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Volume 21, No. 13

January 2014

“Serving with Pride and Professionalism since 1993”

THE EXAMINER An Award Winning Publication

Robert E. Bush Naval Hospital

Did you know?...

Y

ou have the right to express your concerns about patient safety and quality of care. There are several avenues open to you: * Through the ICE website. * The Hospital Customer Relations Officer at 760-8302475, or any of the Customer Relations representatives in the Hospital clinics, or directly to the Joint Commission via: E-mail at complaint@jointcomission.org Fax: 630-792-5636

http://www.med.navy.mil/sites/nhtp/pages/default.aspx

Happy New Year Naval Hospital Twentynine Palms!

The Joint Commission Oak Renaissance Boulevard Oakbrook Terrace, IL 60181

Pastor Norval Chilman (left) and wife, Donna, Peace Lutheran Church, Palm Desert, present Lt. Cmdr. Christi Marti, Maternal Infant Nursing Dept., with 31 layettes. Each layette contains a hand-crocheted blanket and outfit, as well as diapers. Pastor Chilman has been offering these crocheted donations to NHTP since 2009 and estimates that 240 have been given in total to new families, “just to get them started.” He was a HM2 when he served in the 1950s. His son and grandson are both currently in activeduty Navy assignments.

T

o report Fraud, Waste and Abuse contact one of the below offices by calling:

Naval Hospital: 760-830-2344 Combat Center: 760-830-7749 NavMedWest: 1-877-479-3832 Medical IG: 1-800-637-6175 DoD IG: 1-800-424-9098

Branch Medical Clinic Bridgeport Makes the Grade! A mountain exercise for all support staff involved hiking four miles into the Levitt Training Area where they learned rock climbing, rappelling, and mountain survival. No one fell out and all were able to rappel off the 150-foot cliff face. It was a full day of training, ending with the hike back to BMC Bridgeport. Pictured (L-R) HM2 Albert Escobedo, RP2 Fred Valois, HN Austin Dullum, HMC Elliott Martinez. Photo by Sgt. Maj. James Kirkland.

Commanding Officer Naval Hospital Public Affairs Office Box 788250 MAGTFTC Twentynine Palms, CA 92278-8250

Patients seen in November -- 13,378 Appointment No Shows in November -- 985 In November we had a 6.9 percent no show rate. We need to keep trending downward by keeping the appointments we make, or by canceling in enough time for someone else to use the slot... To help patients obtain appointments, the Naval Hospital now shows the number of open appointment slots each day on the hospital Facebook site, check it out. On Facebook, search: Naval Hospital Twentynine Palms.

To make an appointment call -- 760-830-2752 To cancel an appointment call -- 760-830-2369

Women’s Health Symposium: By Women and For Women! The leadership at Naval Hospital Twentynine Palms is proud to sponsor a Women’s Health Symposium to educate women about the steps they can take to improve their health and lower their risks of certain diseases. Dr Kanti Ford, Cmdr., MC, USN, a family medicine physician at Naval Hospital Twentynine Palms, is bringing together female leaders from the MCAGCC community in a 1day event to address the health concerns of women of all ages who live and work aboard the Combat Center. The symposium will be held Tuesday January 28 (Tuesday) from 7 a.m. to 1 p.m., Bldg 1707, Classrooms C & D. This is free to all with

MCAGCC access. When women take even the simplest steps to improve their health, the results can be significant and everyone benefits. The symposium includes guest speakers and information tables offering a wealth of information on women’s health issues. A Q&A session will feature four speakers and a panel of specialists to answer pre-submitted, anonymous questions. Drop in child care is $5/hour per child at the child development center. Parents must preregister at the Resource and Referral, Bldg. 694 (New Horizons) to use these services. Call (760) 830-2814 for more information.


