My trip in the Cozumel Chamber (very long)

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chuck86

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Messages
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Location
Kansas
# of dives
200 - 499
My Trip to the Cozumel Chamber

First of all let me say that this is a report of the things that happened to me on a freak deal in Cozumel. There is no one person or Dive Operation at fault. I am blaming no one and there is a story here that people can learn from and that is the only reason for writing this report. I will try as best as I can to keep everything in a chronological order as best as I can remember it.
Where there are rule Numbers in this report there will be a corresponding rule for my diving at the end of the report.

February 20, 2005 (Sunday)

My wife, Linda and I leave Hutchinson Kansas around noon for the drive to Dallas airport so we can fly to Cozumel Monday morning. It is about a six hour drive and we have plenty of time do make it and then stay in a motel tonight. While we drive down we stop several times to get something to drink and snack on. Usually Diet Coke and a candy bar. Carbonated drinks Should have been water to Hydrate my body before diving.

February 21, 2005 (Monday)

After not sleeping very well in anticipation of the flight we get up at 4am to go to the airport for the 7:30am flight to Cozumel. After standing inline for what seemed to be hours we are finally checked in and clear the security gates on our way. The first thing I do is go to Mickey Ds and get an Egg Mac Muffin and a Diet Coke. (Should have been water) **RULE #1**
This is where my first mistake was made. I was not drinking enough water to hydrate my body as it should be for diving.

We waited another 2 hours for the boarding call and then we were on our way. After a smooth flight we landed 2 hours and 15 minutes later in beautiful Cozumel.

We made our way to the hotel and checked in with no problems and by 10am we were at the pool enjoying the sunshine.

I went down to the Blue Angel Dive shop and checked to see if I could get on the afternoon dive boat. They told me yes they would pick me up at the pier at 1:30. **RULE #2**

I went back to the hotel to have lunch with Linda at the pool. We sat around the pool in the sun and enjoyed a great sharing lunch of nachos and a cheese burger and drinking Coke Light.

I had all my dive gear with me and went down to the pier at about 1:15 to meet the boat. They were as usual on time and I got on the boat and we headed south. Getting all my stuff together and getting ready for my first dive of this trip went smoothly and we arrived at Santa Rosa Wall for the first dive. Ramon the dive master tells us that we are at Santa Rosa and we will dive to a max. depth of about 70 feet and we will be there for about 40 to 45 minutes then we will come up to 15 feet for a 3 minute safety stop before surfacing. **RULE #3**

This dive was beautiful, it went off great. Several swim throughs seen loads of sea life, just plain a beautiful dive. The last swim through I went through was at about 55 feet. When I came out I looked up and all the divers were at about 25 feet, way above me. I looked at my gauges and seen I still had 1300 pounds of air left but we had been down for about 38 minutes. I assumed that we were headed for the safety stop. I started to rise and when I hit 30 feet my computer alarmed that I was rising too fast. I stopped and stayed at that level for sometime. Then I started to rise again. When I got to 20 feet my computer started a 3 minute count down. I looked up and the rest of the divers were already at the surface. I motioned to Ramon that I had some time left before I could surface and he signaled back to me that was okay they were going up. I signaled ok and finished my stop. When I surfaced everyone was in the boat and all seemed normal. I got up into the boat and we all set in the boat for about 30 to 45 minutes talking about cave and connote diving.

All of a sudden something hit me like a ton of bricks. I got super dizzy and could not hold my head up. I placed my hand on a tank and lowered my head and closed my eyes in order to try to regain my senses. This did not work. It became progressively worse as time went by. In the next 5 minutes I went from being fine to being so dizzy and disoriented that I was vomiting violently and told the crew I had to get on solid ground. We went immediately to the closet pier to get me on something solid. (Reef Club Pier)
When we arrived at the pier I could not steady myself in any way. My head felt as though it was swinging in 6 or 8 foot circles and every time I opened my eyes I vomited. While I was laying on the pier in my wet suit in the hot sun I was dehydrating even worse that I already was. I asked Ramon if there was a chance that I got BENT. He said no that I probably had food poisoning or motion sickness from setting on the water in the boat.

My condition continued to get worse as time went on. This is where I have a problem with the way this was handled. I know that as a certified diver I am responsible for myself and I agree to that, but there is also an implied responsibility to the dive operation to understand and recognize the symptoms of DCS and respond accordingly. At no time was I given any Oxygen and now I know that should have been the first step above all else. **RULE #4** It should be a regulation that all dive boats have oxygen on board that boat. All books and pamphlets on first aid for diving state that the first thing is get oxygen to the patient ASAP full flow. I would later find out that if oxygen would have been administered immediately after the dizziness hit that it could have saved as many as 2 treatments in the chamber.

