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Q&A
Can a driver with lung disease get a DOT medical card?
Is the use of oxygen therapy a disqualifier?
Can I still drive if I have a blood clot in the lung?
I had lung surgery and a lobectomy a few years ago . Will this fail me on a DOT physical?
What does neck size, weight, and BMI have to do with the DOT physical exam?
What does snoring have to do with the DOT physical exam?
Can a driver with lung disease get a DOT medical card?
The medical examiner will evaluate your condition to determine how the lung disease may affect your ability to safely drive and perform other duties of a commercial driver. If you don’t have a medical opinion letter from a treating physician, you may need to go for a chest x-ray or pulmonary function tests before the medical examiner can consider certification.
Is the use of oxygen therapy a disqualifier?
Most likely, yes, oxygen therapy while driving is a disqualifier. The reasons are twofold: 1. Malfunction of the oxygen equipment. 2. Progression of the disease may be debilitating. You may be considered if you can pass a pulmonary function test.
I was recently diagnosed with COPD from exhaust leak in my semi. Can I lose my CDL because of this diagnosis?
The diagnosis of COPD is not, by itself a disqualifier for your cdl. It will/may have an effect while doing your medical examination and certification. Your best bet is to take any and all notation from your primary lung doctor with you when you re-do your medical exam and certificate. The examiner just needs to make sure your are fit to return to work without being a risk to yourself or the public at large.
Can I still drive if I have a blood clot in the lung?
With the blood clot in the lung, you want to make sure you bring a note from you pulmonary specialist stating you are good to go. The medical examiner will need a copy for your file when he does the exam.
I had lung surgery and a lobectomy a few years ago . Will this fail me on a DOT physical?
In and of itself, the lobectomy should not be an issue. But what was the reasoning behind the surgery? Your examiner will have other questions regarding the surgery and what its long term effects are, as well as, how it affects your ability to operate a commercial motor vehicle.
What does neck size, weight, and BMI have to do with the DOT physical exam?
Neck size, weight, and BMI are all just indicators that the medical examiner looks at to determine if you may have a condition that would impact your ability to safely drive a commercial vehicle now or for the period for which the medical card may be issued. There are currently no set specifics on these measurements in the DOT regulations. However, companies may set their own policies and have their own standards for these indicators, which may disqualify you to drive for that particular company.
What does snoring have to do with the DOT physical exam?
Snoring, in combination with obesity, can be highly predictive of obstructive sleep apnea risk. That said, even the loudest of snorers may not have a breathing obstruction. The sign that is most suggestive of sleep apnea occurs when snoring stops. If both snoring and breathing stop while the person’s chest and body try to breathe, that is literally a description of an event called an ‘apnea’. When breathing starts again, there is typically a deep gasp and then the resumption of snoring.
For the DOT physical exam the medical examiner evaluates your overall physical condition and health history to determine if there are signs of a medical condition that may affect your ability to safely drive a CMV. If the medical examiner has reasonable suspicion that you have sleep apnea you may have to go for an overnight sleep test called a polysomnogram before you can be further considered for certification.
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I had a spontaneous pneumothorax in may of 2024 and I am considering a career in truck driving. I was reading the handbook to get my cdl permit and I came across meeting the qualification of no respiratory dysfunction. when I google it AI says a Pneumothorax is considered a respiratory dysfunction and would disqualify you. I had a minimally evasive surgery to fix it and the pulmonary Dr. said that it would be fixed in a way that would never happen again. I would like verification on if this would be an immediate DQ?
@ Ryan
Not an instant DQ, but it will require some medical documentation from your pulmonary physician indicating correction of the situation. Also a medical release form from your treating physicians.
Went for DOT physical today. Passed everything, but because of ASTHMA , was told I have to go do a PFT/ Pulmonary fitness test. I’m a Intrastate driver only, getting a DOT card
Never in 37 years of Driving, That the doctor has said anything about this test.
Is this PFT test something new?
@ Richard
Nothing new. Just someone’s interpretation of the guide lines. If you feel that this is incorrect, you have the right to get a second opinion, some where else.
What is a oxygen level for DOT physical to pass
@ Ron S
It all depends on which condition you are talking about.
I have been put on supplemental oxygen and my doctor wouldn’t approve a DOT physical. I have mild COPD. I am already retired but am asking if I could still drive intrastate part time. Thankyou.
@ Jim C
Since you want to driver intra-state only, you need to check with your local DLD for their guidelines and regulations. Make sure, when you go for your DOT medical card, that the examiner knows the difference between federal DOT/FMCSA regs and your states regulations. They are different.
I was just told to get a Pulmonary Function Test done because I am a smoker with no breathing issues and I am 48 yrs old. Why am I getting this test done since I don’t have any breathing issues?
@ Robert B
The CME is either being very cautious or he suspect something. It is not a mandatory examination, only a precautionary measure. You could go for a second opinion.
If a person has been diagnosed as having sleep apnea, Is that an automatic denial of medical certification?
@ T S
No.
I have a lung disease called Langerhans Cell Histicytosis, I am on early oxygen therapy. Meaning I don’t need it to be able to breath, it just assist my breathing. I have two portable oxygen concentrators in case something happens to one I have a spare. Would the disqualify my from getting my CDL license in the state of Virginia?
@ Robert L
Lots will depend on the class cdl you are going for. Check with your local drivers license department (DLD) regarding specific conditions surrounding the cdl process.
If you have mild to moderate arterial sclerosis and mild emphysema with PAD can you pass aDOT physica?
@ Timothy
That will be up to the CME, based on his findings from your physical. He may request additional testing or documentation from your doctors.
I recently was diagnosed Chronic Bronchitis I had a pulmonary test done and the readings were as follows,
FVC is reduced [2.96L(62%)
FEV1is moderately reduced (1.97L (54%)]
FV1/FVC is normal[67%]
I am on 3.5L) of oxygen at night adapted to my cpap @ night is this a disqualifying medical condition?
@ William F
Right on the borderline, will fall to the CME’s decision.
I have been diagnosed with COPD since 2006 and had many physicals. But my last physical I was disqualified for a medical card for my COPD. I was wondering if there was any change in in the regulations for this year?
@ Charles
No major changes in the regulations. This falls to the medical examiners examination findings and interpretation of DOT/FMCSA regulations and guidelines.
I recently had pneumonia My doctor has put me on 2 inhalers every 4 hours , and also scheduled me for a pulmonary test . Can I go back to work with the inhalers and before I take the test
@ James
For a class A cdl, you will need a new medical certification examination before returning to driving.
The CME will have to make his final decision based on the information you will need to provide for him/her.
I did all dot physical test,but the examiner refuse to qualified me, because my breathing test was not enough to use a respirator mast, which they said required by dot, 60% to65%, and ihave only57%. is there a dot code required a %?