The Examiner -- January 2014 -- 7

Occupational Therapy, from page 3 orthopedic specialists to rule out surgery as a therapeutic recourse. Navy retiree Todd Riffle injured his hand while protecting his employer from an unruly customer in the restaurant where he worked. Riffle’s hand hit the pavement during the scuffle and the attacker then bit his hand. “He could barely move his hand when he came in,” Sherrick said. “Now he’s doing a lot better.” Riffle has seen improved function from Fluidotherapy, a machine that uses heated air flowing over and through finely granulated dry-heat media, i.e., ground up corn husks, to massage the injured limb. “It helps to relax the muscles, increases joint motion, alleviates pain, and allows him to exercise while it’s heating up,” Sherrick said. Following the Fluidotherapy, Riddle works with putty for strengthening and dexterity exercises. “When he’s working with putty, he’s not just working his hand, his whole arm benefits. It’s actually a huge workout,” Sherrick said. The Occupational Therapy Clinic is located on the second floor of Naval Hospital Twentynine Palms in the General Surgery/Orthopedic/ Chiropractic Ward. To obtain an Occupational Therapy evaluation, Tricare recipients should request a referral from their primary care manager. Appointments can be made by calling (760) 830-2752.

Hospital staff check their cardiopulmonary resuscitation technique on the Zoll/AED external defibrillator which gives direct feedback during training. The NHTP Skills Fair, Dec. 12 and 19, had 10 stations that included basic EKG training, Health Promotions, Infection Control, airway management, and specimen lablling. MBTA 2X8

Adobe Cafe Galley staff pose after serving 171 Christmas/holiday noon-day meals to NHTP staff Dec 19. This was shortly on the heels of the November Thanksgiving feast where 192 plates with all the fixin’s were served.

Lt. Sherrick and HM3 Jeremy Harvill man the NHTP Occupational Therapy Services and are available to answer questions concerning treatment. Their telephone number is: (760) 830-2073/2075.

Above: Dancers, performers, and models demonstrate customs from their homelands during the International Grand Holiday Festival Dec. 17 in Classrooms 4&5. Participants performed dances, demonstrated musical instruments, and modeled holiday festive garb. Right: CS2 Kris Masicampo serves slices of whole roasted pig during the International Grand Holiday Festival. Participants had a wide array of international foods from which to choose, including, lamb, fried chicken, tacos, and many Asian dishes.


6 -- The Examiner -- January 2014

Super Stars con’t.

HM2 Corey J. Messner receives the Good Conduct Award, Fidelity, Zeal, Obedience, second award, issued in recognition of faithful, zealous and obedient naval service. Awarded for service completed on Nov. 25, 213.

HM3 Alison B. Raphael receives the Navy and Marine Corps Achievement Medal (Gold Star in lieu of third award) for superior performance of her duties while serving as a radiology technician, NHTP, from July 2012 to January 2014. Raphael’s management of the department records yielded a 98 percent training compliance for the department. Her leadership and fundraising, and volunteer efforts reflect great credit upon her and were in keeping with the highest traditions of the United States Naval Service.

Lt. Ashlyn A. Lobenberg receives a Navy and Marine Corps Achievement Medal for superior performance of her duties as clinical psychologist from January 2013 to October 2013. Lt. Lobenberg’s exceptional professionalism, unrelenting perseverance and loyal devotion to duty reflect great credit upon herself and were in keeping with the highest traditions of the United States Navy.

HM2 Daniel R. Derose is frocked during a ceremony on the NHTP Quarterdeck Dec. 11.

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HM2 Dominique M. Lemons receives the Military Outstanding Volunteer Service Medal for outstanding public service with the Morongo Basin Reach-Out Program, from Sept. 2010 to Sept. 2013. As Program Coordinator, Lemons led 40 Sailors and Marines in coordinating 280 off-duty volunteer hours while promoting community relations and awareness to our active duty personnel. HM2 Lemons personally dedicated 285 hours of volunteer work, helping 50 Morongo Basin elderly and handicapped people. HM3 Lemons’ untiring, conscientious and loyal dedication to duty was critical to the unqualified success of this program, and reflected great credit upon himself and was in keeping with the highest traditions of the United States Naval Service.

HM1 Matthew Porzio is frocked in a promotion ceremony Dec. 13 in Classroom 4. His daughter, Kiera, and wife, Kim, were on deck to help with the celebration.

HN Xavier M. Vicente receives a Dept. of Navy Good Conduct Award, Fidelity, Zeal, Obedience, during a presentation in Classroom 4 Dec. 18.


