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From: trey@ne*.co* (Trey)
To: "Lee and Lucy Gibson" <lonestar@al*.ne*>
Cc: "cavers list" <cavers@cavers.com>
Subject: Re: Heart Disease Contraindications to Diving
Date: Thu, 15 Jun 2000 21:10:28 -0400
post this to the list, not to me. It is still bullshit. That asshole needs
to be out of the game. You supported his stupid ass, and you look like an
idiot for it. When he kills somebody I will quote your stupid ass until you
can't take it anymore. You fucked up and you keep fucking up.
-----Original Message-----
From: Lee and Lucy Gibson <lonestar@al*.ne*>
To: Trey <trey@ne*.co*>
Cc: cavers list <cavers@cavers.com>
Date: Thursday, June 15, 2000 8:54 PM
Subject: Re: Heart Disease Contraindications to Diving


>Trey,
>Do NOT misquote me.  I said that Dr. Omeara, Bill's board certified
>cardiologist,  CLEARED
>Bill to resume diving.  Bill's cardiac artery occlusions were reversed with
>angioplasty and the amount of heart wall damage from his acute episode was
less
>than 2%.  Dr. Omeara will continue to monitor Bill's cardiac health and
will
>reassess his diving fitness on a regular basis.
>If diving with Bill makes you uncomfortable don't do it.... if you wish to
>recommend against Bill as an instructor that is your PERSONAL PREFERENCE
not a
>medical opinion.
>Also on another note,  The ASA and Ibuprofen issue has been an interesting
>thread.  Most medical researchers have gravitated towards a 325mg daily
dose for
>ASA as the recommended
>"anti-platlet" dose even in the acute MI setting.  The jury is still out on
the
>NISAID's.  Not only do these drugs have anti-inflammatory and analgesic
effects,
>researchers are now  investigating them for  long term reduction in
senility and
>overall aging process.  But currently the recommended dose for
Motrin/ibuprofen
>is 800mg 3 times a day for arthritis with a maximum of 3200mg a day in
>refractory cases.  I personally start each day diving day with 325mg of ASA
and
>800mg of Motrin or 500mg of Naprosyn.
>Lee Gibson
>Trey wrote:
>
>> Joel, I am sure it CLEARLY states that this does NOT apply where
instructors
>> and training agencies are trying to make money. Just ask Tom Mouth or
some
>> other reputable, reliable , scrupulous and honest source - they will say
>> exactly the same thing.
>>
>> So what if Renanker has had a heart attack and is a ridiculous fat slob
and
>> totally out of shape. Lee Gibson has assured us that this is OK, as has
>> Mouth and the CDS lets him teach, so who are you to question these
>> luminaries and authoritarians?
>>
>> So what if a "sizeable" number of CDS instructors are ridiculous physical
>> jokes?
>>
>> -----Original Message-----
>> From: Joel Markwell <joeldm@mi*.co*>
>> To: Techdiver <techdiver@aq*.co*>
>> Cc: Cavers <cavers@cavers.com>
>> Date: Thursday, June 15, 2000 11:53 AM
>> Subject: Heart Disease Contraindications to Diving
>>
>> >In researching the aspirin/ibuprofen prevention of DCS I came across
this
>> in
>> >the 23rd Annual Meeting of the European Underwater and Baromedical
Society
>> >abstracts:
>> >
>> >CARDIOLOGICAL PROBLEMS. E. Schenk. Vienna, Austria.
>> >
>> >SCUBA diving requires physiological adaptation as a consequence of the
>> >increased ambient pressure, changes in partial pressure of oxygen,
>> breathing
>> >resistance and water temperature. Cardiac arrhythmias, bradyarrhythmias
>> >(sinus node dysfunction, AV conduction disturbances) or tachyarrhythmias
>> >(with or without premature complexes) may occur during SCUBA diving.
>> >Patients with arrhythmias Lowe III/IV using a bicycle ergometer, second
>> >degree AV block (Wenckebach) or third degree AV block, bifascicular
block
>> >and syncope, must not SCUBA dive. Also, patients with ischaemic heart
>> >disease. Recently, myocardial infarction during SCUBA diving was
attributed
>> >as the cause of death in a 27 year old diver, with undiagnosed severe
>> >endomyocardial fibrosis and arrhythmia. Patients with systolic and
>> diastolic
>> >murmur must have a Doppler echocardiogarphy and a Doppler flow
>> >echocardiogarphy before being allowed to dive. Valve regurgitation
without
>> >hemodynamic importance during exercise requires regular
echocardiography.
>> >Most patients with mitral valve problems are asymptomatic, but some
might
>> be
>> >prone to paroxysmal supraventricular or ventricular tachycardia.
>> >CONCLUSIONS: In many cases, complete medical history, conscientious
>> >inspection and examination; electrocardiogram and roentgenogram should
>> >provide evidence of any cardiological problems. Occasionally, other
methods
>> >such as echocardiography will be necessary.
>> >
>> >
>

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