@ Elvis H
DOT/FMCSA is recommending 65% or better. The CME may request additional testing from a specialist before granting a medical certification.
I have been diagnosed with restricted lung disease and moderate persistant asthma.Could I still get a medical card?
@ Jim G
It will depend on the extent of the condition and it’s limitations. May require supporting medical documentation.
i have recently been diagnosid with COPD and am on oxygen i know that the bottled oxygen disqualifies me but if i can use a oxygen portable generator can i still pass my DOT phy i know the portable generator is FAA approved thank you .
@ Charles T
It is possible and will require supporting documentation and medical release forms from your doctors. Then it is up to the CME’s evaluation and risk assessment of you and your condition.
Hi. Because of covid I use a tracheostomy to help me breathe. Will this disqualified me.
@ Jose c
It will raise questions and will need supporting medical documentation from your prescribing physician.
My phrenic nerve was severed during heart surgery. Can I get my cdl back? My left lung doesn’t know what to do, so it acts alternate to what my right lung does depending on space in my diaphragm.
@ Ed J
Your question will be best answered by your local DLD. You would have to provide supporting medical documentation and have a medical release before passing your medical certification examination, which is required for a cdl.
Are Oxygen concentrators disqualifying if you have a Class A CDL? I know the use of oxygen tanks is prohibited because of risk of explosion etc. A oxygen concentrator doesn’t use tanks as it draws ambient air and filters it creating pure oxygen. How would this be a disqualifier when the FAA and DOT approve the use of concentrators on an aircraft both by Crew members and passengers?
@ Steven S
We do not believe that oxygen concentrators are a disqualifying item via DOT/FMCSA. There will be questions by the examiner as to why you use it and for what conditions. Those will be your only concern.
While getting my DOT physical in place, I had a second lung surgery to remove a cancerous nodule. My PFT was passed prior to the surgery. In order to pass the DOT physical do I need another PFT after surgery to pass?
@ William D
Yes. Since your condition and situation has changed, the CME will need the information to complete the medical certification examination.
I am 34 and I have PAH I take letaris and tadalfil daily can I still get my class a cdl?
@ Ant
It may be possible, but you will need to provide supporting medical documentation from your physicians before the CME will make his final decision.
My husband had a total laryngectomy and has a stoma can he get a school bus cdl
@ Meg
Since he will hold a lesser cdl for school bus, he then falls under the states guidelines for cdl holders. Confirm with your local drivers license department.
Hi just wondering how your husband is and what to expect..as my husband is scheduled for a total also..very scared ..there isnt much info from patients.
Hi meg.just wondering how your husband is doing? My husband is scheduled to have a total also..were very scared as we cant find anyone else to talk to that has gone through this..thank you
A few years ago I carried an oxygen concentrator with me into a DMV center to renew my driver’s license. At no time did I use it while I was there. I am prescribed oxygen at night only, and see my doctor regularly, and he tests and treats me for COPD.
A clerk who handled my paperwork for renewal reported that I had the concentrator, and must have known it wasn’t in use, refused to renew my license if I didn’t have my doctor fill out all the medical forms. This has been going on for several years. Each time my doctor indicates I am not impaired, and that I only require oxygen at night. I feel targeted, but don’t know how to resolve this.
@ Curious1
Your cdl is state issued and not federal. You would need to go higher up in the ranks of the drivers license department. Start with a supervisor and go up from there. Someone needs to take a serious look at this situation.
I had a upper left lobectomy done 7 years ago due to a rare cancer that was slow growing that i never knew i had. I found all this out through the er and was admitted to the hospital They removed my left upper lobe and I have never had any issues since then. I also have never seen a cancer doctor in my life I do not have to see a lung doctor at all anymore and have not in over 4 years. I have no breathing issues my O2 levels are always 99 to 100% I have never been on o2. Will I have any issues with this at all. When you listen to my lungs you can tell i do not have that lobe there anymore and i always have to tell anyone who is listening what happened and never had any issues. I have continued to work a physical demanding job over the years without any issues. Will I have a problem with this.
@ ReneeS
It may raise a few questions with the CME, but with a medical release form and some supporting medical documentation, you should be fine, if all else is within normal limits.
What level of reduced oxygen % saturation does TxDOT consider to be unsafe for a person to drive?
@ Barry
DOT/FMCSA has one set of saturations numbers for a class A driver and Texas may have another set if you are not a class A license holder. If your question is for Texas, then talk with your local drivers license department and ask what their guidelines and variances are.
I have pulmonary hypertension. Can I get a dot card
@ Matthew D
It ay be possible, but will require medical documentation for the medical examiner to make his final decision.
My husband is an over the road trucker, he recently started having asthma attacks ( newly diagnosis). He is going through the steps to get them under control. If he gets put on a nebuliser and truly has asthma will he be able to continue to drive?
@ April
When he is released to return to work, without restrictions or limitations, he will need a new DOT/FMCSA medical certification examination. The CME will need supporting medical documentation that the meds he’s on have been shown to be adequate, effective and stable. Meaning he has been on these medications long enough to rule out any unknown side effects. If all goes well, he will be able to return to driving and will need to carry a nebulizer with him at all time while driving.
Question what is a passing PFT number that disqualifys you from driving
@ Merry McC
Most drivers with COPD have a combination of chronic bronchitis and emphysema. The CME will not certify the driver until etiology is confirmed and treatment has been shown to be adequate/effective, safe, and stable. So it is not about the numbers, but more about the ability to perform the duties of a CMV operator.
Can I drive a city bus with portable oxygen tank? I have copd?
@ Jeff
You will need to check with your local drivers license department for the correct answer to your question. A lot will depend on the class of your drivers license and the states variances and regulations.
I’ve got a neuromuscular disability of a very slowly progressive nature. I have reduced pulmonary function as evidenced by 2 sets of tests over the past 18 months. Compared to my prime, it is perhaps 25% volume. Non-smoker, never smoked. Oxygen level in blood is always 96-98%, even with a chemical stress test or moderate physical activity such as climbing 40 stairs (on crutches). Obstructive sleep apnea but no problems with oxygen on CO2 levels. In process of jumping through insurance hoops to get a CPAP/BiPAP/VAPAP. Have driven passenger vehicle interstate on personal road trips in hot, humid weather without A/C, without issue. I somehow feel my chances would remain low. Is there a way to get an exam just to assess if I would have a chance to pass or guidance on areas in need of improvement? This would be a helpful first step before investing in any training.
@ Davos
You can check with any DOT certified examiner and explain your wishes. There should not be an issue. Just make sure they understand your position and wishes before going any further into the examination process.
