Sounds like a good time to discuss MANDATORY VO2 Max testing, with
instructor minimums around 30 ml/kg of body weight.
Sure the test would be a cost and a time problem for some, but when these
instructors are "Responsible" for the lives they lead into a cave, this is
the least they can do to certify a likelihood they will be still be alive to
lead the students back after each dive. From what I have heard about
Rennaker, it sounds like he would be closer to 5 or 10 ml./kg if he had no
heart condition, and now that he has had an incident ( even though
supposedly fixed) , he may be lower still.

Dan Volker

-----Original Message-----
From: Trey [mailto:trey@ne*.co*]
Sent: Thursday, April 06, 2000 3:41 PM
To: Geoff Kelafant
Cc: Tom Mount; Mike Bruic; cavers@cavers.com
Subject: Re: Madison diving


Geoff, good points, obvoiusly Bruic is dead right and standing up for
it, and Tom is dead wrong and once again proving it.


Geoff Kelafant wrote:
>
> What absurdity.  "Right to work", ADA and all that other stuff doesn't
apply
> if someone isn't otherwise qualified for the job in particular.  Actually,
> since none of the instructors really "work" for IANTD/CDS etc. anyway, I
> don't think any of this really applies.
>
> If it did, you would need to provide the examining physician with a
detailed
> description of what his "job" actually was and what the physical demands
> are.  In this case the physician should be someone well versed in diving
> medicine and the particular physical demands involved, not some guy who is
> getting the wool pulled over his eyes or practices in the local doc in a
> box.  I'm in the occupational medicine business and one thing I've learned
> is that patients are rarely fully truthful when their "career" is on the
> line.  Most physicians are poorly prepared or unwilling to address
> occupational issues and even fewer have even a vague idea of the cardiac,
> pulmonary and other stresses unique to diving.  A simple "note from the
> doctor", a doctor whose qualifications are totally unknown to you is
simply
> unacceptable.
>
> I am interested in whatever a "fitness renewal program" entails.  Is it
> simply a note or form?  Do they actually have to do something like a
stress
> test, running, biking,  swimming, etc.  Hmm... must be the IANTD
instructors
> I've seen were midcycle or in the remedial fitness program.
>
> When one of your instructors has a terminal event during training and
takes
> someone with him, I wonder what will happen?
>
> Geoff Kelafant MD MSPH FACOEM
> Board Certified Occupational Medicine
> US Navy Diving Medical Officer
> ----- Original Message -----
> From: Trey <trey@ne*.co*>
> To: Tom Mount <TOM.MOUNT@wo*.at*.ne*>
> Cc: Mike Bruic <mikebruic@di*.co*>; <cavers@cavers.com>
> Sent: Thursday, April 06, 2000 10:48 AM
> Subject: Re: Madison diving
>
> > Tom, this is the kind of duck I would expect from you. Rennaker is a
> > ridiculous fat slob - he just had a heart attack ( gee, I wonder why? ),
> > and his "right to work" is C R A P. The asshole retired from his factory
> > job over ten years ago, and is teaching diving on the side.
> >
> > Nice try, Tom.
> >
> > You and your organization do not know what the the word "fitness" means,
> > and the fact is that I will bet you that Rennaker's heart rate will not
> > drop the requisite bare minimum 12 beats per minute in one minute from
> > exertion levels that is the known marker standard for predicting  a
> > reasonable risk of less chance of a heart attack, let alone the 20 bpm
> > "comfort" level for a low risk , or the 60 bpm that my heart rate drops.
> > Forget that he is a fat slob who already had a heart attack.
> >
> > If Rennaker kills somebody now, you , the "doctor" and everyone else is
> > going to lose - it is too obvious that this guy does not need to be
> > doing this any more, and in my opinion, he never did.
> >
> > Prospective dive students have a "right" to a fit instructor, Tom, and
> > you are behaving badly for tolerating and promoting this.
> >
> > Tom Mount wrote:
> > >
> > > To both of you
> > >
> > > All instructors with IANTD have to complete a MD medical and be signed
> off
> > > anytime their is a major illness. Bill has completed that. Bill also
did
> the
> > > fitness swim requirements as well.
> > >
> > > Now I'm sure if you would like to legally challenge the doctor for
> signing
> > > him off you can do so. But remember there as a right to work law and
you
> may
> > > wind up at the end of a lawsuit for you efforts from the MD and Bill.
> > > We are bound to accept the determination of the MD as to Bill's
fitness.
> > >
> > > Second IANTD unlike any other agency has a fitness renewal program as
> you
> > > know Mike and each instructor must complete it to be renewed. No other
> > > agency including GUE does this.
> > >
> > > This is BCC'ed to our lawyer and insurance.
> > >
> > > Respectfully yours,
> > > Tom Mount
> > > CEO IANTD World HQ
> > > http://www.iantd.com
> > >
> > > ----- Original Message -----
> > > From: Trey <trey@ne*.co*>
> > > To: Mike Bruic <mikebruic@di*.co*>
> > > Cc: <TOM.MOUNT@wo*.at*.ne*>
> > > Sent: Tuesday, April 04, 2000 6:14 PM
> > > Subject: Re: Madison diving
> > >
> > > > Mike Bruic wrote:
> > > > >
> > > > > George, here is a copy of the letter that went out to IANTD, NACD,
> and
> > > the
> > > > > NSS/CDS. It was sent certified, return receipt, and I have the
> > > > > acknowledgments of receipt in my files. When Rennaker does
fuck-up,
> I
> > > hope
> > > > > this letter will help any attorney crucify these assholes.
> > > > >
> > > > > Bruic
> > > > >
> > > >
> > > >
> > > >     Mike, you are pissing in the wind with Mount and the rest of
these
> > > > hand-holders. Send it to his insurance agent and to his attorney,
Bill
> > > > Turbeville. Turbeville and the insurance company will make him do
the
> > > > right thing. I'll get you the insurance agency address.
> > > >
> > > >
> > > >
> >
> >
> >

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