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To: Prime
To: Rat <shelps@ac*.ma*.ad*.ed*.au*>
Subject: Re: DCI Survey
From: Richard Pyle <deepreef@bi*.bi*.ha*.or*>
Cc: techdiver@opal.com
Date: Mon, 28 Nov 1994 18:57:55 +22305714 (HST)
On Tue, 29 Nov 1994, Prime Rat wrote:

> Well, at the risk of labouring the point, and to make any survey usefull 
> (and I think an anonymous survey might be usefull), what do you define as a 
> DCI 'hit'?  All symptoms ranging from a bit of tingling in the left armpit 
> to full blown fulminant cerebral DCI producing death?  

IMO, anyone who wants to conduct a survey about DCI should pay attention to
Rat's point.

Whenever someone asks me how many times I've been bent, I always reply:
"Define Bends". I'd widen the scale even further and ask "Does excessive
fatigue after a dive constitute bends?"  If you define "bends" as
the presence of gas-phase bubbles in the blood and/or tissues, then
most of us get "bent" after just about every dive.  In fact, you
might even find that most of us (divers & non-divers) are ALWAYS in
a state of "bent" by this definition.  Bends, I think, needs to be
defined in terms of symptoms. Different catigorization schemes
have been proposed, none of them perfect. Perhaps any potential DCI
and/or AGE incidents (SYMPTOMS resulting from gas-phase bubbles in blood
and/or tissues) should be qualified by a description of all symptoms, so that
people examining survey data can break-up the incidents into whatever
categories they wish. The problem, of course, is how to define "symptoms".
Only those noticable to the victim? Those that are detectable (by
neurological exams, Doppler, etc.)?  Tough questions; no easy answers.


Best of luck, and I'd be happy to share my own experiences for such a survey.

Aloha,
Rich

deepreef@bi*.bi*.ha*.or*

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