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Driver & Vehicle Examination Report Violations

When drivers get pulled over to get their vehicle inspected, sometimes it’s not just the vehicle which is out-of-order but the driver himself.  Needless to say, usually citations will be issued affecting both driver and vehicle.  What were some of the common violations that drivers presented to our office with Last month?  Violation of 391.41(a), “operating […]

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How truckers figure into a bold plan to upgrade New York City transportation: Land Line Magazine

How truckers figure into a bold plan to upgrade New York City transportation: Land Line Magazine. Randolph Rosarion · Works at Sands Point Medical Rehab  It’s expensive already to live in NYC, low middle or high income, most of us would not welcome additional tolls in bridges that have been toll free way before our […]

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Things to remember for your DOT Physical.

1.  You must see a certified doctor listed in the National Registry of Certified Medical Examiners NRCME. It’s the law and all the States are following the new Federal requirements, as far as I know.  if you see a doctor who is not listed in the NRCME a.k.a. ” Not Certified”, your medical examiner’s certificate […]

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391.62 Exempt Intracity Zone

Originally posted on DOT FMCSA-FAA-USCG-Rules-Regulations| Randolph Rosarion M.D.:
…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…

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The Federal Vision Exemption Program-New Proposed Changes and Distinction from 49 CFR 391.64

Originally posted on DOT FMCSA-FAA-USCG-Rules-Regulations| Randolph Rosarion M.D.:
Federal Vision Exemption Program:  The current Vision Exemption Program was established in 1998.  It was preceded by the Vision Waiver Program of 1992.  The criteria used to determine commercial driver eligibility, as well as the condition and reporting standard that must be met by drivers approved…

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2014 in review

The WordPress.com stats helper monkeys prepared a 2014 annual report for this blog. Here’s an excerpt: A New York City subway train holds 1,200 people. This blog was viewed about 3,900 times in 2014. If it were a NYC subway train, it would take about 3 trips to carry that many people. Click here to […]

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Three Ways For Drivers To Save On Their Next DOT Physical!

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 […]

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Blood Pressure Monitoring Kiosks Aren’t for Everyone?

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 […]

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Commercial Drivers and Neurological Hearing Disorders

Originally posted on DOT FMCSA-FAA-USCG-Rules-Regulations| Randolph Rosarion M.D.:
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…

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CDL Downgrades. What you can do about it.

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 […]

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New Rules! For DOT Physicals.

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 […]

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MedlinePlus: Preparing for surgery when you have diabetes

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 […]

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FMCSA Denies OOIDA Request To Delay The Compliance Date For Seeing Medical Examiners Listed In The National Registry

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, […]

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Drivers Physicals Must Now Be Performed by Certified Medical Examiners – News – TruckingInfo.com

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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Researchers say Hispanics with sleep apnea may also have hearing loss | Voxxi

In addition to the other risks associated with sleep apnea such as diabetes, stroke, cardiovascular disease and hypertension, increased hearing loss has been found in a study of Latinos in a Hispanic Community Health Study.  Hispanics are reported to be more likely than other groups to experience sleep apnea and in the study a 31% […]

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Insulin Treated Diabetes Mellitus-Tips on Applying for a Federal Exemption

      Insulin Treated Diabetes Mellitus (ITDM):  Tips on applying for an exemption.  Call 718-701-5949 for an appointment. If you are a commercial driver using insulin to treat your diabetes, as you should be aware of already, you will need an exemption from the FMCSA in order to operate in Interstate Commerce.  The package […]

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Understanding the National Registry Of Certified Medical Examiners Program 05/08 by Aubrey Allen Smith | Current Events Podcasts

Drivers, motor carriers, examiners stay tuned and mark your calendar for the upcoming show with veteran trucker and host of Blog Talk Radio Allen Smith as he talks to Elaine M. Papp RN, MSN Division Chief for the FMCSA Office of Medical Programs.  The topic? they will discuss the National Registry of Certified Medical Examiners […]

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Sleep Apnea Monitoring and Testing

Drivers with a diagnosis of sleep apnea and undergoing treatment, please be reminded that there are certain requirements for monitoring and testing. Often times, drivers come in and say that they have sleep apnea and are on CPAP, but they haven’t seen their sleep specialist in years.    Sometimes I get a letter from the sleep […]

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