Health & Safety

October 12, 2012

Nellis doctor provides unique capability

U.S. Air Force photo by Senior Airman Jack Sanders NELLIS AIR FORCE BASE, Nev. – Maj. (Dr.) Jeremy Kilburn is providing a specialty procedure at the Mike O’Callaghan Federal Medical Center here that’s saving money and, more importantly, time.

Kilburn is the cardiopulmonary flight commander and intensive care unit director at the federal medical center, but not long ago, he attended a civilian fellowship where he learned and performed endobronchial ultrasound bronchoscopy procedures.

“What we do is sedate the patient and go down through the mouth into the trachea or the windpipe,” Kilburn said. “The purpose of the procedure is to look more closely at abnormal areas originally detected in a Computed Tomography (CT) scan.”

The procedure is not only less invasive than traditional surgery and can provide quicker results to patients, but it is also more cost efficient. Traditional bronchoscopy uses a CT scan and a camera to perform the procedure, but endobronchial ultrasound bronchoscopy provides an ultrasound image in real time the doctor can use instead of relying on the CT-scan image.

“The problem is there’s a lot of very important structures near the lungs—the heart, great vessels, aorta, pulmonary arteries—so it’s a little bit riskier, and it’s not as accurate to perform the older procedure,” Kilburn said. “As far as I know, we’re the first

medical facility in Las Vegas to be doing this procedure.”

Kilburn’s most recent bronchoscope patient, Davis Leonard, chose the procedure to speed up diagnostic time.

“This gentleman had a right upper lobe mass that had been biopsied before by going in from the outside, and that wasn’t diagnostic,” Kilburn said. “We didn’t have a good answer for him.”

Kilburn met Leonard during an emergency bronchoscopy for a different ailment; Leonard needed the procedure after he’d inhaled a tooth while undergoing dental work Sept. 31.

“It was affecting how he could breathe and it was blocking his airway,” Kilburn said. “We went in with the bronchoscope and retrieved that tooth for him.”

While reviewing the records after the procedure Kilburn saw an opportunity to more accurately examine the mass in Leonard’s lung.

“Looking over his record, we saw that he had this unsuccessful biopsy. I felt that we could successfully biopsy [the mass in his lung] from the airway using the endobronchial ultrasound bronchoscope,” Kilburn said.

For patients like Leonard, saving time is crucial.

“I’ve got to find out what kind of cancer I have, if it’s cancer,” Leonard said. “The doctors can’t treat it until they know what it is. My goal is to be the oldest living World War II veteran, and I feel extremely lucky to have Kilburn because he knows what he’s doing.”

“It’s really nice technology that we can use to help people like Mr. Davis,” Kilburn said.




All of this week's top headlines to your email every Friday.


 
 

 

First enlisted Airmen awarded Weapons School graduate patches

NELLIS AIR FORCE BASE, Nev. — History was made June 27, when five graduates of the U.S. Air Force Weapons School’s Joint Terminal Attack Controller Weapons Instructor Course became the first enlisted Airmen in the school’s 66-year mission to be awarded the Weapons School’s graduate patch. These graduates will now be recognized as subject matter...
 
 

Staying safe during flash flood season

NELLIS AIR FORCE BASE, Nev. — July is here with high temperatures and a high chance of flash flooding. The months with the highest probability for thunderstorms are July through September. Las Vegas’ annual rainfall is approximately 4.13 inches, and while this may not seem like a lot of rain, the elevation of Las Vegas...
 
 

Conquer fear, live your dream

VANCE AIR FORCE BASE, Okla. — Are you living the dream? Do you wake up with energy each morning or do you need an energy drink to get you going? If you constantly hit the snooze button on your alarm, wake with no energy and low self-esteem, need lots of coffee, soda or energy drinks...
 

 
U.S. Air Force photo by Senior Airman Joshua Kleinholz

Weapons School honors newest graduates

U.S. Air Force photo by Senior Airman Joshua Kleinholz Gen. Lori Robinson, Pacific Air Forces commander, delivers the keynote speech during the U.S. Air Force Weapons School Class 15-A graduation ceremony in Las Vegas, Nev., Ju...
 
 
U.S. Air Force photo illustration by Tech. Sgt. Nadine Y. Barclay

Hunters save lives through RPA Human Performance Team

U.S. Air Force photo illustration by Tech. Sgt. Nadine Y. Barclay Considering the demands facing the remotely piloted aircraft enterprise, Team Creech has formed their own human performance team to meet the needs of those suppo...
 
 
Courtesy photo

Employment Assistance Program aids military members’ transition

Courtesy photo Members of the Nellis community attend a job fair as part of the Airman and Family Readiness Center’s Employment Assistance Program at Nellis Air Force Base, Nev., April 23. The Employment Assistance Program he...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>