Hi! We have a maxillofacial surgeon's office that regularly sees patients with medication-related osteonecrosis of the jaw. They rarely start off with IV antibiotic treatment. The usual coarse is ma...
Patient with type 2 DM required a BKA with a history of Wagner 4 DFU prior. Developed eschar at the amputation site and was sent to vascular surgery, with further revascularization attempts made. He i...
11/15/24 by
Bill Khoury,
Is there evidence that HBOT can help mental health? Specifically, depression and anxiety?
A patient was referred back to HBOT in June 2024 by her maxillofacial surgeon and has completed 78 treatments since that time. Recent maxillofacial surgeon note states now stage 2. Surgeon continues t...
Hello! I have an 88-year-old male who is hoping to receive HBO TX. He had a Toria intraocular lens implanted in February 2024 to correct cataracts. Can you please help me to know if this lens is compa...
Is there a case study on the hbo effects on treating PTSD
11/5/24 by
Jay Braun,
Hello! A referral, from ID actually, was received for a patient with soft tissue radiation necrosis (radiation cystitis). Hx: prostate cancer, s/p radical prostatectomy. Current symptoms include pelv...
Any recommendations for patients that required myringotomy tubes as a result of Middle Ear barotrauma or eustachian tube dysfunction when finished with HBOT? We are trying to keep our ENTs up to date ...
Nearly every search I perform asking this question results in "Yes", Medicare will cover HBOT for Central Retinal Arterial Occlusion. Wound Reference specifically says "NO". How does this differ from ...
Hi. Looking for thoughts on this incoming referral for STRN from neurologist. Hx: Presented with memory issues and confusion, lesion on MRI, surgery Dec 2022, pathology (+) glioblastoma, EBRT plus te...
Hello,
For patients with a trach, how do you deliver your air break in a mono chamber? Thanks.
Hi I have a payer denial, BCBS of SC stating the HBO is investigational on the following patient's condition. It was preapproved with the codes below. I'm thinking this may be a coding issue. Would...
Hi! Our clinic received a referral for a patient with recurrent gross hematuria. History of T-cell large granular lymphocytic leukemia, s/p chemo and bone marrow transplant (2023). Developed hemorrha...
We have a diabetic with multiple comorbidities that has a surgical chronic wound from a spinal surgery. Has anyone done HBO for this type of wound in this location?
Hi, Are there any known issues with concurrent use of Zytiga and HBOT. We have a patient with radiation cystits and hematuria, history of adenocarcinoma of the prostate in 2012, >7000 cGy radiation, s...
Hi, I have a 72 year old male referred by urology for radiation cystitis with hematuria. He has a history of a subdural hematoma, 4mm midline shift which required a craniotomy 3-4 years ago. No neurol...
I would like your thoughts of diving a patient with diagnosis of complex regional pain syndrome type 2. Past history of crush injury to right foot 18 years ago with recurring and worsening right foot ...
Patient referred to HBOT for STRN at site of right breast cancer s/p radiation to R breast in 2014. 45 Gy to whole R breast, 61 Gy to tumor bed, R breast. Presenting with pain, mild induration, and u...
We have a patient who is diving for Late effects of radiation. The patient is only able to come on Monday Tuesday and Friday. Would this be a beneficial treatment plan for the patient, or should pat...
Are there any special precautions taken for an HBO candidate with an ICD, which is rated for pressurization. Assuming the patient meets all other criteria. I haven't seen any specific guidelines from ...
I was diving a patient for mandible RON. Most recent PET scan shows pelvic bone metastasis. ORAL surgeon called the patient stating that HBO is spreading cancer and she has to stop it. What would be a...
Program director says if wound is sutured closed after debridement of Osteo, it then no longer qualifies for HBO because there is no open wound. I have always thought that sutured is not healed, and m...
I cannot remember where I saw the information for total contact cast and HBO. The cast has to be done after the Patient's HBO treatment. Not before? So, if the patient had a doctor visit for cast plac...
Located in Indiana. Over the past year we have received a couple denials for HBOT with Anthem Medicaid.
In the denial letter Anthem references the MCG 27th Edition Ambulatory Care Guideline for HB...
Hello,
Looking for clarification on proper use of the I70 codes that are listed under "Group 2 - Wound Ulcer Codes" and include various locations of the leg and foot.
I have a patient with DM, n...
Hi,
I have a patient with scleroderma and raynaud's disease with a painful necrotic ulcer of the right 2nd fingertip, non healing > 6 months. She has seen hand surgery who suggests avoidance of debri...
