Friday , November 27 2020

Solving COVID-19 Requires Thinking Differently

Solving COVID-19 Requires Thinking Differently We have a way to help people’s bodies and immune systems HELP THEMSELVES when recovering from or actively fighting the COVID-19 threat, which should reduce the need for extra ventilators.

When you breathe normal air, you are breathing in about 21% oxygen and the rest is mostly nitrogen. As you inhale, the air goes into your lungs. The lungs can be compared to an upside-down tree. The main airway is comparable to the trunk and smaller airways are like branches that lead out to the alveoli, which is the place where gas exchange occurs and which can be thought of as the leaves. These leaves, or alveoli, act like tiny balloons that expand and contract with every breath. Normally, the red blood cells in your bloodstream pick up the oxygen molecules from the alveoli and transport the oxygen to your whole body. Every cell in the body needs oxygen to survive, which it uses for vital functions, and, in return, the cells give off carbon dioxide, which the red blood cells carry back to the lungs to be expelled with exhalation.

Using a treatment called hyperbaric oxygen therapy (HBOT), doctors can raise the percentage of oxygen you breathe to more than 140% due to the laws of physics and how they relate to atmospheric pressure. High quality and peer reviewed studies have shown that HBOT can saturate the parts of the blood that are not red blood cells (plasma) so thoroughly with oxygen that it can sustain life even without the red blood cells that normally transport oxygen being present.

HBOT super saturates oxygen into the body’s tissues, which promotes increased capillary growth (the tiniest blood vessels) and increased white blood cell (immune cell) activity, which assists your body in fighting infections in a number of ways; by promoting tissue healing secondary to an increase in collagen production, by reducing pain and by reducing swelling. HBOT can also help inhibit certain toxins and reduce the size of any gas bubbles in the body or blood stream. Also, it can have a synergistic effect with antibiotics, which means that it can enhance their ability to fight bacteria.

HBOT can also mobilize the body’s circulating STEM cells, which are the cells that are responsible for replacing cells that are old, damaged or dead. It has been shown that a single ~2-hour treatment with HBOT at certain pressures of oxygen can double a certain type of circulating STEM cell known as a CD34+ pro generator STEM cell. These particular STEM cells are important because they are the human cells responsible for salvaging and restoring damaged cells and tissues within the body. Finally, and after approximately 20 hours of HBOT, the circulating CD34+ STEM cells can be increased by up to 800%.

The COVID-19 virus specifically attacks and damages cells in the leaves of the respiratory tree, or alveoli called type 2 pneumocytes. These pneumocytes are the cells in the alveoli that help keep these little bags of air from sticking shut by producing something called surfactant. Surfactant keeps the alveoli open by reduces surface tension thus making it easier for the bag to expand and for us to breathe in-and-out. When these cells are attacked, they are taken over by the virus to make many copies of the virus, which ends up killing the cell and causing many of the breathing issues people are experiencing. The reduced number pneumocytes and surfactant is what makes it very hard to breathe because the alveoli cannot expand and contract as easily as they normally do. People struggle with a significantly increased work of breathing due to the resistance created by the loss of the surfactant and those who already have bad hearts or lungs are especially likely to have such a hard time breathing that they can get to a point where they need a mechanical ventilator to push air into the lungs. The end result is that patients with this infection cannot oxygenate their body well enough which is what our lungs do and our bodies need for survival. The term used for this is Hypoxia or Hypoxemia.

If a doctor increases the amount of oxygen a person breathes to 100% from the normal 21% then that can help patients get more oxygen into their bodies, but not enough. Additionally, COVID-19 decreases the red blood cells’ ability to carry oxygen; effectively starving the cells. There also does not seem to be any added benefit of a boost in healing nor stimulation of the body’s immune system when you only breathe 100% oxygen.

Another effect of hyperbaric oxygen that can lead to benefit is that it reduces the diameter of the blood vessels. This is called vasoconstriction. This is particularly important for COVID-19 infected patients because the reduction of oxygen from the lung destruction can lead to a dangerously dilated or wide-open blood vessel that can dangerously reduce blood pressure and allow for fluid from your blood to leak into your lungs (pulmonary edema). HBOT can slightly increase blood pressure and avoid massive swelling by causing the narrowing of the blood vessels or vasoconstriction. Additionally, the increased percentage of oxygen the body experiences can help it by producing approximately 200% more stem cells then normal, which are an important part of the bodies healing process.

