Question:
Hmmm… maybe I confused the two then.. Are there any reasons that the doctor would recommend against using the Flovent concurrent with Albuterol? Please pardon my confusion here.. it was a long time ago, and franlky, many of the names start to sound the same.
– Hide quoted text — Show quoted text – Serevent is a modified form of the albuterol molecule. It has a slower onset and lasts longer. For these reasons it is supposed to be given as a scheduled dose, once or twice a day, with continued use of albuterol when needed. — CBI, M.D. Please note: It is impossible to accurately diagnose medical problems without seeing the patient and reviewing the entire history. These posts are intended to be helpful and informative. Always check with your doctor before following any advice given. Five months ago, I was prescribed Serevent and Flovent over the course of two weeks by different physicians (in the same office). At the time, it was recommended that I not "mix" this regimen with Albuterol. I cannot recall the specifics, but I am pretty sure that I was not supposed to use Serevent concurrently with Albuterol. I think the timetable was something like within a week of each other. It was okay to stop using Albuterol and start the Serevent, but you needed a week delay to go the other way. I bring it up because I remembered that the Serevent did not have the same "10 second" effect like Albuterol did. Serevent worked, but it took the better part of an hour to fully relieve. I was not satisfied with that, and opted to return to the Albuterol.. which meant *NO* inhaler for that week period, which was a struggle at the time. I’m sure you have seen my other recent posts about removing medications entirely from my life, but if this is not an option for you, beware of the situation with these two. For what it is worth, the relief offered by Serevent was longer lasting than the Albuterol, and it did not cause a jump to my heart rate. Good luck! Ty
Response:
Serevent is a modified form of the albuterol molecule. It has a slower onset and lasts longer. For these reasons it is supposed to be given as a scheduled dose, once or twice a day, with continued use of albuterol when needed. — CBI, M.D. Please note: It is impossible to accurately diagnose medical problems without seeing the patient and reviewing the entire history. These posts are intended to be helpful and informative. Always check with your doctor before following any advice given. – Hide quoted text — Show quoted text – Five months ago, I was prescribed Serevent and Flovent over the course of two weeks by different physicians (in the same office). At the time, it was recommended that I not "mix" this regimen with Albuterol. I cannot recall the specifics, but I am pretty sure that I was not supposed to use Serevent concurrently with Albuterol. I think the timetable was something like within a week of each other. It was okay to stop using Albuterol and start the Serevent, but you needed a week delay to go the other way. I bring it up because I remembered that the Serevent did not have the same "10 second" effect like Albuterol did. Serevent worked, but it took the better part of an hour to fully relieve. I was not satisfied with that, and opted to return to the Albuterol.. which meant *NO* inhaler for that week period, which was a struggle at the time. I’m sure you have seen my other recent posts about removing medications entirely from my life, but if this is not an option for you, beware of the situation with these two. For what it is worth, the relief offered by Serevent was longer lasting than the Albuterol, and it did not cause a jump to my heart rate. Good luck! Ty
Response:
Five months ago, I was prescribed Serevent and Flovent over the course of two weeks by different physicians (in the same office). At the time, it was recommended that I not "mix" this regimen with Albuterol. I cannot recall the specifics, but I am pretty sure that I was not supposed to use Serevent concurrently with Albuterol. I think the timetable was something like within a week of each other. It was okay to stop using Albuterol and start the Serevent, but you needed a week delay to go the other way. I bring it up because I remembered that the Serevent did not have the same "10 second" effect like Albuterol did. Serevent worked, but it took the better part of an hour to fully relieve. I was not satisfied with that, and opted to return to the Albuterol.. which meant *NO* inhaler for that week period, which was a struggle at the time. I’m sure you have seen my other recent posts about removing medications entirely from my life, but if this is not an option for you, beware of the situation with these two. For what it is worth, the relief offered by Serevent was longer lasting than the Albuterol, and it did not cause a jump to my heart rate. Good luck! Ty
