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In a message dated 9/16/04 2:48:13 PM, smitteesez@... writes:

>

> 1) proper amount of hours you should wait between hbot sessions on

> the same day?

>

>

In our unit it is a minimum of 4 hrs between treatments, but also like to

space them as far apart as possible. If they are BID treat first thing in the

morning and last treatment in the day.

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As a norm, we wait 4-6 hours between dives (6 is preferred over 4 when

possible) when doing two a day for the CP or TBI patients.

Concerning the wait period.we have found that patients have the greatest

success when we work toward what we call the " improvement plateau " . The

idea here is to work continually with the dives (up to 80 consecutive)

then take 2-4 weeks away from therapy before (and if) beginning again.

We try to continue the total quantity of dives until the patient (or

caregivers) no longer see any form of improvement (the pint at which the

therapy levels out or plateaus) and then do 5 additional dives.

Each patient is truly unique and each person's physiology responds to

the HBOT differently, so it is nearly impossible to set forth a number

of dives (wither minimum or maximum) which each patient needs to

complete. Keep in mind that if you are doing two dives a day or diving

7 days a week you might want to take a break at 40 dives for a week or

two.

Giving the body some relaxation time is important to the overall success

of HBOT and there is such a thing as " too much of a good thing " .

Jay A Rain, DMT, CHT

Director

South Coast Hyperbaric Medicine & Woundcare Center

3 Professional Park Drive

Webster, Texas 77598

281.554.8848

" He Heals most Successfully those in which he has the most confidence " -

Galen

Jay A Rain, DMT, CHT

Director

South Coast Hyperbaric Medicine & Woundcare Center

3 Professional Park Drive

Webster, Texas 77598

281.554.8848

" He Heals most Successfully those in which he has the most confidence " -

Galen

[ ] hbot protocol

group,

two questions i need help with:

1) proper amount of hours you should wait between hbot sessions on

the same day?

2) how long should you wait to start a new forty session hbot

treatment after completion of your first forty sessions?

thanks for your help.

jim smith - new jersey (father of kyle - spastic quad cp)

_._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.

_.

Join the International Hyperbaric Medical Association

http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf

EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html

Unrestricted downloads of 50+ pdf files on HBOT efficacy

medicaid/files/ ,

2/files/ and

http://www.drneubauerhbo.com/papers.htm

Download your state EPSDT program

http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the

word " ameliorate " . State Medicaid websites

http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver

programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html

Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm,

http://www.netnet.net/mums/hbolistGA-NC.htm,

http://www.netnet.net/mums/hbolistOH-WI.htm

HBOT can save billions of dollars and millions of heartaches. Subscribe

to by sending a blank email to

mailto:medicaid-subscribe

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How long have you been in the field Jay?

Do you own and operate a center or are you an employee?

[ ] hbot protocol

>

> group,

>

> two questions i need help with:

>

> 1) proper amount of hours you should wait between hbot sessions on

> the same day?

>

> 2) how long should you wait to start a new forty session hbot

> treatment after completion of your first forty sessions?

>

> thanks for your help.

>

> jim smith - new jersey (father of kyle - spastic quad cp)

>

>

>

> _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.

> _.

> Join the International Hyperbaric Medical Association

> http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf

>

> EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html

>

> Unrestricted downloads of 50+ pdf files on HBOT efficacy

> medicaid/files/ ,

> 2/files/ and

> http://www.drneubauerhbo.com/papers.htm

>

> Download your state EPSDT program

> http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the

> word " ameliorate " . State Medicaid websites

> http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver

> programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html

>

> Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm,

> http://www.netnet.net/mums/hbolistGA-NC.htm,

> http://www.netnet.net/mums/hbolistOH-WI.htm

>

> HBOT can save billions of dollars and millions of heartaches. Subscribe

> to by sending a blank email to

> mailto:medicaid-subscribe

>

>

>

>

>

>

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Dear friend,

1) depends on the condition and on the individual patient. In my experience, for

neuro-oxygenation it acts better if done only once a day, and on occasions, even

every other day.

2) depends on the condition and on the individual patient´s ability tofurther

maintain a high oxygen status, which in turn depends on eventual intercurring

conditions and ulterior development, local climate, and on biological age.

Best regards,

Ignacio Fojgel, M.D.

Maimonides University

Buenos Aires, Argentina

smitteesez wrote:

> group,

>

> two questions i need help with:

>

> 1) proper amount of hours you should wait between hbot sessions on

> the same day?

>

> 2) how long should you wait to start a new forty session hbot

> treatment after completion of your first forty sessions?

>

> thanks for your help.

>

> jim smith - new jersey (father of kyle - spastic quad cp)

>

>

> _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.

> Join the International Hyperbaric Medical Association

http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf

>

> EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html

>

> Unrestricted downloads of 50+ pdf files on HBOT efficacy

medicaid/files/ ,

2/files/ and

http://www.drneubauerhbo.com/papers.htm

>

> Download your state EPSDT program

http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the word

" ameliorate " . State Medicaid websites

http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver programs:

http://www.geocities.com/HotSprings/Villa/1029/medicaid.html

>

> Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm,

http://www.netnet.net/mums/hbolistGA-NC.htm,

http://www.netnet.net/mums/hbolistOH-WI.htm

>

> HBOT can save billions of dollars and millions of heartaches. Subscribe to

by sending a blank email to

mailto:medicaid-subscribe

>

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Share on other sites

Answer to question #1 is 2 to 4 hours.

