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COURIER THE

January 2014

Naval Medical Center Portsmouth, Portsmouth, Va.

First Baby of 2014

— Page 7

WIG Summit Recognizes Focus on HEDIS Measures By Rebecca A. Perron NMCP Public Affairs

no-show rates within the BUMED standard of five percent for the first summit, and improving Healthcare Effectiveness Data and Information Set scores for the second summit. HEDIS is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. HEDIS consists of 75 measures across

Naval Medical Center Portsmouth held its second Wildly Important Goals – or WIG – Summit Dec. 17, where 19 departments and clinics gave an update to the progress they are making to improve health care outcomes while reducing costs. Part of the WIG process is to use scoreboards (posters) to show — See WIG, Page 4 goals, track their progress and layout the next step. During the summit, each of the six directorates involved gave an award to a department or clinic to recognize them as the best within their directorate for their progress. Rear Adm. Elaine C. Wagner, NMCP commander, presented the Commander’s Trophy to the Directorate for Primary Care/Branch Health Clinics for making the most Photos by MC2 (SW) Kris Rojas progress overall. The Directorate for Primary Care/Branch Health Clinics staff with the Commander’s DCP focused on getting Trophy during the second Wildly Important Goals Summit.

Sailors of the Year Recognized at NMCP Naval Medical Center Portsmouth’s 2013 Sailors of the Year received recognition during a ceremony Dec. 16. For more photos, see page 3.

From left, HN Frank Roznos, Blue Jacket of the Year; HM3 Amanda Manno, Junior Sailor of the Year; HM2 (SW/AW) Jacklyn Davis, Sailor of the Year and HM1 (SW) Kristina Taylor, Senior Sailor of the Year.

Photo by MCC (SW/AW) Leslie Tomaino


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The Courier | January 2014

Quick Scripts Cupcake Sale The MSC Association will be selling specialty cupcakes from Carolina Cupcakery on Feb. 13 in the Bldg. 3 foyer. Cupcakes are on sale for $5 from 11 a.m. to 3 p.m. on Valentine’s Day. Each cupcake will come in its own container and is a perfect gift for spouses, friends and co-workers. Send your pre-order information to Lt. Laura Letchworth at laura. letchworth@med.navy.mil from Feb. 7 – 11. Include the following with your order: name, phone, email and number of cupcakes.

Worksheet Signing Candidates for the 2014 spring advancement cycle can sigh their worksheets on the following days: E6 candidates: Jan. 28 in Classroom 4 from 9 a.m. to noon; Jan. 30 in the galley (back half ) from 8 to 11 a.m. E5 candidates: Feb. 4 in Classroom 6

NMCP Ombudsman Team Pre-Deployment Brief The NMCP Ombudsman Team is here to help those attached to NMCP or its branch health clinics when you or a family member are preparing to deploy! The monthly pre-deployment brief is held the 3rd Tuesday of each month at 9:30 a.m. in the chapel. Email us to join our Ombudsman email tree and learn the latest news. NMCPombudsman@med.navy.mil or (757) 953-1973

from 9 to 11 a.m.; Feb. 6 in classroom 7 from 8 a.m. to noon. E4 candidates: Feb. 18 in Classroom 7 from 9 a.m. to noon; Feb. 20 in classroom 7 from 9 a.m. to noon. E4, E5 and E6 candidates will have one extra day on Feb. 21 in classroom 6 from 9 to 11 a.m. to sign if one of the regular signing dates above was missed for a valid reason.

Crews into Shape! The Crews Into Shape challenge, held every March in conjunction with National Nutrition Month®, is sponsored annually by NMCPHC. The goals of the challenge are to spark and guide workplace-focused, team-oriented, physical activity and improved fruit and vegetable intake among the whole DoD family. The four-week fitness challenge is from March 2 – 29 and no weigh-ins are required. Form a team within your

Naval Medical Center Portsmouth is on Facebook and Twitter

www.facebook.com/ NMCPortsmouth

department or directorate or join someone else’s team. Each crew member earns points for exercising, maintaining or achieving a goal weight, eating fruits and vegetables and other activities. Each team should have two to 10 members and should have a designated crew leader. For challenge rules and registration information, go to: www.med. navy.mil/sites/nmcphc/health-promotion/Pages/crews-into-shape.aspx. Register by Feb. 28. Each crew member who completes the challenge receives a certificate. Contact dawn.whiting.ctr@ med.navy.mil or 953-3152 for more information.

