At Hampton Roads Hyperbaric Therapy, Sarah Stoltman has treated more
than 50 Hampton Roads veterans. Many of them with various levels of
traumatic brain injury.
For years the Department of Defense and the Department of Veterans
Affairs have been studying Hyperbaric Oxygen Therapy to help
veterans deal with PTSD and Traumatic Brain Injury.
Hyperbaric Oxygen Therapy is commonly used to help divers with
decompression sickness, or the "bends."
It uses a pressurized chamber filled with 100 percent oxygen to
remove air bubbles from a person’s blood.
At Hampton Roads Hyperbaric Therapy, Sarah Stoltman has treated more
than 50 Hampton Roads veterans. Many of them with various levels of
traumatic brain injury.
“It’s like a gray version of themselves when they come in,” said
Stoltman. “When patients get a mild traumatic brain injury it knocks
blood flow out of certain areas of the brain.”
The 90-minute treatments stimulate blood flow and healing with stem
cell production.
“There may be some dead tissue but most of the tissue is just
lacking enough oxygen so it kind of goes into hibernation mode,”
Stoltman said. “This can go on for years and years and years.”
Hyperbaric oxygen treatments typically cost around $2,000 to $6,000.
Veteran support groups, such as Virginia Beach nonprofit End 22,
cover the cost for Hampton Roads service members like James Skarin.
“I am an eight-and-a-half year Navy veteran,” said Skarin. “I served
another six years in the Air National Guard. So, I’ve got roughly 14
years of military service.”
Skarin was an aircraft firefighter, “and you know you’re talking
about a jet idle at 120 decibels and this thing is going into full
afterburn — and you're 10 feet from it and it feels like it's
shaking the teeth out of your jaw.”
He has been waiting about a year and a half to get this treatment
because he gave up his spot for another veteran that he thought
needed it more even though living with traumatic brain injury wasn’t
easy for him.
Before treatment, he had signs of kidney damage, short term memory,
high anxiety, trouble speaking and balance issues.
He said “nobody could explain what was going on with me.”
So, for 40 treatments over 8 weeks, Skarin documented his journey on
Facebook Live at Hampton Roads Hyperbaric Therapy.
Skarin describes his Hyperbaric Oxygen Therapy treatment as “almost
a rebirth.”
Stoltman gave Skarin a test to measure his brain function before and
after 8 weeks. She said he had a 58 percent improvement in his
cognition after completing treatments.
Right now insurance and the VA consider these treatments
experimental.
“For eight weeks seeing the changes, I was just like why is this not
covered? This is an amazing treatment and these people are getting
their lives.”
In January the Department of Defense released a report rejecting the
effectiveness of Hyperbaric Oxygen Therapy for mild traumatic brain
injury in service members.
“I personally believe that hyperbaric will be a covered indication
for a traumatic brain injury in the future. It is in other
countries,” said Stoltman.
Research Psychologist Tom Fox has been in the clinical Hyperbaric
Oxygen field for 30 years.
“I’m like, are you kidding me?” said Fox.
He believes the Department of Defense does not support hyperbaric
oxygen therapy to treat veterans for mild traumatic brain injury
because of the cost.
"If you look at the estimates of this, 40 percent of those that have
served in the theater of combat for four months or greater could be
at risk for this and if you multiply that out, that gives you a
figure of about 800,000 to 1.2 million,” Fox said.
He added mild traumatic brain injuries can be caused by dramatic
pressure changes like an explosion in combat.
Those big pressure changes also cause neurological decompression
sickness like divers get and is treated with Hyperbaric Oxygen
Therapy.
“There’s significant change from base line and all these guys
deliver,” said Fox.
Patients like Skarin said they’ll keep advocating for Hyperbaric
Oxygen Therapy treatment for veterans because the results are
greater than words.
He said the best part of the treatment is “feeling human again,
feeling like I’m going to be OK.”