Arthur D Tilgner MD

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Physicians & Surgeons, Laser Vision Correction, Mental Health Services

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Today: 9:00 am - 4:00 pm

Tomorrow: 9:00 am - 4:00 pm

18 Years

in Business

ACCEPTING
NEW PATIENTS

Amenities:

Wheelchair accessible

(907) 245-4359Visit WebsiteMap & Directions5011 Spenard Rd Ste 205Anchorage, AK 99517 Write a Review

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Hours

Regular Hours

Mon - Fri:	9:00 am - 4:00 pm

Places Near Anchorage with Physicians & Surgeons

Jber (11 miles)

Accepted Insurance

Aetna
Blue Cross Blue Shield (BCBS)

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Specialties

Primary: General Practice Doctor (General Practitioner)

Sub-Specialty: General

Additional Specialties: Family Practice, General Surgery

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Extra Phones

Fax: (907) 245-2212

Payment method

visa, master card

Neighborhood

AKA

Tilgner, Arthur D Md

Tilgner Arthur D

Dr. Arthur Dewey Tilgner, MD

Other Link

http://airspacedoc.com

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Other Information

Specialties: Family Practice, General Surgery

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Details

Phone: (907) 245-4359

Address: 5011 Spenard Rd Ste 205, Anchorage, AK 99517

Website: http://airspacedoc.com

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Arthur D Tilgner MD

General Practitioners

Arthritis
Medical Weight Loss
Many people with mild to moderate HTN can attribute this problem to lack of exercise, being overweight, or both. The neat thing here is that most of these people can drop their pressure 8-9 mm Hg within 3-4 weeks of mild, albeit REGULAR exercise. If that brings an individual from the 130’s to the 120’s, they have reached their goal without chemicals. The other neat thing is that this response can occur even before weight loss! Although weight loss is desirable for other reasons, the most important of which is the prevention of adult onset diabetes (more on that topic in a later column) it is clear that the simple fact of getting off the couch and moving one’s rear end regularly is enough to make a huge difference.
Primary Care
• Blood pressure is less than or equal to 155 systolic and 95 diastolic. Although 155/95 is acceptable for certification, the airman should be referred to their primary care provider for further management if the blood pressure is above clinical practice standards.
Family Practice
To focus on the differences first, I have found that women seem to be more in tune with obtaining regular examinations than men. Every woman old enough to hold a pilot’s licenseprobably knows she should be getting some sort of gender-specific preventive health examination on a regular basis. Every sexually active woman should be obtaining annual female pelvic examinations, and after the age of 18-20 should be obtaining pap smears at least every 2 years. After the age of 40, she should also be obtaining mammograms, the schedule of which is determined by her age, personal and family health history.
Emergency Care
Back when I was an emergency room physician, I had to limit the number of complaints the patients wanted me to check out for them. I limited it to the most important 5 symptoms just because I knew I couldn’t solve any patient’s cumulative lifelong problems in one emergency room visit. Even at social events, I have never stopped being amazed at the willingness of strangers to tell me their most intimate medical problems.....all in the name of free medical advice. Of course, things are quite different in the AME’s office....it is amazing how pilots NEVER have anything wrong with them....they never have any medical concerns. Right? Right!
Electrocardiogram
Lab tests and electrocardiogram (ECG) are not required unless the treating physician believes it is important to do so. A follow-up current status report is required at the time of renewal of the next medical for Class III pilots, and annually for Class I and II pilots. In reality, these reports are no more than what a good doctor should be doing anyway! Of course, it is best if the pilot presents these reports to the AME at the time of the examination to avoid any delay in issuing the certificate.

Ophthalmologists

Glaucoma
Occasionally potential vision-threatening complications occur, such as infection, development of haze in the vision, scarring, night glare, perforation of the eye, and prolonged post-operative steroid drop use which can result in cataracts or glaucoma. Less devastating but problematic complications of LASIK include detachment or movement of the flap resulting in double vision, growth of corneal tissue into the flap, bleeding into the white part of the eye, and technical problems associated with the instruments. Also somewhat common, but usually temporary, are problems with mild irritation, dryness, sensitivity to bright lights, and tearing.
Laser Eye Surgery
Nowadays, the 2 most commonly offered surgeries are photorefractive keratectomy (PRK) and laser assisted in situ keratomileusis (LASIK). The former involves literally vaporizing the outermost layer of corneal cells with a laser, the latter involves slicing a thin flap (but still attached by a hinge piece) off the central cornea and then reshaping the layer of cornea underneath with a laser. When the desired shape is obtained, the flap is placed back onto the cornea and allowed to heal in place. PRK is done less than LASIK these days, as the latter is the newer technique and offers a number of advantages over the older procedure. For example, the “recovery time”(which means time one can see well enough to go back to work in a regular job, not necessarily to return to flying...will go over that later) can be as short as 2-3 days...in fact some eye doctors feel comfortable enough to do both eyes at the same time.
Cataracts

Pregnancy

Internal Medicine
Kidney Stones
Testicular Cancer
Men should regularly obtain prostate examinations after the age of 40, including PSA (prostate specific antigen) blood tests, again dependent on personal and family histories. A man in his forties can get by with such examinations probably every other year (unless there is a strong family history of prostate cancer at an early age) and after the age of 50, should be getting these examinations annually. Testicle examinations, especially in teenagers and young men, are also important, as testicular cancer can be fatal within weeks of discovery if the diagnosis is delayed. This delay in diagnosis is often caused by natural embarrassment on the part young men who are reluctant to tell anyone about a weird lump “down there”. And let’s not forget that men can have breast cancer, too!
Prostate Cancer
As soon as it can be determined that you are cancer free and your treatment is concluded, you can be eligible again under Special Issuance or CACI. Because prostate cancer can often be eradicated before the cancer has spread beyond the prostate capsule, pilots with successful treatment of this form of cancer can frequently return to flying immediately after their therapy is finished. This is not necessarily the case of other cancers, such as breast cancer, which can spread to other body areas, by virtue of only a single cancer cell escaping and lodging elsewhere in the body. Many other cancers require waiting periods to determine a cancer-free state.

Depression
Insomnia
Anxiety

Endocrinologist

Diabetes Care

X-Rays
Computed Tomography
Yes, if it can be domonstrated by an imaging technique (X ray, CT scan) that the stone has passed. The question becomes more complicated for pilots who have recurrent stone formation, as these can be unpredictable and the pain quite incapacitating when new stones form in the urinary tract. These individuals should be carefully evaluated by a specialist for determining the cause of the recurrent stone formation, so that preventive techniques, if any, can be utilized.
Radiation Therapy
However, if you are being treated by "watchful waiting", which is when surgery or radiation therapy is not being done, you may possibly be eligible under CACI.

Allergies
Dr. Hemry received his medical degree from the University of Rochester in New York in 1966. He then undertook further post graduate training at Strong Memorial Hospital in Rochester which included a year as Chief Resident in Internal Medicine followed by a fellowship in allergy and immunology. He is board certified by both the American Board of Internal Medicine and the American Board of Allergy and Immunology.

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