No diving for 30 days?

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DTB1981

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Scuba Instructor
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Location
Oceanside, California
My doctor said that I can't dive for the next 30 days. I hit my head at work and got a bad cut and a concussion. I think the no diving is for the cut it is about 4 inches long and down to the bone they closed it up in the ER last Thursday with 12 staples but just got to talk to my doc today. I had a boat dive planed at the end of the month. I thought I would be able to go but it is not looking to good. What do you all think?
 
. . . that you should heed the advice of your doctor.

the K
 
DTB1981:
My doctor said that I can't dive for the next 30 days. I hit my head at work and got a bad cut and a concussion.

What I would do is talk to the doctor and see why he said that. Often they give a generic don't do this for x length of time basing the x on the longest period needed. Maybe you could be shorter and would need a followup visit to see how you're coming along, in which case the doc might say you're fine to go.

If your dive can be cancelled if you give so much notice, I'd cancel right now and reschedule. If it can't be cancelled I'd talk to the doctor ASAP because I'm sure that number was a generic number that has tolerance in it. See, you'll be at 26 or 27 days since the accident and I believe the doc will ok it.
 
The prohibition has nothing to do with the cut itself. Scalp wounds heal quickly, and by 30 days (or 27) post injury, can be treated as though they never happened.

The issue is with the concussion, and to some extent, the strictness of the prohibition depends on the severity of the original injury. To diagnose a concussion, one should have either loss of consciousness at the time of the original event, or some neurologic abnormality on examination. Common ones include amnesia for the event, perseveration (repeating one's self), confusion, slurred speech, and the like. People who demonstrate neurologic abnormalities have, by definition, injury to the brain substance itself. This comes with an increased risk of recurrent symptoms, including seizures. In addition, a second head injury, however slight, can be fatal after a concussion. For this reason, sports activities are generally restricted for anything from two weeks to six months, until all symptoms have completely resolved (including headaches).

I would definitely talk to your doctor. You may not be able to talk to the doctor who treated you for the head injury, if you were treated in an ER, but your doctor should be able to access the ER records and see how severe the symptoms were that diagnosed your concussion. He can then explain to you the rationale for restricting your activities, and go over the risk/benefit ratio of liberalizing those restrictions early.
 
I'd heed my doctor. The diving will always be there. Make sure you are, too.
 
I think I would go with my doctor's advice in this case. It's not worth a dive trip if there is a chance that an errant wave could bring a ladder down on your head and either A) Reopen the wound or B) Kill you from the repeat concussion

If it was something different, that wasn't quite as serious as a concussion (knee scrape, broken finger) I would probably use my own judgement.
 
BrianS:
I think you should be asking another Doctor for an opinion and not a Message Board.


I was just asking if this is normal. Or if it sounded to long.
 
DTB1981:
I was just asking if this is normal. Or if it sounded to long.
I think you're right to ask around. I'd get the opinion of an actual dive doctor - the ones with extra training in the dive field & DAN's opinion.

Good luck man! The Canadian boys around here get them all the time from hockey... concussions suck.
 

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