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Help, cant get o2! (Read 2148 times)
achinghead
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Help, cant get o2!
Jun 24th, 2010 at 8:10am
 
Ive been a sufferer for 22 yrs. In that time Ive been to many neurologists as Im sure alot of you have. The only abortives that works for me are Imitrex injections and O2. Im into my 7th week of these with no sign of relief in sight. I had built up quite a collection of injections over the past couple yrs waiting for my next battle to start and have used my last one.
I have no insurance now thanks to the economy and cannot afford to see a neurologist or pay $200.00 plus per perscription of Imitrex.
I have been to 2 physicians in the past week trying to get them to ok O2 for me. Neither will do it.
Last night took the cake. I had gone to an urgent care knowing I was due to get hit at 7:30-8:00. Got there at 6:30. I explained to the nurse at the front desk why I was there (cluster headaches) and that I was due for an attack at anytime. I loved it when she said "Oh I get migraines too"
Ignorance once again. Long story short, the headache came right on time. The nurse and aids saw me over their counter, Pacing, eye closed, watering, etc. They didnt offer any room to go wait in, didnt come to see if I was ok, (which probably was a good thing). I couldnt take it any more and went up and asked if I could get some 02 to abort this headache. She said she would go ask. After 5 minutes she came back and told me no, not until I could see a Dr. Fast forward an hr. I finally get called in. Ive been at k7-8 for almost an hr. Wait another 20 minutes, Dr finally comes in. She asks me why Im there and I explain to her the cluster headaches and I need O2 for abortives and also prednisone as I was prescribed in the past. I saw her for 30 seconds tops. One of her aids came back in a few minutes later and told me no to the 02 and that they would give me a 5 day dose of prednisone. When I questioned the aid as to why I couldnt get an 02 script he said because the Dr says it doesnt do anything for headaches. I told him obviously she hadnt treated anyone for clusters and that she must not know much about them as most dont. I asked him why she didnt tell me that when she was with me during the 30 seconds and that I would like her to explain to me her reasoning. After a few minutes I was asked to go into the facility owners office. I walked in, sat down in front of his desk, He looks at me and says I had no right to talk to his employee in that manner. I told him I was just questioning the Dr.s knowledge of Cluster Headache treatment and wanted to speak to her about it. His reply was... "I dont have to give you and explaination and the bottom line is Im not giving you a script for 02". I told him I understood that and I was fine with that and I only wanted an explaination as to why they felt 02 wont work for Clusters. He basically told me that theres no proof that 02 works for "headaches" and to leave his facility. I told him fine, and to have a good day. I went to the front desk so I could "check out". As Im standing there he comes out of his office and asks if I wanted my money back.  Incidently, I was asked to pay before the Dr. would see me. I did get my money back but cant figure out why they were so rude and unprofessional. I have been to many facilities over the past 22 yrs and NEVER have I experienced anything like this.
Anyhow, Im still in the same position.. no 02 and fighting the devil every 3-4 hrs. Have no health insurance, cant find anyone to help me with 02. Im to the point where theres times I just want to give up, the beast has won the battle, But I have 2 boys that would be devistated. Sorry about the rambling.. just looking to vent and trying to find a solution for the 02.

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deltadarlin
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Re: Help, cant get o2!
Reply #1 - Jun 24th, 2010 at 8:29am
 
Welders O2.  No script needed, no explanation needed and easy to get.
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wimsey1
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Re: Help, cant get o2!
Reply #2 - Jun 24th, 2010 at 8:32am
 
Quote:
Anyhow, Im still in the same position.. no 02 and fighting the devil every 3-4 hrs. Have no health insurance, cant find anyone to help me with 02. Im to the point where theres times I just want to give up, the beast has won the battle, But I have 2 boys that would be devistated. Sorry about the rambling.. just looking to vent and trying to find a solution for the 02.


Don't give in to the beast, and don't give up hope. And most certainly don't give up trying. You know O2 works, we know it works. The oxygen info at the left has some articles you can print out to inform a GP. You do not mention if you have done this, but if you have not, I encourage you to do so. There are others here much more knowledgable about places to get O2, including welder's O2 for which I do not think you need a Rx. You also said you cannot afford insurance. But achinghead, you can't afford to keep on in this way. You say you've been to doctors, were any of them knowledgable or sympathetic? If so, make an appointment, load up on info, and make the most of the time. Friends, family, even churches may front you the money for the visit. Don't suffer silently...keep ranting!  Smiley lance
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Chad
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Re: Help, cant get o2!
Reply #3 - Jun 24th, 2010 at 8:51am
 
