clgreenmd17
Guest
- Messages
- 2
- Reaction score
- 0
I am a family physician and Aunt of this diver. Since positng this history he has had minimal symptms. However he has had a few episodes of parasthesia, fasciculation and sharp pains since he has posted this history. Most of these, but not all have occurred with altitude change. They are mild and occur every 2-3 weeks.
My dilemma is this patient had Lyme disease in 1989. B burgdorferi the Lyme bacterium is known to invade the CNS and have an L form that is inert and can become active some years post the initial infection. Antibody titers suggest this may have occurred, but the distinct relationship of symptoms with the pressure changes is not typical of Lyme. HOwever some doctors feel Hyperbaric 100% O2 at 2.5 atmospheres has the capacity to kill the bacterium and in this regard could also resul in influencing the steady state.
Any further comments given this information?
My dilemma is this patient had Lyme disease in 1989. B burgdorferi the Lyme bacterium is known to invade the CNS and have an L form that is inert and can become active some years post the initial infection. Antibody titers suggest this may have occurred, but the distinct relationship of symptoms with the pressure changes is not typical of Lyme. HOwever some doctors feel Hyperbaric 100% O2 at 2.5 atmospheres has the capacity to kill the bacterium and in this regard could also resul in influencing the steady state.
Any further comments given this information?
Doc Intrepid:"The most common manifestations of DCS are joint pain and numbness or tingling. ...Severe DCS is easy to identify because the signs and symptoms are obvious. However, most DCS manifests subtly with a minor joint ache or a paresthesia (an abnormal sensation like burning, tingling or ticking) in an extremity."
From this citation:
http://www.diversalertnetwork.org/medical/articles/article.asp?articleid=65
(see paragraph 1 of Section V - Denial and Recognition)(emphasis added)
See also "Skin Bends".
The recurrence of symptoms during aircraft transportation is also suggestive.
(I'm not a medical doctor, and this constitutes nothing more than speculation based on the symptoms you described correllating to defined symptoms.)
I'd keep on talking to DAN. Sounds like you overdid it a bit on your trip. It may be prudent to do some more reading on the topic, so that during your next trip you're tracking things like exertion and fatigue as well as nitrogen loading and SI.
If you're up for a little in-depth reading about what happened to you, here is an excellent place to start:
http://www.immersed.com/Articles/PDFs/hit.pdf
Hope this helps.
Regards,
Doc