Truckers Beware. Firefighters and Police Officers Among Those with OSA Affecting Work.

February 23, 2015 by Randolph Rosarion M.D.

Truckers Beware. You are not alone!  In an article by Anahad O’connor of the NY Times more than a third of police officers have a sleep disorder ( most commonly OSA). Besides the usual OSA associated risks such as cardiovascular disease, diabetes, etc., it was found that OSA in police officers also raised the odds of being injured on the job by 22 percent and falling asleep while driving by 51 percent.  Reportedly, from 2009 to 2010, more than a third […]

Categories: Media| News • Tags: sleep apnea, sleep apnea in firefighters, sleep apnea in police officers, sleep apnea risk factors

FMCSA bans former lab operator from the drug testing business: Land Line Magazine

February 15, 2015 by Randolph Rosarion M.D.

FMCSA bans former lab operator from the drug testing business: Land Line Magazine. This story reminds me of another story about 6-8 months ago about another case of fraud in PA.  This person was an unlicensed chiropractor impersonating a psychiatrist and doing DOT physicals.  It was not revealed as to why her license was suspended in the first place but drivers beware!  Before going for a DOT physical look up the NRCME website or OOIDA’s D.O.T. Doc website for a […]

Categories: dot physical, Editorial, Media| News • Tags: certified dot medical examiner, D.O.T. Doc, dot drug testing fraud, dot physical, dot physical fraud, fmcsa, NRCME

Truck Driver Physicals

February 10, 2015 by Randolph Rosarion M.D.

Truck Driver Physicals. via Truck Driver Physicals.

Categories: dot physical, Trucking rules and regulations • Tags: truck driver cdl physic

FMCSA To Train Police On Traffic Enforcement

February 8, 2015 by Randolph Rosarion M.D.

FMCSA To Train Police On Traffic Enforcement.

Categories: FMCSA Rules regulations, Trucking rules and regulations • Tags: DOT inspections, traffic enforcement, trucking inspection

FMCSA recruiting drivers for HOS restart study: Land Line Magazine

February 8, 2015 by Randolph Rosarion M.D.

FMCSA recruiting drivers for HOS restart study: Land Line Magazine.

Categories: FMCSA Rules regulations, Trucking rules and regulations • Tags: 34 hour restart rule, driver fatigue, hours of service

DOT Physical New York certified

February 8, 2015 by Randolph Rosarion M.D.

Dr. Randolph Rosarion M.D. National Registry #7248940537 Contact Info:  120-10 15th Ave, Rm 6, College Point, Queens, NY 11356 Phone: 718-939-9020 Fax: 718-701-5949 Parking:  Street parking (metered and non-metered).  Neighborhood is in semi- industrial area with many trucking companies      including Pepsi distributor next door.  Tractor trailer can park on street on left side close to office or few blocks down. (One way street – City bus runs on 15th Ave on the right side) Walk in & appointments: […]

Categories: dot physical • Tags: cdl medical, cdl physical, certified dot medical examiner, dot physical, driver physicals, truck driver physical, trucker-dot-physical-nyc

2014 in review

December 30, 2014 by Randolph Rosarion M.D.

The WordPress.com stats helper monkeys prepared a 2014 annual report for this blog. Here’s an excerpt: A San Francisco cable car holds 60 people. This blog was viewed about 2,300 times in 2014. If it were a cable car, it would take about 38 trips to carry that many people. Click here to see the complete report.

Categories: Uncategorized

Size and Weight Restrictions for Trucks and Commercial vehicles in NYC

June 18, 2014 by Randolph Rosarion M.D.

Link to trucks (box trucks, tractor trailers), and commercial vehicles in New York City.  (Please see previous post for distinction between trucks and commercial vehicles in NYC).  Single unit (i.e box trucks) and multi unit vehicles (tractor trailers) exceeding the dimensions listed below must obtain a daily permit for over dimensional vehicles.  According to the NYC DOT site: Tractor-trailer vehicle combinations not exceeding 13′6″ in height, 8′ in width, and 55′ in length can travel on interstates and truck routes. […]

Categories: NYC DOT • Tags: Truck dimensions and routes

Still time for OOIDA members to enroll in customized health and wellness program: Land Line Magazine

June 18, 2014 by Randolph Rosarion M.D.

