Recently, a pilot suffering from Meniere's disease was referred to our
department. The decision concerning his ability to fly was made after
an open discussion with him and his employer. He was allowed to fly d
uring a period of remission. The relationship based on mutual trust pr
oved to be wise since this pilot never tried to deny any recurrence of
vertigo and spontaneously decided to obtain a waiver when vertigo reo
ccurred. In contrast, a law stating that pilots with Meniere's disease
should be permanently grounded regardless of the treatment's result m
ay lead to pilots flying with unconfessed illness.