– Hide quoted text — Show quoted text – Actually, they want to switch me to Pulmicort, but I have resisted becasue I don’t like it. When both my son and I were diagnosed with asthma the first prescriptions written were for Serevent and Flovent (he 110 and myself 44). You also might want to ask about Accolate (which I take) or Singulair (different drug, basically same action). Patrice No, they have not..actually, I have not even heard of that inhaler
Response:
Note that most authorities recommend exercising AT LEAST 3 times a week, evenly spaced. If you only exercise in spurts it puts a considerably greater strain on the body, plus you don’t make as much progress. – Hide quoted text — Show quoted text – Good advice. I’ve started with new medication (singulair, serevent, flovent) and exercise 2/3 times a week. Exercise used to cause me to wheeze/cough. But now I can actually say that I feel better after excercising than before. I think that the point for exercise for many asthmatics is to excercise the lungs and bronchioles as you would excercise anything else. here is a question…how can running on a treadmill get rid of asthma if you have exercise -induced asthma and every physical exertion leaves you gasping? I think the idea is to get fitter so that every physical exertion no longer leaves you gasping. What one needs to do is exercise at a level that does not provoke one’s asthma. Depending on one’s current fitness level, that may mean doing just a small session on a slow treadmill – but regularly, say 2/3 times per week. Then, as one’s fitness increases, increase the length/speed of each treadmill session, again without upsetting the asthma. Combine this with suitable relaxation periods and a good, balanced diet and one should at least feel better. Jo.
Response:
Good advice. I’ve started with new medication (singulair, serevent, flovent) and exercise 2/3 times a week. Exercise used to cause me to wheeze/cough. But now I can actually say that I feel better after excercising than before. I think that the point for exercise for many asthmatics is to excercise the lungs and bronchioles as you would excercise anything else. – Hide quoted text — Show quoted text – here is a question…how can running on a treadmill get rid of asthma if you have exercise -induced asthma and every physical exertion leaves you gasping? I think the idea is to get fitter so that every physical exertion no longer leaves you gasping. What one needs to do is exercise at a level that does not provoke one’s asthma. Depending on one’s current fitness level, that may mean doing just a small session on a slow treadmill – but regularly, say 2/3 times per week. Then, as one’s fitness increases, increase the length/speed of each treadmill session, again without upsetting the asthma. Combine this with suitable relaxation periods and a good, balanced diet and one should at least feel better. Jo.
Response:
- Hide quoted text — Show quoted text – HI, I"m new to the group and I’m glad I found you! This is what I have. ALL THE TIME… tight chest stuffy feeling in chest….like someone’s sitting on my chest, and/or squeezing chest, lungs hard to get a deep, clean, easy breath gets worse when it’s cold out, or, the pollen count is high have confirmed allergies Get bronchitis every year, and it lasts literally for months Wake up coughing, or with that liquid type feeling in my chest/lungs, gurgling 3 times now, on acitve exercise (hiking uphill, a long bike ride in summer, and during a stress test) I had VERY scary attacks….gasping for air, PAIN in chest, lungs, like, as someone in this group said, someone’s squeezing your lungs, cold, sharp pain, ……when it finally goes away, I’m still coughing, etc. for some time. The attack I had when hiking was horrible, thank goodness my husband was with me, I honestly did think I was going to die. And do you what my doctor said? It’s panic attacks. He wanted to put me on Paxil. He also told me to stop using my inhaler left over from a previous perscription, because he’s not convinced it’s asthma/lung problem. (THe inhaler helps, but it makes me a little wired..but at least I can breathe!) He ordered a stress test, which showed that my heart was fine, and went ahead with a chest X-Ray at my insistence. (dont’ know the results yet.) It’s possible he doesnt’ think it’s asthma because he doesn’t hear any wheezing….that’s about the only sympton I don’t have. Am I crazy? Or is he?
