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Recognize and relieve PTSD

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Giving to soldiers abroad

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Help from the

Homefront Reaching out to soldiers and their families


What Does the Alliance Do? A better question would be, what doesn’t the Alliance do for the medical family? The Florida Medical Association (FMA) Alliance and your local County Alliance understand your needs better than any other organization. For over 80 years we have supported Florida patients, physicians, and their families. We are physician spouses who advance health-related endeavors and engage in legislative advocacy.

• Proven Advocacy & Influence • Community Enrichment • Dynamic Networking & Leadership • Essential News & Information • Experience

Now that you know who we are and what we do, come be a part of the Alliance. Like you, we are dedicated to serving the medical family and we are here for

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call 800.762.0233 or visit www.fmaalliance.org 2

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The Details of Deployment Suppor ting a physician spouse takes true grit and stoic commitment. Robin Pieriluisi reveals

4 President Being in a medical family brings great responsibility, yet you are rewarded with honorable fulfillment and gratitude.

how she dug even deeper to suppor t her militar y-physician husband when he was called to active duty.

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Project: Any Soldier We know they are out there - soldiers ser ving our countr y and upholding our freedom. Learn ways in which you can effectively and sincerely

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Executive Director Reflecting on 2010, the FMA Alliance has accomplished its goals and looks to 2011 as another successful year.

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Alliance Icon Strength and commitment to marriage can be found in dialogue with Marge Hutton, FMA Alliance President, 1995-1996.

show your appreciation for the sacrifices made by militar y personnel.

Coming Events 16

The Battle Within: Finding Relief from Post Traumatic Stress Disorder War can leave behind lasting emotional damage. Without help, explosive memories can eliminate the joys of being home. The Alliance

January 14-16, 2011 Souther n Regional Alliance Meeting Loews Royal Pacific Hotel Univer sal Studios Theme Par k Or lando, FL

and the medical community can offer relief from this growing disorder.

The Alliance supports the well-being of military families. p. 13

J uly 27 - August 1, 2011 FMA & FMA Alliance Annual Meeting Disney’s Contempor ar y Resor t Or lando, FL

Copyright © 2010 STAT is published tri-annually by the Florida Medical Association Alliance, Inc. located at 1430 Piedmont Drive East, Tallahassee, Florida, 32308. This publication is copyrighted by the Florida Medical Association Alliance, Inc. Views expressed in this issue represent those of the individual authors and may not necessarily represent the views of the Florida Medical Association Alliance, Inc. The Florida Medical Association Alliance, Inc. does not represent the accuracy or reliability of any of the advertisements displayed in this publication or endorse any of the advertisers in this publication.

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S ucce ss is not t he ke y to ha ppine ss. H a ppine ss is the k ey t o succe ss. I f you lov e what y ou a re doing , you will b e su ccessfu l. - A lbe rt S chw e itz e r (1875 – 1965 ), the ologian, organis t, p h i l osoph er, and phys ician.

Remember to be Grateful We r ec e i v e d a l a te n i g h t ph o n e ca ll fr o m m y brothe r.

from the pre vious w e e k, and the third grou p, th e

My husba nd l i ste ned t o t h e h i s t o r y : o ur g o d child w as

control group, to re cord various e ve nts tha t occu rred

hit dur i ng a so c c e r g a m e a few d a y s a g o a n d had blood

in the las t w e e k (thos e e ve nts could be posi ti ve or

in his u r i ne .

ne gative ).

Sou n d f a m i l i ar ? We a ll h a ve b ee n t h e r e t o o ffe r our

A fte r te n w e e ks , the findings indicate d th a t

f r ien d s a nd f a m i l y m em b e r s a d vi ce i n d i ffi cult and

the ‘grate ful’ group fe lt be tte r as a w hole , were

stressf u l ti m e s. It i s a n h o n o r t o b e i n a ca r ee r that

m ore optim is tic about the upcom ing w e e k , spen t

c an be so f u l f i l l i ng. O ur s po us es a r e lucky t o h ave

s ignificantly m ore tim e e xe rcis ing, and ha d f ewer

achiev e d su c h r e sp e ct . S o m et i m es we jus t n ee d to be

phys ical com plaints .

r emind e d . I am grate ful for the A lliance . A dvantage s of b ei n g In a r e se ar c h stu d y , Ro b er t Em m o n s , Ph . D .,

a m e dical s pous e are am plifie d by be ing a memb er

Un iver si ty o f Cal i f o r n i a , e x a m i n e d g r a t e fuln e s s

of this organiz ation. Toge the r w e can e nj oy the f ou r

an d w h e th e r th at e ffect s a per s o n ’ s h a ppi n es s 1 . Dr. Em m o ns d i r e c ted t h r e e g r o ups o f s t ud en t s to k eep j o u r nal s, o nc e a we e k, fo r t e n we e ks . T h e ir as sig nm e nts w e r e : Th e fi r s t g r o up t o r e co r d five thin gs th e y w e r e gra t e ful fo r t h a t o ccur r e d i n the pas t w eek , th e se c o nd gr o up t o r eco r d fi ve d a i ly h a s s le s

face ts of the A lliance m is s ion:

• • • •

S upport of the Me dical Fam ily H e alth Prom otion Le gis lative A dvocacy Le ade rs hip Training

1 . Di agn o s t i c a n d St a t i s tic a l Ma n ua l o f Men ta l D is o rders IV, t e xt r e vision 2000, Ame r ican P sychiat r ic Associat ion.

