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Healing Under Pressure with Hyperbaric Oxygen Therapy w/ Nicole Garrett | The Holistic Pharmacy Podcast · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession. Welcome to the Pharmacy podcast Network.
• 0:26
  Speaker 2: Hello everybody, Welcome back to the Holistic Pharmacy Podcast. I
• 0:30
  Speaker 2: have an amazing topic and guest for you today, so
• 0:34
  Speaker 2: I'd like you to welcome Nicole Garrett to the show.
• 0:38
  Speaker 2: She's the CEO of under Pressure Hyperbarics at Premiere hyper
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  Speaker 2: Oxygen Therapy Center in Beverly Hills, recognized for its clinical grade,
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  Speaker 2: safety standards, and results driven approach to wellness.
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  Speaker 3: With nearly two decades of experience.
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  Speaker 2: Her career began as a commercial diver and dive medic,
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  Speaker 2: where she first learned the life saving applications of pressure
• 1:02
  Speaker 2: and oxygen in extreme environments. Today, Nicole leads a multidisciplinary
• 1:07
  Speaker 2: team at under Pressure that supports surgical recovery, sports performance,
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  Speaker 2: chronic inflammation, and overall health optimization using hospital grade chambers
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  Speaker 2: and evidence aligned treatment plants. So Nicole, You're in the
• 1:22
  Speaker 2: right place. My audience has not heard about hyperbaric therapy
• 1:27
  Speaker 2: yet from this show, but maybe they've heard about it
• 1:31
  Speaker 2: in clinical practice. So I'm excited to dive in no
• 1:35
  Speaker 2: pun intendant, into this topic with you and first I
• 1:38
  Speaker 2: want to ask what I ask everybody on the show,
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  Speaker 2: which is really about your origin story. And from your bio,
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  Speaker 2: it sounds like you had a very interesting way that
• 1:46
  Speaker 2: you got into this type of work, So can you
• 1:49
  Speaker 2: tell us a little bit about that.
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  Speaker 1: Yeah, I was, like I said, I was a commercial
• 1:53
  Speaker 1: diver and a dive medic and was recruited to work
• 1:57
  Speaker 1: at UCSD's Trauma Center hyperbaric chain, and that was because
• 2:02
  Speaker 1: of all the dive medicine experience. Dive medics are kind
• 2:04
  Speaker 1: of like a paramedic, but instead of focusing on cardiac issues,
• 2:07
  Speaker 1: we focus on dive injuries. So just to source and pieces, decompression, sickness,
• 2:13
  Speaker 1: gas embolisms, those kind of things. And from the university,
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  Speaker 1: I went on to open another satellite center for them,
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  Speaker 1: I did some traumatic brain injury research, and then I
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  Speaker 1: went to open a few hundred different hospital based clinics
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  Speaker 1: all over the country. And my frustration in doing that
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  Speaker 1: was seeing that all these high level hyperbaric centers were
• 2:35
  Speaker 1: only treating the FDA approved indications the same twelve to
• 2:40
  Speaker 1: fourteen depending upon the state, and it just felt like
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  Speaker 1: we were missing the opportunity to increase research bring this
• 2:48
  Speaker 1: really valuable therapy to people that don't qualify for those
• 2:52
  Speaker 1: very rigid standards, and so that's really what drove me
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  Speaker 1: to open under pressure. And because of my background, we
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  Speaker 1: are set up as a hospital grade clinic with the
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  Speaker 1: right equipment, fully trained staff, so we actually can build
• 3:04
  Speaker 1: medicarian insurance and treat those on label as they're called indications,
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  Speaker 1: but we can also do some more traumatic brain injury
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  Speaker 1: research and work with line patients and work with people
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  Speaker 1: who have some other modalities going on, and even contribute.
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  Speaker 4: To the research for that. Wow.
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  Speaker 3: Amazing.
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  Speaker 2: Before we go any deeper into the science behind what
• 3:25
  Speaker 2: type of therapy that this provides for people, I'd love
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  Speaker 2: to ask why specifically did you become a diver and
• 3:34
  Speaker 2: then went on to become a medic Like what got
• 3:37
  Speaker 2: you into that work? I don't feel like I meet
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  Speaker 2: many divers in my line of work.
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  Speaker 1: Especially probably not like underwater welding type work.
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  Speaker 4: I moved.
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  Speaker 1: I grew up in California, we moved to the Midwest,
• 3:49
  Speaker 1: and then I moved back as soon as I hit
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  Speaker 1: college and wanted to be a dolphin.
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  Speaker 4: Trainer at Seaworlds.
