Jon performs pulmonary function testing, including blood gases, for his hospital. Many of the…

Jon performs pulmonary function testing, including blood
gases, for his hospital. Many of the patients he sees are attempting to qualify
or requalify for continuous reimbursement for home oxygen use. To qualify, the
patient’s PaO2 must be less than 60 mm Hg on room air at rest. Patient A, who
has home O2 therapy, is attempting to requalify, although her condition has
improved from what it was 1 year earlier. Her blood gas results show a PaO2 of
63 mm Hg. The patient’s husband asks Jon if there is anything he can do, while
relating how greatly his wife benefits from the O2. Jon tells the husband that
there is nothing he can do and assists the husband in taking the patient out to
her car. At the car, the husband pulls out his wallet, shows it to Jon, and
repeats the question.

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