{"id":22090,"date":"2022-06-13T08:09:43","date_gmt":"2022-06-13T12:09:43","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=22090"},"modified":"2023-05-19T13:58:58","modified_gmt":"2023-05-19T17:58:58","slug":"is-something-wrong","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/id\/alert-diver\/article\/is-something-wrong\/","title":{"rendered":"Is Something Wrong?\ufffc"},"content":{"rendered":"
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MY BUDDY AND I DIVED SIX OUT OF SEVEN DAYS<\/strong> <\/span>on my last dive trip. Our profile allowed an hour of dive time with two-tank dives and the recommended interval. We usually dive every other day at the end of the trip, but our last two diving days were successive due to weather.<\/p>\n\n\n\n

On the last dive, we started our return to the boat with half a tank of air left, stopping around 25 feet to observe the area. I was briefly separated from my buddy as I followed a tilefish before continuing my ascent and making my safety stop in view of the other divers and our divemaster. I may have slightly shortened my safety stop to get back to the divemaster in time to follow along to the boat.<\/p>\n\n\n\n

After surfacing and removing my buoyancy compensator, which is always difficult due to my shoulder arthritis, I developed frontal chest pain. It was unusual, but I thought it was a muscle strain from removing my BC. My left hip was somewhat painful and hindered me while getting out of the water, but that is normal. When I sat down in the boat, my chest and hip pain were gone. I took off the rest of my gear, and while moving around the boat, I felt my left leg slightly give way, which I thought was due to my arthritis.<\/p>\n<\/div>\n\n\n\n

\n
\"man
If something is wrong after diving that might be DCI, I encourage you to quickly get on oxygen and seek an evaluation right away by a practitioner familiar with DCI.<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n

Back at the hotel, things seemed normal. I showered and stored my gear but then noticed the muscles in my left thigh twitching and showed my buddy. After checking the internet for decompression illness (DCI) symptoms, I determined that it was likely fatigue causing my twitching. I hydrated and ate some carbohydrates, but I noted I did not need to urinate, which was strange. As time passed, I was still unable to urinate despite the urge.<\/p>\n\n\n\n

It became clear that something serious was happening, and I considered that I was likely having DCI symptoms. I went to the island\u2019s hospital, where I received high-flow oxygen and intravenous hydration. Thankfully they also placed a urinary catheter to give me some relief. The examining physician determined I had a loss of sensation in my legs, especially heat sensitivity, and muscle weakness in my left quadriceps.<\/p>\n\n\n\n

I had delayed getting care for nearly eight hours, and due to the island having no hyperbaric chamber, I did not get recompression treatment until the following evening, more than 24 hours later. I am a primary care internal medicine physician, so I should have known to get help from a dive specialist as soon as I had strange symptoms. Treatment entirely resolved my symptoms six months after the incident, but If I had sought treatment earlier, my recovery might have been quicker and the treatment possibly less intense.<\/p>\n\n\n\n

In medicine, we have a saying from the aphorisms of Sir William Osler: \u201cA physician who treats themself has a fool for a patient.\u201d If something is wrong after diving that might be DCI, I encourage you to quickly get on oxygen and seek an evaluation right away by a practitioner familiar with DCI.<\/p>\n\n\n\n

\u00a9 Alert Diver<\/em> \u2014 Q2 2022<\/p>","protected":false},"excerpt":{"rendered":"

MY BUDDY AND I DIVED SIX OUT OF SEVEN DAYS on my last dive trip. 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