{"id":27039,"date":"2024-06-03T14:31:15","date_gmt":"2024-06-03T18:31:15","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=27039"},"modified":"2024-06-03T14:31:21","modified_gmt":"2024-06-03T18:31:21","slug":"the-cryptic-patch","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/es\/alert-diver\/article\/the-cryptic-patch\/","title":{"rendered":"Una mancha enigm\u00e1tica"},"content":{"rendered":"

Despu\u00e9s de obtener mi certificaci\u00f3n de buceo en 1992, me volv\u00ed adicta instant\u00e1neamente. Era una joven obsesionada y convencida de mi inmortalidad, por lo que no era la buceadora m\u00e1s conservadora, pero durante mi primera d\u00e9cada de buceo no tuve problemas con la enfermedad por descompresi\u00f3n (EDC). Entre 2003 y 2006 libr\u00e9 una lucha contra el c\u00e1ncer de mama; despu\u00e9s de mi tratamiento (quimioterapia y cuatro procedimientos quir\u00fargicos), me volv\u00ed mucho menos temeraria. <\/p>\n\n\n\n

No obstante, segu\u00eda siendo completamente adicta al buceo y cuando tuve mi primera experiencia con una enfermedad por descompresi\u00f3n (EDC) cut\u00e1nea en 2008, buceaba varias veces a la semana en San Diego, California. Mi primer evento \u2014una mancha en el abdomen que me causaba comez\u00f3n\u2014 tuvo lugar en una embarcaci\u00f3n de vida a bordo despu\u00e9s de mi cuarto buceo del d\u00eda. El suceso parec\u00eda m\u00e1s desafortunado que improbable; estaba buceando con un perfil conservador y hab\u00eda cumplido con mis paradas de descompresi\u00f3n obligatorias. Pero no fue una casualidad. <\/p>\n\n\n\n

Experiment\u00e9 una enfermedad por descompresi\u00f3n cut\u00e1nea \u2014la misma presentaci\u00f3n en el mismo lugar de mi abdomen y, curiosamente, siempre despu\u00e9s de bucear con un traje seco\u2014 varias veces m\u00e1s durante 2008, incluso al seguir perfiles sumamente conservadores. Despu\u00e9s de varias llamadas y consultas m\u00e9dicas con DAN, no estaba m\u00e1s cerca de entender por qu\u00e9 estaba sucediendo esto. <\/p>\n\n\n\n

\n
\n
\"La
La autora a bordo de una embarcaci\u00f3n de buceo de California despu\u00e9s de disfrutar de un buceo<\/figcaption><\/figure>\n<\/div>\n\n\n\n
\n
\"The
La autora buceando en el HCMS Yukon en Wreck Alley en San Diego, California, uno de sus puntos de buceo avanzado locales favoritos<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n

Debido a la cronolog\u00eda, la presentaci\u00f3n de mis s\u00edntomas y los tipos de buceo que estaba realizando, los m\u00e9dicos sospechaban que mi propensi\u00f3n a desarrollar una enfermedad por descompresi\u00f3n cut\u00e1nea estaba relacionada con mi historial de cirug\u00edas vinculadas al c\u00e1ncer y el tejido cicatricial asociado y no un defecto card\u00edaco, como un foramen oval permeable (FOP). El consenso fue que era poco probable que un ecocardiograma revelara un problema card\u00edaco, por lo que no era urgente realizar pruebas. Me fui tranquila y me estaba haciendo experta en la prevenci\u00f3n de una enfermedad por descompresi\u00f3n cut\u00e1nea a trav\u00e9s de una combinaci\u00f3n de uso de Nitrox, perfiles de buceo sumamente conservadores, prevenci\u00f3n de compresi\u00f3n del traje seco y paradas de seguridad prolongadas, por lo que no me molest\u00e9 en hacerme pruebas.  <\/p>\n\n\n\n

A lo largo de los 15 a\u00f1os siguientes, rara vez experiment\u00e9 una enfermedad por descompresi\u00f3n cut\u00e1nea, probablemente porque pas\u00e9 mucho m\u00e1s tiempo del que me correspond\u00eda realizando largas paradas de seguridad por precauci\u00f3n. Luego un amigo que hab\u00eda estado buceando con un gran FOP por a\u00f1os sufri\u00f3 un devastador accidente cerebrovascular (se cree que el FOP es un factor de riesgo para un accidente cerebrovascular isqu\u00e9mico). Conmocionada, finalmente me comuniqu\u00e9 con mi amigo el Dr. Douglas Ebersole para que me asesorara. Despu\u00e9s de un largo debate y una promesa del Dr. Ebersole de ser mi cirujano si lo necesitaba, estaba lista para avanzar con las pruebas. <\/p>\n\n\n\n

