With structural damage lowering the gear and a slower IAS descent is a good option otherwise a high speed descent is most effective.
And it doesn't matter if 'you've been skiing at flight level 130' maybe you were up to it but you didn't just go through a rapid decompression and had your cabin altitude go from 7000 to 37000+ in seconds with all the debilitating effects of that on your body.
So getting down to 10k if possible is important, you're not on the slopes
