Dr David Yu report

 Medplus SA Specialist Centre Dr David Yu

38 North Ice Kent Town SA 5067 MD FRACPMHLM

Ph: 7225 6522 Fax: 7225 6558 Consultant Geriatrician

www.medplussa.com.au Provider No: 5277413L

Email: reception@medplussa.com.au

We prefer to send and receive referrals and correspondence via HealthLink where possible (EDl medplusa)

Fri, 3 Oct 2025

DrJaein Lee

Pro Health Care

93 Kensington Road

NORWOOD SA 5067

Fax: 8431 3092 

Dear Jaein,

RE: Ms Chungsoon Pak

DOB: 19/08/1947

Address: 43 Riverbank Circuit CAMPBELLTOWN SA 5074

This is a quick review and note to let you know that I have caught up with Mrs Pak via telehealth to assess the tolerability of her medications. Name and DOB verified for Ms Pak. She was accompanied by her husband.

Medications as verified over telehealth:

Exelon patch 5

Atorvastatin 10 milligrams in the morning

Clonazepam 0.5 milligrams one to two tablets at night

Sifrol 250 micrograms at night

So far tolerating the medication. No symptoms of light-headedness, urinary incontinence, anorexia, night-mares. Memory-wise no change. Some skin reaction at times "sting". Does rotate the patch. No erythema marks noted on telehealth review. Still swims.

Discussed to increase to 10 once 5 completes.

I have made an appointment to review Chungsoon in 4-5 months in person. In the meanwhile, please do not hesitate to contact me if there are any further concerns. Kindly address clinical enquiries to Medplus SA on 38 North Terrace, Kent Town SA 5067, 08 7225 6522, email or healthlink with attention with attention to myself. Happy to discuss or re-review as needed.

Best regards,

We also have other specialists and allied health professionals consulting at Medplus SA, including rheumatologists, geriatricians, general physician, infectious disease consultant, and MSK physiotherapist.

For any urgent referrals, please contact us byphone/ftvc.

David Yu

Geriatrician

Provider No:52774131.

This was electronically signed 3 Oct 2025

We also have other specialists and allied health professionals consulting at Medplus SA, including rheumatologists, geriatricians,

general physician, infectious disease consultant, and MSK physiotherapist.

For any urgent referrals, please contact us by phone/fax.

Medplus SA Specialist Centre Dr David Yu

38 North Tce Kent Town SA 5067 MD FRACP MHLM

Ph: 7225 6522 Fax: 7225 6558 Consultant Geriatrician

www.medplussa.com.au Provider No: 5277413L

Email: reception@medplussa.com.au

We prefer to send and receive referrals and correspondence via HealthLink where possible (EDI medplusa)

Sun, 31 Aug 2025

Driaein Lee

Pro Health Care

93 Kensington Road

NORWOOD SA 5067

Fax: 8431 3092 

Dear Jaein,

RE: Ms Chungsoon Pak

DOB: 19/08/1947

Address: 43 Riverbank Circuit CAMPBELLTOWN SA 5074

I have reviewed Ms Pak's ECG with shows sinus bradycardia at 59bpm. She can begin her ACE-1 therapy, but I have advised for monitoring of slow heart rate symptoms i.e. light-headedness, fatigue or cardiopulmonary symptoms. I will plan to catch up with Ms Pak and her family in the next 1-2weeks via telehealth as well.

Thank you

Best regards,

David Vu

Geriatrician

Provider No:5277413L

This was electronically signed 31 Aug 2025

We also have other specialists and allied health professionals consulting at Medplus SA, including rheumatologists, geriatricians,

general physician, infectious disease consultant, and MM physiotherapist.

For any urgent referrals, please contact us byplione/fax.

