How You can Improve Brain Function Post ConcussionSeptember 24, 2018, 5:08 PM

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September is National Traumatic
Brain Injury Awareness Month
Have you had a Traumatic Brain Injury?




Traumatic brain injury (TBI) is an insult or trauma to the brain caused by external mechanical forces. Chronic Traumatic Encephalopathy (CTE), another form of TBI is a progressive degenerative disease of the brain found in people with a history of repetitive brain trauma (often athletes). This includes symptomatic concussions as well as asymptomatic subconcussive hits to the head. An estimated 10 million people affected annually by TBI in the world: 1.7 million in the U.S., causing mortality and morbidity is a dramatic imposing event on society. TBI is a pressing public health and medical problem. According to the World Health Organization, TBI will surpass many diseases as the major cause of death and disability by the year 2020.(1) Brain Trauma can effect a single or multiple area and be mild moderate or severe and can cause significant cognitive, behavioral, and communicative disabilities. Immediate therapy can support reversing damage to the brain. With delay, a chain of events and secondary injury occur where there is ongoing injury to the brain through edema, hypoxia and ischemia secondary to raised intracranial pressure, release of excitotoxic neurotransmitters and impaired calcium homeostasis. (2) The longer a person waits to receive therapy, will determine their longterm outcome.
A Beneficial Treatment for TBI, CTE, PTSD, PCS and for
Post Concussion does exist: Hyperbaric Oxygen Therapy (HBOT)


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.”
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
  • Inhibits bacterial infection

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

The yellow to red areas show increase of oxygenation.

These videos give more insight into successes and science with HBOT:
Joe Namath Please watch: (3) , (4), (5)
Sergeant Rotenberry and Wife (6)

For more investigational reporting about sports related HBOT,
please read more….



Julia, R.N. Suffers a stroke
At Advanced Hyperbaric Recovery, we provide HBOT to people in need. We are learning that even years after a trauma to the brain, there is hope. More research is needed, but the quality of life for an individual can be the difference between life and death. (11)



Falling tree limb Post Concussion Recovery
At our award winning facility, we charge a fraction of the cost using the same medical grade hard chambers and following the same standards of care as a hospital based Hyperbaric unit.
We would love for you to come and tour our facility. We will prepare the most recent research for your specific diagnosis whenever available.
If YOU or anyone in your family
or anyone in your community might be a candidate, whose quality of life may be greatly improved for 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
Hyperbaric Physician is Board Certified in Neuromusculoskeletal Medicine and Family Practice

Advanced Hyperbaric Recovery, Inc is an award winning facility located just 10 minutes north of the Golden Gate Bridge in the beautiful San Francisco Bay Area.
We use hard steel chambers with acrylic windows that are pressurized with 100% medical grade oxygen.

Our mailing address is:
900 Larkspur Landing CircleSuite #115
Larkspur, CA 94939
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Advanced Hyperbaric Recovery · 900 Larkspur Landing Circle · Suite #115 · Larkspur, CA 94939 · USA

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Just last month a study was published stating that Erectile Dysfunction (ED) is caused by microvascular or macrovascular insufficiency in the majority of patients. Studies have shown that hyperbaric oxygen therapy (HBOT) can induce angiogenesis in different body organs, and that …
HBOT can induce angiogenesis
and recover erectile function.(1)
Angiogenesis is the physiological process through which new blood vessels form from pre-existing vessels(2) If tissues are damaged as a result of injury or hypoxia, this also results in damage and destruction of the supporting blood vessel structures. The healing process relies on blood supply and the blood nutrient structures to carry out healing as well as to remove damaged cells, debris and foreign micro-organisms.

