Horse Sense &

Medical Oxygen

In August and September of 2022, I took a 6,000-mile, five-week road trip from North Carolina to the Northwest and back.  I spent two weeks with family and the rest of the time camping, and visiting national and state parks, museums, and other places of interest.   A great road trip like this would have been impossible for me without Liquid Oxygen(LO).   

Four years earlier, I drove from Burns, Oregon, to a wedding in Parkfield, California, a round trip of 1,600 miles.  I was in a motel every night, so I could refill my oxygen tanks with a Respironics UltraFill System.  I needed to wake up and change out the tanks several times during the night.  My blood oxygen level was often in the eighties, and I was tired most of the time.

It seems backward that I struggled on the 2018 trip, and the 2022 trip was great.  COPD does not improve with time!  But the answer is simple.  It is all about getting the oxygen needed to stay active and healthy.  I had an Eclipse 5 and a liquid oxygen system in 2022 to supplement the Respironics UltraFill. 


Regular physical activity reduces hospital admission and mortality in chronic

obstructive pulmonary disease: a population based cohort study

Study Conclusions:  regular physical activity should be considered in future COPD guidelines, since it is likely to result in a relevant public health benefit. 

From https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2117100/


I have used supplemental oxygen for the last eight years, with few Doctor appointments, and no hospitalizations.  Over the last year, I have been able to use 3 LPM at rest, 3 to 5 LPM when active in the house, and  6 to 10 LPM when physically active.  My blood oxygen level is up, my blood pressure and heart rate are down, and the swelling in my lower legs is gone.  For the last six months of 2022, I have had a consistent supply of liquid oxygen and lost 40+ lbs.  I play pickleball, am physically active, or walk almost every day.  Getting the needed oxygen is necessary to be active! 


Pulmonary rehabilitation can help you gain strength, reduce symptoms of anxiety or depression, and make it easier to manage routine activities, work, and outings or social activities that you enjoy. 

From Pulmonary Rehabilitation - Pulmonary Rehabilitation | NHLBI, NIH


Long-term studies (4 to 5 years) are needed to see if 5+ LPM of oxygen will enhance Pulmonary rehabilitation and motivate individuals to stay active as it has me.   Pocs won’t deliver the equivalent of 5+ LPM.  Tanks are too bulky.   Liquid oxygen is needed. 


An Official American Thoracic Society Clinical Practice Guideline, “A conditional recommendation for ambulatory liquid-oxygen use in patients who are mobile outside the home and require >3 L/min of continuous-flow oxygen during exertion.”

From https://pubmed.ncbi.nlm.nih.gov/33185464/


Medical liquid oxygen in the United States has basically been eliminated by Medicare and Congress to save money.  Making liquid oxygen available will promote relevant public health benefits!

If I had been given up to 6 + LPM of liquid oxygen when I began supplemental oxygen eight years ago, I believe I would still be working and receiving a paycheck, not Social Security Disability Income. 

Changes are Needed!!!

For the needed oxygen to be available changes are needed:

·         Get rid of the 5-year Medicare contract for DME oxygen delivery systems.

·         The FDA needs to regulate poc settings to be equivalent to LPMs.

·         Ambulatory Liquid oxygen is needed for those needing over 3 LPM of oxygen for physical activity.

·         Research on the benefits of blood oxygen levels under 88% and over 92% are needed.

·         Education on blood oxygen levels and using oximeters is needed.


By sharing my experiences and thoughts I hope to somehow- somewhere make a difference in the lives of people with COPD and other respiratory problems.


These are my thoughts and experiences, not medical advice.

Contact   hors.sens1@gmail.com
Copyright © 2022 Gerald Miller. All Rights Reserved.