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March 7, 2019













Hyperbaric Oxygen Therapy (HBOT) may be able
to benefit these Cardiac Complications:

    • Historically used in Cardiac Surgery as early as the 1600’s
    • Aiding tissue hypoxia following heart attack or prolonged cardiac surgeries
    • Acute Coronary Syndrome (ACS)
    • Cardiac Air Embolism
    • Sternal Infection and Osteomylitits following Cardiac Surgery
  • Arrhythmogenic Right Ventricular Dysplasia (ARVD) (2)

One of the earliest indications using HBOT in cardiovascular surgery was in 1960 by a Dutch surgeon named Boerema (1).
A major strategy during cardiac surgery is managing to supply the body with enough oxygen while potentially stopping the heart and correcting the anomaly.

In a famous study by Boerema et al (2) they showed that animals can survive without blood cells while in a hyperbaric chamber. During this time without their blood, their EEG’s showed no pathological stress or changes and their circulation and blood pressure remained normal as a result of enough oxygen to maintain aerobic metabolism. After re-infusion of their blood, the animals, (pigs) lived normal playful lives.
Resulting from this research in the 1960’s, several countries designed HBO operating “theatres” specifically used for cardiac surgeries where mortality figures were lower than those reported without HBO.

Such was the case with Janet. She was born with a life-threatening condition called aortic valve stenosis, which blocks blood flow across the aortic valve. HBOT SAVED HER LIFE.
The Boston Children’s hyperbaric chamber remained in use until 1974, when rapidly advancing innovations such as the heart-lung bypass made it safe to operate on infants in normal operating rooms. But back in 1964, it was the cutting-edge hyperbaric chamber that gave infants a special chance at having corrective heart surgery.


Prior to a heart attack there will be plaque buildup in major coronary arteries preventing blood flow and oxygen to the heart. Hypoxia or lack of oxygen will cause a cascade of sequelae and potential injury to the heart. What may occur involves damage to cellular metabolism or to mitochondrial function. The changes are extensive and impact the body both micro and macro. (4)

Tissue hypoxia is often amenable to HBO therapy. (pg. 39, Jain Sixth ed.) In the management of disease resulting in tissue hypoxia, HBOT will supersaturate the plasma and the extracellular fluid; Henry’s Law. (5)


Acute coronary syndrome (ACS), includes acute myocardial infarction and unstable angina, is common and may prove fatal. HBOT will improve oxygen supply to the threatened heart and may reduce the volume of heart muscle that perishes. (6)

The main application of HBOT for ACS:

    • Extensive heart muscle damage indicated by lab work showing lesser rise in muscle enzyme.
    • Individual risk of major adverse coronary events and dysrhythmias reduced following HBOT
  • An increase in pain relief with HBOT


As a Harvard Heart Letter From Harvard Health Medical publishing states, “Cancer treatment can be the proverbial double-edged sword. Radiation therapy and chemotherapy are increasing the number of people who survive cancer. However, they can also cause these same people to develop cardiovascular disease.”

“Radiation therapy can cause heart attack, heart failure, and arrhythmias. Traditional and novel chemotherapy agents can damage the heart or peripheral blood vessels, or cause problems with clotting or blood lipids. Some serious cardiovascular effects occur while radiation or chemotherapy is being given; others appear long after cancer has become a distant memory.” Read More….


Massive arterial air embolism is a rare but devastating complication of cardiac operations. Several treatment modalities have been proposed, but hyperbaric oxygen is the specific therapy.
All 5 patients who were treated within 3 hours from the operation and 50% (2 of 4 patients) of those patients treated 3 to 5 hours from operation experienced a full neurologic recovery. With a delay of 9 to 20 hours, only 1 of 8 patients had a full neurologic recovery.
Hyperbaric oxygen therapy should be administered as soon as possible after massive arterial air embolism during cardiac operations. (7)
Another study; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5139121/
We are learning more and more from the successes of the treatment of damaged skin tissues with HBOT.
Because there is often scarring in the chest and leg during bypass surgery, in all likelihood HBOT would aid in healing this surgical scarring.