Research has demonstrated that treatment with hyperbaric oxygen therapy significantly increases the number and actual size of blood vessels in damaged tissues and wounds. This allows an improved blood flow and the healing process to occur faster, speeding the recovery of the injury or wound.(3)


At Advanced Hyperbaric Recovery, we treat men daily for many reasons. Hyperbaric oxygen therapy (HBOT) is a medical technique which delivers 100 percent medical grade oxygen at ambient pressures. This will increase the amount of dissolved oxygen in the blood and increase oxygen distribution to the tissues. There are several beneficial properties of HBOT concomitant with elevated oxygen distribution in tissue including anti-inflammation, angiogenesis through vascular endothelial growth factor proliferation, augmented fibroblast activity through fibroblast growth factor proliferation, tissue and wound repair, enhancement of lymphocyte and macrophage activity, increased male testosterone secretion, and bacteriostatic as well as bactericidal activity.(4)
Some diagnoses that we treat are non-healing diabetic wounds, osteoradionecrosis, osteomyelitis, post radiation treatment (part of a total of 13 FDA approved conditions). (5)

These indications are mostly covered by insurance. We treat “off label” concerns as well, such as post-concussion, stroke, post-surgical procedures, athletic exercise recovery, erectile dysfunction and more. Hyperbaric Oxygenation has also been shown to improve erectile dysfunction of penile nerve injuries. (6)
Hyperbaric oxygen therapy for radiation induced proctopathy in men treated for prostate cancer, had good overall response rate to hyperbaric oxygen for radiation induced proctopathy after other attempts at management had failed.
Hyperbaric oxygen is generally well tolerated and it remains an important treatment option for managing this common and difficult disease.(6)

For further reading of the advantages of Hyperbaric Oxygen Therapy and men’s genitourinary health, please read:

  • Recovery of Erectile Function after Posterior Urethral reconstruction (8)
  • Clinical Utility of Hyperbaric Oxygen Therapy in Genitourinary Medicine (9)

We are Contracted with: Kaiser Permanente, Blue Cross, Blue Shield, United Health Care, and more.
We have an insurance billing specialist who may be able to assist you in getting your Insurance to cover your addroved condition.

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
Advanced Hyperbaric Recovery, Inc is an award winning facility located just 10 minutes north of the Golden Gate Bridge in the beautiful San Francisco Bay Area.
We use hard steel chambers with acrylic windows that are pressurized with 100% medical grade oxygen.
Hyperbaric Oxygen therapy is FDA approved to treat 13 indications. It is considered “off label” to treat any other diagnoses not on this list. HBOT does require a physician’s prescription.
We are more than happy to consult with you.

Jacqueline S. Chan, DO
Hyperbaric Physician, Medical Director of our Brain Care Program

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

Newsletter June 2018

May 1, 2018



Strokes are an Emergency Concern.
Think F A S T
One moment life is organized and naturally wonderful, The next, sudden moment, a person can’t smile or see or speak or think clearly.
Please watch this short 5 minute video to see a demonstration of a stroke and emergency care. (1)

Description of the condition

Stroke may be defined as a sudden neurological deficit of presumed vascular origin (2). Often, a stroke is described using the analogy of a heart attack. Similar to the heart becoming blocked and injured due to less or no oxygen during a heart attack, something has dislodged itself and is blocking a vessel preventing oxygen from getting to the brain. Understanding signs and symptoms are important to determine the emergency nature and getting a patient to the Emergency Room as soon as possible.
Time and the brain during a stroke are essential for intensive stroke management.

Ischaemic heart disease and stroke are the world’s biggest killers, accounting for a combined 15 million deaths in 2015. These diseases have remained the leading causes of death globally in the last 15 years.(3), and a leading cause of disability. About one-third of survivors require significant assistance in daily life at one year after the event (4).
Every 40 seconds in the United States, someone has a stroke. One of the common myths about stroke is that it only affects older people. While it’s true that stroke risk increases with age, anyone can have a stroke at any time. (5)
Strokes fall into three subgroups: ischemic (impairment of blood flow), which account for 87% of all stroke cases and hemorrhagic (when a weakened blood vessel ruptures causing bleeding within the brain) accounting for 23%, and TIA’s or transient ischemic attacks which are mini “warning” strokes and must be taken very seriously. The former has lower case fatality rates than hemorrhagic strokes. (6)
Early assessment will lead to the greatest outcome post stroke. Neuroimaging (preferably using computerised tomography (CT) scan) is required for optimal management.(7)

