Blood pressure requirements for the DOT physical - Details!
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- Опубліковано 6 вер 2024
- Dr. Nuesse takes a detailed look at the Department of Transportation standards for blood pressure as it pertains to the DOT physical.
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DISCLAIMER:
The advice provided is Dr. Nuesse's opinion and meant to be used by patients under the care of a physician. Dr. Nuesse is a licenced chiropractor in Ohio. His use of the term "doctor' and "Dr." only refer to his degree. The information in this video is not intended to diagnose or treat any medical condition. Please consult with a medical professional about your personal health needs before changing any exercise, dietary, or nutritional regimen.
Also make sure they use the right size cuff with a MANUAL bp reading. I always read high with a machine
White coat syndrome is real!! I had a regular physical in January and my blood pressure was 150/100. My doctor gave me 3 months to get it down or he was putting me on meds. I worked my ass off and lost 50lbs in 3 months, went back and my blood pressure was 126/78, no meds! Fast forward 2 more months, down another 20lbs and went for my DOT physical on Friday…nervous as all hell and my blood pressure was 165/90. I was so disheartened. They let me lay down for 20 minutes and calm down….blood pressure was down to 135/85. I got my 2 year card but of course now I’m worried about my next card in 2 years…
It certainly is real. I'm glad they let you lay down to help it. Good luck in the future.
You might have to hit one rite before the physical or if you have a girl, even better !! Release sum stress and go in with a smile 😁 !!
Bro I'm in the same boat!!!!! Trust me I get it and understand!!!!
I call Bullsh--t on that one no way!!
Me too has some issues when I go home is going to down
There is anxiety that comes with These blood pressure tests, I used to donate plasma, and high blood pressure is always the thing that everybody was rejected for regardless of the history of hypertension or not.. The intake took 2-5 hours and everybody had high blood pressure because of stress of getting this far and being rejected for high blood pressure.. That stress has always stuck with me every time I go under one of these tests, I'm nervous to figure out if I'm going to be rejected because of my blood pressure and that might actually be causing the high blood pressure..
If you’re a retired congressman, senator, or anyone who passes these laws for the working class, you can still have high blood pressure at age 80 and drive your Class A 26,000lb GVWR coach and pull a freaking giant trailer, with a regular drivers license. Imagine that!
Government employees are exempt from medical cards isn't that some BS.
I just failed a test because of blood pressure like 1hr ago 😢 can't work now. I wonder if the bills care about my blood pressure
You're gonna stroke out and kill a family of 5 while you roll around on a 70k pound bullet.
@@towmanac7056the bills won’t care about that either, will you feed his family while he can’t work.. if not stfu
Very well presented and explained. Thank you. My BP dropped just listening👍🏻 😄
Lol... Thanks!
🤣🤣🤣
What if youre issued a 3 month cert for a reading of 171 and you come back after the 3 months and your reading is at 155. What happens then?
That's what I'm wondering, it sounds like you would get a 1 yr if it's being treated by your Dr.
Funny....went to do my DOT physical yesterday. My blood pressure was 126/78 and he said it was too high. He said he won't pass me until I get it lower.
Bro go else were!!! Don't trip off the bullshit
They lied to you
That ain't high at all ..they wknt medicate til 150
If it's supposed to be below 140 over 90 why do they always tell me it's got to be below 120 over 80?
140/90 is the FMCSA standard. 120/80 is textbook "normal"
Place i went said my 128/80 was too high, think there are new rules.
These should be reevaluated smh. And I do have Hbp. Been in treatment for years. Just got a handle on it 2022. My bp is better than someone that can be certified for 2 years 😮 and I have to do this every year?
@ EasyDOTPhysicals I went last year and had stage 1 hypertensive and received a 1 yr cert. I just went back and it was still stage 1 and received a 3 month cert and have to see my dr. My queation is if I go back and don't fall below 140/90 will I be disqualified? Or will I receive a 1 yr if it's still stage 1?
140/90 or less or you will be disqualified
@@EasyDOTPhysicalsthanks for the response back, if disqualified how long before you can try again?
What if I take bp meds sir but do not list them on the form before the physical, basically thats my choice rite ?? As long as my reading comes back I passed is all that matters ??!!
You should be honest on the intake forms
Your blood pressure reading can depend on the doctor you go to. Just saying ..lol
Took exam and had 143/94 bp, examiner disqualified me and said something about '3 months.' What is this three months about? I can't retake the physical test again for another 3 months? Also had protein and blood in my urine was disqualified for that too but why? Videos don't talk about this nor have I seen it as a dot requirement or issue.
