Sorry, it got away from your original post. You were (and are) in excellent hands with Dr. Ebersole and I hope that your closure also closes out your series of DCS hits. Happy New Year!
Best regards,
DDM
No worries Happy New Year!
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Sorry, it got away from your original post. You were (and are) in excellent hands with Dr. Ebersole and I hope that your closure also closes out your series of DCS hits. Happy New Year!
Best regards,
DDM
Dreamdive and I are discussing intrapulmonary shunts in another thread.
<edit> TCD may be able to differentiate an intrapulmonary shunt by the timing of the bubbles.
Best regards,
DDM
Interesting you mention intrapulmonary shunts...I'm reading through the articles you've posted in the other thread.
I had a PFO closed last year after multiple unexpected DCS hits. Closure was a deemed a success but I've experienced two more hits since. "Just" skin bends but still, concerning and frustrating.
I am planning on investigating other possible shunts while trying to take additional precautions (short of giving up cave diving...) Any advice on next steps is welcome!
Interesting you mention intrapulmonary shunts...I'm reading through the articles you've posted in the other thread.
I had a PFO closed last year after multiple unexpected DCS hits. Closure was a deemed a success but I've experienced two more hits since. "Just" skin bends but still, concerning and frustrating.
I am planning on investigating other possible shunts while trying to take additional precautions (short of giving up cave diving...) Any advice on next steps is welcome!
We're your hits before having the PFO closed DCSII?
WetRocks, what kind of skin bends? Was it cutis marmorata (marbling) or a hive-like rash?
They were both DCS II. Obviously there is no guarantee it will not happen again but my risk is greatly reduced. No diving for 3 months after the procedure; however I have Dr's orders for no diving for 6 months after the recompression therapy due to my 2nd hit which was November 13, 2016. The weekend of May 19th will be my first weekend back in the water and I can't wait!!
Skin bends twice after closure. It's possible.
@Duke Dive Medicine, Prior to closure I had cutis marmorata twice. After closure it's been just redness and skin/tissue/muscle pain (itching first time, not the second.) Felt like I was hit by a truck for a few days afterwards.
That's interesting. What you're describing sounds more like type I skin bends and possibly lymphatic bends which aren't associated with PFO, but it could also be an atypical cutis. Did you have any swelling anywhere?
What type of diving do you do? Breathing gas mixes? Wetsuit or drysuit? If you use a drysuit, what do you inflate it with? What decompression algorithm do you use, and if you use a computer, what settings are you using?
Best regards,
DDM
Wow, 100 out of 500, you may have something else going on. I hate to hear you have had so many problems!