Key words: Vel isoimmunization, hemolytic disease of the newborn Vel antigen is a high-incidence antigen present 10 >99.9% of the population.I Anti-Vel sensitization is known to be a potential cause of hemolytic transfusion reactions; however, its potential to cause hemolytic disÂ­ease of the newborn has not been well studied.I. 2 We report a case ofanti-Vel isoimmunization that was presÂ­ent during pregnancy, which did not result in hemolytic disease of the newborn.
If you self-certify as a non-excepted interstate driver, you must present a completed and signed Medical Examiner's Certificate, which is also known as a DOT Medical Card, to the Secretary of State to continue your CDL application.
Drivers are required to keep a current medical variance or medical examiners certificate on file with DPS, and failure to do so will result in the downgrade of the individualâs CDL. You must provide a copy of each new DOT medical card to the Department prior to the expiration of the current DOT medical card. To prevent your commercial driver license from being downgraded, you will need to send a copy of your new DOT medical certificate to the Department within 15 days of the DOT medical certificate issuance date.