Saturday, June 3, 2017

UnderstandingandTrackingYourBloodPressure-HeartInsightMag-Summer2017

UnderstandingandTrackingYourBloodPressure-HeartInsightMag-Summer2017


About one in three U.S. adults has high blood pressure (HBP). By 2030, it is expected that over 41 percent of U.S. adults will have it.


Friday, April 28, 2017

Top Tips For certified Medical Examiners to Prepare for the DOT Physical Exam


The flagship post of this blog "Top Tips To Pass Your DOT Physical " was intended for drivers concerned about passing their examination.  It was followed up by "New Tips To prepare For Your Next DOT Physical".  Recently however, It came to my attention hat perhaps some certified medical examiners(CMEs) might be in need of similar advice.  If you read the recent report from the Mayo Clinic -ATRI study, about the National Registry of Certified Medical Examiners (NRCME) impact survey from the viewpoint of certified medical examiners, drivers and motor carriers, you would have learned that CME incompetence or lack of qualification was third on the list of motor carrier concerns with the NRCME. What were they concerned about?  Well for starters, drivers complained, although anecdotally, of many instances where CME confusion about Federal Motor Carrier Safety Administration (FMCSA) regulations and requirements caused aggravation, and delay in certification.  In my opinion, some of the confusion points do really appear to just be "confusion".  Others, well, I am not so sure if the medical examiner is reading between the lines and being a little too creative, or just plain abusing the system.  For starters then, the top tips are for CMEs to correct or prevent the following driver confusion points complained about in the survey:

  • driver requiring hearing aids must bring spare batteries to the exam. 
  • driver requiring eyeglasses must bring a spare pair to the exam. 
  • Screening for sleep apnea is always required. 
  • Drivers involved in a crash, regardless of whether the crash was preventable, must be screened for sleep apnea. 
  • Laboratory pulmonary function tests are always required. 
  • All drivers with a history of cancer require a “complete cancer screening,” regardless of when the cancer occurred.
  • Examinations include testing for drug use.
A major problem is that drivers lose wages due to wasted time, and both driver and motor carrier incur additional fees in getting a second opinion from another CME.   Also worrisome is, well, what if drivers and motor carriers start calling some medical examiners charlatans?



Monday, March 30, 2015

DOT Physical Doctor

DOTMedicalExaminer2

 Board certified Physical Medicine & Rehab | Pain Medicine
Randolph Rosarion M.D.
National Registry #7248940537
DOT physicals, drug and alcohol testing.  Merchant mariner, Article 19-A, NYC TLC medallion, For-Hire Uber and Lyft physicals.  

Other Medical Services

(for more information visit www.usdotmedicalexaminer.com)
  • Pain management and neurodiagnostics
  • Joint injections
  • NCS/EMG
  • Driver Health: smoking cessation, medical weight loss, low testosterone and sexual dysfunction treatment, flu vaccination, ppd
  • Pre-employment evaluation and vaccinations
  • Disability Evaluation