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T his S T AT i ssu e f o c us e s o n t h e s uppo r t o f t h e m e dical and m ilitary fam ilie s . O u r m e n a nd w o m e n i n t h e a r m ed fo r ce s , wh o are als o in the m e dical fie ld, are in d eed d e d i c ate d p e o ple . We high l i gh t M a r ge Hut t o n , F M A A lli a n ce Pa s t Pre s ide nt, w hos e hus band is an orthopae d i c su r ge o n a n d s er v ed i n t h e U n i t e d S tate s Navy for m any ye ars . An oth e r A l l i a nc e m em b e r , Ro b i n Pi er lui s i d i s cus s e s the difficultie s as s ociate d w ith s p o u se d e p l o y m e n t . Ro b i n r e la t es t h a t t he s upport of he r A lliance frie nds is on e o f h e r su c c e s s ful key s t o co pi n g . We ha v e h e ar d abo ut Po s t T r a um a t i c S t r e s s Dis orde r (PTS D ) for a w hile , but I w an ted to o f f e r a bri ef o ve r v i e w:

• • • • • •

E x p o su r e to a t r a um a t i c e ven t P e r si ste nt r e - e x pe r i e n ci n g P e r si ste nt a v oi d a n ce a n d e m o t i o n a l n umbing P e r si ste nt sy m pt o m s o f i n cr e a s ed a r o us a l, not pre s e nt be fore D u r a ti o n o f sy m pt o m s fo r m o r e t h a n o n e m onth Si gni f i c ant i m pa i r m en t

T he FM AA’s su p p o rt wa s i m po r t a n t la s t y e a r a s w e co- s pons ore d a r ec om me nd ati o n w i t h t h e I n d i a n a M ed i ca l S o c ie ty A lliance re garding PTS D awar ene ss. Fr o m thi s , o n e o f o ur r es po n s i b i li tie s as the A lliance is to e ncourage PT SD e d u c a ti o n. Af ter r e v i e w i ng th i s i s s ue o f S T A T , I r e a li z e jus t how grate ful I am to be a physici an sp o u se , to li v e i n a fr e e co un t r y , a n d to honor thos e w ho prote ct ou r f r e e d o m . T h e A lli a n ce i s a n o r g a n i za t i o n that fos te rs he alth and w e llne s s , not onl y i n th e m e di ca l co m m un i t y , b ut i n t h e m ilitary as w e ll. W e have an oppor tu ni ty , and a d ut y a s A m er i ca n s , t o h o n or thos e w ho s e rve by be com ing mor e aw ar e o f th e i lln es s e s a n d t r ea t m en t s a s s ociate d w ith PTS D . B e su r e to r e v i e w a ll t h e A lli a n ce i s d o i n g fo r phys icians , the ir fam ilie s and patien ts by go i ng to www.fm a a lli a n ce .o r g . I l ook f o r w ar d to c on t i n ui n g o ur s uppo r t o f y our m e dical fam ily as you, in turn, su ppo r t o u r c o m m un i t i e s . T o g et h er we wi ll m ake a diffe re nce .

S h a r C . Do n o va n , R.N . Pr es i d e n t

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Alliance Executive Director

A Year of Dedication T he FM A A l l i a nc e h a d a n a m a z i n g y ea r . A s a me m be r,

In 2010, FMA A lliance com m unications were hel d i n

or r ath e r , i nv e sto r i n t h i s o r g a n i z a t i o n , y o u s h ould be

high re gard. A rticle s from J ust Be t we e n You an d M e,

pr ou d o f i ts r e c e nt a cco m pli s h m e n t s .

a pe rs onal e - m ail from the FMA A lliance presi den t, and S TA T w e re re publis he d by the A MA Al l i a n ce, AM A

In ear l y 20 10 , th e F M A A lli a n ce un ve i led i t s late s t heal th p r o mo ti o ns pr o g r a m , t h e Kn o w A ll Y o u Can (KAY C) c ar d s, a te en d r ug a wa r e n e s s t o o l. S i n ce Jan u a r y , o v e r 4 ,0 0 0 ca r d s h a v e b ee n g i ve n t o A lliance membe r s and p e d i a t r i c o ffi ces . I n O ct o b e r , t h e FMA All ianc e be gan o f f e r i n g o r g a n i za t i o n s t h e o pportunity to be a p a r t o f th e K A Y C pr o g r a m b y co -b r a n ding the c ard s. Si nc e th i s ne w i n s t a llm e n t , o ver 1 ,000 cards have b e e n c o - br and ed wi t h C o un t y A lli a n ce s . T he FM A A l l i a nc e h a s b ee n a r e s o ur ce o f t h e M e diFile c ar d , a p r e sc r i p t i o n r eco r d ca r d fo r pa t i ents , f or ove r a d e c ad e . F r o m r e ce n t m a r ket i n g e fforts , w e have g i v e n o v e r 9 ,5 00 ca r d s t o A lli a n ce m em be rs and physici ans o f f i c e s i n 2 01 0 a lo n e . Legisl ati ve l y , w e w e r e a ct i v e s uppo r t er s o f t h e FMA ’s c ampai gns, su c h a s D o n ’ t Rus h Re fo r m a n d S top Me d ica r e Mel td o w n . O ur i n flue n ce a t t h e g r a ss roots

