Stoo
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This was partly my point as well, the Dentist (Dr.) certainly had more medical knowledge than the LDS/instructors and was intimate with his own health status. The LDS/instructors are in no position to make that evaluation and who defer medical status to the student's own doctor. The doctor is to determine if the student is allowed to receive training based on his/her medical profile.
I think this is where I disagree... Presumably you are correct in that the Dentist would know his health status, but he may not necessarily be aware of how that might affect his ability to dive. I go back to my earlier comment about a discussion I had years ago with my family doctor, who presumably has significantly more medical training than a dentist. He had very little knowledge about how certain medical conditions could relate to someones ability to dive. Mind you, when I gave him the short version of SCUBA Medicine 101, he very quickly understood what I was talking about. It just wasn't something that had been on his radar.
As for the LDS/Instructor making the call, I suspect that a well educated, experienced instructor could easily make that call, but would defer to a Doctor for the final word. I can recall many times explaining to new students that some medical condition that they had precluded them from taking up diving... Up to and including extremely obesity. I simply wasn't prepared to put a student's life at risk, nor was I willing to incur additional liability. I also "disallowed" near non-swimmers from beginning a course. I don't think that I was a bad person for doing it... I was merely putting the potential student's well-being above my "business". I can't recall anyone of these maybe 10 or 12 people EVER coming back armed with some argument as to why I should change my opinion. To the best of my knowledge, none of them ever went across town to took a course either. I was always careful and compassionate about their situation, and where appropriate, I would offer a solution... learn to swim, lose weight etc. I was also firm though, and obviously a medical problem can't generally be worked away...