Guest guest Posted January 29, 2006 Report Share Posted January 29, 2006 Gents, I remember a recent thread regarding diabetics working offshore. I checked the archive but couldn't find what I was looking for. Can anyone advise what the present UKOOA stance is (and point to a ref) Many Thanks Ian Ian Sharpe " Fortitudine Vincimus " Medical Response & Audit Coordinator District Health Services Agip Kazakhstan North Caspian Operating Company N. V. Agip KCO Chagala Centre 1, K. Smagulova Street Atyrau, 060002 Republic of Kazakhstan Tel: + 31 70 341 3833 Mob: + 7 300 747 0108 Mail I.Sharpe@... This e-mail and any attached documents are intended only for the addressee(s) named above. As this e-mail may contain confidential or legally privileged information, please notify us immediately if you are not the named addressee or the person responsible for delivering the message to the named addressee, and delete the message permanently. This e-mail and any attached documents should not be disclosed to any other person nor copies taken without the prior consent of the sender. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2006 Report Share Posted January 29, 2006 Hi Ian, In the 'notes of guidance for specific conditions which may affect medical fitness for off shore work 2.11' Guidelines for medical aspects of fitness for work offshore work issue 5 Oct 03, states 10. all cases of endocrine and metabolic disorder require comprehensive investigation prior to assessment of fitness to work offshore. Non insulin dependant diabetes mellitus (type 2) - stable well -controlled cases (6 months or more) of NIDDM will normally be acceptable providing that there are no complications causing other restrictions on capacity or safety. Of particular importance is visual acuity which must meet the standard in paragraph 14. An increase frequency of medical examinations may also be appropriate to ensure regular review and continuing fitness to work (at least annually) Insulin Dependant diabetes mellitus (type 1) Individuals with IDDM will not be acceptable for unrestricted fitness to work in the UKCS however those who can demonstrate long established good control (at least 6 months) who can self manage their insulin requirements and have no secondary complications of their illness may be considered on a case by case basis and , with the explicit agreement with the operators medical officer may be issued with a restricted certificate. This must not be for a period greater then one year and must stipulate the platforms or operating units which that individual may work on. Unrestricted certification is unacceptable in these cases but, when managed appropriately well controlled individuals can operate safely in some locations. All such cases will require a report from the specialist or GP. Those with IDDM are not considered suitable for fire or emergency response duty. Anyone with IDDM working offshore must be reviewed at least annually to ensure control remains acceptable Hope that helps! Best wishes Diabetes Offshore Gents, I remember a recent thread regarding diabetics working offshore. I checked the archive but couldn't find what I was looking for. Can anyone advise what the present UKOOA stance is (and point to a ref) Many Thanks Ian Ian Sharpe " Fortitudine Vincimus " Medical Response & Audit Coordinator District Health Services Agip Kazakhstan North Caspian Operating Company N. V. Agip KCO Chagala Centre 1, K. Smagulova Street Atyrau, 060002 Republic of Kazakhstan Tel: + 31 70 341 3833 Mob: + 7 300 747 0108 Mail I.Sharpe@... This e-mail and any attached documents are intended only for the addressee(s) named above. As this e-mail may contain confidential or legally privileged information, please notify us immediately if you are not the named addressee or the person responsible for delivering the message to the named addressee, and delete the message permanently. This e-mail and any attached documents should not be disclosed to any other person nor copies taken without the prior consent of the sender. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2006 Report Share Posted January 29, 2006 Thanks . Perfect. Ian Diabetes Offshore Gents, I remember a recent thread regarding diabetics working offshore. I checked the archive but couldn't find what I was looking for. Can anyone advise what the present UKOOA stance is (and point to a ref) Many Thanks Ian Ian Sharpe " Fortitudine Vincimus " Medical Response & Audit Coordinator District Health Services Agip Kazakhstan North Caspian Operating Company N. V. Agip KCO Chagala Centre 1, K. Smagulova Street Atyrau, 060002 Republic of Kazakhstan Tel: + 31 70 341 3833 Mob: + 7 300 747 0108 Mail I.Sharpe@... This e-mail and any attached documents are intended only for the addressee(s) named above. As this e-mail may contain confidential or legally privileged information, please notify us immediately if you are not the named addressee or the person responsible for delivering the message to the named addressee, and delete the message permanently. This e-mail and any attached documents should not be disclosed to any other person nor copies taken without the prior consent of the sender. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2006 Report Share Posted January 29, 2006 Ian, I cant point to a reference however, I can tell you that I had a lengthy discussion about this with my topside Dr some months ago in 2005. The following was explained to me at the time: It is deemed plausible that a person may attend an offshore installation and conduct work if the following points are met. His / Her diabetes is controlled and has been for a reasonable time. The patient can show that they are aware of the dangers and can prove that they know how to look and check for adverse signs and symptoms. The topside Dr and the patients own GP have completed a risk assessment The Medic on the instillation is made aware of the patients history. The patient can not have had a Hypoglycaemic attack within a certain period of time prior to going offshore (3-6 Months i think) The patient is informed that his work colleagues will be informed (either by the Medic or by the top side Dr) of what signs to look out for. The above is what I have in memory from the discussion with the top side Dr, the main thing I seem to recall was that the condition is “Risk assessed”. Hope this helps and sorry I cant give you a link to read up on, maybe one of the Dr’s on the list could. Mitch " Sharpe, Ian [AT] " <Ian.Sharpe@...