Foundation, m ultiple s tate and County A ll i a n ces, a n d a County Me dical S ocie ty. Me m be rs participate d in biannual le ade rsh i p f oru ms w he re the y e xpe rie nce d the le gis lative process, on l i n e ne w s le tte r production, w e b- confe re ncing opti on s, com m unication s trate gie s , and ne tw orking wi th oth er m e m be rs . For m ore inform ation on any of the progra ms, le gis lative e fforts , com m unications , or m eeti n gs m e ntione d, e m ail alliance @ flm e dical.org or ca l l 8 00.7 6 2.0233. The FMA A lliance and its inve s tors have on l y to s urpas s the s ucce s s e s of the pre vious ye ar. Commi t to e xpound upon the program s of this firm ly-esta b l i sh ed organiz ation and have an am az ing 2011!

l evel w a s e v i d e nt f ro m t h e i n vi t a t i o n t o jo i n t he Fl orida P e d i atr i c Soci et y co a li t i o n t o s uppo r t the Chil d R e str a i nt R e qui r e m e n t s b i ll ( H B 4 4 3 / S B 9 56 ). T he FM A A l l i a nc e c o n t i n ued t o b e v i e wed a s a s trong l egisl a ti ve vo i c e as we we r e a s ke d t o e n d o r s e t he “ Keep A nti bi o ti c s W o r ki n g ” let t e r a n d s uppo rt the Pr eser v ati o ns o f An t i b i o t i cs fo r M ed i ca l T r ea t m e nt Act (H R 15 4 9 /S 6 19 ) .

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A llis on Finle y Exe cutive D ire ctor


Alliance Updates

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You’ll notice, on this year’s invoice, FMA Alliance dues are $50.00 annually and the American Medical Association Alliance will send a separate membership bill.

C IN

Renew your FMA and County Alliance dues online at www.fmaalliance.org. Benefits include: proven advocacy and influence, community enrichment, dynamic networking and leadership, essential news and information, and experience.

ION ALLIAN T A I CE , OC

A MEDICAL D I AS OR L S F

2011 Membership

S BLI A T S E

The FMA Alliance will continue its advocacy and encourages you to become involved in the local, state and national level. To receive updates on this year’s Florida legislative progress, send a subscription email to fmaaloop@gmail.com. Mission: Tallahassee is an annual grant program, offering members an opportunity to become effective communicators with Florida legislators. To apply, please go to www.fmaalliance.org. The FMA Alliance will host the Southern Regional

You Call We Come

Alliance Annual Meeting on January 14-16, 2011

The Alliance is a strong organization because of

feature health programs from 12 regional states,

our local and state relationship. Through District

personal and professional development forums,

Member Meetings and the You Call,We Come Program, the FMA Alliance offers leadership development and updates on member benefits. Email alliance@flmedical.org to have Alliance

at the Loews Royal Pacific Resort at Universal Studios in Orlando, Florida. This year’s meeting will

CME for physicians, and fantastical adventures at the new Wizarding World of Harry Potter®. Go to southernregionalalliance.webs.com to register.

leaders attend your next County Alliance event. FMAA STAT

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Alliance Icon

Time Spent with:

Marge Hutton FMA Alliance President 1995 - 1996

W o w, has it be e n f if t e e n y e a r s s in c e I w a s

I n 2006 , te n ye ars afte r I w as Pre s ide nt of F M AA, Pa t

P re si d e n t ? In 19 9 5, m y g o a ls wer e co m m unicating

w as ins talle d as FMA Pre s ide nt. N o w t hat’s s ome

w ith ou r me mbe r sh i p a n d h e a lt h ed uca t i o n ,

k in d o f in f luen ce!

spec ifi c al l y B r e a st C a n ce r a wa r e n e s s . We were ma rried o n ly six mo n t hs when Pat was I wo r ke d hard fo r h e a l t h p r o j e c t s . T h e focus w as su c c essf u l . O v e r h a lf o f o r g a n i z e d C o un t y A lliance s had so me so r t o f B r e a s t C a n cer a wa r e n e s s pr ogram , w heth e r f o r th e Al l i a n ce M em b e r s o r t h e co m m unity. T he PR N p r o gr am a n d h e a lt h g r a n t s t h r o ug h out the State p r o vi d e d sp e c i fi c e m ph a s i s o n h ea lt h education in d iff e r e nt Co u nty A lli a n ces . I t i s wo n d e r ful to s e e the All i a nc e sti l l h a s g o a ls o f co m m un i ca t i n g w ith membe r s w i th p r o g r a m s s uch a s t h e “ Y o u C a ll and W e

a ssig n ed t o t he USS Sa ra t o g a , an aircra f t ca rri er he ade d to the Me dite rrane an for s e ve n m on th s. Th e ne tw ork of m ilitary w ive s w as phe nom e na l ! Those in le ade rs hip looke d out for the incom ing memb ers and w e ke pt in touch. I t w as our s tre ngth th a t got us through s om e m aj or challe nge s . By th e ti me I finis he d the firs t de ploym e nt, I kne w I w ou l d b e a b l e to face w hate ve r w as ahe ad be caus e of the su pport.