    • HBOT boosts the body with anti inflammatory cellular components and pro immune responses that protect against infection. (8)
    • HBOT supports in wound healing by supporting the immune system and will increase anti inflammatory proving to increase stem cell count by 8-fold.
  • HBOT also supports angiogenesis bringing new vascularization to wound healing at tissue and organ levels. (9, 10)

Also, there is an enormous benefit of preventing or successfully treating the neurological injury that these surgeries can cause.



ARVD Heart Condition



Post Surgical HBOT
HBOT as an adjunctive treatment for sternal infection and osteomyelitis after sternotomy and cardiothoracic surgery (11)
More reasons Why Hyperbaric Oxygen Therapy (HBOT) is effective:
Read these 22 reasons that HBOT can help you.
For wound healing, HBOT will increase growth factors, endothelial progenaitor cells (EPCs), and stem cell production. (13)
HBOT is given in a hard steel medical grade device called a Hyperbaric chamber. HBOT has been defined by The Undersea and Hyperbaric Medicine Society, as breathing 100% oxygen at a pressure greater than one atmosphere absolute (ATA). (14)

Our award winning facility is conveniently located 10 miles north of the Golden Gate Bridge near beautiful San Francisco. We would love for you to come and tour our facility.

We charge a fraction of the cost, using the same style chambers as a hospital-based Hyperbaric unit.

Insurance will often pay for post radiation therapy damage. (15) If you think your radiation therapy for breast or throat cancers may have led to cardiac diseases, (16) please contact your physician for assistance. Please note that an ejection fraction of greater than 30% is required for our cardiac patients.
If YOU or anyone in your family or anyone in your community might be a candidate,
whose quality of life may be greatly improved 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 Medical Director, Jacqueline S. Chan, DO
Hyperbaric Physician is Board Certified in Neuromusculoskeletal Medicine and Family Practice


Help us alleviate suffering, save or change a life, and especially
improve quality of life for our local Bay Area Neighbors!
Please Donate now.


Physiological Basis Of Hyperbaric Oxygen Therapy (HBOT)
For Ophthalmology

Sequelae of the eye can cause devastating vision loss and blindness as well as loss of independence severely impacting any individual, their family and the health care system.

The conditions for which HBO therapy has shown clear scientific evidence are:

    • Decompression sickness or arterial gas embolism with visual signs or symptoms. (1)
    • Central retinal artery occlusion.
    • Ocular and periocular gas gangrene.
    • Cerebro-rhino-orbital mucormycosis.
    • Periocular necrotizing fasciitis.
    • Carbon monoxide poisoning with visual sequelae.
    • Radiation optic neuropathy.
    • Radiation or mitomycin C-induced scleral necrosis.
    • Periorbital reconstructive surgery.
  • Radiation induced macular ischemia. (2)

The authors then suggest that several other ocular disorders, such as macular degeneration and others, including some causing vision loss, which may benefit from HBOT.
The range where HBO may be effective is broad; from ischemic events of the eye to periocular brown recluse spider envenomation.

At sea level (1.0 ATA), breathing room air, arterial PO2 is approximately 100 mmHg and hemoglobin saturation is approximately 100%. When breathing 100% oxygen at greater pressures than 1.0 ATA, this additional oxygen supersaturates the hemoglobin of the red blood cells forcing the oxygen to dissolve into plasma, (3) tissues, organs (here we include our eyes) to create microvasularization or angiogenesis.

The arterial supply to the eye is via the ophthalmic artery, a branch of the internal carotid artery.
The ophthalmic artery branches to supply areas around the eyes including the optic nerve. (4)


A Stroke to the Eye; Central Retinal Artery Occlusion (CRAO)
This beautiful photo shows the central retinal artery with it’s branches around the eye.

