In 2017, at Advanced Hyperbaric Recovery, a large number of our patients seen were effectively treated for traumatic brain injuries (TBI).
These are 2013 stats for Traumatic Brain Injuries in the United States:

•An estimated 2.8 million people sustain a TBI annually.
Of them:
• Nearly 50,000 people die,
• 282,000 are hospitalized, and
• 2.5 million, nearly 80%, are treated and released from an emergency department (EDs).
• TBI is a contributing factor to a third (30%) of all injury-related deaths in the United States. (1)

  • In 2012, an estimated 329,290 children (age 19 or younger) were treated in U.S. EDs for sports and recreation-related injuries that included a diagnosis of concussion or TBI.(2)
  • From 2001 to 2012, the rate of ED visits for sports and recreation-related injuries with a diagnosis of concussion or TBI, alone or in combination with other injuries, more than doubled among children (age 19 or younger).(2)

A Brain Injury consists of a range of life events that compromise the health and function of our brain. A few examples are:

  • dementia
  • cognitive impairment
  • near drowning
  • autism
  • cerebral palsy
  • epilepsy
  • traumatic brain injury
  • stroke

In this Newsletter, we will explore the benefits of Hyperbaric Oxygen Therapy (HBOT) for those with traumatic brain injuries.

What is Traumatic Brain Injury?

Traumatic brain injury, often referred to as TBI, is very different than most other acute events or injuries. One moment the person is normal and the next moment life has abruptly changed.

Since our brain defines who we are, the consequences of a brain injury can affect all aspects of our lives, including our personality.

Most brain injuries do not heal like other injuries such as a broken limb or punctured lung which most often heal and regain their previous function.
TBI can result in physical, cognitive, social, emotional, and behavioral symptoms, and outcome can range from complete recovery to permanent disability or death.
Symptoms may appear right away or may not be present for days or weeks after the injury. Symptoms range from the more acute to mild. More acute with loss of consciousness and paralysis, psychosis, depression, neurological impairment to mild occurrences, where the patient often doesn’t know they have experienced a trauma at first.


image credit; www.modup.net/
One of the consequences of brain injury is that the person often does not realize that a brain injury has occurred. (3) Symptoms can also overlap with migraine symptoms as well as symptoms that may be confused for behavioral issues in younger populations.

Symptoms of TBI range from mild to moderate, then severe. Medical Practitioners will use the Glasgow Coma Scale “GCS” (4), for estimating and categorizing the outcomes of brain injury via a scale of 1-15. The GCS score is determined by measuring values of Motor response, Verbal response and Eye opening and adding them up as the basis of overall social capability or dependence on others.
Glasgow Coma Scale in (parenthesis)

  • MIld TBI; (13-15). Typically defined as a head injury with a temporary loss of brain function. Symptoms may include headache, trouble with thinking, memory, or concentration, nausea, blurry vision, sleep disturbances, or mood changes. Some symptoms may begin immediately, while other may appear days after the injury. Fewer than 10% of sports-related concussions among children are associated with loss of consciousness. It is not unusual for symptoms to last up to four weeks.
  • Moderate TBI; (9-12). Loss of consciousness greater than 30 minutes. Physical or cognitive impairments which may or may resolve. Benefit from Rehabilitation
  • Severe TBI; (3-8). Coma: unconscious state. No meaningful response, no voluntary activities

hbot-brain-450px
by Harch P, Fogarty E, Staab P, Van Meter K
Improved Brain Flow pattern with HBOT
Dr. Paul Harch tells us that “hyperbaric oxygen therapy
is a treatment for wounds in the body at any location.” (5)
We now know that even years later, HBOT will be effective.
Doctor Harch has been doing research for treating wounds
in the brain for almost 30 years.

Brain SPECT scan of a traumatic brain injury
before and after Hyperbaric Oxygen Treatment

DEFINITION

The application of hyperbaric oxygen therapy (HBOT) to chronic traumatic brain injury (TBI) can be traced to clinical practice and research in South Florida and New Orleans, Louisiana. It is well known that the practice of HBOT in chronic neurological conditions was pioneered by the late Dr. Richard Neubauer in the 1970s.

For more information visit HBOT in the Treatment of Chronic Traumatic Brain Injury

Hyperbaric Oxygen Therapy is an effective method of treatment.

  • Reduces cerebral edema and any swelling to the body (in sports or other related head injury (6)
  • Reduces neuroinflammation (7)
  • Increases oxygen saturation to the brain (8)
  • Promotes new blood vesel growth (Angiogenesis)(9)
  • Can create a 8-fold increase in your own stem cell production (10)
  • Reactivates idling neurons within the most oxygen-deficient areas of the brain

Because insurance and Medicare does not cover HBOT for bain injury, HBOT is considered “Off-Label and investigational.”