Come P r o gr a m .” B a ck in la t e 7 0’ s a n d ea rly 80’s t here wer e no

8

I to ld my husban d h o w a m a z in g i t w a s t o be so

cell pho n es, In t ern et , F a cebo o k o r Twitter ,

c o nn e c t e d . Ne e d l es s t o s a y , h e s t a r t ed a t t ending

a n d cert a in ly n o Sk y pe. Our only option wa s good

w ith m e . M y h u sban d , Pa t , a n d I we r e Pr e s i d e nts of

ole ’ s nail m ail. A fte r the firs t fe w w e e ks , we b ega n

ou r r e sp e c ti v e M e di ca l S o ci e t y a n d A lli a n ce ( the n

to num be r our le tte rs be caus e the orde r wa s n ot

Au xili a r y ) bac k i n 1 9 8 8 -8 9 . I s t a r t e d m y i n v o lve m e nt

guarante e d, w hich m ade for inte re s ting rea di n g. We

by hol d i ng se v e r a l o ffi ces o n t h e co un t y a n d state

w ould s e nd tape s ; I w ould re cord s nippe t s of ea ch da y

l evels.

and s e nd the m off at the e nd of the w e e k.

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Se ndin g g ood ie s l ik e m y p o u n d c a k e w a s his

took the live s of 24 1 Marine s , s ailors and sol di ers

favo r it e . O ne ti m e I d i d n ’t let t h e ca ke co o l e nough

from the 1s t Battalion, Eighth Marine H e a dqu a rters.

bu t s e nt i t a nd th e t a pe a n y wa y . T wo we e ks late r w he n

Pat w e nt back to the s hip that night ins tea d of sta yi n g

it arr i ve d , th e ma i l d e pa r t m e n t o n t h e s h i p calle d it

at the Battalion. I be lie ve G od had othe r p l a n s f or

“ hazard o u s m a te r i a l.” Pa t h a d t o g o d o wn t o re trie ve

him .

the tap e and th e r e s t we n t t o t h e fi s h es . I d o n ’t k n o w ho w y o u co uld ha n d le t h e tr au ma Th e st ake s ar e so in t e n s e f o r t o da y ’ s m ilit a ry and the ir familie s . T h e y a r e r e q ui r e d t o m ake s o many m o r e l e ngth y d e plo y m e n t s . T h e o n ly t i me that I c an c o mp ar e to w h a t m i li t a r y pe r s o n n e l a n d fam ilie s f ace ea c h d a y w a s 2 7 y ea r s a g o wh e n Pa t wa s in Be irut.

a n d d eva st a t io n a n d st a y t he sa me per s on. In e ach part of e ve ry m ilitary he art the re is a hea v y place for thos e frie nds and buddie s that a re l ost, b u t I be lie ve G od is the re , too.

I t ruly beli eve t ha t it will a lwa y s be thr ou gh co mmun ica t io n t ha t we ca n rema in s tr ong.

It wa s a t ime t hat c e r t a in l y l e f t m e p r a y in g a n d

Continue to care for all, re ach out and be th ere f or

w o nde rin g w he r e m y l if e w a s h e a de d. T hat day,

one anothe r. W ith that kind of s upport, you ca n f a ce

on e te r r o r i st, a nd t h e la r g es t n o n -n uclea r ex plos ion,

anything!

recognize substance abuse in teens The FMA Alliance offers the Know All You Can card to help explain the reasons teens say they use, identify signs of use, and expose most common slang terms. You have an oppor tunity to place your organizations logo on the cards as a means of co-branding with the FMA Alliance. Co-branded cards also feature a Spanish option.

800.762.0233 • alliance@flmedical.org Call to co-brand your Know All You Can Cards today! FMAA STAT

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T h e D e t a i l s o f My heart goes out in ways that I’ll never be able to fully express to those whose spouse is deployed for a year or more, with young children at home.

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D e p l oy m e n t By Robin Pierluisi, St. Johns County Medical Society Alliance

PREPARATION G u i l l e r m o, my husba nd, is a civilian physic ian dedicat ed t o t he milit ar y. De p loy m en t o c c u rred so o n a fte r we we re m arried. He had been on several by t his poi n t in h is m i l i t a r y c a re e r a nd I re li e d o n him t o t ell me what t o expec t . Prior t o his leav in g we wo r ked to g e the r to di scuss pot ent ial “what - if � sit uat ions. Guillermo called h is f a m i ly t o g e t curre nt pho ne numbers, addresses, and e- mail addresses for m e s o t h at I c o u l d m a inta in co nta ct w ith them on his behalf. We set - up weekly phone c alls t o h i s m o t h e r w ith pre pa re d Spa nish phrases so t hat I c ould t alk t o her. T h e m i l i t a r y re qui re s so l die rs to have a will in place as par t of deploy men t p re p a r a t i on. Fo ll owi ng suit, I a l s o prepared a will. This made us plan t he d if f ic u lt a n d u n c o mfo r ta ble thi ng s we had yet t o t alk about , such as funeral arrangem en t s a n d i n h e r i ta nce distributio ns.


