FAA to "check" overweight pilots for restful sleep..

Mailer

Veteran Expediter
Owner/Operator
Im totally against this BMI Sleep Apnea testing, Im a big guy always have been, in HIGH SCHOOL I wore a shirt with a neck size of 19 1/2 inches at 18....its crap, Im sorry CRAP, Lobbys for the Medical Industry especially the SLEEP INDUSTRY, thats a racket, have now got a willing partner who stands to reap profits from there FAT TRUCKERS...i went to a DOT clinic to get my CDL Upgraded and was given a DOT physical that was a Joke, by a Dr who was so short he needed a step stool to look down my throat, he glanced down my throat and gave me a questionairre, I answered honestly, one question said would you take a nap in the afternoon if you could, Since I drove all night, almost every night, I already took a nap in the afternoon, I answerd Honestly....

That started three months of BULL****... the same DOT clinis that gave me the worst physical Ive ever had then proceeded to hold my Medical card hostage until I went to there Sleep Lab....Now I had a job already and we were due to leave that Monday so I was given a home sleep test, when I woke up it was off, its battery had died during the night, when I took it in I was told, OH YES YOU HAVE SLEEP APNEA....Now I wasnt surprised as the railroading was just getting started, Blackmailed into using a CPAP machine, I had to and then had to be checked every 30 days...it was ridiculous....

I could not sleep with a machine blowing air into my lungs with each breath, it was far too forceful, and I asked for it to be adjusted and was told OH NO you must use it at this setting, I gave it three months, I started to feel like a zombie, I was losing sleep, I actually took it off so I could sleep each night because I had to drive each day/night....I could not sleep with this machine ....

I finally had enough, I wnt to a specialist, I asked for him to look at my Physical, to examine me, my BP was good, Im a healthy BIG MAN....He said you definaetly DO NOT need the machine and took care of the paperwork and got me my Medical card renewed for 2 years....Now this LAW is going to have that effect on many guys....Some guys may find it helps, GOD BLESS YOU if its the magic device youve needed, But for me and many others its a FORCED MEDICAL DEVICE AND COST I DONT NEED...

WHY because some LOBBY who manufactures CPAP and runs an Industry that needs Patients, YOU, and anyone elese they can convince this is needed for fat people, frankly its an affront to me, an insult that this industry believes FAT PEOPLE are so unhealthy.....we are not !!!

Many skinny people have Diabetes, Blood Pressure issues, and many other medical conditions but your going to target me and Im **** sick of it. Its time we had some representation in this and some voice and if this ever comes up for testimony in DC, Im going....My driving record is flawless, my accident record is ZERO, my Inspections have been PERFECT, Ive never had a freight claim, Never damaged anything, Never fell asleep or been sleepy behind the wheel....In fact Im just the opposite, I enjoy driving, Im energized and enjoy every mile, no matter where its at, I LIKE TO DRIVE....and If I thought for one minute I was danger to anyone, ID QUIT TODAY....

The Sleep Lobby can kiss my grits, and there mandates and there boards....when THEy ARE ALL TESTED THEY CAN TEST ME, till then Im an American I work for my living and Im insulted and angry they assume because Im a LARGE MAN im a danger....take your busy body lobbys and Sleep Industry money and put it where the sun dont shine !!!!

I hear ya Don:) I'm glad you found a competent and caring physician who is willing to take time to evaluate your case on an individual basis. There's not a lot of Marcus Welby MD left these days. Yeah! Agree! The first doc can kiss my grits too!:):)
 

pearlpro

Expert Expediter
If a Doctor had a MD certificate, who is to tell him hes Incapable of giving a basic physical, Ive had many physicals over the last twenty years, some were 15 mins and Thanks for your $$$$ and some were tough, and thorough....Now if they want to give us a better Physical set to standards, DONT GOT TO A DOT CLINIC....those places fail and there just money mills, Id name one but Id get Sued, but this CLINIC if it can be called that , everytime Ive gone there its a joke....they pass as many through the doors as possible and CASH IN....

My Doctor, whose an Older Greek man, doesnt believe in an easy Physical, he really checks you out from the "GLOVE" To Running in place, and deep knee bends, Reaching, Grabbing, and Breathing tests....He tests so well after Im done, and I pass I have great confidence that I am healthy, and capable of this job, Unlike the money mills, whose Physical consists of Turn your head, cough, do you feel alright, do you have any Issues, Ok PASSED....leave your CASH at the door.....
 

zorry

Veteran Expediter
Nobody will tell the Doc he's not capable.
Someone will tell YOU that your physical is invalid if you used an unauthorized doctor.
 

layoutshooter

Veteran Expediter
Retired Expediter
Nobody will tell the Doc he's not capable.
Someone will tell YOU that your physical is invalid if you used an unauthorized doctor.

