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Date: Fri, 5 Jul 1996 11:36:25 -0700 (PDT)
From: "Peter N.R. Heseltine" <heseltin@hs*.us*.ed*>
To: Richard Pyle <deepreef@bi*.bi*.Ha*.Or*>
cc: techdiver@terra.net
Subject: DCS, body mass and nitrogen dosing
I had some e-mail exchanges with Chris Parrett and Karl Huggins about this
issue several months ago. In basic scuba training you are taught to
consider TAD (time, air, depth). None of the tables actually take into
account the *amount* of nitrogen you breath in, based on your size (i.e.,
lung volume), work load etc. Oh, there are "J-factors" in almost every
program that will empirically add minutes to your bottom time and/or deco
for cold and work, but nowhere does any program I know of ask you your
weight/height/body surface area that might be used to compute your actual
dose/kg or dose/M2 of nitrogen.

If everyone is a 180lb 24 year old Navy diver doing exactly the same work,
then this doesn't make much difference. The tables (or computer
algorithms) are probably conservative enough that you are not placed at
significant risk. Not too many divers get bent. But your note below
reminds me that the explanation of why women may get bent more frequently
than men has never been explained satisfactorily. It has even been
suggested that men may be less likely to complain of pain (type II DCS)!.
Right, check out your wife or friend next time they have baby!

Two differences between men and women that might explain considerable
variations N2 absorption on the same dive profile are mass (weight) and
body fat.

Let's suppose that your couch-potato instructor has a SCR of 0.6 L/min: At
the most simplistic level (not taking into account body fat composition or
surface area, the latter is usually a better measure of drug toxicity
resistance than weight), your wife would have to have a SCR of < 0.3 L/min
just to get about the same N2 dose on a dive of the same profile. I am
sure that her SCR and those of many other women are less than the men they
dive with, but *that* much lower?

Obviously your wife isn't getting bent, so the tables "work", but they
aren't working for some women and this may be particularly true of women
(and men) doing repeat dives, multi-day diving or who have high SCRs
because they are new to the sport. One recommendation has been to take a
day off diving every third or fifth day. This is pretty expensive if
you're paying for a live-aboard or a once-in-a-lifetime trip.

To pay attention to this variable you need to know how much gas you are
actually breathing, not just blowing off.  So *now* with rebreathers you
can do just that! (I knew I could work this in somehow) You could also
make adjustments to the standard air tables too. Why don't we do this? Is
this to discourage women from diving? Is it OK that they and smaller couch
carrot men are exposed to an extra risk?

Safer diving through wiser physiology

Peter Heseltine

PS If you reply and I don't, it's because I am away for a week, not
because I am not interested :-)

>>>>>>>>>>>> On Thu, 4 Jul 1996 22:50:23 -1000 Rich Pyle wrote
<<<<<<<<<<

I am reminded of a funny story.  My wife (5'7", 110 lbs, built like a
rock climber - she is a rock climber) was discussing diving with a
5'9", 250-lb, built-like-a-couch-potato dive instructor. The instructor
said to my wife, "You are more likely to get bent than I am because you
are a woman, and women are statistically more likely to get bent than
men." My wife asked why women are more likely to get bent than men, and
the instructor replied, "Because statistically, women have more body fat."



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