Announcement

Collapse
No announcement yet.

Eng1 medical and epilepsy

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Eng1 medical and epilepsy

    Hello People

    I am going to do my eng1 medical soon but I have epilepsy. It is controlled by medication and I am seizure free for 3 years.

    how is this going to affect me in getting my eng1 and a career at sea?

    Thanks
    Alex

  • #2
    Mate i'm onboard ship at the moment with slow internet so the pdf won't load and open. but google it. i searched for 'eng1 medical regulations' the requirements i think are in a regulation called 'MGN 264'. look this up, i can't imagine they would allow you to navigate a ship if there's a chance you may have a seizure or even if you have to fight a fire and have a seizure, i don't want to destroy your hopes mate I may be wrong iv also just found this on a UK-GOV website.

    "5.3 It should be noted that a seafarer medical certificate becomes invalid if the seafarer develops any of the conditions listed below or a disability affecting fitness to work; this includes mental as well as physical conditions. Anew ENG 1 or ML5 certificate will need to be obtained on recovery.

    - Epileptic seizures or sudden disturbances of the state of consciousness"

    So i'm guessing one wouldnt be issued in the first place if you had epilepsy. I hope i'm wrong and your are able to but as i said have a good look into it =] good luck!

    Comment


    • #3
      Right ok

      Thank you for your reply

      Comment


      • #4
        Noworries must mean this - http://www.dft.gov.uk/mca/msn_1822.pdf
        Also have a look at this - http://www.dft.gov.uk/mca/mca_doctor...al__links_.pdf - Find the epilepsy flow chart and see what is comes up with after you answer the questions

        Kieran

        Comment


        • #5
          Afternoon Alex, Sounds like I find myself in a similar situation to yourself. How did you get on obtaining your ENG1? Was the Epilepsy a major stumbling point?

          Mike

          Comment


          • #6
            The best advice for any ENG1 query is just go and see how you get on.

            It's not a military style, "you've got condition X, you're not going to sea".

            If you could go to sea without an issue regardless of your medical condition, then you'll get your medical. ?80 isn't a lot in the grand scheme of things. I was definitely uncertain about mine, so I paid for myself to go through it before I applied. Second unrestricted medical just passed...

            Comment


            • #7
              Originally posted by Mike_714 View Post
              Afternoon Alex, Sounds like I find myself in a similar situation to yourself. How did you get on obtaining your ENG1? Was the Epilepsy a major stumbling point?

              Mike

              Mike,

              The best advice I can offer you is to look at the following document:

              https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/285747/mca_doctors_manual__links_.pdf


              This has all of the conditions that affect a medical and the section you want is ADG7 starting on page 148.

              Read through the section and if you believe you will get a medical then make sure you have all of the evidence to back that up when you go for the medical. It is extremely likely that the Doctor will not issue an ENG1 on the spot, they will usually have to contact the MCA for guidance. It does depend on your chosen department and the outcome of the medical, but this should help give you an idea.

              I don't think Alex will answer your question - he only made the 2 posts back in Jan 2013 and has not been seen since!

              I hope this helps.

              Ian
              "Any damn fool can navigate the world sober. It takes a really good sailor to do it drunk." - Sir Francis Chichester.
              "Waves are not measured in feet or inches, they are measured in increments of fear." - Buzzy Trent

              "Careers at Sea" Ambassador - Experience of General Cargo, Combo ships, Tanker, Product Carrier, Gas Carrier, Ro-Ro, Reefer Container, Anchor Handlers.

              Comment


              • #8
                I had a quick look through the link posted above, I clicked through the seizures bit

                For all seizures and suspect seizures on diagnosis = Temporarily unfit category 3 until investigated and treated

                Was it a single seizure or presumed seizure? = No (Going on the grounds here that person has had a number of seizures due to his/hers known epilepsy

                More than one seizure without provoking factors? = Yes (Below is stated with what is said when answering yes)

                Temporarily unfit category 3 until at least two years fit free
                and either off medication or on stable medication with good
                compliance. May then be considered restricted category 2
                non-watchkeeping duties in near coastal waters on a case
                by case basis, depending on risks to self and others in the
                event of a further seizure and distance from medical care.
                Fit category 1 (including distant waters and watchkeeping)
                if without seizures and not on any anti epilepsy
                medication for last ten years, provided there is no
                continuing liability to seizures

                Seizures provoked by alcohol, medication head injury etc. factors?