Neither, I suspect. Though it sounds like he’s of the belief that asthma == wheezing, which is unfortunately what a lot of docs believe, overtreating folks due to minor wheezing and undertreating "atypical" asthma cases. You seem to have some sort of chronic lung inflamation. But you may indeed be suffering from "panic" of one sort or another. Probably you are best advised to get another doc’s opinion.
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It’s possible he doesnt’ think it’s asthma because he doesn’t hear any wheezing….that’s about the only sympton I don’t have. Am I crazy? Or is he?
Ask for a referral to a specialist so you can be screened for both asthma and panic disorder. I would not trust a GP to be able to accurately tell the difference between the two. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
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There have been times when my chest felt tight and I’ve been a bit short of breath that my albuterol inhaler did not give me any relief. I discovered that 0.25 mg of xanax made the tightness and shortness of breath go away. Since then I’ve learned to discriminate fairly well between the anxiety and asthma. For me the big clue was that the inhaler didn’t help when and the xanax did. If the inhaler is relieving the symptoms seems like there might be an asthma component to your problem. Maybe you could get to a pulmonologist or asthma specialist (allergist) and get a second opinion.
– Hide quoted text — Show quoted text – And do you what my doctor said? It’s panic attacks. He wanted to put me on Paxil. He also told me to stop using my inhaler left over from a previous perscription, because he’s not convinced it’s asthma/lung problem. (THe inhaler helps, but it makes me a little wired..but at least I can breathe!)
Response:
HI, I"m new to the group and I’m glad I found you! This is what I have. ALL THE TIME… tight chest stuffy feeling in chest….like someone’s sitting on my chest, and/or squeezing chest, lungs hard to get a deep, clean, easy breath gets worse when it’s cold out, or, the pollen count is high have confirmed allergies Get bronchitis every year, and it lasts literally for months Wake up coughing, or with that liquid type feeling in my chest/lungs, gurgling 3 times now, on acitve exercise (hiking uphill, a long bike ride in summer, and during a stress test) I had VERY scary attacks….gasping for air, PAIN in chest, lungs, like, as someone in this group said, someone’s squeezing your lungs, cold, sharp pain, ……when it finally goes away, I’m still coughing, etc. for some time. The attack I had when hiking was horrible, thank goodness my husband was with me, I honestly did think I was going to die. And do you what my doctor said? It’s panic attacks. He wanted to put me on Paxil. He also told me to stop using my inhaler left over from a previous perscription, because he’s not convinced it’s asthma/lung problem. (THe inhaler helps, but it makes me a little wired..but at least I can breathe!) He ordered a stress test, which showed that my heart was fine, and went ahead with a chest X-Ray at my insistence. (dont’ know the results yet.) It’s possible he doesnt’ think it’s asthma because he doesn’t hear any wheezing….that’s about the only sympton I don’t have. Am I crazy? Or is he? Thank you! "rlee"
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At this point, it is very aggressive. I am on maxair (2 puffs, twice a day) followed by Flovent (4 puffs, twice a day) and Rhinocort for my sinuses. I also am periodically on Prednisone, and I have had a cortisone shot (a traumatizing experience) and am currently on Zithromax for Bronchitis. I also use the Maxair right before exercise.
Have you tried adding one of the anti-leukotrine medications? Another thing to look at is allergies – see if there is something that is aggravating the asthma. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
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Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run. If you’re only affected for the duration of a season, I should just take things easy until your symptoms abate.
If you do this then the asthma is now dictating your life. Some of us refuse to allow this to happen. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
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I hate to let it control me and I don’t usually cut back, but I’ve been really sick this spring and so have been forced to.
– Hide quoted text — Show quoted text – Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run. If you’re only affected for the duration of a season, I should just take things easy until your symptoms abate. If you do this then the asthma is now dictating your life. Some of us refuse to allow this to happen. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
Response:
Actually, they want to switch me to Pulmicort, but I have resisted becasue I don’t like it.