Drivers be prepared form your next DOT physical with OOIDA’s Human Factor Health-Well For Life Program.  I have been seeing an increasing number of drivers in my office with significant medical issues well beyond the more common hypertension, diabetes and the sleep apnea issues.  Since the certified medical examiner program has started it seems that drivers with other significant medical issues like undiagnosed kidney disease, recurrent lung infections, psychiatric issues, as well as other less common systemic medical conditions are […]

Categories: dot physical, Driver Health • Tags: OOIDA driver health and wellness program

DOT Physical NYC|Trucking Jobs

June 17, 2014 by Randolph Rosarion M.D.

  Are you looking for a job in trucking? Whether you have a CDL or a CLP (permit) or no CDL you will need to get a DOT physical if you are looking for a job in trucking to drive a commercial vehicle. Come to Randolph Rosarion M.D. (The DOT Medical Examiner) for your DOT/CDL Physical Exam. $65.00 (College Point, Queens). We perform DOT/CDL physical examinations and medical evaluations for all commercial drivers (truck drivers with or without CDL, bus […]

Categories: dot physical, Physical Exam Center • Tags: cdl medical, cdl physical, dot physical, driver physicals, truck driver physical

MedlinePlus: Trusted Health Information for You

June 13, 2014 by Randolph Rosarion M.D.

Study finds that patients with severe sleep apnea had a 30 percent higher risk of developing diabetes than those without sleep apnea. MedlinePlus: Trusted Health Information for You.

Categories: Driver Health, Media| News, Medical Condition • Tags: sleep apnea risks and diabetes

http://www.fmcsa.dot.gov/mission/field-offices

June 6, 2014 by Randolph Rosarion M.D.

List of Service Centers and field offices for the FMCSA to answer your questions.  These facilities consist of Field Operations, Service center and State-level motor carrier division offices.  http://www.fmcsa.dot.gov/mission/field-offices.

Categories: FMCSA Services • Tags: field offices FMCSA, service centers FMCSA

Truckers having DMV problems | WHEC.com

June 5, 2014 by Randolph Rosarion M.D.

  I haven’t heard anything about any forms or certificates getting lost from the drivers I’ve seen.  It’s either they didn’t submit the mc-11A self certification form, or they say they never received it.  Once they do submit the form I haven’t heard of any other problems.  As far as errors from the DMV, I’ve had a driver tell me that his medical examiner’s certificate was returned to him because the DMV said one or more checkboxes on the top […]

Categories: dot physical, Physical Exam Center • Tags: dot medical examiner's certificate, mc-11A self certification form

Congress Shouldn’t Roll Back Safety; the Steps We’ve Taken Keep Tired Truckers off the Road – Department of Transportation

June 4, 2014 by Randolph Rosarion M.D.

Congress Shouldn’t Roll Back Safety; the Steps We’ve Taken Keep Tired Truckers off the Road – Department of Transportation.

Categories: FMCSA Rules regulations, Media| News • Tags: driver fatigue, truck driver hours of service regulations, trucker fatigue, trucking acccidents

The Deaf CMV Driver-Hearing Requirements. How The Hearing Standards Differ From Vision.

June 2, 2014 by Randolph Rosarion M.D.

  What are the hearing requirements and how do they differ from the vision requirements?   As per FMCSA 391.41 (b) (11): “A person is physically qualified to drive a commercial motor vehicle if that person — First perceives a forced whispered voice in the better ear at not less than 5 feet with or without the use of a hearing aid or, if tested by use of an audiometric device, does not have an average hearing loss in the […]

Categories: dot physical, Physical Exam Center • Tags: commercial driver and hearing impairement, hearing and vision in truck drivers, truck driver and hearing problems

Sleep Apnea Linked To Hearing Loss In New Study

May 29, 2014 by Randolph Rosarion M.D.

Originally posted on Presidential Healthcare center:
People with sleep apnea may have a higher risk of hearing loss, according to a new study. The research, which was presented at the American Thoracic Society’s 2014 International Conference, found that of the 13,967 participants sampled, about 10 percent had at least moderate sleep apnea. These patients had a 31 percent increased risk of high frequency hearing impairment, a 90 percent increased risk of low frequency hearing impairment and a 38 percent increased risk in…

Categories: Uncategorized

DOT Reminds Commercial Drivers that Physicals Must Now Be Performed by Certified Medical Examiners – Federal Motor Carrier Safety Administration

May 24, 2014 by Randolph Rosarion M.D.

DOT Reminds Commercial Drivers that Physicals Must Now Be Performed by Certified Medical Examiners – Federal Motor Carrier Safety Administration.

Categories: dot physical, FMCSA Rules regulations, Media| News • Tags: 2014 dot physical exam requirements, certified dot medical examiner, national registry of certified medical examiners, NRCME

How do I get rid of my anxiety?

May 18, 2014 by Randolph Rosarion M.D.

