Abstract

A 45-year-old lorry driver has been a patient under your care, having sustained multiple trauma that includes a closed head injury with bilateral frontal and temporal lobe contusions. His physical recovery is reasonable but he has problems with concentration and impairment of short-term memory. He tells you that despite a blackout he has returned to work as he is desperate for money to pay his mortgage, which is in arrears. You have already informed him of his duty to tell the DVLA about the change in his medical history and have told him he should not drive due to the blackout. During the consultation you reiterate this. You subsequently learn that he continues to drive his articulated lorry.

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