Hey, Ken…
Thanks so much for the closure and that information. My condolences to you for your personal loss, and to the community of people who knew him.
I would be remiss as a medical mod if I didn’t take this opportunity to respond to one thing that you said - please understand that this is a general point and not necessarily about Joe’s particular case. It’s just something that I always feel the need to push back on in these threads, since the point is learning, not legal deposition. I have a problem with the idea that an outcome would have been the same on the surface as it would be underwater.
Yes, although typically aortic stenosis presents as a progressive heart failure with escalating symptoms over time (shortness of breath, lightheadedness, leg swelling, etc..) in rare cases the first presenting sign can be sudden death. And if that’s the case, then your point stands, that this could have happened anywhere, and resuscitation would have likely been unsuccessful even if it happened in the parking lot of a hospital. I don’t know if you know if Joe knew that he had this condition, or at what stage it was at the time of the dive.
But speaking as someone who dives with medical conditions, it’s important to always remember that the underwater environment is not normal, and that the majority of cardiac complications that don’t involve sudden death CAN be treated if medical attention is rapidly available. That even brief, non-lethal cardiac conditions like syncope can easily become fatal underwater.
So with respect to the larger points made earlier about the benefits of surface support, etc… I don’t think that the take home message here should be that rapid medical attention wouldn’t help in many cases, even for a person with something like aortic stenosis.
Thanks again for the followup.