To begin I would like to thank Frank Deutschmann for his excellent posting on the development of decompression tables and also ask if he has any suggestions for further reading on the subject. Secondly I would like to comment on the formation of bends bubbles from the point of view of some one who has studied at least a little chemistry. In the course of the very lengthy discussion of the subject I have seen only one reference to the problem of nucleation, and this is of primary importance if we are ever to gain a real understanding or DCI. We learn from physical chemistry that if a bubble of gas is immersed in a liquid, because of surface tension the pressure inside the bubble is greater than the pressure of the liquid. Furthermore the pressure difference is inversely proportional to the diameter of the bubble. Therefore as the size of the bubble approaches zero, the pressure difference and thus the pressure inside the bubble increases without limit. For this reason the gas in small bubbles will tend to re-dissolve in the liquid, that is the small bubbles are thermodynamically unstable unless there is a high degree of supersaturation of the gas in the liquid. This is a fortunate situation; it is why Haldanes number is 1.58 and not just 1; without surface tension our "no decompression limits" would be drastically reduced. But now we have another problem. Why is the number 1.58? Why isnt it infinite? How is it possible that the bubbles ever form? Clearly we need some special mechanism for the nucleation of the bubbles, something that goes beyond the simple surface tension explanation. The problem is not unique to the explanation of DCI; it applies to the formation of any bubbles in any liquid; it even applies to boiling water. When we boil water, however, it is possible to watch and see what the special mechanism is. As the water begins to get warmer, bubbles of air (actually NITROX) appear on the bottom and sides of the pot. When the boiling point is reached bubbles of water vapor form on the bottom of the pot. Watch closely and you will see that they tend to form at specific spots. These are places where some impurity (usually a minute air bubble adhering to some other impurity) act to nucleate the bubbles of water vapor. The nucleation is caused by impurities on the inner surfaces of the pot. If we are to understand the formation of inert gas bubbles in the body tissues it is necessary to understand the special nucleation mechanism, and at the present time, to the best of my knowledge, no one has any idea what it is. Until we understand nucleation, decompression tables will have to be empirical, and it will be impossible to give a definitive answer to questions like, "Could the ultrasonic waves used to detect bubbles actually help to nucleate them?" However "bubbles too small to detect" would be in the region of extreme thermodynamic instability, and it is extremely doubtful that they could exist. In closing I shall say that I doubt that DCI is chaotic, just incompletely understood. The weather, on the other hand, is chaotic in the mathematical sense of "extreme sensitivity to initial conditions". Bruce Gerhard
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