Into thick air

By Rick Polito, IJ reporter

TODD KAUFMANN isn't grabbing his claims out of thin air.

The air in the coffin-sized chambers wedged into his cramped Corte Madera office space is anything but thin.

"This is 1.37 atmospheres," he tells a client, as she climbs out of a zippered compartment the shape of a giant pill, Kaufmann describing the air pressure inside as the equivalent of "9 feet of salt water." Kaufmann is the chiropractor and disquietingly zealous booster behind the Hyperbaric Therapy Centers of Northern California. He has three chambers in Corte Madera, another two in Santa Rosa. In an average week, "50 to 80" clients pay as much as $75 an hour to zip themselves into the pressurized bags and breathe oxygen-enriched air.

And they keep coming back.

"The minimum starting protocol is 40 treatments," says Kaufmann, who left a career as an emergency room nurse to become a chiropractor. He learned about hyperbaric seven years ago, offering it to clients for the first time in 1999. The chambers, Kaufmann insists, boost oxygen levels in the blood and tissues, promoting all manner of healing. Larger steel-walled tanks, capable of higher pressures, are used by hospitals for burn victims and other therapies.

Kaufmann sees no need to stop there.

Sit with him long enough, after he's gone over such widely accepted treatments as for diabetic ulcers and wound care, and Kaufmann will boast of the beneficial effects of hyperbaric therapy on everything from multiple sclerosis to cancer. "There really isn't a situation it cannot be used in," Kaufmann boasts. While he will occasionally limit the scope of his statements - "I don't go around telling people this is a cure-all," he says - hyperbaric hyperbole is a frequent tangent. He doesn't promote hyperbaric therapy as a weight loss strategy, but people do lose weight, he says. "They say, 'My pants fit better.'"

Kaufman insists that hyperbaric therapy is used extensively in other countries. "Like Russia and China," he says. But the practice is not a well-known concept in the United States. The average person here might know little more than that Michael Jackson reportedly sleeps in one.

That might be all they need to know.

Dr. Robert Baratz, president of the National Council Against Health Fraud, calls hyperbaric therapy a practice "ripe for misuse." "At best, you'd be wasting your money," says the Massachusetts M.D. "At worst, you'd be compromising your lungs."

Hyperbaric chambers do have legitimate uses, Baratz points out. Burn units use them to help patients recover. Diabetic ulcers and stubborn wounds have been shown to heal faster with limited hyperbaric treatment.

But even once-standard use of emergency care for carbon monoxide poisoning is now in question. The accepted uses are few, Baratz says. "And there are plenty of illegitimate uses," he adds.

Baratz is not alone. On his healthcentral.com web site, Fairfax doctor and radio personality Dean Edell puts it bluntly: "I wouldn't go near anyone advertising a hyperbaric oxygen chamber."

Kaufmann sticks to his pitch.

Hyperbaric treatment is not widely used in this country because "there is no money in it."

"You can't sell air," he says. And the use of hyperbaric treatment is "tightly controlled," he says. Meanwhile a brochure from the manufacturer of the chambers used in his office boasts "no special training" and "no license needed."

Indeed, Kaufmann claims he has sold "100" such chambers to home users for OxyHealth, the Southern California distributor.

Kaufmann claims there are studies, and lists M.D.s who use hyperbaric therapy. A hyperbaric center run by a Florida doctor recently made headlines with news that the center is treating the only American victim of Mad Cow Disease.

And then there are his clients.

Kaufmann tells stories of people who credit him with life-changing cures.

Marie Holman of Dixon drives 50 miles each way to Kaufmann's office once a week to stave off an ailment for which she says traditional medicine offered little help or hope. "My blood was very, very sick and it wasn't flowing properly," she says of her hard-to-explain condition. "I wasn't getting enough oxygen in my system." The illness manifested itself in pain in her joints, leaving her, as she describes it, "partially disabled."

After going to the Santa Rosa offices of Dr. Robert Rowen, an M.D. noted for embracing alternative therapies, Holman sought out Kaufmann's hyperbaric chambers. The changes came in just three weeks, she insists.

"I started noticing the pain went away," she says.

When she couldn't make the trip to Corte Madera for several weeks, the pain returned. Now it is part of her schedule. "I think everybody should have this, the rest of their lives," she exclaims.

Everybody would need a fair amount of money to accomplish that. Despite Kaufmann's protestations that "you can't sell air," you can sell hyperbaric therapy. A one time treatment in one of Kaufmann's two offices is $75. Twelve visits is $780. Most insurance companies do not cover hyperbaric treatments beyond a narrow field of applications.

But you could always buy your own chamber. Kaufmann will help you. They start at $9,000.

The money doesn't disappear into thin air. The air in Kaufmann's office is anything but thin.

Contact Rick Polito via e-mail at polito@marinij.com.