Hyperbaric Oxygen Expert Witness

Are you looking for a Hyperbaric Oxygen Expert Witness? Or an Independent Medical Evaluation or Second Opinion about Hyperbaric Oxygen Therapy? If so, you have come to the right place. This page answers questions surrounding Hyperbaric Oxygen Therapy, as well as questions about Dr. Zaydon is his role as a Hyperbaric Oxygen Expert Witness.

What is Hyperbaric Oxygen Therapy?

The Mayo Clinic defines Hyperbaric Oxygen Therapy (HBOT) as follows:

Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. Hyperbaric oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in your blood vessels, and wounds that won’t heal as a result of diabetes or radiation injury.

(Source: https://www.mayoclinic.org/tests-procedures/hyperbaric-oxygen-therapy/about/pac-20394380).

HBOT is actually nothing new. It has been around for hundreds of years and was popular in Europe in particular in the 1800’s. More recently it has re-emerged as a new way to treat a variety of conditions (see below for the specific conditions).

Hyperbaric Oxygen Therapy Expert Witness

Does Hyperbaric Oxygen Therapy work?

According to the FDA, many websites overestimate the efficacy of HBOT. As of 2013, the FDA stated that HBOT had not (yet) been proven to yield any medical benefits for the following conditions:

  • AIDS/HIV
  • Alzheimer’s Disease
  • Asthma
  • Bell’s Palsy
  • Brain Injury
  • Cerebral Palsy
  • Depression
  • Heart Disease
  • Hepatitis
  • Migraine
  • Multiple Sclerosis
  • Parkinson’s Disease
  • Spinal Cord Injury
  • Sport’s Injury
  • Stroke

However, the FDA also cleared 13 uses of HBOT to treat the following conditions:

  • air or gas embolism (dangerous “bubbles” in the bloodstream that obstruct circulation)
  • carbon monoxide poisoning
  • decompression sickness (often known by divers as “the bends”)
  • thermal burns (read more about plastic surgery for burns).
  • acute traumatic ischemia – for example, crush injury
  • arterial insufficiencies
  • anemia due to severe blood loss
  • some brain and sinus infections
  • intracranial abscess
  • gas gangrene
  • necrotizing soft tissue infections
  • Radiation injury – for example, as a result of cancer therapy
  • skin grafts.

(Sources: “Hyperbaric Oxygen Therapy: Don’t be Misled” by the FDA, 2013 and Medical News Today).

It is also being trialed in the treatment of Fibromyalgia and Chronic Pain Syndrome among others.

What is a Hyperbaric Oxygen Expert Witness?

A Hyperbaric Oxygen Expert Witness is an expert witness who is able to provide expert testimony for cases involving the use of HBOT. A medical expert witness is defined as:

a physician qualified, by reason of his skill, knowledge, education, experience, or training to testify on a particular medical area. He is a person who has knowledge about the medical and health care profession, beyond that of an average person.

Source: https://definitions.uslegal.com/e/expert-medical-witness/

Why the need for a Hyperbaric Oxygen Expert Witness?

As with any medical treatment, there are sometimes disagreements about the use, appropriateness, and efficacy of the chosen treatment. The same is true of HBOT, perhaps even more so, due to HBOT being relatively new in the treatment of certain conditions. When there is a disagreement, an expert witness is often called to provide expert medical testimony.

An example may look like this: HBOT was used in the treatment of burns sustained by a fire fighter. The doctor who prescribed HBOT believed it to be medical necessary and beneficial, while the opposing side question if it was the best treatment option. In such an example, a Hyberbaric Oxygden Expert Witness may be called to provide objective expert testimony in order to clarify if the treatment was indeed necessary and beneficial or not.

How does HBOT work?

As per the FDA, HBOT works by…

breathing oxygen in a pressurized chamber in which the atmospheric pressure is raised up to three times higher than normal. Under these conditions, your lungs can gather up to three times more oxygen than would be possible breathing oxygen at normal air pressure.

Patel explains that your body’s tissues need an adequate supply of oxygen to function. When tissue is injured, it may require more oxygen to heal. “Hyperbaric oxygen therapy increases the amount of oxygen dissolved in your blood,” says Patel. An increase in blood oxygen may improve oxygen delivery for vital tissue function to help fight infection or minimize injury.

Source: FDA.FDA

In other words, the body uses oxygen to heal itself. By giving the body additional oxygen, healing is expedited.

Why use HBOT?

As mentioned above, HBOT is already approved for the treatment of 13 conditions. Increasing the oxygen supply to the body has been shown to expedite and assist the treatment of patients suffering from these conditions.

Who uses Hyperbaric Oxygen Therapy?

HBOT is used by patients who suffer from these conditions. It is also used in clinical trials by patients with other conditions, but the use of HBOT for the treatment of such conditions has not yet been formally approved by the FDA.

Are there any risks of HBOT?

As per the FDA:

Patients receiving HBOT are at risk of suffering an injury that can be mild (such as sinus pain, ear pressure, painful joints) or serious (such as paralysis, air embolism). Since hyperbaric chambers are oxygen rich environments, there is also a risk of fire.

“If you’re considering using HBOT, it’s essential that you first discuss all possible options with your health care professional,” Patel says. “Whatever treatment you’re getting, you need to understand its benefits and risks. Your health care professional can help you determine which treatment is your best option.”

Source: FDA.

What conditions is Hyperbaric Oxygen Therapy used to treat?

Hyperbaric is formally approved by the FDA for the treatment of 13 conditions:

  • air or gas embolism (dangerous “bubbles” in the bloodstream that obstruct circulation)
  • carbon monoxide poisoning
  • decompression sickness (often known by divers as “the bends”)
  • thermal burns (read more about plastic surgery for burns).
  • acute traumatic ischemia – for example, crush injury
  • arterial insufficiencies
  • anemia due to severe blood loss
  • some brain and sinus infections
  • intracranial abscess
  • gas gangrene
  • necrotizing soft tissue infections
  • Radiation injury – for example, as a result of cancer therapy
  • skin grafts.

As mentioned above, it is also used to treat other conditions (such as Fibromyalgia and Chronic Pain Syndrome), however such treatments are still undergoing clinical trials to ascertain their efficacy.

How long does Hyperbaric Oxygen Therapy take?

Depending on the type of condition or injury, HBOT treatments can vary from 1-2 hours per session and between 20-40 sessions (Source: The Mayo Clinic).

For what states is Dr. Zaydon able to serve as a Hyperbaric Oxygen Expert Witness?

Dr. Zaydon is based in Miami, FL, but is available to serve as an HBOT Expert Witness nationally. If you are interested in scheduling Dr. Zaydon as an Expert Witness, please Contact Us.

Ethics and the role of a Hyperbaric Oxygen Expert Witness

Ethics are very important to Dr. Zaydon. In the role of an Expert Witness, ethics are paramount. Read more about the importance of ethics as an expert witness.

Need a Hyperbaric Oxygen Expert Witness? Contact Dr. Zaydon Today!

Thomas Zaydon, M.D. is very experienced in serving as an Expert Witness on plastic surgery cases. This includes cases involving burns, for which the use of HBOT is sometimes prescribed. For this reason, Dr. Zaydon has gained hands-on experience and knowledge about the use of HBOT in burns cases. His Board Certifications, other qualifications, and decades of experience mean that he is well-placed to act as an objective Expert Witness for such cases.