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hyperbaric oxygen therapy patient information packet experience the proven benefits of 100 oxygen for a variety of medical conditions dr melford larson md 520 e center street manteca ca 95336 phone 209 823-2131 office hours monday ­ friday 9:00 am ­ 5:00 pm oxygentherapytoday.com

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hyperbaric oxygen how it works the earth s atmosphere normally exerts 14.7 pounds per square inch of pressure at sea level that is equivalent to one atmosphere absolute abbreviated as 1 ata in this atmosphere we breathe approximately 21 percent oxygen and 79 percent nitrogen during hbot the pressure is increased and the patient breathes 100 percent oxygen increased pressure combined with the increase in oxygen content dissolves oxygen into the blood and all other body tissues and fluid at many times the normal concentration physiologically this produces a directly proportional increase in the plasma volume fraction of transported oxygen which is readily available for cellular metabolism a number of beneficial biochemical cellular and physiologic effects result which account for the use of hyperbaric oxygen as an adjunctive therapy under normal circumstances oxygen is transported throughout the body only by red blood cells with hbot oxygen is dissolved into all of the body s fluids including plasma the central nervous system fluids and lymph then it can be carried to areas where circulation is diminished or blocked in this way extra oxygen can reach damaged tissues and the body can support its own healing process the increased oxygen greatly enhances the ability of white blood cells to kill bacteria reduces swelling and allows new blood vessels to grow more rapidly into the affected areas it is a simple non-invasive and painless treatment got more specific questions for dr larson write them here and bring them with you to your first consultation

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therapeutic uses of hbot some of the therapeutic uses of hyperbaric oxygen are as follows 1 diving decompression illness 2 diabetic foot ulcers 3 traumatic brain injury auto accidents falls etc 4 carbon monoxide poisoning 5 autism many autism patients improve with treatment 6 illnesses or injury associated with diminished circulation and decreased tissue a infection of tissue having poor tissue oxygenation b post operative cases hbot can diminish inflammatory response speed healing c peripheral vascular disease while awaiting angioplasty or surgery 7 medical cases which has at times to help old strokes cerebral palsy 8 apparently hopeless and rare cases there are anecdotal case reports of unusual disorders such as mitochondrion disorders etc 9 muscle ligament tendon and joint injuries to accelerate healing in cases not needing surgery used by some professional athletes disclaimer some of the applications of hbot listed above have a consensus of possible benefit other applications are somewhat controversial worldwide the above listed uses have been reported by some to be of benefit at times in general when no other treatment has worked or is available hbot may be a worthwhile consideration neuro patients hbot can help with brain injury strokes autism cerebral palsy surgery patients hbot is recognized as a valuable tool for pre and postsurgical patients radiation patients hbot is used on cancer survivors to help revive affected tissue diabetic patients hbot is used on diabetics who are not recovering from wounds and ulcers pro athletes hbot is used by pro athletes and teams to speed the health of soft tissue injuries

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radiation damages tissues from cancer radiation therapy improve with hyperbaric oxygen hbot can help restore tissues and cells damaged from chemotherapy and radiation treatments in cancer patients head neck and other cancer treatments that damage the jawbone may require hbot to restore the tissues side effects of cancer therapy may cause damage to the bladder and intestines and contribute to other poor conditions that may be improved with hbot breast cancer patients undergoing reconstruction may need hbot to allow radiation-damaged tissues to heal research has shown hbot is effective when used in addition to conventional treatment for the prevention and treatment of osteoradionecrosis a term for delayed bone damage caused by radiation therapy there is also some evidence suggesting hbot may be helpful as an additional treatment for soft tissue injury caused by radiation cancer.org plastic surgery and reconstruction surgery in a healthy person may heal up to 75 faster using hbot both before and after surgery patients frequently report less pain fewer scars reduced down time and fewer infections patients are able to return to work sooner with less bruising and/or swelling pre-surgery hyperbaric sessions are recommended then 5 to 10 treatments after plastic or cosmetic surgery of any time increased oxygen to traumatized skin is essential for adequate healing and oxygen applied under high pressure results in up to 20 times the normal blood oxygen concentration this helps the white cells fight off infection and encourages healthy healing key benefits of hbo therapy include · · · · · · reducing the effects of burns reducing excess blood loss treating decompression sickness increasing the wound healing process improving the texture of the skin around the incision site reducing the risk of infection by closing up wounds rapidly source emedicine.com burn victims improve with hyperbaric treatments hbot has been used for years to speed up healing in burn victims hbot is also beneficial for patients who have suffered smoke inhalation and carbon monoxide poisoning diabetic ulcers heal faster with hyperbaric oxygen diabetes is a disease that affects the small blood vessels in the tissues resulting in wounds or ulcers that may last months or even years these wounds often develop from incidental injuries to the body and may become infected these infections can and often do spread to deeper tissues and bones and may even eventually require amputation hbot can frequently help heal these wounds before surgery or amputation is necessary.

