{"id":23029,"date":"2022-08-30T16:18:05","date_gmt":"2022-08-30T20:18:05","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=23029"},"modified":"2023-01-31T10:29:50","modified_gmt":"2023-01-31T15:29:50","slug":"not-in-denial","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/id\/alert-diver\/article\/not-in-denial\/","title":{"rendered":"Tidak dalam Penyangkalan"},"content":{"rendered":"

TELAH MELAKUKAN RIBUAN KALI PENYELAMAN<\/span><\/strong> since I started in 1964, primarily off the coast of North Carolina, the shipwrecks and dive profiles there are familiar. Overall conditions couldn\u2019t have been much better on this particular day \u2014 calm, clear seas with barely a current. We planned on two reverse profile decompression dives at an offshore location. Since I dive a lot each season, I carry two dive computers \u2014 one set to my actual breathing gas mixture of 30 percent nitrox and the other set to 21 percent air, which I follow for a more conservative decompression.  <\/p>\n\n\n\n

Pendakian saya berjalan normal, dan saya melakukan safety stop sebelum naik ke permukaan. Setelah menaiki tangga, kembali ke kapal, dan melepas perlengkapan saya, saya merasa sesak di tulang dada bagian atas dan dada. Saya membilasnya dengan air tawar dan melepas pakaian selam saya, tetapi perasaan itu tidak kunjung hilang. Sensasi ini mirip dengan penyakit dekompresi (DCS) yang saya alami pada tahun 1990, jadi saya mulai berpikir bahwa hal itu terjadi lagi.<\/p>\n\n\n\n

Saya segera menggunakan oksigen 100 persen dengan masker tanpa pernafasan. Perasaan di dada saya hilang dalam beberapa menit, tetapi kaki kanan bawah saya mulai kesemutan, diikuti oleh kaki kiri saya. Saya tetap menggunakan oksigen selama perjalanan kembali ke pantai, yang membantu mengurangi kesemutan di kaki saya. Di pantai, saya mulai mengalami kesulitan berjalan dan merasa sangat goyah. Langkah saya selanjutnya adalah menelepon hotline DAN.<\/p>\n\n\n\n

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Saya menjelaskan apa yang terjadi kepada petugas medis, yang menyarankan saya untuk pergi ke ruang gawat darurat setempat untuk memeriksakan diri, terutama untuk masalah jantung karena saya merasa sesak di dada. Meskipun kami tinggal dalam jarak empat jam dari ruang hiperbarik Universitas Duke dan saya ingin langsung pergi ke sana, saya mengerti bahwa UGD terdekat adalah langkah pertama yang diperlukan.<\/p>\n\n\n\n

UGD tidak sibuk sore itu. Dokter mendengarkan gejala-gejala yang saya alami dan memahami bahwa saya ingin segera masuk ke kamar. Dia menelepon hotline DAN dan berbicara dengan petugas medis, yang menghubungkannya dengan kamar Duke, dan mereka mengoordinasikan apa yang akan terjadi selanjutnya. Satu-satunya kritik saya terhadap UGD adalah bahwa mereka memakaikan saya nasal kanul, bukannya masker non-rebreather, tetapi mereka segera mengalihkan saya ke masker tersebut ketika saya memintanya. Menjadi advokat bagi pasien Anda sendiri itu penting.<\/p>\n<\/div>\n\n\n\n

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\"dokter<\/figure>\n\n\n\n

<\/p>\n\n\n\n

Bahkan ketika menggunakan pengaturan konservatif pada komputer selam Anda, ingatlah bahwa komputer selam hanya memprediksi pemuatan gas inert dan tekanan dekompresi. Selalu selesaikan kewajiban dekompresi Anda dan tangani dengan serius gejala apa pun saat menyelam.<\/span><\/strong><\/p>\n<\/div>\n<\/div>\n\n\n\n

Getting to Durham seemed to take a long time, but in retrospect it went as smoothly as possible. The tests indicated I was likely suffering from spinal DCS, which explained why my legs were affected. The ER doctor told me they were arranging helicopter transport, which would fly low to avoid altitude exacerbating my symptoms. After a short weather delay, the helicopter from Duke Life Flight got underway and arrived just before 11 p.m. The kind, professional crew packaged me up on their stretcher and briefed me on the flight. It took just over an hour to reach the ER at Duke Medical Center. While underway, my family could view the helicopter\u2019s flight path on their phones, so my daughter watched it fly by in the distance as it passed near her house.<\/p>\n\n\n\n