Oakleaf Club Open to New Members The Oakleaf Club of Tidewater is open to medical, dental, nurse, and Medical Service Corps — active and retired — officers and their spouses in Hampton Roads. The club is a charitable organization servicing those who benefit the Hampton Roads naval medical community. We are always happy to welcome new members.

http://twitter.com/NMCP1

For membership information, email tidewater.oakleaf@gmail.com

COURIER

The Courier is an authorized publication of Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, and is published monthly by the Public Affairs Office.

THE

COMMANDER

Rear Adm. Elaine C. Wagner DEPUTY COMMANDER

Capt. James L. Hancock

The Courier provides an avenue to circulate all newsworthy information the NMC Portsmouth staff has to offer.

COMMAND MASTER CHIEF

Those who wish to submit an article or news

PUBLIC AFFAIRS OFFICER

Public Affairs Office by calling 953-7986, by fax at 953-5118, or by emailing the PAO, Deborah Kallgren, at deborah.kallgren@med.navy.mil.

CMDCM (SW/AW/FMF) Michael James information for publishing should contact the Deborah R. Kallgren DEPUTY PUBLIC AFFAIRS OFFICER

Rebecca A. Perron

Submissions should be in Word format, with photos submitted separately from the docuMCCM (SW/AW/FMF) Dennis Taylor ment and in jpeg, bitmap or tiff format. STAFF JOURNALISTS

MCC (SW/AW) Leslie Tomaino MC1 (SW/AW) Steven J. Weber MC2 (SW) Kris Rojas

The Public Affairs Office is located in Bldg. 1, 3rd Deck, Rm. C308.


January 2014 | The Courier

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Sailors of the Year Received Awards, Plaques, Gifts Naval Medical Center Portsmouth’s 2013 Sailors of the Year are Hospitalman Frank Roznos, Blue Jacket of the Year; Hospital Corpsman 3rd Class Amanda Manno, Junior Sailor of the Year; Hospital Corpsman 2nd Class (SW/AW) Jacklyn Davis, Sailor of the Year and Hospital Corpsmas 1st Class (SW) Kristina Taylor, Senior Sailor of the Year. They received recognition during a ceremony Dec. 16, where NMCP commander, Rear Adm. Elaine C. Wagner, presented them with Navy and Marine Corps Achievement Medals and framed plaques. They also received gift cards from NMCP’s Chief Petty Officer, First Class Petty Officer, Second Class Petty Officer and Junior Enlisted associations; a $250 Captain Mary Feris Memorial Scholarship; and gifts from the Kempsville Branch 99 Navy Fleet Reserve Association, as well as several corporate sponsors.

Photos by MCC (SW/AW) Leslie Tomaino

HN Frank Roznos, Blue Jacket of the Year, is presented with a Navy and Marine Corps Achievement medal by Rear Adm. Elaine C. Wagner, NMCP commander, and CMDCM (SW/AW/FMF) Michael James.

HM3 Amanda Manno accepts a Navy and Marine Corps Achievement medal for being selected as NMCP’s Junior Sailor of the Year.

HM2 (SW/AW) Jacklyn Davis receives her plaque for being named NMCP’s Sailor of the Year.

HM1 (SW) Kristina Taylor, Senior Sailor of the Year, accepts a plaque from Rear Adm. Elaine C. Wagner, NMCP commander, and CMDCM (SW/AW/FMF) Michael James.

The Sailors of the Year are presented to the audience for some well-earned applause after receiving their awards.


