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Matthias brings up a couple of good points. Certainly there was something unusual going on. If in fact this was a clean dive, then PFO is at the top of the list. However, if this was a bounce dive or another situation where his risk of DCS was high, it could be a DCS hit and not a gas embolus. Spinal hits are more likely to be from bubbles forming in the cord, rather than bubbles in the blood. PGE's like to hit the brain unfortunatly. Hopefully by now his had another chamber ride, any updates? BTW, if you haven't had any luck with more information on local treatment facilities, if you want to write me directly with the name of the place he's being treated, I can check on it and alternative places nearby. Wendell Matthias Voss wrote: > > Steve, > I am sorry to be this late in replying. > > It is most probably an " undeserved" hit, Trey mentioned possible > causes, another cause could be alveolar rupture affecting which can > affect both sides, or a small cyste in the lung breaking. > To fast an accent on breathhold can be excluded? > > When you got someone on the line, be prepared to answer at least the > following questions : > > Chronology of symptoms and everything till arrival at chamber > Medication given and response hereto. > Preconditions ( medication, hydration, sicknesses, heart conditions, > unusual effort in the dive and the 3 days before) > history of past DCS > > There should be made an X-ray of the lungs , or an NMR, to detect a > possible cyste. > > If you haven' already got access to someone giving competent help ( > DCIEM ??) you may try to call the german Navy's facility in Kiel. > Reception desk is +49 (0)431 54090. They will answer " Bundeswehr Kiel", > you may speak english, ask for DR. Ulrich van Laak, indicating a diving > accident ( Tauchunfall, Dekompressions-Unfall ) You may refer to my > name. Or use +49 (0) 431-549-861, Dr. v. Laak. He is fluent in english. > Dr. van Laak is the german DAN chairman as well. > They most possibly have treated a similar case in Kiel. > e-mail: germany@da*.or* > > Other: > > Dr.Roggenbachin +49(0)2 01 50 25 54 or cellphone > +49(0)1 71) 2 10 02 87.( my associations scubadoc) > he was one of the first to describe hits like that (non DCS1 non DCS 2, > resistent to HBO) > > The DAN-Hotline Switzerland ( through REGA, an Heli-AR servive) > +41-1-1414 > > DAN USA Hotline > "DAN Emergency call Prof. Mano" > Tel. +1-9 19-6 84 81 11 > > HTH. > Matthias > > > On Tue, 31 Jul 2001, Trey wrote: > > > > > This poor kid obviously had a gaping ASD or PFO, and > > > took the worst kind of hit. > -----Original Message----- > > > From: SRS [mailto:sstraat1@ta*.rr*.co*] > > > Sent: Tuesday, July 31, 2001 4:37 AM > > > To: techdiver@aquanaut.com > > > Subject: DCS incident > > > > > > > > > I'd appreciate it if anyone can forward to me info regarding DCS treatment > > > in the Michigan area - had a friend's nephew (16 years old, fairly > > > experienced) get hit while on a 90 ft./:20 dive in Lake Michigan. Can't > > > walk/urinate after two chamber rides. Who are the experts in that area, or > > > who else (anywhere) should they consult. Trey, if you see this, whose the > > > doc. who did the doppler studies on the WKPP guys (U. of MIami?) - the > > > friend of mine lives down there, she could get info from him? Any help is > > > appreciated. > > > > > > Thanks, > > > > > > Steve Straatsma > > > > > > > -- > > Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'. > > Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'. > -- > Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'. > Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'. -- Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'. Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'.
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