Edward Grandi - Comments

Greetings, As the subcommittee considers ideas and concepts the FMCSA should consider for potential regulatory changes to the current physical qualifications standards to address the medical certification process for truck and bus drivers that have been diagnosed with OSA or are believed to suffer from the disease but have not been diagnosed at the time of the medical examination please keep in mind the following: OSA is easily diagnosed - attached is a technology evaluation of various "Out of Center" diagnostic devices available. OSA is easily treated - Positive Airway Pressure (PAP) therapy is effective in resolving apneas and hypopneas. Other therapies exist or are coming online that can be as effective. OSA needs to be managed - it is a chronic condition, like diabetes, COPD and asthma, success in the early stages of treatment frequently requires interventions by a healthcare professional trained to address the challenges of treatment. OSA treatment can be monitored - the technology now exists to allow for monitoring adherence to therapy even while on the road. One impediment to use while on the road are anti-idling laws that can prevent the use of PAP therapy. The American Sleep Apnea Association, the only patient interest organization dedicated to educating the public about sleep apnea and supporting those in treatment, is available to assist the subcommittee in its deliberations.