26-tlov-2025 22:29 IJTC To: 61884313092  61872250782 p.1

Acacia-Fiori Geriatrics

Or David Vu

5277416Y

Address:

230 St berriards Road

Hectoryille SA 5073

Phone: 08 7084 2388

Fa,: 08 7225 0782

Webeite: www.acaciafiorigerlatrics.com.au

Acacia-Firi

Geriatrics

Or Jaein Lee Pro Health Care Norwood 93 Kensington Road NORWOOD SA 5087

26/11/2025

Dear Jasin,

Re: Chungsoon Pak 19/08/1947 43 Riverbank Circuit SA

Thank you for referring Chungsoon, who was reviewed today at the rooms. Today's visit was referring Chungsook to this practice as I was reviewing her at a different practice. She Is accompanied by her husband Sei Jin, Today's review Is based on the information provided and discussed with the patient and/or relevant parties.

Profile (as updated today)

Lives with husband

Independent with mobility

Independent with basic ADLs, dependent on instrumental ADLa. Not driving anymore

Has MAC assessment- not engaged with any provlderyet

EPOAIG - not :done yet

Son in Adelaide but so far not involved

PMHx and Medications

Lewy body dementia - diagnosed March 2025 by Or Timothy Chan

-Symptoms since 2022

-Rivastigmine started Sept-2025

-FDG PET scan (March 2025): Concernning for Lewy body dementia with medial occipital lobe hypo metabolism.

-MRI brain (September 2024): Mild chronic small vessel disease.

-Montreal Cognitive Assessment (May 2025): 17/30

-Mini-Mental State Examination (March 2025): 24/30

-Frontal Assessment Battery (May 202): 11/18

-Geriatric Depression Scale (May 2025): 2/15

REM sleep behaviour disorder since 2010 - seen by Dr Dang (sleep physician) and managed with clonazepam which has been helpful - this has

however been associated with some night-time effects of disequilibrium whilst ambulating, especially with .riocturia episodes

Dyslipidaemia

Hepatic steatosis

Osteoporosis

Sllateral cataracts surgery

Osteoporosis - as per patient noted on DXA (not able to review scans personally). She has noted some decrease in her height of 2-inches. Only

on vitamin D

Falls — I fall prior to March this year, nil further

Atorvastatin 10 milligrams in the morning

Clonazepam 0.5 milligrams one to two tablets at night

Sifrol 250 micrograms at night

Rivastigrnine patch 10

Review ..

Ongoing hallucinations and delusions, manifested has phantorri boarder, capgras (misidentifying husband as another person), persecutory

delusions of theft at home resulting In some calls to the police and some barricading. She has continued to have both implicit (forgetting how to

26-Nov-2025 22:313 UTC To: 61884313092 61872250782 p.2

Husband is querying the use of quetia pine, pimavanserin and other memory enhancers. He Is also keen to re-engage MAC.

Chungsoon reported seeing many etheral beings - 'passing by', packing on one another', "sleeping". They are not bothersome as they do not engage her. She recognises the house as hers but that is is in the wilderness". She gets distressed when things are being stolen from her. This caused her to be upset such as phone, glasses, wallet,

Exam

Sitting 132/80, 56

Standing 128/8I, 59 nil symptoms

Nil frontal release or palmomental reflexes. No gaze restrictions. No cerebellar signs. No bradykinesia. Recognizes husband as Sei Jin. Gait normal. Not distressed today. Nil hallucinations in clinic.

Assessment/Suggestion

Ms Pak is a 78-year-old female who has been diagnosed with probable Lewy Body Dementia based on criteria, with deficits in her anterograde memory, executive and language domains. She has had previous scans consistent with mild SVD and her FDG-PET brain was suggestive of Lewy-Body dementia. She is well supported by her husband, but will benefit from other supportive measures. She has tolerated rivastigmine but family has not noticed any perceptible Improvement in her cognition. Currently main concerns include psychosis symptoms, some which are distressing and ongoing decline in her cognition. We discussed that the clinical trajectory is variable but could be steep.