Recovery is defined as “functional recovery,” which deals with issues associated with “functioning” or the performance of daily activities that are required for self-maintenance (earning an income and maintaining a residence), as well as social activities, based on mechanisms that remain uncertain. No two brain injuries are alike and the consequence of two similar injuries may be very different.


If YOU or anyone in your family, your medical practice,
OR anyone in your life might be a candidate for relief with Hyperbaric Oxygen Therapy, Please consider this remarkable medicine today.
Call us today for more information or to schedule a consultation with our Medical Hyperbaric Physician!
who only consults with the patient for indications, contra-indications and the feasibility of doing Medical Grade Hyperbaric Oxygen Therapy

415-785-8652

Jacqueline S. Chan, DO
Physician, Medical Director

Dr Jacqueline S. Chan, DO is Board Certified in Family Practice, Board Certified in Holistic Medicine, Board Certified in Neuromusculoskeletal Medicine, including Osteopathic Medical Board of California.

Call for an appointment with Dr. Chan
415-785-8652


Our mailing address is:
900 Larkspur Landing CircleSuite #115
Larkspur, CA 94939

February 4 is World Cancer Day;

Hyperbaric Oxygen Therapy (HBOT) is a painless, outpatient, physician referred, healing therapy. Our exclusive, medical grade, hard chamber technology increases the “oxygen gradient” in damaged oxygen-starved tissues, acting as a “cellular energy catapult.”

Your blood carries this oxygen throughout your body. This helps fight bacteria and stimulate the release of substances called growth factors and stem cells, which promote healing.

DID YOU KNOW THAT INSURANCE PAYS for Hyperbaric Oxygen Therapy (HBOT) for Post-Radiation? Did you know that we are contracted with : Kaiser, Anthem Blue Cross, United Health Care and more?
Perhaps you know of ones who need this vital life saving information to improve their Quality of Life?

The relevance to World Cancer Day is that, though, we Do NOT treat cancer, we DO treat cancer patients everyday. Many of our patients who have had radiation treatment for cancerous tumors, present with:

1. Post Radiation Effects, including Burns and Wounds
Effects of radiation can cause tissue, bone, organ deterioration and serious infection, for which HBO is a known therapy. One example is Necrotizing Enterocolitis; Where there is a secondary (often very serious gas gangrene) infection from radiation or surgery. (1)
2. Post Chemo effects, including dizziness, fatigue, nausea, balance, weight gain.
3. Post Cancer Tumor surgery.
Your body’s tissues need an adequate supply of oxygen to function. When tissue is injured, such as a result of surgyer, the tissue requires even more oxygen to survive and to heal. Hyperbaric oxygen therapy increases the amount of oxygen your blood can carry. This increase can restore tissue function to promote healing and fight infection.
Here are a few clinical studies of HBO as an adjunct to the radiotherapy:
  • Head and Neck Cancer HBO has shown the following advantages:
1. Reducing the period and amount of preoperative radiation PLUS reduces the time before surgery.
2. Increase in the rate of primary wound healing due to less radiation effects on the skin and soft tissues.
3. Less impairment of the lymphocyte function.(2)
  • Osteoradionecrosis of the mandible (ORN) (3)
  • Malignant Melanoma (4)
  • Carcinoma of the Lung (5)
Several studies determine that hypoxia (deficiency in the amount of oxygen reaching the tissue), makes curing some tumors more difficult and HBO appears to be the best complement to help radiotherapy be more effective. From the textbook by K.K.Jain, Textbook of Hyperbaric Medicine. (6)
Hyperbaric oxygen (HBO) treatment has for centuries been used to improve or cure disorders involving hypoxia and ischemia, by enhancing the amount of dissolved oxygen in the plasma and thereby increasing O2 delivery to the tissue.
Studies on HBO and cancer studies show that HBO would be applicable to cancer tissue for wound healing and studies show evidence that HBO does not promote cancer growth.
It is important to repeat: HBO in patients with malignancies is considered safe and does not promote cancer growth. (7)
There is evidence that implies that Hyperbaric Oxygen (HBO)
might have tumor-inhibitory effects in certain cancer subtypes (8)
If YOU or anyone in your family, your medical practice,
OR anyone in your life might be a candidate for relief with Hyperbaric Oxygen Therapy, Please consider this remarkable medicine today.
Call us today for more information or to schedule a consultation with our Medical Hyperbaric Physician!415-785-8652
Jacqueline S. Chan, DO
Physician, Medical DirectorDr Jacqueline S. Chan, DO is Board Certified in Family Practice, Board Certified in Holistic Medicine, Board Certified in Neuromusculoskeletal Medicine, including Osteopathic Medical Board of California.

