Yes, Dr. Hegquist is a certified First Class Aviation Medical Examiner.
Carolina Occupational Healthcare is also able to perform and transmit 1st Class EKG’s to the FAA.

FAA regulations continue to evolve concerning Hypertension.
The good news is that the regulations have become progressively more clear and, in most cases, it is now possible for your
AME (Aviation Medical Examiner) to issue your license.

For the latest regulations as of this date, click HERE.

Reminder to all of our EMPLOYERS of CDL employees covered under 49 CFR Part 40 Drug and Alcohol Testing Regulations that the U.S. Department of Transportation MIS (Management Information System) Data Form for 2016 MAY BE REQUESTED to be reported to the DOT by March 15, 2017.

Note that very few requests are made by the U.S. DOT for this form and the information on the drug test results that we provide you throughout the year should be enough to use to easily complete this form.

If you are one of our DOT Employer Customers or in our Consortium/TPA and you are missing any of the employee data required, please contact Carolina Occupational Healthcare and we will be happy to assist you. We keep copies of all reports that we provide to all of our companies

Note that, if you are asked to report the MIS form, the preferred method of reporting is On-Line.

Click HERE for a link to the U.S. DOT Page explaning all requirements and providing a copy of the MIS Data Form.

Click HERE for the U.S. Department of Transportation regulations regarding Employer Responsibilities in 49 CFR Part 4o.

As always, Carolina Occupational Healthcare is available for assistance in interpretation of these rules.

Click HERE to view 49 CFR Part Regulations

Click HERE to Link to the FAA FAQ’s regarding Hypertension.

Click HERE for the Link to the South Carolina DHEC Link to TB Facts.

There is a very small risk of severe redness and swelling of the arm in people who have had a previous positive PPD test and who have the test again. There have also been a few cases of this reaction in people who have not been tested before.

There is no special preparation for this test.
However, do tell your health care provider if you have ever had a positive PPD skin test. If so, you should not have a repeat PPD test, except under unusual circumstances.
Also tell your doctor if you have a medical condition or if you take certain drugs, such as steroids, that can affect your immune system. These situations may lead to inaccurate test results.

A TB (Tuberculosis) skin test is a method used to diagnose silent (latent) tuberculosis infection. You will need two visits to our office for this test. At the first visit, the health care provider will clean an area of your skin. You will get a small injection in the forearm that contains PPD. PPD stands for purified protein derivative. The needle is gently placed under the top layer of skin, causing a bump (welt) to form. This usually goes away in a few hours. After 48-72 hours, you must return to our office. At that visit, the doctor or nurse will check the area to see if you have had a strong reaction to the test.

Yes!
Carolina Occupational Healthcare is compliant with all Federal and State regulations, including CDL driver medical examinations and CFR Part 40 Drug and Alcohol testing.

Carolina Occupational Healthcare is

This test is done to find out if you have ever come in contact with the bacteria that causes TB.

TB is an easily spread (contagious) disease. It most often affects the lungs, but can affect many areas of the body. The bacteria can remain inactive (dormant) in the lungs for many years. This situation is called latent TB.

Most people in the United States who are infected with the bacteria do not have signs or symptoms of active TB, but they still may be able to spread the disease to othes.

You are most likely to need this test if you:
May have been around someone with TB
Work in health care
Have a weakened immune system, due to certain medicines or disease (such as cancer or HIV and AIDS)

No, not at Carolina Occupational Healthcare.
It is a walk in test that we can perform during regular office hours: Monday – Friday, 8:30 – 5:00, except NOT on Thursdays, because we have to check you again in 48 – 72 hours and that would be the weekend and we are closed on Saturday and Sunday.

Normal Results
A negative reaction usually means you have never been infected with the bacteria that cause TB.

A negative reaction means the skin where you received the PPD test is not swollen, or the swelling is very small.

The PPD skin test is not perfect. Up to 1 in 5 people infected with the bacteria that cause TB may not have a reaction. Also, diseases or medicines that weaken the immune system may cause a false-negative result.

Abnormal Results
An abnormal (positive) result means you have been infected with the bacteria that cause TB. A positive skin test does not always mean that a person has active TB. More tests must be done to check whether there is active disease. If this is the case, you will be referred to the county health department. You may need treatment to lower the risk of the disease coming back (reactivation of the disease).

Many people who were born outside the United States may have had a vaccine called BCG, which can lead to a false-positive test result. Most experts say that a past BCG vaccination should not change the PPD result when the test is done in people with an increased risk of TB infection or disease.

The PPD skin test is not perfect. Up to 1 in 5 people infected with the bacteria that cause TB may not have a reaction. Also, diseases or medicines that weaken the immune system may cause a false-negative result.

It is important to note that the test result, size of the swelling, depends on the person being tested.

A small reaction (5 mm of firm swelling at the site) is considered to be positive in people:

Who have HIV
Who have received an organ transplant
Who have a suppressed immune system or are taking steroid therapy (about 15 mg of prednisone per day for 1 month)
Who have been in close contact with a person who has active TB
Who have changes on a chest x-ray that look like past TB

Larger reactions (greater than or equal to 10 mm) are considered positive in:

People with a known negative test in the past 2 years
People with diabetes, kidney failure, or other conditions that increase their chance of getting active TB
Health care workers
Injection drug users
Immigrants who have moved from a country with a high TB rate in the past 5 years
Children under age 4
Infants, children, or adolescents who are exposed to high-risk adults
Students and employees of certain group living settings, such as prisons, nursing homes, and homeless shelters
In people with no known risks of TB, 15 mm or more of firm swelling at the site indicates a positive reaction.