Originally posted on masteranxiety:
As a therapist specializing in the treatment of Anxiety and Obsessive Compulsive Disorder (OCD), the most common question I hear is, “How do I get rid of my anxiety?” My honest answer is, “You can’t.” I don’t say this to be discouraging or pessimistic, but I have to be realistic. Anxiety is a natural and necessary emotion that all humans–and, in fact, most living animals–experience. Anxiety is the response that warns us of immediate danger and…

Categories: Uncategorized

How Truck Drivers Can Stay Healthier on the Road

May 15, 2014 by Randolph Rosarion M.D.

As we know, life on the road is difficult for the truck driver.  Hard hours, a sedentary lifestyle and a host of unhealthy temptations at truck stops are some of the causes of the high rate of obesity, hypertension and related co-morbidities such as sleep apnea and cardiovascular disease in drivers.  But, it does not need to be that way as we can see in this NY Times article.  Like anything else in life, with a little effort and determination […]

Categories: Driver Health, Media| News, Medical Condition • Tags: hypertension and truckers, obesity in truck drivers, sleep apnea risks in truck drivers, truck driver health

A small dose of medical meth might go a long way in limiting post-TBI brain damage

May 13, 2014 by Randolph Rosarion M.D.

A small dose of medical meth might go a long way in limiting post-TBI brain damage.

Categories: Media| News • Tags: tbi experimental treatments, traumatic brain injury

Consumer Updates Medications for High Blood Pressure

May 12, 2014 by Randolph Rosarion M.D.

May is national high blood pressure awareness month. High blood pressure is probably one of the most common findings during a Dot physical-not surprisingly, as hypertension affects approximately 31% of the U.S. population, which translates to more than 60 million Americans.   Having high blood pressure will not only limit how long you can be certified for during the DOT physical, but may prevent you from passing the physical.  Most importantly, hypertension causes significant health risks, and can strike without […]

Categories: Driver Health, Medical Condition, medications and supplements • Tags: high blodd pressure and the dot physical, hypertension, hypertension risks

VA Battling Silent Epidemic

May 12, 2014 by Randolph Rosarion M.D.

According to Veteran Administration’s Office of Research and Development 20% of the veterans that use the VA health care system have type 2 diabetes mellitus, compared to 8.3% of the general population.  That adds up to approximately 1 million veterans with type 2 diabetes. VA Battling Silent Epidemic.

Categories: Driver Health, Medical Condition • Tags: diabetes mellitus, type 2 diabetes, veteran's administration

UMC Sleep Center | BlackDoctor |

May 9, 2014 by Randolph Rosarion M.D.

UMC Sleep Center | BlackDoctor | Page 2.

Categories: Media| News, Medical Condition • Tags: sleep apnea, sleep apnea risk factors, sleep apnea testing

Upper-Airway Stimulation for Obstructive Sleep Apnea — NEJM

May 6, 2014 by Randolph Rosarion M.D.

FDA approves “pacemaker like” device for Sleep Apnea. Implanted in the chest it stimulates the hypoglossal nerve to keep primary airway muscles open so that breathing is not obstructed during sleep.  For more details see New England Journal of Medicine Study below (Study funded by Inspire Medical Systems).

Categories: Media| News, Medical Condition • Tags: sleep apnea, sleep apnea interventions

Night Shift Sleep Study Is Novel Use For Crowdsourcing

May 6, 2014 by Randolph Rosarion M.D.

Night Shift Sleep Study Is Novel Use For Crowdsourcing.

Categories: Media| News, Medical Condition • Tags: sleep apnea interventions, sleep apnea testing

May is National Stroke Awareness Month!

May 5, 2014 by Randolph Rosarion M.D.

Originally posted on Presidential Healthcare center:
A stroke occurs when blood flow to part of the brain is blocked; we sometimes refer to it as a “brain attack.” Two million brain cells die every minute during stroke, increasing the risk of permanent brain damage, disability or death. In the United States, stroke is the fourth leading cause of death, killing over 133,000 people each year, and a leading cause of serious, long-term adult disability. Stroke can happen to anyone at any…

Categories: Medical Condition • Tags: high blood pressure and stroke risks, risk factors for strokes

Skill Performance Evaluation Certificate Program – Federal Motor Carrier Safety Administration

April 29, 2014 by Randolph Rosarion M.D.

Skill Performance Evaluation Certificate Program – Federal Motor Carrier Safety Administration.

Categories: dot physical, FMCSA Rules regulations • Tags: skills performance evaluation certificate, spe certificate, SPE Certificate Application Package