Spisni study

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The Chairman:
Dr. Michell posted that no, he wouldn't dive RD and he wouldn't let his loved ones dive RD, that was enough for me.

Pete, in fairness, I did not volunteer this. It was a response to a question and while it is technically the truth, the statement is being used as a stick, and that is probably not an appropriate use for it without the associated contextualising commentary.

Simon
 
It seems to me that in this thread, the most ardent proponents of Ratio Deco think people should use it because...

1. It is not as bad in comparison to other systems as people think--the other algorithms are not that much better
2. It is not as dangerous as people think.
3. It is not as hard to do all the math and other calculations while diving as people think. Anyone can do it.
4. A lot of the people who get bent using it made mistakes with the math or other calculations, so it is not the fault of Ratio Deco but rather the fault of the divers who were not able to do the math--even though the math is so simple anyone can do it.
 
FTR I think your comparison of the deep stop emphasis employed here, to a cobra bite, is full-on absurd.
Nope. It is a very valid comparison. If you know the effect something has and you don't like the effect, you don't have to know any more about it.

You berate Pete because he does not have RD training, implying that if he only had the RD training, he would love it. I have the RD training and I do not like it one bit.
 
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Pete, in fairness, I did not volunteer this. It was a response to a question and while it is technically the truth, the statement is being used as a stick, and that is probably not an appropriate use for it without the associated contextualising commentary.

Simon
Understood. I don't mean for it to be a "stick", however, it's all I need to not experiment with RD. As divers, we tend to imitate those we admire. That means I am more apt to use the protocol that you use and avoid the ones you would not use. No, you didn't volunteer it as you are far more diplomatic than I will ever hope to be. That's why I was very specific on how I asked it even to include whether you would recommend it to a loved one. "Technically" you wouldn't and again: that's more than enough for me. Others can draw their own conclusions from that, but I have drawn mine. As you say, there are better and more efficient protocols out there. Fair enough?
 


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If two dives have identical gas loading, and their respective decompressions (whatever form that takes) leads one to have a higher integral supersaturation than the other, then the former has higher decompression stress and, all other factors being equal, a higher risk of DCS.

Simon M

Dr. Mitchell,
Help those of us less well versed in the physiology of this, perhaps understand things a little better.

If we are to accept that a higher integral supersaturation might be a single-measure indicator of higher DCS risk, does this still apply if, THEORETICALLY, one had a dive and/or decompression profile which placed most of the supersaturation in a slow compartment,
compared with a profile which dumped most of that supersaturation into a fast tissue compartment?

In other words, is it theoretically possible to have similar integral supersaturations, yet differing DCS risks, based upon dive and/or ascent profile? Or does the mere fact of slow offgassing in a slow compartment weight the integral of supersaturation against those tissues?

Of course, it would no longer be possible to have identical gas loading as you stipulated above, so I'm already deviating from dives that could be compared in any way other than by the integral of their supersaturations.

But what I'm trying to get a feel for, is whether the increased tolerance of fast tissues for supersaturation makes differing integrals of supersaturation only comparable for identical gas loading.

Respectfully,
Diving Doc
 
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If you bugger up the depth using ratio deco you would have also buggered up the depth using tables.

That alone isn’t enough for me to strike ratio deco as a tool in the toolbox. If it was, I’d also have to strike tables off the list as well.
 
Dan, I know only one of the divers I referred to as being associated with John's group.

No correlations like extreme altitude, taught by same instructor who had been booted from UTD, or anything to that effect? Entirely unassociated and in different setting?

You call it "RD out of the box" and I see it as RD in actual use.

I don't mean to be pedantic, but "By the book" is the meaning I'm endeavouring, to be certain. "out of the box" was maybe inaccurate localization on my part. The reason it's relevant to reiterate that UTD encourages adaptation, is because it means you can subscribe to whichever level of deep stop emphasis you interpret available scientific evidence to support, and use that emphasis level in Ratio Deco. Ths isn't too much unlike a GF-setting at least in that regard.

Almost all involved mental errors on the part of the diver, and they were to a person quick to point that out.

From other conversations, I'd sensed as much.
Look, I feel you and I can probably agree that what we're discussing here, is not whether a given deep stop level is optimal, but rather the nature of RD versus using a computer and specifically, diving without a computer. Correct me if I'm wrong.

I think it makes sense to make that disambiguation, as it doesn't blur the picture of our discussion so as to imply a statement to the effect of "using a deep stop emphasis too great is dangerous".
Rather, I feel - again, correct me if I'm wrong - we're approaching the core of what you're saying with this:

The person using Ratio Deco is probably always the weakest link, and that's the real problem with it.

I agree and I disagree, bu more importantly, I understand what you're saying.
I agree, on a general level, that the diver is the weakest link, and it stands to perfect reasoning that this applies when using RD, too. As olive branches go, I don't have a problem with that statement.