Can I pass a DOT physical with a tracheostomy
@ Dan N
The tracheostomy is going to raise questions and the medical examiner is going to need documentation from your doctors. If the condition posses no limitations in your ability to operate a cmv safely and with very limited risk, then it may be possible
I got a letter from the doctor that treats my trache but even then not every doc is comfortable with it . I recommend using a doc that you have a relationship with and knows the complete picture of your history and health …..good luck fellow neck breather
@ Bigdad
We could not agree more.
I have cystic fibrosis would I be able to pass a DOT physical?
@ Andrew B
It would depend on the extent of your symptomatic picture. You will need supporting documentation from your doctors and a medical release also.
Cystic fibrosis does not disqualify, but the condition will raise questions. The CME will appreciate the documentation, it helps in his decision making process.
I currently have a medical card that expires on November 2021, however I am having surgery to remove fluid from my lungs due to vaping, will my medical card me revoked? Or is it still good until the expiration date
@ Alexander R
You will need a new medical examination once you have been released to return to work, without restrictions. Your old card will be invalid.
Are u required to pft test at your dot physical if you r a smoker thanks
@ Matt J C
If the examiner feels that there may be a problem or issue, then he may require the test. FMCSA guidelines recommends the test if questions come up and the examiner is looking at possible risk factors. The test results help in the CME’s decision making process.
Hi, my husband is a truck driver . We found out at the ens of Aug 2019 he has blood clots in his lungs. He went back to work about 2 weeks after his hospital stay because the dr released him and said he was good. Today he goes to a healthworks to get a drug screen, told them him was on warfin, the dr proceeded to tell him she could not clear him because he is not suppose to driving a semi for 3 months after being diagnosed with blood clots according to NY State. I have tried looking it up to see if she is correct and all i see is as long as the dr. Oks you you are able to drive. Can u clarify this. Ty
@ Cindy
The CME is reading the FMCSA guidelines and has interpreted them as a three month waiting period. FMCSA has guidelines on this issue, but the examiner has to interpret those guidelines, supposedly on a case by case situation. You are correct, the examiner has to address each case individually and make a risk assessment. You could get a second opinion.
My son has cold induced asthma and for recent job interview, where he will drive a company vehicle, ordered a DOT physical. Please note he is not applying for CDL this is just the type of physical the hiring company ordered. During examination, examining physician did not notate abnormal breathing, wheezing etc. However, solely because he checked yes to Asthma they will not sign off on the form until FEV1 and FVC (pulmonary lung function tests) are completed, even after we sent a letter from his primary care physician stated he has no asthmatic symptoms, and is not medicated other then having an albuterol inhaler when needed due to cold induced asthma.
In our area only a specialist will complete these tests and min cost 350 usd. When I called the examining physician to clarify this is only cold induced asthma and discuss letter provided by our regular physician, they stated testing is still needed due to “frequent use of albuterol” I explained he has not needed the inhaler in over a year. Is there a specific CFR regulation which refers to and/or defines “frequent” use of albuterol and is it really necessary for these additional tests?
@ Heidi
The medical examiner, apparently, does not understand the difference between a federal DOT medical card and your states variance medical card. Federal DOT medical examination guidelines were established for class A, long haul, big rig drivers, not a local vehicle driver. You may have to search for a CME who understands the difference. Your son does not fall under federal guidelines, but your states variances. Get a second opinion from a CME that knows the difference.
Can you carry a cdl if you have had 1 of your lungs removed?
@ Dana C
With proper medical documentation, you may be fine. Also depends on the class cdl your going for.
I am a VA Veteran diagnosed with COPD, my doctor has put me on supplemental oxygen for at least 15hrs a day, I drive a commercial city bus, I only have to drive for 8hrs and my VA dr says that I am ok to drive for those 8hrs without being on oxygen, I have a DOT physical coming up soon, should I mention this when I go to get my medical card renewed?
@ Michael T
You are not a class A driver and thus would fall under the states guidelines. Check with your state DLD for additional information.
Can a CDL A driver use a portable oxygen tank while driving?
@ Gene C
Depends on the cdl class and type of driving being done. Check with your local DLD for your states opinion.
…most cases, the use of oxygen therapy while driving is disqualifying. Concerns…Concerns include oxygen equipment malfunction, risk of explosion, and … ref: FMCSA
I had taken a medical exam to drive a truck between states. My history as a smoker lead to a breathing test where the results were inconclusive. The examiner signed my card for 3 months and told me if I go see a pulmonary doctor and they clear me the examiner will extend my card to the 2 year mark.
Saw a pulmonary Dr., said no COPD and test came back great, also said original examiner did the test wrong.
Go back to original examiner and now they are saying it is illegal to extend to the 2 year mark and ill have to pay the 100.00 again and take a new test with the people who got it wrong in the 1st place. Does this sound correct? Is it illegal to extend even though I fulfilled my part?
@ Nick
According to the FMCSA, it would be illegal to extend without a new medical examination.
I have stage 4 pulmonary sarcoidosis will I be able to pass my physical exam
@ Jared
The condition is going to raise questions and will require your most recent test results. Be as prepared as possible with medical release forms, without restrictions, and medical documentation.
A driver friend of mine in NC gets severe headaches. He has to pull over for 15 to 20 minutes to get oxygen which relieves the pressure while driving. Would this be something that will disqualify him from driving with a CDL-A. He thinks it might be allergy related, but has not been checked thoroughly by cat scan or MRI etc. for some other medical condition
@ Robert D
He really needs to determine the cause of his condition. Then he could determine how to treat it, correctly.
Can a driver be certified with a tracheostomy?
@ B. S
It is going to raise questions from the examiner. Be prepared with documentation and medical releases prior to the DOT examination.
I had a dvt and pe from this I did pass in the field i.e. my heart stopped before the defibrillator was used by the paramedic my heart started to beet on it’s owen this happened at work just after I backed into a dock I went down going to talk to the dock Forman ok a brief history about the clots they were developed from a on the job injury in my right ankle that is now a permanent injury I was on eliquest for 1 year clots are clear from my leg and lungs but was told if I am not careful another clot could develop because of the injury because of this I have been told I will be disqualified for life is this true
@ Ctf
You are going to need medical releases and doctors documentation from this point on. Your condition is going to present with plenty of questions from any CME/DOT examiner, so be prepared.
I was treated for PE that the workman’s comp commission determined occurred on the job. I was hospitalized for treatment. DOT regulations state that after having been hospitalized for PE that I was disqualified from work for 12 weeks, although the treating physician had released me and signed a return to work form two weeks after I was admitted to the hospital. As a side note I had a current prescription for Xeralto at the time of both exams.
After sitting on the sidelines for 12 weeks I had to go in for another DOT Fed Med exam, because of the PE I came away with a one year fed med card.