At Advanced Hyperbaric Recovery, we have an

Advanced Brain Care Program

Improved Brain Blood Flow Pattern with HBOT
hbot-brain-450pxby Harch P, Fogarty E, Staab P, Van Meter KHyperbaric Oxygen Therapy (HBOT)

  • Reduces cerebral edema (8)
  • Reduces neuroinflammation (9)
  • Increases oxygen saturation to the brain (10)
  • Promotes new blood vesel growth (Angiogenesis) (11)
  • Can create a 8-fold increase in your own stem cell production (12)
  • Reactivates idling neurons within the most oxygen-deficient areas of the brain (13)

Treating with Hyperbaric Oxygenation for brain injuries such as strokes is considered an “off label” indication, meaning, most insurances will not reimburse for brain injuries, there are many studies validating using HBOT post stroke, showing that increasing the level of dissolved oxygen by Hyperbaric Oxygen Therapy (HBOT) activated neuroplasticity in patients with chronic neurologic deficiencies due to stroke even 36 months later. (13),(14).

ICU Nurse suffering from post stroke effects regains
quality of life with Hyperbaric Oxygen Therapy!

Because, during a cerebral ischemic event, neurological tissue suffers hypoxia, breathing 100% oxygen in a Hyperbaric Oxygen chamber at 2 atm,(approx. 14.5 PSI or 33 Feet of Sea Water) can double oxygen to the body. The deeper a patient is prescribed to “dive” will increase their PaO2 (which is the lung alveolar oxygen), even more. This treatment done as soon as possible, may prevent irreversible changes which result in unavoidable cell death in the brain, neurologic improvements and a better quality of life following treatment compared to patients studied in a control group not receiving HBOT. (15)

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 of our Brain Care Program
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


Michael J. Fox in 2018
At age 30, Michael J. Fox Fox was diagnosed with young-onset Parkinson’s disease. Later that year, he launched The Michael J. Fox Foundation for Parkinson’s Research, which the New York Times has called “the most credible voice on Parkinson’s research in the world.” Today the largest nonprofit funder of Parkinson’s drug development in the world, the Foundation has galvanized the search for a cure for Parkinson’s disease, and Michael is widely admired for his tireless work as a patient advocate. (1)
U.S. Senate and Local Governments Recognize April as Parkinson’s Awareness Month, bringing attention to the disease and the needs of patients.
2018 marks the 201th anniversary of Parkinson’s disease (PD). (2)
While 201 years is far too long for patients and their loved ones to wait, there has been significant scientific progress in the last few decades alone and there is tremendous cause for optimism. This Parkinson’s Awareness Month, learn how Hyperbaric Oxygen can get involved to help improve the quality of life for a Parkinson’s patient.


image credit; www.modup.net/
Parkinson’s disease is a progressive nervous system disorder that affects how the person moves, including how they speak and write. Symptoms develop gradually, and may start off with ever-so-slight tremors in one hand. People with Parkinson’s disease also experience stiffness and find they cannot carry out movements as rapidly as before – this is called bradykinesia. The muscles of a person with Parkinson’s become weaker and the individual may assume an unusual posture.

Parkinson’s disease, PD, first characterized extensively by an English doctor, James Parkinson, in 1817, is a chronic, degenerative neurological disorder that affects one in 100 people over age 60.(3) While the average age at onset is 60, people have been diagnosed as young as 18. There is no objective test, or biomarker, so it is important to be diagnosed by a specialist.

