I don't disagree with you at all
@Duke Dive Medicine. I do however disagree that it is something affecting the masses. Hospitalization is a fraction of a percent of covid now. The majority have symptoms equal to or less than a common cold because that is how this virus has progressed over 3+ years. How many don't even bother to test for covid now? I know I don't (except now my critical illness insurance gives me $ for a pos test). Saying we should go look at the ICU to better understand the affects of covid ate like saying we should go to the dialysis wing to better understand alcohol's affect on the body. Small percentages don't and shouldn't drive majority policies. I stand by mine and my friend's/families experiences (multiple ER/ICU during Alpha and Beta strains, 1 death) and say go based on how you feel. Full breath and not feeling crappy, big stride in.
Omicron drove a huge spike in daily number of positive cases, roughly four times that of Delta, but the number of hospitalizations was roughly similar. Most recently, US hospitals (including ours) saw a huge spike in flu and RSV in pediatric patients, far above the number of COVID patients we had. This does not mean that COVID acts like those other illnesses. In many cases it does, but in enough cases to matter, it does not. I agree that it doesn't impact "the masses", so to speak, but lung damage from COVID, even in relatively mild cases, is well-documented. This lung damage can lead to air trapping, which can lead to pulmonary barotrauma in diving. You and anyone else may feel free to follow your recommendations, but they are contrary to those of the highly-regarded UCSD diving medicine specialists, reproduced here for continuity (basically a chest x-ray series and pulmonary function testing for mild illness):
Category 1 Asymptomatic Diver who had a mild COVID-19-suspected illness
We define a mild illness as any patient who:
● Did not seek health care or received outpatient treatment only without evidence of hypoxemia.
● Did not require supplemental oxygen
● Imaging was normal or not required
● They have returned to their baseline exercise tolerance.
Commercial Divers/Scientific Divers/Recreational
● Initial/annual exam per ADCI/AAUS/NOAA/RSTC guidelines (DDM addition: for commercial or scientific divers only)
● Spirometry
● Chest radiograph (PA & Lateral)
● If chest radiograph is abnormal, obtain Chest CT scan
● If unknown (or unsatisfactory) exercise tolerance, perform exercise tolerance test with oxygen saturation
Best regards,
DDM