I have COPD I DO 2 INHALERS A PLUS I HAVE MY RESUE INHALER. I DRIVE A SCHOOL BUS IF I FAIL MY DOT PHISICAL BECAUSE I DONT PASS MY BREATHING TEST. CAN I FILE TEMPORY DISABILITY FROM MY WORK BECAUSE I NO THEY WILL LET ME GO. I LIVE IN NY STATE
@ Mark T
You need to check with disability for the best answer. Even with state variances for school bus drivers, you may have difficulty passing the medical certification examination.
Hi, I was shot in a robbery 2 years ago.. I had a collapsed lung and injured diaphragm. I completed a long function test and the result was I have 87% lung capacity on my right lung and 100% on my left lung… Will I be able to get Dr.s permission to drive a cmv?
@ Jeremy
Get a medical release form from your treating physician, with no limitations, and you should be good to go.
I was just told by my pulmonologist, after reviewing my recent sleep study, that he wants me to use oxygen while sleeping in addition to my cpap. Is this disqualifying if using ir only while sleeping?
@ Darrel
It is going to require additional information and documentation from your doctor. The CME will have questions and will need copies of your test results, before he will make any decisions.
My husband was just told the same thing O2 while sleeping with his CPap he is an OTR driver. So the concentrator would have to be in the truck. Will this also be up to the CME ?
@ Tammy
Yes. And he will need further medical documentation from his primary physician to support the need for the O2.
I was diagnosed with stage 3 COPD by my Dr. My number was 36. Just wanted to know if this will affect my medical card. Thanks
@ Michael
Your COPD is going to raise questions, so be prepared to provide supporting documentation and a medical release form from your doctors.
Surprised they don’t have yo on Oxygen with numbers that low. Mine are 39
Less than 30 the put you on lung transplant list.
Hello, I have sleep Apnea and a CPAP machine. I’ve been off the road for 5 years now, I wish to drive locally. I have a Class A. I also wear hearing aids as well. Is there any hope for a guy like me?
@ Darryl B
Plenty of hope for you.
I have Had to renew My CDL Class B the last two years Last year was the first time I had to be checked out for sleep Apnea. I went along with the Dr appointment then to the Special list who gave me a Take home test to do cause my insurance. I passed the test. Now this year i have to go back through all this mess again because a Substitute Dr filling in measured my neck which was the same size as last year “18 inches” the only difference is I gained weight, instead of losing. from this time last year. If i passed it once why am i being forced into to doing it again? this is a lot of money coming from a single fathers pocket cause my insurance wont cover it all. any help is welcomed
@ Adam L
If you had a sleep study done just last year, then you should not have to re-do the whole sleep thing again. Also, you are a class B driver being held as a class A examination?
O have not been driving since january my wife was in a car accident so I’ve been taking care of her had to get a linecook job my question is that my medical card expires 08/09/2018 and I have not been using my cpap machine since I’ve been off the road for six months
What to do since I have no report for my cpap machine
@ Natheil C
The examiner is going to need a 30 day readout, so the best you can do is start using the machine asap and hold on getting the new medical card examination until you can provide the needed documentation.
If a driver has a condition that requires a PICC line connected to a pump, is he still allowed to keep his CDL and drive bus?
@ Carol
School bus, tour bus, nursing home bus, would all fall under the states variances and your best answer will come from them.
Hi my friend was diagnosed with lung cancer he has completed chemo and the mass is reduced by more than half. He has no respiratory issues at all. It was just noted on a chest X-ray.
Can he still drive a commercial truck
@ Martin
If he can pass the DOT medical certification examination and supplies the CME with the proper medical release and documentation, then he should be good to go.
Pass as far as what test? Or examination ? Pulmonary function test??????
@ Martin
The DOT medical certification for commercial drivers. He may also be required to provide a copy of his last pulmonary function test.
I have coppel tunnel on both of my hands I just can put them flat down but have plenty of strength in them is this a problem for a dot phycical
@Jerry
It becomes more of an issue when you start losing feeling in your hands. Numb hands on the wheel do not give you good feedback as to what else may be happening with the vehicle. Outside the DOT you may want to find a doctor that does ART (active release technique) in your area to determine if they can help with your situation.
I am 39 years old with Hypothyroidism as my only health history in which I go to my family doctor every 6 months for a prescription and to monitor blood work. I am over all very healthy and fit. I went in for a medical exam yesterday they would not pass me because they said my urine showed a urinary tract infection went back today no sign of UTI, but now say since I am a smoker over 35 I have to pay out of pocket to have a lung capacity test. I have never had breathing problems of any kind. Is this really something I have to have done?
@ Jen
It is a recommendation from the FMCSA, but should have some supporting evidence before making that request. Go get a second opinion from another DOT examiner.
I use prescription oxygen when not at rest. When at rest, includes while driving I am able to maintain 92%-97%SpO2. I keep a generator with me so during hook up and stops at rest areas or any other non driving duties I am able to keep my SpO2 % in the 90’s.
So if I do not use supplemental O2 while driving am I legal. Class B pulling vacation trailers.
@ John
As an interstate driver you would have to explain to the examiner what your job entails and the amount of hours that you drive. You are class B, but hauling interstate, so make sure you have a medical release form from your doctor explaining your situation and have that in hand when you go for your DOT examination. The information helps the examiner make a more informed decision.
My significant other uses a CPAP machine regularly for sleep Apnea. When he needs the card read for his DOT physical in Wisconsin. I was wondering does it have to be read by someone official or can I print off the reports using the sleepyhead website, which are the same reports that gets printed off when we take the card into someone?
@ Heather
As long as the report is less than 30 days old, then you should be able to simply pull the report and print it for him to take into the examiners office.
I’ve had both a traumatic and a spontaneous Pneumothorax that required surgery. I’d like to obtain my Class A CDL as a plan B career plan. Is the history of a spontaneous lung collapse a problem?
@Mark
It will raise questions by the medical examiner so make sure you have a medical release form from your primary physician and your pulmonary specialist. The medical examiner may request a recent pulmonary test.
pulmonary dr. says i have emphysema short of breath, cpap machine at night with oxygen 2.5
can i drive a truck while on oxygen
@Eddie
What kind of truck driving? Intrastate?
You would not qualify as a Class A interstate driver.
I fell out of my truck back in January had several broken ribs and pneumothorax . My lung has been collapsed for the last 6 months and the current diagnosis from the last Ct scan Is:
No significant change from March exam. Patient continues to have elevation of left hemidiaphram and chronic ateletasis of the left lower line and sub segment of the left upper lobe
Workers comp doctors say it’s ok to go back to work…..
I’m still having trouble breathing It is very laboredvery … can I drive a commercial vehicle with a collapsed lung? I am an OTR Driver
@Rene
No you will not pass a DOT physical with a collapsed lung and labored breathing.
