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December 6, 1965

Scuba Diving and Hidden Risks

Author Affiliations

Curacao, Netherlands Antilles

JAMA. 1965;194(10):1153. doi:10.1001/jama.1965.03090230121050

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To the Editor:—  Referring to Dr. Lindgren's question regarding scuba diving (JAMA193:636, 1965) the following case may be of interest, as scuba diving acquires more and more popularity, and because the concerned problem represents a nottoo-uncommon condition.A 31-year-old naval officer (Royal Netherlands Navy) in excellent physical condition joined a scubadiving club for recreational purpose. The ship's medical officer had no objection since the officer was an experienced swimmer. He started diving training with great enthusiasm, and under water he met with no difficulties. However, the club's physician did not approve, and training was halted immediately because the medical history revealed a spontaneous pneumothorax of one lung in 1960, most likely caused by alveolar cysts. Although the patient had recovered quickly and had had no relapse in five years, and although an examination of lung and heart functions disclosed no abnormality, the conclusion was that every person with

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