Off Subject: CDL Licensing requirements

[Guest guest]

I guess you are right but the other side is there is some advantage when the

responsible doctor has 20+yrs experience treating the PTN! His " guess " was

always correct. I have more concern with the driver that tapes a bottle of

urine to his/her body so they can pass a drug test. In fact, speaking of drug

tests I once had 6 monthly " random " tests in a row! I made the comment that if

my name got pulled the 7th month they had to send me to LosVegas for a week!

Never got pulled again in over 3 yers! How do you spell random?!!

And now is the time to worry about the " Snowbirds " on the I95 corridor. They

are 70+yo individuals driving a large motor home, usually too slow and drive it

exactly 2 times a year, NO PHYSICAL REQUIRED! I had over 3/4 million accident

free miles in the big rig, even w/HBP!

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin

2000MG and Spironolactone 50 MG.

> > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > Dr. Grim

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > Do you have any experience treating PTNs

> > w/

> > > > spironlactone who

> > > > > > > > > > > > develop gynocomastia and breast tumors? I am

> > > > specifically interested

> > > > > > > > > > > > in the effect on Estrogen and Testosterone in

> > males

> > > > and preparing

> > > > > > > > > > > > for a CTJ (Come To Jesus) meeting with the VA in

> > the

> > > > morning.

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > > - 65 yo super ob. male - 12mm X 13mm

> > > > rt. a.adnoma with

> > > > > > > > > > > > previous rt. flank pain. Treating with Meds. And

> > > > DASH. . Current

> > > > > > > > > > > > BP(last week ave): 131/76 HR 60

> > > > > > > > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap

> > > > settings 13/19,

> > > > > > > > > > > > DM2, and PTSD.

> > > > > > > > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol

> > > > Tartrate 200 MG, 81mg

> > > > > > > > > > > > asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > > > > > > > > >

> > > > > > > > > > > > > > > >

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[Guest guest]

DOT physicals are for anyone with a CDL, whether they drive inter or intrastate.

The last 3 I've gotten (renewed every 2 years) they've let me lay in a darkened

room for 5-10 minutes + took my reading while I was still laying down before

they got BP reading that would pass.

The 1st one was explained away by the fact that I had just come from a friend's

memorial service (2 blocks away), the 2nd that I had just disembarked from a 16

hour trans Pacific flight and the last one (this year) was I was held up in

traffic and almost didn't make it before they closed.

Personally I knew that my BP had been slowly climbing the last few years, but

the doctors said my stories had validity and made the allowances.

I took myself from behind the wheel several months ago when my BP got really

high for fear I would pop a blood vessel when yet another driver pulled in front

of me and slammed on their brakes.... Fortunately I have that luxury;

unfortunately, too many drivers don't.

Donna

Your mention of the medical card required for interstate commercial drivers

reminds me of when I used to need one.

<snip>I used to have mine done by my PCP who was a personal friend....He would

never lie but sometimes he took it 6 or 7 times before he was able to get number

he liked!

[Guest guest]

Is strange. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

I guess you are right but the other side is there is some advantage when the responsible doctor has 20+yrs experience treating the PTN! His "guess" was always correct. I have more concern with the driver that tapes a bottle of urine to his/her body so they can pass a drug test. In fact, speaking of drug tests I once had 6 monthly "random" tests in a row! I made the comment that if my name got pulled the 7th month they had to send me to LosVegas for a week! Never got pulled again in over 3 yers! How do you spell random?!!

And now is the time to worry about the "Snowbirds" on the I95 corridor. They are 70+yo individuals driving a large motor home, usually too slow and drive it exactly 2 times a year, NO PHYSICAL REQUIRED! I had over 3/4 million accident free miles in the big rig, even w/HBP!

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > > > > > >

> > > > > > > > > > > > > Mammogram not needed unless does not regress

> > with

> > > > stopping/

> > > > > > > > > > > > switching to epler. How much does it cost to do a

> > > > mammogram? Must be

> > > > > > > > > > > > cheaper to give eplere to see if it

> > > > > > > > > > > > > Goes away.

> > > > > > > > > > > > >

> > > > & g