nogen overvejedelse

Jeg har de sidste par dage undersoegt lidt omkring mit studie i Aberdeen. Det viser sig at universitetet har indfoert muligheden for forskellige sidefag. Man skal midst have et semester med et traevfaglig studieemne eller vaelge at detage i et sidefag over 2 aar. Saa har overvejede maaske at studier international relationship ved siden af min single hounour degree. Tror det kunne vaere rigtig intersant og endda ogsaa brugbar for evt. en karriare indenfor internationalle orginationer der beskaeftiger sig med miljoe, fiskning og al andet der vedroere havet.
Har ikke laas mig fast paa noget og skal heller ikke beslutte foer engang i september. Saa har god tid til at laese om de forskellige muligheder og hoere paa evt. gode raad fra jer derhjemme? Kom endelig med kommentar! (for alle af jer der ikke ved det, I kan i feltet under dette indlaeg, ved at trykke paa kommentar, efterlade en lille meddelse).
Som jeg skrev til det sidste indlaeg, saa er mit super og helt normal. For at vaere sikker paa min sag kontaktet jeg ogsaa DAN (Diver Alert Network, mit forsikringsselvskab) og her deres svar angaaende mit oer:

Hi Dan Europe

I have some problem with my left ear and I was thinking maybe you could give me some advise on how i can fix it.

I work on Crete as a Dive Master and I'm in the water every day. Most of my dive is together with DSD. I have for the last week or so feel some pain in the left ear it's hard for me to equalized and some days I have to do it every 20 cm. When I equalized I can hear like tiny bubbles from the left ear and sometimes the hearing is reduce after the dive. The pain is strongest in the water and both on descent and ascent. Outside water the is only very little pain or none. I can not go snorkeling any more, because I can't equalized so in that speed.

I went to a ear doctor today and he told me that I don't have any infection and from the outside there was no problem with the ear. He may think is the tube between the nose and the ear. But I don't have a cold and I don't feel sick.

Hope you can tell me what it's wrong and have to treat it.

Jonas Steenholdt Soerensen

Dear Mr Steenholdt Sørensen

I agree with the ENT specialist that you have a Eustachian tube dysfunction, that is, the tube between the nose and ear is not opening properly to permit equalization. Since the specialist has found nothing else wrong then you must work with him to find the reason why you have developed this dysfunction and causes can be many, not only colds but also allergies, mucosa hypertrophy from decongestant use etc.

An ENT specialist is the best person to solve it for you too, if the one you saw has not been very helpful then get a second opinion from another who if you tell him/her the importance diving is to you should do his best to resolve it.

What you must not do is dive while you still have equalization problems as this can result in an injury and even long term damage to your ear, the use of nasal decongestants may appear to help but if used without proper medical assistance and supervision will only hide the problem but the situation will surely worsen. You also risk not being covered by health insurance if your injury or illness is caused by ignoring the problem.

Since you have not had this problem before, unless you let it get worse by continuing to dive and not getting treatment, it should only be a temporary condition which your doctor should be able to help you get rid of.

Regards

Dr R. Cali-Corleo MD MSc MMCFD

d/Chief Medical Officer