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#1
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BlankI hate to sound paranoid, but I had put on a posting asking for
information on oxygen systems. It disappeared after several days. I reposted - same thing - was gone several days later. I then posted what I thought was a nice bit of information and suggested preflight for the D1 - same thing - gone after several days. Frankly I was unaware that anyone could - either technically or ethically - erase someone else's post. Maybe this isn't what is happening, if so - anyone have any idea what is? The messages were in HTML - should this make any difference? David Reed M.D., Boulder CO |
#2
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I have just found and re-read three of your postings:
12 May - D1 info and preflight. 5 & 9 May - Need oxygen information. W.J. (Bill) Dean (U.K.). Remove "ic" to reply. "Neptune" wrote in message ... BlankI hate to sound paranoid, but I had put on a posting asking for information on oxygen systems. It disappeared after several days. I reposted - same thing - was gone several days later. I then posted what I thought was a nice bit of information and suggested preflight for the D1 - same thing - gone after several days. Frankly I was unaware that anyone could - either technically or ethically - erase someone else's post. Maybe this isn't what is happening, if so - anyone have any idea what is? The messages were in HTML - should this make any difference? David Reed M.D., Boulder CO |
#3
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![]() I cut and pasted it-use google to find your postings. I apologize for starting this thread again - it somehow vanished... To those of you who left helpful messages - thanks. My interest in this are is not limited to soaring flight - the powered boys have (in my opinion) the same potential problem and perhaps moreso in that they can carry more passengers. I apologize for being listed as 'Neptune' - something I must have set this up way back when and don't remember how to change it. I am - in real life - David Reed M.D. from Boulder, CO My concerns with oxygen utilization are as follows: 1. Presently the FAA mandates for oxygen flow rates at altitude are found in 14CFR23.1443. They are based on tracheal oxygen saturation measurements - a technique that has been superseded by arterial blood gas measurements and now pulse oximetry. These same mandates date back to the old (at least 40 year-old!) CAA mandates. 2. There appear to be no peer-reviewed published studies - either in flight or an altitude chamber - that validate these flow rates. 3. I do have some flight data from the one company that was willing to release the data as long as I did not mention the company name. 6-subject in-flight with an A-4. A 'regular' nasal cannula was tested, then repeated with an Oxymizer at each nominated altitude. Results: 13M - FAA flow rate 0.86LPM - saturations of 87-97% 14M - 0.98 88-98% 15M - 1.10 87-97% 16M - 1.22 85-97% 17M - 1.34 86-95% 18M - 1.46 78-94% There was no significant difference in use of the Oxymizer. As most of us physicians will agree - at around 90% saturation we begin to get concerned. The above data indicate to me that at the FAA flow rates that were extrapolated from the 1443 graph some individuals were clinically hypoxic - a condition not changed by using the Oxymizer. Am I coming up with a solution without a problem as someone has suggested? Not if a pilot can saturate at 78%... 3. 1443 mandates flow rates for continuous flow systems. Newer systems utilize 'pulsed' flows. Manufacturers claim greatly reduced oxygen utilization using these systems, and even lesser use when these 'pulsed' systems are used with an Oxymizer type of cannula. As far as I can tell these claims have never been objectively and openly verified by any peer-reviewed research. 4. There does not appear to be any FAA requirement that oxygen delivery systems claims such as those above be independently verified. I am not at all saying that these performance claims are wrong. All I would like to see is some FAA mandate that oxygen delivery systems should be objectively tested for compliance with pulse-oximetry values of over 90% at all altitudes at which they will be used. At this point all I can say as I put on my system is that is SHOULD be OK - and if I have (and use) a pulse ox I SHOULD be OK. I agree - a pulse ox should solve the problem - but how many of us have/use one? Sure we should - but out in the 'real world'? Not very likely. In a four-place 210 at FL240 are all people including passengers going to be using a pulse ox? My friend in the back seat? Will I own two pulse ox - one for me and one for the for the guy in back? So - it would be nice to know that a system one uses will keep a pilot (or passenger) from getting hypoxic