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.


 
 

 
U.S. Air Force photo by David Bedard

Former Airman sentenced to 18 years in drunken–driving death tells story

U.S. Air Force photo by David Bedard Former Airman 1st Class Lane Wyatt recounts the night of June 30, 2013, when he killed Citari Townes-Sweatt in a drunken-driving accident. Wyatt was sentenced Dec. 19, 2014, to 18 years in p...
 
 

Stepping into a better self

U.S. Air Force photo by Airman 1st Class Mikaley Towle Michelle Strawn, 99th Force Support Squadron, works out to a step class video at the Warrior Fitness Center on Nellis Air Force Base, Nev., Jan. 21. Strawn is a group fitness instructor and teaches Hatha yoga on Tuesdays and Thursdays at the Warrior Fitness Center...
 
 
U.S. Air Force photo by Senior Airman Thomas Spangler

Ortho clinic keeps Nellis warfighters fighting

U.S. Air Force photo by Senior Airman Thomas Spangler Staff Sgt. Samuel Scott (left), 99th Medical Operations Squadron orthopedic technician, demonstrates how a cast would be placed on a patient with Staff Sgt. Tiffany Hannon, ...
 

 
U.S. Air Force photo by Staff Sgt. Adawn Kelsey

Eye to eye: Creech opens new optometry clinic

U.S. Air Force photo by Staff Sgt. Adawn Kelsey Maj. Ivy Madson, 99th Air Base Squadron optometry flight commander, uses a Slit Lamp to examine the interior of the eye during an exam for Airman 1st Class Hunter, 18th Reconnaiss...
 
 
doctor

Ask the Doc

Q: How do I sign up for TRICARE e-mail notifications? A: To sign-up for eCorrespondence do the following: 1. Log into MilConnect — a Common Access Card, DS Logon or DFAS MyPay Pin is required to log in 2. Click on the “My P...
 
 
doctor

Ask the Doc

Q: I am a military retiree — or military retiree spouse — who recently started a new job and my new employer offers a comprehensive employer-sponsored health care plan. They’ve offered me an additional $3,000 per year to ...
 




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=""> <strike> <strong>


Directory powered by Business Directory Plugin