My trip in the Cozumel Chamber (very long)

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ggunn:
That's a bit of a reach, don't you think?

No, aspartame isn't all that its cracked up to be. Overall, its really just "one more strike" that contributed to Chuck's incident. For example, on the hydration side of things, everything he was drinking was a diuretic (due to caffene content).


****** ******

Chuck, glad you're doing okay, but I do have major problems with your rules. Here's my take on them:

RULE #1: you're on the right track, but a bit misguided. IMO, you did have a dehydration problem that contributed to your accident.

However, keeping properly hydrated is not something that is something that is unique to diving...it should be done every day of your life. Ditto for diet (yours had a lot of fat). If you want a rule of thumb, it should be something along the lines that no more than 1/3rd of all consumed liquids should contain diuretics...specifically, caffene and/or alcohol.

And along these same lines,, monitoring your urine is somethng that should also be done daily, not just in anticipation of diving.


RULE #2: (fly/dive) Relevent to your condition because it increased your dehydration condition. And yes, carrying your own waterbottle on a flight is the method. You also apprently disregarded your fatigue, too.

However, the rule isn't a very good one because diving after flying isn't a problem if you've stayed properly hydrated, properly rested, etc.


RULE #3** (never another Square profile). Sorry, wrong: a red herring.

Dive computers are more conservative than tables (including Suunto's), so the problem here wasn't the "square" provide per se. More likely was the fast ascent error prior to the safety stop, and a generally rushed exit. If you want to blame the profile, it was because you were finishing up deep and had more ascent distance to make an ascent error with.

Insofar as safety stops, this isn't really a 3 minutes -vs- 5 minutes issue, but just that you were rushing overall, so you minimized *all* safety margins.

RULE #4: (O2 on board)

A good point, but this is something to find out before you book the trip, not to discover on the day that you step onboard.


RULE #5: "Before every dive when checking your equipment also evaluate your body."

This is too late. The self-assessment is a continuous process, and it starts hours before the dive, and then gets checked again and again - it doesn't even stop when you enter the water.



FWIW, my overall opinion is that Chuck was dehydrated and fatigued, but had partially masked those symptoms with caffene. A fast/irregular/rushed ascent also contributed, on a profile that would have been enough to load up fast compartments.

I think that his vomiting was probably caused by vertigo, but because of Mexico's reputation for food problems, a diagnostic dillemma was present, so it should not be too suprising that they defaulted to the more common ailment, even though this diagnosis happened in this case to be wrong...O2 does little to resolve food poisoning, except get the equipment crudded up...

IMO, the lesson here is that if you're experiencing vertigo, you need to say so by name ("vertigo"), so as to assist those who are trying to diagnose you.
 
shiro85:
No, aspartame isn't all that its cracked up to be. Overall, its really just "one more strike" that contributed to Chuck's incident. For example, on the hydration side of things, everything he was drinking was a diuretic (due to caffene content).

I have never seen any studies that link aspartame to DCS in any way, but that's not what he was saying, anyway. He said that it is "a powerful neurotoxin", which I can't say I absolutely know is false, but I have my doubts.

I never consume the stuff, not because of any health worries, but because I hate the taste of it.
 
ggunn:
I have never seen any studies that link aspartame to DCS in any way, but that's not what he was saying, anyway. He said that it is "a powerful neurotoxin", which I can't say I absolutely know is false, but I have my doubts.
Internet Urban Legend. http://urbanlegends.about.com/library/blasp.htm
 
Hi there,
I went thru being bent in Fiji and if it werent for DAN i think i would still be there getting "bled" by the local witch doctors.
Long story short.... there chamber is the size of a coffin and the docs just want your money in the chamber as quick as possible... no expaination at all as to what to expect in that thing.
I had a major panic the first time in there...I think I gouged my eyeballs out and pulled my head off... they brought me back up and sent me home ( helicoptor ride away)
THe dan guys sent a representative back with me and actualy did the treatment with me.
I LOVE him. I got thru it.
The DAN docs onthe phone in the states and the DAN aids in fiji were absolutely GREAT!!!
K>





Moodiejeff:
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
 
Just a short note to update my progress.

I am feeling better and better by the day. The slight dizziness is all but gone and the nystagma (sp) in my eyes is diminishing quite rapidly. I am not going to push it but I feel like the symptoms will be all gone by mid or the end of April.

I must admit that I do have good days where I feel nothing of the symptoms and then once in awhile I have a not so good day where the dizziness is stronger and more often. When that happens usually the next day I get really tired easy so I just set down and rest for the day.

Again I am confident that this will all pass and I will have a complete and 100% recovery. Looking forward to diving again sometime in mid or late October, that is if I can find a dive buddy at that time of the year.

Again thanks to everyone for their kinds thoughts. They certianly help a lot.

Also thanks again to Christi if not for her I may not be here today.
 
James Goddard:
In the US "medical oxygen" is considered a presciption drug. In some states "emergency oxygen" is also considered a prescription drug. No, it's not right, but it's the way it is. This is why O2 provider courses stress corny statements like "this is oxygen, it can help you, can I give it to you". There was a great thread on this about a year ago where someone said (paraphrasing) "O2 is cheap, if you're on my boat and even think you need it let me know and I'll point you to the bottle."

