Medical History

Topic 18787 | Page 1

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Jason V.'s Comment
member avatar

Hello, I was wondering if anyone knows whether or not a dot medical examiner will look at/ have access to medical history and prescriptions from other Dr's?

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

Tractor Man's Comment
member avatar

You must supply ALL of that information on the forms you will fill out. DO NOT LIE. Do not provide information not asked for but be truthful. Any false information could cause you more trouble than you would ever want to deal with. It is a FEDERAL Form!

Tractor Man's Comment
member avatar

Since this is your first visit to the Forum, here are a few links to get you started:

High Road Training ProgramPaid CDL Training ProgramsTruck Driver's Career Guide

CDL:

Commercial Driver's License (CDL)

A CDL is required to drive any of the following vehicles:

  • Any combination of vehicles with a gross combined weight rating (GCWR) of 26,001 or more pounds, providing the gross vehicle weight rating (GVWR) of the vehicle being towed is in excess of 10,000 pounds.
  • Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing another not in excess of 10,000 pounds.
  • Any vehicle, regardless of size, designed to transport 16 or more persons, including the driver.
  • Any vehicle required by federal regulations to be placarded while transporting hazardous materials.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

Hypertension:

Abnormally high blood pressure.

Sleep Apnea:

A physical disorder in which you have pauses in your breathing, or take shallow breaths, during sleep. These pauses can last anywhere from a few seconds to a few minutes. Normal breathing will usually resume, sometimes with a loud choking sound or snort.

In obstructive sleep apnea, your airways become blocked or collapse during sleep, causing the pauses and shallow breathing.

It is a chronic condition that will require ongoing management. It affects about 18 million people in the U.S.

BMI:

Body mass index (BMI)

BMI is a formula that uses weight and height to estimate body fat. For most people, BMI provides a reasonable estimate of body fat. The BMI's biggest weakness is that it doesn't consider individual factors such as bone or muscle mass. BMI may:

  • Underestimate body fat for older adults or other people with low muscle mass
  • Overestimate body fat for people who are very muscular and physically fit

It's quite common, especially for men, to fall into the "overweight" category if you happen to be stronger than average. If you're pretty strong but in good shape then pay no attention.

Jason V.'s Comment
member avatar

Right I understand that part. But will dot examiner be able to see what precriptions I've had? I had a brief script for narcotic while unemployed. I'm no longer taking them. The reason I was on them will not easily be explainable to dot physican. Now med card needs renewed and need to get job in near future. I'm just concerned I will be disqualified and have to go through an sap program. This was a brief thing 2 month script. No physical problems at all...I'm healthy and can handle a rig as well as anyone. But in my medical records it will state a not very good reason for having them.

SAP:

Substance Abuse Professional

The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

Trucker Kearsey 's Comment
member avatar

No one has access to your medical records unless you sign an HIPAA form granting such. You will sign one for the doctor.of the DOT exam to give into to the company, but they do not have access to your past without your permission.

With that said. They will want to know all meds taken since your last DOT physical. Lie and have an accident and a.lawsuit brings it up....well...you just ruined your career. And could possibly be prosecuted for various crimes.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

Tractor Man's Comment
member avatar
had a brief script for narcotic while unemployed. I'm no longer taking them.

You say it would be hard for you to explain. How hard would it be for the Prescribing Doctor to EXPLAIN? Was it one of those "Pain Clinics" that prescribe Oxy to anyone that walks in the door with CASH? Just curious! Personally I would disclose it and make sure the reason matches the Doctors "Diagnosis".

good-luck.gif

HOS:

Hours Of Service

HOS refers to the logbook hours of service regulations.
Rick S.'s Comment
member avatar

On the fence on this one myself. We pretty much recommend HONESTY when it comes to DOT med forms. The med form asks for surgeries - it DOES NOT ASK FOR PRESCRIPTIONS - except those you are CURRENTLY TAKING. (not ones you have taken in the past - or since your last DOT Physical).

https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/MedicalExaminationReportFormMCSA5875.pdf

If you had a MEDICAL CONDITION that required pain meds (embarrassing as the condition might be to explain) - then go ahead and disclose it. If you were on say, SUBOXONE to detox from an addiction - this is going to throw RED FLAGS.

You will not necessarily get SAP'd for a legitimate condition. I had a major hernia surgery last year - plenty of yummy meds. I'll declare the surgery, can provide a surgical report, and a release to full duty from the surgeon. Beyond that, they don't know what I've been on - and am NOT CURRENTLY PRESCRIBED. SInce the surgery was almost a year ago -

Since we're all kind of ANONYMOUS HERE - in a nutshell - what kind of issue did you have that required 2 months of narcs? SInce you are concerned about a possible SAP - was it related to SUBSTANCE ABUSE? It would be way easier to render advice, if we had a little better clue what the circumstances were.

If you have a current DOT Med Card - and are just walking into some "random clinic" to renew, chances are that not much is going to be dug into too deeply. A pre-employment physical may go deeper - if you have conditions that require them to ask for medical records. If your primary physician was the prescriber, then chances are the prior prescription will be disclosed.

AS LONG AS THE MEDS WERE A GOOD WAYS IN THE PAST, chances are you will not have to worry about any SAP involvement. OTOH - if they do a HAIR FOLLICLE DRUG SCREEN and you are still hot for them - you have a problem.

Again - you ANSWER HONESTLY WHAT IS REQUESTED (and prior prescriptions are not requested). Question 31 may be an issue, if you've been using ILLEGAL SUBSTANCES - but I wouldn't necessarily cop to snorting rails off the bellies of strippers at a bachelor party, if I was sure it was long enough ago that it wasn't going to show on ANY DRUG SCREEN.

But again - if you give us some MORE DETAIL on your circumstance - we might be able to offer some better advice.

