The Aviv clinics guy throwing shade at competing HBOT… not great for patients
Shai Efrati was one of the key people behind the HBOT RCT. He is clearly affiliated with Aviv clinics (which sells high pressure HBOT) but he no longer discloses that conflict of interest in his papers.
In an interview on the Aviv clinics Youtube channel, he talks describes high pressure HBOT as “very safe”, which is not how I would characterize HBOT.
51:47 Be evaluated by a professional. He will evaluate you and once he will say that you are suitable then the treatment is generally very safe.
The survey data does show that some patients do respond very negatively to HBOT. Here’s some data from the latest Patient Experiences Survey (TOS data was shown earlier in this thread).
And as mentioned earlier, oxygen toxicity can be an issue.
One problem with getting “professional” medical advice from a HBOT clinic is that they have an incentive to sell you HBOT. What we’ve seen in the US dialysis industry is that rates of in-clinic dialysis are higher in the US than Canada because only the US doctors are allowed to profit from steering their patients towards in-clinic dialysis. I would expect the conflict of interest in HBOT to cause some doctors to steer their patients towards too much HBOT. Perhaps they may even ignore HBOT treatment going the wrong way.
We also see Efrati show his bias towards competing HBOT - namely the soft shell HBOT chambers that he shows in his presentation.
42:56 many people are buying by Amazon or whatever it is and put them on the backyard this is not it don’t get into that this is not working it can be dangerous this is actually less than our placebo group if you need the treatment your health is important go to professional who knows what they are doing
“actually less than our placebo group” is saying that the soft shell chambers achieve lower pressures. Their placebo group received a brief spurt of 1.2 ATA.
To mask the controls, the chamber pressure was raised up to 1.2 ATA during the first five minutes of the session along with circulating air noise followed by decompression (0.4 m/min) to 1.03 ATA during the next five minutes.
Hyperbaric oxygen therapy improves neurocognitive functions and symptoms of post-COVID condition: randomized controlled trial | Scientific Reports
However, this is an unfair dig on cheap HBOT chambers as many of them achieve pressures of 1.3, 1.4, and even 1.5 ATA.
His second dig on cheaper HBOT is that they are “dangerous” whereas his clinic’s HBOT is not. I would not characterize it that way… the data shows that both can cause harm to chronic illness patients. He has a clear bias towards what he is selling and that is not something that you want to see as a patient.