and I know a pilot on this forum who regularly flies with oxygen procured from a local fire department.
Medical oxygen from the fire department?
Also I wanted to add, I am not sure anyone has picked up on this, but when the controller issued the descent to F250 he also issued a traffic call at F240. With the benefit of hindsight, I think the pilot is already sounding hypoxic by his second or third transition, but I don't know if I would have picked up on that if I were working the sector. In this case I think the pilot failed to convey the urgency of the situation to the controller when he said he had an "incorrect reading." Personally, if I think there is any hint of something wrong, I will give that aircraft priority whether it has declared an emergency or not, but in the heat of the moment, I do not know if I would have done anything different. That being said, I would emphasize the fact that it is not the controllers ass on the line, it is yours. If you need to deviate from a clearance for safety politely, inform the controller of your intentions and do what you have to do. We are not the police, and I do not know any controllers who would violate a pilot unless they were forced to.
"Incorrect reading" is something that, had I been hearing it, would've led me to believe the situation to be more of a nuisance or inconvenience, rather than something that's an emergency. I agree that urgency may not have been apparent, especially if the controller is working other traffic. The onus is on the pilot to convey the urgency that he feels he is dealing with, before its too late.