HBOT Conversations:
Evan Fernandez
Warriors on the Water
Evan served in the US Marine Corp, and is currently the President and Founder of Warriors on the Water, USA. Warriors on the Water is a non-profit chartered fishing company that seeks to change a veteran’s perspective on life through natural remedies of healing being on the ocean and surrounded by nature. They offer veterans an opportunity to view their struggles through an alternate perspective; teaching that we cannot change the things that happen, but we can change our reaction.
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HBOT News Network welcomes Evan Fernandez with Warriors on the Water. Evan is an Iraq & Afghanistan Marine Corps combat veteran. He exited the Marine Corps honorably in 2007, but not before he sustained substantial injuries while in combat. He is currently going through Hyperbaric Oxygen Therapy treatments.
Evan tells us how he sustained another head injury about four years ago, and the result of that injury brought back a lot of painful memories and even more cognitive mental decline. He noticed that the multiple TBIs (traumatic brain injuries) have caused him difficulty in concentration & focus, and he was making a lot of mistakes. The injuries affected his sleep and also caused him to feel a debilitating sense of stress and frustration.
He has now completed 29 HBOT treatments, and gives insight into how he is feeling. After his first HBOT dive, Evan tells us that he was in tears. The very first treatment was emotionally overwhelming as it felt like his body was finally starting to come alive. He was feeling free, like he was breaking free of the chains that held him back and made him feel like he was stuck in his own head. After the first dive, he could even already start to feel the pain diminish.
Evan claims that HBOT has given him an opportunity to regain and sharpen his cognitive abilities, and with a much clearer mind. He is finding that he is able to enjoy things and events more, and is allowing himself to simply be present in the moment. Evan even started exercising after noticing his energy levels were ramping up after the HBOT dives, something else he hasn’t has the desire to do in years.
Evan is extremely grateful for the positive changes HBOT has already given him, as he’s feeling like he’s finally getting his life back.
Beyond his personal testimony, Evan is also here to tell us about Warriors on the Water. Warriors on the Water is a non-profit organization that Evan started leaving the military. They run fishing charters across the entire state of Florida — everywhere from the panhandle, northeast Saint Augustine, and down the East Coast into the Keys. The organization helps veterans and military service members who are experiencing PTSD, depression or anxiety as a result of service enjoy some R&R time, while becoming one with nature and the ocean. It’s an experience that becomes so much more than just a deep-sea fishing trip (where, by the way, they always guarantee you’re going to catch some fish because some of the best charter captains in the state are running their charters).
Once you board the boat, you start to immediately build camaraderie with the other veterans onboard, and you are then transported into this extremely positive environment where you can celebrate your triumphs and feel like you’re part of a team and a mission. The entire experience is designed to leave a beautiful, everlasting impact on a veteran’s memory and soul. Evan explains that Warriors on the Water is running more veteran trips out of North Carolina now, and they have also have plans to grow and expand across the coast.
di Girolamo asks how the program is funded, and Evan stresses that there has unfortunately been a lack of funding for the program over the past couple of years. The program is currently seeking funding through donations and sponsorships. If you’d like to donate to the cause or sponsor a fishing tournament for this wonderful organization that helps veterans have an experience of a lifetime, please visit Warriors on the Water at https://warriorsfish.org/donate/.
Guest

Evan Fernandez
Evan served in the US Marine Corp, and is currently the President and Founder of Warriors on the Water, USA.
Warriors on the Water, USA is an official 501(c)(3) veteran, non-profit organization based in Sarasota, Florida. Their primary focus is to facilitate and fund a positive outlet through fishing charters for veterans and military service members that experience anxiety, depression, or PTSD related issues as a result of their military service. Warriors on the Water offers our military service members a chance to meet other veterans from all branches and occupations to network and team build with a sense of camaraderie.
Due to the alarming veteran suicide rate, Warriors on the Water, USA seeks to change a veteran’s perspective on life through natural remedies of healing being on the ocean and surrounded by nature. They offer veterans opportunities to view their struggles through an alternate perspective; teaching that we cannot change the things that happen, but we can change our reaction.
Warriors on the Water USA, Inc. is committed to ensuring a positive environment coupled with an amazing experience that will have an everlasting impact on the veteran. Please consider donating to this wonderful non-profit organization.