– Hide quoted text — Show quoted text – When both my son and I were diagnosed with asthma the first prescriptions written were for Serevent and Flovent (he 110 and myself 44). You also might want to ask about Accolate (which I take) or Singulair (different drug, basically same action). Patrice No, they have not..actually, I have not even heard of that inhaler
Response:
When both my son and I were diagnosed with asthma the first prescriptions written were for Serevent and Flovent (he 110 and myself 44). You also might want to ask about Accolate (which I take) or Singulair (different drug, basically same action). Patrice
– Hide quoted text — Show quoted text – No, they have not..actually, I have not even heard of that inhaler
Response:
No, they have not..actually, I have not even heard of that inhaler
– Hide quoted text — Show quoted text – Hello Kristina, Has your doc ever suggested Serevent? I noticed you are using your Maxair a lot. My doc says if you use a rescue inhaler more than 2 or 3 times a week, then the asthma is not in control. (Serevent is a 12 hour bronchiodialotor.) Just a thought, Patrice At this point, it is very aggressive. I am on maxair (2 puffs, twice a day) followed by Flovent (4 puffs, twice a day) and Rhinocort for my sinuses. I also am periodically on Prednisone, and I have had a cortisone shot (a traumatizing experience) and am currently on Zithromax for Bronchitis. I also use the Maxair right before exercise. I am very much fit. I am a dance major at the University of California at Irvine, who loves to go for runs or swim. Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run. I usually just power my way through things and ignore the asthma symptoms, but it seems to me that the older I get, the worse the symptoms get. I thought you were supposed to grow out of this, not get worse. How aggressive is your asthma management plan? I do not think that it is a good idea to ignore your asthma symptoms, these are warnings that there is a problem that you need to fix. Also, there is the risk of permanent airways damage resulting from poorly treated asthma. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
Response:
At this point, it is very aggressive. I am on maxair (2 puffs, twice a day) followed by Flovent (4 puffs, twice a day) and Rhinocort for my sinuses. I also am periodically on Prednisone, and I have had a cortisone shot (a traumatizing experience) and am currently on Zithromax for Bronchitis. I also use the Maxair right before exercise.
– Hide quoted text — Show quoted text – I am very much fit. I am a dance major at the University of California at Irvine, who loves to go for runs or swim. Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run. I usually just power my way through things and ignore the asthma symptoms, but it seems to me that the older I get, the worse the symptoms get. I thought you were supposed to grow out of this, not get worse. How aggressive is your asthma management plan? I do not think that it is a good idea to ignore your asthma symptoms, these are warnings that there is a problem that you need to fix. Also, there is the risk of permanent airways damage resulting from poorly treated asthma. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
Response:
Hello Kristina, Has your doc ever suggested Serevent? I noticed you are using your Maxair a lot. My doc says if you use a rescue inhaler more than 2 or 3 times a week, then the asthma is not in control. (Serevent is a 12 hour bronchiodialotor.) Just a thought, Patrice
– Hide quoted text — Show quoted text – At this point, it is very aggressive. I am on maxair (2 puffs, twice a day) followed by Flovent (4 puffs, twice a day) and Rhinocort for my sinuses. I also am periodically on Prednisone, and I have had a cortisone shot (a traumatizing experience) and am currently on Zithromax for Bronchitis. I also use the Maxair right before exercise. I am very much fit. I am a dance major at the University of California at Irvine, who loves to go for runs or swim. Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run. I usually just power my way through things and ignore the asthma symptoms, but it seems to me that the older I get, the worse the symptoms get. I thought you were supposed to grow out of this, not get worse. How aggressive is your asthma management plan? I do not think that it is a good idea to ignore your asthma symptoms, these are warnings that there is a problem that you need to fix. Also, there is the risk of permanent airways damage resulting from poorly treated asthma. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
Response:
I am very much fit. I am a dance major at the University of California at Irvine, who loves to go for runs or swim.
