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Patient Handbook
Instructions for Patients Preparing to
Take Hyperbaric Oxygen Therapy
Please Read Carefully
Please read Scheduling
If you decide that Hyperbaric Oxygen Therapy is your choice in health care and Prevention, Please call our office 909-889-7626 or e-mail us at hyperbaric1@earthlink.net you will be send an informative package of information detailing all aspects of your therapy. We are happy to address any needs or concerns.
The informational package will have the following:
- Medical history intake forms
- Published studies and information about your specific needs.
- Patients and caregivers handbook
- We request that you write a personal history, everything about your health concerns, or your child’s. Detailing your child’s personality. This will allow us to know your child and their needs before you arrive.
- Deposit information
- Medical Release (to be sent to your treating Physician requesting medical records)
- Cost and scheduling
- Appointment with Dr Underwood
- Logging information
- Other services available
H.B.O.T.
Hyperbaric Oxygen Therapy is a method of safety delivering high doses of oxygen to the body. It is done by breathing 100% Oxygen through a special Mask or Oxygen Treatment Hood.
The pressure inside the chamber causes the oxygen you breath to be dissolved at greater levels in your blood, spinal fluid, Lymph fluid and all tissues. The atmosphere pressure prescribed by Dr Underwood will target your health concerns, according to the protocol for your health needs.
Methods of equalizing pressure in your ear:
This will be addressed in detail during your personalized orientation session, and informational package.
The pressure is much like the feeling of fullness you experience while flying. Our staff has well over 10,000 hours of chamber operation and is well versed in equalizing techniques.
| Recent Research Article
[Peripheral facial palsy secondary to middle-ear overpressure.]
[Article in French]
d'Andréa C, Méliet JL, Staikowski F.
Service des urgences, Smur, Hyperbarie, Groupe hospitalier Sud Réunion, Terre Sainte, F-97410 Saint-Pierre, Île de la Réunion, France.
Facial baroparesis is an ischemic neurapraxia of the facial nerve. It occurs after airplane trips or prolonged diving. This paralysis is due to the tympanic promontory. Several promoting factors have been identified, including tubal dysfunction, hypotension, and neurotropic virus. Simple maneuvers can make it disappear : yawning, swallowing, or a Toynbee maneuver. Treatment is based on normobaric or even hyperbaric oxygen therapy. During airplane flights, the paralysis often disappears at landing.
PMID: 17997272 [PubMed - as supplied by publisher]
Printed with Permission
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Private sessions, detailed orientation, and slow compression and decompression are the key to our success.
We will encourage you to practice equalizing your ears by Yawning, Swallowing water using a sports bottle, Prior to starting your sessions We frequently treat children who have head trauma, near drown, or have trachea tubes as well as twins and triples with out any problem.
There are certain requirements to prepare for entering the Hyperbaric Oxygen Therapy (HBOT) chamber. If you have any questions concerning these guidelines, please ask the chamber operator. The following rules apply to all caretakers and patients.
Complete and careful review of all medical records
You will be asked to sign a medical release of records before you have your exam with Dr Underwood. Your medical records will arrive before your appointment and carefully reviewed in every detail.
Dr Underwood will examine all patients and caregivers prior to commencement of Hyperbaric Oxygen Therapy.
There may be additional tests, for both patients and caregivers.
These may include:
- Checking the ears for the ability to equalize underpressure
- Hearing test
- Checking the lungs, Depending on your medical history these test may include:
- Chest X- rays
- Pulmonary function test (If needed)
- Prescriptions for Sinus Infections, allergies, and or eardrops.
- Review of Diet and Nutrition. (List your Nutrition)
- Review of all current and past Prescription drugs.
- Review and suggestion of vitamins, minerals, and herbs.
- Review of current, over the counter drugs.
- Baseline tests, example: SPECT Brain scan if requested and or EEG testing.
- Follow-up tests.
- Patients and Caregivers will attend a personalized orientation session and attended by a R.N., C.H.T., and EMT. who will carefully explain all aspects of Hyperbarics.
- Please read the next section on Equalizing the middle ear, Scheduling and “Your child and HBOT
We need to know if you develop any of the following:
- Develop a cold, the flu, nasal or chest congestion
- If there is any possibility, you may be pregnant.
- Develop diarrhea
- Develop nausea or vomiting.
- Develop an ear or sinus infection.
- Change medications
- Have not eaten breakfast.
- Are diabetic and did not take your insulin.
- These above stated needs will be addressed medically.
