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 Thomas Spangler

Red Flag 15-3 wraps up

U.S. Air Force photo by Senior Airman Thomas Spangler A B-52 Stratofortress assigned to the 69th Bomb Squadron, Minot Air Force Base, N.D., lands during Red Flag 15-3 at Nellis AFB, Nev., July 21. A typical Red Flag exercise in...
 
 
Lockheed Martin photograph by Darin Russell

Ground testing for F-35 gun conducted at Edwards AFB

Lockheed Martin photograph by Darin Russell An F-35A Lightning II, tail number AF-2, fires a burst of rounds down range at the Edwards Gun Harmonizing Range on Edwards Air Force Base, Calif., July 17. The F-35 Joint Strike Figh...
 
 

Separated but not alone

MOUNTAIN HOME AIR FORCE BASE, Idaho — As the dawn broke out over the mountains, I woke up to the sun peeping through my window. Once I got up I went straight to the kitchen to make my family breakfast yet in the back of my mind, all I could think about was, “how am...
 

 

Mishap prevention 101

NELLIS AIR FORCE BASE, Nev. — Here is something I would like to share with my readers. This information is geared toward supervisors, but we all play a part in the mishap prevention program, and when we know better, we tend to do better. I will discuss a few things supervisors should do within their...
 
 
raptor

Raptor pilots reach 1,000 flight hours in F-22

U.S. Air Force photo by Senior Airman Joshua Kleinholz Majs. Ethan Waitte and Thomas Borrego, 422nd Test and Evaluation Squadron pilots, stand with Lt. Col. Matt Allen, 422nd TES F-22 Raptor test director, after returning from ...
 
 
U.S. Air Force photo by Airman 1st Class Christian Clausen

Creech Airmen showcase RPA at Canadian airshow

U.S. Air Force photo by Airman 1st Class Christian Clausen Senior Airman Kaitlyne LaRocque, 432nd Aircraft Maintenance Squadron MQ-1 Predator crew chief, left, and Staff Sgt. Craig Stewart, 432nd AMXS MQ-1 crew chief, prepare a...
 




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>