Audience: I was hoping you could walk us through an example of how you would do something that we commonly do here like a boat dive. For a dive on the Cypress Sea charter boat, we'll go on what they call an advanced trip. You do three dives in one day, maybe between 90 to 130ft on the bottom. It's not terribly deep but you're doing three dives. You bring one set of doubles and maybe one or two small stage tanks. You have maybe an hour and a half between dives. Could you go through how you would plan which gas to bring and how you'd decompress from 30 – 35 minute bottom times or maybe a little longer on the shallower dives?
George: OK, well one of the things that seems to determine ability to tolerate decompression is your degree of vascularity on a capillary level. Not like big veins sticking out on your arms — I'm talking about what you can't see. What you can't see is the vessels that are created by working out. Working out, depriving the tissues of oxygen and nutrients causes angiogenesis. It causes vessels to grow and gives better perfusion. It will be harder to bend those people or hurt those people or injure those people. There are certain tissues that just aren't perfused, like fat. Fat just might have one capillary per cubic millimeter. Nothing. It's like trying to take a stick of butter and decompress it. It's not going to work. On the other hand you don't care if you damage it, you'd like it to get damaged and get rid of it. So you have everything in between, every kind of variation in between.
You have to determine what exactly is going to work for you personally. The biggest thing is the shape of the decompression. If you do the right shape of decompression you're going to be on the right track. Then you just need to fine tune it for the person. You don't want to change the decompression by doing a ton of oxygen at 20ft and altering the gradual ascent shape. That's not what I mean by change. But maybe just be a little more meticulous about certain stops and steps — make sure you do everything by the book. Whereas a guy that's like really well vascularized can probably get away with screwing up and not getting hit. That's how you fine tune your own deal by being meticulous.
As far as these multi-dive days, the biggest risk is really not getting bent, the biggest risk is oxygen exposure, oxygen damage and of course tox. You want to plan your dives so that you're not loaded up with oxygen too early in the game. If you do, when you get to your last dive you can't use it if you need it, so to speak. What I tend to do is to use the deeper deco gasses on the first dive and add the shallower deeper gasses after we do more dives. So let's say it's a two-dive day — two 250ft dives. I'll breathe my 70ft bottle and deco out without oxygen on the first one and I'll add the oxygen to the second one. I generally won't do a full-blown all-gasses-deal each time because I don't want to build up the exposure. The other thing, when you're diving repeatedly, if you approximate the correct deco on the way up — just approximates it — you're in pretty good shape.
You don't really have all this residual stuff during the surface interval. It doesn't really count. It doesn't really work that way. You can go back in the water and do it again as long as you're not bouncing. Remember what happens when you bounce. Once you get out of the water you're still cascading bubbles. You've started that process. You get back in the water, go down and come back up. When you relieve the pressure that process is going to resume and you're going to cause yourself problems. It's actually better to do deeper dives. But it's especially important if you're doing a second or third or whatever dive is that you stay down and ascend properly. You don't bounce it. You stay down and when you do come up that you do it meticulously. You really don't have to do a whole lot more deco on the second or third dive because you've pretty much taken care of it by the first dive. And if you're in real good shape, you're going to be fairly clear after 30 minutes or so out of the water. And even if you're not in really good shape you're going to be, for the most part, clear. And you're not going to do any better if you're not in good shape. You get into that four-hour bit. If you go back in the water and recompress you're probably better off than if you're just sitting out of the water not diving. So you're not really going to have to, let's say, do twice as much or three times as much deco. I've done that for years, repeated dives and back-to-back dives, and it's never been an issue. But I also ascend real carefully. I think the bigger issue is tox. . .
. . .What the Navy found was that in multi-day diving and long exposures, that a sudden spike in the oxygen would trigger a tox regardless of the level. So they tend to back off. What we did was back off the bottom partial pressures. We backed off the deep decompression-gas partial pressures. So we don't go beyond a certain point, at depth, in partial pressure. All of our other deco gasses may start at 1.6 partial pressure and decline from there. For repetitive diving, you merely move your bottle to the next stop up. In other words a 70 bottle would start at 60ft if on a repetitive dive. Two dives or multi-day diving you would generally move the bottles up higher because again you don't want to spike your PPO2 on a multi-day or a long exposure. . .
We did a whole series of body recoveries in Palm Beach where we didn't have enough divers and I had to dive repeatedly. I did a lot of back to back to back 250s with not even an hour in between them, maybe 30 minutes. I did the same deco on each one and it didn't make any difference at all. I started with 50% and then I do 50% and oxygen, some of them we just did 120ft deco [35/25 intermediate mix] and 50% depending on what it was. We had to stay right on the bottom because that's the only way you can see — so it was all rectangular. You can't see down. and it's too dark, so you have to look sideways. On these offshore trips I'd always carry extra oxygen just in case there was a problem and I had to get back in the water.