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To: techdive <techdiver@opal.com>
Subject: Re: CO2 buildup/vaisoconstriction
From: Richard Pyle <deepreef@bi*.bi*.ha*.or*>
Date: Sat, 7 May 1994 12:39:49 +22305714 (HST)
On Sat, 7 May 1994, Epic Dive Shop wrote:

> yeah it all comes together... and adds up to what i call "mental stamina",
> might say "sensory adatpation" contributes as well...
> 
> on decent lets say "all-of-the-above" contributes to the narcosis, upon
> reaching the buzz one either accepts it and realizes he\she will live and
> goes on with the dive thus overcoming the "mind killer" fear... at this
> point the narc is in the background and the diver concentrates on the
> goal of the dive (hopefully any diver at this depth *will* have a goal
> in mind):  walaha, mental stamina prevails.
> 
> or:  the diver thinks about all the things that *might* go wrong; air
> supply, reg malfunction, black out, large hungry fish, ufo's that want
> to take someone back to thier planet, their sister ending up with their
> new porsche if they don't get back to the boat...   you get the picture,
> and the narc grows... EXPOTENTIALLY. (physology: increased respiration,
> adrenalin and co2.. opnions here please, on what, if any, affect these
> combined may have)  

I agree that having a goal and/or specific task helps keep the narcosis
from becoming overwhelming.  I also agree that "mental stamina" plays an
important role.  And I agree that a vicious cycle of narcosis-> problems
-> panic -> narcosis, etc., etc. can easily develop in undertrained &
inexperienced deep divers.  However, this isn't exactly what I was
refering to.

Some people (myself included) have a few moments of minimal or virtually
no narcosis immediately upon reaching depth after a direct descent (to,
say, 200 ft. on air), and then the narcosis GRADUALLY increases over the
course of the dive at a steady, almost linear rate (controling for levels
of exertion, stress, etc. - factors with more direct affects on narcosis
intensity).  No panic or fear or confusion or anything like that involved.
To me, this seems intuitive for how narcosis should become manifest -
gradually increasing throughout the dive as more nitrogen gets into more
tissues and hinders more neural transmissions. (BTW, by "gradual" I mean
over the course of 10-15 minutes....)

However, there also seems to be a common pattern of individuals who
experience the strongest narcosis immediately upon descent, and then
'clear up' throughout the course of the dive.  I think your explanation of
"mental stamina" and focusing on a particular task may well account for
this.  Because it seems to be a fairly consistent pattern (regardless of
experience level, tasks, etc.), I have been seeking a more physiological
explanation (rather than just psychological).  I thought the blood pooling
hypothesis might have been a good one, but thus far it doesn't seem to be
receiving a lot of support from the medical experts here.

> i agree with everyone that "you get what you expect", and the more you
> experience the effect of narcosis the more you *learn* to deal with it,
> this is not saying that you physologically adapt, i'm not sure on that
> one yet.  i think there are too many if's in that area, and too many
> factors that change from day to day and from diver to diver...

I fully agree!  I have strong reason to believe that most of the
"adaption" to narcosis is really "learning to deal with a messed-up
brain".  On the other hand, I had a very interesting discussion with Sheck
Exley last January wherein he shared some experiences which suggest there
really is a physiological adaptation (based largely on his experiences
with symptoms of HPNS on his ultra-deep dives with relation to the level
of "short-term" narcosis adaption).  He explained a hypothesis involving
cellular-level responses to repeated exposures of high PPN2 & PPHe, but I
can't recall the specifics.

> lastly on the subject of mental stamnia... "argue for your limitations
> and they will become yours"

Amen.


Aloha,

Rich

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