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Quest publishes articles on all aspects of living with a neuromuscular disease, and updates on research findings. Quest’s circulation is 125,000.


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  Home> Publications > QUEST > QUEST Vol 11 No 1 JANUARY/FEBRUARY 2004
To Boldly Go

Getting Down in the Water

by Andy Vladimir

"Im going scuba diving," I announced. Neither my cardiologist nor my pulmonologist was thrilled.

My myotonic dystrophy wasnt the problem. With an implanted defibrillator/pacemaker and a history of asthma, I wasnt a good candidate for going under water.

Andy Vladimir
 
 

The author took a short scuba dive in St. Thomas with the assistance of instructor Carl Moore.

 

But I was scheduled to go to St. Thomas on Holland Americas new cruise ship, the Zuiderdam, and Id been in contact with Carl Moore, the only person there certified to teach people with disabilities to dive. I wanted to try it and write about it.

When we docked in St. Thomas I hustled over to the Secret Harbour Beach Resort and Villas where Moores Aqua Action Dive Center is located. After hearing my medical history, Moore, a former policeman and paramedic, was dubious. But I persuaded him to let me sample the sport in shallow water — I wouldnt attempt the amount of activity necessary for scuba certification (see "Scuba Diving").

"I want to see a living reef with all of those colorful tropical fish swimming around," I told Moore.

I wondered how they were going to get all of that heavy equipment on me. With my generalized weakness, I knew I couldnt handle it above water. Moore and his assistant first transferred me to a beach wheelchair, helped me into my wet suit, then rolled me into the water until I could float. Then, with the assistant holding me as I floated on my back, Moore strapped the heavy scuba tank on me.

Then I stood up and they handed me my mask and showed me how to put it on and use it.

"Youll be breathing compressed air," he said, "but Im not going to allow you to go deep enough to change the physiology of your body at all." He showed me some hand signals for communicating with him. Then he adjusted my mask to make sure it was sealed properly, and off we went.

It was an overcast day, not ideal for underwater photography, but nevertheless the water was crystal blue. Sure enough, less than 30 feet offshore I saw a billowing coral reef right below me with a bevy of sea life. I signaled Carl to tell him I wanted to go down and we went where I could touch the creatures. There were sea urchins, parrot fish, angel fish and others I didnt recognize, all within the touch of my hand.

My mask stayed dry and I had no trouble breathing regularly. I got down to 5 or 6 feet and stayed down for almost 30 minutes. I felt no ill effects, and when I surfaced I was ready to go again. But Carl thought Id had enough.

This was one of the most exhilarating experiences of my life, and I recommend it to anyone who doesnt have my medical problems.

Secret Harbour Resort

Ive fallen in love with Secret Harbour, a completely accessible beach resort in St. Thomas in the Virgin Islands.

This resort has 60 suites, four of which are brand-new accessible rooms all overlooking the ocean with handicapped parking spaces, balconies, bathrooms big enough to hold a small party, and roll-in showers. They dont come any better than this.

Even the suites that arent designed to be accessible and which have kitchens are "wheelchair friendly." The doors are wide enough to get through and, though the bathrooms are small and dont have bars, theyre manageable.

The resort has a beach wheelchair, so with someone to push it youre all set to go into the water. Prices for rooms or suites range from under $200 to about $350, depending on the season. For reservations or more information visit www.secretharbourvi.com or call (800) 524-2250.

The resorts Blue Moon Cafe is on a deck built beside the ocean and just a few feet from the accessible rooms. During the day this is a wonderfully relaxing and picturesque place to have breakfast and lunch, and the prices are very reasonable. Try a pina colada with fresh conch fritters!

At night the Blue Moon is transformed into one of the best restaurants on the island with an award-winning list of 190 wines. Restaurateur Julie Peterson serves "American food with a Caribbean flair."

If you go to St. Thomas youll need accessible transportation. Dial-a-Ride provides accessible travel for both locals and tourists at reasonable rates. Half of the eight vehicles have wheelchair lifts. Reservations to use this service must be made 24 hours in advance by calling (340) 776-1277.

If you dont want to fly to St. Thomas for a full vacation there, you can spend the day at Secret Harbour while on a cruise as I did. Holland America is a premium cruise line known for its superb Indonesian service, its fresh flowers and its commitment to serving travelers with disabilities.

The newest innovation is a special system for getting passengers in wheelchairs on and off tenders. I tried it when we stopped at Half Moon Cay, the cruise lines private island in the Bahamas. As promised, I had an easy transfer and a smooth ride both ways. To learn more, visit www.hollandamerica.com or see your local travel agent.

To send feedback or questions about "To Boldly Go," write to Andy Vladimir in care of Quest or at andyvlad@bellsouth.net.