An examiner can disqualify based on their discretion. Abnormal urinalysis can certainly be a reason for this. If previously diagnosed with high blood pressure, your pressure at your next exam must be under 140/90. It sounds like the doctor gave you a 3 month certification to get your blood pressure down although this is just my assumption
Thank you for all the videos
Nurse practitioner
welcome 😁
God bless you dr 🙏 a question 2 months ago I got my physical dot in another clinic and I got nervous and they gave me my card for a year so my question is to renew my dot card again and my pressure is now less than 140/90 and they would give me the 2 years?
It's possible but it is up to the doctor doing the exam
So just take a couple extra blood pressure pills before your exam?
this would not be my recommendation
Basically
I don’t think your BP rages are updated reflecting the 2022 new rules. If don’t update your information on the year when the new rule comes, it will lead to wrong decision by the ME jeopardize the employee who drives CMV.
These standards are what we still use in 2023. The FMCSA has not given new numbers just changed the verbiage.
Ive had a class a license since i was 19 now 31 i think ive had take the test every year and none of this was ever explained to me should there be a waiting period before i let them slap the thing on me since just walking around would raise it
Took my dot last year but I never completed my knowledge test exams, I don't have my CDL yet but they only approved me for one year, when it expires which is in a few months if my pressure is high, is my career over before it started?
Your blood pressure needs to be within range but that is achievable for most with lifestyle and or medications.
DOT Physical: The decider of whether you'll make $80k driving a truck or $30 working at a Home Depot. No anxiety there, nosiree....
What if you take 5-6 different blood pressure meds and your blood pressure is normal or slightly elevated? This is a real question, I’ve had blood pressure issues since grade school, I’ve been taking BP meds for so long that my body seems to stop responding to medications. I am diabetic. Also i have a heart condition called Atrial Fibrillation and take meds for that. I also have a spinal condition and take prescribed morphine. Do i have any chance at all in obtaining my health card?
based on what you are saying you would not be automatically disqualified. The determination would be made by the doctor who is only concerned with if it is safe for you to drive or not.
Easy DOT Physicals ok thank you Dr, i figured my condition would be disqualified imediatly. All im wanting to drive is a pickup with equipment trailer for a skid steer, had no idea this required a CDL if over 26,001 gvwr
@@rawblow4512 Hope you get better brother or at least have a full filling life !! God bless you !!
Very useful information presented. Thank you!
You are welcome!
For stage 3 if they get it down and certified for 6 months. At recertification they’ll get another 6 months. Is this forever ? What if 2nd recertification and their blood pressure is normal, do they get one year or 6 months. Also if they have history of stage 3 (but BP need normal for at least 2 years) can they get 2 years certification?
Good question - after being diagnosed with stage 3 a 6 month certification is the maximum certification as of now
What I want to know is.. I’m on Blood Pressure medication. My BP has been controlled under 140/90. If I go to my physical, and it has crept up above 140/90, am I immediately disqualified, or am I able to get a 3 month card to go to my doctor and get my medications adjusted? (I’ve gained weight, and am very stressed and nervous about my blood pressure.)
it is possible to get a temporary car one time if BP is slightly above normal
@@EasyDOTPhysicals Thanks. I have been under the impression that if I’m already on BP medication, and already have a one year card, it’s under 140/90 or done. Mine is pretty well controlled, but it still tends to go pretty high if I’m worried or anxious. I’m very worried about this physical tomorrow morning.
”Examiner with take BP multiple times”
Incorrect word usage, no review performed.
Thanks for the feedback
So if you’re already on medication for high blood pressure does it have to be below 140/90 to get the one year certification?
yes, that is 100% correct.
Thank you just to clarify, if you’re on BP medication and it’s below 140/90 would you get a 3 month certification or automatic fail?
@@milby5222 If it is your first time getting certified the Examiner may give you a 3 month if high.
