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  1. HBO MD

    Persistent Laryngospasm

    I agree with TSandM. Just as all bleeding ultimately stops, once a patient lapses into unconsciousness, the laryngospasm should no longer persist. Hence the ability to intubate, and hopefully resuscitate at this point.
  2. HBO MD

    Am I being unreasonable if I believe that...

    I have to admit, I'm pretty wary of "Photographic Narcosis". This syndrome is characterized by a sense of entitlement, which, if left untreated, may progress to organ failure or "FITH Syndrome".....*#~! in the head syndrome. These divers typically lose all sense of self control in a narcisistic...
  3. HBO MD

    Japanese/Overseas Wetsuit Question

    So I've noticed that the Japanese divers have had a larger variety of wetsuit styles, or perhaps it's just the diversity of color that catches my eye. Hardly ever the solid commando black we often see. Anyone have any suggestions/experience with ordering and obtaining wetsuits from overseas...
  4. HBO MD

    Question about D300 setup

    Thanks guys ! I have been toying around with all this for some time. I was almost laughed off the boat when I turned up with my Nikonos V, SB 102 and 105. I was very envious of the guys who could shoot and shoot, beyond my roll of 36. Not to mention review their shots rather than wait for 10...
  5. HBO MD

    Any Urologists out there?? Re: acetaminophen

    Good spotting guys ! But I have to agree. Mechanistically this is rather thin. Also, all patients had pre existing renal disease and the association was with etiologies which are classically progressive.
  6. HBO MD

    Any Urologists out there?? Re: acetaminophen

    In the absence of associated liver problems ; a very safe drug. However, when taken chronically, any drug may contribute to problems due to to accumulated metabolites, long term toxicity etc. If your creatinine clearance is less than 10 ml/min, decrease frequency to only 8 hourly, as the...
  7. HBO MD

    Risk of DCS after skipping safety stop?

    You should try to remember that the computer works as an algorithm, and not a measure of your individual tissue levels. As such, the computer functions as a guide. Additionally, if there is going to be an area of risk it will be old areas of injury. As physicians, we look at the associated...
  8. HBO MD

    Advice needed

    Hi Guys, So I'm trying to make the switch to digital after years of Nikonos V use. I was intrigued by the Nikon D90 and eager to see what Sea and Sea was going to provide in terms of housings. I discovered that they now have no plans to do so. OK...lame excuse, I know. In any event, I was...
  9. HBO MD

    Basic decompression questions

    Some references. It's a start.Sorry, day is chaotic and crazy. Hope it generates some interest and help. 1. Weinmann M, Tuxen DV, Scheinkestel CD, Millar I. Decompression Illness: 18 Months Experience at the Alfred Hospital Hyperbaric Service. SPUMS J 1991; 21(3); 135-142. 2. Undersea...
  10. HBO MD

    Basic decompression questions

    Actually published these incidents in SPUMS journal around '91, '92. They are not in isolation and are in the literature.
  11. HBO MD

    Basic decompression questions

    PS. Re ASPIRIN Diving is associated with a mild infammatory response secondary to the presence of microbubble shearing of the layer of cells lining the blood vessels. In response to this, the clotting mechanisms are activated and platelets adhere to the area of injury. Since aspirin has both...
  12. HBO MD

    Basic decompression questions

    Actually, there definitely is a risk of developing DCS and AGE while diving to depths of < 20'. At the Alfred Hospital Recompression Chamber Australia, where I trained, we commonly encountered instructors who presented with symptoms consistant with DCS and AGE, (ie about 2 every month ). These...
  13. HBO MD

    10 years old

    I have absolutely no doubt that there is nothing more wonderful than accompanying your kids upon an amazing adventure and having your own eyes opened once more through their experiences. I am dismayed however, that the potential medical concerns have not been discussed in any great depth and...
  14. HBO MD

    Nikon D 90 vs Olympus E-520

    Hi Guys, Just making the transition to the digital age and am trying to research the numerous alternatives : it's baffling. Would anyone like to comment on the pros and cons of these last 2 which I have narrowed the search to ; namely, Nikon D90 and Olympus E-520 ? Olympus has it's own...
  15. HBO MD

    To Rescue, or not to Rescue - that is the question.

    The litigousness of American society is so utterly appalling that as a society we are now regressing to the point of legalities versus our own humanity and that of potential victims. We need to remind ourselves that the law has very little to do with justice, but is often captive to the debating...
  16. HBO MD

    Hi from a Costa Rican Girl Diver

    Welcome aboard! It's a great place to learn, meet fellow divers and become acquainted. Safe diving and welcome!.
  17. HBO MD

    Galileo Sol: a few questions for users

    I dove with the Sol for about a month in Palau : it is a magnificent device. Some suggestions : # I totally agree about purchasing spare batteries. I noted that after playing around with it and exploring the settings pre diving, the battery had already begun to lose power. # I would "de tune"...
  18. HBO MD

    Asthma and diving

    As a Hyperbaric and Critical Care physician, I would like to thank ScubaERDoc for a very balanced response in an area frought with subjectivity and "personal rights". This is akin to advising motorcyclists to wear helmets. Those of us in the medical profession refer to motorcycles as...
  19. HBO MD

    Asthma and diving

    I have to admit that my bias is that medicals be performed as part of the assessment for suitability for pursuing diving. While this is not the norm in the US, I think it would assist in pre empting potential medical issues that could lead to difficult situations ; whether this be asthma...
  20. HBO MD

    Packing Galileo Sol transmitter?

    Before I travelled the enormous journey to Palau from Boston, I spoke with Scubapro. They informed me that the transmitter's casing is quite solid and built to take some "hits and bangs" while exploring in caves etc. I kept mine on my first stage and within a reg bag for protection. Travelled...
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