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Hi! Our clinic received a referral for a patient with recurrent gross hematuria. History of T-cell large granular lymphocytic leukemia, s/p chemo and bone marrow transplant (2023). Developed hemorrhagic cystitis secondary to BK virus. Aug 2024 BK virus not detected, continues to have recurrent hematuria. I have a call to the referring to inquire if patient received total body radiation, but even if he did, doses range lower than the required 40 Gy typically? Is there anything I'm missing to be able to qualify this patient for HBOT? Thank you!
Sep 5, 2024 by Sarah Karson, RN, BSN
2 replies

Hi Sarah

Thanks for this question. I don't think you are missing anything here. The literature certainly suggests that the patient could benefit from HBO treatment. However, there is not a clear pathway for insurance reimbursement. In cases like this, I have solicited my administration to allow compassionate care use of HBO, and more times than not, they have consented.

Thanks

D. Craig Lindsey, MD

Sep 6, 2024
Sarah Karson
RN, BSN
Thank you so much!
Sep 16, 2024
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