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In Remembrance
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Join Date: Nov 2006
Location: SE Kansas.
Posts: 374
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In Remembrance
Join Date: Nov 2006
Location: SE Kansas.
Posts: 374
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Hi Roz,
First, if/when my view that RSD is an ischemia-reperfusion injury (IRI) is eventually vindicated, the FDA problem, and Medicares threat to stop paying for Medicare patients at any hospital that uses HBO to treat anything but the disorders included in the FDA protocol, will come to an abrupt end: IRI is one of the eight (I think) disorders will allow hospitals to use HBO to treat.
I can understand your linking HBO with respiratory therapists, in a way, it is a breathing therapy. HBO, however is used to suffuse the entire body with more oxygen than our red blood cells can possibly deliver; the blood plasma carries oxygen too.
By increasing the air pressure to a higher atmospheric level than that of air at sea level, HBO somehow delivers this plasma oxygen to parts of the body that the blood in our circulatory system can't reach (in IRI, our microvascular systems (MVS) are plugged; blood can't pass through the venule of the MVS into the vein so no fresh arterial blood can't enter the MVS).
Since the problem isn't a respiratory disorder, I don't think any of the skills an R/T develops over time would be of any value.
Another problem with trying to use R.Ts is that the HBO chamber is a machine, one that constantly requires inspection and maintainence in order to insure it functions properly; especially that it delivers the desired oxygen leve at the proper atmospheric level.
LisaM's horrible experience with HBO is the result of the failure of the FDA, or even the Consumer Product Safety Commission, to establish any training or other qualifications for the people who operate HBO chambers. The FDA has very strict regulations involving the manufacture and even the advertising of HBO chambers, but doesn't appear to give a damn whether a chamber owner hires someone who has only worked at a car wash to operate one.
During the few times I have mentioned HBO, I have urged anyone considering trying this therapy to be sure that the chamber is accredited by the Undersea and Hyperbaric Medical Society (UHMS). They set very high standards for accreditation.
The problem today is that no one at the UHMS understands the nature of RSD or by what mechanism HBO affects this disease. This is why I intend to submit my article to their journal.
Also, without understanding the nature and course of RSD, there is no way to determine the amount of oxygen and the pressure it is delivered in order to achieve the best possible outcome.
The standard today appears to be 100% oxygen at 2-1/2 atmospheres (2-1/2 times the air pressure at sea level); I believe that this is too much O2 at too high an atmosphere. I hope to address this problem in my reply to Sydney's thread on HBOT, and intend to discuss it in some detail in the article I plan to submit for publication.
Mike, fair's fair, I've hijacked other peoples threads to talk in detail about what I've learned about RSD, so I'm in no position to complain about your introducing your agenda here.
I do have a question, though; I don't have time to read the link you just posted and still finish a promised reply on another thread, so can you please tell me what ",,,honest to God" treatment option Dr Oaklander offers?
I am still working on (and nearly finished) my reply to your earlier post, and have some remarks about what Oaklanders research really proves -- and it isn't that a nerve injury causes RSD -- hang in there, my friend and adversary...Vic
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Last edited by Vicc; 12-23-2006 at 07:00 AM.
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