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 Senior Airman Timothy Young

926th Wing activated at Nellis, Creech

U.S. Air Force photo by Senior Airman Timothy Young Col. Ross Anderson, 926th Wing commander, speaks to the crowd as Maj. Mckay Kingry, 926th WG inspector general, watches during the wing’s activation ceremony Dec. 5 at Nelli...
 
 
U.S. Air Force photo by Airman 1st Class Alexander Guerrero

82nd Airborne integrates with USAFWS for JFE 14B

U.S. Air Force photo by Airman 1st Class Alexander Guerrero Eleven C-130H Hercules’ from various Air National Guard units and 13 C-130J Super Hercules’ from the 317th Airlift Group at Dyess Air Force Base, Texas, prepare to...
 
 

‘Tis the season to drink responsibly

KEESLER AIR FORCE BASE, Miss. — It’s that time of year when holiday parties and late night celebrations begin to fill our calendars and we look forward to spending time with family and friends to celebrate our own special reasons for the season. Every Christmas Eve, I celebrate my life and I give thanks for...
 

 

Asking for help is sign of strength not weakness

KEESLER AIR FORCE BASE, Miss. — Growing up I was a big fan of Muhammad Ali. He was the world heavyweight boxing champion and unashamedly referred to himself as “The Greatest.” I vividly remember a reporter asking Ali, “When did you know that you were ‘The Greatest?’” Before Ali could answer, the reporter offered, “Perhaps...
 
 
nellis-turkey

Nellis, Creech Airmen celebrate Thanksgiving, family

U.S. Air Force photo by Tech. Sgt. Nadine Barclay Col. James Cluff, 432nd Wing/432nd Air Expeditionary Wing commander, serves food during a Thanksgiving celebration at Creech Air Force Base, Nev., Nov. 18. The wing hosted the e...
 
 

Nellis holiday celebration lights up night sky

U.S. Air Force photo by Airman 1st Class Mikaley Towle Col. Richard Boutwell, 99th Air Base Wing commander, pulls the switch to light up the Christmas tree and menorah during the lighting ceremony at the chapel parking lot at Nellis Air Force Base, Nev., Dec. 4. Approximately 100 people came out to witness of the...
 




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