A driver who is tired, snoring at night, and obese has presented for examination. What should the examiner decide?

In the scenario presented, the driver exhibits signs of potential obstructive sleep apnea (OSA), which is characterized by excessive daytime sleepiness, snoring, and obesity. Sleep apnea poses significant risks for driver safety, including impaired attention, slow reaction times, and an increased likelihood of sleep-related incidents while driving.

Due to these factors, the medical examiner must prioritize the safety of the driver and the general public. A disqualification is warranted until the driver undergoes an appropriate assessment for sleep apnea and any necessary treatment, such as a sleep study or weight management.

Only after a thorough evaluation and confirmation that the condition is appropriately managed would it be suitable to consider any form of certification. This approach is consistent with the regulations and guidelines that govern the certification of commercial drivers, emphasizing the importance of addressing any medical conditions that could impede a driver's ability to operate a vehicle safely.