In May 2022, my son and I went diving on Cayman
Brac. On his first dive, he got bent.
It was a benign dive, 84 feet max., only a short
time below 50-60 feet, 42 minutes total time, no rapid
ascent, and a five-minute safety stop, as we verified on
his computer. The calm water was 82°F. He is a healthy
54, with 40 years of diving and never any problems.
Shortly after reboarding, he noted tingling in his lower
back and legs. He was wise enough to report it immediately.
The crew was fantastic; they got underway, began
100 percent 02, contacted shore base, and had an
ambulance waiting at the nearest dock - maybe 15 minutes.
Then to the local medical clinic, which put him in
ER with 02 and IV. The only operational chamber is on
Grand Cayman.
By evening, his symptoms had abated, so we
returned to the rental house. However, early the next
morning, his symptoms returned, so back to the hospital,
where they began arrangements for Medevac to the
main island and chamber. Sadly, the first two Medevac
flights arrived and had to pick up more critical
patients. So, it was evening before he could get to the
hospital with the chamber and dive medical doctors.
By the time he arrived, they were "closed for the
evening," so they scheduled the treatments for the next
day and sent him out to find a place to stay. The next
day the chamber treatments appeared to resolve his
problems, but he could not fly for 72 hours, so he was
stuck in his hotel. After returning home, he experienced
more mild numbness in his legs and tingling in
his toes, but nothing to restrict him, thankfully. Several
weeks later, he underwent two more chamber treatments,
although it's unlikely to eliminate the lingering
symptoms.
My Takeaways:
He was reluctant to go to the chamber immediately,
as the symptoms were mild and appeared to
be easing. Furthermore, he did not have DAN or
other insurance.
-
As Undercurrent articles and other reports show,
DCS is not common, especially when diving
conservatively. And yet, as is often pointed out,
one should never ignore symptoms, as we see is
often the story in cases reported in Undercurrent,
DAN, and other dive publications. In this case, he
did not ignore the symptoms even though DCS
seemed improbable from the dive profile.
Get dive insurance, not only so you won't avoid
seeking proper medical aid but also so you won't
get billed. My son's bills were $3563 for the Brac
hospital, $1436 for the 98-mile Medevac flight,
$4050 for the Grand Cayman chamber, plus additional
hotel bills and a missed dive vacation.
Do not think "it won't happen to me," even
though you are careful and have dived a great
deal without problems.
- Ollie McClung (Birmingham, AL)
Editor's Note: We're grateful your son is all right,
and though symptoms remain, they don't restrict him.
People without insurance often fear the cost of
treatment, and therefore, postpone it too long. In fact,
a 2017 Kaiser Family Foundation study showed that
uninsured people are 3-6 times more likely to fail to get
necessary health care than people with health insurance.
For divers, both the Divers Alert Network and
Dive Assure offer dive-specific policies. No diver should be uninsured.