Hi,
I currently have very limited information on an incoming patient. History of oral cancer 12/2022 with 8 weeks radiation, most recent treatment 4/2023. Referred by surgeon for preparation of ir...
Wondering the recommendation for EEG leads in HBO. How long the glue needs to dry in order to safely treat patient in Multi Place Chamber. Also is there any safety concerns with having a E cylinder ...
Hello, there was a post in May of 2022 regarding the Dexcom G6. The conclusion was that there are no significant safety concerns with subjecting Dexcom G6 CGM transmitters to hyperbaric environments b...
We have a patient who qualifies for HBOT DFU G3, however he does have a peritoneal catheter for dialysis. Is there any reason as to why he could not dive? We do not see a reason not to, but since th...
Hello,
We have an HBO candidate who had 17 SRT treatments over a year and a half ago. Just making sure that since it was not Ionizing radiation, it is not covered under HBO guidelines?
thank you...
70 year old male with cryoglobulinemic vasculitis, multiple ulcers to the feet and fingers, in various stages of tissue necrosis. The ulcers are quite extensive and he is at risk for amputation. His p...
One of my providers asked about giving HBO at below 2.0 possibly 1.5ATA for a patient with CHF, for longer time period than 90minutes? Do you have any information related to this scenario?
87 yo patient seeking HBO for radiation injury after head/neck radiation. His extensive history of sarcomatoid sqamous cell carcinoma has demonstrated no recurrence since 2021 following cefemiplimab ...
I recently recieved a referral for treatment of Radiation proctitis in a patient who recieved 6000 cGy for HBOT. Radiation was done with Chemo for treatment of rectal adenocarcinoma. Problem is he c...
Are HBOT Trials for limb salvage covered by insurance if all appropriate pathways have been followed?
Is it possible for a patient to present with the Skin Bends during treatment in a monoplace chamber? Knowing the patient is at pressure and that no inert gas is present we are stumped on what could be...
Patient is 55 yo male with CO level of 16, Dm2, Renal failure on Dialysis presented to ER with dizziness, blurred vision, Tropinine elevated to 84.5, CT remarkable for old lacunae infarcts. EKG rate...
Hi, I have been trying to find any research related to the post-op healing duration of a compromised flap or graft regarding an appropriate window to refer to HBOT. Looking to provide education to ou...
Im hoping someone can provide some insight to some questions our podiatrist has regarding grading DFUs. We currently use the Wagner Classification system for grading diabetic foot ulcers in our clinic...
Hello. A patient was recently referred for HBOT from her radiation oncologist. Hx: In 2020, high grade urothelial carcinoma of bladder stage T2 N0. Bladder received total dose 6000 cGy at 200 Gy pe...
61 y/o male with stage 4 lung cancer with brain metastasis. His primary tumor of the RUL of the lung was removed via lobectomy. His 5.4 cm right frontal lobe brain metastatic lesion was also removed, ...
10/19/23 by
Bill Khoury,
Hello,
I am looking to see what other recommendations there are for diabetic patients and HBO in regard to hypoglycemic episodes. To clarify, I understand there are protocols for low glucose l...
Hello,
We are working up a 61 year old male for STRN, for a non-healing ulcer to the vertex of his scalp. (radiation was November 2022) He is currently on on taxol , carboplatin and Ketruda immun...
Hello,
We have a pt that will be starting HBO with the indication of Radiation cystitis secondary to ionizing radiation to his bladder. He has been taking Orgovyx (Lupron) for 8 months and will be...
Right now, I have 3 calcinosis cutis patients-one has end stage renal disease/renal osteodystrophy with secondary hyperparathyroidism; a second one has history of severe burns over 75% of his body; an...
For subsequent HBO treatments for CRAO after your initial treatment do you always titrate up starting from 2.0 ATA and stopping where there is response or do you start at the ATA that was effective wh...
I have a 90 y/o male patient who underwent thoracentesis about 3 months ago, looking for HBOT for radiation cystitis and intractable repeated urinary bleeding. Post tap cxr showed no pneumothorax, and...
Regarding criteria for chronic refractory osteo: Imaging and/or bone cultures confirming diagnosis of osteomyelitis, medical management to which the patient did not respond (4-6 weeks of abx), and sur...
Patient is here regarding worsening of the left lateral ankle ulcer no fever or chills. The patient is present with his wife. The ulcer has been present since 12/2019 per patient. The patient started ...