                Temporarily unfit category 3 until at least one year of
                abstention from any known provoking factor (see Chapter 5
                on alcohol), fit free and either off medication or on stable
                medication with good compliance. May then be considered
                restricted category 2 non-watchkeeping duties in near coastal
                waters on a case by case basis, depending on risks to self
                and others in the event of a further seizure and distance
                from medical care.
                Fit category 1 (including distant waters and watchkeeping)
                if without seizures and not on any anti epilepsy medication
                for last five years, provided there is no continuing liability to
                seizures from exposure to provoking substances.
                Be what you want to be not what other people tell you to be
                Adapt and over come
                Careers At Sea Ambassador

                Comment


                • #9
                  Now do it backwards and upside down!


                  Sent from my iPhone using Tapatalk

                  Comment


                  • #10
                    I did my my ENG 1 a couple of years. It was restricted, so I appealed it but nothing changed.

                    I couldn't go down the cadet route, so joined a tug company instead.

                    Some things aren't meant to be eh.

                    Comment


                    • #11
                      Couple of years ago***

                      Comment


                      • #12
                        Originally posted by Aj94 View Post
                        I did my my ENG 1 a couple of years. It was restricted, so I appealed it but nothing changed.

                        I couldn't go down the cadet route, so joined a tug company instead.

                        Some things aren't meant to be eh.
                        Alex,

                        Thank you for coming back to the forum and updating us. It will help others. Do you mind me asking what the restriction was, and on what grounds, and if it is not too personal, what severity your epilepsy is and how it is controlled?

                        Regards

                        Ian
                        "Any damn fool can navigate the world sober. It takes a really good sailor to do it drunk." - Sir Francis Chichester.
                        "Waves are not measured in feet or inches, they are measured in increments of fear." - Buzzy Trent

                        "Careers at Sea" Ambassador - Experience of General Cargo, Combo ships, Tanker, Product Carrier, Gas Carrier, Ro-Ro, Reefer Container, Anchor Handlers.

                        Comment


                        • #13
                          Hello Ian,


                          The restriction was category 2 non watch keeping and UK coastal waters because I had more than one episode/seizure. It is controlled by medication, twice a day.

                          To get level 1 with no restrictions you would need to be seizure free for 10 years and OFF medication for that period.

                          I have been seizure free for about 5 years but on medication. I only had one day time attack, the rest were in my sleep. So my epilepsy wasn't so severe as others. Luckily the medication did it's job and I have been discharged , will only see the specialist if I had trouble again, but I don't think that will happen.

                          Thanks
                          Alex

                          Comment


                          • #14
                            Alex,

                            Thank you for that. My brother was diagnosed as an epileptic as a 2 or 3 year old in the early 70's and used to have up to 20 seizures a day as a child. He was on Epanutin and Phenobarbitone and so was constantly drugged up and was diagnosed as Grand Mal at the age of 10. Fortunately a new doctor soon started to question the drugs, dosage, and even the diagnosis and over years he was weaned off the drugs and became seizure free and drug free as a teenager. Later my mother had a number of legal battles with the medical profession and they eventually admitted their errors, and so his original diagnosis was revised and he was allowed to join the Army. The one thing I cannot deny though was that he was having seizures all the time. We became so used to them, even as kids and could even recognise when he was about to have a seizure because he used to just look "vacant" for about a minute before it started and knew he had to just lay down on the floor to prevent injury. Scary for all of us!

                            So glad you have it under control and at least you can have a driving licence as well now. Thanks for sharing your experience - it will help others.

                            Regards

                            Ian
                            "Any damn fool can navigate the world sober. It takes a really good sailor to do it drunk." - Sir Francis Chichester.
                            "Waves are not measured in feet or inches, they are measured in increments of fear." - Buzzy Trent

                            "Careers at Sea" Ambassador - Experience of General Cargo, Combo ships, Tanker, Product Carrier, Gas Carrier, Ro-Ro, Reefer Container, Anchor Handlers.

                            Comment


                            • #15
                              Glad I could share my experience and hopefully some may benefit.

                              20 seizures a day really must have been horrible and then to be controlled later is great. Shows doctors can be wrong and is down to opinions. They couldn't find a problem with me until one specialist was the only one to find the problem (temporal lobe).

                              I did actually complete a trip at sea to Lome, Togo as a 'supernumerary' on a 38m Tug. Amazing.
                              Leading me to applying for a cadetship, obviously
                              disappointed not to be able to progress.

                              Good to speak Ian, thanks again

                              Comment

                              Working...
                              X