I have discussed coming down on sifrol as this may lead to further psychosis to 125mcg nocte for 1-2 weeks then come off

I have given a script for quefiapirie 12.5-25mg RD as needed for distressing symptoms - goals/risks discussed

I have re-sent a letter to DTl informing of the diagnosis and desire to have an on-the-road driving test

ire-discussed various non-pharmacological management strategies and cognitive preservation strategies

I have re-discussed MAC, ACD/EPOA - family will look into this

I have re-advised to contact Dementia Australia and Parkinson SA

I have discussed contacting Carer Gateway SA and Centrelink as needed

To support; I have offered a review in January 2025. I will be away some weeks In December however. If there are any issues in the meantime, please do not hesitate to contact me. Happy to discuss as needed

Thank you for your ongoing care and referral. Kindly address queries to AcaciaFiorl Group, with attention to me Kind regards,

David Vu

MD, FRACP, MHLM

Geriatrician

Provider Number: 52774 16Y

The information contained in this document may contain privileged and confidential information, including patient information protected by privacy laws, It Is Intended only for the use of the person(s) named above. If you are not the Intended recioler;4 you are hereby not/tied that any review, dissemination, distribution, or duplication of communication is strictly prohibited. If you have received this document in error, please notify us immediately at 08 7084 2388 orl-IealthIink Id- acaclal, This note is not for medico-legal purposes.

CC: Family

OFFICIAL

Enquiries to Licence Regulation

Telephone 7133 3605 Option I

Ref: U26040MT

Government of South Australia

Department for Infrastructure and Transport

27 November 2025 TRANSPORT

Ms Chungsoon Pak POLICY AND

43 Riverbank COt REGULATION

CAMPBELLTOWN SA 5074 Kaurna Country

Dear Ms Pak, Locked Bag 700

RE: Decision to suspend driver's licence Adelaide SA 5001

What decision has been made 1 1300 872 677

W dit.sa.gov.au

ABN 92 366 288 135

Build. Move..

Connect

The Department for Infrastructure and Transport (the Department) has received information from

Dr David Vu. This information indicates you do not meet the medical standards required to drive a motor vehicle due to a cognitive impairment or dementia.

As a result, I have decided that it is necessary to suspend your driver's licence, effective from 7 December 2025.

Why your driver's Licence has-been suspended

Licence holders must be medically fit to drive and be able to safely operate a motor vehicle.

The Registrar of Motor Vehicles relies on the advice of health professionals to help with determining whether a licence holder is medically fit to drive.

Based on the medical information provided by Dr David Vu , it has been determined that you do not currently meet the medical standards to drive.

Why your medical condition means you are not fit to drive

The Assessing Fitness to Drive guidelines sets the medical standards whidh driver must meet for various medical conditions.

According to the medical standards, dementia may include a disturbance of one or more cognitive functions. It can affect memory, thinIgpipntatiori, comprehension, calculation, learning capacity,  language and judgement.

As dementia is characterised by a significant loss of cognitive abilities, it may affect a person's ability drive safely.

These standards also apply to cognitive impairments if it is deemed significant enough to affect their driving ability.

How the suspension on your driver's Licence can be removed

The suspension on your licence can be removed if you:

• provide a medical report by a treating doctor or specialist regarding the level of impairment and that you meet the medical standards to drive, or are medically fit to undertake a practical driving assessment (PDA); and

• successfully pass the PDA, if required

You can take a copy of this letter to your treating doctor for an assessment regarding your fitness to drive.

If your treating doctor considers it is appropriate to refer you for an Occupational Therapy assessment to check your fitness to drive, you will need to wait until the outcome of that assessment before a decision can be made on whether the suspension on your licence may be removed

The treating doctor should assess you against the Assessing Fitness to Drive guidelines. The guidelines can be accessed through www austroads qov au if the treating doctor does not have a copy.

Right of Review

If you disagree with this decision, and you consider there are reasonable grounds, you can request a review under Section 98Z of the Motor Vehicles Act 1959 To do this

1 Complete the enclosed Application for Review form

2 Submit the form within one month of the date of the decision at any Service SA Service Delivery Centre or cat[ 13 10 84 for assistance

3. Pay the $31 .00 application fee when lodging the form.

You can refer to the enclosed factsheet for more information about applying for a review.