• 3:56
  Speaker 1: And I got hired there and realized everyone's working two
• 3:58
  Speaker 1: to three jobs to survive and it wasn't feasible. And
• 4:02
  Speaker 1: I literally opened up the newspaper one day and saw
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  Speaker 1: an ad for the commercial dive school. Though, well, that
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  Speaker 1: seems really cool. It's adjacent to what I was looking
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  Speaker 1: to do, and just jumped in.
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  Speaker 3: So cool.
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  Speaker 2: Amazing How sometimes life just throws you different opportunities that
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  Speaker 2: you hadn't expected. And it sounds like you've been able
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  Speaker 2: to run with this pretty far and wide and open
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  Speaker 2: up clinics and you know, go from un labeled to
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  Speaker 2: off label uses.
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  Speaker 3: So how did that all unfold for you?
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  Speaker 2: And how did you continue to sing yes to those
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  Speaker 2: different opportunities that came up.
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  Speaker 1: Yeah, it was a lot of pushing the boundaries, a
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  Speaker 1: lot of asking for more, especially as I progressed up
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  Speaker 1: through the other companies. The other thing I've done throughout
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  Speaker 1: my career is I teached the UHMS and National.
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  Speaker 4: Board hyperbaric course.
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  Speaker 1: So that's really helped me keep a good network of
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  Speaker 1: physicians and kind of really help educate more and bring them.
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  Speaker 4: To the market.
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  Speaker 1: And so it was time for me to kind of
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  Speaker 1: make the jump. I had quite the rolodex of people
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  Speaker 1: to call and picked our current medical director, doctor Soan
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  Speaker 1: Cohans a day. We're actually opening our second clinic right now.
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  Speaker 1: I'm teaching another course and we'll open in a few weeks.
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  Speaker 1: So it's been a really fun journey, and it's been
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  Speaker 1: a very atypical one, you know, starting with commercial diving,
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  Speaker 1: then doing research, and then doing kind of the installation
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  Speaker 1: and front end side.
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  Speaker 3: So yeah, for sure. So what brought you into the
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  Speaker 3: research side of it?
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  Speaker 2: And when did you first realize that there were a
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  Speaker 2: plethora of different off label uses that you can apply
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  Speaker 2: this to.
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  Speaker 1: I realized very early on there's a plethora of what
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  Speaker 1: they call off label uses. Actually in the US, there's
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  Speaker 1: one hundred and thirty two reasons to treat your dog
• 5:45
  Speaker 1: or your cat in a hyperbarg chamber, but currently only
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  Speaker 1: fourteen to put a human in. And you know, we
• 5:52
  Speaker 1: are all mammals, we all use oxygen basically the same way.
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  Speaker 1: So that's just kind of limitations of our system and
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  Speaker 1: that's what drove me to want to explore the more
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  Speaker 1: more off label. When you look at kind of what
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  Speaker 1: we call the mechanism of action, So what's actually making
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  Speaker 1: this work? If you look at hyperbarics, it's very simple.
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  Speaker 1: It's pressure and oxygen. We're just using the pressure by
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  Speaker 1: putting you inside the hyperbaric chamber to dissolve the oxygen
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  Speaker 1: deeper in your tissues, and then your body does all
• 6:21
  Speaker 1: the work. And so as long as you're using those
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  Speaker 1: same mechanisms, they really do apply to a lot of things.
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  Speaker 4: Our body uses.
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  Speaker 1: They've got antibacterial properties, anti viral properties, really pute anti inflammatory.
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  Speaker 1: It's the only thing we have in medicine, the gross
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  Speaker 1: new blood vessels. So when you look at healing, almost
• 6:38
  Speaker 1: any modality, if any of those things plug ins, it's
• 6:41
  Speaker 1: going to fit, it's going to be a good application
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  Speaker 1: for that.
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  Speaker 2: Yeah, that's a fun fact about the pets and the
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  Speaker 2: indications there. I had no idea that we were doing
• 6:51
  Speaker 2: hyperbaric for pets, And I feel like, even though it
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  Speaker 2: is adjacent to human care, because of the whole insurance
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  Speaker 2: model that we use in the US, we're often not
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  Speaker 2: sure or you know, sometimes like completely different options are available,
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  Speaker 2: and those kind of clinics that usually do a lot
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  Speaker 2: of cash services versus the more conventional model where it's
• 7:14
  Speaker 2: all about you know, prior authorizations and payers and it's
• 7:18
  Speaker 2: just so complex that we don't even know sometimes of
• 7:22
  Speaker 2: these alternative or complementary therapies as they're called, and what
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  Speaker 2: is available really, and we just tell people, you know,
• 7:30
  Speaker 2: here is your option. You know, your pill or your surgery.
