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#495
spontaneous pneumothorax
roguediver - 12/16/2009 6:36 PM
Category: Health & Safety
Replies: 7

Excerpts from some of my emails from the hospital:

Been a little busy. I came down with "spontaneous pneumothorax".
Need details, Google "pneumothorax." Basically it’s a collapsed lung

Here’s what happened.

No warning!
In an effort to get ready for my self proclaimed cave diving season, which runs at the end of baseball season to the start of it (in between my games and my son’s games I’ve done tune up dives at Dutch Springs, Pa.) I started running again beginning of the month, once a week for 2 weeks, started less than 3 miles because it felt like I was carrying someone while I was running, the 3rd week, ran Sunday 11/15/09 started feeling good doing it, so I decided to make it twice a week, ran again Tue 11/17/09 [ at ] 10:30, felt much better, no longer dragging my ass, not as tired, no longer out of breath.
Went to work that night, Wednesday 11/18/09 [ at ] around 0300, (working with someone named Jerry, backing up a wrench, removing fwd mounting bolts on (A320) V2500 engine change, torque already broken, I wasn’t putting much pressure, just keeping the bolt from spinning, the most maybe 20-25 lbs of force) I thought I experienced a rib cage muscle pull, dull deep pain behind my back, just below my left shoulder blade, the pain wasn’t incapacitating, but what scared me was the pain move to the left side of my chest, I suddenly had trouble breathing, coughing followed , I thought to the point that I was about to pass out, I stopped moving and stood there just trying to catch my breath, told no one that this was happening, hoped nobody noticed maybe because I was in denial that something was wrong, went to lunch at around 04:00, took 2 aspirins because I thought if it was a heart attack it would help, rested for about a hour, felt much better after lunch. Continued on like nothing happened. Friday 11/20/09, went to see a movie with my wife, had to run out and feed the parking meter, ran across the street no more than 30 to 40 yards and I was gasping for breath, heart pumping, got out of the movies and made my appointment with the doctor. Didn’t see the doctor till this pass Monday 11/30/09, right away my doctor had me see a pulmonary specialist same afternoon, x-ray showed it, the specialist had me go to ER the next morning. 3 doctors (including the specialist) told me they couldn’t tell I had it just by listening to my chest, they only saw it through the x-ray and CT scan showed it was a bigger collapse.
They installed a drain tube on my chest to suction out the air in the pleural space, which helps expand my lungs, but the air leak in my lungs didn’t stop leaking till the 5 th day, in which case they recommended surgery to fix the problem.
Here I am still here in the hospital, waiting to have surgery Monday 12/7/09 [ at ] 07:30.

As scheduled, they performed a VATS (video-assisted thoracic surgical) Pleuradesis on my left lung, I was finally discharged from the hospital Monday 12/14/09.
From the looks of it according to the DAN website, my diving passion is pretty much over. I haven’t told my cavediving buddy (Sheck) yet since he’s still hoping I’ll be back diving again in about 6 months.

ROGUEDIVER No more, just Fernando
#3091
divemaiden - 12/16/2009 7:12 PM
So sorry.
#4136
oceanfloor - 12/16/2009 9:53 PM
Oh..no.. Fernando. So sorry about the diving, I hope your feeling better and on your way to a full complete recovery.
#3515
Nesher - 12/23/2009 4:00 AM
Get Well!!!
#1811
Subscribed
Paudie - 6/22/2010 12:35 PM
From your description it appears that the lung was collapsed partially by air leaking through the tear into the Pleural cavity. This is called a Tension Pneumothorax. Usually it causes the whole lung to collapse and if it continues leaking into the space may cause pressure on the heart and collapse the second lung. The usual way to relieve the pain is to put in a decompression needle into the upper part of the chest and this drains out the air. (a canuala)

Chest drains usually are put in to drain fluid from the pleural cavity as opposed to air but maybe they were getting both out that way.

It is a injury that can happen in divers but what I cant understand is the reason for it. Did they say what it was that caused it. As for the end of your diving career, well I wouldn’t right it off just yet. You need to go to a diving doctor to find out more really but I will make an enquiry as to whether it is a diving career ending incident.

Sorry to hear of your misfortune but don’t throw the towel in totally yet.
#1150
Happy - 6/22/2010 6:54 PM
Sorry to hear about your misfortune, glad it wasn’t any worse that it is. Doctors are always telling patients that they will never walk again, never drive again, etc... Don’t let anyone tell you it’s over unless you want it to be over!
#495
Subscribed
roguediver - 6/29/2010 8:29 AM
Tension pneumothorax is a form of pneumothorax, of which I didn’t have, or my condition could have developed into it, the fears with spontaneous pneumothorax is that it can not be predicted and experts say if one lung had blebs the other lung will most likely have it too, thus it can happen to the other lung, which can be disastrous at dept.
"Many incidences of a pneumothorax are caused by trauma sustained to the chest cavity. However, a sizable percentage of pneumothoraces occur without any trauma. This type of condition is called a spontaneous pneumothorax. They can be caused by an existing condition or by genetic imperfections in the lining of the lungs.
There are two types of spontaneous pneumothoraces. The primary spontaneous pneumothorax is caused by the bursting of a bleb (minor imperfection) on the lining of the lung without exacerbation by an existing respiratory condition.


This allows air from inside the lung to escape into the pleural cavity. Over time, the air pressure inside the pleural cavity will increase to the point where the lungs are not able to expand properly, and a collapsed lung will result.


This is the more frightening type of spontaneous pneumothorax because it can, literally, come out of nowhere. A person in excellent health, and through no fault of his own, can develop the condition without warning. Treatment usually requires a stay of at least a few days in a hospital and there is no guarantee it will not happen again."


Read more at Suite101: What Does Spontaneous Pneumothorax Really Mean?: The Type of Collapsed Lung for Which Doctors Have Few Answershttp://asthmalungdisease.suite101.com/article.cfm/the_spontaneous_pneumothorax#ixzz0sFNnwmgg



Read more at Suite101: What Does Spontaneous Pneumothorax Really Mean?: The Type of Collapsed Lung for Which Doctors Have Few Answershttp://asthmalungdisease.suite101.com/article.cfm/the_spontaneous_pneumothorax#ixzz0sFM5nald