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Comment Re: He should kill his doctor (Score 1) 155

So your complaint is that the MVA is hard to work with. Thatâ(TM)s nothing new.

They donâ(TM)t have to disclose anything. Under existing law, anyone can contact the MVA and report someone as an unsafe driver. Did you have a seizure while in Delaware but refuse to stop driving? Your neighbor can report you anonymously. The MVA is under no obligation to name the accuser, same as in child abuse cases. If youâ(TM)d feel otherwise, take it to court. F

Comment Re: He should kill his doctor (Score 1) 155

>Cite that the mechanism is similar to narolepsy.

Go to your local medical school library and check out "Robbins Pathology" used by most schools in the US. I'd give you the page number if you need.

You cited the wrong link, you want this one: https://www.fmcsa.dot.gov/driv...

You still fundamentally misunderstand that severe sleep apnea is not the same as not getting enough sleep. Again, read Robbins Pathology. If you have a problem with this, ask your doctor for a better explanation, as you are not my patient.

Comment Re:CPS is taking note (Score 1) 155

What a dumb take. Certain medical conditions have ALWAYS been reportable to the government. Testing positive for Ebola, people with gunshot wounds, airline pilots with seizures, young children with evidence of sexual abuse, to name a few. These are the exceptions to patient privacy laws, because they pose a risk to themselves or others that is far greater than catching a cold. Don't be hyperbolic.

Comment Re:Epilepsy (Score 1) 155

If you read further down, "While Maryland law does not provide for the mandatory reporting by a physician of a person who has been treated for epilepsy, it does provide for the discretionary reporting to the Motor Vehicle Administration of persons who have “disorders characterized by lapses of consciousness.” MD. CODE ANN., Transportation 16-119 (2020)."

By law the responsibility for reporting seizures is on the driver, not the doctor, i.e. the DRIVER is the one who is prosecuted if they have a second seizure behind the wheel. Doctors CAN report it but are not legally obligated to or punished for failing to do so.

There's a big difference between rights and privileges. You have a right to be able to travel between states, but you do not have a right to operate a motor vehicle without training and basic health certification. Driving a car is a privilege otherwise you have a right to be a legal passenger through many means of conveyance.

Comment Re:HIPAA does not apply (Score 1) 155

HIPAA has exceptions for public health (e.g. if someone tests positive for Ebola, the health department is notified), law enforcement (e.g. gunshot wounds, child abuse) and serious threats to health and safety (e.g. patient has homicidal delusions, patient has seizures and refuses to stop driving, or has untreated severe OSA or narcolepsy and has a job driving tanker trucks).

Comment Re:Cost vs Benefit (Score 1) 155

Certain diseases like seizures, are reportable to the DMV (and FAA). Because being a driver or a pilot is a responsibility not just to yourself but to others. If you have a seizure you are not allowed to drive a car for at least a year, due to the risk of having another one if not properly medically managed. Severe OSA if left untreated can cause someone to nod off at the wheel, it's like narcolepsy. So there IS a justification in this instance.

Comment Re: I'm thinking get it over with... (Score 1) 403

Did you even read your own link? That is the lowest paid state in the country for nurses and they couldnâ(TM)t hire enough. Almost none of the firings were of nurses so youâ(TM)re trying to connect two unrelated things.

Second, you donâ(TM)t understand the dangerous consequences of when a patient comes into the hospital for something like a car accident and then catches Covid inside the hospital from a sick doctor or nurse. The payout from a lawsuit is enough to bankrupt a hospital, and it causes a shutdown as a large amount of staff have to be quarantined, and patients cannot be transferred due to the risk of others getting sick. This has happened in my hospital and the effects arenâ(TM)t over yet. Requiring Covid vaccines for staff is vital for reducing that risk as best as we can.

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