Diving after DCS

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hiker11

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Messages
38
Reaction score
74
Location
USA
# of dives
200 - 499
We're trying to figure out how to approach diving after an 'undeserved' DCS hit in Cozumel a few months ago. My husband spent 9 hours in the chamber (one 5hr ride + two 2-hr rides) after experiencing severe vertigo several hours after diving. Much of the vertigo was gone after oxygen. He was 95% recovered after the hyperbaric treatments. He was 100% within a couple weeks of returning home.

Both the hyperbaric doc in Coz and the one he saw when we got home said he could continue diving but should be more conservative. We now think he had one or two episodes of skin bends on previous dive trips. He also has a lifelong history of migraines, with occasional aura, which is often associated with PFOs. So I'm pretty convinced he has a small PFO. But the simple test for a PFO didn't show a problem. He did not get the definitive PFO test as that is more invasive. He's 73 YO, so even if he had a PFO, he wouldn't have it repaired as the surgery has some risk. My question to others who have been down this path at this age-- what are your limits? Do you still dive in remote locations like Raja Ampat? Do you still go do dive boat trips? Or should we avoid going too far afield?

We were already conservative divers and have always followed all the rules to a T. Based on the doctor's recommendations, we are now doing longer safety stops (5+ minutes), shorter dives (50 minutes), shallower dives (max 60'), super slow ascents, diving Nitrox (but setting our computers to O2), only doing 2 dives per day, taking a day off every few days, being extra careful about hydration, not doing any exercise post-dive (not even climbing the ladder with gear on), & no warm showers, etc. We will hire private guides to make sure we can dive the profile we need. My husband is in good physical shape, is normal weight, swims or exercises 5-7x per week and doesn't drink. He has logged 300 dives, with most of those in the past 5 years. We'd like to continue diving a few more years but want to figure out the safest way to do it.

We just got back from a dive trip in Loreto/ Baja. They didn't have Nitrox so we just did super shallow dives-- 30-50'. We did 2 dives per day/ 4 days in a row. No problems. We have an upcoming trip to the Maldives. We are hiring private guides to insure that we can tailor the dives to our needs.

I would love to hear others' experiences after DCS and how they choose where they dive and what boundaries they have adopted. We would love to go back to Fiji, Raja Ampat, French Polynesia, western Australia, but don't want to be too far from a chamber. Any advice would be appreciated.
 
He did not get the definitive PFO test as that is more invasive
But don't you really need this test, invasive or not?
diving Nitrox (but setting our computers to O2)
I think you meant maybe "setting on air" not O2? This is not a best practice; don't lie to your computer. Just be more conservative than what it allows. A LOT more conservative, as you are already doing.
 
But don't you really need this test, invasive or not?

I think you meant maybe "setting on air" not O2? This is not a best practice; don't lie to your computer. Just be more conservative than what it allows. A LOT more conservative, as you are already doing.
Yes, air, not O2.

I had read on the forums that the more invasive PFO test has risks that are not worth it if you are just diving recreationally. Plus, I think it's hard to get insurance to pay for it.
 
What computer does he use? At one time it was not unusual for some divers to set computers to air when diving nitrox (while limiting depth to the actual MOD) to give a more conservative profile. But there are now computers with conservative algorithms as well as additional settings for added conservatism.

If surgery is out and it will make no difference in your choices I agree, there is no reason to do the additional testing.
 
there is no reason to do the additional testing.
The reason is to know if the PFO caused the DCS. Not knowing means every dive is an uncertainty about the consequences. Or, you can assume a massive PFO, and not dive at all, Or, you an assume a small PFO and try and mitigate its effects....pure guesswork.
Why not just find out?
 
But there are now computers with conservative algorithms as well as additional settings for added conservatism.

OP should remind husband, to set his computer to a more conservative setting than the one he got bent on.
 

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