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The Courier | January 2014

Grand Rounds Addresses Rising Health Care Costs Story and photos by Rebecca A. Perron NMCP Public Affairs

Naval Medical Center Portsmouth’s monthly Grand Rounds lecture featured on Jan. 15 the recently appointed dean at the Uniformed Services University who spoke to providers about the challenges and opportunities for reducing health care costs while improving health care outcomes for their patients. Dr. Arthur L. Kellermann, dean of the F. Edward Hébert School of Medicine at the Uniformed Services University of the Health Sciences in Washington, D.C., is a nationally recognized expert in Emergency Medicine, Public Health and Health Policy. While speaking to about 150 providers, Kellermann set the scene for the history of rising health care costs, the misperception that more care means better care, and how the sharp rise in health care costs affects the Department of Defense. “Costs have more than doubled in the last 10-year period,” Kellermann said. “Part of the reason why is that some believe that more care means better care, and so in this country, we waste about $750 billion dollars a year on unnecessary care. To help put that in perspective, if you think of one million seconds ago, that was last week; one billion seconds ago, Jimmy Carter was president; and one trillion seconds is 30,000 years. “And so, the Department of Defense cannot afford to have an ever-increasing share of its budget consumed by providing health care,” Kellermann continued. “But it doesn’t have to. I really believe there is sufficient ingenuity and inventiveness in the high-caliber health care professionals who are in the (Military Health System)

Dr. Arthur L. Kellermann challenges the providers to focus on value when delivering health care.

Kellermann said providers can focus on four areas – areas that NMCP leadership has been engaged in working to improve: population health, primary care, an engaged and empowered consumer, and to do what’s needed and not more. “For population health, 70 percent of the premature deaths come from preventable conditions, but in our country, only five percent of health spending is focused here, and we can do better than this,” Kellermann said. “For primary care, team-based approaches like Medical Homeport and the Multi-Service Market, and the work done by corpsmen are our trump cards. We must consider ‘how’ we provide information to our patients as well as what we tell them to make sure they are educated consumers. And we need to educate that less is often better when unnecessary testing and procedures only exposes patients to more risks and potential complications.” Kellermann challenged the doctors to be judicious in their patient encounters, ensuring they are following the best evidence and best practice guidelines. “Cost and quality are complementary, not competitive,” Kellermann said. “It’s not a tradeoff. If we approach the issue of cost and really focus on high value, we will help the DoD with its fiscal challenges, we will provide better care and ultimately a more capable and deployable force. We have all the right reasons to approach this challenge. If we approach this challenge with the same kind of energy and commitment and determination to succeed as we have combat casualty Dr. Arthur L. Kellermann takes questions from the providers after speaking about care in the last decade, then we’ll win how to lower health care costs. this fight, too.” to engineer a system that can deliver outstanding care to service Cmdr. Todd Parker, an emergency medicine physician, said members, their families and retirees and provide real value to the Kellermann inspired him and his colleagues. MHS and the nation that will allow it to further and pursue its mission. I see this as a tremendous opportunity.” — See COST, next page


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Commander, U.S. Marine Corps Forces Command, Visits NMCP Photos by MC1 (SW/AW) Steven J.Weber NMCP Public Affairs

Lt. Gen. Richard T. Tryon, commander, U.S. Marine Corps Forces Command, visited Navy Medical Center Portsmouth on Jan. 16 to meet with NMCP commander Rear Adm. Elaine C. Wagner and with Marines receiving care at the medical center. Tryon visited the Wounded Warrior Patriots’ Inn and talked to some of the Marines of Wounded Warrior Battalion East – Portsmouth Detachment.

Rear Adm. Elaine C. Wagner explains to Lt. Gen. Richard T. Tryon’s wife, Diane, how historic Bldg. 1 was built from the bricks from Fort Nelson which formerly stood at the shoreline of Hospital Point.

Lt. Gen. Richard T. Tryon, Commander, U.S. Marine Corps Forces Command, meets with NMCP commander, Rear Adm. Elaine C. Wagner, and command leadership Jan 16.