Hi I have taken the physical and failed about 4 months ago. Above 180/120. I'm on meds. I will have to have 140/90 below from here on out to pass rite. If so will I get 3 or 6 months recertification?
you will be able to get 6 months
So if I’m on a one-year because I’m on blood pressure medicine and I go back and I am at 146/79 then will I get a three month and be able to go to my doctor
Yes, one time if less than 160/100
@@EasyDOTPhysicals I took my blood pressure two days ago it was 118 over I think 63 and I thought I’ll be good I had surgery a couple weeks ago and I got released back to work but they want me to take my DOT physical again company policy now I can’t get it down below 154/73 and I’m sitting at home I’m worried it will really skyrocket when I go to the office I monitor my blood pressure all the time and it’s normal until I have to do this DOT physical and one time a while back my blood pressure was 180 over whatever and they took my card away and I had to go through all these procedures at the hospital and I got my card reinstated will that change your last comment
I have white coat syndrome. If I fail the blood pressure portion of the physical how long do I need to wait to take another physical?
There is no waiting period for retakes
@@EasyDOTPhysicals Thank you for your reply.
Awesome 👏 thanks doc
absolutely! Thanks for watching.
I have a question
You ain't to smart are you boy ?
135/90 passing or does the 90 have to at least be under like 89 to pass?
depends on if is your first time getting that reading. /90 will get a 1 year card if it is first time.
Thanks just went into Walmart to check yesterday and today on the machine and I’ve been getting 136/86
Took my physical today was nervous and read 155/101 she took it a second time read 136/88 got my 2 years she said be careful because I’m borderline passing.
YES! White Coat Syndrome is real. I detest going to doctors- scares the hell outta me. I guess I am afraid of what they might find. I am 58 years old, an Alaska LEO for 15 years. I am about 25 lbs over weight at the moment. I went to a residence at about 0200 to make an arrest and ended up fighting 3 dudes in the street by myself until BU arrived about 7-8 minutes later. I left with who I came for but the Chief directed me to go get looked at due to a couple injuries. They took my blood pressure and asked me why I wasn't dead.....😆 I was still amped up. I think it was 190 over 80 something...... It came down though. Then the same thing happened with another incident last year.
So in short, I wanna be a truck driver again. It's how I actually started out in life before going into the Marines in 82. I'm studying the CDL handbook and taking the mock tests. I was failing at first, but now I'm passing all 6 versions with scores in the upper 90s. I have cut my Copenhagen habit in half now, and will continue to cut it until I quit completely. I have severely cut my salt intake and am taking magnesium and Super Beats. It has done wonders. I also increased my exercise, cardio specifically by rucking at least 35 lbs and doing cardio stuff with my ruck on.
Thks
Welcome!
I take meds and when i check my pressure is usally 120s-130s/93-95. would that be a problem?
the bottom number would be considered stage 1 hypertension
Can you have asthma driving trucks
As long as the medical examiner believes it is safe for you to drive you should pass the DOT physical
@@EasyDOTPhysicals what if you and good condition to past at that moment but end up having a attack would that effect me from staying at a job
@@marqueztime5267 I wouldn't be able to give you advice on the specific situation
@@EasyDOTPhysicals got you just longest the doctor approve me
I have 3 month medical but when it expires and I have to re do my dot physical and if this time my blood pressure is better will my medical certificate extend to 1 year? My blood pressure was recorded 146/96 with medication taken
you need to be under 140/90 to get a 1 year
Hi. I've been on bp meds and have been seeing normal readings lately. Anyways during the bp test how many tries will they give me to reach
in my office I will give 2-3 tries to get in the right range. There is no average you just need to have a reading in the right range.
@@EasyDOTPhysicals thank you!
So if you have stage 2 or 3 hypertension the next time a person comes in for the examination, the blood pressure needs to be lower than the previous reading?
I took my dot physical and got 155/97 with that said isn’t that stage 1 and I pass n would have to come back in a year ? But he said to come back 3 weeks later n take it again to get it lower than 140/90 I thought I passed with the 155/97 ????
I can not explain this based on the FMCSA standard
@@EasyDOTPhysicals in your video you explain 140-159/90-99 is a one year certificate is it different dot physical sites have different rules to pass their physical or they could have gave me a one year certification or maybe 3 months due to my test results being 157/97 ?
136/86 is good bp level?
The video answers this pretty clearly
Okay I went to dot doctor blood pressure was 140 / 100 3 days later I went to my primary doctor 137 / 87 so my question is since I already turned in the paperwork to DMV for my 3 months can I get a second opinion dot doctor because I don't trust the first doctor a little sketchy but will DMV request me to go back to the same dot doctor even if I pass at the second dot doctor. I hope that makes sense.
You are able to choose a different provider if you like. Thanks for watching!
Your full of it 87% have high blood pressure
Fmcsa is full of it. Shortage of drivers my ass...