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As a follow up to my own post... My wife looked over what I last posted and
had some further advice.
- Make sure that the "Valsalva Maneuver" is included in your bubble study.
They find that this is left out of many, many studies when they review cases
that have had standard studies. This maneuver is when you tighten your
abdominal muscles and bear down as if having a (bad) bowel movement, you
hold, then you release. This increases the pressure and volume the heart
sees. Often this will show a problem that would otherwise be missed. As you
know, when diving we are not always in a "relaxed state".
Funny part of all this is that back when I was doing commercial diving the
entire cardiac section of the dive exam consisted of listening with a
stethoscope and answering some basic questions! Now that I'm doing "light
deco" I am aware of more medical concerns than I ever knew about. Luckily I
married a person with a skill that helps me in this area.
Thanks,
Rick
rggatto@sh*.co*
"The game consists of figuring out what the game is..."
> -----Original Message-----
> From: Gatto, Richard RG SCC [SMTP:RG982309@MS*.SH*.CO*]
> Sent: Thursday, April 20, 2000 6:52 AM
> To: 'Kevin Connell'; Sean M.Cary; quest@gu*.co*; techdiver@aquanaut.com
> Subject: RE: Pictures of PFO's
>
> Incorrect info... My wife does this (Echocardiograms, Doppler,
> Stress tests, etc) for a living at one of the largest heart
> centers/hospitals in Houston. The correct info would be that a good
> cardiologist could do it. My wife helps teach cardiac fellows the
> technique
> and procedures, many will never be worth a shit at scanning. The idea is
> to
> make them familiar with the technique. They are mainly taught to read the
> echo not perform it. While some excel and practice enough to stay
> proficient, most farm out the work to the people who do it every day.
> Why were you given a TEE instead? This is normally a secondary move
> after failing to get good images through the chest. That is common with
> mainly two groups of people, the very thin and the very fat. You can also
> throw some of the short stocky guys in with that group.
> And to answer your next question, Yes, I do get my tests when ever I
> want them.
>
> Thanks,
> Rick
>
> rggatto@sh*.co*
>
> "The game consists of figuring out what the game is..."
>
>
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