GP in deep water over fitness to dive

A GP is unable to defend a patient’s claim that she developed a perilymph fistula after following his advice to continue diving, writes Dr Craig Lilienthal

A young woman consulted a GP for a medical examination prior to starting a scuba diving course.

She was well, with no medical history that precluded her from diving. The GP examined her, performed spirometry and audiometry, which were normal, and certified her fit to dive.

On her first dive, she had difficulty equalising her ear pressure and developed a right earache. In