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How lenient is the medical exam?

General discussions on joining & training in the Royal Marines.
Geordie
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How lenient is the medical exam?

Post by Geordie »

Alright lads,

Basically I'm a bit paranoid about having been treated for Asthma, I mentioned it in other threads but I thought I'd start one about it.

I was prescribed inhalers almost 4 years ago now having never suffered from any of the common symptoms in my life.

Now I assumed I'd be fine once the 4 year period is up but I was treated for a chest infection around 6 months ago and was prescribed some steroids to clear it up. The doctor said that this is also a possible treatment for Asthma.

I took a peak flow test and I came above average and I've now got an appointment at the Asthma clinic to clear up whether or not I have any traces of it at all.

If the test comes up clear should I be alright in the medical exam part of recruitment?

Another question I have is that I've been having problems with my leg, initially I thought it was shin splints but it's now causing me discomfort all the time, with or without any pressure on it. I've given it a week's rest and it's still exactly the same.

Now I'm thinking of going to my GP about it but I don't want anything dodgy on my medical, for all I know it could clear up tomorrow.

Must have done a few thousand pushups and situps to expend the energy and frustration I have pent up from not training :D

Any advice thoroughly appreciated!

Cheers
dalo
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Post by dalo »

I would imagine that if you were given the all clear for your asthma you would be fine, but im not sure it may be the case that you have to be all clear for a certain amount of time. Also in the medical the doc does some little leg and arm strength tests to see if your muscles/ joints are ok. so i would make sure your leg is alright for that, wouldnt want to damage it further.
915 trp every womans pet, every mans regret.
robbiew
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Post by robbiew »

im going to look a prat by saying this but maybe you should put it of for a

good little while till you are a hundred percent, cause i wouldnt want too

fail a medical if i was doing it whilst ill, but then i guess someone who

knows more can give better advice, this is just what id do in your

situation.
Geordie
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Post by Geordie »

Yeah mate I have no intention of going for my medical while I still have the problem, I'm just worried whether or not having such stuff on my medical records would affect my application.

Thanks for the replies!
DLink011
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Post by DLink011 »

Can anyone tell us what they do in a medical?
just interested as i should be having mine soon.
RM application 2005, PRMC - tore ACL and PCL ligaments.
Contimplating TA for a couple years before i rejoin RM
Daveb
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Post by Daveb »

They check everything mate (eg blood pressure, lung capacity, pee test, vision, hearing, joints 'the cough please one', colour blindness)
Doc
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Post by Doc »

Blood pressure
Pulse - rate, regular or not
Chest sounds
Lung function
Joints
reflexes
Eyesight
Hearing
Balance
Ears
Balls
Hernia tests
Flexibilty
Family History
Medical History
Drug use
Smoking
Drinking

any doubts and you get investigated further or binned.

As for the first post the I would agree with others and get 100% before going anywhere near a medical test.
Daveb
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Post by Daveb »

Bloody annoying thing for me is that I gotta re-take my medical as it has expired! That was the thing I was most worried about as there is nothing you can do about it. Oh well, fingers crossed. Should pass (again :P)
Brian-
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Post by Brian- »

How does the medical differ for people with a history of asthma symptoms? I assume there's some sort of asthma test, but what exactly does this involve?
DLink011
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Post by DLink011 »

best to go to your GP and take the asthma test there and then take the certificate with you to the CO, thats what i did though i didnt have asthma for 4 years so im ok.

you blow into a pipe and it shows a figure i blew 660 i think anything less than 575 is a fail i think.
RM application 2005, PRMC - tore ACL and PCL ligaments.
Contimplating TA for a couple years before i rejoin RM
Brian-
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Post by Brian- »

DLink011 wrote:best to go to your GP and take the asthma test there and then take the certificate with you to the CO, thats what i did though i didnt have asthma for 4 years so im ok.

you blow into a pipe and it shows a figure i blew 660 i think anything less than 575 is a fail i think.
Thanks, but I hoping to get an answer from someone who's actually done the medical and knows what happens.. :)
DLink011
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Post by DLink011 »

Sorry my advice isnt good enough for you, just thought i would share my experience. but obviously not good enough!
RM application 2005, PRMC - tore ACL and PCL ligaments.
Contimplating TA for a couple years before i rejoin RM
Doc
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Post by Doc »

Lung function test isnt an indicator to wether you have asthma or not. Asthma diagnosis is done mainly by history of symptons. You could have normal lung function at rest and still have exercised induced asthma. Asthma is characterised by the lung tissue reacting abnormally to exercise or a trigger like a pollen etc. Lung function is used to gauge the extent of lung disease which erodes lung function such as COPD. It can be used to gauge asthma severity during an attack or during exercise.