In that case you’re on to a winner already. Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run.
If you’re only affected for the duration of a season, I should just take things easy until your symptoms abate. I usually just power my way through things and ignore the asthma symptoms, but it seems to me that the older I get, the worse the symptoms get. I thought you were supposed to grow out of this, not get worse.
From my own experience, when I was younger I could exert my way through some fairly debilitating exercise-induced asthma. In later years, this was not the case. Now I take things easy when/if I feel the asthma symptoms coming on. Also, make sure that you’re not over doing the exercise/exertion stuff. Make sure your body has time to recover. Finally, keep your mind healthy by trying not to let it get you down. I failed miserably on this point. It seems the more agitated I became, the worse my symptoms became. You need a healthy mind as well as a healthy body and, in my experience, doctors focus on the body at the expense of the mind. Jo.
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I am very much fit. I am a dance major at the University of California at Irvine, who loves to go for runs or swim. Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run. I usually just power my way through things and ignore the asthma symptoms, but it seems to me that the older I get, the worse the symptoms get. I thought you were supposed to grow out of this, not get worse.
How aggressive is your asthma management plan? I do not think that it is a good idea to ignore your asthma symptoms, these are warnings that there is a problem that you need to fix. Also, there is the risk of permanent airways damage resulting from poorly treated asthma. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
Response:
The symptoms you describe are more severe than most people would experience. Obviously, asthma varies from person to person. But I remember at about age 14 spending the summer charging up a hill with my bike, then stopping at the top to cough, wheeze, and catch my breath, then doing it again. – Hide quoted text — Show quoted text – oh and don’t forget the wheezing and the pain in your lungs like someone has their hand around them and is squeezing really tight. Start slow. And recognize that EIA is over-diagnosed — much of it is really just normal breathlessness. here is a question…how can running on a treadmill get rid of asthma if you have exercise -induced asthma and every physical exertion leaves you gasping? Another tiring and boring doctors study done by guys who have never suffered the scary symptoms of an asthma attack. Common sense and a two-digit I.Q. tells us we need to exercise and walk, but what about the ones that are crippled, due to surgeries, disk problems, and lumbar stenosis, along with osteoarthritis….such as myself…….we cant even go to the pool…the humidity flares up attack….cant walk to strengthen lungs….hurts body too much….on and on….and on …round and round we go huh??? But isn’t it possible that exercise a little earlier might have prevented some of those problems?
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I am very much fit. I am a dance major at the University of California at Irvine, who loves to go for runs or swim. Too bad that come spring time I have not been able to run. I can berely walk to class, much less go for a run. I usually just power my way through things and ignore the asthma symptoms, but it seems to me that the older I get, the worse the symptoms get. I thought you were supposed to grow out of this, not get worse.
– Hide quoted text — Show quoted text – here is a question…how can running on a treadmill get rid of asthma if you have exercise -induced asthma and every physical exertion leaves you gasping? I think the idea is to get fitter so that every physical exertion no longer leaves you gasping. What one needs to do is exercise at a level that does not provoke one’s asthma. Depending on one’s current fitness level, that may mean doing just a small session on a slow treadmill – but regularly, say 2/3 times per week. Then, as one’s fitness increases, increase the length/speed of each treadmill session, again without upsetting the asthma. I think that the problem for this person is that the asthma takes effect before the aerobic heart and respiration rates can be reached (much less maintained). My advice here would be to reduce the effort level of the exercise and increase the duration until you can benefit from the exercise without having the asthma interfere. Of course you also need to keep in mind that this is not going to make your asthma any better – at most it will reduce the distress caused by asthma symptoms. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
Response:
here is a question…how can running on a treadmill get rid of asthma if you have exercise -induced asthma and every physical exertion leaves you gasping?
