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Date: Mon, 11 Mar 2002 13:56:24 +0100
From: mat.voss@t-*.de* (Matthias Voss)
To: Simon Naunton <snaunton@ho*.co*>
CC: John.Brett@qu*.co*, techdiver@aquanaut.com
Subject: Re: detecting bends
I did not keep the message refferring to the study, so this is only from
my memory:
Wasn't it said that Bennett _reported_ on the study ? So , if correct,
he would not even need be directly related to this investigation, which
seems, to my view, a bit obsolete.
 When  a diver shows symptoms, and his history of decompression is
known, then next steps/ measures are obvious. No need to treat someone
with no symptoms.

So , if this study even was on the right track, to what purpose I may
question.
If a diver showed symptoms, _then_ look into his liquids for bubbles,
and, to decide _what exactly_, which would not have to be decided to
begin with . Get a Heli _or not_ ? Throttle lLever down the dashboard
_or not_ ? Report to the chamber _or not_ ? 
The mere idea gives me some chills, and a distinct notion to beware of
quickshot medical reviews.
Matthias

Simon Naunton schrieb:
> 
> >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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