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  Speaker 2: That's usually the most common thing that you'll get offered.
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  Speaker 3: And in the.
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  Speaker 2: Past, I would say, like fifteen years I started hearing
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  Speaker 2: about hyperbaric but I still feel like it's.
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  Speaker 3: Not made it to mainstream.
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  Speaker 2: So I'm curious, like what surprised you maybe, or what
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  Speaker 2: continues to motivate you as far as the applications that
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  Speaker 2: you've seen and the health benefits that you've witnessed.
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  Speaker 1: Yeah, we constantly get surprised here when we're treating patients.
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  Speaker 1: A lot of times we'll treat a patient for one
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  Speaker 1: thing and they'll have other things going on and they'll
• 8:06
  Speaker 1: come back and say, look at this scan, like I
• 8:08
  Speaker 1: didn't have to have this done this time because we've
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  Speaker 1: reversed some of that. Or glaucoma is a big one.
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  Speaker 1: We've had a couple patients.
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  Speaker 4: Now.
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  Speaker 1: You know, with glaucoma, your pressure in your eyes really high.
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  Speaker 1: They're constantly taking drops to bring that down. The hyperbaric
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  Speaker 1: shaver can reduce the inflammation. But we always thought that's
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  Speaker 1: kind of a temporary effect. It like taking your drops,
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  Speaker 1: you're going to need to come back tomorrow. And they say,
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  Speaker 1: once you lose your vision from glaucoma, you usually you
• 8:37
  Speaker 1: get like a little pizza slice of vision loss that's irreversible.
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  Speaker 1: We're having people come back with testing.
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  Speaker 4: I have more vision.
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  Speaker 1: I've kind of decreased that gap, or my pressures are
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  Speaker 1: getting lower over time, even though this is the only
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  Speaker 1: thing I've done different. So that's just one example, but
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  Speaker 1: it's kind of why we're really enjoying having a little
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  Speaker 1: more liberty with what we treat and having a really
• 9:00
  Speaker 1: close connection with our patients. And then we start to go, Okay,
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  Speaker 1: let's reach out to some of these optomologists and see
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  Speaker 1: can we do some research with you, and can we
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  Speaker 1: test a few patients and see if this should be
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  Speaker 1: done on a larger scale, so maybe one day it
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  Speaker 1: is approved for everyone.
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  Speaker 3: Amazing. Yeah, And have you seen a difference.
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  Speaker 2: Between the approved uses and the sort of off label
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  Speaker 2: that we've been talking about as far as either the
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  Speaker 2: awareness of patients or like where the payment comes in.
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  Speaker 2: Is it all cash based? Can you tell us a
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  Speaker 2: little bit more about that business side?
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  Speaker 1: Yeah, the business side, if it's not one of the
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  Speaker 1: approved indications. We've seen in the last five or so
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  Speaker 1: years that some of the private insurances there's no one
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  Speaker 1: to call it medicare, at least in California.
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  Speaker 4: It's just kind of fee for service. It is what
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  Speaker 4: it is.
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  Speaker 1: Some of the private insurances are starting to use hyperbarics
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  Speaker 1: slightly outside the approved indications. It usually means the patients
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  Speaker 1: tried a number of things and they fail, and we
• 10:01
  Speaker 1: do what it's called like a peer to peer with
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  Speaker 1: one of the medical directors of the insurance company and
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  Speaker 1: say we think this will work because the mechanism of
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  Speaker 1: action is the same these things have failed, and so
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  Speaker 1: for patients it really helps.
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  Speaker 4: It's important to know with.
• 10:12
  Speaker 1: Hyperbaric oxygen therapy it's you're not doing one or two treatments.
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  Speaker 1: Think of it like a course of antibiotics. You're going
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  Speaker 1: to be coming in every day for ten, twenty thirty
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  Speaker 1: forty days in a row. We are just giving you
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  Speaker 1: oxygen and your body has to kind of conduct all
• 10:28
  Speaker 1: that healing on its own. It's a slow process, and
• 10:31
  Speaker 1: so if you think about financing something like forty treatments,
• 10:34
  Speaker 1: it can be quite costly. So it's amazing that we're
• 10:36
  Speaker 1: starting to see the evolution of at least some private payers,
• 10:39
  Speaker 1: but most everything is still cash. As far as going
• 10:43
  Speaker 1: outside those fourteen.
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  Speaker 2: Indications, Yeah, makes sense and still great that they have
• 10:49
  Speaker 2: that option, and it's not just you know, kind of
• 10:53
  Speaker 2: blocked off for them just because it's not approved yet
• 10:57
  Speaker 2: by the scientific literature that's available, but clearly in practice
• 11:01
  Speaker 2: you're seeing amazing results.