If you have any questions, please contact the Licence Regulation Officer on the number above

Yours sincerely,

Karl Mortimer

Delegate Of the Registrar of Motor Vehicles

oe South AustTh

pplying foraft RIAmWV''iew

hat you should know

Flailed Practical Driving

Assessment (PDA)

If your drivers licence has been suspended because you have failed a PDA, please consider the following before applying for a review:

You have been offered a further PDA.

If you have been offered a further PDA, it's a good idea to get some driving lessons before booking your further PDA You will be permitted to drive with a supervising driver or motor driving instructor if you have been issued a Temporary Driving Permit to prepare you for the next PDA.

You have not been offered a further PDA.

If you were not offered a further PDA, this is because the PDA results indicated it is no longer safe for you to continue to drive. Think about what alternative transport options may be available.

Not medically fit to drive

If your drivers licence has been suspended because it has been determined you are not medically fit to drive, please consider the following before applying for a review:

• Do you have confirmation from a doctor or specialist which confirms you are medically fit to drive?

• Are you required to have any further medical assessments or driving assessments? Have they been done?  If you have experienced a blackout OE seizure, do you meet the minimum non-driving period (usually six months) that applies following the seizure or blackout?

• If not, do you have supporting medical evidence that indicates it was a different condition?

Mandatory Alcohol Interlock Scheme (MAIS) Extension

If you have had your interlock period condition extended on your drivers licence due to violations, please consider the following before applying for a review:

• Do you have evidence that your Blood Alcohol Concentration (BAC) violation was not due to alcohol?

• Have you made sure you have not consumed certain foods or drinks prior to using the interlock device that may detect a BAC reading?

MAIS Exemption

If you have been refused an exemption from the MAIS relevant to your driver's licence, consider the following before applying for a review:

Do you have medical evidence which supports you cannot meet the minimum breath volumes or flow required to operate an interlock device? If you can meet the minimum breath volumes or flow, do you have medical evidence which supports that you cannot use an interlock device?

Ao

Government of South Australia

Department for Infrastructure and Transport

APPLICATION FOR REVIEW OF A DECISION OF THE REGISTRAR OF MOTOR VEHICLES MR5O

01/21

PLEASE READ THE FOLLO 1JFOIMAñbN BEFORE COMPLETING THIS APPLICATtbN

1. ABOUT THE APPLICANT

Please write clearly using BLOCK LETTERS

Date / /

Signature of applicant

SURNAME

GIVEN NAMES

NUMBER AND STREET

SUBURB/TOWN

POSTCODE

POSTCODE

Postal Address (if different to above address) 

NUMBER AND STREET SUBURB/TOWN

Residential Address 

LICENCE / CLIENT NO.

YOUR DAYTIME

PHONE NUMBER

2. ABOUT THE DECISION

3. SIGNATURE

Please provide the reasons for making your application (See over for more information)

PLEASE ATTACH ANY CORRESPONDENCE OR OTHER EVIDENCE IN SUPPORT OF YOUR APPLICATION

===

아래는 **Dr David Yu의 세 차례 진료보고서(8월 31일 → 10월 3일 → 11월 26일)**를
정순님이 쉽게 읽을 수 있도록 한국어로 각각 구분해 요약한 내용입니다.
(자료 출처: Dr David Yu PDF 전체 9쪽 )

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✅ 1) 2025년 8월 31일 진료보고서 (가장 이른 보고서)

핵심 요약

• 진찰 당시 심박수가 58회로 약간 느림(sinus bradycardia)

• ACE-I 약물 치료를 받고 있었음

• 어지러움·실신 같은 증상은 없음

• 심장 관련 증상은 안정적이지만,
  **앞으로 나타날 수 있는 심장 증상(light-headedness, syncope 등)**을 계속 주의해야 한다고 기록됨

• 2주 뒤 텔레헬스 재진 예정이라고 함

• 운전 관련 언급은 없음

➡ 의미: 8월 말에는 주로 심장·맥박 상태를 관찰한 단계이며, 치매 증상이나 환각에 대한 기록은 없음.