The Examiner -- January 2014 -- 5

Cmdr. Wendy L. Stone receives a Meritorious Service Medal for outstanding innovation and collaboration leading to improved quality of life for 250 wounded warriors. Cmdr. Stone improved case management, increased access to primary and specialty care, realigned 38 billets across Navy Medicine, significantly decreased inpatient ward cardiopulmonary arrest rates, AND co-authored two articles presented at National Conferences.

HM1 Henry A. Forcadilla receives a Navy and Marine Corps Commendation Medal (Gold Star in lieu of second award) for meritorious service, specifically, documenting need for increasing diagnostic radiology capabilities, saving $147,000 annually in network costs. Additionally, Forcadilla facilitated alcohol-awareness classes maintaining 100 percent command compliance.

Lt. Philip M. Sherrick is presented the Joint Service Commendation Medal for meritorious service as Assistant Chief, Occupational Therapy Svc, Fort Belvoir Community Hospital, from Aug. 1, 2011 to July 18, 2013. “His work with reducing musculoskeletal injuries throughout the Command improved staff effectiveness,” the award reads in part.

HM3 Stephen Hampshire is frocked by Lt. Cmdr. Joseph Andrade and HM3 Robert Hererra (not pictured).

HM3 Kylie Guest is frocked by Sgt. Maj. (USMC retired) Marc Geletco (right) and Cmdr. George Newton in a First Friday Promotion and Awards Ceremony Dec. 6.

HM3 Wanda Y. Lorde receives a Letter of Commendation from Naval Medical Center San Diego for exemplary work and high professionalism from Sept. 2011 to Sept. 2013. Lorde’s “meticulous attention to detail,” and her assistance with the Joint Commission Survey, resulted in 100 percent ward compliance.

CS2 Codarius Washington is frocked during an award ceremony on Dec. 6.

CS2 Jauonnie Beall is frocked with the help of daughter, Melondie, Command Master Chief Carol Merricks and NHTP Executive Officer Capt. Angela Nimmo.

NHTP Executive Officer Angela Nimmo (left) presents HM2 Seung Woo with a Navy and Marine Corps Achievement Medal for professional achievement while serving as General Duty Corpsman, Naval Health Clinic Hawaii, from Aug. 2010 to Aug. 2013. HM3 Woo was a triple recipient at the First Friday Promotion and Award Ceremony Dec. 6. She was also awarded a Certificate of Commendation from Commander, U.S. Marine Forces, Pacific, for exceptional performance of duties from July 2012 to June 2013, during which time HM3 Woo assisted with or coordinated 21 fundraisers that raised $30,000. And last, but certainly not least, Woo was frocked during the same ceremony.

HN Carissa L Munoz receives a Letter of Commendation from Commander, Naval Medicine West, for outstanding performance serving as Overseas Screening Coordinator from July 2013 to Sept. 2013. At NHTP, Munoz was named, Bluejacket of the Quarter for Fourth Quarter, FY 2013. “She achieved this distinction by demonstrating exceptional leadership, initiative, and dedication to duty.”


4 -- The Examiner -- January 2014

Super Stars...

HM1 (Aviation Warfare) Joaquin M. Barredo receives a Letter of Commendation for outstanding performance of duties, culminating in his selection as Senior Sailor of the Quarter, for the fourth quarter, Fiscal Year 2013.

HM3 Miko Justin Lim is frocked by HM2 Cory Messner (not pictured).

CS2 Kris Masicampo is frocked on Dec 6. He, along with the other promotees, may wear the uniform of a Petty Officer and assume the title but won’t receive the attendant pay and other monetary allowances until advanced to the pay grade.

HM3 (FMF) Seven A. Suralie receives a Department of Navy Good Conduct Award (Second Award) in recognition of faithful, zealous and obedient naval service completed on Sept. 24, 2013.

HM2 Jazelle Realina is frocked by husband, HM2 Andres Raigoza in the First Friday Award and Promotion Ceremony Dec. 6. Please note: Any awardees or promotees who would like a more complete picture, with frockers, for instance, may stop by the PAO office for an electronic copy.

HM3 Cristian Lira is frocked by HM3 Taylor McMahon (not pictured) during the First Friday Awards and Promotion Ceremony Dec. 6.

