Saw a DAN Doc for Asthma Clearance

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Deb In Venice

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Not in Venice, CA anymore
As, of today, I have jumped through medical hoop #1 of 3. I would like to share my experience with the new and wannabe asthmatic divers hoping that is will be helpful.

I’ve been lurking here on Scubaboard for a little over a month now trying to glean as much information as I can before I take my first certification course. Through my readings I became aware of the differing opinions on asthmatics diving. I am asthmatic and have wanted to dive for years. Many posts lead me to the conclusion that I needed to see a Pulmonary specialist with particular experience in dive medicine. None of the posts I read (and I did not read all of them) told me how to find a specialist or what to expect.

So I joined DAN because I learned that they have a physician referral program. I sent an email to the correct department and later that afternoon received a list of 3 doctors in the Los Angeles area. Two of the three are part of the Blue Cross PPO network, so my insurance would cover my appointment with a $10 co-pay. Those same 2 doctors have a loose partnership out of the same office building and are involved with the Gonda Center for Wound Healing and Hyperbaric Medicine at UCLA. I had an appointment with one of those doctors today.

The hour long appointment began with the usual medical history paperwork. There was a blood pressure check (104/78), and that little oxygen sensor they put on your finger. I tested at 100% which I was told was a small and proud group to be part of.

When the doctor arrived we went into great detail my attacks. Questions like (these are just the few I can remember):

- How long have you had asthma
- How old were you when you first remember having an attack
- What triggered it
- How long did it last
- How often do you have attacks
- How severe are they
- How long do they normally last
- How do you treat yourself after an attack
- Do you have wheezing
- Do you have pain
- Do you have sinus issues like a runny nose
- Have you been hospitalized for an attack, explain
- Are your symptoms worse during the day or at night
- Do you have exercise induced attacks, examples
- Do you have allergen induced attacks, examples
- Do you have cold air or cold water induced attacks, examples
- Any history of Sickle Cell Disease in your family (may be a person of color question only)
- What medications have you taken for your asthma and how often
- Have you taken any steroids
- What non-asthma medications are you taking

After the Q&A, there was the testing of the reflexes and muscle function... checking of the ears, nose and throat... peering deeply into the eyes with a very bright light... listening to the lungs and heart and some poking around in search of herinas and such.

On the whole, he feels I am in very good health and believes there should be no problem with me diving BUT he will not give me a certificate until I complete 2 more sets of tests. 1) a Pulmonary Function test to get a baseline reading and 2) a Cardiogram with a bubble study to R/O. :06: I don’t have details of what these last 2 sets of test involve, I had to get to work and couldn’t stay longer to ask more. I’ll come back with more details as I complete the testing (hopefully next week). I will add those posts to this thread.

If you are in the L.A. area and would like the names of the doctors I was given, please PM me and I will pass the names along.
 
Hey Deb!

It's great to hear that you are slowly moving toward "getting the green light" to dive.

I hope that all of the rest of your tests go just as well.

Regards.

Christian
 
Deb In Venice:
2) a Cardiogram with a bubble study to R/O. :06:

Sounds like the Doc wants to rule out a PFO--Perforated Foramen Ovale(sp?)
 
I have been diving for 10 years with asthma maybe not as bad as yours but still. Use common sence before you got under.
 
Sounds like the physician is being properly thorough.

A pulmonary function test (PFT) is standard procedure in cases such as yours. If you are interested in what a PFT involves/provides, here is a plain language description:

http://health.yahoo.com/health/ency/adam/003853/overview

The second test you describe, which appears to be an echocardiogram with bubble contrast, was very likely ordered to rule out patent foramen ovale (PFO). An orientation to PFO as it relates to the diver can be found as the last post (#3) in the following board thread:

http://www.scubaboard.com/showthread.php?threadid=40141&s=

If you are interested in what the test involves/provides, here are two mostly plain language descriptions:

You'll likely receive a standard echocardiogram:

http://216.239.41.104/search?q=cach...echo.htm+echocardiogram+bubble+contrast&hl=en

You may receive the slightly more involved transesophageal echocardiogram (TEE):

http://www.healthyhearts.com/tee.htm

Best of luck.

DocVikingo
 
jbd:
Sounds like the Doc wants to rule out a PFO--Perforated Foramen Ovale(sp?)


PFO=PATENT foramen ovale.

You can read about the condition in my post to Deb above.

Best regards.

DocVikingo
 
DocVikingo:
Sounds like the physician is being properly thorough.

A pulmonary function test (PFT) is standard procedure in cases such as yours. If you are interested in what a PFT involves/provides, here is a plain language description:

http://health.yahoo.com/health/ency/adam/003853/overview

The second test you describe, which appears to be an echocardiogram with bubble contrast, was very likely ordered to rule out patent foramen ovale (PFO). An orientation to PFO as it relates to the diver can be found as the last post (#3) in the following board thread:

http://www.scubaboard.com/showthread.php?threadid=40141&s=

If you are interested in what the test involves/provides, here are two mostly plain language descriptions:

You'll likely receive a standard echocardiogram:

http://216.239.41.104/search?q=cach...echo.htm+echocardiogram+bubble+contrast&hl=en

You may receive the slightly more involved transesophageal echocardiogram (TEE):

http://www.healthyhearts.com/tee.htm

Best of luck.

DocVikingo


Thanks Doc!

You saved me a lot of googling! I'll make sure I read through all of your links before I make my appointments next week.

Thanks for your help and I will keep everyone posted. As much as I want to dive, I want to LIVE more. After all, I have another goal to beat my grandfather's 100 years and 10 days record. :wink:
 
jbd:
Sounds like the Doc wants to rule out a PFO--Perforated Foramen Ovale(sp?)


PFO= Patent Foramen Ovale
 
https://www.shearwater.com/products/teric/

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