COST — Continued from previous page

“The Military Health System really is the most cost-controlling health care system that we have in the United States,” Parker said. “It’s the closest thing that accountable care organizations want to be. To hear from the person who really is the national expert on how to improve our health care system, make it more efficient and provide better care for lower cost speak to us now as an expert in that, but also as the dean of USU, is awesome. “What the providers are going to take away from him is that, a, we are already doing a good job of that, b, we can continue to do a good job of that, and c, when people leave the military and go out into the community, they can provide the model of how to do that,” Parker added. “I thought he was inspirational, saying that we can be outstanding in this, and we have someone else who is championing for us at the highest level.” Kellermann was equally complimentary, calling NMCP, “One of the military’s top hospitals,” in a tweet.

Cmdr. David P. Johnson, department head of Operational Forces Medical Liaison, shows a room in the Wounded Warrior Patriots’ Inn to Diane Tryon, as NMCP’s commander, Rear Adm. Elaine C. Wagner, listens.

Lt. Gen. Richard T. Tryon, Commander, U.S. Marine Corps Forces Command, talks with members of the Wounded Warrior Battalion East – Portsmouth Detachment during his visit to NMCP.


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The Courier | January 2014

Lt. Cmdr. Matthew Trudeau of the Emergency Department shows off the largest of the WIG scoreboards and speaks about the department’s goal of improving customer service.

Rear Adm. Elaine Wagner, NMCP commander, presents the Commander’s Trophy to Capt. Cynthia Kuehner, director for Primary Care/ Branch Health Clinics.

WIG — Continued from page 1

eight domains of care. Higher HEDIS scores indicate patients are receiving preventative care that leads to fewer diseases and a healthier population. Examples of the preventative care measures are breast and cervical cancer screenings, well child visits and annual screenings for diabetes patients. “We couldn’t be more proud,” said Capt. Cynthia Kuehner, director for Primary Care/Branch Health Clinics. “The directorate for Primary Care is the largest in Navy Medicine. At NMCP, we have 1,500 staff members, and to be able to pull together as a directorate and see these kinds of changes speaks to the leadership and involvement of the staff across the entire directorate. We couldn’t get there if only a couple of people were paying attention. Everyone is after the same exact thing and that is quality patient care. “Ultimately, it doesn’t just affect a score on a sheet, it affects the patient’s health,” Kuehner said. “Even though we use this tool to track, it really is about improving patient health.” Other departments who showed significant progress toward their goals was the Transcriptions Department and also the Emergency Department for improving their customer satisfaction rating from 64 percent to well over 90 percent.

Lt. Daniel Shippy speaks about the Psychiatric Clinic’s lead measures, which are the predictable steps taken to help meet the clinic’s WIGs.

An NMCP staff member looks over the scoreboard for the Outpatient Coding Department. The department’s goal: decrease the number of days a billable encounter is in an incomplete status from 15 days to five.

For the second time, the Orthopedic Clinic is the Directorate for Surgical Services’ choice.


January 2014 | The Courier

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NMCP’s First Baby of 2014 Story and photos by MC2 (SW) Anna Arndt NMCP Public Affairs

OS2 (SW) Ashley Ross holds Suri Zola Ross, the first baby born at NMCP in 2014. Ross gave birth at 12:35 a.m. on Jan. 1, to the baby girl who weighed seven pounds one ounce and was 20 inches long.

Naval Medical Center Portsmouth welcomed its first baby of 2014 at 12:35 a.m. Jan. 1. Operations Specialist 2nd Class (SW) Ashley Ross gave birth to Suri Zola Ross, a healthy baby girl who weighed seven pounds one ounce and was 20 inches long. Ross’ due date was Jan. 6, but the baby made her debut early. After 13 hours in labor on New Year’s Eve, baby Suri came into the world shortly after midnight, to the delight of the medical center staff. Suri was the earliest New Year’s baby at NMCP in more than 10 years. In all, 11 babies were born at NMCP on Jan. 1. “It was awesome,” said Ross. “From the time I came in and was checked in and triaged to this point, I have no complaints at all. Everyone (at the hospital) has been really good. They have really good customer service.” Ross currently lives in Virginia Beach and is the assistant leading petty officer in the chapel at Naval Air Station Oceana. She is originally from Spindale, N.C., and has been in the Navy nearly three years.

