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99th MDG: The backbone of AF spine surgery

Luis Contreras, a contractor orthopedic technician with the U.S. Air Force 99th Medical Group, performs a lumbar microdiscectomy surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. A lumbar microdiscectomy surgery is performed to remove a portion of a herniated disc in the lower back. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Luis Contreras, a contractor orthopedic technician with the U.S. Air Force 99th Medical Group, performs a lumbar microdiscectomy surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. A lumbar microdiscectomy surgery is performed to remove a portion of a herniated disc in the lower back. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Airmen assigned to the 99th Medical Group perform in an orthopedic spine surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. Having in-house surgeons allows patients to bypass referrals downtown. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Airmen assigned to the 99th Medical Group perform in an orthopedic spine surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. Having in-house surgeons allows patients to bypass referrals downtown. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Airmen assigned to the 99th Medical Group perform in an orthopedic spine surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. Having in-house surgeons allows patients to bypass referrals downtown. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Airmen assigned to the 99th Medical Group perform in an orthopedic spine surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. Having in-house surgeons allows patients to bypass referrals downtown. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Airman 1st Class Kayla Vait, 99th Medical Group aerospace medical student, observes a team of Airmen perform orthopedic spine surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. Students get the opportunity to observe surgeries to give them a better understanding of their job. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Airman 1st Class Kayla Vait, 99th Medical Group aerospace medical student, observes a team of Airmen perform orthopedic spine surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. Students get the opportunity to observe surgeries to give them a better understanding of their job. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Col. (Dr.) Edward Anderson and Maj. (Dr.) Bryan Lawson, 99th Medical Group orthopedic spine surgeons, walk down a hallway at Nelis Air Force Base, Nevada, Aug. 23, 2018. Anderson and Lawson have known each other for nearly a decade. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Col. (Dr.) Edward Anderson and Maj. (Dr.) Bryan Lawson, 99th Medical Group orthopedic spine surgeons, walk down a hallway at Nelis Air Force Base, Nevada, Aug. 23, 2018. Anderson and Lawson have known each other for nearly a decade. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Col. (Dr.) Edward Anderson, 99th Medical Group orthopedic spine surgeon, performs a lumbar microdiscectomy surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. A lumbar microdiscectomy surgery is performed to remove a portion of a herniated disc in the lower back. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Col. (Dr.) Edward Anderson, 99th Medical Group orthopedic spine surgeon, performs a lumbar microdiscectomy surgery at Nellis Air Force Base, Nevada, Aug. 27, 2018. A lumbar microdiscectomy surgery is performed to remove a portion of a herniated disc in the lower back. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Col. (Dr.) Edward Anderson, 99th Medical Group orthopedic spine surgeon, tests medical gear at Nellis Air Force Base, Nevada, Aug. 23, 2018. Anderson has nearly two decades of surgical experience. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

Col. (Dr.) Edward Anderson, 99th Medical Group orthopedic spine surgeon, tests medical gear at Nellis Air Force Base, Nevada, Aug. 23, 2018. Anderson has nearly two decades of surgical experience. (U.S. Air Force photo by Airman 1st Class Andrew D. Sarver)

NELLIS AIR FORCE BASE, Nev. -- The 99th Medical Group successfully completed its first set of orthopedic spine surgeries after bringing two specialized surgeons to the unit.

As one of the more limited Air Force Medical Service (AFMS) specialties, orthopedic spine surgery has only three qualified surgeons in the entire Air Force, two of whom are now on the team at the medical center here.

Col. (Dr.) Edward Anderson and Maj. (Dr.) Bryan Lawson, 99th MDG orthopedic spine surgeons, bring a combined nearly three decades of surgical experience to the operating table. Their goal is to increase capabilities inside the hospital as well as increase individual deployment readiness.

“We understood that we had a significant amount of spine surgery cases that were being referred to physicians downtown,” said Col. (Dr.) Kim Pietszak, 99th MDG medical staff chief. “After doing the math it became pretty apparent to us that we should be providing this care inside of our facility and could do it for less cost to the government.”

Pietszak said the benefits of performing complex surgeries in the orthopedic spine clinic go far beyond the operating room (OR) because with each surgery performed, there is a great deal of preparation that also goes into it.

She said prepping those patients increases everyone’s medical readiness from the nurses admitting the patients, the technicians doing lab work and then everyone else involved in the process just soaking up the knowledge from their environment.

Pietszak said this clinic is a big win for the Air Force and for Nellis.

Not only will the care providers be able to take care of the Airmen in their facility, but now they are able to monitor them closer and better gauge when they are able to return to work, improving the Airmen and their readiness.

Both Lawson and Anderson are optimistic for the future of orthopedic spine surgery at Nellis Air Force Base.

“I think we have to start with procedures that are fairly straightforward,” said Lawson. “But the goal is to provide the full complement of spine care here.”

“When you’re setting up a complex spine program, you want to grow this in a deliberate way in order to continue to deliver safe care,” said Anderson.

“The reality of it is that we get to a point where we’re in such a specialized field that who I needed wasn’t just another surgeon,” said Anderson. They told me they needed complex spine surgery done here. I told them I needed Dr. Lawson because it’s a team sport – you can’t do it alone.”

Lawson and Anderson have known each other for nearly a decade and their complementary work ethics are key for Nellis to enhance the 99th MDG’s readiness as a unit.

“Half the battle when performing surgery is having a good team,” said Lawson. “There’s so much the institution is capable of providing, but what can almost dwarf all of that is when you’re starting to build a team and how the interaction with your colleagues is. Thankfully it’s something that has already been sorted out for Dr. Anderson and I over a course of years from working together.”

This also gives other orthopedic surgeons here, who aren’t traditionally spine surgeons, the ability to scrub-in, or assist, on a spine case and learn some of the skill sets from Dr. Anderson and Dr. Lawson.

“Setting up spine surgery here doesn’t have anything to do with our surgical readiness because when we deploy, we deploy as general orthopedic surgeons – not spine surgeons,” said Anderson.” Maintaining our Airmen’s readiness all has to do with what follows on with our service line. It keeps the nurses on their toes in the intensive care unit and the technicians trained in the lab among many other roles that are played keep a hospital running.”

The orthopedic spine clinic is just a small piece to a bigger plan that will make Nellis a more robust medical center and through that provide expanded care to a good majority of the North Las Vegas, Nellis, and Creech population.

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