CRAO is potentially devastating and IS an ocular emergency
because it can cause blindness.

CRAO is the ocular analogue of a cerebral stroke. (5) CRAO needs to follow the same principles of treatment as any other vascular end organ ischemic disease. That is, to attempt to reperfuse ischemic tissue as quickly as possible and to prevent a cascade of secondary inflammatory events early.
As stated earlier, the retina has a dual blood supply. HBOT may enable the secondary, choroidal circulation to supply the oxygen needs of the entire retina in CRAO. Since CRAO is often transient, this phenomenon many enable the retina to survive the period of occluded blood flow.
Retinal venous hemoglobin oxygen saturation has been shown to increase from 58% (breathing room air) to 94% in 100% hyperbaric oxygen environment. (6)

HBOT is considered acceptable, safe and effective and will assist to increase the partial pressure of oxygen delivery to ischemic tissue until spontaneous or assisted reperfusion occurs.

Because vision is an emergency, best results for vision restoration occur when oxygen therapy is given within the first 8 hours of vision loss and continued till vision resumes. Good results have also been seen if HBOT is administered within the first 24 hours. (7)
Minimal results may be seen after that depending on each patient’s own physiology.

Once Blind, her eye can now see. Read on for Lisa’s testimony of how Hyperbaric Oxygen Therapy restored her vision after her “stroke to her eye.”
Additional occurrences such as post radiation injury and age-related macular degeneration can cause vision loss due to lack of oxygen and/or injury to the retina.

HBOT positively impacts the retinal cells increasing vision possibility. Because cells of the retina are specialized neurons; actually an extension of the brain, retinal cells respond to HBOT, similarly to brain-injured patients. Oxygen transport is significantly increased with HBOT, supersaturating these organs to bring healing and restoration of function. (8)

Post Radiation use of HBOT: Radiation-induced optic neuropathy (RON or RION) is one of the most common complications that may occur in patients treated with radiotherapy for nasopharyngeal carcinoma (NPC) and other intracranial tumours. (9)
Vison loss is a devastating consequence post radiotherapy for treatment of these cancers. RON may occur months to years after the radiation treatment. To be most effective, HBO has to be initiated as soon after the onset of vision loss as possible. (10)

Here is a testimony of a 41 year old woman presenting with severe visual impairment after 4 years after her radiation therapy. HBOT was promptly instituted when other therapies failed and her vision as well as the quality of her life steadily started to improve. This improvement was documented and confirmed by her progressive recovery of the visual field in her right eye and the changes in her sequential follow-up MR scanning. (11)

HBOT and Macular Degeneration: Age-related macular degeneration (AMD) is a significant cause of visual loss in the United States and Western Europe. As the population ages, the prevalence rate of advanced AMD is expected to double by 2030. A trial treating 14 patients with advanced AMD was done using HBOT for 60 minutes. To read more …. Significant improvements in visual acuity and/or visual field, with improvements in the activities of daily living were observed. HBOT in a monoplace chamber, combined with other therapies offers hope for additional benefit.
More reasons Why Hyperbaric Oxygen Therapy (HBOT) is effective:
Read these 22 reasons that HBOT can help you.
For wound healing, HBOT will increase growth factors, endothelial progenaitor cells (EPCs), and stem cell production. (12)
HBOT is given in a hard steel medical grade device called a Hyperbaric chamber. HBOT has been defined The Undersea and Hyperbaric Medicine Society, as breathing 100% oxygen at a pressure greater than one atmosphere absolute (ATA). (13)

The team of dynamic professionals that make up Advanced Hyperbaric Recovery
Our award winning facility is conveniently located 10 miles north of the Golden Gate Bridge in our beautiful San Francisco Bay Area. We would love for you to come and tour our facility.

We charge a fraction of the cost, using the same style chambers as a hospital-based Hyperbaric unit.

