quick question about sleep apena

G

guest

Guest
a good friend of mines brother wants to either team with me or drive for the owner but i guess he has sleep apena but he does have a machine he uses at night can he get a cdl and drive or does he need to tell them
 

2millionplus

Expert Expediter
Yes, he can get a CDL, all you need in the truck is a power inverter that will support his CPAP machine and you are off to the races. I use one also, and has never presented itself to be a problem.

2millionplus
Independant Recruiter
30 Years 'On-The-Road'

"The Old Man"
 

nightcreacher

Veteran Expediter
There are no questions that I can remember on physical application about sleep deprevation,apnea,many truck drivers have it,and don't even know it.
If it's being fixed by cpap machine,or what ever they call that thing,I probably wouldnt worry about it,but remember,he could fall asleep,at anytime,with out knowing it.
 
G

guest

Guest
well thanks for the info i will let him know
he has been driving for about 17 years and as far as i know he has had one accident but it was not his fault
again thanks for the info
 

greg334

Veteran Expediter
I am puzzled by the statement; "I probably wouldnt worry about it,but remember,he could fall asleep,at anytime,with out knowing it."

Sleep Apena has more to do with overal health than falling asleep at any time. Your body gets used to the lack of sleep but it strains your body and shortens your life.

As for the air pump or cpap machine, it draws some wattage and a small inverter will work. I would say it draws somewhere around 40 watts. Some of the newer ones have power cords for 12 volt operation - they draws 4 amps.
 

BonnieMac

Expert Expediter
I have sleep apnea and it is my understanding that it CAN cause you to fail your cdl physical. If you have a case where it only affects your sleep patterns and it can be corrected with the cpap machine you may qualify but if you have the kind that you can fall asleep at any time there is no way you will pass the physical. Here is the ruling:

391.41(b)(5)

A person is physically qualified to drive a commercial motor vehicle if that person:

Has no established medical history or clinical diagnosis of a respiratory dysfunction likely to interfere with the ability to control and drive a commercial motor vehicle safely.

Since a driver must be alert at all times, any change in his or her mental state is in direct conflict with highway safety. Even the slightest impairment in respiratory function under emergency conditions (when greater oxygen supply is necessary for performance) may be detrimental to safe driving.

There are many conditions that interfere with oxygen exchange and may result in incapacitation, including emphysema, chronic asthma, carcinoma, tuberculosis, chronic bronchitis and sleep apnea. If the medical examiner detects a respiratory dysfunction, that in any way is likely to interfere with the driver's ability to safely control and drive a commercial motor vehicle, the driver must be referred to a specialist for further evaluation and therapy.

Anticoagulation therapy for deep vein thrombosis and/or pulmonary thromboembolism is not unqualifying once optimum dose is achieved, provided lower extremity venous examinations remain normal and the treating physician gives a favorable recommendation.

See Conference on Pulmonary/Respiratory Disorders and Commercial Drivers at: http://www.fmcsa.dot.gov/rulesregs/medreports.htm

When you click on that link here is what they say about sleep apnea:

Obstructive Sleep Apnea
Individuals with suspected or untreated sleep apnea (symptoms of snoring and
hypersomnolence) should be considered medically unqualified to operate a commercial
vehicle until the diagnosis has been dispelled or the condition has been treated successfully.
In addition, as a condition of continuing qualification, commercial drivers who are being
treated for sleep apnea should agree to continue uninterrupted therapy as long as they
maintain their commercial driver’s license. They should also undergo yearly multiple sleep
latency testing (MSLT).

Further on in the report they give more details:

Recommendations
It is recommended that operators with suspected sleep apnea (symptoms of snoring and
hypersomnolence), or with proven but untreated sleep apnea, not be medically qualified for
commercial motor vehicle operation until the diagnosis has been eliminated or adequately
treated. Diagnosis of obstructive sleep apnea occurs when an individual has greater than 30
episodes during each hour of sleep or has hypersomnolence during waking hours associated
with any apnea activity (greater than five episodes per hour). The frequency and type of
apnea activity can only be accurately assessed following a polysomnographic sleep analysis.
Objective measures of sleepiness during waking hours now exist. Multiple sleep
latency testing (MSLT) measures the frequency with which subjects enter sleep during the
normal awake hours: Normal subjects do not fall asleep within the first 15 minutes of supine
inactivity in a quiet darkened room when tested during their usual waking hours. Individuals
with hypersomnolence repetitively enter sleep under similar circumstances in less than 10
minutes. With more severe sleep deprivation due to increasingly frequent apneic episodes,
subjects usually demonstrate shorter sleep latencies-some may fall asleep within 5 minutes
during MSLT. Successful therapy usually eliminates or decreases apneas and associated sleep
disruption, which decreases sleepiness during waking hours. The decreased sleepiness can be
measured both subjectively and objectively as improved MSLT.
This task force recommends that individuals with known OSA be allowed to obtain
certification to drive only after successful therapy has resulted in multiple sleep latency
testing values within the normal range or repeat sleep study during treatment that shows
resolution of apneas. Continuous successful therapy for 1 month usually results in major
improvements in pathological sleepiness. Sleep apnea subjects obtaining medical qualification
should agree, as a condition of continuing qualification, that their sleep apnea therapy will
4 1
continue in an uninterrupted fashion while they maintain the operator’s certification. This
task force recommends the additional requirement of yearly multiple sleep latency testing or
repeat sleep study in individuals who have had the diagnosis of obstructive sleep apnea.
 

