Department of Transportation physicals can only be performed by approved DOT Medical Examiners. DOT physicals are required if you have a commercial drivers license or in some cases are a Maryland driver without a CDL.
Initial Consultation will include assessment of your height, weight, vital signs, an EKG, Body Mass Index, and Body Fat percentage. A full physical will be performed. Discussion of best way to rule out medical causes for obesity. Reviewing your past medical history, family history, and social factors (smoking, alcohol use, etc.). This visit will include handouts with weight loss tips and a phentermine education sheet.
Follow up visits will assess weight, vital signs, and a brief physical exam. Any side effects of the medication will be discussed. Your progress will be periodically tracked with Body Mass Index and Body Fat Percentage. Phentermine is the weight loss medication that we utilize. Sometimes it is necessary to combine Phentermine with other medications to attain the best success with weight loss. Each person's weight loss plan is individually tapered for their success.
Certified DOT medical exams are now required for commercial driver's license (CDL) certifications and renewals.
The exam itself should take about 20-25 minutes but, there is some preliminary paperwork that will need to be completed before the exam begins. You will be asked to complete a brief one page medical history. The exam will be with a Certified Medical Examiner and follows the outline of the federal DOT motor carrier medical examination requirements. Your medical history will be reviewed and you will have an opportunity to discuss any medical concerns and conditions.
A routine urinalysis is part of the exam. This urine test is NOT a drug test but merely screens for potential problems like diabetes or kidney problems. Upon successful completion of the DOT Medical Examination, you will receive your own copy of the Medical Card. You should keep this card with you at all times. Your driver exam results will be submitted on your behalf to the US Department of Transportation Federal Motor Carrier Safety Administration National Registry.
To pass the DOT physical exam, the driver must pass the following minimum standards:
Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines and soften creases, or enhance facial contours. It can be a cost-effective way to look younger without surgery or downtime.
Dermal fillers are sometimes known as “wrinkle fillers,” they can do much more than just smooth out wrinkles.
Dermal fillers can help address:
Botulinum toxin type A is an injectable neurotoxin, better known under brand names such as Botox Cosmetic®, Dysport®, and Xeomin®. Neurotoxin treatments are the most popular single cosmetic procedure in the U.S. and are mainly used to smooth dynamic wrinkles, or those wrinkles that form as a result of facial movements like frowning, squinting, smiling, and other expressions we tend to make day after day. Treatment works by blocking nerve impulses to the muscles, causing them to relax. As a result, your expressions soften and the dynamic wrinkles are greatly reduced.
Botox-type injectables can help an adult patient of any age improve his/her appearance giving you a more youthful look, alleviating an overly concerned look, and by helping you look better refreshed or even more pleasant. The most commonly treated areas are those where muscle activity influences facial features, such as the following:
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