> wrote: Gents, I remember a recent thread regarding diabetics working offshore. I checked the archive but couldn't find what I was looking for. Can anyone advise what the present UKOOA stance is (and point to a ref) Many Thanks Ian Ian Sharpe " Fortitudine Vincimus " Medical Response & Audit Coordinator District Health Services Agip Kazakhstan North Caspian Operating Company N. V. Agip KCO Chagala Centre 1, K. Smagulova Street Atyrau, 060002 Republic of Kazakhstan Tel: + 31 70 341 3833 Mob: + 7 300 747 0108 Mail I.Sharpe@... This e-mail and any attached documents are intended only for the addressee(s) named above. As this e-mail may contain confidential or legally privileged information, please notify us immediately if you are not the named addressee or the person responsible for delivering the message to the named addressee, and delete the message permanently. This e-mail and any attached documents should not be disclosed to any other person nor copies taken without the prior consent of the sender. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2006 Report Share Posted January 30, 2006 Hi Mitch, and this is exactly what we were informed of in November of last year regarding this matter, you do not work for Abermed Industrial Doctors by any chance. Well ,on the subject of self administered injections. I have just come back onboard to find that one the guys on the opposite shift to myself is self administering Humira (Adalimumab) for his Rheumatoid Arthritis and has asked my back to back to keep it stored in the Fridge in the Sick Bay. Anyone had any experience with with Drug. I have read the offical website, will be speaking to my Company Medical Adviser today. Regards Neil Poole Elgin/lin <lisamitch50@...> Sent by: 30/01/2006 07:50 Please respond to cc: Subject: Re: Diabetes Offshore Ian, I cant point to a reference however, I can tell you that I had a lengthy discussion about this with my topside Dr some months ago in 2005. The following was explained to me at the time: It is deemed plausible that a person may attend an offshore installation and conduct work if the following points are met. His / Her diabetes is controlled and has been for a reasonable time. The patient can show that they are aware of the dangers and can prove that they know how to look and check for adverse signs and symptoms. The topside Dr and the patients own GP have completed a risk assessment The Medic on the instillation is made aware of the patients history. The patient can not have had a Hypoglycaemic attack within a certain period of time prior to going offshore (3-6 Months i think) The patient is informed that his work colleagues will be informed (either by the Medic or by the top side Dr) of what signs to look out for. The above is what I have in memory from the discussion with the top side Dr, the main thing I seem to recall was that the condition is " Risk assessed " . Hope this helps and sorry I cant give you a link to read up on, maybe one of the Dr's on the list could. Mitch " Sharpe, Ian [AT] " <Ian.Sharpe@...> wrote: Gents, I remember a recent thread regarding diabetics working offshore. I checked the archive but couldn't find what I was looking for. Can anyone advise what the present UKOOA stance is (and point to a ref) Many Thanks Ian Ian Sharpe " Fortitudine Vincimus " Medical Response & Audit Coordinator District Health Services Agip Kazakhstan North Caspian Operating Company N. V. Agip KCO Chagala Centre 1, K. Smagulova Street Atyrau, 060002 Republic of Kazakhstan Tel: + 31 70 341 3833 Mob: + 7 300 747 0108 Mail I.Sharpe@... This e-mail and any attached documents are intended only for the addressee(s) named above. As this e-mail may contain confidential or legally privileged information, please notify us immediately if you are not the named addressee or the person responsible for delivering the message to the named addressee, and delete the message permanently. This e-mail and any attached documents should not be disclosed to any other person nor copies taken without the prior consent of the sender. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2006 Report Share Posted January 30, 2006 Neil, 33 FH? Any who, yes i was told By Capita and the Dr and i had a good chat about it. As for your Humira patient, shouldnt have your patient informed his top side company doctor to recieve the go ahead to go offshore? Just my 2p worth. Mitch medic.PUQ@... wrote: Hi Mitch, and this is exactly what we were informed of in November of last year regarding this matter, you do not work for Abermed Industrial Doctors by any chance. Well ,on the subject of self administered injections. I have just come back onboard to find that one the guys on the opposite shift to myself is self administering Humira (Adalimumab) for his Rheumatoid Arthritis and has asked my back to back to keep it stored in the Fridge in the Sick Bay. Anyone had any experience with with Drug. I have read the offical website, will be speaking to my Company Medical Adviser today. Regards Neil Poole Elgin/lin <lisamitch50@...