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  1. #1
    Bobtail Member Grunsh's Avatar
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    DOT medical examanation

    Hi am wanting to be a truck driver, and i am wondering if my Tetralogy of Fallot; i was born with this. So am I automatically disqualify me from passing the medical examination?. I haven't gone to school yet, and also my doctor said that heart disease doesn't disqualify you from getting your dot medical card. You just have to check in every year. So is my doctor is right or am i in trouble. Also i don't need a pacemaker and i don't take medication at all. The doctor said i am healthy as an ox. except for my berth defect, and i am a little overweight(but i am working on it.). So i would like to get some answers. Am i going to fail the physical or am i going to pass when i take it this summer. I am also talking about getting certified as an interstate truck driver.

    Last edited by Grunsh; 04.12.2013 at 11.33 PM.

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  3. #2
    Heavy Load Member FozzyNOK's Avatar
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    391.41Physical qualifications for drivers.(4) Has no current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, or congestive cardiac failure.

    Your doctor is incorrect... Not sure what your malady is, but heart problems can disqualify you for a medical card

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  5. #3
    Bobtail Member Grunsh's Avatar
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    K well their goes that idea.

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  7. #4
    Heavy Load Member FozzyNOK's Avatar
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    Quote Originally Posted by Grunsh View Post
    K well their goes that idea.
    Not saying that it will for sure as have no idea what that is.. but heart defects can effect your chances greatly.

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  9. #5
    Bobtail Member Grunsh's Avatar
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    can i get a waiver from it? and here is a link if anyone of you want to know what my heart disease is. http://en.wikipedia.org/wiki/Tetralogy_of_Fallot

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  11. #6
    Road Train Member losttrucker's Avatar
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    Quote Originally Posted by Grunsh View Post
    K well their goes that idea.

    Wow!! Before you just give up, how about stop at a truckstop and buy a Medical Card packet and go to a doctor who does DOT Physicals and have one done!!

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  13. #7
    Bobtail Member Grunsh's Avatar
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    Well i am going to get a medical physical exam done this summer. I haven't given up yet.

    and sorry i meant pacemaker><.
    Last edited by Grunsh; 04.12.2013 at 11.33 PM.

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  15. #8
    The Legend CondoCruiser's Avatar
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    This is from where the DOT medical review board discusses different medical topics.

    http://www.fmcsa.dot.gov/facts-research/research-technology/publications/cardio.htm#a121


    Tetralogy of Fallot

    Without surgical intervention, few individuals with tetralogy of Fallot survive beyond the second decade of life (33). Persons with uncorrected tetralogy of Fallot do not qualify for commercial driving certification.

    Most adults with tetralogy of Fallot have undergone one or more palliative procedures and subsequent intracardiac repair. Complications may arise due to previous palliative or reparative procedures. Common complications include pulmonary artery stenosis and distortion, ventricular volume overload and dysfunction, and occasional severe pulmonary hypertension as a result of a large palliative systemic to pulmonary shunt.
    Intracardiac repair dramatically alters the prognosis of patients with tetralogy of Fallot. While the long-term survival of patients with repaired tetralogy of Fallot is excellent, it is not normal (34). Cardiac residua and sequelae are common and re-operation is often necessary (35).
    Pulmonary valve regurgitation is expected following the transannular type surgical repair of tetralogy of Fallot. Long-standing pulmonary valve regurgitation may cause progressive right ventricular dilatation and systolic dysfunction, whichcan lead to inability to augment cardiac output with exerciseand right heart failure in some cases. This group alsohas a significant incidence of ventricular arrhythmias associatedwith late sudden death.
    Pulmonary valve replacement is required in many adult patients with severe pulmonary valve regurgitation following repair of tetralogy of Fallot. The most appropriate timing of pulmonary valve replacement is controversial but should be considered when patients develop symptoms, progressive right heart enlargement or dysfunction, worsening tricuspid valve regurgitation or arrhythmias.
    It is difficult to meet certification requirements for a commercial motor vehicle driver following repair of tetralogy of Fallot.
    Disqualify:

    • Symptoms of dyspnea or palpitations;
    • More than mild cardiac enlargement;
    • Persistent intracardiac lesions such as ventricular septal defect or more than mild pulmonary valve stenosis;
    • More than mild right or left ventricular enlargement or dysfunction identifiable by echocardiography;
    • Moderate or greater tricuspid valve regurgitation by echocardiography;
    • Severe pulmonary valve regurgitation by echocardiography;
    • History of atrial or ventricular arrhythmia (7);
    • Electrocardiogram demonstrating heart block or marked prolongation of the QRS interval > 180 ms (36);
    • Residual right to left shunt or significant residual left to right shunt; or
    • Right ventricular systolic pressure greater than 50 mmHg.

    The continuing risk of postoperative complications in patients with repaired tetralogy of Fallot warrants annual cardiovascular examination by a cardiologist knowledgeable in the management of adults with congenital heart disease. Annual evaluation required for re-certification should include electrocardiogram, 24-hour ambulatory electrocardiographic monitoring, exercise testing and Doppler echocardiogram (36-38 ).
    Almost the same thing on page 117-118
    http://www.fmcsa.dot.gov/documents/cardio.pdf


    You learn something everyday. It seems like there are four types of this problem with greatly varying degrees. If yours is a mild case you might stand a chance.


    Good luck, I wish you well.

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  17. #9
    Bobtail Member Grunsh's Avatar
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    My vavle was repaired along time ago. When i was 9 so i might be ok.

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  19. #10
    Road Train Member mje's Avatar
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    More and more, I can see that the trucking industry is leaning more towards U. S. military health and fitness standards. Eventually, all truck drivers will most likely have to be free of ALL diseases and conditions. I can also see that even borderline conditions with or without the use of medications will disqualify a person from becoming or continuing on as a truck driver.

    It would NOT surprise me if weight control and body fat (BMI) standards eventually disqualify slightly overweight to incredibly obese people from becoming or continuing on as a truck driver.

    Eventually, it may become as stringent becoming or continuing on as a truck driver as it is to serve in the U.S. military, law enforcement, security, or in any SERIOUSLY SAFETY SENSITIVE JOB.

    God bless every American and their families! God bless the U.S.A.!
    Last edited by mje; 04.13.2013 at 03.11 AM.

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