DOT/FMCSA will require SA screening for commercial drivers

This area is for Sleep Apnea questions and general Sleep Apnea Discussions.


DOT/FMCSA will require SA screening for commercial drivers

Postby jasoninmichigan » Wed Feb 14, 2007 9:32 am

According to the authors, sleepiness has been shown to account for between 31 to 41 percent of major crashes of commercial vehicles. In 2001, large trucks were involved in 429,000 crashes. Nearly 5,000 of these crashes were fatal, which amounted to 12 percent of all U.S. traffic deaths. An additional 130,000 victims suffered nonfatal injuries. These accidents cost $76,637 per crash, but rose to $3.54 million after a fatal accident.

http://www.thoracic.org/sections/publications/press-releases/journal/articles/august-2004.html#obstructive

from the paper itself, OSA can be predicted reasonably well with a questionnaire and oximetry

http://ajrccm.atsjournals.org/cgi/content/full/170/4/371

Considering the risks I think mandatory screening of some sort is inevitable.

A recommendation has been made by a task force

http://www.medicalnewstoday.com/medicalnews.php?newsid=51794

Some progressive companies will probably start ahead of government requirements

A study sponsored by the FMCSA and the American Trucking Associations estimated that nearly one in three commercial truck drivers suffers from mild to severe OSA1. The study found that the risk of having sleep apnea depended on two major factors - age and degree of obesity - with prevalence increasing with both. Population projections by FMCSA indicate the number of older drivers will increase by 50% over the next twenty years. Other research demonstrates that drivers with undiagnosed OSA have an increased risk (2 to 7 times) for falling asleep at the wheel. It also increases the possibility of an individual developing significant health problems, such as hypertension, stroke, and ischemic heart disease.
jasoninmichigan
 
Posts: 81
Joined: Sun Jun 04, 2006 8:38 am

DOT?FMCSA screening

Postby George/PA » Wed Feb 14, 2007 12:42 pm

I am a commercial driver and have been on BiPAP for over 13 years. If there is going to be screening, then there needs to be a standard set for use of the information gathered. There is a very wide difference in attitude and acceptance about sleep apnea and this needs to be addressed before ANY screening results are made available to ANYBODY!

Some trucking companies and many insurance carriers treat sleep apnea sufferers like the proverbial red-headed step child even though they are 100% compliant with treatment and the treatment is successful. This is blatant discrimination and will have to be addressed by a legislative body. Also, can you imagine what will happen if news gets slow and the media gets access to this kind of information? There could be a witch hunt that could result in the disqualification of half of the commercial drivers even though they are being successfully treated.

Don't misunderstand me, I'm not against the screening, but I am against the irresponsible distribution of the results.
George/PA
 
Posts: 85
Joined: Wed Feb 14, 2007 11:24 am
Location: Pennsylvania

Postby jasoninmichigan » Thu Feb 15, 2007 7:41 am

you would hope this would be handled well but it is a lot more complicated than the usual driver related medical issues. Hopefully there will be industry participation (including drivers) in setting the policies. It isn't in anyone's interest to keep people from working.
jasoninmichigan
 
Posts: 81
Joined: Sun Jun 04, 2006 8:38 am

Postby ed6561 » Mon Mar 19, 2007 1:43 pm

Hi George,
Well get ready for the screening. I hope you are using a machine with a Smart Card so compliance can be checked. If you now mark that you have respitory problems and list Sleep Apnea as the diagnosis on the pre-exam questionaire the examining doctor should question you regarding treatment and also check the Smart Card.

I am just finding this out as I was to renew my medical card earlier this month and I have now been taken off the road until I can get enough data using a new CPAP w/Smart Card. Even went thru a new sleep study since previous study was 5 years old. I am leaving no stone unturned since sleep doctor started by saying no followup for 2 months to allow me back to work. After pointing out that FMCSA guidelines claim one month of satisfactory therapy, they relented and scheduled followup for 1 month but I wonder if they will allow returning to driving. Will spend the next month preparing for the appointment!

Just thought you may be interested.
ed6561
 
Posts: 2
Joined: Sat Mar 17, 2007 2:38 pm
Location: PA

Postby ed6561 » Fri Mar 23, 2007 8:52 pm

I just visited today with the doctor that would not renew my medical card on 3/2 due to diagnosed sleep apnea, 5 years ago, because I was no longer under a Doctor's care.

