dissolved gas models originally aimed to prevent bubble formation. And then doppler ultrasound came along and showed that bubbles are always present
This!
Why much DCS occurs is still unknown. Yes, there are pieces we understand clearly -
-- You have a Patent Foramen Ovale, bubble from a rapid ascent, shunt a bubble over to the arterial side and have a stroke or get paralyzed. That makes sense.
-- You are a caisson worker, get filled with nitrogen, ascend too rapidly and dissolved gas bubbles out in your joints. That makes sense.
So you develop a model that creates an ascent strategy that minimizes bubble formation! That makes sense.
But along comes echocadiography and we see bubbles in almost everybody. Everybody! No matter their ascent strategy. Huh?
Along comes NEDU with an ascent strategy experiment that compared deeper stops with a similar length decompression profile with shallower stops, pushing some divers deliberately into DCS!! And despite theoretically minimizing bubble formation, the deeper stops fared worse. Huh?
So we argue passionately about fast tissues and slow tissues and gradients and bubbles, and try to make a modestly complex model fit a really complex system.
So we're wrestling with this. Minimizing bubble formation makes intuitive sense, but that system by itself doesn't work!!! Something else is going on...
Creating a society where we all share stuff and get along makes intuitive sense, but Communism by itself doesn't work. Other factors come into play.
Does that mean we can't get along? No.
Does that mean minimizing bubbles is unimportant? No.
We're diving a blended system that seems to work okay, while we try to figure it out.
We're living a blended system that seems to work, while we try to figure it out.
Like politics, arguing bubbles vs. gradients is futile. There is too much we don't know. Some things are obvious, in both arenas! But that doesn't mean that that's all there is to it.
For me, the analogy to failed political systems really helps me. As a college student, I wanted sharing and communes and joint effort to work. It made sense in my heart. But some people were lazy and some people stole stuff.
As a diver and scientist, I wanted the bubble model to work. It made sense in my mind. But facts are stubborn things.
This is a cool time to be alive. In politics and in diving. Let the experiments continue. Folks will suffer, no doubt. I don't know of another way to find the answer. In the meantime, I just try to keep my head down, and dive...safely?