So taking a form to say you have a peak flow of 600+ (after youve blown into a tube) doesnt mean you are asthma free or even have asthma. If you have any history of asthma and have taken medication for it then the forces are cautious. Not just because of the extent of physical exercise but also because most forces PT is done in far from healthy enviroments such as S10's and shitty weather etc.

The 4 year rule is mainly for people growing out of their teens and childhood asthma, even though there is now evidence to suggest that asthma never goes away, but during your twenties your lungs cope better as they have matured. Sadly in your thirties or later asthma can become a problem again as your lungs age.

In REMF units asthma if discovered post training and trade training can be tolerated, but in commando or airborne units it usually isnt depending on your role. However asthma in any basic training isnt tolerated.

If you have been treated with steroids for a chest condition this doesnt mean you have asthma either. Treatments for asthma can involve steroids either inhaled at low dose or orally at higher doses. Alongside a short acting or long acting beta two drug such as ventolin. Steroids are more preventative in treating the lung tissue and preventing inflammation whilst B2's are rescue therapy that open inflammed airways during an attack, now though treatments like seretide and symbicort which are combinations of both types of drugs attack the disease in regular sufferers from both angles. Asthma isnt the only disease that cause lung tissue to inflame and some infections do this also hence steroids as treatment. Unfortunately if you have a history of asthma and then get treated for a chest infection with a steroid the powers that be dont really want to get ot the bottom of it and class it as asthma and your binned.

There are members of the forces who have asthma but this is usually discovered after a few years service and the money spent to train these people is a huge consideration on wether they are kept or not. They usually get transferred to a desk or remf job. But if your in training or going through the application process then not alot of cash has been spent and so your binned. The forces also have a duty of care to you, your oppos and unit effectiveness (and medic workload :lol:) so bottom line is if the doc thinks you have asthma and its going to cause problems (Which is the usually scenerio) then your binned.

If anyone is reading this and is applying and has asthma try and see it form not only a PT point of view in the gym, but also the forces point of view in that the gym is a means to an end and controlled. If you were in northern norway miles from anyone and your unit relied on you to help it complete its task and you started to wheeze, then the whole mission is farked. You or an oppo could even die. So they wont take the risk when a healthy lad next inline wont cause such problems.

and Dlink to take a form to a CO you have to be a serving serviceman or woman in a unit and therefore have a commanding officer. You are not serving so therefore dont have a CO. Plus your advice isnt right and Brain was merely suggesting he would value advice from someone other than a walking plank who spends his time wondering where bullets from a jet go after they have been fired!
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Post by GGHT »

Brian- wrote:How does the medical differ for people with a history of asthma symptoms? I assume there's some sort of asthma test, but what exactly does this involve?
When I did me medical about a fortnight ago I did a peak flow test with the nurse and the Doc listened to me breathing with a stethoscope. Obviously I was also asked If I had ever suffered as well, I think more than once he asked this.
Geordie
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Post by Geordie »

Thanks a lot Doc, very helpful info.

I've never experienced any of the symptoms throughout my whole life until I went to the doctors about a sore throat/bad chest and he prescribed me 2 different inhalers. I just shrugged and used them and once my symptoms were gone the inhalers just gathered dust for a while and I just binned them and never worried about it.

Until I found out about the forces strictness on Asthma and now I'm bricking it incase I'm rejected because of it.

I understand why the strictness is in place, and if I'm actually asthmatic so be it, I'll just go on living a boring dead-end life.

But if I'm given the clear of Asthma at the respiratory clinic, and I'm binned from the Marines because the doctor prescribed me inhalers for no good reason I'll be well ticked off, RM is my only goal in life currently and I've been putting everything into achieving it.
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