Saturday, June 29

The Regulatory And Reimbursement Challenges Facing Nations And How These Have Been Addressed


Ken LeDez, MD



United Kingdom
Pieter Bothma, MD

The infamous postcode lottery of obtaining funding for HBO depending on where you live, has been criticized widely. It also apply to other specialties including oncology where the most expensive medication was available in some areas and in many areas it was not.  While negotiating a new commissioning policy for HBO as a specialized service, NHS England agreed a block contract to treat the majority of the conditions that we prefer to treat. The policy was due to be completed in 1 to 2 years, but took seven years. This has now been replaced by the new commissioning policy which is a lot more restrictive.

About Dr. Bothma: Dr. Bothma is a Consultant in Anaesthesia, Critical-care and Hyperbaric medicine. He is Medical director of the London hyperbaric unit operating at 2 sites: in London(Whipps Cross University Hospital) and in Great Yarmouth (James Paget University hospital). He has been involved with the clinical reference group negotiating with NHS England for the last 7 years about a new commissioning policy. He regards this  as the biggest investment of his time for the least benefit to anyone. He is currently chairman of the British Hyperbaric Association.



United States
Caroline Fife, MD



Michael Bennett, MD



Panel discussion





HBO2 and Inflammatory Bowel Disease Update
Jay Buckey, MD


This talk will cover new developments in the treatment of inflammatory bowel disease with hyperbaric oxygen. Inflammatory bowel disease involves both hypoxia and inflammation, and hyperbaric oxygen can have effects on both of those factors. Also, hyperbaric oxygen can affect the microbiome, which is another potential mechanism for HBO2’s effects in IBD.

About Dr. Buckey:  Jay C. Buckey, MD is a Professor of Medicine at the Geisel School of Medicine at Dartmouth and the medical director of the Center for Hyperbaric Medicine at Dartmouth-Hitchcock Medical Center. 


Thai dive rescue
Richard Walker, MD


Topics in Undersea and Hyperbaric Medicine


Top articles in HBO2
Fellow (TDB)



Top articles in Undersea Medicine
Fellow (TDB)