Michael, I put your question to Jimmy, the Trucking Truth AI Chatbot. Here's his conclusion:
It might add a few extra twists and turns to your road, it ain't the end of the line by any means! It's all about keepin' hep and hollerin' for the doctor to make sure you're steerin' toward certification and success in your truckin' journey!
The full, detailed answer is a page or so. Ask for yourself here: Ask Jimmy
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Will a pacemaker implant automatically disqualify or fail you in a DOT physical? Just curious.
DOT:
Department Of Transportation
A department of the federal executive branch responsible for the national highways and for railroad and airline safety. It also manages Amtrak, the national railroad system, and the Coast Guard.
State and Federal DOT Officers are responsible for commercial vehicle enforcement. "The truck police" you could call them.