@izzythepush,
Pilots have to go regularly to
Aeromedical Examiners, either working in private practice or employed by an airline.
As far as I know, this wasn't the case here.
Though there are 8 doctor practices doing certified aeromedical examinations in Düsseldorf, Düsseldorf University Hospital doesn't have such a department or such specialists. Besides that, he had been there in February and on March 15 for "diagnostic clarifications", which led to those "sick notes".