Several Eye Diseases are covered by your Insurance. 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

Advanced Hyperbaric Medical Director, Jacqueline S. Chan, DO
Hyperbaric Physician is Board Certified in Neuromusculoskeletal Medicine and Family Practice
Dr. Chan shares some tips for this cold and flu season.


Help us alleviate suffering, save or change a life, and especially
improve quality of life for our local Bay Area Neighbors!
Please Donate now.



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.”
At Advanced Hyperbaric Recovery, we give hope to so many patients. HBOT is alleviating suffering and Improving Quality of Life!” Over the last decade we know this to be truth for non-healing wounds and post radiation effects, but it’s wonderful when we can also help other patients too. Here are a few of our Wins from 2018!”



Approximately 15% of the patients that we treat suffer from post concussion and cerebrovascular accidents (CVA) or stroke. The diagnoses range from stroke recovery, cerebral infarction, vascular dementia to cognitive impairment. Any brain trauma or CVA impacts oxygenation to our most precious organ. HBOT can change the game of recovery for both acute or chronic patients.
We are honored to treat a Sonoma County First Responder.
Gene Cahn is a retired Fire Fighter/EMT whose family brought him to us approximately one year post cardiac surgery. After Gene’s involved surgery, he suffered a stroke and was in a coma for 9 days. During this time, Gene had a tracheotomy. In his families words, “since his coma, he had digressed and was completely like a baby; unable to talk or lift himself up without special equipment (hoyer lift) and caretakers.” In 5 short weeks after receiving HBOT, Eugene, “is not only much more alert and able to concentrate for longer periods of time, he is able to word-search and to engage with others. He can walk short distances, transfer himself from chair to bed and no longer uses the hoyer lift. His appetite has returned.”
He even recounted to one of the Certified Hyperbaric Technologists, his career as a Sonoma County EMT. Charming and gracious, Gene has become quite a kidder. It is an immense pleasure to observe Gene’s healing, knowing what a contribution this is to his wife, children and grandchildren.



Sharon and Eugene Cahn. Eugene is a Retired EMT and our Post Stroke Patient.


Success describes our patient M.M., diagnosed with Amyloidosis, a rare tissue disease. Her disease left her disabled, unable to walk without her walker or drive herself. Fortunately, this loving wife and mother of 2 was surrounded daily by her families’ loving caring attention. She was very frail and symptomatic when we first met her. By her 5th treatment, her gait was described as normal. With the help of HBOT, she progressed greatly towards an improved quality of life. She went from being wheelchair bound, to walking herself into our office unassisted by chairs, canes or others.


A woman in her early 30’s came to us with her chief complaint being “chronic headaches.” She also stated that she suffered from depression, exhaustion, weakness and dizziness. Once the patient started Hyperbaric Oxygen Therapy she informed us at her 5th treatment that she felt more social. By her 19th treatment, she stated, “I am doing better”. By treatment, #32, she said, “I Feel GREAT!” This Patient related that HBOT has made such a difference and helped her through her hard time of being so sick. She had improvement in all symptoms with the biggest improvement in depression.



A four year old child with severe cerebral palsy is being treated through our Non-Profit 501c3 “H.O.P.E. for Healing Institute.”
Initially, like a slinky, the child could not hold his head or spine erect and appeared to have no purposeful interaction with the Certified Hyperbaric Technologists (CHT’s).
After 5 weeks of treatment, for the first time in his LIFE, he reached up under his mother’s hair and whispered “I love you” TWICE! Sharing this, brought tears to her eyes.
One week later he was sitting up on his own trying to crawl. As he left our facility that day, the CHT waved goodbye. He got really excited trying, but not succeeding, to return the wave. Then she blew him a kiss and he turned around and blew a kiss back. Our CHT was in disbelief so she did it again and he blew a second kiss…!
The miracles continue…

Julia; wife, mother and ICU Nurse who now sits on our Medical Advisory Board, was debilitated by a car accident.
She suffered 2 strokes with multiple cerebral bleeds limiting her to live with limited light in dark environments and not being able to carry or care for her 3 ear old child. After her final treatment, not only has she regained the quality of her life, but has returned to her job in the ICU and is currently getting her teaching credential. She said to our program director, “Janine! this works. HBOT REALLY WORKS!!”