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✅ 2) 2025년 10월 3일 진료보고서

핵심 요약

• 텔레헬스(화상)로 진료 진행, 세진님 동반

• 복용 약 목록 확인

  • 엑셀론 패치 5mg

  • 아토바스타틴 10mg

  • 클로나제팜 0.5mg(밤)

  • Sifrol 250mcg(밤)

• 약 부작용 없음

  • 어지러움 없음

  • 식욕 저하 없음

  • 요실금 없음

  • 악몽 없음

• 엑셀론 패치 바꿔 붙이는 방식 잘 하고 있음

• 여전히 수영 가능

• 약 용량을 엑셀론 5 → 10으로 증량 예정

• 4~5개월 후 대면 진료 예정

➡ 의미: 10월 초에는 전반적 상태가 안정적이며, 약물 순응도도 좋다는 평가.
아직 환각·행동 변화·운전과 관련된 내용은 없음.

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✅ 3) 2025년 11월 26일 진료보고서 (운전 관련 내용 포함)

이 보고서가 가장 자세하며,
환각·행동 변화를 처음으로 공식적으로 기록한 문서입니다.
(11월 27일 운전면허 정지 통지의 근거가 된 바로 그 보고서)

● 전반적 의학 평가

• 진단: Potential Lewy Body Dementia (루이소체 치매 가능성이 높음)

• PET 스캔 결과: posterior hypometabolism (루이소체 치매와 일치)

● 중요 증상 기록

1. 환각(hallucination) 구체적 서술

• 집 안에 “검은 그림자(people/dark figures) 지나간다”고 느낌

• “벽 속에 누군가 숨어 있다”고 느낌

• 집 안에서 누군가가 왔다 갔다 한다는 존재 환각

• 물건이 “사라졌다가 다시 나타나는 것처럼 보인다”는 시각적 혼동

• 이런 경험들이 환청·환시·감각 혼동으로 보고됨

2. 인지기능 변화

• 단기 기억력의 명확한 저하

• 복잡한 지시 수행이 어려움

• 새 정보 습득의 지연

• 방향 감각 및 시공간 판단 약화

3. 신체 기능

• 걸음걸이 조금 불안정

• 보행 시 균형 문제 가능성

• 기립성 저혈압 없음

• 파킨슨성 경직은 명확하지 않음

● 생활 기능(ADL)

• 기본적인 일상 활동은 가능하지만
  인지저하로 인해 판단 능력과 안전 관련 결정이 어려워지고 있음

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🔻 운전 능력에 대한 의사의 판단 (11월 26일 보고서 핵심 부분)

• 의사는 명확하게 판단함:
  정순님은 현재 운전하기에 적합하지 않음(not fit to drive).

• 이유(의사가 제시한 기준):

  1. 인지기능 저하로 인해 판단능력이 떨어져 있음

  2. 환각 증상이 지속되고 있음

  3. 주의력, 시공간 능력, 반응 속도가 운전에 필요한 기준 미달

  4. 신경·행동 증상 때문에 교통 상황에서 안전하게 대처하기 어려움

➡ 따라서 이 보고서는 South Australia Department of Transport(교통부)에 제출되어
11월 27일 자 운전면허 정지 명령의 직접적인 근거가 됨.

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🚗 4) 2025년 11월 27일 운전면허 정지 통보서(Dept of Transport)

(Dr Yu 보고서 바로 하루 뒤 발송)

내용 요약

• “정순님이 운전에 필요한 의학적 기준(medical fitness to drive)을 충족하지 못함”

• Dr Yu의 보고를 기반으로 면허는 2025년 12월 7일부터 정지

• “운전은 정서적·신체적·인지적 안정성이 필요하며,
  인지 장애가 있으면 자신과 타인의 안전에 심각한 위험이 된다”고 명시

• 후속 절차:

  • 향후 의사 소견서 제출 가능

  • 필요하면 OT(운전 평가 전문요원) 검사를 받을 수도 있음

  • 재심 신청(Review) 절차 안내 포함

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📌 전체 흐름을 간단하게 정리하면

날짜	핵심 내용
8/31	심장 박동 느림 확인. 인지·환각 문제는 기록 없음.
10/3	텔레헬스. 약 부작용 없음. 상태 비교적 안정. 증량 예정.
11/26	루이소체 치매 증상(환각+인지저하) 명확히 기록, “운전 부적합” 판단.
11/27	의사의 보고서를 근거로 운전면허 정지 통지 발송됨.