Rick

CSA:

Compliance, Safety, Accountability (CSA)

The CSA is a Federal Motor Carrier Safety Administration (FMCSA) initiative to improve large truck and bus safety and ultimately reduce crashes, injuries, and fatalities that are related to commercial motor vehicle

FMCSA:

Federal Motor Carrier Safety Administration

The FMCSA was established within the Department of Transportation on January 1, 2000. Their primary mission is to prevent commercial motor vehicle-related fatalities and injuries.

What Does The FMCSA Do?

  • Commercial Drivers' Licenses
  • Data and Analysis
  • Regulatory Compliance and Enforcement
  • Research and Technology
  • Safety Assistance
  • Support and Information Sharing

SAP:

Substance Abuse Professional

The Substance Abuse Professional (SAP) is a person who evaluates employees who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.

DOT:

Department Of Transportation

A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.

State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.

Fm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.

HOS:

Hours Of Service

HOS refers to the logbook hours of service regulations.
Tim F..blujay jr.'s Comment
member avatar

You must supply ALL of that information on the forms you will fill out. DO NOT LIE. Do not provide information not asked for but be truthful. Any false information could cause you more trouble than you would ever want to deal with. It is a FEDERAL Form!

hello eveyone and tractor man thanks for the comments and posts ill admit i am also worried about D.O.T medical issues and i actually practise staying in decent shape butt cigs,,lousy habits,dull meals have me concerned...... also i am new to this world again so ????????? unrealeted ? what gives with these fellas on youtube i mean i nicely tryed to contact atleast 7 of the top dudes got blownoff by everyone of them ??is there somehow a profit issue with youtube i have no clue,, ask for advice get blownoff is rude ,,,strange as they all talked well and seemed sincere in there videos ok yu all have nice days thanks always for the input tim f

Dm:

Dispatcher, Fleet Manager, Driver Manager

The primary person a driver communicates with at his/her company. A dispatcher can play many roles, depending on the company's structure. Dispatchers may assign freight, file requests for home time, relay messages between the driver and management, inform customer service of any delays, change appointment times, and report information to the load planners.
Jason V.'s Comment
member avatar

Well to be totally honest. I had a headache/ head pain along with severe neck pain. Could barely turn my head sounded like gravel when I turned my head. I believe I was poisoned at work....very long story. I know sounds crazy as hell. But it is true. Anyways Dr's couldn't find anything wrong. Said take ibuprofen. Already tried that with no relief at all. Worst headache of life 24/7 for 5 months. So....my friend gave me his script of vicodin. They helped. So for a few months I took them everyday. Then same guy who poisoned me broke into my home while at work. I quit job same day. Moved to wisconsin. Went to Dr. Told him everything. He agreed to give me 2 month script to ween off....did drug test to confirm. Also on drug test was mariuana as I par took with some friends the week before I moved. As i knew i wouldnt have job for 2 or 3 months. I am clean on pot now. Will never go back to that. Have one vicodin left it will be gone tonight. I haven't worked since December 6th the day my home was burglarized. Also the guy who did all that poisoned my dog to gain entry. I have pics of drugs in meat that my dog didn't eat. Thank God. She ran out of house at chance of freedom. Full police report also. So that's my situation. I know it's as crazy as story as you'll ever heat. But I swear on my life it all to be true. The headache has went away except maybe once a week or so. Comes back with extreme stress or emotion. My ears still ring constantly also. I read online about all the symptoms I've had. Suggests heavy metal poisoning. Again Dr's checked for lead an copper found nothing. Other than ears ringing I'm healthy. Ive been class A for 4yrs never had any violation or accident of any kind. I was very very good at my job. 36yrs old also been heavy equipment operator for 20yrs. I'm too scared to go take test an lose my cdl. But I guess I will lose it either way if I don't renew my medical. Im not a lier an hate to lie to examiner saying no meds. But after today I won't be on anything. Just worried he will see script or the drug test in my primary physicians medical history. I need my life back on track.

CDL:

Commercial Driver's License (CDL)

A CDL is required to drive any of the following vehicles:

  • Any combination of vehicles with a gross combined weight rating (GCWR) of 26,001 or more pounds, providing the gross vehicle weight rating (GVWR) of the vehicle being towed is in excess of 10,000 pounds.
  • Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing another not in excess of 10,000 pounds.
  • Any vehicle, regardless of size, designed to transport 16 or more persons, including the driver.
  • Any vehicle required by federal regulations to be placarded while transporting hazardous materials.

DAC:

Drive-A-Check Report

A truck drivers DAC report will contain detailed information about their job history of the last 10 years as a CDL driver (as required by the DOT).

It may also contain your criminal history, drug test results, DOT infractions and accident history. The program is strictly voluntary from a company standpoint, but most of the medium-to-large carriers will participate.

Most trucking companies use DAC reports as part of their hiring and background check process. It is extremely important that drivers verify that the information contained in it is correct, and have it fixed if it's not.

Jason V.'s Comment
member avatar

So what if I went to my primary care dr. And he did a drug test an I test positive for mariuana use during a time in which I was completely unemployed. It is now in my medical records. I had no job when I used and still don't 3 months later. I am not using the herb anymore nor will in future as I moved out of state. It was a going away kinda thing and I don't even know anyone or anywhere to get any even "if" I wanted to. So my question is when I get my medical updated will examiner look at my medical records and see the hot test? I know I shouldn't with hold anything but I'm very afraid to disclose the past usage. Any help would be greatly appreciated. And believe me I too would not want someone behind a big rig on dope. But I never did drive during time of usage. I was unemployed. Everyone makes mistakes. I just figured I won't be working for 3 or 4 months an Id be ok. But forgot about question of drug use in last 2 years. An not sure how it works now with electronic medical records.

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