Hyperbaric Oxygen Therapy, a pain free modality has given Julia her life back!



THANK YOU Gary, for being our courageous HERO of 2018! You are our SuperMan!

Gary is our Oxygen Representative from Complete Welders Supply in Sonoma County. He has been working in Oxygen for 2 decades.

Gary ensures our whole system is piped correctly per CA and National regulations; testing the lines, replacing hoses, going above and beyond what is required ~including making last minute deliveries. Gary is our professional partner. Together we guarantee and commit to our delivery, the QUALITY and the Safety that is our #1 commitment.

Thank you Gary for helping us maintain our high standards and safeguards to be the BEST IN HYPERBARIC MEDICINE and for recognizing we save and change lives for the better- alleviating suffering and Improving Quality If Life. YOU make that possible by being the BEST in quality and service yourself.
More than that your heroism in saving the home of your neighbor and your own home during the Sonoma County Wildfires takes courage, guts, and ACTION.

We are so proud to call you our Oxygen Representative and friend.
With love
The Advanced Hyperbaric Recovery Team

Celebrating with Gratitude for your Healing
Some of our individual winning moments while serving our patients are:
~Claudia writes; loving and laughing with a 5 year old C.P. patient spinning together on our desk stool, while waiting for his mother to change back into her street clothes.

~Our Program director shares; “One of my best friends, Linda, lost her home of 27 years in the Sonoma County Fires. As the fire hit her backyard causing the lights to suddenly go out she fell down her stairs injuring her knee trying to flee.
Now in shock, grief, loss, pain and devastation, a big truck servicing the neighborhood ran over her car WITH HER IN IT! breaking her wrist and causing a serious concussion. Finally getting her into the Hyperbaric Chamber helped her in so many ways – the pain and swelling in her knee had gone away (she had been consulting surgeons) the pain and inflammation in her wrist had reduced by 80% and most dramatically she got her brain back. HBOT helped her settle her nervous system and even get her ambition back. Linda went from limping in pain and not being able to function to being able to go back to work as a Real Estate Agent and even took on the job as a caregiver to her invalid mother. She tells me every time I see her “HBOT gave me my life back.”

~Janine exclaims; “Getting to attend the Art Showing of one of our very special patients, Susan Swartz, at the Jan Shrem and Maria Manetti Shrem Museum of Art at UC Davis. To see this lovely patient LIVING her life again and blessing us with her talent is such a gift.

Susan Swartz at her art opening in Davis
~Denora, our beloved Administration Expert states; My favorite work moment this past year was announcing my pregnancy to the staff during our monthly team meeting gifting everyone with yummy cupcakes embellished and “Bump Ahead” toppers!
It is wonderful sharing Baby Layla with you all!

Additional Wins in 2018

~Supporting a very claustrophobic patient during his initial treatments, such that by the end of his 40th treatment he exclaimed “and I am so proud that I really adjusted to my treatments! I felt so cared for and safe.” VG
Why Hyperbaric Oxygen Therapy (HBOT) is effective:
Read these 22 reasons that HBOT can help you.

For wound healing, HBOT will increase growth factors, endothelial progenaitor cells (EPCs), and stem cell production. (1)

The team of dynamic professionals that make up Advanced Hyperbaric Recovery
Our award winning facility is conveniently located 10 miles north of the Golden Gate Bridge in our beautiful San Francisco Bay Area.

We charge a fraction of the cost, using the same style chambers 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

Advanced Hyperbaric Medical Director, Jacqueline S. Chan, DO
Hyperbaric Physician is Board Certified in Neuromusculoskeletal Medicine and Family Practice
Dr. Chan shares some tips for this cold and flu season.


