New rules for the DOT physical in 2024

New rules for the DOT physical in 2024 - Doctor's must watch!

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Күн бұрын

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Dr. Nuesse reviews the new 2024 certified medical examiners handbook hand book that was just released by the FMCSA. This new handbook clarifies the regulations for the DOT physical. Getting a CDL medical card may now look different.
Full Handbook - www.fmcsa.dot.gov/sites/fmcsa...
Webinar - www.fmcsa.dot.gov/regulations...
0:00 - Introduction
1:39 - Background
3:22 - Vision, Hearing, BP
4:11 - Diabetes
4:57 - Heart Conditions
7:32 - Sleep Apnea
11:04 - Medications
12:30 - Illegal Drugs
DISCLAIMER:
Dr. Nuesse is a certified medical examiner in the state of Ohio. The advice provided is Dr. Nuesse's opinion and meant to be used for informational purposes only. Please consult with a medical professional about specific individual healthcare needs. Determination of "medically fit to drive" is at the sole discretion of the examiner performing the exam. Dr. Nuesse is an amazon affiliate and earns income from Amazon.

Пікірлер: 110

@keithcook3908 4 ай бұрын

Ok when you disqualified someone make sure you write them a paper so they can get disability when you disqualified them

@Shadofx 3 ай бұрын

Doesn't work that way

@bensmith4563 3 ай бұрын

@Shadofx if the government can take your job away due to health sounds like a disability to me

@Shadofx 3 ай бұрын

@@bensmith4563 Yes.. the government has health standards. The DOT doctor performing the exam isn't the one who determines disability.

@dwaynetruhlsen8321 3 ай бұрын

It just means that you can't drive a commercial vehicle. it doesn't mean you can't do a multitude of other jobs @@bensmith4563

@donblade5405 Ай бұрын

@Shadofx ??? If a doctor states you cannot hold a dot license due to minimum health requirements pretty clear that's grounds for SS disability

@FocusFanatic 3 ай бұрын

Amazing video. Answered questions google couldn’t. 🎉

@kingcobra4235 3 ай бұрын

That’s great I can get a two year card with OSA! Thank you for the information!

@keventhegirl 5 ай бұрын

I really appreciate your videos. I am up for my 10 year recertification. I took and online class but it have the previous standards. My test is next Friday so I appreciate your update

@EasyDOTPhysicals 5 ай бұрын

You are so welcome!

@miker4671 5 ай бұрын

Thanks Doc

@EasyDOTPhysicals 5 ай бұрын

wlcome!

@fletcherdickerson-gq2ib Ай бұрын

I’m getting ready to take a dot physical test in two days I stop smoking maybe a week ago as soon as I got an offer I didn’t even apply but I’m still going for it but I been detoxing doing the ufc weight cut drinking water eating fruit thinking I would have to take a drug test and it’s just a physical and after watching your video ( which help me calm down because I was panicking the whole time until today) and realizing just being honest with them during the physical and the drug test will come later you are definitely a life saver

@keithjackson6865 15 күн бұрын

How did it go ?

@nicholasshort3320 2 ай бұрын

I've always had trouble with the cpap compliance. I'm glad they relaxed that. Because it never impaired my driving if i failed to use it a few days in a row. Ofcourse I'm a local driver so I'm never driving more than 2 hours at a time between stops.

@happyrootsfamily1276 5 ай бұрын

I ordered the online tips from you to help with cleaning out my system i was a cannabis producer in oregon and have used 4 to 8 grams of flowers and a half gram of concentrate daily for 15 years so far 4 months 16days and not even a faint line to indicate a looming clean test

@alejandroadame6535 4 ай бұрын

Dam thats crazy

@headhunter7881 2 ай бұрын

How heavy are you? I had my medical card stopped exactly 30 days ago and I passed the home drug test I'm 5'8 165 lbs I hear it sticks to fat more

@slaytanicdavidb 2 ай бұрын

Can you do a video specifically on anti anxiety meds?

@aholsodank Ай бұрын

What about a non cdl med card? Dr denied me because of a Stent I had back in 2011. Said now I need a stress test every year. I have no symptoms, BP good, no chest pain and no shortness of breath with exercise.