 

SCUBA DIVING: THE SAFE WAY IS THE ONLY WAY

by Kathy Wechsler

Theres no question that scuba diving unlocks a magnificent world filled with beauty and discoveries of underwater life. For people with disabilities, scuba diving is extremely liberating and opens doors that were previously closed.

"A lot of people just love the feeling of weightlessness under water," says Jim Gatacre, founder and president of Handicapped Scuba Association International. He explains that, because you dont feel the effects of gravity under water, youll experience greater movement and "be able to fly" through the water.

Rules Are Rules

Gatacre, who lost partial use of his right arm in 1972, stresses that the same safety rules apply to people with or without disabilities when scuba diving. Being comfortable in the water is important, and every diver should be accompanied by a certified buddy.

"We train anybody who is physically, medically fit for diving," said Gatacre of San Clemente, Calif. Hes trained people with conditions including multiple sclerosis, cerebral palsy, muscular dystrophy, paraplegia, quadriplegia, blindness and brain injuries.

"We have methods to certify them so that they can dive safely."

Gatacre says mobility impairments arent a limitation for scuba diving because so much can be done to compensate for lack of movement. Some people rely on their upper-body strength to move them through the water, and others find webbed gloves helpful. A significantly less mobile person, wearing a vestlike buoyancy compensator, can make the dive with a specifically trained instructor or dive buddy and be pulled through the water.

Scuba diving equipment can be very heavy, but putting it on in the water keeps it from putting pressure on your bones because its weightless in the water. Some people may need assistance getting into the equipment, but are still fully capable of diving.

Gatacres team also advises divers about topics like sun burning and tissue breakdown, which may apply to specific disabilities, he said.

While mobility limitations dont prevent someone from scuba diving, other considerations do. Nothing can offset the problems caused by a weakened respiratory system. Seizure disorders such as epilepsy are also problematic because having a seizure under water is especially dangerous, Gatacre said.

Diving isnt a good choice for people with uncontrolled diabetes with a tendency toward convulsions, severe asthma and other respiratory obstructions or weaknesses, which can be fatal.

Getting Certified

Those who want to begin a certification course should bring written medical permission from a doctor. If instructors see any red flags in your application, they may require a physical exam.

If medically approved, theres no reason why people with neuromuscular diseases cant dive. But first, you have to get certified.

"An instructor goes through a lot of training to learn about all of the dangers, how to solve emergencies and how to use the equipment properly," said Gatacre, whos been diving and involved in HSA International for 30 years. Diving without certification is dangerous. Besides making it possible to dive, your certification card allows you to buy air for your scuba tank and book scuba trips on boats.

Theres a lot to learn before youre ready to dive. Your certification course will give you the knowledge and confidence you need to make for an enjoyable diving experience through a combination of lectures, confined water practice and open water exercises. The buddy system always applies, no matter how experienced you may be, because accidents can happen to anyone.

HSA International certifies a person to one of three levels, based on safety tests. Level A certification is given to a person who has passed every performance requirement and has demonstrated an ability to perform a basic rescue if another diver were to have a problem. Level B divers arent able to rescue another diver in distress, so they must dive with two buddies to make it safe for everybody on the team. Divers get level C certifications if they need assistance with certain skills such as swimming, and they require two buddies.

Determined to Dive

"Rules for scuba diving are all pretty much the same," said Gatacre, adding that most HSA International dives are from 20 to 85 feet deep. "Ours are a little more detailed, but it wouldnt hurt any diver to pay attention to our rules."

Other organizations, listed in "Diving Resources," have similar rules and programs.

A one-time, 90-minute, sample dive like the one Andy Vladimir tried costs around $65. Complete certification can cost around $300. Dive trips may cost up to $1,000.

In support of diving for people with disabilities, HSA International often offers trips to make sure places are accessible and to educate the staff about various disabilities.

"We conduct tours like that to various dive destinations in the Caribbean, South Pacific and so on," Gatacre said. "Theres more than just getting certified with us. We train the instructors and then we will refer you to instructors if you need an instructor. Thats important too."

 

Diving Resources

Adapted Scuba Association
(416) 534-2527
650 Dupont St., Suite 123
Toronto, Canada M6G4B1

Aqua Action Dive Center
Carl Moore
St. Thomas, V.I.
http://aadivers.com
AquaAction@islands.vi
(888) 775-6285

Handicapped Scuba Association International
(949) 498-4540
www.hsascuba.com

National Association of Underwater Instructors
(800) 553-6284
www.naui.org

National Instructors Association for Divers with Disabilities
(408) 379-6536
Stonely@pacbell.net

PADI
(800) 729-7234
www.padi.com

Scuba Schools International
(970) 482-0883
www.ssiusa.com

YMCA of the USA
SCUBA Program
(800) 872-9622
scuba@ymca.net

Scuba Diving With Disabilities,
by Jill Robinson and A. Dale Fox, 1987,
Human Kinetics Publishers.

 
     
     
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