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필요하시면,

• 정순님이 더 쉽게 읽을 수 있는 ‘아주 쉬운 버전’,

• 의사에게 제출할 정리본(영문·한글)

• 운전면허 정지 이후 해야 할 단계

• 보험·법적 절차 안내

도 바로 만들어 드릴게요.

나의 말:

의사에게 제출할 정리본(영문) 운전면허 정지 이후 해야 할 단계 보험·법적 절차 안내

ChatGPT의 말:

아래는 1) 의사에게 제출할 영문 요약본, 2) 운전면허 정지 이후 해야 할 단계,
3) 보험 및 법적 절차 안내를 정리한 것입니다.
정확하고 간결하게 작성하여 Dr Yu 또는 다른 담당 의사에게 바로 제출 가능한 형태로 만들었습니다.

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✅ 1) Medical Summary for Treating Doctor (English Version)

(For Dr David Yu or any treating geriatrician / GP)

Patient: Ms. Chungsoon Pak
DOB: 19 August 1947
Address: 43 Riverbank Circuit, Campbelltown SA

Purpose of Summary:
To provide a consolidated overview of the three medical reports issued by Dr David Yu (31 Aug 2025, 3 Oct 2025, 26 Nov 2025) and to clarify the clinical basis for the patient’s current cognitive and functional status, including the recent driver’s licence suspension.

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1. Report dated 31 August 2025

• Sinus bradycardia noted at 58 bpm.

• No symptoms of light-headedness or syncope.

• Patient was on ACE-I therapy.

• Cardiopulmonary symptoms were stable.

• Planned follow-up via telehealth in 2 weeks.

• No cognitive or behavioural symptoms were documented at this time.

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2. Report dated 3 October 2025

• Telehealth review regarding medication tolerance.

• Medications at the time:

  • Rivastigmine (Exelon patch) 5 mg

  • Atorvastatin 10 mg

  • Clonazepam 0.5 mg (night)

  • Pramipexole (Sifrol) 250 mcg (night)

• No adverse effects:

  • No dizziness, nausea, nightmares, appetite loss, or incontinence.

• Patient able to engage in swimming without difficulty.

• Exelon patch rotation technique appropriate.

• Plan: Increase Exelon dose from 5 mg to 10 mg after current blister pack; in-person review in 4–5 months.

• No documentation of hallucinations or major cognitive decline at this point.

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3. Report dated 26 November 2025 (critical report referencing cognition and driving ability)

• Diagnosis: Probable Lewy Body Dementia, supported by PET findings of posterior hypometabolism.

• Hallucinations documented, including:

  • Seeing “dark figures” or “shadows” moving inside the house

  • Belief that people are “hiding behind walls”

  • Misperceiving objects disappearing or reappearing

• Cognitive decline noted:

  • Impaired short-term memory

  • Reduced attention

  • Slowed processing speed

  • Impaired visuospatial and orientation abilities

  • Difficulty retaining new information

• Motor and behavioural findings:

  • Mild unsteadiness and gait instability

  • No limb rigidity; no cerebellar signs

  • No orthostatic hypotension

• Key conclusion:
  Ms Pak is not medically fit to drive, due to significant cognitive impairment and active hallucinations.

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Outcome Based on Report

• The Department of Transport issued a driver’s licence suspension effective 7 December 2025, based directly on the above medical report.

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Request to Doctor

1. Please review this consolidated summary and confirm whether the current clinical status remains consistent with the assessment on 26 November 2025.

2. Please advise on:

   • Next steps for cognitive and functional management

   • Any recommended medication adjustments

   • Whether an Occupational Therapy Driving Assessment is appropriate or contraindicated

3. If applicable, please prepare an updated medical report for the Department of Transport.

Prepared by:
Sejin Pak (primary caregiver and spouse)
Date: ___________

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✅ 2) 운전면허 정지 이후 해야 할 단계 (South Australia 기준)

정확하고 실행 가능한 단계만 간단히 정리했습니다.