Estimates of the number of people living with the disease may vary, but recent research indicates that at least one million people in the United States, and more than five million worldwide, have Parkinson’s disease.
Parkinson’s disease belongs to a group of conditions called movement disorders. (4) Movement disorders describe a variety of abnormal body movements that have a neurological basis

The exact cause of PD is unknown, although research points to a combination of genetic and environmental factors.
For most Parkinson’s patients, the cause lies somewhere in the middle. While many PD patients report one or more family members with the disease, it is not always clear that one or several genes are the cause. Similarly, while some patients suspect that exposure to one or another chemical or environmental toxin caused their PD, this also cannot be conclusively proved. Scientists currently believe that in the majority of cases, genetic and environmental factors interact to cause PD. Research into this subject continues aggressively every day. Unfortunately, however, it is generally impossible to determine what specifically caused an individual’s PD. (5)
Symptoms:
Keeping in mind that Parkinson’s symptoms are different for different patients. Many patients experience some symptoms and not others, and the pace at which the disease worsens varies on an individual basis. Only a doctor can make a PD diagnosis and that any one symptom of PD could be caused by other conditions
Motor Symptoms: Noticable from the outside

Non-motor Symptoms of Parkinson’s Disease


Hyperbaric Oxygen Therapy

Why is Parkinson’s Disease amenable to oxygen therapy?

Extensive animal research on Parkinson’s patients has demonstrated a non‐specific chronic inflammatory condition in the substantia nigra of the brain. Hyperbaric Oxygen Therapy (HBOT) has been shown to be an anti‐inflammatory drug in many conditions. HBOT increases oxygen in the body and reduces inflammation as seen in anecdotal evidence of many patients with well established PD who have been treated with HBOT for other conditions such as diabetic foot ulcers. For example, a patient with advanced PD who is confined to a wheelchair may get up and walk across the room after a series of HBOT.
In this Chinese study, HBOT has been shown to improve symptoms and quality of life for individual with Parkinson’s.
http://en.cnki.com.cn/Article_en/CJFDTOTAL-TSYX200903016.htm

4 Case Studies
Performed at a Hyperbaric Facility in Dallas, Texas

Case 1: This physician’s 86 year old mother with a 15-year history of PD and tremors at rest, bradykinesia, sleep disturbance, and depression taking 5 medications for PD underwent a course of 10 HBOT at 1.5 ATA. She reported an improvement in well-being and was observed to have a decrease in tremors. She underwent an additional 3 hyperbaric oxygen therapy at 1.5 ATA. The beneficial effects of the treatment appeared to be sustained over the course of the next 4 months.

Case 2: This 75 year old former corperate vice president with a 6 year history of PD taking dopaminergic drugs with resting tremors, difficulty with balance, and insomnia underwent 20 HBOT at 1.5 ATA and 3 treatments at 1.75 ATA. There was a significant improvement in tremors, balance, and insomnia, which has been maintained for 5 months. The tremors began to return, and the patient underwent 5 additional hyperbaric oxygen treatments with an improvement in symptoms.

Case 3: This 63 year old former fire fighter with a 6 year history of PD like symptoms diagnosed with PD 4 years ago had discontinued his dopaminergic agents, but continued taking amantadine for his tremors without effect. He underwent 30 HBOT at 2.0 ATA and had a complete resolution of his right hand tremor, which has been maintained for the last 5 months.

Case 4: This 69 year old practicing physician with a 3 year history of PD on dopaminergic medication had discontinued driving and reported difficulty in writing, episodes of rigidity, and always feeling “washed out”. After one HBOT treatment at 1.5 ATA, he reported feeling like “his own self again”, and after 7 treatments resumed driving. The treatment benefit appeared to last for 24 to 48 hours- the end point of the benefit strongly related to stress experienced at work. The patient underwent 13 additional HBOT treatments at 2.0 ATA (20 treatments total. He reported a complete resolution of symptoms for 1 month. The “washed out” feeling returned and after undergoing an additional 2 HBOT treatments, he felt “well,” again.

All 4 patients reported a decrease in tremors and an improvement in general well-being. The patients under went an initial course of 10 treatments and were allowed to continue treatment as needed until they perceived a plateau in benefit.