NMCP’s SCPOA Collects 1,100 Toys for ‘Toys for Tots’ Photo by Rebecca A. Perron NMCP Public Affairs

Naval Medical Center Portsmouth’s Second Class Petty Officers Association sponsored the Toys for Tots drive at the medical center, collecting about 1,100 toys over four weeks. During the week, boxes were set up as collection points at the pharmacy, galley and near Navy Federal Credit Union. On the four Saturdays, 30 members of the association took turns at the Norfolk Naval Station main exchange collecting donations. The SCPOA had already turned in about 570 toys two weeks ago, and had another 526 at the end of the drive on Dec. 17.


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The Courier | January 2014

Operation Bright Light Brings Santa, Presents to NMCP Story and photos by Rebecca A. Perron NMCP Public Affairs

More than 50 members of five motorcycle clubs arrived at Naval Medical Center Portsmouth on Dec. 15 for Operation Bright Light, an annual event that brings a surprise visit from Santa and presents to the sick children at the medical center. About 40 riders braved the chilly mid-December temperatures, while the rest drove the presents in six cars. The groups come to NMCP twice a year – once in July and once in December – to donate toys for the children. The clubs were Rolling Thunder Chapter 5, American Legion Post 284 Colonial Heights, American Legion Post 146 Hopewell, Sons of Poseidon Motorcycle Group and, for the first time, Combat Veterans Motorcycle Association. “We come twice a year and bring Santa along with us so he can present these toys to the children,” said Steve Blizzard, Rolling Thunder Chapter 5 vice president. “This is something that we love to do. If we could do it three times a year, we would. We have toy drives where people can donate a brand new toy.” The American Red Cross sponsors the event, and station volunteers and NMCP staff welcomed the groups as they arrived. “You truly bring a ‘bright light’ to everybody here who has to spend this time in the hospital with us,” said Lafrancis Francis, American Red Cross station chair, while greeting the motorcyclists. “The smiles that you are going to bring to people who have to be here, and you care. Many of you are prior active duty, and we are a family. Military is a family.” Santa and a few of his leather-clad elves then loaded up a cart full of toys, a portion of the 600 they brought, stopping first in the Emergency Department. Santa surprised five children with gifts in the waiting area, and gave presents to three children in ER treat-

Santa gives a John Deere toy to one boy, who coincidentally had a matching phone case. His sister received a stuffed Teddy Bear from Santa.

Santa and Christa, 14, after he gave her an iTunes gift card.

ment rooms. The Pediatrics Ward was their next stop, where they handed out presents to eight children – Twenty-mont patients and their siblings – and to two more children out Santa a in the Pediatric Intensive Care Unit. playing with “The parents love it,” said Chris Brogan, NMCP child life specialist. “Everyone’s always shy when they first come in. This large group of people all dressed in leathers and chaps and motorcycle gear – it’s a little overwhelming at first. After they leave, the parents will ask me, ‘who was that again?’ and ‘why were they here?’ So I get a chance to tell them, and they can process it.” “Rolling Thunder, American Legion, and associated posts have been bringing the miracle of Christmas to the NMCP Red Cross for over 12 years,” said Prerana Korpe, American Red Cross station manager. “In the true spirit of Santa Claus, our donors deliver hope – not only brightening the day of a child, but providing hope to the family and entire community, that we are truly supported by a network of caring individuals. “The toys are a symbol of the generosity and goodwill this group presents to us,” Korpe continued. “The donations come twice a year, and supply the Red Cross with toys for children throughout the entire year. While some posts have been partaking

Hunter, left, and Christian with Santa after they received a present. The brothers came from North Carolina to visit baby Ryland and were a little shy during Santa’s visit.


January 2014 | The Courier

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Raymond, 2, with Santa and the stuffed frog he received.