Hello Mr. achinghead, we all know what you're going through.  I know it's a pain to get medical oxygen, but you'll see a lot on her use welders oxygen which is no different other than a tank that is possible dirty on the inside.  There is no chance that dirt will get into your mask so no worries there.  What you can do in the meantime is get your set up (regulator and non-rebreather mask).  You can buy the mask on here in the CH.com store for $27.50 on your left column and you can get regulators on Ebay.  You'll need a CGA-870 fitting for "E" tanks and a CGA-540 fitting for "M or H" tanks.  Make sure the regulator is 15 LPM or higher.  I use a 0-15 and get results, but some use much higher flow rates.
Once you get those items, find a welding supplier who has oxygen and do what others on here do.  Say your starting to weld and you need oxygen (M tank).
I haven't done this because I have medical oxygen, but if I even loose that option, I will be going this rout.  I hope this helps.  You should probably get better feedback than me on this matter.

Best of luck and I wish you some PF time.

Cheers,
Chad
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achinghead
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Re: Help, cant get o2!
Reply #4 - Jun 24th, 2010 at 9:46am
 
A few yrs ago I tried to get O2 from a welding supply company. I was told I had to have a welders license to purchase one. I was also told that if I got an E size that I would need a script because it was labeled medical.
Well this am I called around again and was told the same about the E size but can come in and purchase M or larger for welding purposes. Thank the good Lord that I can go get a tank. Now I need to figure out where I can get a regulator today and also a non rebreather mask. I know I can order one online but I dont want to wait that long.
I also called GSK, the maker of Imitrex and found that they will send me FREE injections if I can get a physician to be an advocate. I go to the VA healthcare center here in town since Im a veteran. I did go in there today with the proper applications in hand and tried to get them to let me talk to a nurse. They wouldnt do it. They set me up for an appt next Tuesday. I hope I can get the DR to make a 5 minute phone call and be my advocate. It is the Govt however and I guess I cant expect much unfortunately.
One last comment... can I get a regulator from the welding supply company? What about a non-rebreather mask.. any idea where I could look for one locally?
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Re: Help, cant get o2!
Reply #5 - Jun 24th, 2010 at 10:48am
 
I have been trying to get a non re-breather mask all morning. My o2 game yesterday but they sent the wrong mask. Keep trying the Home Health Care people in your area as the distributors all want to mail them. I finally ordered one on line but won't get it until Monday. I'm just sealing all the holes in the mask I have and breathing it straight, then opening the mask a little to exhale. Hey if you are in bad shape now or over the weekend, print out the stuff on o2 from this site and go to the er. They were the best and don't give a shit how high they turn the o2. Or as was suggested to me yesterday on this forum, go to your local fire department and show them the print out. They are usually pretty good if they are local and you are nice. Why the f_ _ _ do we have to beg and scheme to get harmless, simple help? Because even most Docs have never heard of us.... Thank God for each other. Hang in there bro and keep digging. You will get what you need and then don't ever run out.
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achinghead
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Re: Help, cant get o2!
Reply #6 - Jun 24th, 2010 at 10:58am
 
found where to get the non rebreather mask. $4.00 at the local pharmacy. Welding supply has the tank and regulator. I have to purchase them they will not rent it to me. Cost for M tank is $125.00, $20 for the gas, and $80.00 for regulator. Total Cost = $225.00
Ive read the O2 info and dont think I need anything else. I wanna make sure before I go and purchase so I think Im going to wait for some feedback.
I believe the hose that is connected to the mask just hooks to the regulator.
Sorry but as bad as Im being hit this time my state of confusion is probably showing. Its hard to focus when I know the beast is due to hit me in 23 minutes if hes on schedule.
Seems the physicians are eager to hand out vicodin,percocet, or any other addictive pain killer but refuse to let me have an O2 tank. I dont get it.. and I did refuse the above pain killers. They do nothing anyhow.
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« Last Edit: Jun 24th, 2010 at 11:13am by achinghead »  
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Lettucehead
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Re: Help, cant get o2!
Reply #7 - Jun 24th, 2010 at 11:08am
 
I am absolutely appalled at the way you have been treated by that urgent care clinic.
I'm sorry you had to experience that.

Just for reference in the future, please print out a copy of the article 'Management of Cluster Headache' in the medical journal American Family Physician.  I think Bob Johnson has posted a PDF file somewhere although you can also google it.  It is free.  Stick a copy of the article in your pocket and never see a dr. without it.  The American Family Physician journal is well known throughout the medical world and should serve you as an advocate against ignorance...
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Chad
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Re: Help, cant get o2!
Reply #8 - Jun 24th, 2010 at 11:10am
 
achinghead wrote on Jun 24th, 2010 at 9:46am:
One last comment... can I get a regulator from the welding supply company? What about a non-rebreather mask.. any idea where I could look for one locally?
I had to wait for my regulator for the "E" tank so I actually hauled around my "M" tank in the car, LOL!  I would stick with the "M" tanks if your home.   Those "E" tanks are great for work or when you're mobile.  They don't last long though.  Anyway, I would think a medical supply store might have non-rebreather masks, i'm not sure about the regulator.  Some here use the welders regulator since it puts out higher flow rates.
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Re: Help, cant get o2!
Reply #9 - Jun 24th, 2010 at 1:01pm
 
Stories like this make me so angry Angry

I don't have any other advice as it sounds like everyone has already made some very good suggestions.

