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Date: Tue, 25 Nov 1997 15:15:15 -1000 (HST)
From: Richard Pyle <deepreef@bi*.bi*.ha*.or*>
To: TechDiver <techdiver@aquanaut.com>
Subject: Couple of things

I *know* I am going to regret sending this.  But it happens to be a slow 
day, and after skimming through the recent archives, I see some threads 
of discussion that starve for rational thought.  Let's look at a few of 
them briefly:

1. Death of Hennie Pretorius

I knew nothing of this incident until I glanced through the archives 
today. First, Kudos to Dennis Harding for maintianing a rational tone 
despite irrational attacks. Getting to the point:  The bulk of this 
discussion seems to focus on nit-picky little details that may or may not 
warrant heated (or otherwise) discussion, but do not in any way (even 
from the most convoluted perspective) have any bearing on the cause of 
his death. From what I have read, I have absolutely no idea what caused 
the observed symptoms. However, it is clear we can eliminate a few of the 
going hypotheses:

Did he die because the instructor was from one agency but not another?
Did he die because the instructor was a smoker?
Did he die because he was 30 lbs overweight?
Did he die because he went to 105msw instead of 90msw?
Did he die because he breathed 32% O2 during deco?
Did he die because he breathed 80/20?

I challange anyone on this list to present a rational explanation of how 
any of these factors would have cause the observed symptoms (i.e., sudden 
and dramatic neurological symptoms upon surfacing, after relatively long 
deco with no apparent indications of a problem).

The only possible considerations I can see are that he had a history of
neurological barotrauma, and that the chamber treatment may have been
suboptimal. 

As to the former, although I believe that a valid case can be made that
history of neurological barotrauma should be considered a contraindication to
deep diving; if we all followed that advice, many of the more outspoken
individuals on this list (myself included) would have an assortment of
rebreathers, scooters, lights, double 104's, and other scuba gear to 
sell. 

As to the latter, regardless of the wisdom of the chamber treatment 
administered, that still doesn't explain the sudden onset of severe 
neurological symptoms in the absence of any gross decompression 
violations.

Why is this important?  When I was a kid, my dad would always hit me with 
the "I hope you learned somthing from this bad experience" line.  I 
understood where he was coming from and all, but the problem was, because 
I was such a brilliant little kid, most of my bad experiences were of the 
"sh*t happens" type, rather than "gosh, that was stupid of me - I won't 
do that again" type.  As much as I would want to learn something from it, 
there really wasn't anything of practical value to learn, because the 
circumstances leading up to the bad experience were either 
ultra-particular to that specific event, or were cryptic and 
unidentifiable.  Don't get me wrong - whenever something bad happens to 
anyone, we should all try to learn as much from it as possible, so that 
the collective body of all these bad experiences will ultimately reveal 
trends to teach us how to reduce our chances of getting hurt.

However, in this particular case, until we can get a better handle on 
what actually caused or contributed to or otherwise led to his death, we 
don't really have much to learn other than "sh*t happens"; which we 
already know.


2. 80/20

I've personally never breathed 80/20 on an open-circuit dive. However, 
the arguments I've seen on *both* sides of this debate range from 
"stretching it" to "truly rediculous".  Guys:  it's a gas.  It happens to 
contain 80% O2, 20% N2. It is neither the cure to bad buoyancy control, 
nor a notarized death certificate. Neither side of this argument will 
ever "win", because there is not enough substance to argue about.  The 
only point that makes sense to me is the one raised by Joel that you can 
get more total gas molecules in a given cylinder without a booster, which 
might convey logistical advantages for a 30-foot stop. (Joel doesn't get 
credit, though, because the tone of his message makes it sound like he 
intended this as an example against 80/20, when it looks to me more like 
an example in favor of it).


3. Fudge Factors in deco calculations.

Since before Abyss ever existed - when it was just a topic of discussion on
the CompuServe scuba forum - I have been arguing with Chris about the
"meaninglessness" of all these super-hyper complex fudge factors, and how
there was no real basis for the math behind any of them.  I invented the term
"titanium doorstop" in reference to the following analogy: why go to the
trouble and expense to use high-performance machining technology to
manufacture a wedge of titanium to within 0.0001" tolerance -- so it can be
used as a doorstop? Especially when a random chunk of wood will do the job
just as well (if not better).  The point here is that decompression is,
always has been, and almost certainly always will be a very "fuzzy",
imprecise practice at its core; so why try to micro-manage the numbers with
all these gee-whiz features that mean nothing? 

Chris' response has generally been twofold: 1) These fudge factors only 
affect the deco slightly; and 2) in most cases, they lead to longer 
decompression times (which presumably means lower probability of DCI 
symptoms).  After giving it more thought, I finally stopped arguing with 
Chris for these reasons, and for the simple reason that even though the 
fudge factors don't necessarily reflect physiological reality, neither 
do compartment-based deco models in general....so what's the diff?