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  Speaker 3: So you brought up a good.
• 11:05
  Speaker 2: Point about how long lasting a treatment can be. So
• 11:10
  Speaker 2: what is this sustainability or long term maintenance plan with
• 11:13
  Speaker 2: somebody that is going through hyperbaric.
• 11:17
  Speaker 4: Yeah, that really depends on what we're treating.
• 11:19
  Speaker 1: So if we're treating like a post surgical healing issue,
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  Speaker 1: you know, once we get you healed, you're done. You
• 11:26
  Speaker 1: don't really usually ever need to come back. If we're
• 11:29
  Speaker 1: the same for kind of radiation injuries from cancer treatments,
• 11:33
  Speaker 1: we're reversing the damage. The radiation often kills the blood
• 11:37
  Speaker 1: vessels around the cancer as well as the cancer, so
• 11:39
  Speaker 1: they have trouble healing the tissues really dense. If we
• 11:42
  Speaker 1: can regrow those blood vessels and fix the problem, there's
• 11:45
  Speaker 1: no need to come back. But if you look at
• 11:47
  Speaker 1: something like diabetes and long term diabetic wounds or some
• 11:51
  Speaker 1: of the autoimmune diseases that can be more chronic. You're
• 11:55
  Speaker 1: probably going to come back and do a series periodically,
• 11:58
  Speaker 1: and each indication has a little bit different lifespan. There's
• 12:02
  Speaker 1: a lot of research that's helped us figure out, Okay,
• 12:04
  Speaker 1: you're going to need to come back in six months,
• 12:06
  Speaker 1: you may be good for two years. Or for lupus,
• 12:10
  Speaker 1: for example, it's a really pontent antone flammatory, So the
• 12:13
  Speaker 1: start of a flare up, if we can get people
• 12:14
  Speaker 1: in for like three treatments, we can prevent them from
• 12:17
  Speaker 1: going to the hospital and having to get on cortical
• 12:19
  Speaker 1: storage and get this super like this cascade of events
• 12:23
  Speaker 1: from happening. But that's going to still happen every time
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  Speaker 1: you have a flare up.
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  Speaker 4: So it can.
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  Speaker 1: Prevent a lot of things, but you're still going to
• 12:30
  Speaker 1: need to use this just like you would another tool
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  Speaker 1: when you have an incident.
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  Speaker 3: Yeah, yeah, totally, that makes sense.
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  Speaker 2: And so how often, like if you're in an active
• 12:42
  Speaker 2: treatment stage, how often do you recommend typically a session
• 12:46
  Speaker 2: and can you tell us a little bit about that process.
• 12:49
  Speaker 1: Yeah, so I'll describe the session first and then usually
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  Speaker 1: the frequency. So when you come in with us the
• 12:55
  Speaker 1: very first appointment, we're going to do a clearance. There
• 12:57
  Speaker 1: are a few contraindications to hyper bear. There's a couple
• 13:00
  Speaker 1: relative ones, So we go through all of that with you,
• 13:04
  Speaker 1: make sure that we don't have to make any alterations
• 13:06
  Speaker 1: in your protocol, and then we determine the best treatment
• 13:09
  Speaker 1: for you, and we just use wed dose oxygen in
• 13:13
  Speaker 1: the hyperbaric chamber with time and pressure. So the longer
• 13:16
  Speaker 1: you're in there or the deeper you're in there, and
• 13:18
  Speaker 1: each depth kind of has different physiological effects. If you
• 13:21
  Speaker 1: think of something like bone, it's a really dense tissue,
• 13:24
  Speaker 1: So if we're treating a bone infection or injury, we
• 13:26
  Speaker 1: need to go a lot deeper, and you need to
• 13:27
  Speaker 1: be another a little longer to get the oxygen to
• 13:29
  Speaker 1: diffuse in that dense tissue. So we take those things
• 13:32
  Speaker 1: into account, and then when you start the actual treatment itself,
• 13:36
  Speaker 1: you're going to change into some hyperbaric approved scrubs. It
• 13:40
  Speaker 1: is a chamber full of high pressure oxygen, so we
• 13:43
  Speaker 1: worry about fire.
• 13:44
  Speaker 4: So we're gonna take your cell phone, we're gonna take
• 13:45
  Speaker 4: your watch.
• 13:46
  Speaker 1: We're going to try and take off all your jewelry,
• 13:48
  Speaker 1: we're going to put you in the hyperbaric approofd scrubs,
• 13:51
  Speaker 1: and then we're gonna put you in the hyperbaric chamber.