We w e r e f o r c e d to t a ke a h a r d lo o k a t o ur fi n a nce s

to do m y re s e arch. Pre lim inary drafts w e re sen t b y

sin c e h i s d e p l o y me n t pa y wo uld n o t m a t ch h i s

e - m ail for G uille rm o to re vie w , m ake chan ges or

physici an i nc o m e . B i lls we r e r e vi ewed a n d cu t backs

s ugge s tions . I ncluding him in m y w ork ga v e u s l ots to

w er e m a d e . I str e ss ed o v er t h e a m o un t o f m o n e y

talk about w he n he calle d. I live d for tho se momen ts.

he wou l d ma k e d u r i n g h i s d e plo y m e n t - t h i n ki ng it w oul d no t be e no ug h . W e a ls o h a d t o r evi ew our

The ne w s organiz ations be cam e an im port a n t topi c

l if e insu r anc e c o v e r a g e . M a n y pr o vi d e r s wi ll n ot

and G uille rm o w ould do his be s t to give me th e “rest

c over “ a c ts o f w a r ” , s o we h a d t o fi n d o ut wh at the

of the s tory” or corre ct m is inform ation. I wou l d wri te

mil ita r y w o u l d p r o v i d e i n ca s e o f d e a t h . Re s pe ct for

a lis t of things I w ante d to te ll him , e ve n pu tti n g i t

my husband gr e w tr e m e n d o us ly d ur i n g t h i s t i m e

on the be ds ide table for thos e m iddle - of- the-n i gh t

bec au s e i t be c am e cle a r t h a t h e i n t e n d ed t o provide

calls . I trie d to ke e p bad ne w s to a m inimu m so

f or f am i l y ’s f u tu r e s .

as not to w orry him , e s pe cially s ince the re wa s n ot m uch he could do about it. I f things got rea l l y b a d or an e m e rge ncy occurre d, the m ilitary w ou l d sen d

ONCE MORE

him hom e on s pe cial le ave to take care of th i n gs, but I w as confide nt I could m anage . I n a wa y, ou r

Gu ill e r m o w a s d u e t o r et i r e fr o m t h e m i li t a r y about

com m unication im prove d s ince I kne w his compu ter

six month s af te r sta r t i n g a n ew po s i t i o n i n a n e w

tim e w as lim ite d s o I had to think about wh a t I wa n ted

tow n. We r e al l y d i dn ’t t h i n k t h e m i li t a r y wo ul d de ploy

to s ay and how .

him ex c e p t f o r sh o r t pe r i o d s b efo r e h i s r et i r e m e nt d ate. H o w e v e r , as a n Em e r g en cy Ph y s i ci a n , he is

I s poke w ith G uille rm o’s tw o daughte rs freq u en tl y;

d esper a te l y ne e d e d . T h e n ews s o o n ca m e t h a t he

ke e ping the m curre nt about how the ir father wa s

w ou ld d e p l o y o ne m o r e t i m e - t o A fg h a n i s t a n .

doing. My e fforts s tre ngthe ne d tie s to his f a mi l y a n d the y w e re grate ful for m y pe rs is te nce to keep them

O u r m o st r e c e nt m o ve wa s t o a s m a ll t o wn . T h is tim e , the w h o l e c o mm u ni t y felt t h e lo s s li ke we d i d . H is abs ence c r e ate d sacr i fi ce s lo ca lly t h a t we co uld s e e an d f e e l . I to o k h i s d e plo y m e n t a s a n o ppo r t unity to vol u nte e r mo r e a t t h e h o s pi t a l wh e r e h e works . Stay in g i nvo l v e d a t t h e h o s pi t a l h a s kept G ui lle rm o’s even tua l r e tu r n i n t h e fo r efr o n t .

inform e d. I s e nt gifts to the girls in his n a me so th ey w ould know he (and I ) w e re thinking of them. In tu rn , his girls le arne d the y could re ly on m e , w hi ch ga ve me tre m e ndous s atis faction. I be gan to fe e l better a b ou t m y ability to cope w ith him be ing gone .

Te xting has he lpe d to ke e p m os t e ve ryone i n f ormed and pre ve nte d m is com m unication and unc erta i n ty. I

STAYING CONNECTED

us e Face book to ke e p m y hus band curre nt a b ou t hi s fam ily through the ir pos tings . W e w e re ab l e to e-ma i l

12

T o pass th e ti m e d ur i n g , I d i d m y b e s t t o s t a y bus y. I

alm os t e ve ry day and the n w e dis cove re d Sk ype. I took

w r ote a c o u r se f o r a un i v er s i t y a n d ut i li ze d t he quie t

out a te the ring plan on m y ce ll phone s o tha t when I

FMAA STAT

December 2010


visited Gu i l l e r m o ’s fa m i ly t h ey a ll co uld s ee a nd talk

litte re d w ith roads ide bom bs . G uille rm o lea rn ed h ow

to him . T h e y w e r e a b le t o pa r t i ci pa t e i n a wa y the y

to s can the road looking for anything s us pi ci ou s. It

never h a d be f o r e . T h e g r e a t er co m m un i ca t i o n acce s s

w as a habit that w as s till in force during ou r ri de

benef i te d e v e r y o ne . G ui lle r m o wa s s o h a ppy t o s e e us ,

hom e .

an d hi s gi r l s l o o k e d fo r wa r d t o h i s ca lls .

