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Thread: Failed Spirometry Test :(

 


  1. #1
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    Failed Spirometry Test :(

    Hi guys,

    I recently booked my Open Water Certification Course and was told I needed to get a Dive Medical. Today I went to the doctor and went through the Spirometry Test. I was told that I have Mild Restrictions and that I cannot go diving now. They suggested I go see a specialist to get checked out and see what they say about the situation. So this coming Thursday I am now booked in to see a specialist. I want to dive so badly. This is something I've wanted my whole life and to be told that I cant do it is a real kick in the teeth. I'm 19, fit and I have never had any chronic problems in my life. I also got an X-ray today and was told that I have a bit of bronchial thickness but other than that my lungs are clear and healthy.

    Just wondering whether anyone has any advice for me as this is really disappointing news.

    Any help would be great.

    Cheers

    Raz2097

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    Type Dr Vanessa HALLER into your computer machine.

  3. #3
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    You don't specifically say, but it sounds from what you wrote as if you might have some degree of asthma or chronic bronchitis. If this is the case, you're not necessarily ineligable for SCUBA training. You need to see a pulmonologist who is familiar with dive issues. If your restrictions can be treated effectively enough to allow you to have a normal pulmonary function test (PFT) then you're able to dive. As I recall the DAN recommendations, you can dive on a given day, so long as your restriction is well enough controlled that on that day you could pass a PFT.

    Any sort of airway restriction is a serious matter when you're diving, since you would be prone to air trapping and barotrauma. I'd suggest you contact DAN and ask for a referall to an experienced dive Dr in your area.
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    Quote Originally Posted by Dirty-Dog View Post
    You don't specifically say, but it sounds from what you wrote as if you might have some degree of asthma or chronic bronchitis. If this is the case, you're not necessarily ineligable for SCUBA training. You need to see a pulmonologist who is familiar with dive issues. If your restrictions can be treated effectively enough to allow you to have a normal pulmonary function test (PFT) then you're able to dive. As I recall the DAN recommendations, you can dive on a given day, so long as your restriction is well enough controlled that on that day you could pass a PFT.

    Any sort of airway restriction is a serious matter when you're diving, since you would be prone to air trapping and barotrauma. I'd suggest you contact DAN and ask for a referall to an experienced dive Dr in your area.
    I've never had asthma or any type of chronic illness in my life.

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    Hey there

    You have to be carefull with lungs and dry compressed air, no matter how hard the kick in the teeth is to swallow. However, that said a doctor that specialises in SCUBA related medical issues would be best qualified to give you the definitive answer, you didn't mention if the doc you went to was a standard GP or a specialist.

    I don't know what DAN in australia are like but if I was back home in the UK I'd definately contact them (diver assist network) as they should be able to refer you tom someone clued up enough to give you a final decision.

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    So the doctor who examined you was a general practitioner? I'm surprised, because I don't think your average GP here in the States would be doing spirometry.

    What kind of physician is the specialist you're being referred to? I agree with scoobydrew above -- in your case, you need a detailed exam by a physician who specializes in dive medicine. I'd guess those guys would also tend to all be pulmonologists, but you'd need someone who specifically understands diving.

    I seem to remember that Australia is pretty strict and conservative about medical clearances for diving.

    Good luck!

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    Hi Raz2097,

    The first matter is not to get ahead of yourself. Your upcoming appointment with a pulmonary specialist should leave you in a much better position to make decisions about future SCUBA.

    It is good that you are fit and have had no known history of pulmonary disorder. However, this does not mean you cannot have such and your spirometry results appear to suggest airway disease of some sort. The chest x-ray reading of possible bronchial thickening needs to be further investigated. A minor or mild degree of diffuse bronchial wall thickening is sometimes noted in normal healthy individuals. But, it's also seen in some chronic airway diseases, including chronic bronchitis, chronic obstructive pulmonary disease, bronchiectasis, asthma and bronchiolitis. A high resolution CT scan, and possibly bronchial-provocation testing and bronchoscopy, should yield all necessary information.

    Best of luck.

    DocVikingo

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    scubadiver888's Avatar
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    Quote Originally Posted by Raz2097 View Post
    I've never had asthma or any type of chronic illness in my life.
    Hi Raz,

    You don't mention which agency you are using to get your Open Water training. If it was PADI, the shop has you fill out a medical survey with all YES/NO questions. If you answer YES to any of the questions the dive shop must send you to a doctor to get medical clearance.

    Did you fill out such a survey? Did you indicate something which hints at a potential medical issue?

    The reason for the survey is just to be safe. The dive shop is not typically staffed with medical personnel. If you answer YES to any of the questions, the dive shop will ask you to see a doctor. The doctor then determines if you are okay to dive. In many cases, if you see a doctor with dive knowledge, they will understand why the condition can have serious consequences when diving. They would also know how to control the condition (if possible) to mitigate the risks.

    This is why the recommendation to contact Diver's Alert Network (DAN) for a referral to a doctor in your area is your best course of action.
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    Quote Originally Posted by Dirty-Dog View Post
    DAN and ask for a referall to an experienced dive Dr in your area.
    RAZ lives in Oz.

    DAN Asia-Pacific (DAN DOC)
    DAN SEAP

    Regards,

    DocVikingo

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    Quote Originally Posted by scubadiver888 View Post
    Hi Raz,

    You don't mention which agency you are using to get your Open Water training. If it was PADI, the shop has you fill out a medical survey with all YES/NO questions. If you answer YES to any of the questions the dive shop must send you to a doctor to get medical clearance.

    Did you fill out such a survey? Did you indicate something which hints at a potential medical issue?

    The reason for the survey is just to be safe. The dive shop is not typically staffed with medical personnel. If you answer YES to any of the questions, the dive shop will ask you to see a doctor. The doctor then determines if you are okay to dive. In many cases, if you see a doctor with dive knowledge, they will understand why the condition can have serious consequences when diving. They would also know how to control the condition (if possible) to mitigate the risks.

    This is why the recommendation to contact Diver's Alert Network (DAN) for a referral to a doctor in your area is your best course of action.
    Check out the location of the OP - Austraila. A medical is a requirement.

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