I think the idea is to get fitter so that every physical exertion no longer leaves you gasping. What one needs to do is exercise at a level that does not provoke one’s asthma. Depending on one’s current fitness level, that may mean doing just a small session on a slow treadmill – but regularly, say 2/3 times per week. Then, as one’s fitness increases, increase the length/speed of each treadmill session, again without upsetting the asthma. Combine this with suitable relaxation periods and a good, balanced diet and one should at least feel better. Jo.
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The first was to make them walk for one hour on a treadmill under the supervision of a physiotherapist. I am currently under a program with both a respiratory and physiologist. It is and excellent program as they monitor you closely. After each exercist I have to take both my oxygen level and heart rate. Would highly recommend this program.
I think the exercise/physical therapy sessions were one of the most valuable things offered to me at National Jewish. I always did some level of exercise, but it is nice to know how far you can push yourself without killing yourself. From the pulmonary stress test to the monitored (O2 sat, etc.) workouts, I once again became knowledgeable of how hard to work without out fear of an attack. I too would recommend monitored work outs for the severe asthmatic getting back into exercise or just starting. Before you buy.
Response:
The first was to make them walk for one hour on a treadmill under the supervision of a physiotherapist.
I am currently under a program with both a respiratory and physiologist. It is and excellent program as they monitor you closely. After each exercist I have to take both my oxygen level and heart rate. Would highly recommend this program.
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BBC News Sunday, 4 June, 2000 Can’t breathe? Get on the treadmill Regular treadmill sessions are better at relieving the symptoms of chronic respiratory disorders than talking walks outside. One hour of exercise, four times a week was found to improve the way their bodies coped with a sudden need for oxygen which would normally leave them gasping. Severe respiratory disorders labelled as chronic obstructive pulmonary disease (COPD) can leave the sufferer severely disabled. COPD is thought to cause as many as 3m people worldwide a year, according to the World Health Organisation. Many cannot even walk without getting badly out of breath, and some need oxygen supplies at home. Six doctors – five Spanish and one British – compared two ways of improving the breathing of elderly patients with COPD. The first was to make them walk for one hour on a treadmill under the supervision of a physiotherapist. The other group were asked to walk outside, covering three or four kilometres in an hour. Three times as good While regular outside walkers did improve their physical condition, the treadmill walking, which was twice as strenuous, actually improved things even more. The way this was measured was to take the time needed to increase the rate of oxygen absorption into the body once exercise has started. In walkers, this rate was improved by more than five seconds after eight weeks of exercise. However, the treadmill patients did three times better. Dr Luis Puente-Maestu, a lung expert from the Gregoria Maranon General University Hospital, said: "We wanted to find out to what extent physical exercise in a hospital environment could improve the patients’ condition. "We also wanted to see if there was an alternative solution, which could be practised by patients on a daily basis and therefore would cost the health service less."
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If you’re only affected for the duration of a season, I should just take things easy until your symptoms abate. If you do this then the asthma is now dictating your life. Some of us refuse to allow this to happen.
Others (eg: me) do not have the choice. Jo.
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I might have used the wrong terminology but it is an instrument that you stick your finger in and it gives you both an oxygen level and heart rate reading on a meter.
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If you’re only affected for the duration of a season, I should just take things easy until your symptoms abate. If you do this then the asthma is now dictating your life. Some of us refuse to allow this to happen. Others (eg: me) do not have the choice.
I guess it depends on how you look at life. "Keep looking below surface appearances. Don’t shrink from doing so (just) because you might not like what you find." General Colin Powell
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Others (eg: me) do not have the choice. I guess it depends on how you look at life.
It depends more on whether or not the available treatment works for you. Jo.
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That is your oxygen saturation (we call it O2 sat for short, you may have heard that). Carrie
– Hide quoted text — Show quoted text – I might have used the wrong terminology but it is an instrument that you stick your finger in and it gives you both an oxygen level and heart rate reading on a meter.
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