Monday, March 17, 2014

New Tips To Prepare For your Next DOT Physical

New Top Tips For Your Next DOT Physical
• If you use eyeglasses or contact lenses or wear a hearing aid bring them with you.  It's a good idea to keep a spare pair of contact lenses or eyeglasses with you while driving.  For drivers with hearing aids you should always carry a spare source of power for the hearing aid.
• Bring a list of the current medications you take and also bring the name and contact number of the doctor who prescribed them.
• When you fill out the health history portion of the long form, do your best to explain any previous or current medical condition you may have.   Be as thorough as possible as to dates, and locations.  This is not the time to skip over important details.  If you are not sure if something is relevant, please do not hesitate to ask us.  A newer versions of the DOT physical form planned for the future is expected to ask more specific and more detailed questions such as prior hospitalizations (even overnight), previous history or testing for sleep studies, a broken bone in the past or history of a failed drug test.  Please see previous post dotmedicalexaminerblog New Forms.. Once you answer all the medical questions in the history form, you will sign and date the form.  FMCSA regulations state that:
A driver is expected to provide the medical examiner with an accurate and complete medical history, as indicated in this Form that is part of 49 CFR 391.43. A driver who provides fraudulent or intentionally false information is in violation of 49 CFR 390.35, and would be subject to the penalties under 49 CFR 390.37.
• You should also supply the medical examiner with medical records for any conditions you have, such as diabetes, cardiac disease, sleep disorders , neurological conditions etc. Before we can complete your DOT exam, we may need to review any diagnostic studies you had in the past such as for sleep apnea, exercise stress test or echocardiogram after you had a heart attack, and also obtain a clearance or "release" letter from your treating doctor.  If you take certain medications for pain, psychiatric conditions, attention deficit disorder, or smoking cessation for example, we would need a letter from your treating doctor as well.
    • Try not to stress yourself out and avoid excess tobacco and alcohol use before your physical.  Don't forget to bring your driver's license.  As far as the paper work, don't worry we supply all the necessary forms.  Your US DOT Medical card  or Medical Examiner's Certificate is issued the same day to all drivers that meet the qualification standards.
    • Special instructions to CDL holders:  If you missed the Self Certification period (ended January 30, 2014), and received a downgrade letter from DMV, please note the deadline date on the letter to submit your Medical Examiner's Certificate.  If your deadline is past and you are to submit immediately or get downgraded, there should be a fax number to fax your Certificate to Albany.  Otherwise mail your Medical Examiner's Certificate ASAP before the deadline to avoid losing your CDL.
    • Lastly, but most importantly, please review your Medical Examiner's Certificate before leaving the office.  If your Certificate is incomplete, inaccurate or illegible it will be returned to you by DMV.  It should be submitted to DMV on an  8 1/2" by 11" sheet of paper.  Don't send DMV your small wallet card and they don't want your long form either. ( long form refers to the 3 page medical history and DOT physical form).  Please visit a previous post Reasons Your Medical Examiner's Certificate Will Be Returned To You By DMV.
Should you require a DOT physical examination, we are located in the metropolitan New York area in College Point, Queens.  Same day appointments are usually available.  We provide expert medical care and a comprehensive interpretation of DOT FMCSA regulations at an affordable price.  We handle all driver qualification cases, whether straightforward or complex.

For appointments or more information, please call 718-701-5949.

Thursday, November 7, 2013

Top Tips to Pass Your DOT Physical




Top Tips To Prepare For Your DOT Medical Exam

Posted On 2010-05-11 13:08:54
Like it or not, passing your DOT physical exam is as much a part of the job as maintaining a license to operate bus, truck, limo, taxi or any other kind of vehicle.

Do yourself a favor and be prepared for your next DOT physical. Here are some obvious, (some less so than others), but very important tips that will help you get this out of the way so you can get to work!

• If you use eyeglasses or contact lenses or wear a hearing aid bring them with you.
• Bring a list of the current medications you take and also bring the name and contact number of the doctor who prescribed the medication to you. 
• When you fill out the health history portion of the long form, do your best to explain any previous or current medical condition you may have.
• Supply the medical examiner with medical records for any conditions you have such as diabetes, cardiac disease, sleep disorders , neurological conditions etc. Before we can complete your DOT exam, we may need to review any diagnostic studies you had in the past such as for sleep apnea, exercise stress test or echocardiogram after you had a heart attack, and also obtain a clearance letter from your treating doctor.   If you take certain medications for pain, psychiatric conditions, attention deficit disorder, or smoking cessation for example, we would need a letter from your treating doctor as well.

Should you require a DOT physical examination, we are located in the metropolitan New York area in College Point, Queens.  Same day appointments are usually available.

For appointments or more information, please call 718-701-5949.
Blog was: (*Edited and reposted on 10/2013).