Okay, so this part is on clinical areas, other diseases, just kind of a hodgepodge. We got to touch there and then touch. Oh, good. No, no disclosures and no off label. Again, the primary mission of FMCSA is to reduce crashes, injuries, fatalities involving large trucks and buses. That is the overall theme of this whole course. Again, this is from them. You can read that as defined by regulation. Oh, lucky there. There are two conditions that absolutely disqualify a driver. So we have pointed those out that you would write in as to why they're disqualified. But, and those are two conditions then that in order for them to drive, they would get a waiver. Okay. Protect the public, I've gone through that before, and regulation. Person physically qualified, if no mental, nervous, organic, or functional disease, or psychiatric, that is likely to interfere with his or her ability to drive safely. So, if they meet the qualifications, but still have medical issues that would make him unsafe to drive, you would not, because again, it's under your particular license. So, examples, any condition that could result in insidious or sudden incapacitation or death, emotional problems, functional disorders, physical fatigue, or disorders of any system that could make them not be able to continue to function the way they need to. Health risk. These are various health risks that drivers actually go through. Physical exhaustion, vertebral disorders, from all the vibrations, circadian rhythm, where they drive into the night, then the day, etc. Obesity, and cigarette smoking, 50% incidence. So these are health risks for drivers. Examinations, you're looking for enlarged liver, for example. Is it a health problem? Is it a sign of alcoholism? So you're going through your physical exam, which I think Carl went over with us yesterday. Health risk of drivers, again, going through those. And exam findings, nephropathy. Driver meets physical criteria and has treatment plan that manages the disease and does not interfere with safe driving. However, you don't certify if you believe that the severity of condition endangers the safety and health of the driver. And remember the hat? Public. Okay. Hernia. You know, some men walk around with a hernia that, you know, is huge, but it gives them no symptom. You believe that the nature and severity of the condition does not endanger their fit for duty. And a hernia check is a mandatory part of the exam. Yes. Inguinal hernia. Inspection for inguinal hernia. Yeah, and it's actually on the form. It's a mandatory part of the exam. You can't just say, defer is not a choice. Right. And when I used to, when I first joined the group, I mean, you know, some were not doing that. And it's on the form. So, and I tell my med students, if you check it, you did it. Do not certify if you believe that the nature, if you feel that that could make them not bump down on that clutch or that break or whatever as hard, then you wouldn't certify them until they got that check. Is there any conditions identified on history exam that could change over time and should be periodically reevaluated. And if you determine that to be true, then you would want to market to that, give a shorter card or get it evaluated. So, other disease summary, this section provides for the policy to shorten the duration of the certification, which are undiagnosed, or you feel are unstable or unsafe. So, this gives you permission if something comes out in your history or physical to say, I need more information. I wanted a shorter period of time. I don't know if this is going to become unstable. And are there any questions. And thank you. Okay. What does the chat say. It's human analysis disqualifying for commercial driving. So, this isn't this is one of those questions that is it's an interesting question. So the short, you can you can change that you can just change up here. So, human analysis is a it depends. Most of the time the answer is yes, that is disqualifying. And because if you talk to people that are on human analysis, what they tell you is the data analysis, they feel like crap. The next day, they feel like crap. The day after that, I'm sorry, psych please think psychiatric. The day after they feel like crap. If it's there is usually their dollars three times a week. So they've got today they get dollars, they're busy all day. The next day they feel like crap. The day after that's not too bad. So, they can, they can safely drive and have their full attention on driving about one day a week. Not safe. I have had I've known drivers in the past that have drive driven successfully when they're doing the perineal dialysis, particularly if they want to be able to does it overnight. Now again, we have to talk about how they're gonna do when they're on the road, and some people. Some people use these machines to take up half a room, and some people do it with you know IV bags they roll up in there, tucking their pants. If they're the IV bag rolled up and tucking their pants that's probably you can do that. I've had drivers tell me to do it while they're driving, which is probably safe. Are you ready.

FMCSA

driver disqualification

health risks

medical evaluation

driving safety