We were trying to get information with regard to use of the Libre continuous glucose monitor in the chamber. We have an expired safety bulletin from 2019 - May 2020 stating the sensor is approved up t...
Have been using Medihoney. Yellow tissue is adhered and debridement was done last week
We have an HBOT candidate with a remote history of pneumothorax after central line placement (10 years ago) and subsequent pleurodesis. Would there be any issues or increased risk with treatment in a ...
11/10/21 by
Bill Khoury,
Have there been reports of hyperbaric oxygen therapy contributing to worsening pulmonary hypertension. I had a patient earlier this year that we were treating for Wagner grade 3 diabetic foot ulcer. ...
Hi, I'm working with my orthopedic surgeon to provide wound care to a patient's hand that's now undergone 2 surgeries for a removal of an abscess that started from IV drug use. There are some sutures ...
Patient with Hx: Soft Tissue Radionecrosis (Basal Cell Carcinoma of Sternum), with partial sternectomy and omental flap, Radiation Tx 6/2/20 - 7/20/20 (total 33 txs). Started HBO Therapy 8/17/21. Orde...
Does anyone have any experience with the MESI mTABLET ABI/TBI?
We have a patient on our list for hyperbaric treatments that has a Liva Nova annuloplasty (mitral) ring inserted in 2020 and a Atriclip LAA exclusion system also inserted in 2020. We plan on diving hi...
Wondering if anyone has used HBOT to treat calciphylaxis in addition to sodium thiosulfate and proper wound care? Also wondering if anyone has had Medicare make an exception and cover HBOT treatments...
This patient has an unstageable pressure ulcer to hip with hard, adherent eschar. What is the best treatment recommendation for the patient?
This wound began as a DFU plantar surface and erupted medially. Surgical debridement about 4 weeks ago. NPWT was applied in surgery, patient was referred to outpatient wound care 1 week post-op. No co...
Currently treating a cancer patient who smokes marijuana for pain control. We coached him not to smoke prior to treatments but I'm having trouble finding any studies or recommendations regarding safe...
We have been seeing this patient off and on for at least 3 years, she has a non-surgical fistula, mess is seen. She has been seen at Mayo and here in Newton and no surgical option has been given. At t...
What is the official definition of a diabetic foot ulcer? Is any wound on the foot of a diabetic considered a diabetic foot ulcer. I have a patient with diabetes and paraplegia with a pressure ulcer...
Question about wound I have been trying to manage:
Allergies: The patient is allergic to penicillin and sulfa drugs.
Past Medical History: Anoxic brain damage, chronic respiratory failure with...
I was wondering how long you recommend a patient take a break from HBOT after an adverse reaction. For example, if they had an oxygen toxicity seizure, but no lasting effects, when would you resume tr...
I have a patient who has confirmed venous insufficiency and GSV reflux, with normal ABIs, who has been unable to undergo surgery due to recurrent pseudomonas pneumonia and COPD exacerbations. He requi...
General question: In working with our Patient Relations Staff in the Quality Department, they have posed questions regarding how a wound is determined to be clustered. I seem to remember reviewing the...
Is NPWT contraindicated in a wound bed where osteomyelitis has been confirmed? I was thinking yes but wanted to confirm. Specifically this is for a stage 4 large sacral wound.
Is NPWT contraindicated in a wound bed where osteomyelitis has been confirmed? I was thinking yes but wanted to confirm. Specifically this is for a stage 4 large sacral wound.
Pt has had multiple ulcers over 20 years that have closed with minimal wound care. This time the wound has been open for 2 years when he presents to us. ABX and now a wound vac have been employed and ...
20 yo female has had a wound since 2019. Original injury was a laceration that developed into necrotizing fasciitis. CRP still elevated at 50. How long does the CRP remain elevated in a noncomplica...
Has anyone used Actigraft? Would you share your experience?
I have a 28 yo male patient with Cutaneous Crohn's Disease and Rheumatoid Arthritis, both diagnosed when he was 8 years old. Patient is currently taking Taltz for his autoimmune disease. Patient state...
