A Medical Case Study
Successful Scientific Approach
Of a Rare Nautical Congenital Lesion
The Team Method
This pediatric patient, of English birth, was only a few months old when it developed leakage problems in the area of the lower bowels. The patient's delivery was professional and without complications and there was nothing on examination (early on) to suggest any congenital problems. Records confirm that the post natal care was excellent.
Because of the chronic nature of the problem that developed, the patient was referred to a highly respected team of specialists that included JB, a highly rated POF (Professor of Kayaking) and an EMT; Sherri, a highly rated POF with a long experience in the anatomy of these patients, and yours truly.
The patient was prepared and draped in the normal manner and its rear umbilical cord (here after referred to as the toggle) was removed without complications. Then, purposely omitting any anesthetic which might blunt the response, SADT (specially adapted duct tape) was applied in the coronal plane circumventing the dorsal/distal end of the patient (see phot below...used with patient's permission).
After excissing the circumference of the the distal cavity (here after known as the rear hatch), it was noted that no extra or intracellular fluids had entered this area. This was carefully confirmed after which the area was recovered. The sponge count (1) was noted to be correct.
Many of you, because you practice (your sport) in small and remote areas, do not have access to large diagnostic centers with sophisticated instruments and techniques as described in this paper. Suffice to say, the patient does, in fact, have a small congential lesion; that being PTO/WR or a patent toggle opening with regurgitation (also called insufficiency in some literature).
The patient will be referred back to the author's garage where plastic surgery involving well tested chemicals will be used to close the offending lesion. In most of these cases, the proceedure takes less than an hour, is well established and is approved by the AMA, BCU and ACA. There is often a slight febrile/thermal reaction, but this is self limited and does not usually require medication. Best of all, with this modern technique the patient often can return to work the very next day. Some researchers are already reporting cases of patients treated early in the morning and actually working that same day.
If the author does not breath in too much of the toxic fumes there is chance of total recovery.