But that's where our agreeing on the matter ends - I personally use RD from the start to develop divers.
That is, "identify the weakest link in the chain", if you will, and develop it.
I genuinely have concerns about large-scaling a culture of "masking" weaknesses - here by adding a computer because diving without one is perceived as dangerous - as I see that the weakness will simply manifest elsewhere.
If I'm short on situational awareness and adherence to diving within my comfort zone, I perceive that as a much greater risk source than DCS from a dive with deco emphasis probably a bit too deep.

That said, I exercise vigorously, have very little body fat, am in my early 30´s, don't smoke, eat full-meal plant based and generally hydrate well. My doctor year after year insists that my blood is "optimal". So while I can probably handle a minute difference in BIPA, I can still drown in an instant, lose orientation or switch to the wrong gas. I feel the latter are related to situational awareness and diving within my comfort zone.

Elsewhere, John linked to this article which touches on the matter and lists four issues that I believe you might agree can be said to sum up the concerns about RD. Correct me if I'm wrong in that.
Note, I'm paraphrasing - heavily. For the original wording, please see the link.

1) Can't stay within maximal depth
2) Can't maintain ascend rate
3) Can't maintain depth accurately
4) Can't tolerate extremely basic arithmetics while diving

If these four are the problem, then I certainly would like to add a comment or two, as you may imagine.
First, if I can't maintain acute discipline with my maximal or minimal depth, I feel that's a ppO2-related issue rather than DCS one. Punishment would find me, and this touches on such a basic skill level that I feel adding a computer for redemption is actually wildly problematic. The oblivious diver is in dire straits here, and is at such a low level of capacity for diving that I really feel something has gone terribly wrong if that diver is doing tech dives.

I think the same holds true to some level, for bullets two and three.
As bullet four goes, I feel it's a non-argument because the mistakes one would need to make are so rudimentary and particularly because everyone in the team would need to make them. Identically, that is.
If two divers diverge in stop depth calculation by, say, 5 minutes, surely alarm bells would be ringing.
To maintain this is a problem is, in my view, just as sought as maintaining that diving computers in a team is dangerous because they could all fail.

Perhaps if you could provide that study I keep asking for, I could have a more enlightened opinion. You haven't, so I have to rely on the evidence I can see.

I ask genuinely what you would like to see, as I don't feel I understand that.
If you're asking for a study that shows RD is the optimal approach to decompression from a physiological point of view, I'll be the first to state categorically that to my knowledge no such study exists. I don't see a conflict in that, for my part.
But it probably has to be seen in light of the section I wrote, above.

You see, the drunk driver scenario really fits. It's my opinion that putting on Scuba gear eliminates 15/20 IQ points. Splashing another 15/20, and you can keep deducting points for every atmosphere you descend. The problem is people don't "feel" stupid: they just are. Their Bovine Index equals 1, and they don't even know it. Ergo, relying on a diver's memory is an invitation for error and getting bent. I wish I could count how many times I forgot to set the bezel on my dive watch on first descent, or the witness mark on my depth gauge. How the hell do you expect me to average depths consistently and competently, especially when I've got the IQ of a cow at a hundred feet? It's not in me and I find any protocol/strategy that requires me to do so problematic from the get-go. In fact, those were the kinds of errors that the people who got bent on RD kept referring to. Me? I want something that compensates for my depth induced ADD and that's a PDC. Can I dive without one? Sure, but I'm not going to do a deep deco dive. I know and honor my limits. RD is one of those protocols/strategies that I can live without. Besides, I don't dive to compute my deco obligation: I dive to look at the pretty fishies and appreciate the friend on my wrist that handles that hideously tedious crap for me. Sure, I check her work, and so far it's been great.

And I respect your opinion.
It stands in stark contrast to statements maintaining the dangers of RD.

We don't see things the same way, and that's okay, too.

BTW, I assume that you've never been bent

Correct.

nor have any of your dive mates, right?

One gas rash after a suit flood in ice water. Other than that, nada.

It seems to me that in this thread, the most ardent proponents of Ratio Deco think people should use it because...

1. It is not as bad in comparison to other systems as people think--the other algorithms are not that much better
2. It is not as dangerous as people think.
3. It is not as hard to do all the math and other calculations while diving as people think. Anyone can do it.
4. A lot of the people who get bent using it made mistakes with the math or other calculations, so it is not the fault of Ratio Deco but rather the fault of the divers who were not able to do the math--even though the math is so simple anyone can do it.

I disagree with this statement.
This looks like the blueprint of something I'd say if someone insisted to me that RD was dangerous.

If and when I'm asked what benefits I see, the focus of the argumentation lies elsewhere entirely.
But so does the nature of the query, so I feel that's natural and fair.