@vilatethur8825 2 ай бұрын

15:0. I am taking my recertuficstion test next week and passed all the tests last july 2023. Is it going to be much different other than. What you have pool ut out or do you recommend doing online class or webinar before taking.?

@donnellalbertie3951 3 ай бұрын

So if these standards are in the new handbook, how is the examiner still able to go by the old standard?

@stevenross9768 4 ай бұрын

Why dont they drug test the 4 wheelers that are so close to taking off my left fender every night while staring at their phone ?

@marylou7230 3 ай бұрын

ALL delivery drivers are drug tested upon hire, no matter what they drive.

@censoredeveryday3320 3 ай бұрын

Mini van moms should all be tested

@alanlangley7246 Ай бұрын

because your licence are federal issued theirs are state issued

@dorygimi9373 Ай бұрын

very informative but again, the DOT leaves OSA open to interpretation with the words "HOW EVER" ...

@will78 5 ай бұрын

So high blood pressure is still only one certified??

@Anthony-nt6mr 4 ай бұрын

Been on methadone maintenance for years for sud disorder that is currently in remission. I am currently a courier for a local company have my class E and drive a sprinter van and deliver packages for 10+ hours a day with 0 issues. I passed their backround check and drug test with a note from my methadone presciber with no problem at all. My question is would I just rinse and repeat for my dot physical and medical card for obtaining a cdl? Lemme know thanks...

@simplymarvelous4983 20 күн бұрын

I had tested positive for methadone and had to get a note from doctor but now I have my CDL A and I hear I’m not gonna be able to drive on methadone

@motey3222 3 ай бұрын

I doubt you guys will see this, im looking into some electrical work yada yada,,, they require DOT tests. I use my med card and I smoke once every week to two weeks. (Chrones and back pain) lol. But anyways, is a med card still not ok?? (In other words, does a med card alter my positive test)

@nickspitzer1896 7 күн бұрын

What? Are the regulations on TRT AS far as the FMCSA concerned

@pablosindro7555 12 күн бұрын

So if I’m going in to get my cdl permit will they test me for drugs as well?

@christopherortega6139 4 ай бұрын

I’ve been tracking with at home tests, can there be a reason why I was testing negative with a faint line two days ago and testing positive today?

@EasyDOTPhysicals 4 ай бұрын

yes this is possible. please see my videos on how it stays in system

@scottcowell9645 2 ай бұрын

Thank you sir my question is if I understood what you were saying is that the fmcsa is not going to make all CDL holders take a sleep apnea study test?

@EasyDOTPhysicals 2 ай бұрын

that's correct!

@lilcfromklz 4 ай бұрын

Im scheduled for a Non-DOT Urine (Pre-Employment, Not Observed) and a DOT Physical Exam. I see that a urinalysis is done during a DOT exam. Does this mean im taking two different samples or one sample with different tests ran?

@EasyDOTPhysicals 4 ай бұрын

I have a full video on the urinalysis

@4LOV4ND4LO-zm2ge 3 ай бұрын

My concern is that I didn’t pass the DOT physical exam because apparently I’m red-green colorblind which is totally new for me because I never had a problem related to color blindness before. I know there are corrective lenses for color blindness (Enchroma glasses) but my question is… Are these Enchroma glasses allowed in the DOT physical exam? Or Do I have a chance to get a CDL being red-green colorblind? (I can recognize red, green and amber)

@EasyDOTPhysicals 3 ай бұрын

If you pass with glasses you pass

@lifessohard3488 5 ай бұрын

sleep apnea still required using Machine 70% or minimum 4 hours a day/night ???

@EasyDOTPhysicals 5 ай бұрын

that is the old recommendation that I will still use

@midwestmusicllc Ай бұрын

Is provigil (modafinil) allowed by the DOT?

