Unilateral paralysis of diaphragm

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robint

Contributor
Messages
6,540
Reaction score
1,152
Location
Albuquerque, NM
# of dives
500 - 999
So... its been a crazy diving life for me! After 19 yrs as a diver, I have found the past 10 years have been eventful medically.
10 yrs ago... uterine cancer, cured, cleared to dive again.
6 yrs ago.... mitral valve prolapse... surgically repaired minimally invasively. cleared to dive again.
6 yrs ago.... diagnosed with lupus, cleared to dive as long as non-symptomatic.

1 yr ago... had total knee replacement of right knee. Totally uneventful as far as I know.... but found I was out of breath just doing normal activities. As an avid hiker (like 5-10 miles per week, at altitude in mountains) this was very distressful. Tests revealed I now have a paralyzed left diaphragm. Doc says there is nothing to do about it. Specialist says its probably been like that since heart surgery, their fault, I call BS. No way I could do the things I have done, including backpacking thru Grand Canyon if that were true.

To say I am devastated is an understatement. Diving was something my husband and I have done together for 19 yrs, around the world, dive dive dive. I figured I had to cut back a few years ago, I just get too tired after even doing 2 dives per day back to back on a trip... so I had started to limit my diving to only 1 or 2 dives a day, maybe 3-4 days on a trip.
So now what???
... my husband is feeling okay about diving alone, though he did it last week while we were on a cruise and said he really missed me as his buddy as he knows me and what to expect. Having to dive with a stranger was hard for him.

So we want to know.... since air tanks are delivering air to you, what would be the affect for me? I am trying to wrap my head around the physics of this, and it seems like maybe it wouldn't be an issue for me to do a shallow dive at all. I tried to snorkel last April one day on a trip and thought I couldn't breath. But that was floating on top, trying to breathe thru a tube. Thoughts?

Not saying I want to dive again... I am just trying to figure it all out. My doctor's know nothing about diving and rely on me to inform them.

So docs.... here's a new medical condition to ponder today!

robin
 
So... its been a crazy diving life for me! After 19 yrs as a diver, I have found the past 10 years have been eventful medically.
10 yrs ago... uterine cancer, cured, cleared to dive again.
6 yrs ago.... mitral valve prolapse... surgically repaired minimally invasively. cleared to dive again.
6 yrs ago.... diagnosed with lupus, cleared to dive as long as non-symptomatic.

1 yr ago... had total knee replacement of right knee. Totally uneventful as far as I know.... but found I was out of breath just doing normal activities. As an avid hiker (like 5-10 miles per week, at altitude in mountains) this was very distressful. Tests revealed I now have a paralyzed left diaphragm. Doc says there is nothing to do about it. Specialist says its probably been like that since heart surgery, their fault, I call BS. No way I could do the things I have done, including backpacking thru Grand Canyon if that were true.

To say I am devastated is an understatement. Diving was something my husband and I have done together for 19 yrs, around the world, dive dive dive. I figured I had to cut back a few years ago, I just get too tired after even doing 2 dives per day back to back on a trip... so I had started to limit my diving to only 1 or 2 dives a day, maybe 3-4 days on a trip.
So now what???
... my husband is feeling okay about diving alone, though he did it last week while we were on a cruise and said he really missed me as his buddy as he knows me and what to expect. Having to dive with a stranger was hard for him.

So we want to know.... since air tanks are delivering air to you, what would be the affect for me? I am trying to wrap my head around the physics of this, and it seems like maybe it wouldn't be an issue for me to do a shallow dive at all. I tried to snorkel last April one day on a trip and thought I couldn't breath. But that was floating on top, trying to breathe thru a tube. Thoughts?

Not saying I want to dive again... I am just trying to figure it all out. My doctor's know nothing about diving and rely on me to inform them.

So docs.... here's a new medical condition to ponder today!

robin

Hi Robin,

With a diaphragm that can't make a full excursion, that lung can't expand fully and is going to be at higher risk of atalectasis (collapsed alveoli and alveolar ducts). I had a question about gas trapping with this; per our medical director, that's unlikely, but a pulmonary function test would help assess this. Also, if your exercise tolerance is poor, you may find it difficult to swim against a current or cope with an underwater emergency. Increased gas density with depth could aggravate this.

Sent a PM about diving physicians in your (general) area.

Best regards,
DDM
 
Hi Robin,

With a diaphragm that can't make a full excursion, that lung can't expand fully and is going to be at higher risk of atalectasis (collapsed alveoli and alveolar ducts). I had a question about gas trapping with this; per our medical director, that's unlikely, but a pulmonary function test would help assess this. Also, if your exercise tolerance is poor, you may find it difficult to swim against a current or cope with an underwater emergency. Increased gas density with depth could aggravate this.

Sent a PM about diving physicians in your (general) area.

Best regards,
DDM


That was my thoughts also. No way I could fight current or deal with an emergency. Kicking hard would put me at a huge oxygen deficit.
thank you for looking into this for me.
 
https://www.shearwater.com/products/teric/

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