my DCS Hit

Outlaw · 30th December 2007, 20:10

Quote: (Originally Posted by gtzavelas)

Hi Spyros,
i assume you are reffering to this one: gue.com/Expeditions/WKPP/Decompression/nobounce.html
???
it is indeed interesting but i am not sure this is my case

thanks for yr wishes, happy new year to you and yr family as well

George,

thanks for the wishes too. that was not what i was talking about, but i'll read that one as well. i'll learn something i am sure. here is the link to the one i was talking about.... it says something about bounce diving...

hope you do get answers to your questions mate. safe diving in the future.

http://www.dirrebreather.com/article...eory%20GI3.pdf

hope it helps out.

Cheers.

Spyros

sasmedic · 1st January 2008, 06:22

Quote: (Originally Posted by Gene_Hobbs)

sasmedic - do you have a reference to the autopsy data you were involved with? I do know of one case described below (NOTE: very graphic presentation intended for Pathologist).

HI Gene

The info was shared at a presentation of the autopsies (very graphic indeed). I have the presentations in SA and will only be back there in Feb. I am not sure about the status of reproducing the material as I know that it is a serious issue these days. As far as I know there was no article written on it??

I brought this up in the discussion to explain my understanding of the difference in clinical presentation between neuro DCS and AGE.

I can PM you when I am back in?

Thanx for all those references!!!

gtzavelas · 3rd February 2008, 11:20

update:

completed the long list of tests required. all prooved OK
did the final visit with the doc.
he said that the elevated level of Bilirubin is sort of "normal" meaning its should not pose a problem for my health and cleared me to start diving again

so here I go again
and yes, i will take it slow and shallow for the beggining! (i am 3 months out of the water!)

tibby · 3rd February 2008, 15:24

Quote: (Originally Posted by gtzavelas)

update:

completed the long list of tests required. all prooved OK
did the final visit with the doc.
he said that the elevated level of Bilirubin is sort of "normal" meaning its should not pose a problem for my health and cleared me to start diving again

so here I go again
and yes, i will take it slow and shallow for the beggining! (i am 3 months out of the water!)

Great news George!
Good luck and be careful. Just note that what you consider shallow may not seem so shallow to others...

Tibby

Outlaw · 3rd February 2008, 17:13

Quote: (Originally Posted by gtzavelas)

update:

completed the long list of tests required. all prooved OK
did the final visit with the doc.
he said that the elevated level of Bilirubin is sort of "normal" meaning its should not pose a problem for my health and cleared me to start diving again

so here I go again
and yes, i will take it slow and shallow for the beggining! (i am 3 months out of the water!)

George,

let us know of how your dive was once you decide to go. best wishes for a great dive mate...

ChemicalDiver · 3rd February 2008, 19:23

Quote: (Originally Posted by gtzavelas)

[size=3][font=Calibri]

As a final note, my blood tests showed an elevated level of Bilirubin apparently caused by the high level of PO2 that breaks down the red blood ceels. One month after the accident the Bilirubin are still high. I am currently investigating this. (its now 2 months I am out of the water and planning to dive again very soon).

any input is welcomed

George Tzavelas

If your bilirubin is consistently high in blood tests you have most probably "Gilbert's Syndrome".

Nothing serious, around 5% of people have it, so very common, just means that you have higher levels of unconjugated glucoronidated (i.e. sugars stuck on) bilirubin levels due to a reduced activity of an enzyme (UGT1A1) that sticks sugars onto molecules to metabolize them.
It can mean that you are more likely to have jaundice under stress conditions (or after drinking lots of alcohol for example). Also if your whites in your eyes are not very white but sometimes a little yellow, I believe that is also a sign. Other than this there are no symptoms.

Anyway, I do not see how this could be involved in diving since it is so common in people.

Gilbert's syndrome - Wikipedia, the free encyclopedia

Best,
Alex

jorgey · 15th February 2008, 17:31

Hi,
First I want to thank gtzavelas for giving us the chance to learn thru his case and the comments of this thread. Good news, that he's ok!
I was surprised with the discusion about the reverse profile dives. I thought it was well accepted, that doing the shallower dive after the deep one would be safer. From what I read about bubbles I thought, that bubbles of the first dive would be in the circulatory system as the diver goes deeper in the second one. Would that not be dangerous? Couldn't they be crushed and taken in the arterial system, for example? Or, as the ambient pressure would be higher, couldn't that feed the bubbles boosting the bubble formation at the end of the dive?
How good are considered this previous bubbles by the computer algorithms?
I would like to know more about this, maybe someone could discuss this point a little deeper?
jorgeY

jorgey · 15th February 2008, 17:43

oops, I wanted to post it only once....

30th December 2007, 20:10	#31 (permalink)
Outlaw In search of Law breaking Current Rebreather/s: Megalodon Other Rebreather/s: Join Date: Aug 2006 Location: Cyprus, Nicosia Posts: 634	Re: my DCS Hit Quote: (Originally Posted by gtzavelas) Hi Spyros, i assume you are reffering to this one: gue.com/Expeditions/WKPP/Decompression/nobounce.html ??? it is indeed interesting but i am not sure this is my case thanks for yr wishes, happy new year to you and yr family as well George, thanks for the wishes too. that was not what i was talking about, but i'll read that one as well. i'll learn something i am sure. here is the link to the one i was talking about.... it says something about bounce diving... hope you do get answers to your questions mate. safe diving in the future. http://www.dirrebreather.com/article...eory%20GI3.pdf hope it helps out. Cheers. Spyros __________________ CMAS - IANTD - TDI Kamikazi Instrustor Trainer DIRRebreather Team Member ---------------------------- "Once an Outlaw, always an Outlaw"
(Offline)