Hi there! I had a tracheotomy done in 2010 due to having fluid in my lungs and problems intubating me. I’m wanting to try and get back into driving and getting my CDL and I would need to get my DOT physical done. Would having the trach disqualify me from passing the physical, my pulmonary doctor is running tests now to make sure everything is fine and she sees no problem with me going back to work driving. I don’t see anything that says that it’s a disqualifier.
@Israel
With proper documentation and recent testing results you may be able to drive intra-state, but suspect that you would not be qualified as an over the road interstate drivers. Make sure that you have as much available information and documentation as possible.
Are there new regulations regarding oxygen use in a truck? I am being treated for copd and require oxygen in the truck. My question is if it is provided by an oxigenator is that ok? Keep in mind oxygen tanks will not be used.
@William
COPD will be an issue that will need to be addressed by your primary care doctor. Have your pcp fill out a medical release form explaining your condition and the need for the oxygenator. The CME will make a final decision based on all medical documentation.
I have been on a Oxygen Concentrator for the last 5 yrs. I carry both a Portable (Inogen One G4 and a home untit) you can’t use tanks. I have contacted both my State and the Feds to ask. I run team with my Brother and we run a Dedicated Expedited Run we do twice a week and have been on for the last 10yrs. I do 75% of the driving and my Brother does all the physical stuff. I don’t have any problems while I’m driving. I just can’t do any physical stuff quickly anymore or walk very far. I have a Handicap Placard in the truck for parking.
I have asthma and have had it under control for 16 years. Yet, each year I am told that I have to have a PFT preformed in order to issued a one certification. I am in Mississippi. I can not find anywhere were it states the requirements for asthma, please advise.
@John
The CME is looking at the potential risk of an attack and so he is ordering the test. It is not a standard requirement, but the CME’s call, if he wants it. You could try a medical release form from your doctor explaining your condition and that you have it fully under control. Documentation is what he wants to cover his decision making process.
Can a person that is on oxygen pass the DOT physical to be a school bus driver?
@Mary
This will depend on your State’s variances. Contact your local drivers license to get the details.
In the state of Tennessee is a driver required to take a breathing exam if they have smoked cigarettes for many years…I have never heard of this before when renewing in other states.
Thanx Bob
@Bob
The CME can request one if he feels that there may be a safety issue. And if he wants to do that test in his own office, then it is up to you whether you want them to do it or you can go to your primary doctor and have your doctor do it.
It is not the CME’S duty to perform other tests. His job is to determine medical fitness for duty, period.
Hi,
Last year I had a lump removed from my neck, that was diagnosed as Cancerous.
I had 35 Radiation Treatments, and 4 Chemo sessions.
I have had several scans since then, and have been declared Cancer Free.
I have been lifting weights, 4 days a week, and running 5 days a week,
since released by my doctors.
My Blood pressure is perfect,
my Blood sugar is perfect,
20% Body fat, currently no known health problems at all, and probably in the best shape of my life…and I was an athlete in school, and I’m MUCH stronger now….
Would the Cancer that I HAD effect my ability to get a CDL, and a job driving a truck now?
@James
You should do fine. Get a note/medical release form from your primary doctor explaining you present health condition and take it with you. That information will help the CME in his decision making process. Good Luck
I have COPD and recently went through an exacerbation due to smoldering battery fumes leaking into my bus . I went to the ER and got IV steroids and a breathing treatment. Also went to my pulmonary spec and had a pulmonary function test. The results were that I needed to have 1 L of oxygen only while ambulating.. since I don’t need it while driving can I still drive interstate?
@Jennifer
Make sure you take all your test results with you when you go for your new medical certificate, also have a medical release form completed by your doctors. That should answer the questions that the CME will have. Also explain the type of driving that you do routinely, it will help in the CME’s decision making process. Good Luck
I am a CDL examiner in NY. I had a company call me today asking this…
They have an employee that had a CDL exam with no physical abnormalities documented, other than being overweight, who received a 2 year certification (expires 2018). Since then, the employer has identified work habits that they feel indicate some kind of sleep disorder… the employee is frequently late, has been found napping in their vehicle and has complained to another coworker of feeling drowsy during the daytime.
The employer has spoken to the employee about their suspicious behavior and recommended to the employee they have a sleep study conducted. The employee denies any sleep disturbances and is resistive to pursuing any sleep studies.
I know the FMCSA does not have any hard fast rules requiring sleep studies. My question is… Can an employer mandate an employee to have a sleep study or seek a medical evaluation based on suspicion of OSA when the employee has already been evaluated and has a valid CDL that’s not expiring for another year?
I guess the employer is saying…it’s no different than sending an employee for a drug screen for suspicious behavior.
The question then becomes…if the employer does not have these rules/regulations in their job description/handbook, can they legally require an employee seek medical attention based on observed behavior?
Thanks in advance for your help. I’m Googled out on this one.. 🙂
@Stacey
We would say, from a safety issue, if the company feels that the driver has a potential safety concern then they have the right to request an evaluation. If the request is not fulfilled, then the company may have the right to dismiss the driver due to non-compliance regarding the safety issues. This one won’t be found in the FMCSA guides, but is more about the company and their safety requirements.
if you failed a dot exsam why on the road…go home to your home state do you have to return to the same state to get recirtifid
@James
You can go to any examiner, in any state, as long as the examiner is certified by NRCME/FMCSA to do DOT medical exams. Each examiner who is certified has a National Registry #.
Recently spent 3days in the hospital with blood clots in my lungs was released to go home I’m now on eliquid 5mg twice a day I feel fine and breathing is back to normal and BP is better than it has been in years. My question is there a set amount of time I have to stay off the Rd before I can go back to work or is it at the descrection of my primary care physician
@Roger
As long as you have a medical release form from your doctors, then, if everything else is normal, you should be able to get a new medical card and get back on the road.
I recently have taken a dot physical and my bmi was to high so they gave me a 3 month card and said i need to get a sleep apnia test done. I had the test done and it came back negative but it said that hypoxia was present. What does that mean for renewing my cert.
@Eric
Hypoxia is a condition in which the body or a region of the body is deprived of adequate oxygen supply at the tissue level.
This should be followed up with a visit to your primary doctor to make further determinations as to the direction this needs to go. Once the situation has been resolved, then have your doctor complete a medical release form for you and you should be good to go from there, if everything else is normal.
I was diagnosed with copd. FEV is 49. Arterial blood gas test was 95.7. I have a medical release from my pulmonologist; condition is stable. I am not having any symptoms- no shortness of breath, not using a rescue inhaler. Will this disqualify me from retaining my CDL?
@James
FMCSA is looking for a 65% or better FEV. If you can have your doctor sign off on a medical release form for you and have him explain what his findings reveal, along with a working prognosis, then you have a better chance with the CME. All available information present at the time of the DOT examination is a huge help to the CME to make the best decision.