• 13:53
  Speaker 1: When we start the compression phase, it's kind of like
• 13:55
  Speaker 1: landing in an airplane. That's when patients will feel the
• 13:58
  Speaker 1: pressure change on their ear. Would have already coached them
• 14:01
  Speaker 1: on how to clear their ears. We can communicate with
• 14:03
  Speaker 1: them the whole time because we have these clear acrylic
• 14:07
  Speaker 1: chambers with a phone that connects, so we can talk
• 14:09
  Speaker 1: to them if they're having trouble and pause treatment. Most
• 14:12
  Speaker 1: people do great and don't have any issues. Once they
• 14:15
  Speaker 1: get to their treatment depth, they hang out for one
• 14:18
  Speaker 1: to two hours, depending upon what their protocol is. We
• 14:21
  Speaker 1: do have TV on the outside so they can watch
• 14:22
  Speaker 1: TV and just relax. Your only job inside is to breathe,
• 14:27
  Speaker 1: and then when we come back to the surface, it's
• 14:29
  Speaker 1: like taking off in the airplane. Your ears will clear
• 14:31
  Speaker 1: on their own, and as long as you're breathing like
• 14:34
  Speaker 1: at a normal rate, that's all you have to do.
• 14:37
  Speaker 1: As far as frequency, we have, most patients start with
• 14:42
  Speaker 1: either ten or twenty treatments. Unless you are looking at
• 14:44
  Speaker 1: something like a severe bone infection or heavy radiation damage,
• 14:48
  Speaker 1: and then we start with like thirty treatments and then
• 14:50
  Speaker 1: we have periodic check ins to see how you're doing.
• 14:52
  Speaker 4: Do we need to make adjustments? Should we extend your.
• 14:55
  Speaker 1: Protocol, should we change your depth?
• 14:57
  Speaker 4: Those kind of things.
• 15:00
  Speaker 3: Yeah, makes sense.
• 15:02
  Speaker 2: So you mentioned contry indications and that's something that everybody
• 15:07
  Speaker 2: probably in the audience is wondering about, Like, am.
• 15:10
  Speaker 3: I a good fit? So what would you say is
• 15:13
  Speaker 3: not a good fit for hyperbaric?
• 15:15
  Speaker 4: Yeah?
• 15:16
  Speaker 1: The number one contra indication for hyperbarics is any untreated pneumothorax,
• 15:21
  Speaker 1: So like a long issue, if you've had a collapse lung,
• 15:24
  Speaker 1: if you've got a history of what they call blebs
• 15:26
  Speaker 1: or any long issues. We usually have palmonology clear you
• 15:30
  Speaker 1: just to make sure we are changing pressures. Is simulating diving,
• 15:34
  Speaker 1: so part of our clearance is a basic dive physical
• 15:36
  Speaker 1: and if we need to send out for advanced we
• 15:38
  Speaker 1: would that's.
• 15:39
  Speaker 4: The biggest factor.
• 15:40
  Speaker 1: After that, there are five medications that are relative contraindications.
• 15:45
  Speaker 1: We can induce something called oxygen toxicity while you're in
• 15:49
  Speaker 1: the hyperbaric chamber, and those medications can be part of that.
• 15:53
  Speaker 1: So we will get your medication list and your history
• 15:56
  Speaker 1: for a mere chemotherapy agents. So you know, if we're
• 16:01
  Speaker 1: working with any cancer patients, we're usually working with our
• 16:03
  Speaker 1: oncologists anyways, and we just calculate the half lives a
• 16:06
  Speaker 1: lot of them. If you're going through cancer, it's actually
• 16:09
  Speaker 1: really beneficial to get in the hyperbaric chamber. It mitigates
• 16:12
  Speaker 1: a lot of the side effects of chemotherapy. It can
• 16:15
  Speaker 1: actually increase the potency of the chemo for the cancer
• 16:20
  Speaker 1: but protect your healthier cells. So a lot of times
• 16:23
  Speaker 1: the oncologists can lower their dose a little bit and
• 16:26
  Speaker 1: yet have it be more effective. But again we need
• 16:28
  Speaker 1: to figure out those doses and timing. Sometimes you need
• 16:31
  Speaker 1: to take three or four days off after the infusion
• 16:33
  Speaker 1: and then you can come.
• 16:34
  Speaker 4: Back after that.
• 16:37
  Speaker 1: We really just worry about your ears, so we take
• 16:40
  Speaker 1: a look at your ears, we see how they're clearing.
