INSTRUCTIONS FOR THE DOCTOR
Please review the scenario below and take a focused history from Wazza. No further examination is required. Please discuss the issues raised and outline your management plan to Wazza. The Austroads Assessing Fitness to Drive1 standards will be available in the consultation room in either hard or electronic copy.
Wazza Wainright, aged 48, drives road trains for a living. He has booked in to see you for his commercial driving licence renewal. Wazza attends your practice but this is the first time that you have seen him. He has completed part of his driving assessment with your practice nurse, and relevant sections of this are available below.
The following information is on his summary sheet:
The below assessments have been handed to you by your practice nurse.
|Blood pressure |
|136/82 mmHg |
|180 cm |
The rest of Wazza’s fitness to drive health assessment is unremarkable.
INSTRUCTIONS FOR THE PATIENT, WAZZA WAINRIGHT
You are a 48-year-old road train driver. You enjoy the freedom of the open road but staying awake on long stretches has become more difficult. You keep yourself going with energy drinks, such as Red Bull, and strong coffee. Some of the younger drivers have tried to sell you amphetamines but you’ve resisted. Your diet is dependent on what you can buy at roadhouses, and you do little exercise.
You look forward to your days off at home but recently all you seem to do is fall asleep during the day when you try to relax. You get to sleep OK but your partner seems to spend half the night telling you to stop snoring or shouting at you to start ...