I recently fell and suffered a partial pneumothorax. My lung reinfloated within 2 days. Does DOT have a length of time I have to wait before I can drive a cmv?
@Tom
Your fall and subsequent injury invalidated your medical card. As soon as you can get a new medical examination and demonstrate fit for duty status to the CME, you are good to go.
I live in Miami but used to drive over the road. I keep up my CDL every 2 yrs. In the past 2 yrs I’ve had 2 very bad asthma attacks, one of which I had to be hospitalized. Now it’s under control, but I can still have a minor attack. Will getting a handicap sticker to park closer to buildings affect my over the road CDL?
@Jacqueline
Not if you can continue to pass the FMCSA guideline requirements for the DOT medical certificate.
I had my lung collapse 8 yrs ago due to smoking. Since then I dont smoke and I’ve had no problems out of it since. Will they fail me because of it.
@Mike
No, but to be ahead of the game have your primary doctor fill out a medical release form for you explaining that you have had no issues with your lungs for many years.
I had my thyroid remove 2 years ago due to cancer. I only use levotyroxine 200 MCG a day to replace my thyroid function. I don’t have any impairment to drive a motor vehicle. Do you now if this would be a problem to obtain my DOT medical card?
@Wilfredo
Just make sure you take a medical release form from your primary physician explaining your situation and medication usage, after that you should be fine.
I was told that a large mass was found in my chest during a cat scan, I have also started to pass out sometimes when I cough, told I had moderate copd. I’m fairly sure my cdl days are over if I understand the law right. As these can have an effect on the safe operation of a commerical vehicle?
@Tim
Correct, you are starting to have issues that will effect safety.
I had lower back surgery in 2010 and now take vicoden daily for cronic back pain and now am going to have a disc in my neck fused will this stop me from getting my medical card I need it both to drive crane and to operate
@Paul
Once the surgeries are complete and you are fully recovered, you want to have a medical release form from your doctors. Have them explain your medication needs and reactions, if any, to the meds. If everything works out you should be in pretty good shape as a crane operator.
I have cope I’m on prescription inhalers and alprazolam .25mg for a touch of anxiety. I passed all other requirements of DOT physical except my blood oxygen level was at 90. I have a oxywatch at home meter I check out at normal (for me) at 90-93. Dr. Failed me for DOT. What is acceptable(passing) level for person with copd? Thank you.
@ D.R.
Considering that normal is 95 to 100, then the CME may be looking for another confirmation from your primary doctor. Try getting a medical release form from your doctor explaining your condition and situation. If your doctor will sign off and all else is normal, then the CME can and will take all of the available information into consideration regarding your medical certificate.
My friend has COPD and is on medication and inhaler to help sometimes, the examiner made him take respiratory test and he didn’t have good enough score. His primary who is DOT examiner In another state says he is fine and he would pass him.. He is totally healthy otherwise.. What can he do to pass?
@ Lisa
Go to the primary doctor that is DOT qualified and take the test.
My husband has copd, just had a flare and had a medication round he has completed and been released by his doctor. What are the minimum requirements with a lung test to continue to drive if his company requests further testing?
@ Tina
If your hubby had a flair up and was placed on medications and then had to be released to return to work duty, he will most likely, need a new medical certificate to determine a fit for duty status. Just make sure he has a medical release form from the doctor with a copy of his last pulmonary testing results. That should be all you need.
So a codriver went into the hospital for over a week and now has lung problems and put on a transplant list was a heavy smoker and in secret is still smoking ,his specialist says he must be on oxygen 24-7 now his regular doctor says he’s fine doesn’t need oxygen and cleared him yo work ,and since his return has missed many days of work I know he’s not supposed to have oxygen in his semi but does it anyway – since his specialist said no work was hospitalized even if his dot med card is current ,does he have to recertification
@Chuck
Yes. Any situation that takes a driver from behind the wheel has to be re-certified as fit for duty.
With all of the new restrictions that are disqualifying CDL drivers, are they able to go on disability? It seems like a lot of people are losing their ability to work. I’ve been a SC school bus driver for 8 yrs now and had Lung reduction surgery 9 years ago and now have begun using oxygen at night, but with the new regulations I probably won’t be allowed to continue because of my pft’s. I’m wondering what my options will be.
@Cathy D
You really need to check with your state drivers license department on this one. You are asking a question about over-the-road long haul drivers medical certificates and you drive a school bus locally. Not the same thing.
DLD should be able to answer your questions the best.
I only drive the school bus so you’re probably right in contacting the state. Thanks for the information.
If you fail dot physical for cdl liscens would it effect youre normal drivers liscens
@gerry
Check with your state drivers license department, this is a state related question, not fed. question. Some states will just downgrade your license and some states cancel your entire drivers license, so you need to confirm which is true in your state.
I was a plumber for many years and i got pulmonary fibrosis from the concrete dust the glues and clearers. Well any way i got a lung transplant just one lung this been three years now, the first year tough will rejections the second year with only two rejections now zero this last year.So every year i have a breathing test score a 52 first year, 54 second year, 57 this year. Can i get a doctor release or will i never be able to get a fereral dot license
@Bill
Get a medical release form from your lung doctor along with an explanation of your situation. That will be the best thing you can do right up front. The more information that the CME has to make a decision, the better your chances are.
I’ve was diagnosed with sleep apnea in 2011. I worked as a automotive tech. In Nov 2015 I got my cdl’s. I went to training with a company and had to take a physical and indicated on the long form that I had sleep apnea. They said I need a complaince letter. What is the complaince letter and where do I get it from.
@Terrence
Your cpap machine should give you a readout indicating how often you use the unit. FMCSA want to see 70% compliance at four hours a day for at least 30 + days. Talk with your sleep doctor and have him do a print out for you.
I recently failed my IDT physical because I use Albuterol more than twice a week because of allergies and asthma. I take Asmanex at night, both of which have been prescribed by VA. Is asthma really considered “out-of-control” if used over twice a month?
@David
If your condition is under control with your medications and an emergency inhaler, then you should be fine. The safety issue would be that you would go into a coughing spell and not be able to maintain control of the vehicle. Try getting a medical release form from your doctor at the VA explaining your condition and your medications with the use of the inhaler and you should not have any major issues.
My husband just went in for his physical to renew his CDL… he is in great health and passed his physical except for the breathing portion. He is a smoker and had a cough for a couple of weeks…. he followed up with his primary doctor and was placed on antibiotics and received a steroid shot. He is feeling fine and no longer coughing, however when he went back, he failed the breathing portion for a second time. How many times is he allowed to repeat this test? We are trying to get him into a pulmonologist…. or can he go back to his primary doctor and get a release from them if he is well. I called and they do the PST? Please advise. Thank you
@Karen
If his primary doctor finds that your hubby can pass the breathing test in his office, then he can fill out a medical release form and take it back to the CME. That should satisfy the CME.