That being said, I think Blue Angle should have "offered" oxygen, but I wasn't there and I didn't see the condition Chuck was in. Based on your statment above (not on the case in question) do you really think dive boats should offer O2 to everyone who chums the water in route? I'm ok with that but expect the price of diving in Coz to go up :).

James

The term "Medical Oxygen" refers to the quality and purity of the gas, not the requirement of a prescription to use it. Medical grade oxygen is to be consumed (inhaled) by the human body. Unlike the gas passed through an acetylene torch to to increase the temperature of the burn. Differences deal with possible gas impurities and the handling procedures to eliminate those impurities. Firefighters, Flight Attendants, Ski Patrol and many of our other unlicensed medical professionals use or provide Oxygen on a daily basis. They do so without a "medical prescription". Likewise, everytime a Nitrox diver takes a breath of enriched air, its fortified with "medical" grade Oxygen. No prescription needed, only requirement is the EANX cert. card.

I fully agree, it would have been really nice to have Blue Angel offer Chuck the Green bottle. But I don't however belive that we can find fault with their handling of the incident while Chuck was on the boat. How many times do you think those same divemasters have been on that same stretch of reef, been diving the same profile, with equally as dehydrated individuals, of varying levels of experience, and had someone start vomiting their guts up. There is an old saying in Veterinary Medicine, " If you hear hoofbeats, don't automatically think that they are coming from Zebras". I think that there are a number of Dive OPs that would have missed those early signs of DCS while diving the profile that they were on. If Chuck can't blame them, then neither can we.

Once again, Kudo's to Christi for picking up on the DCS signs. Blue Angel dropped the ball when they failed to maintain contact with the diver, or provide assistance with obtaining medical attention. They should have been able to see the progressive deterioration of Chuck as time went on. I bet it doesn't happen again. I'm betting Chuck's experience has served as a Huge Wake Up Call for all of Coz, as well as for all of us here on the good ole SB. I know I'll be drinking more water on my next trip, and I imagine that Oxygen will be flowing a little more prematurely on the Island. Ken :42:
 
chuck86:
Just a short note to update my progress.

I am feeling better and better by the day. The slight dizziness is all but gone and the nystagma (sp) in my eyes is diminishing quite rapidly. I am not going to push it but I feel like the symptoms will be all gone by mid or the end of April.

I must admit that I do have good days where I feel nothing of the symptoms and then once in awhile I have a not so good day where the dizziness is stronger and more often. When that happens usually the next day I get really tired easy so I just set down and rest for the day.

Again I am confident that this will all pass and I will have a complete and 100% recovery. Looking forward to diving again sometime in mid or late October, that is if I can find a dive buddy at that time of the year.

Again thanks to everyone for their kinds thoughts. They certianly help a lot.

Also thanks again to Christi if not for her I may not be here today.

Chuck- Thanks again for posting your whole experience and keeping us informed as to your recovery. It should help us to all keep a little better track of ourselves. Ken :42:
 
chuck86:
Just a short note to update my progress.

I am feeling better and better by the day. The slight dizziness is all but gone and the nystagma (sp) in my eyes is diminishing quite rapidly. I am not going to push it but I feel like the symptoms will be all gone by mid or the end of April.

I must admit that I do have good days where I feel nothing of the symptoms and then once in awhile I have a not so good day where the dizziness is stronger and more often. When that happens usually the next day I get really tired easy so I just set down and rest for the day.

Again I am confident that this will all pass and I will have a complete and 100% recovery. Looking forward to diving again sometime in mid or late October, that is if I can find a dive buddy at that time of the year.

Again thanks to everyone for their kinds thoughts. They certianly help a lot.

Also thanks again to Christi if not for her I may not be here today.

Glad to hear things are looking up. Get back on the horse as soon as is medically advisable. I now dive nitrox on air tables and am a better diver for the whole experience.
 
Just thought I would jump in here and say a quick word about how things are goin. First of all the symptoms are gone. I feel like I am back to 100% but I will not push it. The count down begins at the end of this month. It appears that I will be diving again Oct. 24, 2005 with Christi of course.

On the bills DAN came through in flying colors. They paid for eveything right down to the wire transfer fees. I would recommend that no one dive without Dan regardless. I will be renewing mine at the top level that they have.

Again thanks to everyone for all your thoughts and good wishes. Everyone please stay safe.
 
chuck86:
Just thought I would jump in here and say a quick word about how things are goin. First of all the symptoms are gone. I feel like I am back to 100% but I will not push it. The count down begins at the end of this month. It appears that I will be diving again Oct. 24, 2005 with Christi of course.

On the bills DAN came through in flying colors. They paid for eveything right down to the wire transfer fees. I would recommend that no one dive without Dan regardless. I will be renewing mine at the top level that they have.

Again thanks to everyone for all your thoughts and good wishes. Everyone please stay safe.

Glad to hear you are up to speed again.....mine was renewed in Apr so I'm ready to go will be in Coz in July w/Christi of course....
 
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