PCA medical committee revoked my race license
#1801
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From: Mid-Atlantic (on land, not in the middle of the ocean)
I don't totally agree with Bruce on the rigors, but making another hoop for someone to do a PCA DE will significantly affect it's participation numbers negatively. People outside of PCA already complain about the tech requirements, event procedures, etc. Adding something else will be giving people a reason to leave.
#1802
@Manifold Just pointing out the peterp supports an improvement but states that it can only happen at year end: That is not accurate based on other fixes / changes that have been made during the year.
But the policy of requiring CPAP data doesn’t impose a large burden, doesn’t make things less safe, and might make things more safe to some unknown degree, so they have no strong reason to change the policy.
Just because other clubs don’t do it, that doesn’t mean PCA can’t or shouldn’t do it. Somebody had to be the first to require use of a HANS when using harnesses.
I’m not saying that PCA should require the CPAP data. I think it’s enough for the personal doctor to sign off and say the person is fit to race, and PCA shouldn’t be asking for any information beyond the signed form saying the person is fit to race, without any medical conditions disclosed. But per PCA’s medical form, they’ve chosen a more activist route where they want to evaluate the fitness of the person themself (via the medical committee), and if that’s their approach, it’s reasonable to ask for the CPAP data.
Just because other clubs don’t do it, that doesn’t mean PCA can’t or shouldn’t do it. Somebody had to be the first to require use of a HANS when using harnesses.
I’m not saying that PCA should require the CPAP data. I think it’s enough for the personal doctor to sign off and say the person is fit to race, and PCA shouldn’t be asking for any information beyond the signed form saying the person is fit to race, without any medical conditions disclosed. But per PCA’s medical form, they’ve chosen a more activist route where they want to evaluate the fitness of the person themself (via the medical committee), and if that’s their approach, it’s reasonable to ask for the CPAP data.
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#1803
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Posts: 13,414
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From: Mid-Atlantic (on land, not in the middle of the ocean)
@Manifold Just pointing out the peterp supports an improvement but states that it can only happen at year end: That is not accurate based on other fixes / changes that have been made during the year.
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#1805
Thread Starter
WRONGLY ACCUSED!
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From: PCA Gulag
When was the last time anyone had their safety gear checked by PCA? The last time PCA looked at any of my gear was ten years ago when I was a rookie.
I'm driving in the Champcar 12 Hours of Thompson race this coming weekend and every single race you have to show them all of their gear.
CPAP use is the greatest risk, though.
The following 5 users liked this post by LuigiVampa:
Manifold (08-20-2024),
Matt Romanowski (08-20-2024),
needmoregarage (08-20-2024),
ProCoach (08-20-2024),
Veloce Raptor (08-20-2024)
#1806
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NaroEscape (08-20-2024)
#1807
Regardless of the activity, whether AX, DE, HPDE, TT, CR, the bottomline is I still haven't seen any data on how many people have fallen asleep, if any, whilst on track. Anecdotally, I've never seen anyone falling asleep in nearly 30 years of motorsport from karts to cars. IF anyone has seen this phenomenon, would you please share?
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Matt Romanowski (08-20-2024)
#1808
Regardless of the activity, whether AX, DE, HPDE, TT, CR, the bottomline is I still haven't seen any data on how many people have fallen asleep, if any, whilston track. Anecdotally, I've never seen anyone falling asleep in nearly 30 years of motorsport from karts to cars. IF anyone has seen this phenomenon, would you please share?
#1809
#1810
#1812
#1814
I used to be a Dead Head back in the day, followed them around the world numerous times, etc. (Yes, I know how much Todd loves the Dead). Obviously, my kids listened to the Dead for years growing up, especially when they got their own channel on Sirius/XM.
Anyway, her final word, for the win, was Grateful, and even after they used it in a sentence, she spelled it G-R-E-A-T-F-U-L. She lost and came in 2nd.
To this day, I have yet to let her live that down...
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needmoregarage (08-20-2024)
#1815
Don't know the details.
Even with a lot of "area under the curve," I try to think of things as challenges and opportunities as opposed to problems.
I hope the OP continues to make efforts to have a long and healthy life. And as part of this, continues to undertake efforts to understand the advice of HCPs and to make great choices based on that advice. This might mean, for example, continuing with CPAP therapy.
As an aside I must thank the OP for sharing sleep report as it lists a "second level therapy" of which I was previously unaware (https://exciteosa.com/). Need to do more reading on that-- although it likely has 510(k) clearance, I will want to know more about safety and efficacy.
OP has likely made it possible for PCA and PCA CR to learn more about the "trucking industry standards," and approaches, if/as appropriate.
The fact that in the oral appliance space, dentists are in the loop and there are devices that seem to leverage technology to enable compliance data to be collected is... "enlightening."
I think I like the term "no rule rules" from the article to which I previously referred. I suspect it indeed represents in many regards the state of affairs in the trucking space.
https://glidewelldental.com/company/...leep-apnea-osa
Even with a lot of "area under the curve," I try to think of things as challenges and opportunities as opposed to problems.
I hope the OP continues to make efforts to have a long and healthy life. And as part of this, continues to undertake efforts to understand the advice of HCPs and to make great choices based on that advice. This might mean, for example, continuing with CPAP therapy.
As an aside I must thank the OP for sharing sleep report as it lists a "second level therapy" of which I was previously unaware (https://exciteosa.com/). Need to do more reading on that-- although it likely has 510(k) clearance, I will want to know more about safety and efficacy.
OP has likely made it possible for PCA and PCA CR to learn more about the "trucking industry standards," and approaches, if/as appropriate.
The fact that in the oral appliance space, dentists are in the loop and there are devices that seem to leverage technology to enable compliance data to be collected is... "enlightening."
I think I like the term "no rule rules" from the article to which I previously referred. I suspect it indeed represents in many regards the state of affairs in the trucking space.
https://glidewelldental.com/company/...leep-apnea-osa
I don't think that is the case.
This relates to the first paragraph in the letter the OP received from PCA CR and posted in this thread.
This sleep study report does NOT state that CPAP is no longer a recommended “first line” therapy or “no longer necessary.” It appears to recommend CPAP as THE “first line” therapy.
The reporting physician may have taken into account RDI, BMI, neck circumference, O2 nadir and other health factors (including results from prior sleep studies, CPAP data, et cetera) that are not reflected in the report, but may have been available at the time recommendations were made.
I think that it is possible that if the reporting physician had written a summary letter that stated that he or she believed the OP's ability to race with OAT is sufficient, and this letter was provided to PCA CR, then PCA CR may have written a different first paragraph.
Folks should realize that "CPAP data," may not be so simple as one might initially believe. In the context of PCA CR, according to the OP, what is requested is "compliance data."
That is information shows usage-- and as I have stated before, it appears that:
1. In trucking, one suggested threshold is 90 nights of data, showing at least four (4) hours of use for 70% of nights. One might guess that the certified examiners have SW tools to take raw data and yield a "yes or no" answer to this, but it seems clear that those examiners have some "authority" to look at other health factors in making their determinations.
2. Again, it seems clear that in trucking, examiners have all kinds of flexibility for situations where a candidate's level of OSA has led to CPAP rx, but the candidate does not have 90 days worth of data to provide.
I hypothesize that all of this OSA/CPAP activity in trucking was in part catalyzed by the emergence of commercially available home sleep testing capabilities-- perhaps more so by that than the terrible accident that injured Tracy Morgan and the resulting litigation.
In any case:
1. I encourage the OP to make careful decisions regarding current and future OSA rx.
2. I encourage PCA CR to re-think its approach to OSA as it relates to licensure.
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peterp (08-20-2024)