1st January 2008, 06:22	#32 (permalink)
sasmedic New Member Current Rebreather/s: Dolphin Other Rebreather/s: Dolphin Join Date: Oct 2007 Location: South Africa Posts: 15	Re: my DCS Hit Quote: (Originally Posted by Gene_Hobbs) sasmedic - do you have a reference to the autopsy data you were involved with? I do know of one case described below (NOTE: very graphic presentation intended for Pathologist). HI Gene The info was shared at a presentation of the autopsies (very graphic indeed). I have the presentations in SA and will only be back there in Feb. I am not sure about the status of reproducing the material as I know that it is a serious issue these days. As far as I know there was no article written on it?? I brought this up in the discussion to explain my understanding of the difference in clinical presentation between neuro DCS and AGE. I can PM you when I am back in? Thanx for all those references!!! __________________ The best cure for fear is knowledge!!!
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3rd February 2008, 11:20	#33 (permalink)
gtzavelas Rebreather World Writer Current Rebreather/s: Megalodon RB80 / Clone Other Rebreather/s: RB80 / Clone Join Date: Jan 2006 Location: Athens,Greece Posts: 264	Re: my DCS Hit update: completed the long list of tests required. all prooved OK did the final visit with the doc. he said that the elevated level of Bilirubin is sort of "normal" meaning its should not pose a problem for my health and cleared me to start diving again so here I go again and yes, i will take it slow and shallow for the beggining! (i am 3 months out of the water!)
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3rd February 2008, 15:24	#34 (permalink)
tibby untitled Current Rebreather/s: Megalodon Other Rebreather/s: Join Date: May 2007 Location: Salt Lake City, UT Posts: 338	Re: my DCS Hit Quote: (Originally Posted by gtzavelas) update: completed the long list of tests required. all prooved OK did the final visit with the doc. he said that the elevated level of Bilirubin is sort of "normal" meaning its should not pose a problem for my health and cleared me to start diving again so here I go again and yes, i will take it slow and shallow for the beggining! (i am 3 months out of the water!) Great news George! Good luck and be careful. Just note that what you consider shallow may not seem so shallow to others... Tibby __________________ Does the voice of reason change when you add helium to the mix?...hmm
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3rd February 2008, 17:13	#35 (permalink)
Outlaw In search of Law breaking Current Rebreather/s: Megalodon Other Rebreather/s: Join Date: Aug 2006 Location: Cyprus, Nicosia Posts: 634	Re: my DCS Hit Quote: (Originally Posted by gtzavelas) update: completed the long list of tests required. all prooved OK did the final visit with the doc. he said that the elevated level of Bilirubin is sort of "normal" meaning its should not pose a problem for my health and cleared me to start diving again so here I go again and yes, i will take it slow and shallow for the beggining! (i am 3 months out of the water!) George, let us know of how your dive was once you decide to go. best wishes for a great dive mate... __________________ CMAS - IANTD - TDI Kamikazi Instrustor Trainer DIRRebreather Team Member ---------------------------- "Once an Outlaw, always an Outlaw"
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3rd February 2008, 19:23	#36 (permalink)
ChemicalDiver New Member Current Rebreather/s: Not Bought Yet Other Rebreather/s: Not Bought Yet Join Date: Dec 2006 Location: Switzerland Posts: 28	Re: my DCS Hit Quote: (Originally Posted by gtzavelas) [size=3][font=Calibri] As a final note, my blood tests showed an elevated level of Bilirubin apparently caused by the high level of PO2 that breaks down the red blood ceels. One month after the accident the Bilirubin are still high. I am currently investigating this. (its now 2 months I am out of the water and planning to dive again very soon). any input is welcomed George Tzavelas If your bilirubin is consistently high in blood tests you have most probably "Gilbert's Syndrome". Nothing serious, around 5% of people have it, so very common, just means that you have higher levels of unconjugated glucoronidated (i.e. sugars stuck on) bilirubin levels due to a reduced activity of an enzyme (UGT1A1) that sticks sugars onto molecules to metabolize them. It can mean that you are more likely to have jaundice under stress conditions (or after drinking lots of alcohol for example). Also if your whites in your eyes are not very white but sometimes a little yellow, I believe that is also a sign. Other than this there are no symptoms. Anyway, I do not see how this could be involved in diving since it is so common in people. Gilbert's syndrome - Wikipedia, the free encyclopedia Best, Alex
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15th February 2008, 17:31	#37 (permalink)
jorgey New Member Current Rebreather/s: Azimuth Home Build Other Rebreather/s: Azimuth Home Build Join Date: May 2007 Location: Austria / Argentina Posts: 57	Re: my DCS Hit Hi, First I want to thank gtzavelas for giving us the chance to learn thru his case and the comments of this thread. Good news, that he's ok! I was surprised with the discusion about the reverse profile dives. I thought it was well accepted, that doing the shallower dive after the deep one would be safer. From what I read about bubbles I thought, that bubbles of the first dive would be in the circulatory system as the diver goes deeper in the second one. Would that not be dangerous? Couldn't they be crushed and taken in the arterial system, for example? Or, as the ambient pressure would be higher, couldn't that feed the bubbles boosting the bubble formation at the end of the dive? How good are considered this previous bubbles by the computer algorithms? I would like to know more about this, maybe someone could discuss this point a little deeper? jorgeY
(Offline)

15th February 2008, 17:43	#38 (permalink)
jorgey New Member Current Rebreather/s: Azimuth Home Build Other Rebreather/s: Azimuth Home Build Join Date: May 2007 Location: Austria / Argentina Posts: 57	Re: my DCS Hit oops, I wanted to post it only once.... Last edited by jorgey : 15th February 2008 at 18:54.
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