• 16:42
  Speaker 1: I have had one patient that didn't have a use
• 16:44
  Speaker 1: station two, which is what you use to clear your ears,
• 16:47
  Speaker 1: and so her E and T advice she'd not go
• 16:49
  Speaker 1: under pressure because we could rupture her ear drum. If
• 16:53
  Speaker 1: you have a cold or kind of sinus congestion, usually
• 16:56
  Speaker 1: a good time to skip treatment until that clears up,
• 16:59
  Speaker 1: because you do need to be able to queer your
• 17:01
  Speaker 1: ears on sinuses. So those are the main concerns we
• 17:04
  Speaker 1: have with hyperbarics. Outside of that, everything's very manageable.
• 17:09
  Speaker 2: Yeah, it's interesting when you mentioned about cancer and chemotherapy
• 17:13
  Speaker 2: because when you said that it helps you with angiogenesis
• 17:16
  Speaker 2: or blood growth of blood vessel growth, I was thinking,
• 17:20
  Speaker 2: who's active cancer country indication.
• 17:22
  Speaker 3: So it's interesting that it seems to be beneficial.
• 17:25
  Speaker 4: It's the opposite.
• 17:26
  Speaker 1: For a long time they thought if you have cancer,
• 17:29
  Speaker 1: absolutely not and then they've done research and they've found
• 17:33
  Speaker 1: that cancer really doesn't like oxygen. It does pull in
• 17:36
  Speaker 1: a big blood supply, but if you look at like
• 17:39
  Speaker 1: a slice of a tumor, most of those blood vessels
• 17:43
  Speaker 1: deanded inside. And so when you put someone in a
• 17:46
  Speaker 1: hyperbaric chamber, the cancer kind of opens up to try
• 17:48
  Speaker 1: and get rid.
• 17:49
  Speaker 4: Of the extra oxygen.
• 17:50
  Speaker 1: And that's why if we can time it with your
• 17:52
  Speaker 1: chemotherapere radiation, it's extremely open and then we can get
• 17:55
  Speaker 1: those targeted therapies in. And certain cancers really hate oxygen.
• 18:01
  Speaker 1: Some don't have much of a reaction. We have yet
• 18:04
  Speaker 1: defined any that have increased growth with it.
• 18:08
  Speaker 2: Wow, amazing, this is definitely probably a big breakthrough for
• 18:14
  Speaker 2: people who haven't heard about this before. I'm certainly very
• 18:17
  Speaker 2: impressed and definitely want to look into this more. And
• 18:21
  Speaker 2: I'm curious what is your overall message, like if you
• 18:25
  Speaker 2: can condense your message or your vision, your passion for
• 18:32
  Speaker 2: your work and from your clinical expertise, what do you
• 18:35
  Speaker 2: wish more people knew about this?
• 18:38
  Speaker 1: I wish I knew that it's an option for a
• 18:41
  Speaker 1: lot of people, that it's extremely non invasive with almost
• 18:45
  Speaker 1: no side effects other than those small chants of oxygen
• 18:48
  Speaker 1: talks to see while you're inside therapy that can be
• 18:52
  Speaker 1: very life changing. Most of our patients will come in
• 18:55
  Speaker 1: with a direction of I have this thing I want
• 18:58
  Speaker 1: to treat or I want to try and heal, and
• 19:00
  Speaker 1: they fall in love with a therapy because it's just
• 19:03
  Speaker 1: so beneficial. I mean, you're hyperoxienating your entire body, so
• 19:07
  Speaker 1: you may have just had knee surgery and you want.
• 19:09
  Speaker 4: To heal that faster.
• 19:10
  Speaker 1: We treat a lot of athletes I need to get
• 19:12
  Speaker 1: back on the court, but you feel so good afterwards,
• 19:16
  Speaker 1: your brain's functioning better, you're sleeping better, that you fall
• 19:19
  Speaker 1: in love with this therapy and it has so many
• 19:22
  Speaker 1: other benefits. It's not something though I like to stress
• 19:26
  Speaker 1: that you do as a solo therapy almost ever, you
• 19:29
  Speaker 1: want to do this in conjunction with your other therapies.
• 19:31
  Speaker 1: The only time it's usually a solo therapy is if
• 19:34
  Speaker 1: it's a decompression injury from diving and then sometimes carbon monoxide.
• 19:39
  Speaker 4: This is about all you can do to help treat
• 19:40
  Speaker 4: some of that. Got it?
• 19:44
  Speaker 3: That makes sense as well?
• 19:46
  Speaker 2: And what is your vision for your company and growing
• 19:51
  Speaker 2: this awareness or you know, you mentioned opening up another
• 19:55
  Speaker 2: clinic and you're here in this podcast, so like if
• 19:58
  Speaker 2: you could get your message out further, like what would
• 20:03
  Speaker 2: that be and what would your invitation be for people?
