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Date: Mon, 11 Jun 2001 22:49:32 +0200 (CEST)
From: wendell grogan <docgrog@ya*.de*>
Subject: Re: Not opening PFO's, waqs RE: Repairing PFO's
To: Matthias Voss <mat.voss@t-*.de*>
Cc: quest@gu*.co*, techdiver@aquanaut.com

--- Matthias Voss <mat.voss@t-*.de*> schrieb: > I
think Mike's comment is much closer to the point
> than the DAN's
> insights.
> Matthias
> (edited because its too bloody long)

The problem with this whole discussion is that
everyone is using correct data, but coming to
different conclusions because they're not all looking
at the questions asked by the research quoted nor the
question that applies to technical diving.
The studies have been aimed at two groups- commercial
divers who have had embolic hits and recreational
divers.  The conclusions by Dr. Bove apply to those
groups because thats who was studied.
Now, what is the correct answer for technical diving? 
I do not feel there is enough data on this particular
small sub group of the diving community to say it is
safe to dive not knowing if you have a PFO
until/unless you get bent.  
Tech diving generally does not include during your
deco in a chamber on a routine basis.  If you are a
commercial diver, you will decompress in a chamber and
if you start to have a hint of a problem, the schedule
will be adjusted accordingly.  If you are a coral
stomper, then you don't get deep enough or stay down
long enough hoovering your al80 to hurt yourself
unless you hold your breathe going up.  In either
case, the standard DAN advice applies.
Techdiving involves staged deco in the water which
means that 1) everyone is trying to minimize the
amount of time they have to float around after the fun
part of the dive is over, and 2) shit happens in
proportion to the number of potential sources of fecal
evolution.  Since this is a different scenerio than
that considered in available research data, I think
you have two choices- stay very conservative or get
checked.  If you have a PFO, then you need to know how
severe it is and then be able to decide based on your
relative risk of getting embolized whether you want to
give up tech diving or take the risks involved in
getting the flap closed.
Wendell  


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