My husband just went in for his dot/cdl physical in NY state. The Doctor said he looks great, super healthy but because he is a smoker is requiring a lung test. He has no issues and the dr wasn’t concerned about any health issues. Is this a normal requirement now if you’re a smoker?
@Jenna
Only if the CME wants to do the test. If there were no other issues, then he may be over-reading the guidelines. You can question the CME opinion and if there is no good reasoning for wanting the test, then ask him to change his opinion.
I was just in the er this last week. I had asthma attacks and had to be put on a breathing treatment for an hour an a half. I’m on antibiotics and also steroids along with allergy medicine. I gave a nebulizer and have to use it every 6 hours. I have my medical card already. But my question is that, what are the rules and regulations on using breathing treatments such as a nebulizer?
@John
As long as you can keep your condition under full control, then the FMCSA guidelines for fit for duty are met. But make sure that you have an emergency inhaler available at all times. You may be subject to a pulmonary evaluation considering you have an active asthma condition. Remember it’s about safety for you and the public at large around you. So the CME may request the study. Also make sure you have a medical release form from your doctor stating that your condition is under control.
Thank you so much.
my husband was diagnosed with septic pulmonary embolism 2 weeks ago and cleared by his primary doctor on Friday (11/20/15) he went into work in Oregon today and they sent him to the company Doctor who said he is unable to be cleared for 3 months.. He had all the paperwork from his regular doctor as well as a pulmonary specialist that said he was OK. The DOT doctor said its in the regulations. Can you tell me what regulation and what forms are needed to fight this? thanks
@Kym
Page 108 of the FMCSA guidelines recommends a 3 months wait following an embolism. Even though your primary doctors have released him, FMCSA feels that the three month wait is necessity, due to safety issues.
Can a School bus driver be disqualified from driving if they have frequent anxiety attacks?
@ Bobbie
Are these attacks being treated or not? not much to go on here and the safety of the children is the main issue at this point.
About a year ago I was diagnosed with Chronic Lymphocytic Leukemia. Im in stage 2 and taking no medication. My lymph nodes are enlarged and my doctor says I’m in the watching stage. Wil this illness cause me to fail the dot physical
@Greg
This is an ongoing progressive condition and should be watched very closely. A lot will depend on what your oncologist has say about the rate of progression. Start with a medical release form from your oncologist. And be honest with yourself as to whether you feel that you could be classed as medically fit for duty to perform the duties of a commercial motor vehicle operator.
Hi
My husband went for his DOT physical and the doctor measured his neck and it was all down hill from there. He just had his thyroid removed June 2nd 2015 so his neck could still be swollen.
She would not let him answer any of her questions she asked him she answered herself and just kept saying oh I know the answer. His neck measured 19 inches and she said you need a sleep study done, a stress test test done and yelled at him because his doctor had him on potassium medicine and that produced protein in his urine. So she is only extending his medical card for 3 moths and all these test must be completed. She never even asked him he he has trouble breathing or anything. Never gave him a chance to talk. Is all this necessary for a medical card?
Can I still get a medical card with a 9.2 A1C level
@Mark
Your A1C levels are too high. You will have to bring those levels down before you will pass the DOT medical certification process.
I had a third of my left lung removed, what are DOT breathing requirement #,s
@Richard
Not much to go on here, I would need some more information to try to answer this question.
When was the surgery, why did you have the surgery, is there any difficulty breathing now? … etc.
My husband has a pretty nasty cold. As a truck driver what otc meds can he take? He is currently at home for the next 10 days for vacation. Is there anything otc that will not cause a positive random drug test? His company does hair follicle testing.
@Grace
You really need to check with your primary healthcare provider for this answer.
I AM DEALING WITH A RT SIDE PARALIZED LUNG, DEMINISHED BREATHING AND WEAKNESS. I AMTRYING TO FIND OUT IF THIS CONDITION WILL DISQUALIFY ME FROM RETAINING MY CA. CDL LICENSE. E-RAY SHOWS DIAFRAM TOTALY CALAPSING RT LUNG TO A THIRD OF SIZE WITH NO MOVEMENT , THIS HAS BEEN CONFORMED WITH CAT SCAN.
@Christopher
As an OTR driver you are going to be disqualified.
You need to check into driving intra-state only. By doing that the state may allow you to continue driving within the state borders. But, you will need to confirm that with your state drivers license department.
I am a female driver. My neck measure is right @ 16″. Good right?
I am 50 lbs overweight. Will my weight disqualify of limit my dot physical time to less than 2 years?
@Loretta
There are no laws regarding neck size and weight. So if someone starts in with this issue, get up and walk out.
To better understand the confusion on sleep apnea screening, read this set of sleep apnea articles on our blog.
My husband has a sebaceous cyst on the back of his neck. He recently left the Air Force and was told it was nothing to worry about. Would this be a problem passing a DOT physical?
@Lis
Not unless it causes restrictions to his movement or could cause any limitations in the safe operation of a commercial motor vehicle. There are plenty of drivers with these cysts and no one has had any problems. All he will need to do is explain what it is and he should be good to go.
my husband went to renew his medical cert.. and was told he couldn’t renew because he used oxygen. he uses his oxygen only at night when he sleeps, and it is a low dosage of 3.5. his oxygen level is good during the daytime. can he pass the exam and get his cdl back?
@Loretta
Any CME is going to have questions. Have his primary care physician fill out a medical release form for you, answering the questions of usage and the need for the oxygen usage.
I am a compliance manager and have a driver who just had a pft test done and is a smoker. This is the first one I have seen and we have about 30 drivers.I was not aware that this was a requirement. If so, can you tell me where to find this in the guidelines and/or is it just if the doctor is anticipating a problem later down the road.
@Jackie
It is not a requirement, it is a recommendation within the guideline if the driver presents with possible lung related symptoms. The CME may be being very careful, but it is not his position to perform such a test. It should be referred to the driver’s primary doctor for further testing.
What does the breathing, or pulmonary test consist of? Hearing of percentage numbers. Percentage of what?
@Donald
Basically it is looking for how much air you can expel in the first second of expiration. This number needs to be greater that 65%
When a DOT driver is tested and it also includes a respirator test – is the respirator test good for the two years like the DOT or only one year?
Thank you.
@Dale
In most cases test results are good for two years, unless the examiner is seeing other signs that would warrant additional testing.
I recently had my card renewed. And the examiner told me that because I was 55and had smoked that I was required to take a pulmonary test .Is this a requirement? I was told I would have to take it before he even listened to my lungs. Was everything done according to fmcsa regulations ?Or did I have to pay 80 dollars for b.s.?
@Mike
This test is a guideline recommendation, but not a regulation. Not sure why they would have required this test, unless there was good reason to do so.