HM2 Jacemine Dorcenvil is frocked by HMC Andrew Gonzales and HM1 Gale Webb (not pictured) during a ceremony in Classrooms 4&5 Dec. 6.

HM3 Max Mitrovich is frocked by his wife, Melanie, and HM3 John Buckley (not pictured).

HM2 (SW) Andy A. Rogero receives a Letter of Commendation for outstanding performance of duties on the Medical Home Blue Team, from July 2013 to Sept. 2013, which directly led to his selection as NHTP Junior Sailor of the Quarter, Fourth Quarter, FY 2013.

HM2 Stephanie Reagan is frocked by an enthusiastic HMC Stephen Flores during the First Friday Awards and Promotion Ceremony Dec. 6.

HN (SW) Reena S. Sood receives a Department of Navy Good Conduct Award for faithful, zealous and obedient naval service completed Sept. 13, 2013.

HM3 Trevor Williams is frocked by HM3 Luke Murry (not pictured) during the First Friday Promotion and Awards Ceremony Dec. 6.

HM3 Brian W. Hardman receives a Navy and Marine Corps Achievement Medal for professional achievement, and for increasing medical readiness by 41 percent in the Adult Medical Care Clinic. His volunteer efforts raised $9,000 for the 2013 Navy Heritage Ball.

HM3 Nicholas Reiner is frocked by HM2 Robert Sharkey and LTJG Kenneth Argoncillo (not pictured) during the NHTP First Friday Awards and Promotion Ceremony Dec 6.

HM3 Benjamin Clark is frocked by his wife, Lisa (not pictured), during the First Friday Promotion and Awards Ceremony Dec. 6.


The Examiner --January 2014 -- 3

Occupational Therapy Fine Tunes Motor Function Left: Sgt. Leroy Johnston finds relief from persistent pain by immersing his arm in the Fluidotherapy machine, a device that uses ground corn husks to massage and heat injured extremities. Apache, his service dog, provides both physical and psychological assistance. Middle: Navy retiree Todd Riffle works with putty to work on strength, dexterity after an injury to his hand.

Dave Marks NHTP PAO

O ccupational Therapy is a health-care specialty with all treatment based on an individual's ability to function in society in a healthy manner. It was founded under mental health and has expanded throughout the years to help people of all ages with any type of physical, psychological, cognitive, emotional, or developmental limitation. Occupational Therapy’s practice principles have been used in Navy medicine since WWI. The underlying assumption is that to be healthy, individuals must strive to achieve a balance between work, rest, and play--so that life is viewed as satisfying, gratifying, and productive. Currently, the Navy employs approximately 35 registered occupational therapists who primarily function as neuromusculoskeletal evaluators with a focus on upper extremity (arm, elbow, forearm, wrist and hand) rehabilitation, treatment, and workplace ergonomics. At NHTP, Lt. Philip Sherrick is Lead Occupational Therapist specializing in upper-extremity injuries. His clinic sees approximately 15 patients daily. Patients include active duty military, family-member beneficiaries and retirees.

Occupational Therapy’s small motor function boards allow patients to work on every-day tasks that can be daunting following an injury.

Sgt. Leroy Johnston, 31, MCAGCC Wounded Warrior Battalion, has been a United States Marine for 10 years. Since 2004 he’s deployed five

times. He is currently diagnosed with nerve damage, PTSD, and carries a 7.62mm round in his shoulder from a 2006 firefight in Iraq. He’s been told the slug is too close to his nerves for extraction. During his most recent deployment, “I had the squad leader job of jumping around and checking on everyone. At one point I noticed my hand going numb, which is my trigger finger.” That was one of the last patrols for his unit during its deployment. They returned to the States without any fatalities, but Sgt Johnston realized he could no longer perform his job at the high level that’s required. “The last thing I wanted to do was put any of my Marines in danger,” Johnston said. “I kept saying, I’m a Marine; I can do better; I’m fine; I don’t have a problem--until this last 4th of July. We were having a party at my house. I was setting up and I kept going in and out to get stuff out of my truck. I couldn’t open the door knob to get into my house. I tried squeezing harder and harder until it finally opened.” Initially, he thought his wife was playing a joke. When he realized he didn’t have the strength to open the door, he sought a medical evaluation.

