Patient with Hx: Soft Tissue Radionecrosis (Basal Cell Carcinoma of Sternum), with partial sternectomy and omental flap, Radiation Tx 6/2/20 - 7/20/20 (total 33 txs). Started HBO Therapy 8/17/21. Order for 40 Txs, which were completed on 10/12/21. Order for additional 20 txs. Today 10/20/21 Tx # 46. Goal was to continue to 60 txs for Soft Tissue Radionecrosis, but during this time, Plastic Surgeon would debride wound and place a VRAM flap. 10/7/21 Tissue Exam (punch bx) sternal wound- neg for malignancy. 10/12/21 CT Angiogram Thoracic Aorta showed new and increased bil nodular densities, most likely infection or inflammation. 10/14/21 Cardiology/Pulmonology saw and scheduled for Bronchoscopy which was scheduled for 10/19/21. This was cancelled and rescheduled for 10/26/21 for Covid precautions. QUESTION: if we decide to hold HBO until after Bronchoscopy and determination of source of nodular densities, and scheduling and placement of VRAM flap, then restart. If we place pt on hold, HOW LONG can we wait before restarting HBO without compromising current benefits of treatment and being viewed as new episode of care? OR is it in the best interest of the patient to just complete the 60 treatments and if in the future there are complications with the flap healing, we could consider new episode of HBO therapy??