As a pilot you have a duty to notify your Aviation Medical Examiner (AME) if your fitness status changes significantly. This may require a period of unfitness and require you to provide appropriate medical reports to return to fitness. You may also be required to attend in person for a review before you can be returned to fitness. This process will incur a casework fee which will be based on the work involved.
If you have never previously had a aviation medical with me, unfortunately I cannot give you advice or process your fitness change until I have seen you in person due to the requirements for you to prove your identity. Please call to arrange an appointment.