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Did your doc mention the chance of a PFO?
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Short SIs, high exertion, multiple dives, cold water...
Sounds like DCS to me
The problem with rescue courses is that they generally involve a high workload accompanied by some social diving. Rescue courses are "fun" events and in this setting divers also forget to take additional hydration. High workload, diving and dehydration can lead to DCS.
My 2 cents.