• 20:07
  Speaker 1: Yeah, I mean my vision is to open more facilities.
• 20:10
  Speaker 1: I really like partnering with doctors who want to add
• 20:13
  Speaker 1: this to their practice as opposed to becoming like some
• 20:15
  Speaker 1: standalone I've found that doing that and having this career
• 20:21
  Speaker 1: this is my twentieth year this year. When you get
• 20:23
  Speaker 1: to educate good members of the community, they help to
• 20:26
  Speaker 1: educate the rest of the community, and so that I
• 20:28
  Speaker 1: think it's kind of like a grassroots way of getting
• 20:31
  Speaker 1: the message out there and making it available, but also
• 20:34
  Speaker 1: working with the local communities and not just coming in
• 20:36
  Speaker 1: and being like a McDonald's for lack of better word,
• 20:39
  Speaker 1: on the corner.
• 20:40
  Speaker 4: We want to enrich the community.
• 20:42
  Speaker 1: We want to offer the therapy to a population that needs.
• 20:46
  Speaker 4: It and just make it accessible.
• 20:47
  Speaker 1: And I think as we open more, we're also being
• 20:50
  Speaker 1: more able to make it more affordable because, like I said,
• 20:52
  Speaker 1: you do usually need thirty forty treatments to do a course.
• 20:58
  Speaker 3: Yeah.
• 20:59
  Speaker 2: I think that's something that a lot of us in
• 21:01
  Speaker 2: the healing space, the practitioner space that are offering out
• 21:05
  Speaker 2: of the box solution are innovating right now and thinking
• 21:10
  Speaker 2: having to probably think outside the box around maybe something
• 21:14
  Speaker 2: insurances are not working with not covering and this could
• 21:18
  Speaker 2: be really beneficial for the patients. So how do we
• 21:21
  Speaker 2: create systems and create ways that people can't afford these
• 21:25
  Speaker 2: things that are probably a little bit more costly than
• 21:29
  Speaker 2: getting like a generic medication, let's say, even if they
• 21:32
  Speaker 2: had to pay out of pocket. So yeah, something that
• 21:35
  Speaker 2: we definitely have to consider as business owners to make
• 21:38
  Speaker 2: sure that a good thing is not a well kept secret,
• 21:43
  Speaker 2: right and people know about it and.
• 21:45
  Speaker 3: They have a way to work with it. Yeah. Cool.
• 21:50
  Speaker 2: So this has been super informative and I'd love to
• 21:53
  Speaker 2: invite you to a rapid fire around to start to
• 21:57
  Speaker 2: close up this episode. Okay, that's all right, awesome. So
• 22:01
  Speaker 2: my first question is if you wanted to give somebody
• 22:07
  Speaker 2: one piece of advice about how to improve their quality
• 22:10
  Speaker 2: of life right now, what would that be?
• 22:13
  Speaker 4: Reduce your inflammation.
• 22:16
  Speaker 1: And that could be through diet, that could be through exercise,
• 22:19
  Speaker 1: that can even be through clean water. But if you
• 22:22
  Speaker 1: can get your inflammation down, that seems to be the
• 22:24
  Speaker 1: number one trigger for a lot of diseases to be
• 22:26
  Speaker 1: able to take hold.
• 22:29
  Speaker 3: Yeah.
• 22:30
  Speaker 2: Perfect, And I also like to think about it as
• 22:32
  Speaker 2: like an intermediary right could be different root causes, but
• 22:36
  Speaker 2: that's always like the path that they take and then
• 22:39
  Speaker 2: they surface as different symptoms that we dive them.
• 22:43
  Speaker 1: Yeah.
• 22:44
  Speaker 3: Yeah.
• 22:45
  Speaker 2: So question number two, what's a fun fact about yourself
• 22:50
  Speaker 2: that maybe not many people are aware of?
• 22:54
  Speaker 1: Fun fact would be, in addition to the clinical hyperbarics,
• 22:57
  Speaker 1: I actually do hyperbaric operations for underground I'm calling. So
• 23:01
  Speaker 1: I was most recently part of putting the LA subway
• 23:04
  Speaker 1: system in and working with the tunnel boring machines. They
• 23:08
  Speaker 1: actually have to work under pressure a lot, so I
• 23:11
  Speaker 1: bring in a whole team, and we control the pressures
• 23:14
  Speaker 1: and if they have any injuries, we have to treat
• 23:16
  Speaker 1: them under pressure. So we go inside under pressure and
• 23:19
  Speaker 1: bring a whole group of medics.
