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SECTiON 4 — DENTAL 59 Dental Work and Diving By Karen Schwartz ................................................................................. 60 Realignment: DAN talks with divers about diving with dental braces By Joel Dovenbarger ......................................................................................66 Root Canal By Joel Dovenbarger ......................................................................................67 Toothy Wisdom: DAN Sinks Its Teeth Into Dental Issues & Diving By Joel Dovenbarger ......................................................................................68 SECTiON 5 — EAr, NOSE AND ThrOAT 70 Before the Pressure Gets Too Great, Equalize By Dr. Allen Dekelboum, M.D .......................................................................71 The Trauma of Barotrauma By Joel Dovenbarger ............................................................................... 78 Unplugged: DAN Examines the Use of Earplugs By Wesley Hyatt, DAN Communications and Joel Dovenbarger .................. 80 SECTiON 6 — FiTNESS TO DivE 84 Exercise Training and Scuba Diving By Joel Dovenbarger ............................................................................... 85 Fitness Issues for <strong>Divers</strong> With Musculoskeletal Problems By James Chimiak, M.D. ...............................................................................88 Healthy, But Overweight By Joel Dovenbarger ......................................................................................98 SECTiON 7 — GASTrOiNTESTiNAL 100 Gastrointestinal Issues By Dr. David Vote ................................................................................. 101 SECTiON 8 — hEMATOLOGy (BLOOD) 109 Risk of Diving with Hemophilia By Joel Dovenbarger ....................................................................................110 SECTiON 9 — MAriNE LiFE 111 I’ve Been Stung: What Should I Do? By Paul S. Auerbach, M.D., M.S. .................................................................112 Taking the Sting Out Of Jellyfish Envenomations By Joseph W. Burnett, M.D. .................................................................. 122 No Fish Tale: If You Eat Fish, It’s Good to Know About Ciguatera — Before You Get Sick By Joel Dovenbarger ....................................................................................124 SECTiON 10 — MuSCuLOSkELETAL 127 Diving & The Body Systems By Dr. Guy de Lisle Dear, DAN Associate Medical Director, With Additional Reports by Joel Dovenbarger ..............................................128 Lupus By Dr. Martin Farber .....................................................................137 Diving After Bone Fractures By James Chimiak, M.D. ....................................................................... 140 4 Guide to Dive Medical FAQs
SECTiON 11 — NErvOuS SySTEM 141 CNS Considerations in Scuba Diving By Dr. Hugh Greer .......................................................................................142 SECTiON 12 — OphThALMOLOGy (EyES) 150 High Pressure Ophthalmology By Frank K. Butler Jr., Captain, Medical Corps, United States Navy ...........151 Eye Surgery for <strong>Divers</strong> By Joel Dovenbarger, Vice President, DAN Medical Services ........................156 The Eyes Have It: Mask Defoggers By Joel Dovenbarger ....................................................................................158 SECTiON 13 — pSyChOLOGiCAL 159 Psychological Issues in Diving — Part 1: Depression, Manic Depression, and Drugs By Dr. Ernest Campbell, M.D. ............................................................... 160 Psychological Issues in Diving — Part II: How Anxieties and Phobias Can Affect Diving By Dr. Ernest Campbell, M.D. .....................................................................172 Psychological Issues in Diving — Part III: Schizophrenia, Marijuana and Alcohol Use By Dr. Ernest Campbell, M.D. ............................................................... 181 SECTiON 14 — rESpirATOry (BrEAThiNG) 191 Pulmonary Considerations in Diving By Dr. Richard Moon, Vice President and Medical Director .........................192 Breathing Easy By Dr. Richard Vann, Vice President, Research ......................................... 198 Tight Squeeze: Discomfort in a diver’s lungs and windpipe can come from a number of irritating sources By Joel Dovenbarger ....................................................................................206 SECTiON 15 — WOMEN’S iSSuES 208 DAN Explores Fitness and Diving Issues for Women By Donna M. Uguccioni, M.S.; Dr. Richard Moon, Vice President and Medical Director; and Dr. Maida Beth Taylor ...............................................................209 SECTiON 16 — DECOMprESSiON iLLNESS AND SyMpTOM rECOGNiTiON 217 iNDEx 228 Guide to Dive Medical FAQs 5
Page 1 and 2: By Divers Alert Network
Page 3: TABLE OF CONTENTS SECTiON 1 — GEN
Page 7 and 8: Guide to Dive Medical FAQs 7
Page 9 and 10: How can mask squeeze cause these sy
Page 11 and 12: The Scuba Blues DAN examines the po
Page 13 and 14: hand and Foot Edema After A Dive By
Page 15 and 16: 1. A cave diver breathing a PO2 [ox
Page 17 and 18: While we have some evidence of an a
Page 19 and 20: A Tangled Question Is there a conne
