOD Any evidence of stone
disease
Yes
AFSPC
* Stone in renal parenchyma or cyst, with no possibility of movement into collecting system, waiver
likely for trained asset.
# If flyer is a pilot, and there are any retained stones, then FC IIC and AFMSA is waiver authority.
AIMWTS review through January 2010 and revealed 532 submitted cases for stone disease. There
were 13 FC I/IA cases, 294 FC II cases, 2 FC IIU cases, and 223 FC III cases. Within the total were
51 disqualification dispositions: 8 were FC I/IA, 7 were FC II, and 36 were FC III. Of the 51
disqualification cases, 21 were disqualified primarily for diagnoses other than the stone disease and
30 were primarily for the stone disorders. Included in this total were cases of recurrent stone
formation, retained stones, and multiple symptomatic episodes. I'll echo what deaddebate said. The table I posted is right from the USAF waiver guide. Waivers for trained assets with recurrent episodes or retained stones are possible, but reviewed very carefully. I would be more concerned about the underlying disease process; why is this individual getting recurrent stones? Sometimes there is a problem we can fix, but most of the time there is not. If you can read the table above, FC II (trained aviator) waivers are more common than disqualification.
I won't ask you to divulge specifics about your case in a public setting, but in general, if you are disqualified outright from flying status, it is hard to get back on. Again, sometimes individual cases have particular stipulations made by the governing authority; your best bet is to discuss it with your new flight doc. You would need to re-accomplish an initial flying class physical, but if you are lucky they will hold you to FC II standards. It never hurts to try. Best of luck to you.