Un f ortu nate l y , to w a r d s t h e en d o f h i s d e plo y m e nt, he los t w i r e l e ss ac c es s , a n d t h e ph o n es h a ve b e e n ou t mor e th an th e y h a v e wo r ke d . M o s t o f o ur c omm u ni c a ti o n i n t h e m o n t h b e fo r e h e r e t ur n e d hom e

S o m any of our frie nds and fam ily w ante d to ha v e u s im m e diate ly s tart be ing s ocial but I kne w a sk i n g my hus band to do this w ithout having s om e down ti me w ould m ake his hom e com ing le s s e nj oyabl e. I h a d to

w as on l y th r o u gh e -m a i l. De la y s a r e i n e vi t a b le and it

re turn the favor to m y hus band and look ou t f or hi m

is imp o r ta nt to l e t g o o f t h e fr us t r a t i o n t h a t follow s .

now .

O ne le a r ns to ge t p a s t wh a t s e e m s t o b e t h e pu rpos e ful c haos o f m i sc o m m un i ca t i o n fr o m t h e m i li t a r y .

I am m ore inform e d as to w hat to e xpe ct wh i l e he i s gone . Ye t, I s till ge t dow nright s haky at th e thou gh t of having to call the m othe r of his childre n a n d gi v e h er

COMING HOME

the bad ne w s . Our hom e phone is forw arded to my cel l phone in cas e s om e one trie s to call w hile I a m ou t.

When i t c a m e ti m e t o pr epa r e fo r m y h us b a n d’s

I don’t le ave tow n w ithout te lling s om e one i n ca se

r etu rn, I k e p t i n m i n d wh a t h e h a d t o ld m e a bout his

vis itors s how up to m y hous e . This is how you cope

l ivin g c o nd i ti o ns. W h e r e h e wa s s t a t i o n ed , t h e s and

be ing m arrie d to a s oldie r.

w as extr e me l y f i ne a n d g o t i n t o e ve r y t h i n g , n o m atte r how w e l l i t w a s se a le d . H e lo o ked fo r wa r d t o t aking a

The A lliance s upports the he alth and w e ll-b ei n g of

show e r and d r y i ng o ff wi t h a t o wel t h a t wa s n ’t grit-

m ilitary individuals and the ir fam ilie s . Th a t’s how th e

l aden . H e l o nge d to s le e p i n clea n s h ee t s wi t h out dirt

S t. Johns County A lliance m e m be rs s urroun ded me

d ig ging i nto h i s sk i n . I m a d e s ur e t o h a ve a cl e an

w ith the ir love , de votion, and care during Gu i l l ermo’s

hou se and h i s f a v o ri t e fo o d s r e a d y i n t h e fr i d ge .

las t de ploym e nt.

T hinki ng h o w ti r e d h e m i g h t b e fr o m t h e lo n g flight an d jet- l a g f r o m th e t i m e d i ffer en ce , I pi cke d m y hu s ba nd u p f r o m th e a i r po r t a n d d r o v e h i m h om e . H e had sp e nt h i s f i r st m o n t h o f h i s d e plo y m e n t r iding

Robin Pierluisi is a member of the St. Johns County Medical Society Alliance and has ser ved as Past Treasurer.

w ith m e d i c al l y - e va cua t ed s o ld i er s o n a h i g h way

FMAA STAT

December 2010

13


Project: Any Soldier Shirley Davis, Seminole County Medical Society Alliance

The Any Soldier program began as a simple family effor t to help the soldiers in one Army unit. Sergeant Brian Horn, with the 173rd Airborne Brigade, was in Iraq when he asked his parents to help care for soldiers who were not getting mail or packages from home. The program has since expanded to include any member of the Armed Ser vices. Today, Any Soldier has ser ved over 1.4 million troops stationed in 22 locations. The effor t to suppor t those in ser vice is extremely welcome and necessar y, yet has experienced recent economic difficulty. To learn how you can help Any Soldier remain a constant provider for those in the militar y, go to www.AnySoldier.com.

14

FMAA STAT

December 2010


The Seminole County Medical Society Alliance Health Project Committee Chair, Karen Giles, had the idea of helping troops after reading several news stories

HOW YOU C AN HELP There are a number of programs throughout the United States that aim to help our military

about similar projects in central Florida. From her

personnel overseas. The Any Soldier program is just

compassion, and following our association’s mission, the

one of them. Here are more ways you can help:

Alliance began to participate in the Any Soldier Program. Through newsletters, e-mails and fliers, we explained the program to Seminole Alliance members. Our focus was to send care packages to U.S. soldiers in Iraq and Afghanistan. Donations were collected at the Annual Seminole County Medical Society meeting, attended by both physicians and spouses. Alliance volunteers boxed the items and shipped them out.