Call for an appointment with Dr. Chan
415-785-8652

 

Wishing you a Healthy Happy New Years from Advanced Hyperbaric Recovery

Advanced Hyperbarics Wishes you a Healthy Season
with some tips to support your health and well being this season
Nobody anticipates serious outcomes from a seasonal cold or flu.
However, serious cases can and do happen.
If you or anyone you know suffers from a serious chronic infection, the following Infections are indications often covered by insurance that are treated with HBOT. Case Studies are included for several of these conditions as seen below.

Our Sonoma/Marin County Firefighters didn’t skip a beat!
They have been fighting the fires in Southern California and recently in Santa Barbara and are coming home very sick asking for more HBOT. The need for HBOT treatment continues.

Please help us help our HEROS!

Carbon Monoxide and other toxic gas poisoning has serious and numerous symptoms to the central nervous system, sometimes long lasting and sometimes fatal. Some symptoms can delay in showing up.

Please donate to support the care we hope to give to any and all who come to see us. thank you!

www.youcaring.com/hbot


H.O.P.E. for Healing Institute’s mission is to alleviate suffering and improve quality of life through Hyperbaric Oxygen therapy! Please help us help those Firefighters and First Responders who have taken care of our communities.

HOPE for Healing Institute, a a501(c)(3) nonprofit organization
Tax ID #26-4647649

For more information or donations by check:
HOPE for Healing Institute
900 Larkspur LandingCircle, Ste. 115
arkspur, CA 94939

Donate Now
Embracing each other during this Season’s time, more than ever, we request your prayers and support for one of our loved ones, Sheri Wheeler, who needs our support at this time. Thank you.
Donate Now
Jacqueline S Chan, DO
Physician, Medical Director

Dr Jacqueline S Chan, DO is Board Certified in Family Practice, Board Certified in Holistic medicine, Board Certified in Neuromusculoskeletal Medicine, including Osteopathic Medical Board of California and a DEA License.

Dr Jacqueline Chan has an essay to share to help you avoid getting sick; entitled,
“Make Me an Onion Sandwich” or “Tips to Stay Healthy this Holiday”
Call for an appointment with Dr. Chan
415-785-8652
Make Me an Onion Sandwhich
Call us today for more information or to schedule a consultation with our Medical Hyperbaric Physician!415-785-8652
November is America’s National Diabetes Month
Here at Advanced Hyperbaric Recovery, we treat Diabetic Patients who have Chronic Non-Healing Wounds with Hyperbaric Oxygen Therapy (HBOT).
We are extremely proud to share stories of saving limbs and improving quality of life.
 

Please watch MaryAnn’s video and testimony of her wound recovery at Advanced Hyperbaric Recovery. Thank you!
Hyperbaric Oxygenation Follows the Gas Laws of Physics

Because of the several gas laws that determine the importance of HBOT, and angiogenesis.
Angiogenesis is the basis of healing chronic wounds.
Boyle’s Law states that, greater pressure (ATA) directly dissolves more gas (oxygen) in a liquid (plasma, other body fluids).
In Henry’s Law of partial pressures says that, the greater the pressure (while breathing pure oxygen), oxygen is dissolved into all the fluids of the body, with equal pressure to all parts of the body.
To read about more gas laws of physics (1)

Because of these Gas Laws, Angiogenesis occurs to super saturate the body’s plasma, tissue and organs to provided wound healing and so much more.

Angiogenesis is the key to HBOT ~ wound healing.
Angiogenesis is new blood vessel growth which is critical to wound healing. in chronic wounds we see low amounts of oxygen or hypoxia. Due to Physical gas laws, receiving HBOT induces a 7-10 fold rise in new vessel growth bringing oxygen rich nutrients to wounds as well as anti inflammatory responses to “gobble up” or remove dead waste and infection. Oxygen gradients are observed to continue to move peripherally towards the center of a wound. This is observed in Diabetic chronic wounds, crush injuries, failing flaps (plastic surgery) and more.
The diagram below, left, shows blood vessel restriction due to an injury or other insult event where oxygen is depleted to tissues. The diagram, right, shows how oxygen under pressure (HBOT) forces increase in oxygen into tissues and is known to occur in most cases by the 20th HBOT.
What is Hyperbaric Oxygenation Therapy (HBOT)?
Hyperbaric oxygenation therapy is a prescribed medical treatment in which a patient breathes pure oxygen at a greater than normal atmospheric pressure. This treatment allows an increased amount of oxygen to circulate in the body.

