Any dive medicine experts out there?

Scuba

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Before we booked our liveaboard dive boat on the Great Barrier Reef, I told them about DH’s heart attack and quadruple bypass surgery this April. They said they needed a letter from his cardiologist clearing him for SCUBA diving. We asked his cardiologist and got the letter, then provided it to the booking agency before committing. The operator confirmed the documentation was sufficient so we booked the trip.

Last week, I sent in our passenger information forms with all of our details including DH’s medical history and cardiologist letter. They’ve now come back and said DH can’t be accepted for the cruise without clearance from a dive medicine specialist.

Obviously this would have been helpful to know when we booked the trip 2 months ago. The closest dive medicine specialist is about 140 miles away, and DH can’t get an appointment until 11/30. This is beyond the final payment deadline for the cruise so I have asked for a delay of that deadline as well as free cancellation if this dive medicine test should prove unsuccessful, since it was our intent to proactively satisfy all medical requirements before we booked and we were told that we had done so before booking.

We certainly don’t want to risk DH’s health. I’m curious though - if DH’s cardiologist, who has been seeing him since shortly after his surgery and has run follow-up tests on him, feels that he is fit for diving, what additional information/testing would a dive medicine specialist add? We thought we were protecting DH’s health sufficiently by relying on his cardiologist. If anyone knows more about what these dive medicine specialists can assess that DH’s cardiologist is less well equipped to evaluate, I’d appreciate your insight.
 
Are you a member of DAN (Divers Alert Network)? They should be able to provide you a list of docs, possibly help with the letter also.
Good luck!
 
There's no additional testing or otherwise that the dive medicine specialist can offer -- it's purely liability avoidance. Yes, the body acts differently at depth, which is why these folk exist. They provide an understanding of those differences. But this requirement is only bureaucratic. You just need a letter signed, and everything this specialist would need to do so is in your husband's medical records -- his recent tests & otherwise will convey any outsized risks, and some new doc isn't going to spot something new in a 30min office visit. I'd find someone willing to do the review without an in-person visit, get your letter, and be done with it.
 
Are you a member of DAN (Divers Alert Network)? They should be able to provide you a list of docs, possibly help with the letter also.
Good luck!



Yes, that’s how we found the person we made the appointment with.
 
There's no additional testing or otherwise that the dive medicine specialist can offer -- it's purely liability avoidance. Yes, the body acts differently at depth, which is why these folk exist. They provide an understanding of those differences. But this requirement is only bureaucratic. You just need a letter signed, and everything this specialist would need to do so is in your husband's medical records -- his recent tests & otherwise will convey any outsized risks, and some new doc isn't going to spot something new in a 30min office visit. I'd find someone willing to do the review without an in-person visit, get your letter, and be done with it.



This is what I suspected. DH asked the various offices he called if they could review his records remotely, but the offices he spoke with all required in person visits. Very inconvenient. Worth it of course if there were a real need, but his cardiologist who has seen him regularly since his surgery seems much better equipped to do this assessment.
 
What a pain! I feel bad for you both. The only other suggestion I have, if you haven't already, is to try the scubaboard.com forum. There is a wealth of great knowledge there.
 
May I ask what liveaboard operator you are using? For now we're healthy, DAN members since 1991 according to their website (I don't think we actually paid during the childbearing years), and follow scubaboard.com. I would like to avoid this in the future.
 
Spirit of Freedom in Australia. Booked the 7-night trip to Osprey Reef and Ribbon Reef.

DAN recommends that cardiac patients do these dive medicine checkups annually, assuming they still want to dive. DH went to his consultation Wednesday. They are requiring a chest X-ray to check for air pockets and a stress test. Unfortunately they did not allow us to arrange for any of this before the appointment so he is having to drive 600 miles round trip to accomplish these two appointments. We are all for doing whatever we can for him to dive safely, but I don’t know why his cardiologist wouldn’t be the expert on this. As litigious as California is, I cannot imagine any physician who thought the risk was more than very minimal would sign their name to a letter certifying that someone is fit for SCUBA.
 
There's no additional testing or otherwise that the dive medicine specialist can offer -- it's purely liability avoidance. ...

+1 The liveaboard is protecting itself.

BTW, I stopped diving for unrelated reasons a number of years ago, but I also had heart surgery earlier this year. That surgery is in the back of my mind constantly, especially when I do my other exercises. Notwithstanding the medical clearance, is DH emotionally comfortable resuming diving?
 
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He was very comfortable until the liveaboard started questioning it, and then DAN confirmed that they recommend annual exams by a dive medicine specialist for a cardiac patient wanting to dive. Then he got a little nervous.

He had his consultation this week and they sent him for a chest X-ray to make sure he doesn’t have any air pockets. He did a stress test today. He said he felt fine during and after it, but won’t know results until next week. He does seem to be back to feeling confident he can do it.

He is in far better shape now than before his heart attack. He wasn’t seriously overweight before, but he’s lost about 30 lbs and is skinnier than when we met over 25 years ago. Plus he was pretty sedentary before and now goes to the gym several times a week, and last week he did a hike with me that was about a 900 ft elevation gain. Not a major hike, but more strenuous than his activity level before the heart attack.
 
It took forever but DH finally got sign off from the dive medicine doctor that he is cleared for recreational diving. Whew! So Great Barrier Reef, here we come!
 
It took forever but DH finally got sign off from the dive medicine doctor that he is cleared for recreational diving. Whew! So Great Barrier Reef, here we come!
Congrats...that's fantastic! DW and I dived the GBR with Spirit of Freedom in 2004 and loved it. Great liveaboard operator.
 
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