Turtle

Administrator
Staff member
Retired Expediter
"If it's being fixed by cpap machine,or what ever they call that thing,I probably wouldnt worry about it,but remember,he could fall asleep,at anytime,with out knowing it."

If he could fall asleep, at anytime, without knowing it, then it's a slam dunk that his sleep apnea isn't being fixed by the CPAP machine, and he has other, more serious problems. However, it's very, very rare for someone who is using a CPAP machine to still have apnea symptoms such as falling asleep during normal waking hours. With a CPAP, for all intents and purposes, sleep apnea is eliminated.

Sleep apnea is literally a cessation of breathing during sleep, and the associated symptoms that stem from the apnea.

My stepdad has pretty severe obstructive (the most common) sleep apnea. About 8 years ago he started using a CPAP machine. Ever since then, he goes to bet aroung 11PM, is up at 6AM, and goes full-tilt boogie all day long, never feeling tired, much less falling asleep at anytime, without knowing about it.
 

TrainFan

Seasoned Expediter
I also have sleep apnea and because of this I use a cpap machine. The only criterea that affects me is when I get my DOT physical, the medical card is only good for one year so I have a DOT physical every year.
 

Riverbob1

Expert Expediter
I was diagnosed with obstructive sleep apnea about six years ago, this after suffering with the disease for several years prior to the diagnosis. Next to my wife, my CPAP machine is my best friend. It's nightly use has totally eliminated all of the symptoms associated with untreated sleep apnea.

According to my doctor, who performs my DOT physical examinations, TREATED sleep apnea does not disqualify an individual from passing a DOT physical. UNTREATED sleep apnea would. The use of a CPAP machine is one way to treat sleep apnea. Other methods of treatment include various surgical proceedures as well as the use of different types of devices and appliances.

In the case of a CPAP machine: After a subject undergoes a clinical sleep study, his/her doctor may feel the use of a CPAP machine is warranted and will generate a prescription for the device and will establish the proper airflow and air pressure parameters for its use.


Thereafter, as long as the use of the device continues to mitigate the symptoms of the condition, a medical disqualification does not exist.

My device is able to operate on either 12VCD or 110VAC. I use it every time I go to sleep; even for just a quick nap. I think everyone ought to own one. Further, I wouldn't be afraid for a minute to team with another person who used one.
 

redytrk

Veteran Expediter
Charter Member
I may be a candidate for one of these machines.Carol complains of the snoring and I need naps during the day.

QUESTION: do you really get used to having that hardware on your head and face? When I look at the devices online I say No Way!.

In the meantime I am hoping weight reduction will do the trick. I can already notice an improvement with the first six pounds lost.(14 to go)
 

ftp000

Expert Expediter
I wonder if having a medical requirement to run a cpap machine would make one immune to anti-idle laws?
 

greg334

Veteran Expediter
>QUESTION: do you really get used to having that hardware on
>your head and face? When I look at the devices online I say
>No Way!.

You can get used to it quickly. I know one thing is, it will make such a difference in your life that the mask will not bother you at all.

I don't use my 12 volt adapter because of the vehicle electrical system and the spikes killed on unit of mine a could years ago. I haven't gotten around to getting a power "supply" system for the voltage sensitive equipment so I use the inverter. At $700 cost for the unit and setting the presure at $45 does not make sense to take a chance with it.
 

Broompilot

Veteran Expediter
It aint on the questioner but your doctor has the responsiblty to report this.

I have a dear friend this PUT HER OUT OF BUSINESS....

The test you have to go through once a year STARTS with an EXPENSIVE test that someone must be in a room with you putting you under a condition that will make anyone exhausted for 24 hours. YOU MUST STAY AWAKE for 24 hours NON STOP. If you fall asleep you loose your CDL.

This all started with her when she complained to her doctor about feeling sleepy, not falling asleep but just feeling sleepy. He had to record it. The test is well over one thousand dollars every year. If one has a sleeping dissorder this section of the Industry is the wrong line of work, we must stay awake to deliver just on time freight other wise its LTL.

She just said enough was enough at 62 she called it quits.
 
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