Check out http://www.joem.org/pt/re/joem/toc.00043764-200609001-00000.htm;jsessionid=GGxBBtRmN2R97Jqw4GkVvy52VJpw0pJlr2yCn18rl8hvLMz68rvB!-377544086!-949856144!8091!-1

It details just what doctors will be looking for during future DOT physical exams.
ed6561
 
Posts: 2
Joined: Sat Mar 17, 2007 2:38 pm
Location: PA

Postby Guest » Tue Dec 04, 2007 10:39 am

I recently went to get my DOT health screen. I have sleep apnea and have slept with a CPAP for 7 years. They required me to have an office visit with my sleep doctor and to document that I was in compiance (use my CPAP ) daily. I carried the CPAP to a lab and had them document that I have used my machine for 7.4 hours per night since September of 2000. My doctor cleared me. This was not good enough for the Occupational Healkth physician. I went to 2 different sleep clinics and met with 2 additional doctors and was cleared by both. The doctor at the Occupational Health says I have to have a new screening. This is going to cost me 5,000 dollars out of my pocket (my insurance carrier will only pay for one study per lifetime). I scheduled a new study but they can not get me in until January 17, 2008. I told my employer this and he laid me off. He needs me on the road now. The DOT does not require a new study but this doctor is affraid he may get sued IF I have an accident. I have logged 6 million miles without an accident. There are no if's now....he is getting sued.
Guest
 

Postby Guest » Tue Jan 15, 2008 3:47 pm

ed6561 wrote:Hi George,
Well get ready for the screening. I hope you are using a machine with a Smart Card so compliance can be checked. If you now mark that you have respitory problems and list Sleep Apnea as the diagnosis on the pre-exam questionaire the examining doctor should question you regarding treatment and also check the Smart Card.

I am just finding this out as I was to renew my medical card earlier this month and I have now been taken off the road until I can get enough data using a new CPAP w/Smart Card. Even went thru a new sleep study since previous study was 5 years old. I am leaving no stone unturned since sleep doctor started by saying no followup for 2 months to allow me back to work. After pointing out that FMCSA guidelines claim one month of satisfactory therapy, they relented and scheduled followup for 1 month but I wonder if they will allow returning to driving. Will spend the next month preparing for the appointment!

Just thought you may be interested.
Guest
 

Re: DOT/FMCSA will require SA screening for commercial drive

Postby frank120 » Tue Feb 07, 2012 1:56 am

I think that if they are going to require sleep studies as part of the DOT CMV requirements then they need to test everyone just not people who are over a certain neck size or weight. I have seen drivers sitting at a terminal that have the issue and are half my size and never had to get tested. Do I think that it is an issue that affects drivers.... I cant speak for everyone but I am 52 years old and have not had an issue at all with my sleeping nor with my driving. So what do I think I think that there are people out there looking for ways to make more money and this is just another way to say there is an issue to have others pay the cost. The issue here is sleep. And if your a driver and your company pushing the driver to get a load to a location then we need to look at the companies. I work for a company that says pull over if your tired and in the next message says we are tracking you as being potentially late for your delivery. So what does a driver do when they are being pushed by the company...I myself would not put anyone in a risk situation but there are some that will.
frank120
 
Posts: 1
Joined: Tue Feb 07, 2012 1:47 am

Re: DOT/FMCSA will require SA screening for commercial drive

Postby truckerdad57 » Tue Feb 07, 2012 12:48 pm

This is a topic the ASAA is actively engaged on. Ed Grandi the Executive Director of the ASAA has been attending the joint meetings of the Motor Carrier Safety Advisary Committee - Medical Review Board.

Check the front page of the ASAA site for meeting minutes.

http://sleepapnea.org/asaa-blog/fmcsa-m ... notes.html

This is a big reason truck drivers need to be active with ASAA. We have an A. W. A. K. E. chapter that meets via conference calls for truckers.
(just a truck driver with sleep apnea)
Co-coordinator Truckers for a Cause Chapter of A. W. A. K. E.
awake.truckersforacause.com
Do not substitute information from here for professional medical advise.
truckerdad57
 
Posts: 1014
Joined: Thu May 22, 2008 12:01 am
Location: Batavia, IL
Machine: CPAP tester, you name it I've got 1
Mask: tend to like nasal pillow
Humidifier: YES - must have
Year Diagnosed: 2002



  • Site Supporter

Return to SLEEP APNEA HELP!

Who is online

Users browsing this forum: aevfiiqop, bchxrtckd, bpenfaivq, cwetyzelx, eqsjeqkgu, fjslosbbs, fprznhbhh, fyuufdxpm, gjabrzwr, gjafpszg, gjazaycs, gjcauowi, gjcsvzwf, gjcvvjjr, gjcwnryh, gjdtxpok, gjeeejnt, gjgfoxhb, gjglzjyc, gjglzqqf, gjgmdmxjj, gjhbizuw, gjhvhozs, gjiticmjx, gjjmfvpc, gjjmlwkqr, gjldaleun, gjmlfyzb, gjmzytoj, gjphdpxi, gjpnspqnt, gjqpsidzg, gjqukvuki, gjrhczso, gjsoneao, gjsupzdj, gjsvztsl, gjtemdoyd, gjuuoboo, gjvdiyir, gjvqxucy, gjwsbnge, gjxszatb, gjygadppm, hpknarrgp, iovlkhlms, jdpkdlcek, joxspmkht, jqchwxonp, kvrjdryku, lepsdcphx, mebbfmzsc, pzzrjnbyc, qezlrxqrg, qjtqlfnbd, sbaiqhtdr, sqlgkdkht, tcacwignn, tgwmnactg, vjwoutpix, vuoaapuyf, wjldxojhk, xvagjplvc, yfkrfyqks, zbbfjzejn and 1 guest