After lying on the pier in the sun for about 30 minutes and vomiting violently (Dry Heaves) I asked if they could pull my wet suit off, I was getting terribly warm. After getting my suit off the symptoms were not getting any better. Two of the divers from the boat lifted me up and carried me up into the shaded area where it was much cooler. At this point I could not open my eyes. Every time I opened my eyes I would vomit almost to the point of convulsions. At this time I knew that food poisoning or motion sickness was not my problem.

Ramon called Victor at the dive shop and advised him of our situation. They sent Jeanie down to the Reef Club to get me and take me back to my hotel. When Jeanie got there she advised me that she had called a family practice physician and he told her that I probably had food poisoning. Jeanie and Ramon loaded me into the car and Jeanie took me back to the hotel where we met my wife. Linda and Jeanie carried me up to my hotel room and I went to bed. Jeanie told Linda that it was food poisoning and that it would pass. **RULE #5** At this point I am feeling so bad I actually did not care if I lived or died. I have never been in such a sad shape in my entire life.



It was at this time, just when I thought that I might die, that Christi form BLUEXTSEA DIVING called my room about the following days dive schedule. When Linda told her the shape I was in she told Linda to hand up she was on the way over.

When Christi walked into the room she said get him up we are going to the chamber. She advised me that she talked to Dr. Piccolo on they way over and that he would meet us at the chamber. I now know that with the events taking place as they did, this decision on Christi’s part no doubt saved my life.

Linda and Christi loaded me in her car and to the chamber we went. As soon as I walked in and met Dr. Piccolo he said this man is bent. He checked me over and told me I had suffered DCS Type II my inner ears.

At this point I did not care what it was I just needed some relief. They strip me down and put me in some hospital scrubs and after the Doctor started an IV too hydrate my body really fast, into the chamber I went for a Table 6 treatment. This is 4 ½ hors of breathing pure 100% oxygen on and off according to the doctors tables. They took me down to a pressure equal to 60 feet of depth and I remained there for 2 ½ hours then we moved up to a depth 0f 30 feet 2 hours to finish this treatment.

I began to feel immediate relief. After this treatment I was able to stand by myself although it appeared that I was totally drunk. (Balance was really bad) This chamber treatment was over at about 1:30am on the 22nd. Here I will point out again the importance of oxygen on the boat and recognition of symptoms.

February 22, 2005 (Tuesday)


After coming out of the chamber I was still really disorientated and my balance was really bad. The Doctor placed me in supervised care at the hospital. There the IV remained and they were giving me drugs for the Nausea and the possible headaches that could come. I stayed there in the Hospital for the next 12 Hours. Dr. Piccolo checked on quite frequently and told me things were going to get better. At about noon I went back to the chamber for the second treatment. Another Table 6 treatment.
 
Dr. Piccolo told me that this treatment would remove the bubbles in my eras. He said that this was like a bullet wound. The bubbles are the bullet and when they are removed then the wound is still there. After the bubbles are gone then we will start to heal the wounds. I went through this Table 6 treatment and after it I noticed a huge difference in my symptoms. This brings up the point that if I had food poisoning the chamber would not help that. This proves that I was certainly bent, no question about it. I would say at this point my symptoms were about 65% gone.

I remained in the hospital on IVs and drugs until the next day.

February 23, 2005 (Wednesday)

After a good nights rest and plenty of fluids getting into my body I was starting to feel pretty good. Dr. Piccolo came in to check me and said that we would go to the chamber today for a Table 9 treatment. He explained that the bullet (bubbles) was gone and now we need to heal the wound.

I was able to walk to the chamber myself with very little assistance and that considering the condition that I was in, was a major accomplishment.

The table 9 Treatment was 2 hours and 45 minutes at a depth of 45 feet breathing again 100% pure oxygen according to the Doctor’s tables. Each and every time I visited the Chamber I would come out feeling very much better. After this first Table 9 the Doctor removed the IV and let me go back to the Hotel. He did tell me I had to be like a 6 month old baby. That means I can eat, sleep, use the bathroom, and lay in bed that is all and no exceptions.
He told me that the oxygen is what will heal my wounds. That is I was walking around and using other muscles in my body they were taking oxygen away from my ears and thus slowing up the healing process.

It was at this time that Christi came to my rescue again. We were scheduled to leave the Island but of course that was not going to happen. Christi arranged for us to rent a house in town just behind the Chedruai. This is the house owned by Stephanie’s parents and they were not on the island so they allowed us to live there during our delay. For a very reasonable price I might also add. Christi helped Linda move us and when we were moved in she took Linda to the store to help her buy the things we would need at the house.

February 24, 2005 (Thursday)


After laying around and doing nothing for the last 18 hours I was ready to go nuts and it was time to go see the Doctor. I was relieved that we could move around a bit just to breathe outside air. Today we had another Table 9 treatment and again with each treatment and the complete bed rest I could feel myself getting stronger and the symptoms were going away. I started to get hungry and would eat anything I could get my hands on from good food to junk food it did not matter.

