LiteHedded
Contributor
cause du jour. mmm
that sounds good. I'll have that.
that sounds good. I'll have that.
Eagles Nest death....
- Thread starter ucfdiver
- Start date
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HIPAA protects living patients. Not sure how confidential the information is after someone dies.
If the surgery was within 3 months, then this was likely a medical event causing blown decompression. Was it cardiac? Can't tell. But with that kind of surgery, there's going to be chest pain with muscle use that soon after surgery. Unless he had a DaVinci MVR, his ribs were cut from his sternum to expose his heart for the procedure and then wired back together. Until the muscles in the chest heal, there's risk for the wire breaking and chest pain that mimics cardiac chest pain with muscle exertion. Diving, whether BM, SM, or RB would create enough exertion to cause musculoskeletal chest pain. And the pain could be enough to cause shortness of breath, making the WOB higher and causing him to abort the dive early.
This is all speculation based on a too soon return to diving after open heart surgery, which it sounds like he had. If it was DaVinci, there's less trauma, but it's also not considered "open heart surgery".
diverdoug1
Contributor
Not to be argumentative, just an interesting comparrison, We classify our DaVinci cardicac cases as open heart (we do DaVinci CAB, MVR, and AVR's), as does the Apollo national cardiothoracic database. Are you at Ocala or Tallahassee?
HIPAA and other laws protect dead people and their estates too. From (for instance) greedy life insurance companies looking to justify denying a claim. Privacy laws are the reason why autopsy reports are not subject to public disclosure (at least in this state).
BabyDuck
Contributor
yeah, but rob, you know to the public *everything* is 'open heart surgery', even a pda ligation.
Kevin Carlisle
Contributor
Seems like the last several have been secrets, guess we don't need to know what happened.
The difference is the amount of trauma to a patient that gets a traditional CABG/MVR/AVR versus the DaVinci procedure...if the surgeon is experiences in DaVinci and knows what he/she is doing.
I'm in Dothan, AL now. I was in Panama City when they started doing DaVinci MVR/AVRs there.
diverdoug1
Contributor
I realize the differences in full sternotomy vs DaVinci (gave anesthesia for two DaVinci CABS and a DaVinci AVR today (double shift:depressed
. The point I made is when we are told that this patient had open heart , we can not say it was not a Davinci case. Even if it was a DaVinci, if it was in fact 3 months post op, I think that it is illadvised to be diving EN that soon, and would have never cleared him to dive that quickly. My minimum time to grant medical clearance to dive post CAB or a valve is 6 months (regardless of a sternotomy). For something like an uncomplicated ductus closure, I have cleared patients after 2 months.BTW, how did you like the program in Panama City, My sister-in-law wants to relocate to north Florida and is an ICU RN.
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We're pretty much in agreement. My point was IF he had a DaVinci, I could see someone clearing him sooner. Just too many unknowns.
Tell her to make sure she works days in the CVICU and kiss a lot of a$$. That's the only way she'll get in.
Tell her to make sure she works days in the CVICU and kiss a lot of a$$. That's the only way she'll get in.
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