Help us alleviate suffering, save or change a life, and especially
improve quality of life for our local Bay Area Neighbors!
Please Donate now.

Did you know Hyperbaric Oxygen Therapy
Heals Non-Healing wounds?


Under normal conditions a wound may take 3-14 days to heal and consists of a functioning immune system and adequate supply of growth factors such as fibroblasts, new blood vessels, epidermal cells and more.

When any of the components of the wound healing process are compromised, healing may be delayed. Chronic wounds are those that have failed to follow this sequence and do not achieve a sustained anatomic and functional result.

Because of diminished peripheral blood flow and decreased local neovascularization, diabetic wounds and diabetic foot ulcers, as well as other non healing wounds, occur. Chronic wounds commonly occurring reducing the quality of life of those affected.
Diabetic wounds are a major health problem which affects 15% or the 200 million patients worldwide. (1)
November is National Diabetic Month
Hyperbaric Oxygen can improve the quality of life
in your loved one’s Wound Healing!


Because wound tissues are hypoxic and HBOT brings hyper oxygenation and improved capillary angiogenesis, recurring wounds and ulcers including, irradiated and scarred tissues, DO heal. HBOT markedly increases the overall oxygen gradient of these tissues with the central hypoxic area. The increased oxygen gradient is the essential catalytic factor for angiogenesis.(2)

Thus, HBOT assists in tissue preservation at the the zone of coagulation as occurs in burns and at the sight of the compromised graft or skin flap. (3)

Non-Healing wounds ARE SOMETHING INSURANCE WILL PAY FOR.

    • Diabetic Ulcers
    • Bed Sores
    • Vascular Insufficiency Ulcers
    • Compromised Amputation Sites
    • Limb Salvage
    • Clostridial Myonecrosis and Necrotising Soft Tissue Infections
    • Fournier’s Gangrene
    • Crush injury; Compartment Syndrome
    • Plastic Surgery
    • Compromised Skin Flaps
    • Thermal Burns
    • Radiation Induced Wounds
  • Radiation Cystitis or Proctitis

Today several approved applications and indications exist
for HBOT as a successful adjunctive therapy for wound healing of all kinds.(3)

There are 14 FDA APPROVED USES FOR HBOT.(4)
Why Hyperbaric Oxygen Therapy (HBOT) is effective:
HBOT will increase growth factors, endothelial progenaitor cells (EPCs), and stem cell production, to play a key role in wound healing.(5) For people with chronic wounds due to diabetes, HBOT will reduce the size of their wounds and may reduce their number of major amputations.

Our Hyperbaric oxygen therapy (HBOT) uses 100% medical grade oxygen in hard steel chambers to pressurize our patients at greater than atmospheric pressure. HBOT is designed to increase the supply of oxygen and reverse hypoxia to wounds that are not responding to other treatments.

For more information assessing the benefits of adjunctive HBOT for treating chronic ulcers of the lower limb, Read on…

HBOT heals wounds large or small ANYWHERE on or in the body.
Angiogenesis is the key

Other benefits include:

    • Increased oxygen tension allows greater capillary oxygen diffusion distances and increases oxygen-dependant killing of anaerobes by leukocytes.
    • HBOT is appropriate with many of the other adjunct therapies that help in wound healing.
    • Better tolerance to surgical wounding prior to surgery
    • saving a limb from amputation or resulting in less loss.
  • Freedom from pain


Please read this testimony of a young man with a non healing diabetic wound.

I have very poor circulation to my toes from having diabetes for 42 years. Post surgery on my middle toe I had an incision that wasn’t healing. When everything we tried failed, my doctor advised me to look into hyperbaric oxygen therapy as form of healing.

I had a total of 10 treatments. After the initial few treatments I felt more throbbing in my toe where hadn’t had much feeling. My doctor said that this is from improved circulation. I saw an improvement after one week. By the 8th treatment the wound closed and began to disappear. I’m now fully healed and able to wear a shoe on my foot and walk without pain.

