Tag Archives: supplemental oxygen

Katrina Can Be Our Lesson. For Some of Us – Without Oxygen, We Are Dried Out Old Toast

The Katrina Photos belong to Pamela O’Flynn, RRT, MBA Respiratory Care Department Director, Harrison Medical Center.  I copied a few of them with my digital camera and am showing them here.  They are stark yet show the shared bonding of people sharing the same vivid experience of no supplies, no help and patients looking for assistance and medical supplies.

Picture Pam’s Katrina hit hospital here in her photo as one of our hospitals after an earthquake – Harrison Medical Center or any hospital.  Harrison is lucky to have Pam’s experience – and Anne Brown too –  to lead their preparedness thanks to their hospital  experience with Katrina.
I’d like to see the Kitsap Sun partner with Pam and Harrison Medical Center and our oxygen companies for an Emergency Town Hall Seminar and video tape it for those citizens who can’t get there in person.  The people need to understand and put together emergency plan and be prepared for the earthquake we know is coming or any emergency where we must be self sustaining for at least 72 hours..
Folks on supplemental oxygen need a plan too – without oxygen, we’re yesterday’s stale toast.
Above is the old generator…that didn’t work until some talented person fixed it and it ran the hospital and the new one failed.
A brand new generator flown in to the hospital by helicopter – donated by a Texan.  I knew Texas was home to world class quarter horses and we know Texas is a big state – now we know Texas people have a heart as big as the great outdoors too.
Thank you, Angela Dice, you are not only a good writer – you know computer stuff too!   Brian Lewis, Kitsap Sun Web Programmer fixed my photo woes!  Thank you both!  It worked, Brian – here they are.
More later… Sharon O’Hara

Lung Disease and Oxygen

Lung disease attacks our most basic need for living survival…the ability to breathe. Diseases such as Chronic Obstructive Pulmonary Disease and Sarcoidosis affect the lungs and the lucky patients, my opinion, are those who desaturate enough to qualify for supplement oxygen.

Following is one of the best explanations I have read explaining what happens in our need for oxygen. Thanks to Mark Magnus answering a patients question on EFFORTS, www.emphysema.net.

“With any and all lung diseases, there are two things we worry about,
monitor and treat as they manifest. First, we are concerned about the
adequacy of ventilation. When lung disease becomes severe enough to
affect ventilation, we want to be prepared to support it if and when
demand exceeds the capacity of the afflicted person. Next, we are
concerned about adequate oxygenation. When that becomes negatively
affected, we must be prepared to support it with appropriate oxygen
therapy.

Symptoms associated with disturbances in these two functions are for the
most part, the same, with shortness of breath, excess work to breathe
and resultant anxiety all being the most frequent symptoms/complaints.
What separates CRPD from COPD is the treatment approach to the ’causes’
of the symptom set.

In COPD, symptoms are most often the result of poor lung mechanics, that
is, poor movement of air because of obstruction to exhalation.

The lungs have too much air in them and even normal breathing doesn’t
‘dilute’ the air in those over-inflated lungs sufficiently to allow a
return to normal gas levels within them and consequently also in the
blood. So carbon dioxide is increasingly elevated which, until
compensated by the body, stimulates the person to try to breathe more.

Eventually, oxygenation suffers and adds to the degree/severity of
symptoms. Treatment is aimed to improve ventilation and oxygen, as
indicated. That is done by administering oxygen, implementing breathing
techniques to better control breathing and taking various medications by
mouth as well as inhaled to help to better control or reduce symptoms.

CRPD require more in the way of oxygen support, as moving air tends to
be easier, though certainly requires more energy and work. It usually
requires more directly, pharmacological intervention to better control
and resolve the underlying problem. Anti-inflammatory medications like
prednisone are most often a major part of treatment. And, in turn,
symptoms of CRPD most often respond to treatment with anti-inflammatory
medications.

Sarcoidosis is one of the CRPD’s that is most readily treated and often
resolves or goes into remission. I’m curious to know how your COPD was
diagnosed AND what your ‘other’ PFT numbers are. Simply removing part
of a lung can mimic several values of PFT’s suggesting COPD.

http://www.nhlbi.nih.gov/health/dci/Diseases/sarc/sar_whatis.html
http://www.stopsarcoidosis.org/sarcoidosis/diseasefacts.htm?gclid=CN_g5a
KokJ4CFQhV2god4hY4oQ
http://www.medicinenet.com/sarcoidosis/article.htm
http://www.mayoclinic.com/health/sarcoidosis/DS00251

Mark W. Mangus, Sr., BSRC, RRT, RPFT, FAARC
Pulmonary Rehabilitation Coordinator
Christus Santa Rosa, Medical Center
San Antonio, TX
mark.mangus@christushealth.org
Responses reflect my positions and opinions alone and do not necessarily
represent the positions or opinions of Christus Santa Rosa Health Care.”

Thank you Mark and EFFORTS!

More later… Sharon O’Hara