even if a pulse ox isn't used. It appears that, company claims to the contrary, the A4 does not do this. This (in my opinion) is not the fault of the A4 - it simply was manufactured IAW 40 year-old obsolete 1443 flow rates. The new 'pulsed' systems have no mandates at all - at least as far as I can tell. I may be wrong - if so please let me know. The research should not be hard to do. Perhaps someone out there has some data that could be of interest. The FAA has no funds for this so I am trying to find a university/altitude chamber that would be interested in some studies. Any comments (at least any helpful and non-sarcastic ones) would be appreciated. David Reed M.D., Boulder, CO (presently living in New Zealand until end May). At 22:06 17 May 2004, Neptune wrote: BlankI hate to sound paranoid, but I had put on a posting asking for information on oxygen systems. It disappeared after several days. I reposted - same thing - was gone several days later. I then posted what I thought was a nice bit of information and suggested preflight for the D1 - same thing - gone after several days. Frankly I was unaware that anyone could - either technically or ethically - erase someone else's post. Maybe this isn't what is happening, if so - anyone have any idea what is? The messages were in HTML - should this make any difference? David Reed M.D., Boulder CO |
#4
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![]() "Neptune" wrote in message ... BlankI hate to sound paranoid, but I had put on a posting asking for information on oxygen systems. It disappeared after several days. I reposted - same thing - was gone several days later. I then posted what I thought was a nice bit of information and suggested preflight for the D1 - same thing - gone after several days. Frankly I was unaware that anyone could - either technically or ethically - erase someone else's post. Maybe this isn't what is happening, if so - anyone have any idea what is? The messages were in HTML - should this make any difference? David, First; as others have noted, your posts are still there. For some reason, perhaps because of the settings in your own computer or because of the particular news server you use, you can't see them. Second; why don't you better define your basic concern? Are you concerned about preventing oxygen-related aircraft accidents (not a large category of aircraft accidents) or is there a possibility of cumulative physiological damage from years of flying with inadequate oxygen? Or, (and this is OK too) is your interest in this subject purely academic? Is there really one oxygen flow rate that is optimum for all humans? I doubt it. It seems to me that the only truly "safe" oxygen system would be one that is individually, continuously and automatically regulated by pulse oxymetry; but that same system might actually be unsafe compared to the 1960's technology because of the opportunities for failure. As simple and cheap as pulse oxymetry has become, perhaps what we really need is a simple monitoring and ALARM unit designed for cockpit use. I happen to have a Nonin Flitestat but find that it has severe limitations in the cockpit. Vaughn David Reed M.D., Boulder CO |
#5
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![]() "Vaughn" wrote in message ... Trimmed .... As simple and cheap as pulse oxymetry has become, perhaps what we really need is a simple monitoring and ALARM unit designed for cockpit use. I happen to have a Nonin Flitestat but find that it has severe limitations in the cockpit. Vaughn I'd be interested in your opinions on why there are 'severe limitations in the cockpit '. Could you please elaborate Vaughn Ian |
#6
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![]() "tango4" wrote in message ... "Vaughn" wrote in message ... Trimmed .... As simple and cheap as pulse oxymetry has become, perhaps what we really need is a simple monitoring and ALARM unit designed for cockpit use. I happen to have a Nonin Flitestat but find that it has severe limitations in the cockpit. Vaughn I'd be interested in your opinions on why there are 'severe limitations in the cockpit '. Could you please elaborate Vaughn First of all, let me say the the Flitestat is a wonderful instrument for the purpose I obtained it, which has nothing to do with flying. It was just last week that I first got a chance to try it in the air. The main problem is the red LED display which was nearly invisible in sunlight, even when flying under a cloud shadow. A second problem is the form of the instrument which nearly procludes piloting while you are checking your O2 level. I recently saw some disposable tape-on sensors that look like a much better idea, and there is always the ear clip which may be better yet. Vaughn Ian |
#7
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If the ambient light is too bright the pulse ox will not function since it