helps me with smaller defined tasks. From zipping my pants, to buttoning my shirt, little things that you take for granted, that you wouldn’t ordinarily think about requiring therapy, that’s where Occupational Therapy steps in,” Johnston said. A habitual tinkerer, Johnston noticed there weren’t any button boards, buckle boards, or clasps that would help patients perform the simple tasks required to dress and get through the day. He went home and created boards on which patients could practice buttoning, zipping, working clasps, tying laces, and turning tiny screws. “Instead of walking into the office and having to dress and redress; this way we have an actual board to practice on,” Johnston said. He noted that other patients were finding them challenging. “But that’s the point. Difficult at first, but through doing it, it gets a lot easier,” the sergeant noted.

Orthopedic surgeons referred him to the Occupational Therapy Clinic for post-operative rehabilitation.

At NHTP, Occupational Therapy is attached to the Physical Therapy Department and is located in the General Surgery/Orthopedic Ward. Lt. Sherrick works closely with Orthopedics Department Head and hand surgeon, Cmdr. Katharina Pellegrin, and with orthopedic surgeons Lt. Cmdr. Jason Mihalcin and Lt. Michael Vanmanen. The orthopedic surgeons refer patients to Occupational Therapy for rehabilitative services; and Lt. Sherrick in Occupational Therapy refers patients to the

“Occupational Therapy really

Continued on Page 7, Occupational Therapy

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2 -- The Examiner -- January 2014

HM2 Rachel Daniels (front) is frocked during a promotion ceremony at Branch Medical Clinic Bridgeport Dec 12. HM2 Albert Escobedo and HM3 Cameron Fields were also frocked that day. Temperatures hovered around 20 degree F. for the outdoor event.

Members of the FCPOA (First Class Petty Officer Association) and JEA (Junior Enlisted Association) present Jim Ansell, American Red Cross, with a check for $612 for Philippine relief efforts on Nov 27. Typhoon Haiyan slammed the Philippines Nov. 15. According to the UN’s Office for the Coordination of Humanitarian Affairs, a total of 6.5 million people were affected, and at least 900,000 were displaced from their homes. NHTP sailors quickly sprang into action, organizing pizza sales to raise funds. Pictured (L-R) HM3 Joshua Culp, HM1 Carolyn Teofilo, HM1 Lori Weber, HM1 Henry Forcadilla, Jim Ansell, HM1 Raul Cervantes, HM1 Andrea Turner.

Published by Hi-Desert Publishing, a private firm in no way connected with the Department of Defense, the United States Marine Corps, United States Navy or Naval Hospital, Twentynine Palms under exclusive written contract with the Marine Air Ground Task Force Training Command. The appearance of advertising in this publication, including inserts or supplements, does not constitute endorsement by the Department of Defense, the United States Marine Corps, the United States Navy or Hi-Desert Publishing of the products or services advertised. Everything advertised in this publication shall be made available for purchase, use, or patronage without regard to race, color, religion, sex, national origin, age, marital status, physical handicap, political affiliation, or any other non-merit factor of the purchaser, user or patron. If a violation or rejection of this equal opportunity policy by an advertiser is confirmed, the publisher shall refuse to print advertising from that source until the violation is corrected. Editorial content is prepared by the Public Affairs Office, Naval Hospital, Twentynine Palms, Calif. Commanding Officer Capt. Jay C. Sourbeer, MC, USN

Lt. Gabriel W. Forrey (right) receives a Letter of Commendation on Dec. 18 from Hospital Commanding Officer Capt. J.C. Sourbeer, M.C. Lt. Forrey was selected as Junior Officer of the Quarter for his “flawless professionalism and leadership as Interim Director for Healthcare Business,” and for his “ethical and well-reasoned approach” as Command Legal Officer.

Executive Officer Capt. Angela S. Nimmo, NC, USN Senior Enlisted Leader HMCM (FMF/SW) Carol Merricks, USN Public Affairs Officer/Editor Dave Marks Command Ombudsman Bright Opoku (760) 910-2050 email: nhtpombudsman@yahoo.com The Examiner welcomes your comments and suggestions concerning the publication. Deadline for submission of articles is the 15th of each month for the following month’s edition. Any format is welcome, however, the preferred method of submission is by e-mail or by computer disk.

How to reach us...

