What is your approach to counseling a patient with exertional hypoxia, but normal resting oxygen saturation, who is hesitant to use supplemental oxygen therapy?   

Many of these patients are not only hesitant but actually reluctant. Considering that the hard evidence to support this application is weak at best, as long as the desaturation is transient, not associated with much in the way of symptoms, and bounces back fairly quickly when the exertion ceases, I ...