HBOT Safety Requirements
(These must be strictly enforced)
We hold a 100% Safety Record since 1993
- We will provide you daily with fresh 100% cotton scrubs.
- No street clothes or shoes will be allowed in the chamber.
- Small children will have 100% cotton Pajama’s.
- Infants will need to be dressed in 100% cotton infant clothes.
- You will need to arrive 15 minutes early before each treatment in order to change into the fire safe 100% cotton scrubs
- No Grease or oils, such as body lotions, lipstick or hair oils, Nail polish, Hair spray, Perfumes, Makeup or hair preparations are allowed in the chamber.
- DO NOT use any petroleum base products such as Vaseline etc. prior to therapy session.
- DO NOT use alcohol for skin care.
- Deodorant with out alcohol can be found at leading Health food stores.
- Please remove: Watches, wigs, and jewelry, prostheses, such as hearing aids.
- No carbonated drinks for at least four hours prior to HBOT.
- You must eat breakfast lunch and dinner, High Protein snacks if needed.
- You must check with the chamber operator before bringing anything into the chamber
- No Tape players, video games, or radios will be allow inside the chamber.
- To maintain privacy and safety no visiting in the chamber room, all family members, and visitors must remain outside the treatment area.
- It is imperative to keep your appointments and receive your sessions as prescribed. This will ensure you the optimum level of results for HBOT therapy. If for any reason you cannot keep your appointment, please notify us 24 hours in advance.
- Smoking constricts your blood vessels. For maximum benefit, stop smoking during your HBOT series. If unable to quit, refrain from smoking for 2 hours or more before and after each therapy session.
- Basic Therapy Instructions; Shower, Shampoo, Dry off, eat a meal, brush your teeth, put on your scrubs, and come for treatment.
- Please provide us with all of your phone numbers, cell phones, and beepers
- All Dental work must be completed before starting HBOT, if needed we will be happy to speak with your Dentist.
- No unfinished root canals or temporary fillings or caps.
- Please keep a diary of daily treatments, a diary will be provided.
- You will be asked to consent for photos and video’s
Legal Consent for Treatment:
We cannot legally treat you with out your full informed consent. You will be asked to sign a form consenting for therapy prior to commencing treatment.
Your Attendence:
We request that you arrive for your appointments on time. However, actual HBOT sessions can only be timed approximately due to the nature of the treatment. We take great care to make each patient’s session comfortable and to meet each patient’s individual needs. This occasionally makes a session take longer than was scheduled. We request your patience if this occurs, and assure you that we will be equally cautious with your session. If you are unable to attend for any reason, Please ensure that you will give at least 24 hours notice, otherwise a booking fee applies.
We want your HBOT therapy sessions to be as comfortable as possible for you and your family. While in the chamber, you may watch movies, read, listen to music, or sleep. We trust your experience with HBOT will not only be rewarding but pleasant. We provide Safe, Productive, Private, Hyperbaric Oxygen Therapy.
For your peace of mind, we do not treat considered contagious disorders.
All sessions are Private.
Dr Underwood DO, MPH, MD, JD
Susan Rodriguez CHT
Patrick Rodriguez CHT, EMT, DMT
Ruth Mason, RN
Harold Royse RRT.
Patient and Caregivers
All Patient and Caregivers are given an exam by Dr Underwood before entering the chamber for sessions.
Most Parents and Caretakers desire to accompany there loved ones or children in the chamber and we encourage you! This would be a great encouragement and comfort for our patients. We will do everything possible to help you in this way.
Services for Parents and Caretakers
- Parents or Caretakers must provide a medical history form.
- Sign a Legal Medical Release, before HBOT will commence.
- Physical Exam for both you and your child or loved one
- Private Orientation for Therapy skillfully attended by Certified Hyperbaric Oxygen Technicians, Registered Nurse, or Respiratory Therapist.
- Generous reduced rates for Caretakers or Parents who desire to have Hyperbaric Oxygen Therapy along with their children or loved ones.
- Oxygen Treatment Hoods or Mask provided.
- 100% Cotton Scrubs for Safety within the chamber.
Other Services Available
Please Call for appointments
- After Hours Hyperbaric Oxygen Therapy
Prearrangement required
- I.V. Vitamin and Mineral Drips
- CPR advanced Courses
- Vitamin Injections
- Infrared Sauna
- Magnetic Therapy
- Healthy Cosmetic Procedures
- Skin Peels
- Facial Resurfacing
- Antibiotic IV Therapy
- Medical Appointments
- Trigger Point Injections
- Exercising with Oxygen
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