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From: "Simon Naunton" <snaunton@ho*.co*>
To: John.Brett@qu*.co*
Cc: techdiver@aquanaut.com
Subject: RE: RE: detecting bends
Date: Mon, 11 Mar 2002 21:45:11 +1100
>From: John.Brett@qu*.co*
>To: snaunton@ho*.co*
>Subject: RE: RE: detecting bends
>Date: Mon, 11 Mar 2002 04:42:19 -0500
>
> > Because this is an forum for the discussion of technical
> > diving and another
> > diver made a statement I happened to disagree with on the
> > basis of the facts presented.
>
>I'm still struggling to work out what basis you have on
>which to express your disagreement. Do you have more
>knowledge than the WKPP about decompression?

Errmm... no, and I haven't claimed to have.

>Do you know
>Dr Bennett?

Not personnally. How, apart from being a leader for you to name drop, is 
this relevant?

>
> > Strictly speaking, we are not talking about
> > decompression, we are
> > talking about the possibility of a simple method of
> > determining whether a diver has DCI or not.
>
>Ugh!  It seems that you haven't understood G's comments.
>Detecting *venous* bubbles isn't the same as detecting
>a bend - a PFO makes a *big* difference to their significance.
>There's also far more going on at the sub-clinical level
>before you get visible symptoms, by which time the damage
>is done.

So are you saying that once someone is bent then there is no point in 
attempting treatment?

I have sent this in a mail that has yet to appear on the list, but are these 
venous bubbles? Could they not have been formed directly from gas in the 
divers mask?

>
> > > > Regardless of
> > > > the achievements you have made with the WKPP, which are
> > > > truly impressive, I
> > > > am more inclined to believe a doctor who specialises in
> > > > hyperbaric medicine than yourself.
> > >
> > >Your loss.
> >
> > Subjective. It could be considered you loss as well.
>
>I know how to deco, thanks to G.

I too have learned from him. I reiterate that I am in no way challenging his 
deco procedures.

>
> > Not so sure. A prostitute would probably be able to give a
> > trick or two on
> > avoiding the clap, but a doctor would be far more likely to
> > be able to tell
> > you what is going on in the body with some degree of
> > accuracy. Similarly,
> > George and the WKPP are a wealth of information on deco
> > practice, however,
> > AFAIK none of them have spent enough time at med school, if
>
>Bill Mee is a doctor of microbiology (WKPP project engineer)

Did he attended medical school? BTW I am  not trying not to be provocative.

>
> > any time at all,
> > to go up to a hyperbaric doctor and tell him he is wrong,
> > particularly with
> > the minute amount of information presented in the email.
>
>Dr Hamilton goes to the WKPP for advice...

I thought the WKPP acted as test-ish subjects-ish?

>
> > I read somewhere that George was a stock broker. I believe
> > that Dr Bennett
> > is very active in his field, both treating patients and
> > conducting research, so could hardly be called a theoretician.
>
>So just how much do you know about Dr Michael Bennett?
>Does he actually dive?

Not much. I don't know. What is the relevence of whether he dives or not?

>
> > By the same token though, I do not
> > believe that any of the WKPP have ever sold their bodies for
> > the sexual
> > gratification of another party, but I also have never met any
> > of them so
> > that is pure speculation.
>
>Speculation appears to form the basis of your arguments.
>Not the best basis on which to work.
>I've tested G's decompression strategy to the best of
>my ability, so I have a little more basis than speculation
>on which to rate G's opinions over a doctor of whom I've
>never heard.

As I have already said, I am not challenging G's decompression strategy - I 
am not in the position to do that, just his rubbishing of Dr Bennetts study 
based on the information contained in one paragraph written by a newspaper 
journalist.

>
> > >Personally, I'd rather listen to someone who bets his
> > >life on the outcome, rather than one who bets a published
> > >paper.
> >
> > True, but this is not really relevant in this context.
> >
> > With apparently 0 incidents of DCI amongst WKPP members, how
> > much experience
> > does the WKPP have with DCI compared with a hyperbaric
> > doctor?
>
>Sigh. You obviously have *no* idea about the WKPP.
>The US Navy come to the WKPP for decompression advice, and
>have sent their hyperbaric doctors to examine WKPP divers
>after diving.

Your point being? They have loads of experience at DCI avoidence.

>
> > Bottom line:
> > Have the WKPP studied the formation of bubbles in the tear
> > film of the human
> > eye due to changes in ambient pressure? Probably not. Has Dr
> > Bennett? Yes.
>
>The relevance being...?

The relevence being that Dr Bennett has studied it and concluded that 
subjects with 20-30 bubbles in the tear film of their eyes also had DCI and 
those with 2-3 did not. G & the WKPP, AFAIK, have not studied this, so how 
can G justify his statement that it is bullshit - but I guess that you 
cannot answer that John.

>
>The issue is not so much whether additional bubbles appear in
>the tear film after diving, but the interpretation & relevance
>of the findings. Just finding bubbles isn't the same as DCI,
>which isn't the same as needing treatment.

I think that you are looking at this from the wrong angle. I don't believe 
that Dr Bennett even implies that these bubbles are the cause or part of the 
damaging part of DCI, there are simply 20-30 bubbles with subjects with DCI 
and 2-3 with subjects without, therefore, the possiblity exists for an easy 
test.

>
>John


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