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Date: Tue, 11 Jan 2000 07:22:39 -0800 (PST)
From: "Michael J. Black" <mjblackmd@ya*.co*>
Subject: Re: DCI Preconditions
To: Rich Lesperance <richl@uf*.ed*>
Cc: Aquanaut Mail <techdiver@aquanaut.com>
DCI and DCS are not synonymous, Rich.  DCI = DCS and/or AGE (arterial
gas embolism).  Thanks for bringing this up as it is a common source of
confusion, even among the nitpickers.  And exercise before diving is
not recommended either, but doesn't carry as high a risk as exercise
before or shortly after diving.  Actually, this exercise thing bothers
me a little, because I love to dive, and I often exercise, but the
two are not highly compatible (as long as you dive with nitrogen in
your breathing mixture).  MJB


--- Rich Lesperance <richl@uf*.ed*> wrote:
> Doc Black:
> 
>     When listing DCS predisposing factors, you listed :
> 
> >>heavy exercise during or shortly after diving, <<
> 
> Exercise _before_ diving is included also, yes? Not trying to sharpshoot,
> just making sure the conventional wisdom hasn't changed on me.
> 
> Secondly, it's a nitpicky thing, but in the medical / dive physiology
> community, are the terms "DCI" and "DCS" synonymous? I always though DCI
> included _other_ pressure conditions treated by a chamber, namely AGE. If my
> memory is fuzzy, maybe it means I'm getting old?
> 
> Anyone else feel free to jump in with your impressions on the specificity of
> the above terms. Obviously, whatever the educated majority here feels is
> correct, is the correct definition, by definition.
> 
> Rich L
> 
> 
> ----- Original Message -----
> From: Michael J. Black <mjblackmd@ya*.co*>
> To: Aquanaut Mail <techdiver@aquanaut.com>
> Sent: Monday, January 10, 2000 4:38 PM
> Subject: Re: DCI Preconditions
> 
> 
> > Steve,
> >
> > DCI preconditions include PFO (which you can be checked for),
> > pulmonary blebs (which develop in obstructive disorders like
> > bronchitis, emphysema, and asthma), and other cardiac or vascular
> > defects that could lead to right-to-left shunting of blood, i.e.
> > venous to arterial shift.
> >
> > Risk factors are numerous, including dehydration, obesity and
> > poor physical condition, pushing the table limits, heavy exercise
> > during or shortly after diving, hypothermia, previous DCI, age,
> > alcohol, etc.
> >
> > Common sense counts for a lot, and even if you don't know all
> > the risk factors, just be careful.  If doing extreme diving, or
> > advanced technical diving like many on this list, it probably
> > is a good idea to get checked for PFO (although some will argue
> > that every diver should be checked).  As for pulmonary blebs,
> > don't smoke (common sense).
> >
> > Mike Black
> > __________________________________________________
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> 
> 
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