Capt. Paul A. Andre, Optometry Clinic, is frocked by his sisters during a promotion ceremony Dec. 13.

Commanding Officer Naval Hospital Public Affairs Office Box 788250 MAGTFTC Twentynine Palms, CA 92278-8250 Com: (760) 830-2362 DSN: 230-2362 E-mail: david.marks@med.navy.mil Hi-Desert Publishing Company 56445 Twentynine Palms Highway Yucca Valley, CA 92284 Com: (760) 365-3315 FAX: (760) 365-8686


8 -- The Examiner -- January 2014

Movember Challenge!

50 Years of Tobacco Warnings Reduce Use Martha Hunt, MA, CAMF NHTP Health Promotion and Wellness The first United States Surgeon General’s Report (SGR) was released in January 1964. It identified smoking as a clear cause of lung cancer in men and a probable cause of lung cancer in women. Remarkable progress has been made in the 50 years since the release of the first Surgeon General's Report on Smoking and Health. Since 1964, smoking prevalence among U.S. adults has been reduced by half; but unfortunately, tobacco use remains the leading preventable cause of disease, disability, and death in the United States. It is also a leading impact on combat readiness due to the effects on PTSD, injury healing, etc. Thirty additional SGRs have been released since 1964 and have produced a growing body of evidence of the health effects from smoking, second and third-hand smoke and the effects of smokeless tobacco. Those health effects include heart disease, chronic obstructive pulmonary disease (COPD), cancers, pregnancy complications and childhood diseases. These reports have been further broken down to include the issues of nicotine addiction; tobacco and pregnancy; the manipulation of tobacco to produce ever more addictive tobacco products; cancer and lung disease in the workplace due to smoking; tobacco and youth; and the health benefits of quitting. To review any of the

SGRs, go to http://www.surgeongeneral.gov/. What are the costs of Tobacco Use? More than 440,000 Americans die every year from tobacco use. Eight million Americans live with at least one serious chronic disease caused by tobacco. Cost to the U.S economy is at least $193 billion a year with nearly $96 billion in direct medical costs and an additional $97 billion in lost productivity. What are the costs of tobacco to the DoD? Tobacco use among active duty military is the second leading drain on the DoD health-care system from tobacco-related health-care costs related to chronic diseases, e.g., asthma, diabetes, cancer, injuries that don’t heal properly, infections, and PTSD. Tobacco use costs the DoD an estimated $1.2 billion annually.

HN Allen D. Mendozasales receives a Letter of Commendation for outstanding performance in the Adult Medical Care Clinic and NHTP Medical Home Blue Team from Dec. 2011 to Dec. 2013. Mendozasales’ exceptional professional ability combined with his impressive volunteer efforts reflect great credit upon him and are in keeping with the highest traditions of the United States Naval Service.

You can get help quitting tobacco by talking to your health care provider, or call Health Promotion & Wellness (760) 830-2814. The 4-week class has been eliminated. All counseling is done one-on-one and includes stress management, coping with cravings and sleep strategies. Contact NHTP Health & Wellness for a full list of on-line resources that are designed for specific target audiences from youths to veterans.

HN Christopher J. Moran receives a Good Conduct Award in recognition of faithful, zealous and obedient naval service.

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Capt. Steven Banks

Lt. Cmdr. Joshua Blackburn

LTJG Ryan Blevins

Lt. Ashely Robertson

HM3 Robert Rose

HM1 Joaquin Barredo

In November, men and women everywhere unite to bring awareness and monetary donations to men’s health issues. They take the “Movember Challenge,” beginning the month clean shaven and seeing how large a push-broom they can grow by month’s end. Here at Naval Hospital Twentynine Palms, participants couldn’t wait to excise the itchy growth from their upper lips, demonstrating formidable commitment in the face of adversity. According to the National Institutes of Health, men need

to pay more attention to their health. Compared to women, men are more likely to: smoke or drink; make unhealthy or risky choices; put off regular checkups and medical care. There are also conditions that only affect men such as prostate cancer and low testosterone. Many of the major health risks that men face, like colon cancer and heart disease can be prevented or treated with early diagnosis. Screening tests can find diseases early, when they are easier to treat. Men, get screened!


January 2014 examiner