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Recent HBOT News
Cerebral hypoperfusion in autism spectrum disorder
Cerebral hypoperfusion, or insufficient blood flow in the brain, occurs in many areas of the brain in patients diagnosed with autism spectrum disorder (ASD). Hypoperfusion was demonstrated in the brains of individuals with ASD when compared to normal healthy control brains either using positron emission tomography (PET) or single‑photon emission computed tomography (SPECT). The affected areas include, but are not limited to the: prefrontal, frontal, temporal, occipital, and parietal cortices; thalami; basal ganglia; cingulate cortex; caudate nucleus; the limbic system including the hippocampal area; putamen; substantia nigra; cerebellum; and associative cortices. Moreover, correlations between symptom scores and hypoperfusion in the brains of individuals diagnosed with an ASD were found indicating that the greater the autism symptom pathology, the more significant the cerebral hypoperfusion or vascular pathology in the brain. Evidence suggests that brain inflammation and vascular inflammation may explain a part of the hypoperfusion. There is also evidence of a lack of normal compensatory increase in blood flow when the subjects are challenged with a task. Some studies propose treatments that can address the hypoperfusion found among individuals diagnosed with an ASD, bringing symptom relief to some extent. This review will explore the evidence that indicates cerebral hypoperfusion in ASD, as well as the possible etiological aspects, complications, and treatments.
Clinical Trial – Spinal Anesthesia in Caesarean Section
Spinal anesthesia is a safe technique, widely used and tested in the gynecological field, so
as to be considered the first choice technique in cesarean section, which allows to quickly
obtain a valid sensor and motor block. Bupivacaine is one of the most widely used drug for
obtaining spinal anesthesia in pregnant women undergoing caesarean section. Bupivacaine is a
local anesthetic available as a racemic mixture of its two enantiomers, the R (+)-
dextrobupivacaine and the S (-) – levobupivacaine, whose clinical use is widely validated.
Racemic bupivacaine is available as a simple or hyperbaric solution, the latter being the
most commonly used for spinal anesthesia. Levobupivacaine, which is the pure levorotatory
enantiomer of racemic bupivacaine, is a slightly hypobaric solution compared to liquor and
has shown less heart and nerve toxicity, probably due to its ability to bind proteins more
rapidly, and a greater selectivity towards the sensory component compared to Bupivacaine,
presents action and effects better predictable. Its baricity would also offer the advantage
of providing a less sensitive block to the position.
Hypotension is one of the most common complications of spinal anesthesia and is particularly
relevant in caesarean section because, in addition to the adverse effects on the parturient,
it can have repercussions on the fetus through a reduction of placental perfusion.
Some studies have showed a similar incidence of hypotension in patients treated with
bupivacaine compared to those treated with levobupivacaine, while others assert an
equivalence between the two drugs. In most studies, however, a significantly lower incidence
of hypotension and a greater hemodynamic stability were reported in pregnant patients
undergoing spinal anesthesia by caesarean section with levobupivacaine.
Being both hyperbaric bupivacaine and levobupivacaine routinely used at the "G. Rodolico"
Universitary Hospital of Catania for the spinal anesthesia of pregnant women undergoing
caesarean section and being their use decided exclusively at discretion of the treating
anesthesiologist, in the light of the discrepant data in the literature about the incidence
of hypotension with the two drugs, the main objective of this observational study is to
evaluate the hemodynamic effects mediated by levobupivacaine on pregnant women subjected to
elective cesarean section and to compare them with those mediated by hyperbaric bupivacaine
in an historical court of pregnant women subjected to caesarean section in the period between
April 2017 and April 2018. The hemodynamic parameters will be monitored in real time with a
non-invasive hemodynamic monitoring system (EV1000® platform + Clearsight® system – Edwards
LifeSciences), routinely used in the "G. Rodolico" Universitary Hospital of Catania, allowing
to obtain greater accuracy and veracity of the results compared to previous studies conducted
on such anesthetics.
Role of Hyperbaric Oxygen Therapy in Trauma Care
Article from Bio Spectrum Media discusses how technological advancements have made the use of HBOT more efficient in Trauma Care: Head Trauma is one of the major causes of death and disabilities across the world. This can be caused due a contusion (bruise),...
