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Question: Will I be able to renew my credentials if I have had a heart attack or have sleep apnea or even both?  

Answer courtesy of Margaret Strozyk-Hayes, a maritime licensing consultant based in Seattle:

Mariners should not have the fear that their condition or medication wil automatically eliminate their chances of renewal. I won't say it is not going to pose a challenge, but it certainly is not impossible. I spoke with the National Maritime Center (NMC) medical team at some length about this question. During our conversation I sked several medical questions on the behalf of mariners who struggle to renew, or have a sinking feeling that they will not be able to. They rovided me with some good insight and advice for mariners with medical conditions.

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