February 25, 2005 (Friday)

At this point in time I am about ready to go nuts. Not doing anything is killing me. I was actually looking forward to the next treatment. This would also be a Table 9 treatment. After this one I really began to feel good and the doctor said that we would check again tomorrow but that could possibly be my last treatment. I was to do nothing again but lay on the bed and rest.

February 26, 2005 (Saturday)

This morning when I awoke I was really feeling much better. The doctor called and asked if I would come to the office instead of the chamber and that made me feel even better. Knowing that he was going to check me there made me feel as though the treatments and worked and we had made some real progress.

When the doctor looked at me and run his entire neurological test he said that I still had some problems with my left eye and a little balance problem still existed, but with rest and time that would heal.

For the next two or three days I was to do nothing but rest and eat and drink all the water that I could handle. He said that the rest and the water were very important and that would really help me heal my wounds.

Let me tell after where I have been I am listening to his every word and I am doing exactly what he says.



The doctor checked me everyday for the next few days and each and every day there was marked improvement.

On March the 4th, 2005 Dr Piccolo released me to fly 72 hours after my last treatment. He also told me that with the proper rest and keeping plenty of fluids in my body I would have a complete and 100% recovery.

I am happy to report that as I am writing this it is March 7th, 2005 and I am feeling next to no dizziness and my balance is near perfect. I feel the improvement everyday and I know that I will have a complete recovery.

I am here today to witness the fact that I owe my life to a few very very dear people.

My wife, Linda, for one for taking care of me like I was a 6 month old baby during all this very trying times.

Christi from BLUEXTSEA DIVING for recognizing the symptoms and taking care of everything we needed while we were going through this ordeal. She did not have to do this remember I was diving with Blue Angel when all this happened. Also at no time did Blue Angel ever contact me or my wife to see how I was doing. In fact I stopped by the dive shop later in the week to see Ramon, and the owner and the help were in a state of complete denial about me being bent.

Of course Dr Piccolo and his wonderful wife Heidi for my treatment of course but also for making us feel as comfortable as possible. Heidi was inside the chamber comforting me from the start and the doctor was outside running the tables to insure that I got the most benefit from my chamber rides.

Where I was at two weeks ago and where I am at today is as different as day and night and I owe it all to these people. Without their efforts and caring there is no question in my mind that I would not be here to report this incident today.

Thank you and GOD BLESS YOU ALL
Good Diving to you all
And above all
STAY SAFE
Please understand that I hold no bad feelings toward anyone and I will be diving again in about 8 months. But with what I have been through and these simple rules that I will follow, II am hoping that if just one person reads and adjusts their diving habits to prevent this from happening to them then my efforts have been justified.

I would also like to add that after some slight confusion, DAN stepped up to the plate and covered every penny of the Chamber and Hospital expenses. Thanks DAN

**RULE #1** From this trip forward, I will start hydrating my body two to three weeks before a dive trip. Before I dive I will check myself. If my urine is not clear or very close to clear then I am not hydrated and should not dive until I am.

**RULE #2** I will never dive and fly in the same daylight hours. There will always be one period of night time between my first or my last dive and flying.

**RULE #3** I will never dive another Square profile. From this dive forward I will take the max depth on my computer split it in half and my first 3 minute safety stop will be at that depth. Then I will proceed to the required 3 minute safety stop at 15 feet but mine will be 5 minutes. (NO EXCEPTIONS)

**RULE #4** I will never step one foot on another dive boat without first asking, 1. Do you have oxygen on board this boat. 2. Is the bottle full. 3. Do you know how to use it? If the answer to any one of these simple questions is no then I will politely back away and say I am sorry I can not dive with you today. (NO EXCEPTIONS)

**RULE #5** Before every dive when checking your equipment also evaluate your body. Are you tired, dehydrated, anxious, nervous anything that you can think of. After the dive revaluate your body. Are there any changes, if so you need to be checked! The dives are setup to stop or prevent any changes in your body, with the possible exception of slight fatigue, but over fatigue is a signal.

Chuck Peterson
cpeterson31@cox.net
 
Great story Chuck. We really appreciate you taking the time to post it. Hopefully it will save some other divers from the troubles you have faced.

I'm very glad you are doing better and everything worked out ok in the end.

James
 
chuck,
welcome to this board.
thank you for sharing your experience with us.
the information will help everyone to be safer divers.
please follow you doctor's advice and i'm sure you will be back diving again.
regards
 
Thanks Chuck and very glad to hear that you are doing well. I too will not get on a boat without oxygen on board and verification its working. Never have, never will. There are rules in this sport/activity that just should not be broken.