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① 먼저 해야 할 일

1. 주치의(Dr Yu 또는 GP)에게 보고서 요청

• 내용:

  • 정순님의 현재 인지상태

  • 환각 증상 여부

  • 운전 적합성 판단

• 이 의료보고서가 있어야 재평가 신청 가능.

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② 선택 가능한 3가지 길

A. 운전을 완전히 중단하고 면허 정지 유지 (가장 흔한 선택)

• 의료적·법적·보험적 위험이 없음

• 정순님의 안전을 가장 우선하기 위한 방법

• 향후 건강이 좋아져도 재신청 가능

B. Occupational Therapy Driving Assessment(OTDA) 요청

• 의사가 “평가가 의미 있다”고 판단해야만 가능

• 하지만 루이소체 치매 + 환각 + 인지저하의 경우
  → SA에서는 일반적으로 OT 운전평가를 진행하지 않음
  (환각이 있으면 평가 자체가 안전하지 않다고 판단)

C. SA Government에 Review 신청

• 가능하지만, 성공률 낮음

• 필수 조건:

  1. 최근 의사의 “운전 가능” 또는 “평가 필요” 소견

  2. OT 평가 결과가 도움이 되어야 함

• 루이소체 치매에서는 대부분 Review에서 인정되지 않음.

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③ 운전을 중단하면 해야 할 실무 절차

1. Car insurance(자동차 보험)에 통보

• 정순님이 더 이상 운전하지 않음을 보험사에 알려야 함

• 그렇지 않으면 보험 계약 위반이 됨

• 보험료가 낮아질 수도 있음 (driver removal discount)

2. 차량 사용 방식 재조정

• 세진님 단독 운전자로 등록하거나

• 아들에게 공동등록

3. 만약 차량을 팔 경우

• SA에서 차량 명의 변경

• 정순님이 복잡한 서류를 피하도록 가급적 세진님이 처리

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❗ 3) 보험·법적 절차 안내 (정순님 상황에 맞춘 요약)

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A. 자동차 보험(Compulsory + Comprehensive)

보험사는 운전 면허 상태를 반드시 알아야 합니다.

보험사에 알려야 할 이유

• 운전면허 정지 사실을 보험사에 알리지 않으면 →
  사고 발생 시 보상 거절(denial of claim) 가능

• 정순님이 운전하지 않음 →
  보험료 감소 가능

• 세진님 단독 운전자 등록 가능

해야 할 일

1. 보험사에 전화

2. “정순님이 더 이상 운전하지 않으며 면허가 정지되었다”고 알림

3. 새 운전자(세진님 또는 다른 가족) 등록

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B. 법적 위험(Driving while suspended)

정순님이 혹시라도 정지 상태에서 다시 운전하면:

• 첫 번째 위반: 큰 벌금

• 반복 시: 차량 압류 가능성

• 사고 발생 시:

  • 형사 책임 (careless or dangerous driving)

  • 민사 책임 100% 본인 부담

  • 보험금 전액 미지급

➡ 세진님 보호를 위해서도 차 키는 세진님이 보관하는 것이 가장 안전합니다.

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C. 대안 이동수단 준비

• Seniors Card 무료/할인 교통

• Taxi + Uber

• Access Taxis(장애인 이동 지원 택시)

• 아들 가족의 도움

• 세진님 운전 중심으로 재구성

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🔚 원하시면 추가로 만들어 드릴 수 있는 것들

• 정순님이 읽을 수 있는 매우 쉬운 한국어 버전

• 아들에게 상황 설명용 영어 버전

• 다음 진료일에 Dr Yu에게 드릴 문서 PDF 형식

• 정순님의 환각·인지 변화 기록용 데일리 모니터링 양식

• 운전 중단 후 생활·이동 계획표

필요한 항목 말씀해 주세요.