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The person often coughs and gasps as soon as the mouth is above the water, as this procedure, with empty lungs, is extremely stressful physically. It is also very stressful continuing medical education mentally, as the person generally fully realizes that his/her life is completely dependent on the person operating the equipment and the proper functioning of all the equipment. If even the slightest thing binds up or otherwise goes wrong, the person has very serious problems regarding survival. Health clubs generally require a person to sign a legal waiver (lots of fine print) prior continuing medical education to this procedure! Having continuing medical education this done once would be bad enough! But it turns out that slight variations on how well a person expels air from the lungs can have significant effects on the results, so the accepted method involves repeating this process from seven to ten times, which generally takes around an hour to accomplish.
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