A short history of nearly everything - Bill Bryson [118]
The bends have been an occupational hazard for sponge and pearl divers since time immemorial but didn't attract much attention in the Western world until the nineteenth century, and then it was among people who didn't get wet at all (or at least not very wet and not generally much above the ankles). They were caisson workers. Caissons were enclosed dry chambers built on riverbeds to facilitate the construction of bridge piers. They were filled with compressed air, and often when the workers emerged after an extended period of working under this artificial pressure they experienced mild symptoms like tingling or itchy skin. But an unpredictable few felt more insistent pain in the joints and occasionally collapsed in agony, sometimes never to get up again.
It was all most puzzling. Sometimes workers would go to bed feeling fine, but wake up paralyzed. Sometimes they wouldn't wake up at all. Ashcroft relates a story concerning the directors of a new tunnel under the Thames who held a celebratory banquet as the tunnel neared completion. To their consternation their champagne failed to fizz when uncorked in the compressed air of the tunnel. However, when at length they emerged into the fresh air of a London evening, the bubbles sprang instantly to fizziness, memorably enlivening the digestive process.
Apart from avoiding high-pressure environments altogether, only two strategies are reliably successful against the bends. The first is to suffer only a very short exposure to the changes in pressure. That is why the free divers I mentioned earlier can descend to depths of five hundred feet without ill effect. They don't stay under long enough for the nitrogen in their system to dissolve into their tissues. The other solution is to ascend by careful stages. This allows the little bubbles of nitrogen to dissipate harmlessly.
A great deal of what we know about surviving at extremes is owed to the extraordinary father-and-son team of John Scott and J. B. S. Haldane. Even by the demanding standards of British intellectuals, the Haldanes were outstandingly eccentric. The senior Haldane was born in 1860 to an aristocratic Scottish family (his brother was Viscount Haldane) but spent most of his career in comparative modesty as a professor of physiology at Oxford. He was famously absent-minded. Once after his wife had sent him upstairs to change for a dinner party he failed to return and was discovered asleep in bed in his pajamas. When roused, Haldane explained that he had found himself disrobing and assumed it was bedtime. His idea of a vacation was to travel to Cornwall to study hookworm in miners. Aldous Huxley, the novelist grandson of T. H. Huxley, who lived with the Haldanes for a time, parodied him, a touch mercilessly, as the scientist Edward Tantamount in the novel Point Counter Point.
Haldane's gift to diving was to work out the rest intervals necessary to manage an ascent from the depths without getting the bends, but his interests ranged across the whole of physiology, from studying altitude sickness in climbers to the problems of heatstroke in desert regions. He had a particular interest in the effects of toxic gases on the human body. To understand more exactly how carbon monoxide leaks killed miners, he methodically poisoned himself, carefully taking and measuring his own blood samples the while. He quit only when he was on the verge of losing all muscle control and his blood saturation level had reached 56 percent—a level, as Trevor Norton notes in his entertaining history of diving, Stars Beneath the Sea, only fractionally removed from nearly certain lethality.
Haldane's