Nope. It is a very valid comparison. If you know the effect something has and you don't like the effect, you don't have to know any more about it.

You berate Pete because he does not have RD training, implying that if he only had the RD training, he would love it. I have the RD training and I do not like it one bit.

So long as we're disambiguating across deep stop emphasis (relevant to a thread on the Spisni-study) and diving computer-free (not relevant to the Spisni-study, and not isolated to RD)

I point out that there was not adequate knowledge behind the statements that RD is dangerous, and I stand by that. That's not the same as implying he, or anyone, would love RD if they had the training, to be sure. But the training is a prerequsite for a more comprehensive understanding.

If you bugger up the depth using ratio deco you would have also buggered up the depth using tables.

Exactly.
 
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And I respect your opinion.
It stands in stark contrast to statements maintaining the dangers of RD.

We don't see things the same way, and that's okay, too.

There we go. That's the whole thing here. Two adults with a different point of view disagreeing without losing respect or acting like politicians debating religion. Nice to hear this.

For the record, I have severe reservations about RD. I've written this before but my opinion is that it had a function in technical diving up to the point at which decent technical computers were widely available. I don't think there can be any doubt that computers do the job better so why anyone would hold onto an outdated and less efficient paradigm is beyond me.

In a technical team I wouldn't accept anyone using RD. There is a proven higher risk of DCS when using RD and I wouldn't want to be a facilitator in someone taking that risk. If they really want to use RD for some odd reason then ok, but not with me.

What is really odd to me (not to rekindle old animosities but it needs to be said) is that for years we heard about DIR being an encapsulation of best practices but you can see this attachment to RD as one example showing that what people call DIR is not keeping pace with developments in diving and, in my opinion, is no longer in a position to claim to be a set of best practices. I think this is regrettable because there is nothing currently out there that can follow it up while at the same time it is increasingly unwise to just accept the system at face value.

R..
 
I don't think there can be any doubt that computers do the job better

I feel that "Which job?" is the question.

Depth averaging or relating depth/time to a mathematical model (algorithm), absolutely!
They're far more accurate.

My personal view is that such accuracy (algorithm choice aside) doesn't translate to a proportionate increase in safety, particulately when we have no accurate understanding of what the algorithm translates to in physiological terms, specifically.

On the other hand, computers have much more clumsy and unintuitive prediction-functions, if any at all.
I can glance at the deck and tell you in minute detail the specifics of every dive I can do that day, based on what's available to me, in about the amount of time it takes me to utter the sentence.

Personally, I find RD practical because it takes practical considerations like gas logistics and diver training level into consideration.
I think that's very practical, but obviously, it doesn't translate directly to a metric that one might immediately consider relevant in an appraisal of safety - however, I don't think it would be outlandish to claim that it might well fit into an overall appraisal of usability and, indirectly, safety.
However, it's obviously much more difficult to gauge practicality and how or why it may or may not have an impact on safety.
But, it shouldn't be impossible, I suppose, given a large enough dataset (the bane of many questions in scuba).

I also find that precisely it's applicability in highlighting the diver's brain as the limiting factor makes it a splendid training tool, but this, too is very difficult to translate into safety, either way.

There is a proven higher risk of DCS when using RD

I'd like to see the support for this claim.
If nothing else, it would be interesting to mine the supporting data for further information.

What is really odd to me (not to rekindle old animosities but it needs to be said) is that for years we heard about DIR being an encapsulation of best practices but you can see this attachment to RD as one example showing that what people call DIR is not keeping pace with developments in diving and, in my opinion, is no longer in a position to claim to be a set of best practices. I think this is regrettable because there is nothing currently out there that can follow it up while at the same time it is increasingly unwise to just accept the system at face value.

If that's about the DIR-wars, it's none of my concern.
I wasn't around for it, and I don't have a stake in it.
If it's about RD not developing, I'd beg to differ - RD2.0 was recently updated to be more in lieu with more recent findings than the previous version(s), and I think there's definitely an evolutionary aspect to this, too.

But holding onto RD is certainly not about lingering in the age of not having a computer worthy of trust on hand;
It's about shifting the focus from the equipment and algorithms, onto the diver's brain.

(I'll reiterate for good order that whichever deep stop emphasis is one's preferred one, can be achieved with RD just as it can with GFs, and that UTD encourage adaptations as one's experience grows).

I personally think the cornerstones of scuba diving are Situational Awareness and strict adherence to observing and staying within one's Comfort Zone.
I feel Ratio Deco quintessentially resonates with that view, and that any measure of safety should be derived from some metric associated with those aspects of diving.
To be clear, deep stop emphasis is, in my view, not isolated to whether one uses PDC (with or without some GF) or RD (with or without some adaptation).
 
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