Brian Lynch, a Galway-based lawyer, discloses a conflict of interest: first as a practicing lawyer and second as a co-owner of OxyGeneration, a company providing non-urgent private hyperbaric oxygenation. This involves breathing pressurized oxygen into a chamber, which has a scientific basis for known benefits on injured tissue no matter where in the body. It is particularly beneficial for concussions and head injuries (TBI). This article will show that it is considered the preferred treatment option for patients who know the impact it has on recovery.
The problem is that it is not used enough.
“The logic or common sense in using hyperbaric oxygenation for concussion tissue damage is that this hyperbaric oxygenation is also used for emergency medicine in hospitals for brain damage. Among its many therapeutic uses for neurological conditions such as stroke, air embolism, lupus, carbon monoxide poisoning, tissue damage caused by cancerous radiation in the brain, and decompression sickness. They have an emergency room at the National Hyperbaric Medicine Unit at Galway University Hospital. Mr. Lynch said.
Mr Lynch has met people using hyperbaric oxygenation for concussion while having his own 57 daily sessions in Dublin for serious sports injury and surgery. One person had been in a coma for months after being hit by a car. Mr. Lynch met him having his 139e hyperbaric oxygenation session. The man had memory loss and could not remember his fiancée at all, loss of cognitive functions, headaches, problems with balance and walking, problems with speech like a victim of had a stroke and was 100% dependent on the care of others. After coming out of the coma, months went by with no improvement. Fortunately, his family read about hyperbaric oxygenation and he started his sessions. It was gratifying to hear about his progress towards healing and slowly regain his memory, including his fiancee, as his family and friends feared that nothing more could be done.
However, once a GP refers a player for Elective OxyGeneration for elective concussion or other tissue damage occurring during a game or training, he is covered by the GAA Injury Benefit Fund under reserve of rules.
Regardless of their personal opinions, however, the medical community must take reasonable precautions to be able to educate a patient in a balanced manner about the known benefits of reasonable treatment options. What is reasonable is determined by a judge putting himself in the shoes of a reasonable person in the patient’s shoes and determining what information that patient would consider important? The decision maker in health law is the patient.
The doctor will explain the best evidence available at that time, prior to informed consent for medical intervention. “This story is part of the reason I brought OxyGeneration to the west of Ireland.”
Leaders will want changes
Mr Lynch said: “When the already known benefits of hyperbaric oxygenation for concussions are explained to players and the GAA, it makes sense that leaders will want changes to the GAA concussion management guidelines.” .
I expect the Irish Horseracing Regulatory Board and IRFU to follow. GAA team leaders, players, physiotherapists and GPs have already led the way in using hyperbaric oxygenation in Galway and Dublin for player muscle and joint injuries. Like concussion like any other form of tissue injury, the use of hyperbaric oxygenation is a natural progression.
All treatments are decided by the patient. It is the training of doctors to be able to advise patients on the treatment option. What is problematic is that medical experts may not have understood the law of informed consent to any medical intervention.
Unfortunate barrier to changing concussion guidelines.
Unfortunately, we have a big problem with forensic disclosure and informed consent. It’s a conundrum for some consultant neurologists who fail to educate NFL players in the United States and here, especially those involved in professional rugby. Hyperbaric oxygenation is common in Japan for concussions and the Japanese rugby team uses it all the time, even for recovery from matches.
What can be a barrier to change is a difficult conflict of interest scenario for the neurologists involved due to the Disclosure and Informed Consent Act. They are in a “damned if they do and damned if they don’t” scenario. However, when the experts are called upon to explain themselves, what will be problematic is that they must disclose the information in a balanced way on the already known benefits of concussion using this hyperbaric oxygenation before informed consent to it. any medical intervention. Of course, players will want it. Team leaders and leaders will want it.
One neuroscientist explained: “An injury is an injury, no matter where it is or what caused it…” Dr. Shai Efrati, professor at the Sagol School of Neuroscience at Tel Aviv University, treats up to ‘to two hundred people a day. They use before and after SPECT brain scans and inflammatory blood markers in addition to traditional clinical cognitive measures to prove the known benefits.
If players search YouTube for NFL Super Bowl player Joe Namath and hyperbaric oxygenation, they’ll see how he used hyperbaric oxygenation.
Next week there is an article on the Netflix movie “Concussion” which linked concussions in NFL players to brain disorders later in life. It will make the reasonable person in the patient’s situation want to know about this oxygenation for Alzheimer’s disease, dementia and Parkinson’s disease.
Talk to your GP, send this article to a friend in need, and google it. OxyGeneration can be reached by voice mail 24/7 on 091 394444 or www.oxygenation.com