Columbus DOT Exams - Blog, Jan 12, 2017
Do you feel as though you have some issues that could put you in the red flag range during your next DOT physical exam in Columbus, Ohio? Columbus DOT Exams is here to help you through it.
There are some do's and don'ts that you need to put in your action plan. This is especially important when seeing a company doctor or a doctor whom you don't know and more importantly who does not know you.
Dr. Anthony Abbruzzese, DC, is a certified DOT medical examiner. His first suggestion is to first lay off of the energy drinks or over-the-counter cold medication for 24 hours before the exam. These products can raise the blood pressure 20 points on each end. For example, a normal blood pressure of 120/80 can become a pressure of 140/100, or a 140/90 will rise to 160/110, which will turn a non-hypertensive driver into a permanently restricted one or, in the latter case, disqualified.
Get a good night's sleep and get up early so you are not rushed.
Take your medicine as soon as you wake up in the morning is what you treating doctor has probably recommended. This is especially important if you are on blood pressure medicine or diabetes medication. You should also bring all medications in their original bottles to the DOT exam to show to the doctor. Bring any and all logs too!
Hygiene is very important. Be clean.
Don't eat a big meal before the physical, especially if you are diabetic. This triggers a spilling of sugar in your urine. That leads to a blood sugar test and possibly getting an A1C test by your family doctor; disqualification pending treatment; or a restricted card. Dr. Anthony Abbruzzese has a good relationship with many labs and area doctors who can help you obtain an A1C test. So if you need help with this, please simply ask!
Take any current compliance letters for special illness or medications from your doctor. You should also have copies of your most recent lab tests. Keep a medical log. This impresses doctors the most.
Have a CPAP machine? Bring it and your compliance letter to the exam. Remember CPAP machines are a prescription just the same as a medication. Some doctors can read your CPAP data card, although not many do.
If you have to catch a bus to a new hire physical, be sure to be early. You don't want the stress of missing the bus on top of everything else. Otherwise, be sure to arrive at your appointment in plenty of time. You don't want to be in a big rush or tired when you're doing vision and hearing tests.
Once you are at the clinic - and this one is very high on my list - treat the staff with courtesy. If you treat the technician or nurse badly, the doctor will know and you will not be given the benefit of the doubt.
Remember, most restricted DOT medical disqualifications are the decision of the doctor. This means the Federal Motor Carrier Safety Administration allows the doctor a lot of discretion in determining whether you get a card or not.
Here's how attitude fits into a DOT physical: Don't go into a medical office and expect to be seen right away. A long wait at the doc's office is par for the course but we have implemented a system that can get most patients in and out in 45 minutes or less. A urine screen is needed, know this, understand this, BUT, also know why you must have it performed - It is NOT a drug test. The urine is checked for kindness function and diabetes. You may be a little uncomfortable, even mad, but the urinalysis is mandatory and a DOT requirement. Attention to detail is very important so most clinics move slowly to avoid mistakes.
Being calm and polite will go a long way to ensuring a more pleasant DOT physical experience.
To schedule an appointment for your next DOT Physical Examination, please call 614-706-4688. We are located at 2658 W. Broad St., Columbus, Ohio 43204. Please also visit us at www.columbusdotexams.com.
Columbus DOT Exams - Blog, Dec 1, 2016
Getting a DOT medical card in Columbus, Ohio? Columbus DOT Exams can help make this process a lot easier for you. Here are some helpful tips:
DOT Physical Exam: Things to Plan in Advance - If you have a medical condition you're going to need some paperwork:
1. Diabetic Condition - Bring a list of medications and name of prescribing doctor.
2. High Blood Pressure - Bring a list of medications and name of prescribing doctor.
3. Heart Condition - If you've had a heart attack or cardiovascular disease, you'll need to bring a copy of your last stress test.
4. Sleep Apnea - Bring a copy of your latest sleep test results, if you have one.
5. Medications - List all the prescription medicines you take, including strength and dosage.
If you regularly take over-the counter medications, such as antacids or allergy pills, list them, too.
This is a VERY important tip...Contact information! Have names and phone numbers of your doctors in case you need to call and have them fax missing information.
DOT Physical Exam - Things To Do to Manage Your Blood Pressure:
1. Make sure you don't run out of your prescribed blood-pressure medication.
2. Remember to take your medication on schedule. If you forget, most doctors recommend taking your medication as soon as possible.
3. If you're significantly late taking your medication, tell the doctor conducting the DOT physical you forgot to take your regular medication.
4. If your blood pressure is too high, ask to have it rechecked later that day - or even the following day.
5. Cutting back on caffeine and nicotine can help improve your blood pressure.
6. This is IMPORTANT!!! Reducing the amount of salty foods you eat and avoiding adding salt to your food can also help to lower your blood pressure.
The week before your DOT physical exam, cut back on coffee, sodas, energy drinks, potato chops, etc, and don't add salt to your food. Also reduce your use of nicotine as much as possible. Doing this can help lower your blood pressure reading.
The Day of the DOT Physical Exam:
-Remember to bring the medical records you've prepared in advance, including your list of medications.
-Remember to bring eye glasses (it's surprising how many people forget this).
-Drink water. Come with a need to pee.
-Getting Past 'White Coat' Syndrome:
First off, we understand that this is a very real concern for some drivers. Secondly, we work with drivers all day long. We understand that passing your DOT physical exam is important to your continued career and your livelihood, and we're here to do everything we can to help you. Lastly, I work in my own clinic and while I do have a white coating hanging somewhere, you won't find me in it most times!
To schedule an appointment for your next DOT Physical Examination, please call show contact info We are located at 2658 W. Broad St., Columbus, Ohio 43204. Please also visit us at www.columbusdotexams.com.
Dr. Anthony Abbruzzese, DC
Certified DOT Medical Examiner