I got bent without reason

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Thank you for sharing with us. We always want to know "why?" so we can avoid it next time, and we can learn so much from our mistakes and the mistakes of others. However, in this case what I learned is that "stuff happens", even if you did everything right. Yes, you could have done more safety stops that would have taken up all your dive time and then you wouldn't have gotten bent - or maybe you still would have.

Also, DAN is great! I've never had to use it for being bent, but when I had a dive medicine question, there was a doc on the phone taking me through the paces and he came up with the correct answer. I was impressed!

Really sounds like you are living a full life - enjoy your family.
 
I tried to read your initial report. Maybe you mentioned it or maybe you didn't, but did the hospital give you a full DCS neurological exam? When my ex-boyfriend got bent, the doctor spent over 2 hours examining him, testing his balance, focus, did about a thousand skin pricks all over to test for numbness, etc.... It seems odd that the hospital would just assume you had gotten bent based on a swollen knee, especially if the nurse didn't even understand what your concern was at first, and then throw you in the chamber.
As for causes, it was explained to me and my boyfriend when he was admitted (his hit was "unexplained" as well) that overexertion, dehydration, and even very hot showers following a dive could push a seemingly normal set of dives into the DCS risk category. If you're a new diver, did you violate any ascension rules?
Then again, we were also told that some people are just "predisposed" to getting bent, regardless of their dive profile.
How are you feeling now? Have you had a follow-up exam? When will you be cleared to dive again? I'm glad you were covered by DAN and decided to call them.
 
On a 75 ft dive, it'll take me 1 minute to descend following the US Navy recommended max descent rate. SEI table for 80 feet have a 32 minute NDL, I'll usually start up way short of my NDL because I don't like the idea of getting bent. I normally dive a Uwatec Aladin Prime which only gives me 25 minutes on air, but 40 minutes on EAN 32 (58 min on EAN 40 & 49 min on EAN 36). Depending on my mix, I'll be at my max depth for from less than 20 minutes to around 45 minutes. When my computer shows yellow (or before) I start my ascent. I dive lots of different set ups - single 63, 72, 80, 108 or twin 72s. My air consumption is pretty good and I would have no trouble making any of those dives with multiple safety stops on an 80. The EAN 40 dive would be pushing it on a 63. Keep in mind, air lasts a long time on a 15 ft stop. You're shallow, you're relaxed and you're resting. You shouldn't be using much air. If you need more air, either cut your dives shorter or get a bigger tank. You really do want to do everything you can to avoid getting bent.
 
After reading the original post, I was struck by the fact that the OP who suffered DCS was "embarrassed" by the event. I wonder how many divers do not seek help or treatment right away when they believe something is wrong due to the fact that they are ashamed because they feel they may have done something wrong.

Even the terms "undeserved hit" or "unexplained hit" make it sound as if divers shouldn't get bent. Should football players get hurt? The answer is, "No, football players shouldn't get hurt," but on any given Sunday check out the list of pro players who will be out due to injuries. How can they get hurt? They wear padding. They are physically fit. They stretch. They exercise. They have some of the best trainers and team doctors in the world looking out for their health? How can they get hurt? Because things happen to the human body when it is traumatized by forces acting upon it that cannot be controlled by protective equipment, fitness, diet, experience and training. When two 220 pound men collide at a full run, sometimes minor or major injuries will result. The latest injury bringing attention to football is brain injuries due to head trauma and concussions that occur over one's entire career. Sometimes injuries are cumulative.

For divers, unless we are playing Monkey Bash with diver propulsion vehicles, we aren't facing big guys chasing us down at high speed. In diving, rarely is the sport about man vs. man, but man vs. nature or man vs. himself. This applies to the ladies as well, of course. Scuba diving is defined as a "sport of vertigo" according to the text we used in my college Philosophy of Sport and Play course. In this sport, we have a few rules, but the rules, like in any sport, are not guaranteed to prevent injury.

For many years, DCS/DCI has been accompanied by a stigma that only divers who made mistakes became bent. It has been portrayed a sign of weakness, either in one's skill as a diver, or in one's physical body. Both of these may be true since many divers have been bent due to mistakes such as running out of air or due to a too rapid ascent, and others do have physical problems such as a patent foramen ovale, a hole in the heart allowing bubbles to shunt, but which is reparable. Multiple recurrent DCS hits may mean that a diver has a PFO. However, other divers do experience DCS/DCI and "decompression stress" despite doing many things right. We know that factors such as dehydration, fatigue, age, obesity, exertion, cold, etc., may aggravate DCS/DCI, but we also have learned that all of our tables, computers, decompression software, and ratio deco on the fly are all just "black magic." We understand that there is a relationship between nitrogen entering and exiting our tissues when under pressure, and that there is a relationship to more time spent on the bottom requiring more time to ascend to unload tissues. None of our tables, computers or theories has been proven and all from Haldane to bubble models are fraught with errors.

The deciding factor in what tables, computer algorithm, or decompression model or strategy is each individual. Some individuals have bodies that prefer certain gradients of pressure reduction to others. Some great divers are "deco weenies" and need to dive very conservatively, while most fit an average deco tolerance and will be happy with most tables, computers or dive planning software most of the time, while others are tanks and it is hard to bend them. There is conflicting evidence supporting this, some evidence showing DCS as random, while other studies support the idea that individuals always exhibit themselves as morte likely to be bent, average or less likely to be bent.