Setelah sampai di UGD di Duke, mereka memeriksa saya, memeriksa saya, dan memindahkan saya ke ruang hiperbarik dalam waktu satu jam. Perjalanan ruang pertama saya adalah Tabel Perawatan Angkatan Laut AS standar 6. Setelah selesai keesokan paginya, mereka membebaskan saya selama beberapa jam sebelum perjalanan kedua yang lebih singkat setelah makan siang.<\/p>\n\n\n\n

To be thorough, the doctor ordered an MRI that evening to evaluate the area where the DCS hit affected me. I had a third chamber ride \u2014 the shortest yet \u2014 the following day, along with seven other patients receiving medical hyperbaric treatment. I was impressed with the hyperbaric capacity and capability available at Duke. The chamber I was in that morning could accommodate eight patients and two attendants. After the third ride, the dive doctors released me. My symptoms were about 85 percent resolved by then, which the doctors assured me was normal. They said I would see continued improvement over the following weeks and months.<\/p>\n\n\n\n

My first dive was to 70 feet, and I got DCS on the next day\u2019s dive to 110 feet. I followed my computers, utilizing the extra cushion that my air computer provides. I could have been a bit dehydrated, and I have some arthritis in my lower back (which the MRI confirmed). Other than that, it\u2019s hard to pinpoint why I got bent.<\/p>\n\n\n\n

Asuransi kecelakaan selam DAN telah menjadi hal yang wajib saya miliki sejak tak lama setelah pengalaman DCS pertama saya di tahun 1990. Saat itu gejala-gejala saya teratasi dengan oksigen, tetapi saya cukup khawatir untuk memeriksakan diri ke Duke. Pada saat saya melakukannya, 48 jam telah berlalu, dan sudah terlambat untuk masuk ke ruang perawatan.<\/p>\n\n\n\n

Pada tahun 2022 saya tidak ragu untuk mulai menggunakan oksigen, dan saya berada di ruang perawatan dalam waktu 14 jam setelah gejala muncul. Saya berharap untuk terus membaik, dan saya akan menjalani pemeriksaan lanjutan dalam beberapa bulan.<\/p>\n\n\n\n

DAN was pivotal in streamlining the process. They explained the situation, coordinated everything with the local ER, and got me where I needed to be. Considering the circumstances, my experience with DCS couldn\u2019t have gone more smoothly because DAN was there for me. AD<\/p>\n\n\n\n

\u00a9 Alert Diver<\/em> \u2014 Q3 2022<\/p>","protected":false},"excerpt":{"rendered":"

HAVING DONE THOUSANDS OF DIVES since I started in 1964, primarily off the coast of North Carolina, the shipwrecks and dive profiles there are familiar. Overall conditions couldn\u2019t have been much better on this particular day \u2014 calm, clear seas with barely a current. We planned on two reverse profile decompression dives at an offshore [\u2026]<\/p>\n","protected":false},"featured_media":23032,"template":"","dan_alert_diver_categories":[76],"dan_alert_diver_issues":[481],"class_list":["post-23029","dan_alert_diver","type-dan_alert_diver","status-publish","has-post-thumbnail","hentry","dan_alert_diver_categories-dan-was-there-for-me","dan_alert_diver_issues-q3-2022"],"acf":[],"yoast_head":"\nNot in Denial - DAN World<\/title>\n<meta name=\"description\" content=\"HAVING DONE THOUSANDS OF DIVES\u00a0since I started in 1964, primarily off the coast of North Carolina, the shipwrecks and dive profiles there are familiar.\" \/>\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\/id\/alert-diver\/article\/not-in-denial\/\" \/>\n<meta property=\"og:locale\" content=\"id_ID\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Not in Denial\" \/>\n<meta property=\"og:description\" content=\"HAVING DONE THOUSANDS OF DIVES\u00a0since I started in 1964, primarily off the coast of North Carolina, the shipwrecks and dive profiles there are familiar.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/id\/alert-diver\/article\/not-in-denial\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-31T15:29:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2022\/08\/q3_91_dan_was_there.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"625\" \/>\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=\"HAVING DONE THOUSANDS OF DIVES\u00a0since I started in 1964, primarily off the coast of North Carolina, the shipwrecks and dive profiles there are familiar.\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 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\\\/not-in-denial\\\/\",\"url\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/not-in-denial\\\/\",\"name\":\"Not in Denial - 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