Answer to question #2 is 2 to 4 hours.

The time between sessions is not a real problem. There is no

danger of oxygen toxicity. The main problem arises with the

patient in terms of how much is too much. Normally 3 or 4

hours allows sufficient time for the patient (and caregiver)

to rest for the next session. The importance is on the

patient being relaxed and getting better results than if

they are stressed out.

The time between a series of treatments can be whatever

suits you. Some patients, however, do not react well to

continuing without a few days break between sessions. I do

want to point out that you will continue to see results

after a series of 40 sessions for 3 or 4 months and they

sometimes continue for several more months. This is the

reason many wait for at least 3 months before the second 40.

Is this better than doing 2 series of treatments close

together. That is very debatable. It could be that doing

them closer together after a few days rest may continue the

improvements and even boost the results. On the other hand,

it could be possible that the second series would be better

if done at least 3 months later. We have done both with

great results. I think it would probably be more closely

related to convenience for the caregivers and comfort and

stress for the patients. This is a call which probably needs

to be made by the parent or, in the case of adults, the

patient.

There is no set rule, only suggestions and speculation.

Hartsoe

www.miraclemountain.org

> group,

>

> two questions i need help with:

>

> 1) proper amount of hours you should wait between hbot

> sessions on the same day?

>

> 2) how long should you wait to start a new forty session

> hbot treatment after completion of your first forty

> sessions?

>

> thanks for your help.

>

> jim smith - new jersey (father of kyle - spastic quad cp)

>

>

>

>

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Share on other sites

I should have added that I am assuming we are treating at

1.5 to 1.75 ATA. Treating at 2 ATA and above is a different

ballgame subject to toxicity, etc.

> In a message dated 9/16/04 2:48:13 PM,

> smitteesez@... writes:

>

>

> >

> > 1) proper amount of hours you should wait between hbot

> > sessions on the same day?

> >

> >

>

> In our unit it is a minimum of 4 hrs between treatments,

> but also like to space them as far apart as possible. If

> they are BID treat first thing in the morning and last

> treatment in the day.

>

>

>

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Share on other sites

  • 4 weeks later...

Howdy -

Last we spoke, you mentioned that you might have a chamber for sale ?!

Is this correct ? If you do, I am interested. Can you send me some

info on what you have.

Thanks

-Jay

Jay A Rain, DMT, CHT

Director

South Coast Hyperbaric Medicine & Wound Care Center

3 Professional Park Drive

Webster, Texas 77598

281.554.8848

" He Heals most Successfully those in which he has the most confidence " -

Galen

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Share on other sites

  • 6 months later...
Guest guest

Unfortunately many persons working at an HBOT facility base their

decisions on repetitive dive tables designed around scuba and technical

diving. Even if this is not where her position of " one hour is

sufficient " came from she is definitely making a statement in contrast

to the accepted standard.

We would never allow a patient to return to pressure any sooner than 4

hours following their previous dive.

Anyone who has been in the industry (hyperbaric medicine) long enough

will tell you that the tables designed for the water diving world just

aren't quite the same.

Jay A Rain, DMT, CHT

Director

South Coast Hyperbaric Medicine & Wound Care Center

3 Professional Park Drive

Webster, Texas 77598

281.554.8848

" He Heals most Successfully those in which he has the most confidence " -

Galen

[ ] HBOT protocol

Group,

>From what I have read traditional HBOT brain injury protocol has

children taking a four hour break between dives on the same day. The

doctor at the HBOT center feels an hour break between dives is

sufficient. She says that due to the low ATA pressure we do not need

to worry about oxygen toxicity. Any thoughts on this issue? Should we

have other concerns?

Thanks,

Jim

" For as the body without the spirit is dead, so faith without works is

dead also. " [ 2:26]

_._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._.

_.

Join the International Hyperbaric Medical Association

http://www.hyperbaricmedicalassociation.org/docs/JOIN_Friends_Apr04.pdf

EPSDT decisions http://healthlaw.org/pubs/200308.epsdtdocket.html

Unrestricted downloads of 50+ pdf files on HBOT efficacy

medicaid/files/ ,

2/files/ and

http://www.drneubauerhbo.com/papers.htm

Download your state EPSDT program

http://www.hcfa.gov/medicaid/stateplan/Map.asp by doing a search on the

word " ameliorate " . State Medicaid websites

http://www.medi-cal.ca.gov/RelSites_Oth_States.asp . Medicaid waiver

programs: http://www.geocities.com/HotSprings/Villa/1029/medicaid.html

Find a hyperbaric clinic http://www.netnet.net/mums/hbolistAK-FL.htm,

http://www.netnet.net/mums/hbolistGA-NC.htm,

http://www.netnet.net/mums/hbolistOH-WI.htm

HBOT can save billions of dollars and millions of heartaches. Subscribe

to by sending a blank email to

mailto:medicaid-subscribe

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