If I have cancer & I am taking keemo treatments can I still pass my DOT physical ?
@Harvey
At present you are not medically fit to operate a commercial motor vehicle. Once your treatment is complete and you are ready to return to driving then you will go through the CME medical examination to make the final determination.
dot says i need a pulmonary test,my doctor says i dont need one can i get a x-ray to pass to drive a min school bus,i have been driving for a year now.
@Pam
Have your doctor fill out a medical release form stating that his examination supports a no-need for testing opinion.
The CME is trying to cover his behind because he was taught that certain folks “have to have” certain tests.
Everyone is looking for safety and trying to support their opinions.
I have Cystic Finrosis but my fev1 is 86% can I pass the dot and will they allow me to do my breathing percussion treatments on the truck while not driving?
@Ty
Any CME is going to have a lot of questions with this condition.
It is not a disqualifier, but there are safety concerns.
Get your medical doctor to complete your medical release form explaining your situation and you should be OK.
Also check with the company that you are going to be driving for. They may have some safety concerns too.
My husband operates a public transit bus in California. He has just been diagnosed with emphysema (early stage) and he is coming up on time to renew his medical card. Does this disqualify him? If not, what does he need to renew his medical card?
@Theresa
Have his primary doctor complete a medical release form for him.
Then make sure he takes that form with him to his next DOT physical. That should answer any questions that the CME will have. Good Luck
is it required to got a new physical becases you have a small hurnia repaired?per dot.
@ Leroy
If the hernia repair took the driver out from behind the wheel for any reason, then he must have a new DOT physical to resume driving.
I have copd my blood oxygen level runs about 95 to 98 will I still pass a physical?
@ leroy
You should not have any issues as long as the condition is under control and not progressing.
There may be further testing required if you are demonstrating other pulmonary issues.
Can asthma disqualify me from getting my cdl
@Jeremiah
No. You will need to have an emergency inhaler handy at all times, just in case.
But asthma is not an outright disqualifier.
Thank you I start school the 18th an have the dot physical the 15th I was nervous
What is the state of Kansas’s stand on defibrillators?
@John
I don’t have an answer, as we focus at a Federal level and each state has different regulations at the state level.
Check with the Kansas DMV on this issue.
Does pectus excavatum disqualify you? I’m getting the ravitch procesure done next month so I’ll be back to normal
@Shawn
In and of itself, this condition is not a disqualifier. If you are going to have it repaired, please be aware that you will need to be fully recovered before returning to driving. Good Luck.
Yea I’m going to wait around 6 months to go to school
Does having asthma disqualify you?
@Ernie
Not as long as you have an emergency inhaler at hand at all times, while driving.
The condition isn’t the problem, it’s the potential to be a safety hazard if you can’t breath correctly. So the condition isn’t the issue, it’s the operation of a CMV being interfered with due to an asthma attack.
Oh and Ernie, this was all new to me until I got to the doctor, go prepared so you won’t have to deal with time issues like I am. YOUR CONDITION IS A FACTOR. If they see smoking, asthma, shortness of breath, or medications listed they WILL BE ASKING NOW. And you will be sent home to get tested. So do it now and get the bad or good news before you have to worry. This is brand new and I was upset and shocked.
Well guess what it can, depends on your spirometry results, and guess what I am dealing with low results right now, new Federal rules have guidelines and yes if this test fails, you can get Blood Gas and Pulmonary function test like I will be doing tomorrow to hope for a better result so I WON’T LOSE MY CDL ENDORSEMENTS. Brand new rules require the doctor to see results now, if have any breathing issues at all BEWARE. And the inhaler isn’t even a part of it like Trucker Doc says, the results must comply with levels dictated in new rules. I KNOW AM DEALING WITH THIS AS WE SPEAK, This is why I am on here. So get tested and get the info so you know what you are up against, you can get treatments to make it better of course. But I cannot afford not to work while this happens.
@deb hi so how did your test go? Is there any helpful tips you can give me before I take my breathing test..
I am going for my pet today. They will not even start my physical until I have my results. This is a new federal requirement. I’ve been driving trucks for 29 yrs and I can not afford to to not work. How someone who is grossly overweight can pass a physical while I have to jump through hoops is ludicrous.
I have a history of getting DVT’s and I am now on Warfarin. I have a greenfield filter for the DVT. Had a heart attack treated with 2 strents. Does this disqualify me for DOT
@Jason
The issues you are dealing with have some limitations as far as the FMCSA is concerned.
You did not give me any information regarding time frames, and that’s OK.
Just operate with these rules and you should be alright.
For both of the conditions you have, you should get a medical release form completed by your primary healthcare provider.
With those forms completed and in hand when you go for your medical card, you should be able to answer any questions that the CME medical examiner has.
A doctor told me I had to blow 65% in a machine to quailfy or pass the test
Is this TRUE
@Ron
If there is some type of lung insufficiency, and he feels that there may be a problem, then he may require a lung capacity test.
That being said, unless he is a certified lung specialist, then you should be referred to your primary healthcare provider.
Yes. Although my Doc said 60%. I blew a 49 and a 59% and failed. This is all new to me. 6 months ago this wasn’t a requirement. I was referred out to another Specialist, and it looks like my driving days may be over. I have COPD btw. I am awaiting a reply
from my potential employer as to how they would like to proceed, or not : (
Good luck I’m dealing with the same thing.. I took a pretest and failed I was at 51 and had to be at 65 doc told me to see a lung specialist I have lung damage due to a house fire that happened in 1978.. I have been driving since 1998.. don’t know what to do but in December my medical card expires and I’m gonna have to fund another job..forced retirement
If a person smokes, is it REQUIRED that the doctor give a pulmonary test or was the doctor out to get an extra $35?
@Andrea
Maybe just doing a through examination. If the examiner felt there was a question about your ability to breathe then he/she was just doing a complete job. It isn’t required, but he/she must confirm any questions he/she may have in this regard.
The same thing happened to my husband today, The Dr. says lungs are clear, and marked on the physical form that all was good. No problems. My husband didn’t know any better and the charge was an additional $42.00. My question is – Is there an updated law that so states that you have to have this Pulmonary function test just because you smoke, and are 45 years old, etc.?
@Paula
It is not a mandatory examination, but if the CME feels that there is a need for the examination, he can request it. But some facilities are taking advantage of a situation that does not exist in the FMCSA guidelines and there is no mandatory test protocol.
I’ve been diagnosed with lung cancer have been treated with chemo and radiation can I still get qualified or be disqualified
@Bill
This question is too broad for a single answer. When the DOT examiner is going through the examination, he is looking for a driver who is medically fit to operate a CMV. If you qualify then away you go. If not, he will discuss what the challenges are and what other avenues you might pursue.