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Has anyone failed a medical...

#1
...because a heart murmur was found? Had my medical a couple weeks ago and ive yet to be passed as they said i need an ecg scan to find out whats causing the murmur, army doc thinks its pulmonary stenosis. But went to see GP today, and he said an ecg wont say much, and ill need to have a heart echo scan, which ill have to wait at least 8 weeks for! Anyone here failed medical for same reason or has pulmonary stenosis? Cant get through to my unit tonight so thats why im askin of your opinions...cheers :thumright:
 
#2
A few things will fail you on a TA medical.

Being dead, having any heart problems, having had any chest infections and being partial to the odd spliff are just a few.
 

RP578

LE
Book Reviewer
#3
There was a young TA cook in my cadre at Chilwell being mobilised for service in Iraq. He was discovered to have a heart murmur during his initial medical and was exempt any physical exercise or tests. He was just chivvied along with the rest of us whilst also being sent for a more indepth heart test.

After our two weeks he was held over till his results came in and he was declared fit to go "at the receiving unit's risk". This last qualifier might have had more to do with the fact that he'd not undergone any of the fitness tests that the rest of us had and that he failed his Annual Personal Weapons Test, as much as his heart condition (or lack of).

To be honest, he wasn't the calibre of chap that should have been allowed in the TA in the first place as was proved when he was sent home from Iraq after a few weeks for assaulting a Locally Employed Civilian.
 
#4
There's a variety of things that in the opinion of the RMO of the unit make you unfit to serve or mean that you fail to meet PULHEEMS requirements.

Severe or chronic chest infections / cardiopulmonary issues / epilepsy / (severe or chronic) mental illness are amongst them.
 
#5
hmmn. we had 1 recruit, albeit for a short time, who got through with only 1 lung, the doc had informed the PSAO who let him throughwithout tell the sqn recruit training team. It wasn't until one of the PTIs took us out for a run & this guy went pale grey halfway round,when asked if he was okay said yep, he normally went this colour as he only had the 1 lung, he was promptly binned.
 
#6
Heart murmour may just be an oddity or may be something potentioly more serious no real way to tell until further tests done.
 
#7
DontMentionTheWar said:
Severe or chronic chest infections / cardiopulmonary issues / epilepsy / (severe or chronic) mental illness are amongst them.
I was diagnosed as having depression 6 years ago and was put on medication for 6 months. Could this make me fail my medical? :confused: I have been in the clear since I came off them.
 

OldSnowy

LE
Moderator
Book Reviewer
#8
One to add - which may come under chest infections - but any mention of Asthma and you can kiss your chances of joining goodbye.
 
#9
supermark500 said:
DontMentionTheWar said:
Severe or chronic chest infections / cardiopulmonary issues / epilepsy / (severe or chronic) mental illness are amongst them.
I was diagnosed as having depression 6 years ago and was put on medication for 6 months. Could this make me fail my medical? :confused: I have been in the clear since I came off them.
Shouldn't be a problem unless you were:-

a. A self-harmer
b. Suicidal
c. Hearing voices
d. Sectioned under the mental health act
 

Sixty

ADC
Moderator
Book Reviewer
#10
OldSnowy said:
One to add - which may come under chest infections - but any mention of Asthma and you can kiss your chances of joining goodbye.


Not really. I had asthma as a child up until my mid-twenties and mentioned it on my application forms and to the doctor at my medical.

True, they paid a bit more attention to my chest than the others there but I got through no problems.
 
#11
The phrase Heart murmur covers a multitude of sins and most commonly are purely benine (nothing to worry about :thumright: ). Quite impressed the Doc put a label on the type of murmur, they usually sit on the fence or get it wrong unless they are a cardiologist. I know this from over 20years experience doing echo's in the military and fining the junior doctors a packet of biscuits for the department if they get the type of murmur wrong. :headbang:
 
#12
Yeah narco the doc was quite competent, although in the letter he wrote to my GP he said he heard a thrill after second beat, and when my GP listened he only heard a slight splitting of sound, nothing as serious as what the army doc made out in the letter to him. I just dont wanna wait 8 weeks or more to have these tests and be told im fine! Yeah i know there is the possibility it could be something serious, but ive never had any problems, dont get out of breath easy, my mum was found to have a murmur 30 years ago and she hasnt had any problems either (if its hereditary sp?). Could you be rejected entry into the armed forces for having pulmonary stenosis?
 
#13
Examining MO's use a detailed PULHEEMS document that lays out the standards and the criteria for specialist referral (the guy who examined me kept referring to his laptop - very unnerving).

There is a degree of discretion in some areas and it also depends on the level of fitness expected in your arm/corps (I'm a QA, 'nuff said - I have a pulse and can stand up, so I'm in). In my experience it's not an entirely exact science and making an effort to impress recruiting and permanent staff with your enthusiasm and suitability does no harm if there is any grey area around your fitness. That said, there will be times when no means just that.
 
#15
allyleventhal said:
Yeah narco the doc was quite competent, although in the letter he wrote to my GP he said he heard a thrill after second beat, ...
It's complete pedantry and I'm not a cardiologist, but unless I recall wrong from medical school, you *feel* thrills, not hear them.

FF.
 
#17
I am a lowly surgeon, but I for one always had difficulty determining the significance of the presence and abnormality thereof of second heart sounds.

I mean, obvious ejection systolic murmurs, or filling murmurs sliding into the second heart sound are probably significant. But split second sounds, etc? I never did know. I just assumed, being ignorant, that if *I* could heard it wasn't normal, then it probably was seriously abnormal.

This doesn't help you, I know. But it cathartically expresses my ignorance.

FF.
 
#19
devilish said:
supermark500 said:
DontMentionTheWar said:
Severe or chronic chest infections / cardiopulmonary issues / epilepsy / (severe or chronic) mental illness are amongst them.
I was diagnosed as having depression 6 years ago and was put on medication for 6 months. Could this make me fail my medical? :confused: I have been in the clear since I came off them.
Shouldn't be a problem unless you were:-

a. A self-harmer
b. Suicidal
c. Hearing voices
d. Sectioned under the mental health act
You've already suffered from depression, that should prepare you nicely for service under this Government because its depressing the feck out of me.
 

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