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Negative Pressure Pulmonary Edema Occurring While Snorkeling

Hamed Haghnazar

Our story begins on a tropical island, in which infectious disease physician Dr. John Guilfoose spent his vacation to partake in underwater photography and snorkeling. Dr. Guilfoose describes the story that began when he saw a large sea turtle as he was snorkeling in the bay.

Puerto Rico has two major islands, Culebra, which is known for wealth-- very touristy. And then there’s Vieques, which I think was originally a bombing strip for American military. But it turns out it has an incredibly redeemed component from a tourist perspective of bioluminescent bays. So, I just got there, checked into the hotel, and wanted to go snorkeling. Did not bring any of my own stuff. And so, I went out and just rented some cheapy snorkel. Do not know if this is pertinent, but it could be. I hyper- hydrated right before going snorkeling. So, I drank like five big glasses of water. It might have something to do with the expansion of positive volume right before I went into the water.