The word “hyperbaric” is from the Greek root “hyper” meaning “over, above” and “baro” meaning “weight.” Therefore, hyperbaric is “above the (normal) weight” of the atmosphere.

Benefits of Hyperbaric Oxygen for chronic wounds:
· Increases oxygen to tissues
· Increases diffusion gradient
· Enhances immune system function for removal of dead tissue
· Enhances bone formation
· Enhances collagen production for repair of tissues
· Is most effective in diffuse micro-vascular arterial disease
· Requires sufficient arterial flow to the extremity

At Advanced Hyperbaric Recovery, we continue to treat
a
ll Firefighters and First Responders who have put their life on the line fighting recent fires in Sonoma, Mendocino,
Marin and Napa County.

Carbon Monoxide and other toxic gas poisoning has serious and numerous symptoms to the central nervous system, sometimes long lasting and sometimes fatal. Some symptoms can delay in showing up. Please donate to support the care we hope to give to any and all who come to see us. thank you!

www.youcaring.com/hbot


H.O.P.E. for Healing Institute’s mission is to alleviate suffering and improve quality of life through Hyperbaric Oxygen therapy! Please help us help those Firefighters and First Responders who have taken care of our communities.

HOPE for Healing Institute, a a501(c)(3) nonprofit organization
Tax ID #26-4647649

For more information or donations by check:
HOPE for Healing Institute
900 Larkspur LandingCircle, Ste. 115
arkspur, CA 94939

Donate Now
Call us today for more information or to schedule a consultation with our Medical Hyperbaric Physician!415-785-8652
Jacqueline S Chan, DO
Physician, Medical Director

Dr Jacqueline S Chan, DO is Board Certified in Family Practice, Board Certified in Holistic medicine, Board Certified in Neuromusculoskeletal Medicine, including Osteopathic Medical Board of California and a DEA License.
Here, Dr. Chan is standing beside the artwork of our dear and very talented patient, Susan Swartz, who continued to check on us amidst the fires to make sure our staff and facility were ok. – The love was greatly appreciated.

Call for an appointment with Dr. Chan
415-785-8652

 

Here at Advanced Hyperbaric Recovery, it is our honor and privilege to serve any and all First Responder and Firefighters. In our most recent NorthBay Area Fire, many of these men and women have literally worked 9 days straight, off one shift and back on for 48 hours or more. Thankfully, this fire has ended, but many continue to suffer from fatigue, smoke and poisenous gas inhalation and other respiratory issues. Our Firefighters and First Responders didn’t want to leave this fight, even knowing many of their homes were gone.
Jeff, wants you to know “we have an excellent Fire Department! and we still got over run by the fire due to the 70 mph winds and embers flying in every direction.” When Jeff came to Advanced Hyperbaric with symptoms of headache, extreme fatigue, coughing, wheezing, shortness of breath and more, we knew he needed our help. Knowing the protocol for Jeff, we had the great pleasure to support him recovering from the above symptoms. We want to help, knowing we can not remove the grief or suffering of this heart aching disaster we can still provide medical life saving care.

We are seeking donations to support
All Firefighters and First Responders
who put their life on the line fighting recent fires in Sonoma, Mendocino, Marin and Napa County.

www.youcaring.com/hbot


H.O.P.E. for Healing Institute’s mission is to alleviate suffering and improve quality of life through Hyperbaric Oxygen therapy! Please help us help those Firefighters and First Responders who have taken care of our communities.

HOPE for Healing Institute, a a501(c)(3) nonprofit organization
Tax ID #26-4647649

For more information or donations by check:
HOPE for Healing Institute
900 Larkspur LandingCircle, Ste. 115
arkspur, CA 94939

Donate Now

These photos were taken by a first responder in Santa Rosa
Fires are burning throughout Our NorthBay of California. Sadly there are serious health impacts.

Did you know that Hyperbaric Oxygen Therapy (HBOT) treats Carbon Monoxide Poisoning?

Carbon Monoxide (CO) Poisoning is the most common cause of death in fire victims.

These men and women have been exposed to the leading cause of death related to fire, smoke inhalation and CO poisoning. These victims of smoke inhalation suffer a mixture of injuries from airborne particles, burns to the throat and lungs and chemical poisoning. The combustion of plastics and synthetic materials produces a higly toxic mix of cyanide and CO, both, which bind to hemoglobin in red blood cells and block their capacity to carry oxygen to cells and tissues. This is particularly dangerous to the central nervous system.

