As for why a new diver would go straight to nitrox, I'm 71 years old and my MD recommend I use nitrox to avoid fatigue on multiple dives.
Ah, yes. That ol' chestnut again! Is your MD a dive physician?
If not, have him read this DAN article on whether there is any scientific evidence that Nitrox can reduce post-dive fatigue:
(Executive Summary: No)
Alert Diver | Air, Nitrox and Fatigue
Or this article on whether Nitrox can reduce post-dive fatigue:
(Executive Summary: No)
Harris RJ, Doolette DJ, Wilkinson DC, Williams DJ (2003). "Measurement of fatigue following 18 msw dry chamber dives breathing air or enriched air nitrox".Undersea and Hyperbaric Medicine (Undersea and Hyperbaric Medical Society) 30 (4): 285–91.
Or this article on whether Nitrox can reduce post-dive fatigue:
(Executive Summary: No)
Chapman SD, Plato PA. "Measurement of Fatigue following 18 msw Open Water Dives Breathing Air or EAN36.". In: Brueggeman P, Pollock NW, eds. Diving for Science 2008. Proceedings of the American Academy of Underwater Sciences 27th Symposium.
Or this textbook chapter on whether Nitrox can reduce post-dive fatigue:
(Executive Summary: No)
Brubakk, A. O.; T. S. Neuman (2003). Bennett and Elliott's physiology and medicine of diving, 5th Rev ed. United States: Saunders Ltd. p. 800
He can then compare those findings to this study which shows some effect... but ultimately concludes "
These involve complex phenomena in the functional modifications of the nervous system in hyperbaric environments according to the type of gas used for the dive, and more research will be required to elucidate them."
Evaluation of critical flicker fusion frequency and perceived fatig... - PubMed - NCBI
Or you can have him abandon any sense of evidence-based medicine and just read all the posts on ScubaBoard wherein anonymous strangers claim that Nitrox does in fact reduce post-dive fatigue based on their personal "n=1" anecdotes.
Here's how I understand it from looking at the research, from speaking with dive physicians, from reading the anecdotes on ScubaBoard, and from crewing on dive boat, working as an active PADI Pro, and just from seeing 1,000s of divers and dives while traveling all over the world...
- The typical recreational diver has sloppy dive skills and techniques; saw-tooth profiles, reverse-profile repetitive diving, too rapid ascents, generally poor buoyancy skills, pushing NDLs, and has at best a rudimentary grasp of dive planning, tables, or their dive computers
- Sloppy diving skills - as above - while unlikely to put the typical recreational diver in a chamber, are likely to produce sub-clinical DCS or so called "silent bubbles" in the blood stream and body tissues
- The silent bubbles from sub-clinical DCS that are experienced by typical recreational divers with sloppy dive skills are likely to produce symptoms of fatigue
- Accordingly typical recreational divers with sloppy dive skills who dive nitrox - which reduces the ppO2 of nitrogen - will experience less bubbles, and therefor will experience less fatigue secondary to the sub-clinical DCS they incur as a result of their sloppy dive skills and techniques, as compared to a group of typical recreational divers with similarly sloppy dive skills diving air
:cool2:
But seriously, let's be more objective and consider it this way...
- the data from well-controlled studies (ie all participants are placed in a chamber and subjected to exactly the same dive profiles relative to depth, time, ascent rate, etc which are controlled by the scientists conducting the study) show that divers using nitrox have no statistically significant difference in post-dive fatigue as compared to divers on air
- the data from poorly-controlled studies (ie: typical recreational divers are allowed to jump in the water and do their own thing) show that those who dive nitrox are less fatigued than those who dive air
- so it would appear reasonable to conclude from the literature that people who dive in a well-controlled fashion exhibit less fatigue than people who dive in a poorly-controlled fashion... irrespective of their choice of breathing gas.
So my suggestion is that you do what I do: Try to NOT exhibit the dive skills of a typical recreational diver... but dive nitrox just in case.