@EasyDOTPhysicals Ай бұрын

you will need clearance from prescribing doctor

@markfortag4301 4 ай бұрын

I recently went in to renew my medical card and every went well.bp 120/80 eyes 20/25 I’m 58 but I had double bypass surgery 10 years ago. Now the examiner wants me to have a stress test it’s never been a issue in the pass. I now have to find a new cardiologist as mind has moved on. And I don’t have health insurance I’ve always done self pay trying to get an appointment within the three months period that this young examiner wrote it for is going to be a challenge a best any suggestions would be greatly appreciated

@EasyDOTPhysicals 4 ай бұрын

you can always see another medical examiner to see if they agree with the initial assessment.

@bensmith4563 3 ай бұрын

Go to another physical never let the talk you into a life destroying diagnosis

@ryanmartin4053 Ай бұрын

Question about the urine sample for DOT. I’m one of those people with shy bladder and am really excited about the prospect of not having to provide urine for our random drug tests anymore due to the saliva test being added. Will there be an alternative test for the DOT medical exam as well? I’ve always thought diabetes could be tested for in several ways that does not require a urine sample.

@EasyDOTPhysicals Ай бұрын

no alternative for the DOT physical

@user-kd7wy3lp6q Ай бұрын

Great video. I’m recently been cleared by my cardiologist to return to the work force. I have a CRTD device for ventricular tachycardia and the device has all my minimal numbers required by DOT ejection fracture rate 60, bp 120s over mid 80s three stints So do you think I will qualify to return to my CDL employment?

@EasyDOTPhysicals Ай бұрын

it's up to the doctor doing the exam

@-diz6516 4 ай бұрын

I have white coat syndrome, will I be able to pass DOT?, my blood pressure in the hospital is 160\90, at home up to 130\75.

@1PerfectAgony 4 ай бұрын

You will pass.....BUT you wont get the 2 year certification, they'll only certify you for 1 year OR 6 months .

@BigRigPullUp 13 күн бұрын

What if someone had a mild sleep apnea result and now they are having trouble getting their med card due to confusion on using their new cpap machine. Can they retake the sleep test and go to a new dot physical doctor and give them the new sleep study results with it being that the patient doesn't have sleep apnea how would that work or could it work??? Please help

@76nuts76 5 ай бұрын

Digging the hat bro.

@EasyDOTPhysicals 5 ай бұрын

@lyfemultimedia 4 ай бұрын

I live in California and the new 2024 law states that employer can no longer test marijuana. What are your thoughts?

@EasyDOTPhysicals 4 ай бұрын

doesn't apply to federally mandated tests

@lyfemultimedia 4 ай бұрын

@@EasyDOTPhysicals Does that apply to a city non classified position? Thanks in advance.

@censoredeveryday3320 3 ай бұрын

I have been off all prescribed ADHD medications for 11 months. The medication is no longer needed. Would this be an issue with getting a CDL?

@akbuilder7626 2 ай бұрын

Did you disclose this on previous DOT physicals? If not the how would they know.

@censoredeveryday3320 2 ай бұрын

@@akbuilder7626 Nope have never disclosed it. Do DOT examiners have access to the prescription database?

@akbuilder7626 2 ай бұрын

So what about the BMI of 40 or less rule?? Looks like if youre over 40 BMI youre disqualified.

@EasyDOTPhysicals 2 ай бұрын

That is not a rule

@wofforddwayne 4 ай бұрын

Will someone on medication for rheumatoid arthritis be automatically disqualified or will that change anything in the qualification process? For instance if its under control and patient has no problems as long as medication is taken daily and as prescribed by doctor? Patient already works a physical demanding job landscaping and land clearing without any issues.

@EasyDOTPhysicals 4 ай бұрын

I have passed individuals in similar situations. Each case is different however

@wofforddwayne 4 ай бұрын

@@EasyDOTPhysicals Thanks. Your videos are very helpful and full of good information. I wish I was closer to Ohio.

@Ilyari4l 2 ай бұрын

So if they aren’t checking for drugs then why do they collect urine from u

@user-ge3pm8pn8o 5 ай бұрын

Hey hey I’m Number 1

@tatankaate2902 4 ай бұрын

I have a question...i have to renew my medical card ..wen it comes to the pee test it just looks for health issues not weed? Will weed show up and will i fail it all together just for weed ..

@EasyDOTPhysicals 4 ай бұрын

see my video on urine testing for DOT physical

@blackburn333 2 ай бұрын

Good question. But. I think if the don't check for it. Then it won't come up.