Also, I trust everyone realizes that the practice of deep stops - which 
seem to be gaining wider and wider acceptance these days - is a similar 
"unfounded" fudge factor.  There are theoretical reasons why it should 
help, but my particular method for doing it is an off-the-cuff SWAG. 
There are also theoretical (and even empirical) reasons why smoking, 
obesity, cold-water conditions, and age all may affect one's disposition 
to experiencing DCI symptoms; and Chris has developed his own 
off-the-cuff SWAG methods for modifying the deco accordingly. In fact, 
if I'm not mistaken, the option of including deep stops is yet another 
one of the "unfounded" fudge factor options included in Abyss.  If these 
factors don't give you a warm & fuzzy feeling, then don't use them.  If 
they do, they probably won't help - but they even more probably won't 
hurt.


4. Constant PO2 deco

This one is always a riot to me.  There are two issues: "jacking up PO2 
on deco", and "constant-PO2 deco". The former is something that people 
who dive with fully-closed rebreathers seldom do.  The latter is 
something that people without fully-closed rebreathers are not capable of 
doing (at least not within any practical logistical limits).  So, the 
"have-nots" tend to lump the two together to justify their choice of 
diving equipment, because they can make a valid case about the former, 
but have absolutely no experience whatsoever with the latter.

Here's the score, guys:  

I have done a lot of deep decompression diving with air only (all the way to
the surface).  I have done a lot of deep decompression diving with
open-circuit mixed-gas and nitrox & O2 on deco. I have done a lot of deep
decompression diving with constant-PO2 mixed gas. 

The air diving/deco thing really sucks.  I never knew how much it sucked 
until I started using 100% O2 on deco after deep air dives.  I *really* 
started to understand how much it sucked when I started breathing helium 
deep with nitrox & O2 on deco.  However, I only actually grasped the full 
magnitute of how much air diving/deco sucked when I started diving with 
a constant PO2 rebreather.  

The weenie approach to this topic is to bust out some deco model and 
compare deco profiles for OC trimix/nitrox/O2 and CC constant PO2 diving 
and say "hey look - there really isn't much difference!"  Folks, the 
difference is not in the numbers that a deco model spits out.  The 
difference is in how you feel after a dive. The CC-divers out there 
already know what I'm talking about, but the rest will just have to 
either take my word for it, or ignore me. If you started diving deep air 
and then switched to trimix & elevated PO2 on deco, you probably noticed 
the dramatic reduction of post-dive fatigue and other associated 
symptoms. Well, when you switch to constant PO2, you'll notice the same 
level of improvement.

As for the argument that constant PO2 will cause you to convulse from O2 
toxicity, you'll have to show me the numbers of all those divers 
convulsing at 1.4 or 1.3, which is where I keep the PO2 for the entire 
dive.


5. CNS%

I have tried and tried and tried and tried to discover the source of this 
concept, and so far it seems to fall into the "high PN2 causes RBC 
rigidity" category.  You don't see me publicly bashing the concept, 
however, because people who choose to believe in it will tend to lower 
their operational PO2 values and introduce low-PO2 breaks during long 
exposures (both of which I believe to be wise practices). So, like the 
Deompression Program Fudge Factors topic, while I don't see any merit in 
it, I see more good than harm - so I leave it alone.

That's all I'm going to whine about today. I haven't even had the courage to
read any of the messages with "Helium"  in the subject line, for fear of what
I might find. 

The general themes I'm seeing throughout all these threads are "titanium
doorstopism" and "precision causation delusion".  I already described the
first. The second is in reference to the all-too-frequent knee-jerk
conclusion (delusion) that Accident "X" was a direct result of Cause "Z"  (or
the variation: Practice "Z" will lead to Accident "X") In almost every such
conclusion (delusion) I've seen, the scenario seems to be that the person
forming the conclusion (delusion) probably read somewhere or was told by
someone that circumstance "Z" might in some way indirectly affect outcome "X" 
in a few situations. Unfortunately, without the basic understanding of the
factors involved (rather than rote memorization of stuff written in books and
spoken by "experts"), the delusion becomes conclusion. A case of "a 
little knowledge is a dangerous thing".

Kind of like the "HFS" dive instructor who once told my 5'7", 110-lb
rock-climbing wife that she was more likely to get bent than he was, because
women, on average, have more body fat.

'Nuff said.

Now...don't make me come back here again! :-)

Aloha,
Rich

Richard Pyle
Ichthyology, Bishop Museum                deepreef@bi*.bi*.ha*.or*
1525 Bernice St.                          PH: (808) 848-4115
Honolulu, HI 96817-0916                   FAX: (808) 841-8968
       "The views are those of the sender and not of Bishop Museum"

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