Yep. Starting, I think next May, we are REQUIRED to get our DOT physical at a doctor that is "approved" by the federal government. That SHOULD scare the socks off of anyone.
 

OntarioVanMan

Retired Expediter
Owner/Operator
my doctor and even the physicians assistant/PA was approved recently...no problem.....appears it is just a formality....they apply (no charge). the feds just added more red tape....
 

cheri1122

Veteran Expediter
Driver
It would be so nice to see, just for a change, the guilty parties penalized, and the rest of us left alone.
:mad:
 

OntarioVanMan

Retired Expediter
Owner/Operator
would be nice if this sewing circle of old hags would know of what they speak...instead of making things up....they have no idea what is required of a dr application form....a standardized test would be nice, because apparently it isn;t that way...
 

layoutshooter

Veteran Expediter
Retired Expediter
would be nice if this sewing circle of old hags would know of what they speak...instead of making things up....they have no idea what is required of a dr application form....a standardized test would be nice, because apparently it isn;t that way...


Wrong. It is now very involved and expensive to become an "approved" doctor. It will drive up costs.

http://nrcme.fmcsa.dot.gov/about_faqs.aspx
 

OntarioVanMan

Retired Expediter
Owner/Operator
from the site...I suppose my doctor took the test online

The testing organizations may administer the exam at a testing facility where candidates can take the examination using test booklets and test forms, or using computer terminals. Or, alternatively, the testing organization may provide an on-line testing option where the candidate may take the test from his or her office or other location provided the testing organization has a monitoring mechanism to detect cheating or other inappropriate activity during the on-line test.
 

layoutshooter

Veteran Expediter
Retired Expediter
My doctor said it was just an app form....he didn;t mention if money was involved....

Your DR is wrong. Check the link. There is rather extensive training needed. It is NOT free. Those costs will be passed on. The fewer DR's that do it, the higher the cost to the driver.
 

DieselDriver

Seasoned Expediter
If professional drivers got paid what pro athletes get paid we would be in great shape, but, people in great shape have medical problems also while driving.
 

cheri1122

Veteran Expediter
Driver
Your DR is wrong. Check the link. There is rather extensive training needed. It is NOT free. Those costs will be passed on. The fewer DR's that do it, the higher the cost to the driver.

"Rather extensive training"? I guess that's relative: I found a dozen offers for online and/or video training of 8 hrs, for which the Doctor is credited with 8 hours of Continuing Medical Education.
It may be different now, but when I was nursing, nurses were required to obtain 24 hours of CME credits every 24 months [for licensure renewal], but doctors were required to obtain none - all were voluntary.
The cost [$395 at one site] is fully tax deductible, so there is no excuse for passing it on to patients/drivers, but it won't surprise me when the doctors hike their fees for it. :mad:
 

layoutshooter

Veteran Expediter
Retired Expediter
"Rather extensive training"? I guess that's relative: I found a dozen offers for online and/or video training of 8 hrs, for which the Doctor is credited with 8 hours of Continuing Medical Education.
It may be different now, but when I was nursing, nurses were required to obtain 24 hours of CME credits every 24 months [for licensure renewal], but doctors were required to obtain none - all were voluntary.
The cost [$395 at one site] is fully tax deductible, so there is no excuse for passing it on to patients/drivers, but it won't surprise me when the doctors hike their fees for it. :mad:

Just going by what a DR on the radio said. He claimed a 40 course, mandatory, US government course.

I too had to have CME when I was an EMT. Normally was a week long course, about 3-5 hours per day, per year. CME depended on the state.

Funny, we begrudge doctors, who have untold hours of training and responsibility, what they make be have little problem with those in baseball, football or movies, who have ZERO responsibility, what they make.

ALL nurses, DR's, Paramedics, EMT's have to deal with life and death, NONE are paid what they are worth. As with firefighters, most EMT's are not even paid, yet face the same legal problems as the paid people do.

Tax deductions are a joke, as everyone in business understands.

I would MUCH rather see a doctor, nurse, EMT/PARAMEDIC make more than they do than see a "Cano", who does NOTHING but play, and is making 200 MILLION over the next ten years. Our priorities as a Nation, and who we are willing to pay who, for what, SUCK!
 

ATeam

Senior Member
Retired Expediter
The info (link) Layoutshooter provides about this ME program is interesting. It appears in this piece that the FMCSA is telling doctors that drivers "In team operation, drivers share the driving by alternating 5-hour driving periods with 5-hour rest periods."

