Chest and Lungs

Respiratory Health Overview

Respiratory health is a critical aspect of a commercial driver’s overall health and well-being. The Department of Transportation (DOT) requires commercial drivers to undergo regular medical examinations to ensure they are physically and mentally fit to perform their duties. During a DOT physical exam, a licensed medical practitioner, also known as a medical examiner, will thoroughly evaluate a driver’s respiratory health. This includes assessing lung function, breathing patterns, and overall respiratory health to determine if the driver is fit to operate a commercial motor vehicle (CMV). Ensuring optimal respiratory health is essential for maintaining safety on the road.

 

doctor examining a patients chest and lungs

Frequently Asked Questions Regarding Chest And Lungs And The DOT Physical Exam

Can a driver with lung disease get a DOT medical card?

The medical examiner will evaluate your condition to determine how the lung disease may affect your ability to safely drive and perform other duties of a commercial driver. Certain disqualifying medical conditions may prevent you from obtaining medical certification. If you don’t have a medical opinion letter from a treating physician, you may need to go for a chest x-ray or pulmonary function tests before the medical examiner can consider certification.

Is the use of oxygen therapy a disqualifier?

Most likely, yes, oxygen therapy while driving is a disqualifier. The reasons are twofold: 1. Malfunction of the oxygen equipment. 2. Progression of the disease may be debilitating. The DOT physical examination will assess your need for oxygen therapy and its impact on your ability to drive safely. You may be considered if you can pass a pulmonary function test.

I was recently diagnosed with COPD from exhaust leak in my semi. Can I lose my CDL because of this diagnosis?

The diagnosis of COPD is not, by itself a disqualifier for your CDL. However, it will affect your medical certification process. Your best bet is to take any and all notation from your primary lung doctor with you when you re-do your medical exam and certificate. The examiner just needs to make sure your are fit to return to work without being a risk to yourself or the public at large.

Can I still drive if I have a blood clot in the lung?

With the blood clot in the lung, you want to make sure you bring a note from you pulmonary specialist stating you are good to go. Blood clots are among the medical conditions that require thorough evaluation during the DOT physical examination. The medical examiner will need a copy for your file when he does the exam.

I had lung surgery and a lobectomy a few years ago . Will this fail me on a DOT physical?

In and of itself, the lobectomy should not be an issue. But what was the reasoning behind the surgery? Your examiner will have other questions regarding the surgery and what its long term effects are, as well as, how it affects your ability to operate a commercial motor vehicle.

Chronic Obstructive Pulmonary Disease (COPD)

Chronic Obstructive Pulmonary Disease (COPD) is a respiratory condition that can significantly impact a driver’s ability to perform their duties. COPD is a progressive lung disease that makes it difficult to breathe, and it can be caused by a variety of factors, including smoking, air pollution, and genetics. A medical examiner may disqualify a driver with COPD if they determine that the condition affects the driver’s ability to safely operate a CMV. However, a driver with COPD may be eligible for a waiver or exemption if they can provide documentation from a medical professional that they are able to manage their condition and safely operate a CMV.

Other Respiratory Conditions

In addition to COPD, there are several other respiratory conditions that can impact a driver’s ability to perform their duties. These conditions include asthma, bronchitis, emphysema, and sleep apnea. A medical examiner will evaluate each of these conditions on a case-by-case basis and determine if they affect the driver’s ability to safely operate a CMV. In some cases, a driver with a respiratory condition may be required to undergo additional testing, such as a pulmonary function test, to determine the severity of their condition. Proper management and documentation from a medical professional are crucial in these evaluations.

Charlotte DOT Exam Center- Medical Examiner

704-544-3494 

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