Docs’ sleep apnea approach getting aggressive — and confused?
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Board Certified physician in Physical Medicine & Rehabilitation (PM&R) Board Certified American Board of Pain Medicine Certified National Registry of Certified Medical Examiners (NRCME) Certified Medical Review Officer (MRO)
Follow up and continuation from an earlier post addressing hearing disorders: The Deaf CMV driver-Hearing Requirements… Commercial drivers with hearing disorders or trauma, who have symptoms that may interfere with driving, such as balance problems and dizziness need further evaluation by a specialist before they can be certified. The Conference on Neurological Disorders and Commercial Drivers convened […]
Originally posted on Truck Driver Physicals| Queens, NYC:
? What are the hearing requirements and how do they differ from the vision requirements? ? As per FMCSA 391.41 (b) (11): “A person is physically qualified to drive a commercial motor vehicle if that person — First perceives a forced whispered voice in the better ear…
It is vital for patients to discuss all their medications with their personal physician. When it comes to diabetes more than 21 million Americans are affected. After hypertension, many of the commercial drivers that come in for a DOT physical will have pre-diabetes or diabetes. Most patients in general, (including commercial drivers) are not fully […]
Originally posted on dotphysicalblog|Queens, NYC:
I hope that Bill Maher doesn’t mind I borrow the title of this post from that popular segment of his on HBO, but I do think the time is ripe for New Rules! for DOT physicals that is. As everyone should be aware of (by everyone I mean truck drivers,…
…and while we’re at it let’s talk again about 391.64, since both 391.62 and 391.64 can be a source of confusion. We saw in an earlier post that when filling out the medical examiner’s certificate certain boxes can confuse medical examiners, drivers, and motor carriers. The box “qualified by operation of 49 CFR 391.64” is […]
What is the minimum age required to drive a commercial motor vehicle in Interstate Commerce? and what does Federal regulations say about proficiency in English. c) Minimum age and experience requirements. No person shall drive, nor shall any motor carrier require or permit any person to drive, any motor vehicle unless such person possesses the […]
The purpose of the evaluation is to certify that mariner applicant is capable of performing the tasks necessary during ordinary and emergency times aboard ship or vessel. What are the tasks required of the mariner- to be performed without the need for assistance? Under ordinary ship board functions: Ability to maintain balance and equilibrium while […]
The article “Disqualified” appeared in Overdrive magazine in 2006. Although somewhat dated, it gives valuable insight into the commercial driver with impairments caused by physical or medical conditions. It tells of the personal hardships they endure after being disqualified at a DOT physical, sometimes after decades of safe driving. This is both a shock and disappointment […]
1. First thing first do it right the first time. What I mean by that is that if you don’t know by now you must have your physical performed by a certified medical examiner. Your doctor must be certified and listed in the National Registry of Certified Medical examiners or else your medical examiner’s certificate will be […]
Drivers, not only is cuff size important as explained in this article from the FDA, but also remember that hypertension is not diagnosed with just one reading. Several readings (2-3 readings made at 3 or more separate visits) with your personal physician is usually necessary to see if the elevation is sustained and to diagnose […]
Originally posted on dotmedicalexaminerblog|Queens, NYC:
Follow up and continuation from an earlier post addressing hearing disorders: The Deaf CMV driver-Hearing Requirements… Commercial drivers with hearing disorders or trauma, who have symptoms that may interfere with driving, such as balance problems and dizziness need further evaluation by a specialist before they can be certified. The Conference…
Many drivers have called and coming in because they have received a downgrade letter in the mail from the Department of Motor Vehicles (DMV). If you failed to return your self certification letter to tell the DMV the type of driving you engage in or expect to, that is usually the reason for that dreaded letter […]
I hope that Bill Maher doesn’t mind I borrow the title of this post from that popular segment of his on HBO, but I do think the time is ripe for New Rules! for DOT physicals that is. As everyone should be aware of (by everyone I mean truck drivers, doctors, motor carriers, and any one […]
After hypertension (high blood pressure), diabetes is probably the most common problem encountered during the DOT physical examination. In the last group of drivers we evaluated, approximately 4 drivers in a row tested positive for glucose in their urine. Some confessed that they were previously diagnosed but didn’t disclose it right away and others were […]
As reported in Overdrive late yesterday afternoon, the FMCSA denied the OOIDA’s legal petition filed on April 8, 2014 for a delay to the enforcement date of the National Registry of Certified Medical Examiners (NRCME). The OOIDA felt there would not be enough medical examiners available to serve the 4.4 million plus commercial drivers. However, […]
As a reminder to all commercial drivers, CDL, non-CDL, and CLP holders, all commercial driver physicals must be completed by medical examiners listed in the National Regisstry of Certified Medical Examiners. The mandate went into effect last Wednesday 5/21/2014. Click the link to the NRCME given and also use various apps and tools available such […]
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