Page 21 and 22: Tank Care Tips Seawater combined wi
Page 23 and 24: Divers with discomfort may indeed b
Page 25 and 26: Pain occurring in one or more locat
Page 27 and 28: DAN members also receive a Member B
Page 29 and 30: Basic instincts DAN Explores A Hypo
Page 31 and 32: Dealing With Complications The cent
Page 33 and 34: Check weight and inflator. Locate a
Page 37 and 38: Hypertension Description of Conditi
Page 39 and 40: Medication Used in Treatment: Medic
Page 41 and 42: Mitral Valve Prolapse Description o
Page 43 and 44: and hyperdynamic metabolism; these
Page 45 and 46: The pain may be significant enough
Page 47 and 48: pacemakers and Diving DAN Offers So
Page 49 and 50: vasovagal and Carotid Sinus Syncope
Page 53 and 54: Although United States Navy “retu
Page 55 and 56:
The industry Examines Flying After
Page 57 and 58:
Low Living, high Diving DAN discuss
Page 59 and 60:
Guide to Dive Medical FAQs 59
Page 61 and 62:
teeth — the incisors and the cani
Page 63 and 64:
Still, the most common cause of wha
Page 65 and 66:
Diving without dentures can be diff
Page 67 and 68:
oot Canal Can this procedure affect
Page 69 and 70:
Finally, some types of pain medicin
Page 71 and 72:
Before the pressure Gets Too Great,
Page 73 and 74:
Middle ear surgery is more complica
Page 75 and 76:
Difficulty Equalizing It takes me a
Page 77 and 78:
7. If your doctor agrees, decongest
Page 79 and 80:
Over-the-counter medication used fo
Page 81 and 82:
could wedge the plug in the ear can
Page 83 and 84:
Nausea and vomiting are also common
Page 85 and 86:
Exercise Training and Scuba Diving
Page 87 and 88:
In the 1990s, an altitude study by
Page 89 and 90:
muscles and supporting structures f
Page 91 and 92:
Medication Used: Non-steroid medica
Page 93 and 94:
significant back pain and spasm. Th
Page 95 and 96:
Condition: Disc Surgery Description
Page 97 and 98:
impaired platelet function may caus
Page 99 and 100:
The second question considers an in
Page 101 and 102:
Gastrointestinal issues Consider Th
Page 103 and 104:
ChrONiC CONDiTiONS These conditions
Page 105 and 106:
Hiatal Hernia Condition: In a hiata
Page 107 and 108:
Esophageal Diverticulae Condition:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Coral poisoning occurs if coral abr
Page 115 and 116:
If the injured person appears intox
Page 117 and 118:
a more potent topical steroid. Topi
Page 119 and 120:
you are able to apply the pressure-
Page 121 and 122:
During recovery from ciguatera pois
Page 123 and 124:
What’s Next? These measures, thou
Page 125 and 126:
feels hot to touch and hot feels co
Page 127 and 128:
Page 129 and 130:
Diving & The Body Systems Diving wi
Page 131 and 132:
Body System: Endocrine THYROID Cond
Page 133 and 134:
Body System: Blood SICKLE CELL ANEM
Page 135 and 136:
Additional Information: Leukemia So
Page 137 and 138:
Body System: Generalized LUPUS By D
Page 139 and 140:
Antimalarials such as hydroxychloro
Page 141 and 142:
Page 143 and 144:
Whether you have experienced one of
Page 145 and 146:
Fitness & Diving: 1. Most strokes o
Page 147 and 148:
and sedatives to alter behavior, pa
Page 149 and 150:
2. Persons with MS are advised not
Page 151 and 152:
high-pressure Ophthalmology DAN Ans
Page 153 and 154:
Timolol, for example, may result in
Page 155 and 156:
In general, it’s best to wait unt
Page 157 and 158:
I make 30-40 divers each year. I wa
Page 159 and 160:
Page 161 and 162:
Finally, divers have different chem
Page 163 and 164:
on the dive excursion who may be at
Page 165 and 166:
Lamotrigine / Lamictal Lamotrigine
Page 167 and 168:
Possible side effects that may be a
Page 169 and 170:
Valproic Acid / Depakote Valproic a
Page 171 and 172:
National Alliance for the Mentally
Page 173 and 174:
An overreactive anxiety state usual
Page 175 and 176:
Some diving activities inevitably l
Page 177 and 178:
Ed. Note: Regarding divers’ use o
Page 179 and 180:
Some individuals, no matter how muc
Page 181 and 182:
psychological issues in Diving —
Page 183 and 184:
Negative Symptoms These affect inte
Page 185 and 186:
Possible adverse side effects for d
Page 187 and 188:
• Olanzapine may cause muscle sti
Page 189 and 190:
Naltrexone / Revia Naltrexone is us
Page 191 and 192:
Page 193 and 194:
The human body consumes oxygen to g
Page 195 and 196:
Other conditions that have an incre
Page 197 and 198:
The diver, a 37-year-old man, also
Page 199 and 200:
Incident One — Carbon Dioxide Ret
Page 201 and 202:
Fatalities, Injuries and Safe Dives
Page 203 and 204:
Impaired Consciousness and Interact
Page 205 and 206:
FIGURE 4: The variation in individu
Page 207 and 208:
Your discomfort might be due to mil
Page 209 and 210:
DAN Explores Fitness and Diving iss
Page 211 and 212:
Ovarian Tumor The Condition: Ovaria
Page 213 and 214:
Fitness and Diving Issues: Is it sa
Page 215 and 216:
Menstruation During Diving Activiti
Page 217 and 218:
Page 219 and 220:
symptoms. Commercial airline flight
Page 221 and 222:
torso. Another disorder, characteri
Page 223 and 224:
Editor’s note: The DAN Emergency
Page 225 and 226:
where he provided 100 percent oxyge
Page 227 and 228:
Case 6 Neurological DCI With Comple
Page 229 and 230:
index Abdominal Surgery 104 ACE Inh
Page 231 and 232:
Hypoxia 30, 133 Hysterectomy 213, 2
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