While some divers and agencies are making tables more conservative, divers who show a higher tolerance for aggressive gradients are making dives with less and less deco. Thanks to a more educated diving population, what science is learning about decompression is starting to come more from the trenches and less from the test tubes.

As such, it is time that DCS/DCI comes out of the closet, and without shame is considered a "sports injury" much the same way as a sprained ankle, a broken bone, or paralysis affects pro football players in the NFL. Something to be avoided, but if suspected, is something that should be shared with others as soon as possible and with the community later if one thinks others may benefit from the experience.

In this case, the OP did the right thing.

I, myself, have not always reported possible DCS hits. Not out of embarrassment, but out of laziness. A few weeks ago, I had what was most likely DCS after a 115 foot dive for 76 minutes. I exited the water, felt hot tingles all over and I felt like I was going to faint. I jumped right back in and descended to 20 feet for 25 more minutes of deco. I reached 10 feet and felt some tingles. I knew I might need help, so I flagged down a couple of instructors underwater from a dive center in Rochester, NY with my wetnotes. They provided me with lots of hydration and O2 at the ready as soon as I exited. I had drifted down the St. Lawrence from Casino Island to the Islander and exited there. A long exposure to cold, exertion at depth trying to unsnag a line in the current, and a big step up upon exiting with twin tanks and argon bottle could have exacerbated the hit. Upon exiting the second time I felt better. I had some issues with minor pain in some joints that evening, but fixed it with pepperoni pizza and lots of Coca-cola and a good movie. (As you can tell that was right out of the diver's medical guide - NOT!) I called DAN 72 hours later after the pain subsided and was given the classification of "decompression stress" which I figure is like a good jolt from a defensive back. But, instead of big guys in a defensive formation, divers battle tiny bubbles in any formation.
 
Texasdivechick let me try to answer them one at a time. I did not break any acension rates if I had my computer would have showed it. I acutally made both accents on the anchor line when I normally alot of times just do accents with nothing. I had every thing set up with dan when I got to the ER I live very close to a deco chamber which played a big part in it. I am going to be side lined for 60 days. I probablly will wait a little longer well just to be safe. I am going in tommorow for another treatment I did table 5 today and I will be doing just a 90 minute ride for safe measures tommorow. But since I live very close to a chamber and I had sysmptoms of DCS it made no sense to the doctor to not send me over there. I also had good insurance and hadn't done anything but dive to basically cause it. I feel fortunate to live where I live because the people were awesome and took care of me. My knee is still a little swolen and seems to feel hot to the touch I am going to call Dan in the morining and talk to them some more.
 
Sorry Trace, if you were a research diver your career would be over.
 
Sorry Trace, if you were a research diver your career would be over.

The funny thing, Thal, is I have two opposing diagnosis to this. DAN, being DAN, said "deco stress" while two paramedics said, "Have you been having any sinus issues?" Apparently, one of the paramedics who is an instructor gets that all of the time as does a girl at a convenient store I mentioned the story to and I did have an ear issue during my deco stop. I wanted to drop down two or three feet to look at something when my ear was just locked solid. I had to remove my mask and blow my nose several times to clear my ear. That's rare for me. The tingles could have been related to the body being exposed to warm water at 10 feet and warmer air at the surface after being in a tight drysuit. I like mine pretty tight.

Either way, what needs to change is all the stigma about DCS. This may have been my second or third issue with a possible DCS/DCI incident in 27 years. None required a chamber ride. I wasn't given any O2 in any case. This episode, O2 was ready, but I didn't use it. I told them I'd breathe it at my truck once I made the walk up A-Bay to get it from where I left it prior to the drift. I felt pretty good so I didn't hook up the O2 reg. The pain I felt could have been due to the cold. I was shivering hard after 72 minutes + another 25 in 60°F so any joint discomfort (minor) later could have just been stiffness. I've made some pretty aggressive ascents even blowing off stops without incident or even a blemish.

Many of the DIR divers I know ended up sucking O2 in intense pain while keeping a bonafide hit quiet. "Punitive" actions that discourage the sharing of information whether a diver is recreational, technical, scientific, military, or commercial only keeps DCS in the closet. Information about dive profiles and divers will help us gain a better understanding of how injuries are caused and to what extent they require treatment.

But, you did do a great job of illustrating why divers choose to keep DCS to themselves! I'll add a "Thanks" for that to your post. :D
 
Well I wasn't gonig to do this but a buddy of mine told me I should so I am going to.

...snip...

Could you please post a little more detail about your profiles. Max depths, run times, if they were ocean or altitude dives, if you drove to altitude on the way home after the dives etc.

From what you posted in one of your later posts it looks like you did 2 65ft dives for about 36 minutes with 1:15 between them, followed by a surface interval lasting the whole night and then two 75ft dives for about 30 min of which only about 10 of that was spent at max depth (if I can piece your story together) with about a 3 hour surface interval between them.

Those are not the kind of profiles you'd expect to get bent from.

It makes me wonder if whatever happened to your knee was a result of DCS or that it was maybe something else that also just happened to get better in the hyperbaric chamber... Did you do anything else on the second day that could explain your knee? Did you have any other symptoms of DCS besides the pain in your knee?

R..
 
DCS hits whilst diving well within limits are always concerning. But at least no one got seriously hurt, and props to you for posting on SB just to remind everyone that these things can and do happen.
 
I think that one of the reasons why divers are quiet about DSC/possible DSC when the diving was within the limits, are that it is much more comforable for everyone if we can keep up the pretend that only happy-go-luck fellows who disregard the rules get bend. This makes us feel much safter - even if it isn't real!
 
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