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Also interesting. All NC DOT (bus drivers, garbage truck employees, truck drivers, Ferry Captains etc. and Coast Guard people here in NC (I would assume its other states as well) that have a diagnosis of sleep apnea have to show CPAP compliance atleast once a year. I get atleast one person a week call me to pull their compliance for 90 days to show atleast 70% compliance of wearing it atleast 4 hours a night. They can lose CDL and or job if not compliant.
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Pilots have a complex system of things like this Lots of red tape and time consuming while no pay to get paperwork in order. I know someone (airline pilots) who had an ekg abnormality - due to athleticism, and was grounded for months waiting for the FAA to approve the extra testing, which showed no problems. This really pisses me off.