Symptoms Include:

  • headaches
  • nausea and vomiting
  • dizziness and general malaise
  • altered mental status
  • chest pain
  • shortness of breath
  • myocardial ischemia and cardiac arrest

Some 50–80% of fire deaths are the result of smoke inhalation injuries, including burns to the respiratory system. The hot smoke injures or kills by a combination of thermal damage, poisoning, pulmonary irritation and swelling, caused by carbon monoxide, cyanide and other combustion products.

The death rate of patients with both severe burns and smoke inhalation can be in excess of 50%.

Any person with apparent signs of smoke inhalation should be immediately evaluated by a medical professional such as a paramedic or physician. In severe cases Hyperbaric Oxygen is highly suggested. Advanced medical care may be necessary to save the life of the patient, including mechanical ventilation even if the person is conscious and alert. Pending advanced intervention, the patient should be brought into fresh air and given medical oxygen.

Carbon Monoxide, CO, is a colorless, odorless poison gas formed by incomplete combustion, first described by John Scott Haldan, the father of oxygen therapy, in 1908.

CO mainly effects the heart and brain. About 14% of surviving patients have permanent brain damage. Delayed neurological sequelae (problems resulting and persisting from the original injury) occur 3-21 days later and can also cause increased cardiovascular-related death over 10 years following injury.(1) In a published article of a clinical trial comparing cognitive function of patients treated with Hyperbaric Oxygen (HBOT) vs. normobaric oxygen, (100% O2 via face mask or nasal cannula delivered at a “sea level” of normal pressure. (2)

Because hemoglobin likes CO nearly 220 times better than oxygen, and binds to it readily, the entire oxygen transport uptake and utilization system is disrupted. A direct cascade of injury to the central nervous system; the brain, as well as major blood vessel injury.
Benefits of Hyperbaric Oxygen HBOT:

  • HBOT is a primary treatment.
  • HBOT speeds carboxyhemoglobin dissociation (gets CO off the hemoglobin molecules) and improves tissue oxygenation.
The half-life of CO is removed from hemoglobin at 320 minutes on room air (5 hours and 20 minutes), 90 minutes on 100% O2 and 23 minutes at 3 ATA (in a hyperbaric O2 chamber).
  • Reduces cerebral edema and intracranial pressure by constricting brain vessels.
  • Reduces pulmonary edema caused by smoke inhalation
  • Inhibits the toxic process, speeds recovery, reduces the number of delayed functional and neurotic abnormalities and reduces mortality.
  • Improves the mitochondrial function.
  • Inhibits lipid peroxidation transiently.
  • Impairs leukocyte adhesion to injured microvasculature.
  • Inhibits neutrophil adhesion to the vasculature. (3)

Optimal benefit from HBOT occurs in those treated with he least delay after exposure (1)

Call us today for more information or to schedule a consultation with our Medical Hyperbaric Physician!415-785-8652
Jacqueline S Chan, DO
Physician, Medical DirectorDr Jacqueline S Chan, DO is Board Certified in Family Practice, Board Certified in Holistic medicine, Board Certified in Neuromusculoskeletal Medicine, including Osteopathic Medical Board of California and a DEA License.
Here, Dr. Chan is standing beside the artwork of our dear and very talented patient, Susan Swartz, who continued to check on us amidst the fires to make sure our staff and facility were ok. – The love was greatly appreciated.Call for an appointment with Dr. Chan
415-785-8652

 

 

Sammy Enos Update

January 17, 2017

Hi I just wanted to share some good news we had with Sammy. A few weeks back Sammy went in for an EEG test to measure for seizure activity. He had a horrific seizure at 13 months. We got the test results back and they were clear. Completely free of seizure activity!

This is a huge shift for this little guy . We just saw his neurologist and he even admitted he was surprised by the result. To our great surprise and relief , he said we now can ween Sam off the phenobarbital! Just amazing!

I am so beyond proud of this little guy. He continues to surprise us all. We have sought out therapies that will assist Sammy in reaching milestones but that also heal on a deep level. I feel like that is what we are starting to see in his test results and in just the beautiful little boy in front of us. We are so lucky and thankful for all your love and support!

Thank you so much for being a huge part of this deep and miraculous healing. We hope to see you soon. I am hoping we could do a summer session. Trying to figure out the money stuff now. Happy New Year! We miss EVERYONE at HBOT.

Red Nose Day 2016

March 19, 2016