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Date: Wed, 05 Nov 1997 18:24:23 -0500
From: "G. Irvine" <gmirvine@sa*.ne*>
Organization: Woodville Karst Plain Project
To: meademac@nh*.ul*.co*
CC: cavers <cavers@ge*.co*>, techdiver@aquanaut.com
Subject: Re: Physiology
Understood - thank you for the information. The more we find out, the
more interesting it gets, and the more lucky we realize we are, and then
the more we understand why so many are not so lucky. 

Meade McCrory wrote:
> 
> George,
> 
>   The example of pharmacologic management of intermittent claudication
> was in no way an endorsement for the use of pentoxyfylline by divers.
> This was put forth as a clinical evidence of the effects of RBC
> rigidity. The population who would use this medication are
> predominantly elderly and usually cannot exert themselves without
> experiencing muscle cramping and fatigue. I do realize that there are
> individuals that want to take the easy way out by "taking a pill". This
> drug has no place in technical diving. George, thanks for pointing out
> what the mindset of the tech diver should be.
>   The scenario of high ppN2 effecting the ability of RBC's to perform
> their "basic" function in the microcirculation should scare anyone away
> from deep air.
> 
> Meade McCrory
> 
> Pharmacist/Dive Inst/Blue Hole dreamer
> 
> 
> G. Irvine wrote:
> >
> > This is why we do not dive air deep, and would explain the spinal and
> > brain lesions, as well as the subclinical DCS symptoms following air
> > dives beyond the usual zone. On the other hand , we don't experimant
> > with powrful drugs under pressure, especially when conditioning and
> > non-narcotic mixes will produce the same result. I realize that this is
> > out of the question for some of the more vocal deep air promoters, but
> > then this fits perfectly : it takes a lot of work to do real tech
> > diving, and all it takes to deep air dive is stupidity and a place to
> > jump in.
> >
> > Meade McCrory wrote:
> > >
> > > Ben and others,
> > >
> > >   I think a more relevant discussion of high ppN2 and RBC rigidity
> > > should include tissue oxygenation. The bi-concave shape of RBC's is
> > > designed to allow the RBC to twist and deform to enter areas of the
> > > microcirculation.There are pharmacologic means to enhance this ability
> > > of the RBC's to perform this function eg.)pentoxifylline-to improve
> > > oxygenation in a diagnosis of intermittent claudication.
> > >   In my opinion this seems to be more important than it's possible
> > > hypertensive effects.Has anyone looked at this before?
> > >
> > > Meade McCrory
> > > Pharmacist/Dive Inst/Blue Hole dreamer
> > >
> > >
--
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