Have been treating this wound for approx 1 year. Pt is Diabetic last A1c 5.6, PAD, Kidney disease, has history of multiple amputations with infections, including LLE BKA several years ago. Pt has seve...
40 y/o F, no PMHx. Scalding water burn x4 wks ago. PCP placed on Amoxicillin and mupirocin. Was improving, then started blistering and worsening redness at 3 weeks. Started on Cipro, SSD with foam dre...
The Zero-G Offloading device (Prefabricated AFO with Ankle Joint) suggests using the HCPCS codes L1971, L2220 X2, L2265 when ordering. Can you tell me exactly what the three different codes are for?
I have a resident in a SNF that had a Stage 3 pressure ulcer on his hip- had been improving for months with the use of collagen and then began to deteriorate recently. Started noticing increased bleed...
I am working on my DNP project and studying the percentage of patients having ABI done on first visit. One barrier is due to compliance, the MD's prefer to do US instead. Any resources the you know of...
History of present illness:
51 year old female who was seen at SLJ ER on 7/21/2020 with a 3 wk history of decreased appetite and generalized weakness and malaise. She had had prior colonoscopy and en...
Hello, Is it ever appropriate to classify a wound as " diabetic ulcer" if on the upper limb? I was under the impression that diabetic ulcers are the foot? Thank you
This friction and shear ulcer is not responding to any treatment, any suggestions? I have been using allograft injections which is helping but patient is not very compliant when it comes to cleaning a...
Pt has been using antifungal. He said he had an antifungal allergy so we've tested it in spots before with no issues. This visit he shows up with this rash looking stuff but the rash is not everywhere...
I have a stubborn wound that I can't get to heal. Patient wih 30 year h/o lipodermatosclerosis now with penetrating osteoma cutis. Always probes to bone - I can't get it covered after trying 6 months....
Currently, the procedure codes for the different offloading devices are as follows:
- Orthotic and Prosthetic Procedures, Devices - Walking boots (L4360, L4361, L4386, L4387, L4631) are covered for ...
Hi. What would be an effective TX for fungal infection of the pannus with a partial thickness open area 2.5cmx1cmx0.1cm. I do not have access to interdry. For now i requested nystatin and placed skin....
Patient completed course of hyperbarics to heal ulcer in right foot. Patient was subsequently diagnosed with osteomyelitis in same foot and returned to be treated. Does the treatment number "1 of #" s...
6/25/20 by
Mitch Hall,
Hello, I am not sure if any of you have noticed an increase in DTI on covid patients even with interventions. There is a white by NPIAP regarding the differential between covid skin manifestations and...
72-year old female history spina bifida, has been wheelchair-bound for last 10 years. Has long-term colostomy and had suprapubic urinary cath placed about a year ago but still leaking urine from uret...
This wound is stalled. It is being debrided but my concern is not debrided agressively enough. How far back should this be taken each time? What should be done with wound bed in this case?
5/11/20 by
Mitch Hall,
Patient had silicone injections directly into the penis about 20 years ago. No other pertinent medical history. I've tried mult types of dressings, wound gels, collagen, Santyl, but nothing heals this...
During this COVID crisis and the need to use Telehealth, will payment be allowed for both the home health agency as well as the provider if both services provided on the same day?
Also, with telehe...
Hello team! Posting on behalf of a colleague. Colleague would like to know our thoughts regarding the etiology of the ulcer and if ok to proceed with surgical debridement.
47 y/o male with hx panc...
DOES HB COVERAGE PLUS KILL COVID 19?
here in CA we have closed schools and are doing screenings the entrances to hospital and ER. We are also screening at the outpatient clinic. We are trying to do our part in social distancing and have ...
Does a patient who had PBI catheter radiation therapy for breast cancer more than 6 months ago and now has nonhealing wound at the site of catheter placement qualify for HBO therapy? I am not clear o...
Recent abdominal wall debridement for infected seroma. Ventrio mesh placed approximately two months ago for large incisional hernia. . Intact and does not appear infected. 13 cm X 7 cm open wound to ...