• Communicate with Alliance members and the County Medical Society details about a donation program. • Designate a time and place for collecting donations and include a list of acceptable items. • Cash received can pay for shipping expenses. • Volunteers can donate their time to help collect, package, and ship the items. • Any messages received back from the

Personal items were collected to supplement what the government provided to the military. Supplies included

soldiers can be displayed at Alliance or County Medial Society gatherings. • A final summary should be provided about

eyewash (much needed due to dust storms in the area),

how many boxes or pounds of goods were

shampoo, hand-sanitizing wipes, personal hygiene items,

collected and shipped so the actual success

books, games, magazines, stationery, and nonperishable

can be shared and celebrated.

“comfort” food such as beef jerky, candy, gum, granola bars, and soup packets.

For more information on the Any Soldier Program, please visit www.AnySoldier.com

Regardless of political views, the Seminole Alliance felt compelled to help. Through giving a portion of the comforts of home, it supported the emotional health and well-being of our troops overseas. Along with the supplies and nonperishable items, handwritten notes of thanks and encouragement were tucked into each box. These simple items brought smiles and good feelings to the soldiers, realizing that people they had never met cared about them, and helped them get through difficult times away from home.

Shirley Davis is a Past President of the Seminole County Medical Society Alliance, and currently serving as the Communications Committee Chair.

E S D 2 2 3 - F ox t r o t Te a m , P S C 4 5 1 , F RO A E 0 9 8 0 4 - 2 8 0 0

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December 2010

15


The Battle within By Jamie Stafford, FMA Alliance Staff


Finding relief from Post Traumatic Stress Disorder It is estimated that a shocking one in five American soldier s returning from duty in Iraq and Afghanistan str uggle with Post Traumatic Stress Disorder (PTSD). The number s continue to grow and the symptoms are intensifying. In 2007, the amount of soldiers diagnosed jumped 50 percent, making the number of soldiers with PTSD a staggering 40,000.

FMAA STAT

December 2010

17


The sound of gun shots surround you. When the blasts cease, the screams begin. Silence is nowhere to be found. Your eyes are wide open. Gasping for breath you realize you are not in war, rather safe in your room. The battle rages on from within.

Many so l d i e r s r e tu r n fr o m d ut y a n d m e n t a lly re - live

There is hope

the ha r r o w i ng e v e nt s t h a t t o o k pla ce , d e velo p ing r eocc u r r i ng m e mo r i es a b o ut li fe i n b a t t le . T h e s e memo r i e s c a n p r o d uce n i g h t t e r r o r s s uch a s nightm a r e s, sl e e p w a lki n g , s cr e a m i n g , et c. S eve re l evels o f P T S D a r e e vi d e n t wh en s o ld i e r s b e g i n to bel ieve th e tr au ma t i c e ve n t i s o ccur r i n g a n d will act u pon i t. Str e sso r s fr o m e ve r y d a y li fe, po s t -b a ttle , most li k e l y tr i gge r t h es e s y m pt o m s .

Tre atm e nt is re adily available private ly an d throu gh the m ilitary its e lf, cons is ting of individual , f a mi l y or group m e e tings . Through the rapy, one can l ea rn to cope w ith m e m orie s , practice s tre s s re lie v i n g methods and he althy s le e p s trate gie s . A s oldie r w ith PTSD s hould avoid viole nt m ovie s , te le vis ion s hows, mu si c and othe r ove r- s tim ulating outle ts that cou l d tri gger traum atic m e m orie s . I f s ym ptom s re turn, he/sh e

O nce l o v e d h o bbi e s o r a ct i vi t i es m i g h t b e s h i ed aw ay f r om and f a m i l i ar p la ces wi ll b e a vo i d e d , i n t he hope s of prev e nti ng tr a u m a t i c m em o r i es . T h e per ception of a br ig ht f u tu r e w i l l d i m a n d t h e s o ld i e r wi ll ex pe rie nce d etac h m e nt f r o m o t h e r s . F r us t r a t i o n , lo n eli n es s and gen er al e nvi r o nme n t a l n um b n e s s wi ll fo llo w.

PT SD i s a c o nd i ti o n t h a t i s n o t li kely t o i m pr ove w ithou t tr e atm e nt. I n fa ct , wi t h o ut h elp, t h e r e is a higher r i sk o f d e v e l o pi n g d e pr es s i o n a n d s ub s tance abu s e, l e a d i ng to su i ci d a l t en d en ci es . T h e s y m ptom s w ill be gi n to e sc al at e , put t i n g t h e s o li d e r a n d

s hould s e e a the rapis t or couns e lor and ma k e a pl a n of action. PTS D s uffe rs m ay als o find re lief th rou gh m e dicinal tre atm e nt, including: antide pressa n ts, lithium , anti- anxie ty m e dicine s , be ta- bloc k ers, clonidine and othe rs .