HBOT is a safe, easily administered, and relatively inexpensive treatment. K.H. Holbach reported that HBOT treatment at 1.5 ATA resulted in a balanced cerebral glucose metabolism, which indicated an improved oxygenation and energy production of the injured brain. In this preliminary study to determine if HBOT could play a role in treatment of PD, patients were treated, depending on the severity of their symptoms, from 1.5-2.0 ATA. The protocol of treatments were determined by the patient symptoms in relation to their subjective perceived benefit of treatment and the observations of the patient’s spouses or care givers. The positive preliminary results reported in this small group of patients may be due to a placebo effect.

Further evaluation in the the role of HBOT in the treatment of PD should now be considered.(6)
In this video, a patient speaks about the improvement of her life with HBOT after 18 treatments.
https://www.youtube.com/watch?v=GpAdwiveM4w
Because insurance and Medicare does not cover HBOT for PD, HBOT is considered “Off-Label and investigational.”

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


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

 

 

 

 





Time For A Change!

Are you tired of seeing the Diabetic in your life suffer? In honor of National Diabetes month we would like to help you, help them.

Preventative medicine for diabetic patients is becoming more advanced everyday and Hyperbaric Oxygen Therapy is at the forefront! 

What can HBOT do for you or your diabetic friends and family?:

  • It can significantly speed the healing of diabetic wounds and ulcers

  • HBOT has shown to reduce the need for insulin injections of many patients

  • HBOT empowers patients to avoid costly surgeries and amputations and save life and limb

 

“Diabetes is a great example whereby, giving the patient the tools, you can manage yourself very well.”

Clayton Christensen



What effect does HBOT have on a diabetic wound?

 

Robert is a school teacher who was able to return to work after 2 years of suffering with a non-healing wound. Now he is able to keep up with his 2nd grade class, garden and swim again without any difficulty.

Within two weeks of starting the treatments, the technicians at the wound care clinic noticed a significant improvement in the condition of the wound. They stated that they had never seen a wound change so quickly and were delighted. The end result of the sessions in the chamber can be seen in this photo. 

The proof is in the science!: 

Eighteen diabetic patients with ischaemic, nonhealing lower-extremity ulcers were recruited in this double-blind study. Patients were assigned randomly to receive either 100 per cent oxygen (treatment group) or air (control group), at 2.4 atmospheres of absolute pressure for 90 min daily, for a total of 30 treatments. Wound surface areas were measured at baseline and then at 2, 4, 6 and 12 weeks, and 6 months.At 12 weeks, healing with complete epithelialization was achieved in 13 of 19 ulcers in the treatment group compared with four of 14 ulcers in the control group (P=0.024, [chi]2 test). The mean(s.d.) decrease of the wound area in the treatment group was 83(36) per cent and that in the control group was 56(39) per cent (P=0.021, Mann-Whitney U test). Hyperbaric oxygen therapy enhanced the healing potential of ischaemic, non-healing, diabetic leg ulcers and may be used as a valuable adjunct to conventional therapy when reconstructive surgery is not possible. Abidia, A.; Kuhan, G.; Laden, G.; Bahia, H.; Johnson, B.; Wilkinson, A.; Renwick, P.; Masson, E.*; McCollum, P. T. Department of Vascular Surgery, Academic Surgical Unit and *Department of Medicine, Hull Royal Infirmary and The University of Hull, Hull, UK

Featured Video:

 

Maryann was confined to a wheelchair with a non-healing diabetic ulcer. She was facing amputation before she did HBOT. “My wound has healed magnificently . . . I’m out of my wheelchair, walking and driving again without anyone’s help!”
Maryann, Tiburon
“The role of hyperbaric oxygen therapy in diabetes preventative care is in re-oxygenating hypoxic tissue, regulating blood sugar level and promoting growth of blood vessels and nerve endings.”

In the textbook of Hyperbaric Medicine we see that there is “noted improvement of cardiovascular complications in diabetic patients on using HBO therapy and later reported HBO as an adjunct to diet and insulin in the treatment of moderately severe diabetes in 130 patients. The dosage of insulin was reduced by 4-38 units in 62.3% of the patients after treatment.”

HBOT in the news:

Treat Chronic Wounds by seeking appropriate care