Santa and a few of his elves loaded up a cart full of toys, stopping first in the Emergency Department in this event from the beginning, new members, such as Combat Veterans Motorcycle Association, continue to join, showing that the efforts of this group are still going strong 12 years later, and that the light of hope they represent will continue to burn bright.” To thank the riders for their generosity, they were treated to a lunch of pancit and lumpia in the galley provided by NMCP’s Chief Petty Officer, First Class Petty Officer and Junior Enlisted associations. The remaining toys will be given to children at the medical center throughout the year by Red Cross volunteers and wounded warriors recovering at NMCP. “The Red Cross personal services cart goes around to kids on the Pediatrics Ward and clinic and surgery waiting areas,” Brogan said. “To be able to help out a kid who is having a tough day get a toy, it really turns it around. Some of our wounded warriors get a chance to push the cart and gives them an opportunity to do something positive and help contribute to somebody else.”

th-old Johann checks and his beard before his new toy.

Santa presents 6-month-old Jarius, one of the pediatric patients in the Emergency Room, with a stuffed Teddy Bear.

Riding in the chilly mid-December weather, Santa and more than 50 members of five motorcycle clubs arrived at NMCP Dec. 15 for Operation Bright Light. About 40 rode their motorcycles, while the rest drove the presents in six cars. The groups come to NMCP twice a year – once in July and once in December – to donate toys to children being treated at the medical center.


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The Courier | January 2014

Annual Operation Santa Delights Staff, Patients Photos by MCC (SW/AW) Leslie Tomaino NMCP Public Affairs

Children and adults alike were delighted during Naval Medical Center Portsmouth’s Operation Santa on Dec. 19, in which Santa brought toys to the children receiving care in the Pediatric wards and throughout the hospital. Sponsored by the Red Cross, Santa and his Red Cross helpers also visited clinics, the galley and the Wounded Warrior Patriots’ Inn with special gifts like candy, books and toiletries for adults as well. It was obvious from the reactions of the smiling children that joy and the spirit of the season can truly be the best medicine.


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The Courier | January 2014

Three USFF Bands Bring Holiday Cheer to NMCP

Three of the U.S. Fleet Forces ensembles played or sang Christmas songs for staff and patients for up to two hours Dec. 19 in many locations throughout the medical center. The Woodwind Quintet played at the pharmacy, while the Trombone and Vocal quartets were mobile. The Vocal Quartet sang for the inpatient wards – including the Medical Surgical wards, Maternity and Post-Partum wards and the Pediatrics Ward. They also sang a few songs for the Main OR staff. The Trombone Quartet played for the patients and staff at the outpatient clinics, including near the main elevators on the first floor, Internal Medicine on the second and at the emergency room. Before departing NMCP for another performance, the Trombone Quartet stopped by the pharmacy, and for several songs, it was a “battle of the bands” with trombone against woodwinds. Many thanks to the Fleet Forces musicians for helping to set the mood and lift spirits.

The Woodwind Quintet includes the French horn, flute, bassoon and two clarinets. (...O’er the fields we go, laughing all the way) “Ha ha ha.” Jingle Bells is one of the songs they sang outside the main operation room.

The Trombone Quartet plays several holiday songs by the emergency room waiting area.

Photos by Rebecca A. Perron

The Trombone Quartet plays several Christmas songs by the emergency room waiting area.

The Vocal Quartet sings in the Pediatric Ward, accompanied by the guitar and cajon drum, and sometimes the bells and shaker. As the Woodwind Quintet finishes a song, the Trombone Quartet counts down in the background.


January 2014 | The Courier

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Couple Donates 400 Toys to NMCP Via American Red Cross Office Story and photo by Rebecca A. Perron NMCP Public Affairs

Chuck and Betty Medeiros stopped by the American Red Cross office Dec. 17 to drop off about 400 toys that will be passed out to children at the medical center during the holidays and throughout the year. The contents of one of many boxes were unpacked during their visit. As members of the American Legion Post 284 Colonial Heights, they asked for toy donations from BINGO players beginning in September through the middle of

December. This is the fifth year that the couple has collected toys and the fourth year they have personally delivered them. The couple also spent about $300 each of their money on toys – Betty said that money is nothing when it comes to the kids at NMCP. And this is their way to have fun shopping for toys at Christmas, since their children are grown and their grandchildren are getting older.