• 23:21
  Speaker 5: So wow, yeah, mean of pressure, yes, and working with
• 23:29
  Speaker 5: different things under pressure.
• 23:31
  Speaker 3: I love it.
• 23:32
  Speaker 2: And then last fun little question, what's your favorite meal
• 23:36
  Speaker 2: to either cook or just have enjoy yourself?
• 23:41
  Speaker 4: Favorite meal? I lost my mom a.
• 23:44
  Speaker 1: Few years ago, unfortunately to cancer, and one of my
• 23:47
  Speaker 1: favorite meals is one that we cooked is a family.
• 23:49
  Speaker 4: She got the recipe from a.
• 23:51
  Speaker 1: Friend and it's it's hot orange beef and this spicy
• 23:54
  Speaker 1: cucumber salad and it's just one of those. It's a
• 23:56
  Speaker 1: delicious meal, but it also brings a lot of that
• 23:58
  Speaker 1: comfort from el to back.
• 24:02
  Speaker 2: Yeah, I'm sorry for your loss, And yeah, the meal
• 24:06
  Speaker 2: and other different sensory ways that we remember our loved ones.
• 24:10
  Speaker 2: It's really interesting how they could just like simultaneously in
• 24:14
  Speaker 2: one instantaneously. Rather they can just bring us back, whether
• 24:18
  Speaker 2: it's a scent or you know, something that we remember
• 24:22
  Speaker 2: triggers a memory.
• 24:23
  Speaker 3: So I love that for you.
• 24:25
  Speaker 2: And yeah, the last question I have for you is
• 24:28
  Speaker 2: how can people find out more and work with you
• 24:32
  Speaker 2: or partner with you. Is it you know, patient like
• 24:36
  Speaker 2: patients have to reach out?
• 24:38
  Speaker 3: Is it doctor referrals? Like? What is the system that
• 24:40
  Speaker 3: you have to reach out?
• 24:42
  Speaker 1: Yeah, we take both patient and physicians. We have our
• 24:45
  Speaker 1: own full medical director team, so everyone gets cleared here.
• 24:48
  Speaker 1: So if you don't have your own prescription under pressure
• 24:51
  Speaker 1: dot com you can find all of our info. If
• 24:53
  Speaker 1: you're a physician that's looking to prefer a patient or
• 24:56
  Speaker 1: wants to learn more about hyperbarracks, I do teach the
• 24:58
  Speaker 1: full course just to help get everyone educated and make
• 25:02
  Speaker 1: sure they know what they're prescribing and how to prescribe it.
• 25:05
  Speaker 1: Anything on the website you can get a hold of
• 25:07
  Speaker 1: me and we can make it happen.
• 25:10
  Speaker 3: Perfect.
• 25:10
  Speaker 2: And then for those listeners that are outside of your
• 25:14
  Speaker 2: local area of service, which is Beverly Hills I believe, Yeah,
• 25:19
  Speaker 2: how can they benefit from either the online education or
• 25:23
  Speaker 2: how can they find a good clinic around them?
• 25:27
  Speaker 4: Yeah, to look for.
• 25:28
  Speaker 1: A good clinic around you, you can do a web
• 25:31
  Speaker 1: search for that kind of things. You're going to want
• 25:33
  Speaker 1: to look for a hard sided chamber. You won't want
• 25:37
  Speaker 1: to look for one that's got a National board stamp
• 25:39
  Speaker 1: on it to make sure it's been proven safe for
• 25:42
  Speaker 1: repeated pressurizations. If you think about like the Titan, there
• 25:45
  Speaker 1: are some hyperbaric chambers that are being imported from other
• 25:48
  Speaker 1: countries that we just don't know if they can withstand
• 25:50
  Speaker 1: pressure daily you know, constant compression. So make sure it's
• 25:54
  Speaker 1: got a National board stamp. It's hard sided, it can
• 25:57
  Speaker 1: go to at least two atmospheres, and you're usually in
• 25:58
  Speaker 1: pretty good hands.
• 26:01
  Speaker 3: Amazing.
• 26:02
  Speaker 2: Thank you so much Nicole for coming on and sharing
• 26:05
  Speaker 2: about this amazing topic and great clinical therapeutic option for
• 26:10
  Speaker 2: people that may not have been aware about it and
• 26:13
  Speaker 2: for the practitioners out there. Definitely reach out to Nicole
• 26:16
  Speaker 2: to find out more about her course.
• 26:18
  Speaker 3: And yeah, I wish you a great day ahead.
• 26:22
  Speaker 4: Thank you, thanks for having me.
• 26:23
  Speaker 3: Bye