I started taking blood pressure meds about 30 years ago. That means a physical every year. A couple of years ago I got a 90 day card. You can only get ONE of those in your career. Took my physical, it was high. not by much, but they don't cut you any slack. The company doctor took it several times. Told me I failed my DOT. suspended me on the spot. I told him I had 2 weeks before my card expired. He said doesn't matter. I called in, told management what happened. moved vacations. Went to my personal doctor. She told me I was bringing it on myself. She gave me 3 or 4 sample packs of happy pills (Lexapro) Took them before my physical, and I was fine.