Chuck and Betty Medeiros, second and third from left, with Red Cross volunteers and some of the 400 toys they collected or purchased to donate to the medical center.

Clinics Get into Holiday Spirit Outpatient clinics throughout Naval Medical Center Portsmouth decorated their windows along the Bldg. 2 hallways on the first and second floor. Each themed window showed a different way to think of or celebrate the season, but each one helped put staff and patients in the holiday spirit.

Photos by Rebecca A. Perron


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The Courier | January 2014

Army Veteran Credits NMCP Doctors with Prolonging His Life by

Story and photo Rebecca A. Perron

NMCP Public Affairs

Like many retired service members, Kirk Harrington has received care at Naval Medical Center Portsmouth for years. He has received continual care since 1997 after being medically retired in 1995. Harrington credits the consistency of that care – and his doctors’ personal interest in his health – as the reason he is alive today and with a high quality of life. He particularly credits Dr. Bart Gumpert, a pulmonologist, one of his doctors for nearly a decade. Harrington joined the Army in 1977, serving as a transportation and logistics specialist primarily with units in Hawaii and Alaska. He’s also proud to be a Desert Storm vet. Just short of serving 20 years, he was diagnosed with sarcoidosis. Sarcoidosis is an inflammatory disease that affects multiple organs in the body, but mostly the lungs and lymph glands. Its cause is unknown, and there is no cure. Two years after Harrington’s diagnosis and subsequent retirement, the retired sergeant moved to Hampton Roads, and was first seen by doctors at the Veterans Affairs hospital in Hampton before being referred to NMCP because of the complexity of his care. “I’ve seen my share of doctors here through the years,” Harrington said. “I’ve had surgeries and procedures. I’ve had so many MRIs, CTs and X-rays – I should be glowing. I’ve had some bumps in the road, but overall, the work that the doctors have been doing to help me sustain my life and my care, I have to give them an ‘A’. Because without their care, I don’t know where I’d be right now.” Pulmonologists are considered the

experts in caring for sar- him, mainly his lungs.” coidosis. In addition to the Gumpert believes it’s the design of lungs and lymph glands, the military health care system that’s the the condition can also advantage for doctors to provide continuaffect the eyes, the joints, ity and closer follow-up with patients. the ear, nose and throat “The important thing is to get serial area, the skin, heart, kid- follow-up over years and not let patients neys and liver. fall through the cracks,” Gumpert added. “It can affect lots of places, but lung “We see them like we should – we check doctors tend to be the one following their labs, their X-rays and their pulmothe sarcoid patient longterm to try to control that inflammation,” Gumpert said. “And so we bring a lot of experience – our group here follows a couple hundred sarcoid patients.” Gumpert had seen a lot of sarcoid patients during his 32-year active duty medical career. He retired as a captain about a year ago and returned to NMCP as a civilian physician. Aside from two deployments, Gumpert has provided care for pulmonary patients at NMCP since 1995. “The more patients you Dr. Bart Gumpert, a pulmonologist, listens to Kirk see with the disease, the Harrington’s lungs during a routine appointment. more expertise you get,” Gumpert said. nary function tests. We do a great job “It’s just the practice and art of medicine. with him and other patients because we Having had the luxury of being here for provide that follow-up and continuity.” so long at a tertiary care center that gets For Harrington, in addition to the a lot of referrals, I end up seeing a lot of continuity, it’s the relationships he’s built the complicated patients.” with his doctors and taking it day by day According to Gumpert, about 25 that gets him through. percent of sarcoid patients have a com“I take each day,” Harrington said. plicated course. “I pray each day. And I want to thank “One-fourth of sarcoid patients are Dr. Gumpert. I think he’s taken more complicated in that they continue to than a personal interest in my care. He have relapsing inflammation every time started caring for me at a time when I you try to take them off prednisone, the wasn’t doing so well, and he rebuilt my corticosteroid,” Gumpert said. “They end confidence. up having more organ involvement, more “Without people who are concerned problems with the inflammation in dif- about your welfare and what you are ferent places in the body. going through, it’s not going to work,” “Kirk falls into the complicated sarcoid Harrington added. “Some doctors and patient who has complicated relapsing those working in the clinics, I’ve known sarcoid,” Gumpert continued. “We’ve got for the 16 years I’ve been coming here. other subspecialties involved, and I’ve I’ve become very attached to the people coordinated his care and keep an eye on who have been taking care of me.”


