| GENERAL INFORMATION
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| KEYWORDS
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Marine medical certificate, pulmonary embolism, anticoagulants, restrictions
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| FILE NO.
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MH-0064-21
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| SECTOR (Marine or Aviation)
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Marine
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| SPECIFIC JOB
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Master and watchkeeping mate
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| DIAGNOSIS (Primary, Secondary, etc.)
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Pulmonary embolism (daily use of 4 mg of Coumadin)
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| REVIEW
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| DATE OF DETERMINATION
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May 27, 2011
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| MEMBER
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Dr. Michel Larose
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| DETERMINATION
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The member refers the matter back to the Minister of Transport for reconsideration.
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| REASONS FOR DETERMINATION
Limitation on marine medical certificate, “Near Coastal Voyage Class 2” — Voyage must always be within 25 nautical miles from shore in waters contiguous to Canada, the United States (except Hawaii) or Saint Pierre and Miquelon, and within 100 nautical miles from place of refuge — The Minister of Transport (Minister) raised two aspects of the applicant’s case: the taking of Coumadin and the risks related to his occupation as a seafarer. The diagnosis of “multiple pulmonary embolism” secondary to a case of thrombophlebitis in 1989 is not in dispute. The applicant has had no recurrence, relapse, or aggravation of his condition. No limitations or restrictions had been imposed on the applicant since the incident in 1989. As to the likelihood of medical complications, it should be noted that the crew members have taken a first‑aid course; moreover, it is possible to consult with medical professionals in New York via satellite. Additionally, no evidence of complications involving hemorrhaging was submitted, and no medical evacuations of any sort were required. As regards the pitching and rolling, even on rough seas, it all happens slowly, and in extreme conditions, the master and the other crew members do not go outside. For these reasons, the member is referring the matter back to the Minister for reconsideration.
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| APPEAL
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| DATE OF DECISION
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| MEMBERS
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| DECISION
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| REASONS FOR THE DECISION
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| OTHER/COMMENTS
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