Another important benefit of HBOT is that it can help with a process called angiogenesis. This is when your body makes new blood vessels to get oxygen to areas that have blocked blood vessels, whose blood vessels are damaged or not working correctly or because of the demand from tissues that are working harder than they normally do. These new blood vessels provide a new path for the oxygen to be delivered to the tissues that need it so those tissues can heal faster. This increased oxygen helps your body to produce more collagen, which is an important part of the scaffolding of every cell.

HBOT is a non-invasive, scientifically proven methodology for increasing oxygen supply to the body which has been in use for hundreds of years. A recent study conducted in China at Wuhan River Shipping General hospital declared symptoms of shortness of breath and chest pain were reduced after only one hyperbaric treatment. After two treatments the symptoms effectively disappeared. The respiratory rate decreased slowly and oxygen saturation in the blood (pulse oximetry)

rapidly returned to normal after the 5th treatment. The paper goes on to say that in addition to relief of hypoxic symptoms in all patients, the general stat was significantly reversed. The GI (gastrointestinal) symptoms are reduced, appetite is restored, headache disappeared and mental state was improved. We acknowledge this study was performed in the country of origin of the disease and has a small number of participants. But many studies are ongoing and in the process of recruiting individuals.

To date there are 12 studies world wide at notable research institutions such as NYU Langone Health, Ochsner Medical Center New Orleans, Louisiana, NYU Winthrop Hospital, Mineola, New York, Sainte Anne Military Teaching Hospital, Toulon, France, The Wound Treatment Center, Opelousas, Louisiana, United States as well as Studies in Zerifin, Israel. Additionally, there is a study in the works right here in Tampa at the Undersea Oxygen Clinic https://www.underseaoxygenclinic.com/ which is being partially funded by the University of South Florida, Medical Engineering Transdisciplinary Department Research Fund as well as assistance from FAST MD https://www.fastmd.com/ to determine if hyperbaric oxygen therapy is useful to decrease recovery duration for patients who have had COVID-19 and persist with difficulty breathing (pulmonary symptoms), low pulse oxygen (transcutaneous PO2s) and the feeling of exhaustion (lethargy) during their recovery.

As a provider, medical professionals must evaluate the cost vs. benefit if each protocol. We believe that most everyone agrees that the current methodology for treatment lacks adequate results. Thinking differently about the problem and possible solutions will increase options and may improve outcomes.

HBOT must be administered under physician supervision and the patients should be evaluated continually by professional staff members with significant experience in critical care. Obstacles to patient care must be overcome such as the risks associated with HBOT and patients with fevers. A fever has been shown to increase likelihood oxygen toxicity. For this reason, patients should only seek HBOT from reputable hyperbaric centers who understand the physics and physiology and have staff well trained in this and other potential risks with mitigation strategies already in place.

The physics and physiology behind this information are all evidence-based facts from scientific papers published in major journals and as much knowledge as is known about COVID-19 as of May 15, 2020. While HBOT has not been definitively proven for use in COVID-19 yet, HBOT has a proven track record of success as the main treatment or as an adjunctive or add on treatment for many diagnoses and some of those are also systemic infections.

The best available evidence suggest that recovery should be enhanced by using HBOT, we believe that HBOT COULD and SHOULD be used for COVID-19 infected patients to impede the disease progression and optimize the body’s ability to heal itself as well as recover. We believe this will reduce the need for machine, or mechanical ventilator, supported breathing by approximately half in those critically ill patients.

At no time will our patients be exposed to COVID-19, or other infections.  Our stringent infection control protocols and procedures ensure that all patients will be in a disinfected and sanitized area.  Our hyperbaric chambers and equipment are sanitized with a hospital-grade disinfectant after every use.  All patients are screened in the first floor lobby prior to entry into the elevator that leads to the hyperbaric center.  We ask our patients to wear a mask prior to entering the lobby and to contact us if they have a fever or are not feeling well.  We will then direct them to their primary physician for follow up, according with CDC guidelines.  The safety of our patients is always our primary concern.

Call us for a natural solution to wellness and pain.

(813) 533-7093

701 N. West Shore Blvd. 3rd Floor
Tampa, FL 33609
www.underseaoxygenclinic.com

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