Hang in there and sending pain free vibes your way.

Lee Ann
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Re: Help, cant get o2!
Reply #10 - Jun 24th, 2010 at 2:06pm
 
Quote:
I would think a medical supply store might have non-re-breather masks, I'm not sure about the regulator.

Good luck with the medical supply store. My reservoir bag broke a couple of weeks ago and we called several supply companies to no avail. They refused to sell me one without a script even though a script is not legally required. When I finally found a store that would sell me one they had to order it b/c they did not have it in stock. What I requested and what I got were two totally different things. I finally broke down and just bought a complete new kit from the CH store. If you send Batch a PM he can help you get the right and the best regulator for a fraction of what you will find on ebay. I use welders O2 b/c my docs. will not write me a script for O2 either. You don't have to figure this out on your own. There are people here that are willing to walk you through the process.
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achinghead
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Re: Help, cant get o2!
Reply #11 - Jun 24th, 2010 at 4:04pm
 
I have the tank, mask, and regulator, Now I need to convert the regulator to LPM's. The regulator I have is in psi. Anyone know how to convert or what I need to set this regulator to for 15lpm?
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Re: Help, cant get o2!
Reply #12 - Jun 24th, 2010 at 4:45pm
 
PSI is pressure in (pounds per sqaure inch). It should be the same in welding and medical tanks. But you are reading pressure and need to read flow. If the reading is in PSI you don't have a flow meter you have a pressure gauge. LPM (liters per minute) is flow and you are looking for 12 to 15 LPM of flow for a CH. You may have a regulator that is measured in cfm (cubic feet per minute) of flow, in which case you have to multiply liters per minute by 0.0353146667 to get cubic feet per minute. So 15 liters per minute x 0,0353146667 + equals .52822 cubic feet per minute. I don't know much about CHs yet, but I am in the compressed aire business so hope this helps. Jay

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Chad
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Re: Help, cant get o2!
Reply #13 - Jun 25th, 2010 at 6:48am
 
This regulator is bizarre.  It has two gauges that both read PSI from the tank outlet and regulator to hose outlet.
This is the one Achinghead has.  He posted the model number on another thread.  The kPa is Kilapascal which is another pressure unit.  I'm not sure how to convert this one.  All I know is that you don't want the bag looking like a balloon unless you want to hyperventilate (at high flow rates)
and that is popular on here.
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« Last Edit: Jun 25th, 2010 at 6:49am by Chad »  

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Batch
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Re: Help, cant get o2!
Reply #14 - Jun 26th, 2010 at 7:43pm
 
Don't worry about the psi to flow rate conversion.  Just get an oxygen tubing barb adapter for the regulated outlet fitting on the welder's O2 regulator and hook up your O2PTIMASK™ with the 3-liter reservoir bag. 

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The barb adapter fittings come in brass or plastic

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Open the cylinder supply valve then adjust the outlet regulated pressure to a flow rate you can use to sustain a respiration rate of 30 then write down the psi setting.  Then adjust the regulator to a lower flow rate that supports a respiration rate of 15 and write down the psi setting.

Assuming a tidal volume of two liters with a respiration rate of 30 and you've got a flow rate of 60 liters/minute for fast hyperventilation.  A flow rate this high is going to be hard to keep up at this rate without letting the reservoir bag fill tightly and have oxygen escape, but if you can, it will help you achieve a fast abort. 

Fortunately you only need to hyperventilate fast at this flow rate for a minute or until you feel the symptoms of paresthesia - a slight tingling or prickling of the fingertips, lips, or back of the neck.  You may also experience a slight dizziness.  All these symptoms are good!  They indicate you're hyperventilating effectively.

After a minute at this flow rate or if you feel the symptoms of paresthesia, which ever comes first, slow the flow rate to the psi setting that gave you a respiration rate of 15.  With a tidal volume of 2.5 to 3.0 liters of oxygen coming into your lungs with each breath at this respiration rate, you'll have a flow rate of 40 to 45 liters/minute to support slow hyperventilation. 

You should be able to sustain this flow rate and still hyperventilate until you reach the abort.

Hope this helps.

Take care,

V/R, Batch
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