Take care on hope your diving again soon.
 
great to see this post up here chuck and welcome to the board.

This is a good lesson for everyone and a absolutely classic Cozumel DCS scenario.

one question, what computer were you wearing? and now you have had time to think of it were there any other minor details about the dive you could elaborate on that may have contributed to this hit?
 
chuck86:
I am happy to report that as I am writing this it is March 7th, 2005 and I am feeling next to no dizziness and my balance is near perfect. I feel the improvement everyday and I know that I will have a complete recovery.

I am here today to witness the fact that I owe my life to a few very very dear people.

My wife, Linda, for one for taking care of me like I was a 6 month old baby during all this very trying times.

Christi from BLUEXTSEA DIVING for recognizing the symptoms and taking care of everything we needed while we were going through this ordeal. She did not have to do this remember I was diving with Blue Angel when all this happened. Also at no time did Blue Angel ever contact me or my wife to see how I was doing. In fact I stopped by the dive shop later in the week to see Ramon, and the owner and the help were in a state of complete denial about me being bent.

Please understand that I hold no bad feelings toward anyone and I will be diving again in about 8 months.

Chuck

It's great to hear that you are doing well. Trust me, a LOT of people were following your progress with interest and I'm sure all are glad to see that this turned out well in the end. Thank you for taking the time to post such an informative, honest and unbiased report. I'm sure it will have a lasting impact on a lot of people.

I'm not so sure I would be as forgiving as you of Blue Angel but of course you lived it and not me. I'm sure it helped having your wife, Christi & Dr Piccolo on your side.

2 questions (sorry if i missed it)... Did the boat have Oxygen and they did not give it to you? Or no Oxygen on the boat?

As far as DAN goes... well, I'm sure it helps that this was discussed in a public forum. I am happy to see they stepped up to the plate and covered everything. I will now at least consider renewing my DAN insurance when it is due, instead of switching to diveassure which is where I was headed until they took care of everything.

Once again, good news on your recovery and even better that you're ready to get back on the horse! If you're not already, I'm sure you will be getting Nitrox certified...

Best wishes,
Jeff
 
Please help:

Ok, I still don't understand if the cause was dehydration, or computer malfunction? WHat happened after the computer beeped at you, did it recalibrate and agree with your further ascent?

You mentioned never diving a square again. But at 70 feet or less, shouldn't your computer allow you ascents and descents without jeopardizing you for DCS? I know that in rec diving, I have always gone up and down a bit within 20 feet, but overall, I do a safety stop and have been fine.

I agree about hydration, but isn't 2 weeks a bit long? I usually start the day before and have also fared well so far. Grant it I am a typical recreational diver, so maybe you need to make adjustments for depths beyond 60'.
 
Chuck,
Glad to hear that you are on the road to recovery. As the others have said, your "saga" has been well documented on this board. Your personal insight and info are welcome additions.
As a recent "chamber rider", I think your "future rules" are wise and necessary. If/when I am cleared to dive, I will follow a similar set of rules.

take care,
Mike
 
Dive4air:
Please help:

Ok, I still don't understand if the cause was dehydration, or computer malfunction? WHat happened after the computer beeped at you, did it recalibrate and agree with your further ascent?

You mentioned never diving a square again. But at 70 feet or less, shouldn't your computer allow you ascents and descents without jeopardizing you for DCS? I know that in rec diving, I have always gone up and down a bit within 20 feet, but overall, I do a safety stop and have been fine.

I agree about hydration, but isn't 2 weeks a bit long? I usually start the day before and have also fared well so far. Grant it I am a typical recreational diver, so maybe you need to make adjustments for depths beyond 60'.

I'm concerned with your comments which make it seem as if you completely rely on your computer. If I am misunderstanding your post, I apologize.

Even diving with a computer and following it does not guarantee that you won't get bent. All it is is a tool that gives you guidelines to follow. Computer algorythms are based on ideal conditions. They cannot take into account the physiological things going on in your body, or age, or what you've been doing leading up to the dive, etc.

An up and down within 20 feet profile as you describe it is not advisable. That is in fact considered a sawtooth profile. The pressure changes in 20 feet are significant enough to cause air space clearing problems as well as providing the perfect breeding ground for bubble formation. Have you ever shaken up a soft drink? That's in essence what you are doing with your body when you are doing and up and down dive because you do not give the N2 an opportunity to "escape."

Do not rely solely on your computer and have the false impression that if you follow your computer, you will be fine. I also cannot express enough, the importance of really understanding how YOUR computer works...inother words, read the manual. They are all different.

His computer did not malfunction at all, in fact the opposite. It gave him a warning signal that he needed to slow his ascent, which he did. It continued to work and count down his safety stop for him, although I agree...5 minutes is better :)
 
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