@mattliedtke5976 3 ай бұрын

How come they had me do walking duck squats and then walk on my heals then on tips of toes?

@littleredhen2894 3 ай бұрын

I've been taking DOT physicals for decades and have had to do all sorts of stuff. Maybe they're checking our balance/coordination? 🤷‍♀️

@tenbearsreeftank5705 4 ай бұрын

That sounds crazy take methadone basically liquid heroin an. qualify

@simplymarvelous4983 20 күн бұрын

I’m on methadone I take 70 milligrams I don’t feel high like on heroin I take a dose that is moderate just so I don’t go into withdrawals

@apm9151 4 ай бұрын

So if you have a high BMI, it’s up to the doctor to require a sleep study or not??

@lengmoua16 5 ай бұрын

Hey bro I been a heavy smoker for 10 plus year n I been clean 7 month now u think if they do hair test I pass ?

@sorentokey9002 5 ай бұрын

You will pass

@stevenross9768 4 ай бұрын

@user-lg4mc9qy2r 4 ай бұрын

Depends on company lol 😂

@censoredeveryday3320 3 ай бұрын

You might want to shave your head first

@lengmoua16 3 ай бұрын

@@censoredeveryday3320 by July it be 1 year clean for me

@williambacker6581 4 ай бұрын

do you know if the VA is competent in giving DOT physicals?

@EasyDOTPhysicals 4 ай бұрын

a doctor can not perform a DOT physical unless he has special certification through the FMCSA

@jasonaguerre8899 5 ай бұрын

If i used a Gram of cocaine on Friday will i pass my urin drug test the following Wednesday?

@383chevymc 5 ай бұрын

The instructor I had for sap says pase takes about 7 days to clear. Especially if you had some scama.

@stevenross9768 4 ай бұрын

It depends if you purchased it from Pablo Escobar or Pedro on the streets of Vegas?

@user-lg4mc9qy2r 4 ай бұрын

Dame put it out their

@TheBigdog868 3 ай бұрын

A G of China white, no. If you just did a bump of shitty fish scale coke from the dive bar, then probably yes.

@koryholt4807 26 күн бұрын

Something tells me you don’t have a lot of repeat customers for physicals.

@EasyDOTPhysicals 26 күн бұрын

Largest provider in my area ;)

@greg11786 4 ай бұрын

hey guys and gals, Sleep apnea is at the dr.'s discretion. It doesn't matter your weight, bmi or neck size. It's all a kickback for the insurance companie's, Dr's office's and mega trucking companie's. Also, doesn't matter if you're skinny or fat. They will say you have sleep apnea regardless. ( THERE'S NO FEDERAL REGULATION FOR SLEEP APNEA AND FMSCA) We don't sleep during the day while we drive LOL. Do your research. No trucking company or dr's office will pay 5,000 dollars for an actual sleep test (at a hospital) they put a phony thumb device on your thumb and boom, the next day you have "sleep apnea". What I am trying to say is work a local driving job. Stay away from mega carriers.

@garyvandenbosch4183 5 ай бұрын

So medical examiner's won't measure necks anymore 11:38 11:43

@EasyDOTPhysicals 5 ай бұрын

They might. It's not required. I won't

@Raymond-bk2mw 26 күн бұрын

All these dang changes is gonna send American to shit. To many changes on everything. Just live life all this crap takes the fun out of living life.

@wojramos 2 ай бұрын

Brooo Blah blah blah... Come on ...

@steppecharles 5 ай бұрын

I get the feeling he really enjoys disqualifying people

@254Eduardo 5 ай бұрын

He literally makes free educational videos to help people pass...🤥

@MonsterHDE 5 ай бұрын

Dude he literally is transparent af, one of the best sources for this on youtube. Stop hating. This channel is USEFUL ASF. helped me A LOT to get my new job.

@sasquatch5577 5 ай бұрын

I get the feeling you haven't watched the rest of his videos

@user-lg4mc9qy2r 4 ай бұрын

He's the best he tells you everything he trying to help

@TheBigdog868 3 ай бұрын

Someone told him he was a hero