Okay, "For pilots whose medical certificate lapsed more than 10 years ago and those who have never held a medical certificate, a one-time medical certification will be required. " The word Lapsed has me confused. If someone had a 3rd class medical issued in 2005, would the 10 years start from the date it was issued (2005) or the date it lapsed which is 2010 (assuming he is under 40 years old)? To me this seems like a big deal. 10 years from the date is issuance is very different from the date it lapsed.