Medical Exam

New crewmembers are required to undergo full medical exams before coming abroad. These exams, nicknamed PEMEs (Pre-employment medical exam's), are extensive.  Not only is your usual physical exam required but the following are as well:

• Chest x-ray, PA view only
• CBC (complete blood count)
• Metabolic chemistry results (Na, K, Cl, BUN, Cr, Fasting Blood Sugar, AST, ALT)
• Hemoglobin A1c, is required if crewmember is Diabetic
• Urinalysis, dip
• Blood type
• CD4 results if HIV + (results must be done within past 6 months)
• Hepatitis B Surface Antigen (HBsAg)
• Hepatiis A – proof of immunity is recommended for Food Handlers (Hep A IGG + of Vaccination)
• Syphilis Test – RPR, VDRL, or TPHAUrine drug screen (Amphetamine, Cocaine, Marijuana, Opiates & PCP)
• ECG, if age is equal to or greater than 40 years
• Copy of personal immunization records (if available)

The need for a chest x-ray seemed excessive until I was told that chest x-rays test for tuberculosis -- one of those diseases most Americans encounter in stories, than in real life (in my mind). Extensive drug test -- that is to be expected. All the rest, well, okay.