I would recommend this form of treatment to anyone who has wounds that just won’t heal. I’m a firm advocate and believer in HBOT. I’m so grateful that there are places like Hyperbaric Oxygen Recovery to help people. I had nothing but positive experiences. The location was easy for my commute. Entering a pleasant atmosphere and being cared for by people who really do care for their patients helped me feel safe and loved.Thank you so much! signed, M.G.



Grandmother avoids amputation and regains independance!
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.”
Our award winning facility is conveniently located 10 miles north of the Golden Gate Bridge in our beautiful San Francisco Bay Area.

We charge a fraction of the cost, using the same style chambers 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


Help us alleviate suffering, save or change a life, and especially
improve quality of life for our local Bay Area Neighbors!
Please Donate now.

Did You know Hyperbaric Oxygen Therapy can help with bone health and healing?

Non-union/Non healing bones
& the Benefits of HBOT

Bone Healing can be delayed or stopped altogether by extensive trauma, bone loss, infection, ageing, premature mobilization, diabetes and osteonecrosis (a disease caused by reduced blood flow to bones in the joints, leading to bone death and breakdown). To read more.
Young athletes as well as elderly diabetics can have non-union or non-healing fractures. These factors can cause chronic pain and disability for patients. In these circumstances, re-establishing the structural integrity of the bones can be a major challenge for doctors.
Oxygen is an essential material for cell metabolism, and reparative processes. Cell proliferation and collagen synthesis have an especially increased demand for oxygen. Evidence from animal and cell line studies has shown that HBOT, the administration of pure oxygen at pressures greater than 1 ATA, results in increased growth factor production. (1)

HBOT is known to stimulate the production of collagen, a tough, fibrous material that fills the space between broken bones and helps ‘knit’ them back together. Hyperbaric oxygen also promotes fast growth of new capillaries in affected areas, which in turn brings more oxygen and nutrients to the bones.


In particular, additional hyperbaric oxygen increases production of osteoblasts and osteoclasts, the cells vital for bone growth, healing and the removal of old, dead bone. Numerous animal studies have demonstrated that osteoblasts and osteoclasts are exquisitely reactive to increased oxygen. In 2007, D. Wu et al conducted an experiment for Connective Tissue Research , investigating in vitro the effects of hyperbaric oxygen on osteoblasts, the cells responsible for synthesizing bone. They observed that HBOT stimulated proliferation of osteoblasts, providing direct cellular evidence that HBOT is effective for fracture healing and bone growth.
Cancer Patients; Did you know that radiation may cause delayed bone death in the areas that were treated?


Deformation of the jaw boned due to radiation
Radiation therapy is a common treatment modality for head and neck cancer. This high-dose radiation therapy although necessary, can induce many side effects. (2)
Surgical interventions in irradiated fields may also result in infections, delayed healing and dehiscence (gaping wounds). One of the most severe complications of radiation therapy is osteoradionecrosis (ORN), bone death caused by radiation therapy which can occur during or after treatment.

ORN is generally defined clinically as the presence of “exposed irradiated bone tissue that fails to heal over a period of 4 months without a residual or recurrent tumor.” (2)

The main problem with radiation injury is hypoxia. In 1983, Robert E Marx DDS presented the 3-H concept, stipulating that progressive fibrosis and obliterative endarteritis lead to a hypovascular, hypocellular and hypoxic environment (hence the name 3-H).(3), (4)

Where there is hypoxia from radiation, early tissue damage occurring a few weeks to a few months and late tissue damage which is more severe and considered irreversible can occur several months to years following irradiation.The “Marx Protocol” has supported many patients with success from ORN.(4)
Why Hyperbaric Oxygen Therapy (HBOT) is effective is because it reverses Hypoxia to the tissue!