> Sent by: 30/01/2006 07:50 Please respond to cc: Subject: Re: Diabetes Offshore Ian, I cant point to a reference however, I can tell you that I had a lengthy discussion about this with my topside Dr some months ago in 2005. The following was explained to me at the time: It is deemed plausible that a person may attend an offshore installation and conduct work if the following points are met. His / Her diabetes is controlled and has been for a reasonable time. The patient can show that they are aware of the dangers and can prove that they know how to look and check for adverse signs and symptoms. The topside Dr and the patients own GP have completed a risk assessment The Medic on the instillation is made aware of the patients history. The patient can not have had a Hypoglycaemic attack within a certain period of time prior to going offshore (3-6 Months i think) The patient is informed that his work colleagues will be informed (either by the Medic or by the top side Dr) of what signs to look out for. The above is what I have in memory from the discussion with the top side Dr, the main thing I seem to recall was that the condition is " Risk assessed " . Hope this helps and sorry I cant give you a link to read up on, maybe one of the Dr's on the list could. Mitch " Sharpe, Ian [AT] " <Ian.Sharpe@...> wrote: Gents, I remember a recent thread regarding diabetics working offshore. I checked the archive but couldn't find what I was looking for. Can anyone advise what the present UKOOA stance is (and point to a ref) Many Thanks Ian Ian Sharpe " Fortitudine Vincimus " Medical Response & Audit Coordinator District Health Services Agip Kazakhstan North Caspian Operating Company N. V. Agip KCO Chagala Centre 1, K. Smagulova Street Atyrau, 060002 Republic of Kazakhstan Tel: + 31 70 341 3833 Mob: + 7 300 747 0108 Mail I.Sharpe@... This e-mail and any attached documents are intended only for the addressee(s) named above. As this e-mail may contain confidential or legally privileged information, please notify us immediately if you are not the named addressee or the person responsible for delivering the message to the named addressee, and delete the message permanently. This e-mail and any attached documents should not be disclosed to any other person nor copies taken without the prior consent of the sender. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2006 Report Share Posted January 30, 2006 Hi Mitch, unfotunately this guy is on the total oppsite shift to myself, I pass him in Heli Admin. I spoke to my back to back who says that the guys own GP has said there is no problem, however it appears that he has not had this confirmed by his Company medical Adviser. I am currently awaiting advice from Abermed on this matter. regards Neil <lisamitch50@...> Sent by: 30/01/2006 09:12 Please respond to cc: Subject: Re: Diabetes Offshore Neil, 33 FH? Any who, yes i was told By Capita and the Dr and i had a good chat about it. As for your Humira patient, shouldnt have your patient informed his top side company doctor to recieve the go ahead to go offshore? Just my 2p worth. Mitch medic.PUQ@... wrote: Hi Mitch, and this is exactly what we were informed of in November of last year regarding this matter, you do not work for Abermed Industrial Doctors by any chance. Well ,on the subject of self administered injections. I have just come back onboard to find that one the guys on the opposite shift to myself is self administering Humira (Adalimumab) for his Rheumatoid Arthritis and has asked my back to back to keep it stored in the Fridge in the Sick Bay. Anyone had any experience with with Drug. I have read the offical website, will be speaking to my Company Medical Adviser today. Regards Neil Poole Elgin/lin <lisamitch50@...> Sent by: 30/01/2006 07:50 Please respond to cc: Subject: Re: Diabetes Offshore Ian, I cant point to a reference however, I can tell you that I had a lengthy discussion about this with my topside Dr some months ago in 2005. The following was explained to me at the time: It is deemed plausible that a person may attend an offshore installation and conduct work if the following points are met. His / Her diabetes is controlled and has been for a reasonable time. The patient can show that they are aware of the dangers and can prove that they know how to look and check for adverse signs and symptoms. The topside Dr and the patients own GP have completed a risk assessment The Medic on the instillation is made aware of the patients history. The patient can not have had a Hypoglycaemic attack within a certain period of time prior to going offshore (3-6 Months i think) The patient is informed that his work colleagues will be informed (either by the Medic or by the top side Dr) of what signs to look out for. The above is what I have in memory from the discussion with the top side Dr, the main thing I seem to recall was that the condition is " Risk assessed " . Hope this helps and sorry I cant give you a link to read up on, maybe one of the Dr's on the list could. Mitch " Sharpe, Ian [AT] " <Ian.Sharpe@...> wrote: Gents, I remember a recent thread regarding diabetics working offshore. I checked the archive but couldn't find what I was looking for. Can anyone advise what the present UKOOA stance is (and point to a ref) Many Thanks Ian Ian Sharpe " Fortitudine Vincimus " Medical Response & Audit Coordinator District Health Services Agip Kazakhstan North Caspian Operating Company N. V. Agip KCO Chagala Centre 1, K. Smagulova Street Atyrau, 060002 Republic of Kazakhstan Tel: + 31 70 341 3833 Mob: + 7 300 747 0108 Mail I.Sharpe@... This e-mail and any attached documents are intended only for the addressee(s) named above. As this e-mail may contain confidential or legally privileged information, please notify us immediately if you are not the named addressee or the person responsible for delivering the message to the named addressee, and delete the message permanently. This e-mail and any attached documents should not be disclosed to any other person nor copies taken without the prior consent of the sender. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2006 Report Share Posted January 30, 2006 All, Thanks for your infput regarding the above. Best Wishes Ian Quote Link to comment Share on other sites More sharing options...
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