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patient information physical examination before treatment your health will be evaluated by dr larson to make certain that your conditions will permit hyperbaric treatments the number and frequency of hbot will be clearly defined based on your individual treatment requirements no two patients or conditions are exactly alike and a specific treatment plan can be based on several factors including your general condition age length of time since the injury illness and your ability to get to the facility on a regular basis note · pregnancy is not a disqualifying factor pregnant women can safely receive hbot with the approval of dr larson decision factors include the overall health of the mother-to-be the symptoms she is presenting with and how far along she is in her pregnancy age is not a disqualifying factor there is no strict age requirement or limit we have given treatments as young as toddlers accompanied by an adult to people into their 90 s · most people will start to see improvement within about 20 treatments some patients will start to significant improvement in just a few sessions in general terms each session takes about one-hour dr larson will set realistic expectations for when you should start to experience improvements as well before you leave you will have an opportunity to sit in the chamber to make sure you are going to be comfortable in an enclosed space claustrophobia is rare but treatable condition if the patient is a toddler an adult is required to go into the chamber with the child you will also be able to choose between an oxygen hood see-thru or an oxygen mask each patient receives their own hood/mask for their exclusive use medical coverage medicare coverage may be available for certain conditions such as diabetic foot or ankle non-healing wounds most other treatable conditions may not be covered by medicare or other insurance companies check with your carrier for complete information regarding hbot our fees are very reasonable.

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before every hbot treatment before every hbot treatment a patient is required to · · · · · shower or bathe do not apply anything to your skin or hair afterword wear cotton clothing cotton pajamas and socks work well remove all jewelry hearing aids etc no metal discuss any medication changes with the staff no electronic devices are allowed in the chamber fire risk the reasons for these precautions are to prevent any risk of fire in a 100 oxygen atmosphere note our chambers are specifically designed to minimize fire risk unlike older chambers each of our chambers contains 21 room air the only 100 oxygen is under the patient s mask or helmet this vastly diminishes the risk of fire to date there have been no fires inside the chamber hyperbaric treatments are painless but you may experience a sensation of fullness in the ears similar to driving down a mountain flying or scuba diving the full feeling occurs as the eardrums respond to changes in pressure the hbot technician will demonstrate before the treatment how to relieve this feeling of fullness for your comfort and enjoyment each chamber is equipped with its own large viewing window where you can watch tv on your own private large screen you can even bring your favorite dvd to play during your treatment as well each chamber has a microphone where you can talk to the technician at any time possible side effects generally patients tolerate hbot quite well as with all medical procedures and treatments some potential aftereffects may results from exposure to hyperbaric oxygen the most common problem is middle ear discomfort it can usually be eliminated by utilizing slow gradual changes in pressure medications some medications are not compatible with hyperbaric oxygen therapy the hbot technician will obtain a complete drug history before treatment should any medication changes be indicated the prescribing doctor will be advised colds and other symptoms it is very important to notify the hbot technician if you show symptoms of a cold or the flu or have a fever cough sore throat runny nose cold sore nausea vomiting diarrhea or a generalized ache-allover feeling these types of illnesses and symptoms are not helped by oxygen hbot treatments may need to be postponed until all symptoms have subsided and the doctor gives you the ok to resume hbot.

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meet dr larson our hyperbaric facility is headed by dr melford a larson md dr larson is a diplomat of the american board of internal medicine and is a member of the undersea and hyperbaric medical society melford a larson md is a graduate of the university of california medical school san francisco ucsf he completed a 1 year rotating internship at san joaquin general hospital and 3 years of internal medicine residency at sjgh upon completion of his residency in 1966 he established his internal medicine practice on center street in manteca then he joined the staff of doctors hospital of manteca he continued on the dhm staff until he retired from hospital work in august 2007 while at dhm he set up the initial cpr protocols and helped to establish the icu/ccu at dhm he was director of icu/ccu for 27 years and was director of medical education for 14 years he continues his office practice in internal medicine he retains an active interest in internal medicine he completed his training in hyperbaric oxygen therapy in 2002 and has since been a member of the undersea and hyperbaric medical society his hyperbaric chambers were installed in june of 2007 he has since attended many hyperbaric oxygen therapy and wound care meetings to further up-to-date hyperbaric oxygen therapy he has a special interest in patients with chronic and difficult to treat problems besides wound care patients with neurological problems such as autism traumatic brain injury and stroke often seem to benefit.

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patient information date name last first middle initial sex male female address city state zip mailing address yes no correct mailing address birth date social security no drivers lic responsible party address telephone no marital status single married other employment none employed student employer occupation employers address city state zip employers telephone emergency contact phone no relationship spouse child other insurance information primary insurance insurance company id group insurance provided by employer/group yes no if medicare retirement date or eligibility for medicare part b secondary insurance if applicable insurance company id group insurance provided by employer/group yes no read and sign i authorize medical treatment that dr larson provides to myself when i ask for such treatment i understand that i am financially responsible for any charges that are not covered by the insurance company i also realize that i am the one that has the contract with the insurance company and at the office s request i will help them as much as possible to collect from the insurance company i understand that dr larson does not accept medi-cal or hmo insurance and agree to inform him if i become eligible for medi-cal or hmo lnsurance i agree to inform his office if i have any changes in my insurance prior to a visit with dr larson i authorize a credit check and insurance authorization prior to my visit with di larson i authorize payment of my insurance benefits to be sent directly to dr larson i permit a copy of this authorization to be used in place of the original this authorization may be revoked at any time in writing signature date signature updated on

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