Benefits of HBO2

    • Vascular improvement (5)
    • Expedited healing of ORN
    • Better tolerance to surgical wounding prior to oral surgery
    • Prevention of mandibular necrosis as a result of tooth extraction
    • Freedom from pain
    • Restoration of mandibular function and wearing of dental appliances, if needed
  • Maintenance of intact mucosa and skin over all bone (6)

By using the Marx protocols in the treatment of ORN, more than 95 per cent of patients can be successfully cured of their disease with predictable, functional and aesthetically acceptable outcomes. (7)
Australia’s largest study consisting of 276 consecutive patients treated with hyperbaric oxygen therapy for chronic radiation-induced tissue injuries. (read more)

“In April 2018 I was sent to Advanced Hyperbaric Recovery (AHR) due to post-radiation (2012 throat cancer) dental issues specifically 3 teeth needing to be extracted but with great concerns (of non healing ) due to osteoradionecrosis. The Marx Protocol (30 hyperbaric sessions pre-extractions/10 sessions post-extractions) was recommended by both my UCSF dental doctor and my Kaiser maxillofacial doctor. During the day after my 24th hyperbaric session the primary painful molar fell out naturally no problems and complete closure & healing! After the 30th session the 2nd molar was extracted with the same: no problem, closure, healing!! And the 3rd molar seemed to have firmed up/strengthened and my UCSF dental doctor & I agreed “Let’s leave it in & use it (chewing)!” I could not have dreamed up a better outcome — THANK YOU ADVANCED HYPERBARIC RECOVERY!! signed, Randon (SF Inner Richmond District)

(to read more from this patient….)

The treatment of delayed radiation injuries is one of 13 conditions approved by the Hyperbaric Oxygen Therapy Committee of the Undersea and Hyperbaric Medical Society (UHMS) as an indication for hyperbaric oxygen (HBO2). (8)
Because of this proven research, most insurance companies will cover Post Radiation HBOT in a Medical Grade Facility

Hyperbaric Oxygen can help heal Osteomyelitis. Chronic refractory osteomyelitis (CRO), is a persistent or recurrent bone infection lasting longer than six months despite appropriate surgical and medical therapy, such as debridement and intravenous antibiotics.(9)
Hyperbaric oxygen therapy (HBOT) is associated with remission rates of 81 to 85 percent at two to three years in patients with CRO.
The mechanism of action of hyperbaric oxygen in osteomyelitis is an indirect one of improving local vascularity and potentiating phagocytosis. (10)
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.”
A recent patient with a post radiation non-healing wound shares this; “As a result of my stage 4 tongue cancer, radiation treatments and teeth removal, I had a non-healing jaw wound. Prior to additional tooth extraction surgery, my Maxillofacial Surgeon in Oakland referred me to Advanced Hyperbaric Recovery to receive 40 treatments:
30 treatments before tooth extraction surgery then 10 after.
Because I am extremely claustrophobic, this seemed impossible. The entire staff were exceptional, professional and very caring. They made my whole experience comfortable from the first time I was “wheeled into the chamber,” till my final treatment. I never suffered.
My sense of well being and reduction of anxiety was amazing.
I was extremely impressed with the facility. The location was convenient to visit. The facility was clean and comforting and made me feel secure and relaxed.
After treatment 30, I had surgery then returned for 10 more treatments. The skin over my jaw was healing for the first time due to the Hyperbaric treatments.
I absolutely would recommend Advanced Hyperbaric Recovery to my friends.
signed, Vance G., (Novato CA)

Hyperbaric Oxygen Therapy for ORN is covered by many of your insurance carriers. Please call yours today to find out!
Our award winning facility is located 10 miles north of the Golden Gate Bridge in the beautiful San Francisco Bay Area.

We charge a fraction of the cost, using the same style chambers as a hospital-based Hyperbaric unit. Our chambers are hard steel with acrylic windows and are pressurized with 100% medical grade oxygen.

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