Me puse en contacto con el departamento de medicina hiperb\u00e1rica de la Universidad de California en San Diego (University of California San Diego), sabiendo qu\u00e9 esperar porque el procedimiento hab\u00eda sido descripto recientemente en el art\u00edculo \u201cLa posibilidad de un FOP\u201d (Possibility of a PFO) (edici\u00f3n de Alert Diver<\/em>, del tercer trimestre de 2023). Tres meses m\u00e1s tarde, observaba nerviosa c\u00f3mo mi ecografista realizaba una ecograf\u00eda transtor\u00e1cica con un estudio de burbujas, intentando impresionarlo fervientemente con mi t\u00e9cnica de Valsalva (que tiene por objeto aumentar la sensibilidad de la prueba para la detecci\u00f3n de un FOP). Mis resultados llegaron d\u00edas m\u00e1s tarde: eran perfectamente normales, sin ninguna evidencia de un shunt intracardiaco.<\/p>\n\n\n\n

Estaba invadida por una mezcla de emociones. Sent\u00ed alivio, desde luego, sabiendo que no ten\u00eda que considerar el cierre quir\u00fargico de un defecto card\u00edaco. Pero tambi\u00e9n sent\u00ed un poco de frustraci\u00f3n al saber que no hab\u00eda nada que simplemente pudiera solucionar. Si quiero evitar tener esa peque\u00f1a mancha que me provoca comez\u00f3n causada por una enfermedad por descompresi\u00f3n cut\u00e1nea, siempre tendr\u00e9 que bucear de manera conservadora. <\/p>\n\n\n\n

Sin embargo, estoy agradecida de tener una respuesta a la pregunta que siempre hab\u00eda estado en lo m\u00e1s profundo de mi mente. Supongo que pasar m\u00e1s tiempo obligadamente flotando en aguas poco profundas no es lo peor despu\u00e9s de todo.<\/p>\n\n\n\n

<\/div>\n\n\n\n
\n\n\n\n

\u00a9 Alert Diver<\/em> \u2014 Q2 2024<\/p>","protected":false},"excerpt":{"rendered":"

Despu\u00e9s de obtener mi certificaci\u00f3n de buceo en 1992, me volv\u00ed adicta instant\u00e1neamente. Era una joven obsesionada y convencida de mi inmortalidad, por lo que no era la buceadora m\u00e1s conservadora, pero durante mi primera d\u00e9cada de buceo no tuve problemas con la enfermedad por descompresi\u00f3n (EDC).<\/p>","protected":false},"featured_media":27038,"template":"","dan_alert_diver_categories":[480],"dan_alert_diver_issues":[491],"class_list":["post-27039","dan_alert_diver","type-dan_alert_diver","status-publish","has-post-thumbnail","hentry","dan_alert_diver_categories-member-to-member","dan_alert_diver_issues-q2-2024"],"acf":[],"yoast_head":"\nThe Cryptic Patch - DAN World<\/title>\n<meta name=\"description\" content=\"After getting my dive certification in 1992, I was instantaneously addicted.\u00a0Being young, obsessed, and convinced of my immortality, I was not the most conservative diver, but I had no issues with decompression sickness (DCS) for my first decade of diving.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/world.dan.org\/es\/alert-diver\/article\/the-cryptic-patch\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Cryptic Patch\" \/>\n<meta property=\"og:description\" content=\"After getting my dive certification in 1992, I was instantaneously addicted.\u00a0Being young, obsessed, and convinced of my immortality, I was not the most conservative diver, but I had no issues with decompression sickness (DCS) for my first decade of diving.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/es\/alert-diver\/article\/the-cryptic-patch\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-03T18:31:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2024\/06\/Q2_32_Member2Member-1200x600-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"After getting my dive certification in 1992, I was instantaneously addicted.\u00a0Being young, obsessed, and convinced of my immortality, I was not the most conservative diver, but I had no issues with decompression sickness (DCS) for my first decade of diving.\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/the-cryptic-patch\\\/\",\"url\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/the-cryptic-patch\\\/\",\"name\":\"The Cryptic Patch - 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