S adly, a large portion of s uffe re rs re fus e t rea tmen t. Out of the 4 0,000 s oldie rs w ith re porte d symptoms of PTS D , only about half of the m s e e k he lp. The rea son ? A ppe aring w e ak to the re s t of the troops an d poten ti a l dow nfall of the ir care e rs . A D e fe ns e D e pa rtmen t s tudy of com bat troops re turning from I raq f ou n d that one in s ix s oldie rs acknow le dge d s ymptoms of

every o ne a r o u nd h i m i n d a n g e r . C o un t er pa r t to s e ve re

s e ve re de pre s s ion and PTS D , and s ix in ten of th ese

PT SD i s l o ss o f j o bs , fr i e n d s a n d s a d ly , fa m i ly. The

s am e ve te rans w e re unlike ly to s e e k he lp f ea ri n g

l on ger sy m p to ms go un t r ea t ed , t h e lo wer t h e ris k of

the ir com m ande rs and fe llow troops w ould trea t th em

su c c essf u l r e c o ve r y .

diffe re ntly. A change is unde rw ay.


In Ma y 20 0 9 , th e D efe n s e De pa r t m e n t la un che d a 2.7 mil l ion d o l l ar se r vi ce -wi d e a n t i -s t i g m a ca m paign, w here o r d i nar y se r v i ce m em b e r s wi ll s h a r e t h e ir stor ies o f se e k i ng he lp. T h i s ca m pa i g n i s a n e ffort to

Vinc ent Marc ano, West Palm B eac h Priv at e First C lass

show tr o o p s th at see ki n g h elp i s n ’t jus t t h e r i g ht thing to d o, bu t i t c a n al s o s a ve t h e i r li ves .

After my fi r st depl oyment I no t i c e d a c hange in my way o f thi nk i ng. T he re

The Alliance can help T he m aj o r i ty o f m i li t a r y a n d fa m i ly m em b e r t re atm e nt is pr im a r i l y a c c o m pli s h ed b y n o n m i li t a r y ph ys icians . All ianc e m e mbe r s a n d t h ei r s po us e s wi ll pe r s onally

was an i ncident dur i ng my two w e e k leave . I was dr i ving ho me late o ne night and I had a feeling so me o ne was fo l l owing me . I to o k an al te r nat e ro ut e

encounte r th e o ne i n fi ve s o ld i e r wh o i s e ffe cte d by

to my ho use . I saw the same ve hi c l e

PT SD. T h at so l d i e r ’s s t r ug g le h a s n o w b eco m es ours .

behind me the entire ti me . I cam e t o a screec hi ng hal t and pulled o ut my

T he FM A A l l i a nc e reco g n i z e d t h e s eve r i t y o f t his is s ue an d joi ne d th e Ind ia n a S t a t e M ed i ca l A s s o ci a tion All ianc e i n a c o - sp on s o r ed r eco m m en d a t i o n t o the Amer i c a n M e d i c a l A s s o ci a t i o n A lli a n ce, e s t a b l is hing

we apo n. The vehic l e turned o ut t o be a neighbo r who had move d in wh i l e I was go ne .

su ppo r t and aw ar e n es s o f s t r e s s d i s o r d e r s i n m ilitary membe r s and th e i r fa m i li e s . Ed uca t i o n a n d early

My instincts are ‘ me sse d up’ . I fe e l

c ompassi o na te tr e a t m e n t o f pa t i en t s a n d t h ei r

that eve r yo ne i s o ut to get me , w he n

f amili e s w i l l mo r e li ke ly le a d t o s ucces s ful r e s olution of s tre ss d i so r d e r s, t h e r eb y d ecr ea s i n g t h e li ke lihood of chro ni c sy m p to m s o r e ven per m a n e n t d i s a bility.

in re al i ty the y’re no t. Afte r a so l i de r co mes bac k fro m war the stres s l ev e l is thro ugh the ro o f. Many so ldie r s

T he FM AA al so o f f e r s H e a lt h Pr o m o t i o n G r a n ts for

do n’ t k now what to do o r are t o o

Cou n ty Al l i a nc e s o r m e m b e r s wh o wo uld li ke t o

embar rasse d to say anythi ng. S o m e t i m e s

star t or e xp and an e x i s t i n g PT S D r ela t ed pr o gram .

they take the i r own live s fo r it.

Con tinu e d me mbe r s h i p wi ll h e lp t h e o n e s wh o s uffe r f r om P o st T r a u ma ti c S t r e s s Di s o r d e r a n d t h e i r love d on es. R esou r c e s : P s y c hi a t r i c D is o rders : PTS D , w w w .p s yc hi a t r i c - di s o r ders . c o m / a rticles / p ts d/ ca us es - a n d -hist or y/ history- o f - pt s d.p hp

Jamie Stafford is currently an FMA Alliance intern, working toward her undergraduate at Florida State University for Graphic Design and Animation,. Professionally, she is an accomplished graphic designer and owns her own logo/ branding business. FMAA STAT

December 2010

19


S TAT

Florida Medical Association Alliance:

P.O. Box 10269 Tallahassee, FL 32302

Holiday gifts that benefit a greater cause

CIATION AL SSO LIA

IDA ME FLOR DI

LA

NC. E, I NC

CA

It is the perfect time of year to send gifts of seasonal fruit. A portion of your purchase will go towards the Florida Medical Association Alliance, in our effort to support programs that help families of impaired individuals. To place your order, call 800.713.7848 ext. 6500 and mention your order is for the FMA Alliance. For more information go to www.fmaalliance.org.

2

6

ESTABLISHED

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PRSRT STD U S Po s t a g e Paid P a n a m a C i t y, F L Pe r m i t N o. 2 3 0


2010FMAA_STAT-Winter