Here is a response I received privately, so I'll leave it anonymous. Basically, I still don't get how your blood can magically absorb more oxyhemoglobin than it needs. Any further comments anyone? Thanks. Cam > Date: Wed, 19 Sep 2001 07:08:00 -0500 To: "Cam Banks" <cam@ca*.co*> > Subject: Re: weekly dumb question > > In the pulmonary capillary beds, O2 binds to hemoglobin to make oxyhemoglobin. > More O2 diffuses directly into solution in the bloodstream. Out in the > peripheries, the cellular life processes take the oxyhemoglobin in, extract > the O2, and release hemoglobin. The hemoglobin then rebinds with dissolved > O2, and the process repeats itself. > > Observe that there is FAR more oxyhemoglobin circulating than is needed by the > body from instant to instant, so that when it gets out to the farthest point > from the capillary beds, even though every cell on the way has extracted its > cut of the take, there is still plenty of oxyhemoglobin to keep your right > little piggy happy. > > Now, oxygen is a gas, just like nitrogen and helium, and is subject to the gas > laws and physics, just like nitrogen and helium. It dissolves in the tissues, > just like them. It is also consumed by the tissues, as needed, unlike them. > This is just another transport phenomenon. Oxygen diffuses freely across the > capillary walls in the pulmonary beds, in both directions, just like nitrogen > and helium. (The miracle of hemoglobin oxygenation depends on free diffusion > one way. The miracle of deco depends on it going the other way as well.) > When the excess oxygen returns to the pulmonary capillary beds, if the partial > pressure of oxygen in the blood is sufficiently higher than the partial > pressure of oxygen in the airspace, the excess oxygen will diffuse out. > > Now, if you have a heavy oxygen load in the slow tissues, caused by e.g. a > long deco on hot mixes, and you spike the ascent rate sufficiently, just as > with nitrogen and helium, you can trigger the aggregation of microbubbles into > macrobubbles, and develop DCS. This is "oxygen bends". The key difference is > that the cells in the immediate vicinity of the oxygen macrobubble all scream > "ICE CREAM! We're gonna have ICE CREAM!" and consume the oxygen macrobubble > in situ. > > I remember reading somewhere that oxygen bends has been demonstrated on goats, > and the goats cleared the symptoms almost immediately, as cellular biology > eliminated the bubbles. > > > ----- Original Message ----- From: Cam Banks <cam@ca*.co*> To: Techdiver > Mailing List <techdiver@aquanaut.com> Sent: Tuesday, September 18, 2001 11:50 > PM Subject: weekly dumb question > > >> Okay, time for a weekly dumb one: can someone explain to me the physiological >> mechanism by which nitrox works? >> >> On the face of it, it would seem like once your body had used all the oxygen >> it needed from a lungful of gas (any mix), the rest of it would diffuse into >> your blood, regardless of gas type. >> >> How is it that we are able to magically dispose of the excess oxygen? What >> are "oxygen bends" that I've heard alluded to? Thanks. >> >> Cam >> >> -- Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'. >> Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'. >> > -- Send mail for the `techdiver' mailing list to `techdiver@aquanaut.com'. Send subscribe/unsubscribe requests to `techdiver-request@aquanaut.com'.
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