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From: <kirvine@sa*.ne*>
Date: Mon, 10 Jan 2000 05:18:40 -0500
To: Steve Schultz <se2schul@un*.ma*.uw*.ca*>
CC: techdiver@aquanaut.com
Subject: Re: DCI Preconditions
"defect" is just a hole, whereas a PFO is a flap that can open. The real
complex one is the lungs. 

Steve Schultz wrote:
> 
> Can a shunt that takes the formn of "some other form of atrial septal or
> other defect" be detected?
> 
> My tech course never mentionned these preconditions in any form except
> that some people will get hit 'when they don't deserve it'.
> 
> When I graduate, I might fly down to florida to try a course from GUE, and
> skip ommitted info from the other agencies
> 
> ss
> 
> On Sun, 9 Jan 2000 kirvine@sa*.ne* wrote:
> 
> > Steve, the term "unearned" or "undeserved" is a terible disservice to
> > divers provided by the dive industry marionettes at DAN. If DAN were
> > ever to tell the truth about anything in diving, it would cost the
> > "industry" a fortune.
> >
> > Getting past that issue, if you have a shunt and get hit, it is hardly
> > "unearned".
> >
> > Anything that allows the venous blood to get past the lungs' giant
> > bubble filter into the arterial side is a "shunt". The more common ones
> > are either in the cappilary beds of the lungs themselves and are as such
> > hard to detect other than by empiricle evidence , ie you get hammered,
> > or are in the heart itself in the form of a PFO, which  up to 30% of the
> > population has, or as some other form of atrial septal or other defect.
> >
> > The catch 22 is that to open a shunt or to operate as a shunt, you need
> > to generate sufficient bubbles to alter the pressure either between the
> > two atria of the heart, or between any two areas representing the two
> > sides of the vascular system.
> >
> > This is usually done , in my humble and well informed opinion, by the
> > last phase of decompression - the 1 ATA stop where you get out of the
> > water and the last of the gas rushes out in bubble form. As bubbles then
> > grow and become more impressive in their ability to block the filter,
> > the chances of a blowby or pressure differential that will open a PFO
> > are greatly increased. This is why the hits appeear to be "paradoxical"
> > as they call them,  PCAGE, or PAGE as opposed to CAGE or AGE.
> >
> > Steve, all of the strokes and bullshitters will argue this to their
> > death, because to test everyone properly would be the death of dive
> > instruction and the dive business, but the fact is it is like every
> > other thing in life - if you are armed with the information, you don't
> > "take in the snake", and as such you don't get bitten by it.
> >
> > The dive industry and DAN are the antitithsis of good information, and
> > that is a fact. See that last peice of abject stupity out of DAN on deep
> > air - Bill Mee spotted it and put a post on here about it.
> >
> > The fact that you are asking this question tells us all the the dive
> > industry is grossly negligent in not informing students of these risks
> > up front, and hopefully will lose every last lawsuit that involves this
> > kind of intentional screwing over of people who put their trust in the
> > agencies. No information is just as bad as bad information.
> >
> > Otherwise , lack of fat slobbery is not itself a guaranteee of no bends.
> > The perfusion of all tissues is . People who have a massive aerobic base
> > and are well vascularized are much more able to eliminate gas quickly
> > and effectively. Fat acts like a battery for storing gas - it comes out
> > slowly contributing to other bubble growth, and itself gets bent. The
> > fact is that poor physical conditioning on anyone will lead to dcs
> > induced damage in all tissues , including muscle, in those who are not
> > well perfused. The only way to achieve angiogenisis is to deprive the
> > body of oxygen and nutrients repeatedly in physical exrecise, and that
> > does not mean power walking, that mean kicking ass every day for years.
> >
> >
> > Steve Schultz wrote:
> > >
> > > Can we go over what preconditions exist that might cause someone to take
> > > an underserved hit, or just plain increase the risk.  Which ones can you
> > > get checked out by a doctor, which ones can you do something about.
> > >
> > > I know of PFO - which can you can have checked by a doctor.  Nothing you
> > > can do about this one.  Some 'experts' say it's ok to dive with this, but
> > > from what I've heard from George, he feels it's an absolute 'NO'.
> > >
> > > Being fat/out of shape - you can have this checked by most mirrors, and it
> > > is fixed by running shoes/bike/gym etc
> > >
> > > People have mentioned 'shunts'.  What are these, what can be done about
> > > them, how serious are they etc.
> > >
> > > thanks,
> > > Steve
> > >
> > > --
> > > Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'.
> > > Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'.
> >
> 
> --
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