That was true several years ago but a rules change rendered it untrue. But through its mandates, the FMCSA is teaching this to the medical examiners who, by enrolling in the program become an extension of the FMCSA bureaucracy.

This is a great program for the FMCSA bureaucrcy. They get an army of examiners medical information and putting it into a database like never before. How it will play out on the ground remains to be seen.

Requiring questionable, "money mill" medical examiners to complete a course to continue doing exams makes them no less questionable after the course is completed. It may even give the money mills an edge over the competition -- that is, the real doctors who would give a good physical but won't bother getting certified as a medical examiner because they don't do enough of them to make the certification and reporting worth the bother.

Instead of reducing the money mills, this new requirement may supercharge them.
 
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cheri1122

Veteran Expediter
Driver
Just going by what a DR on the radio said. He claimed a 40 course, mandatory, US government course.

"Just going by what [anybody] on the radio said" is how misinformation travels. You found the link to the correct info, but you didn't check to see whether it was what the Doc on the radio claimed?
BTW: I don't begrudge doctors what they earn, but I don't appreciate the use of smokescreens to justify money grabs, which is what it will be if doctors hike prices for a DOT physical. The tax deductible 'training' is [or should be, but it's only mandatory for nurses, EMTs, etc - it's voluntary for doctors.] a regular part of keeping up with the changes in practicing medicine. The exam itself involves no more paperwork than an office visit with insurance info to be filed for reimbursement. But you watch: doctors will cite the requirements as justification for charging a lot more for a DOT physical.
 

layoutshooter

Veteran Expediter
Retired Expediter
Just going by what a DR on the radio said. He claimed a 40 course, mandatory, US government course.

"Just going by what [anybody] on the radio said" is how misinformation travels. You found the link to the correct info, but you didn't check to see whether it was what the Doc on the radio claimed?
BTW: I don't begrudge doctors what they earn, but I don't appreciate the use of smokescreens to justify money grabs, which is what it will be if doctors hike prices for a DOT physical. The tax deductible 'training' is [or should be, but it's only mandatory for nurses, EMTs, etc - it's voluntary for doctors.] a regular part of keeping up with the changes in practicing medicine. The exam itself involves no more paperwork than an office visit with insurance info to be filed for reimbursement. But you watch: doctors will cite the requirements as justification for charging a lot more for a DOT physical.

The doctor in question was on the OODIA show.I got the link from that show. ALL doctors, nurses, EMT/Paramedics are underpaid. I don't know if ALL states don't have requirements for DR's to have CME. Both states I was an EMT in, as was my wife, required it for EMT/Paramedics and flight nurses. ( I there had been a flight nurse position when I was young, I would have LOVED to do that job)

As to the government program, it is a JOKE as ALL regulatory things with this government are.
 

cheri1122

Veteran Expediter
Driver
The info (link) Layoutshooter provides about this ME program is interesting. It appears in this piece that the FMCSA is telling doctors that drivers "In team operation, drivers share the driving by alternating 5-hour driving periods with 5-hour rest periods."

Good catch, lol. Misinformation at its' finest.

That was true several years ago but a rules change rendered it untrue. But through its mandates, the FMCSA is teaching this to the medical examiners who, by enrolling in the program become an extension of the FMCSA bureaucracy.

This is a great program for the FMCSA bureaucrcy. They get an army of examiners medical information and putting it into a database like never before. How it will play out on the ground remains to be seen.

They've already had access to this info, how does this change that?

Requiring questionable, "money mill" medical examiners to complete a course to continue doing exams makes them no less questionable after the course is completed. It may even give the money mills an edge over the competition -- that is, the real doctors who would give a good physical but won't bother getting certified as a medical examiner because they don't do enough of them to make the certification and reporting worth the bother.

This is exactly on point: my regular family doctor, who has examined and treated me for years, won't do the DOT exams for the reason you cited, so I have to find a doctor who doesn't know anything about me at all. Brilliant reasoning: not.

Instead of reducing the money mills, this new requirement may supercharge them.

It's going to make money for some, and cost money for us. I understand the reason [drivers using forged certs], but think a better approach would be to beef up the penalties significantly for the cheating drivers.
 

layoutshooter

Veteran Expediter
Retired Expediter
" but think a better approach would be to beef up the penalties significantly for the cheating drivers."

It would be IF safety was the primary goal of the new regulations, which it is not.
 

zorry

Veteran Expediter
I think the problem is Chiropractors and such doing physicals.

You got ten fingers, ten toes ? Yeah, you pass. Give me $60.
 
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