measures the pulsatile light at certain wavelengths against baseline or background light. If the difference between these is not fairly large the instrument will not be able to determine pulsatility and will thereby not work. In the OR we simply place a dark towel or some other "shade" over it. The same thing can be done in the glider cockpit. I suppose that if the readout is on the actual instrument itself (finger) that it would be a bit tough seeing it if covered. Since all pulse oximeters average several cycles it may be possible to cover it then pull it out from under the shade and still see a reading before it shuts down. Also realize that if your hands are cold or you are nervous or perhaps just downed an extra cup of coffee just before you took off, that there may be enough vasoconstriction in your extremities that the instrument may have trouble getting a reading for that reason too. Casey Lenox KC Phoenix |
#8
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Neptune.. how do you have your news reader set up... I have mine set to only
download the latest 150 postings... so If I make a posting and wait a few days.. I will not retrieve my original post.. but perhaps some replies in the thread if the thread is still active. BT "Neptune" wrote in message ... BlankI hate to sound paranoid, but I had put on a posting asking for information on oxygen systems. It disappeared after several days. I reposted - same thing - was gone several days later. I then posted what I thought was a nice bit of information and suggested preflight for the D1 - same thing - gone after several days. Frankly I was unaware that anyone could - either technically or ethically - erase someone else's post. Maybe this isn't what is happening, if so - anyone have any idea what is? The messages were in HTML - should this make any difference? David Reed M.D., Boulder CO |
#9
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![]() "Neptune" wrote in message ... BlankI hate to sound paranoid, but I had put on a posting asking for information on oxygen systems. It disappeared after several days. I reposted - same thing - was gone several days later. I then posted what I thought was a nice bit of information and suggested preflight for the D1 - same thing - gone after several days. Frankly I was unaware that anyone could - either technically or ethically - erase someone else's post. Maybe this isn't what is happening, if so - anyone have any idea what is? The messages were in HTML - should this make any difference? David Reed M.D., Boulder CO As you are using Outlook Express as your news reader, have a look at ToolsOptionsMaintenance. The default is to delete news messages 5 days after downloading. News servers retain messages from weeks to months. You may have to delete and recreate you news account settings to recapture these from the server in your client. Otherwise, http://groups.google.com is doing a fine job of archiving RFC compliant news groups, unlike the SSA hosted news groups. Frank Whiteley Greeley, CO |
#10
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BINGO! - Frank Whiteley from Greeley has very kindly identified the problem.
Yes, the rest of you can read the posts but I cannot. He clarified that the problem is in the way OE default is set up, and I just had never noticed this before as I had rarely done much with newsgroups until now. It appears that when you have read a message in a newsgroup, the computer remembers this for the number of days that you set into OE/tools/options/maintenance/Delete news messages___days after being read. Thus if you have set in 5 days, and you access the newsgroup 6 days later, the message will have disappeared from YOUR computer screen - but not that of other readers! Once they have read the message, it will then disappear from THEIR screen the number of days THEY have set in. Somehow my default had been set at "1" - not that I would have understood what this meant until Frank clarified it. Bingo! Problem solved. Fascinating - I had no idea this is the way it works! Frank (and others) thank you for figuring out the problem. I hope this will help others, too. David Reed M.D., Boulder CO "Neptune" wrote in message ... BlankI hate to sound paranoid, but I had put on a posting asking for information on oxygen systems. It disappeared after several days. I reposted - same thing - was gone several days later. I then posted what I thought was a nice bit of information and suggested preflight for the D1 - same thing - gone after several days. Frankly I was unaware that anyone could - either technically or ethically - erase someone else's post. Maybe this isn't what is happening, if so - anyone have any idea what is? The messages were in HTML - should this make any difference? David Reed M.D., Boulder CO |
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