January 2014 | The Courier

January Awards MERITORIOUS SERVICE MEDAL

Capt. Stephen Glawson

NAVY & MARINE CORPS COMMENDATION MEDAL

Cmdr. Gordon Blighton Cmdr. Nancy Wilson Lt. Cmdr. Tonie Gaskin Lt. Cmdr. Allan Kremp Lt. Cmdr. Johnny Rodgers HM1 (SW/AW/FMF) Jonathan Jones HM1 Natasha Mattocks HM1 (SW/FMF) Duane Paquette HM1 Frank Robinson HM2 Marcelo Brooks

JOINT SERVICE ACHIEVEMENT MEDAL

HN Van Duat

NAVY & MARINE CORPS ACHIEVEMENT MEDAL

Lt. Angela Spruill Lt. Jennifer Squazza Lt. Kellie Haney Lt. Jennifer Rhinehart Lt. Amy Smith Lt. j.g. Ellen Dalton-Ward Lt. j.g. Tiffany Lau HM1 (SW) Gordon Lott

Readiness:

When Bad Weather Strikes

HM1 (SW) Hazelann Shillingford HM1 (SW/AW) Tara Young HM2 (FMF/SW) Michael Adkins MC2 (SW) Anna Arndt HM2 Stephanie Conn HM2 (SW) Jacklyn Davis HM2 Jonathan Fortner CS2 (SW/AW) Corey Knatt HM2 Brenda Lutz HM2 (FMF) Justin Proehl HM2 Kristy Schilling LS2 (SW) Hilarion Taborada HM2 (SW) Alicia R. Turner SH2 (SW) Michelle Worthing HM3 Anthony Briel HM3 Derek Keich SH3 Sherry Rudolph HM3 Sean Uzokwe HM3 Ian Williams HM3 Gregory Willden SH3 Mcrea Willis HN Adam Downey HN Adriel Rodriguez HN Marqintae Smith HN Justin Taylor

NAVY MERITORIOUS CIVILIAN SERVICE AWARD

Kenneth Bivans

page for the most complete information and guidance when foul weather occurs.

Information is also provided to local TV staMake sure you know whether you are “mission tions, Twitter and on the NMCP website, but your essential” and monitor the command Facebook most complete guidance will be at www.facebook. com/NMCPortsmouth.

Sites to Monitor www.facebook.com/NMCPortsmouth http://twitter.com/NMCP1 www.med.navy.mil/sites/NMCP

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The Courier Asks What Is Your 2014 Resolution? Andrew Gwin PCSI

“My resolution is to be more organized.”

HM3 Christina Cannon TAOSS

“I’m going to eat healthier.”

Jacinta Jordan HN Donavon Selwyn Allergy

“I want to maintain a healthy weight.”

HN Myung Seo Ophthalmology

“I want to replenish my savings account.”

Dental

“I’m going to be more mindful of how I treat people, because I’d like them to treat me the same way.”

HM3 Kathryn Alvarado Psychology

“I want to become an assistant command fitness leader.

HM2 Kendra Lichtle

HN Joey Legaspi

“I want to advance to HM1.”

“I’m going to stop eating fast food.”

TAOSS

Immunizations

HM2 Kerriann Reid

HM3 Joseph Meade

“I’m going to finish my degree.”

“I want to become an EMT Paramedic.”

Dental

Immunizations

January 2014 courier  

The official monthly newspaper of Naval Medical Center Portsmouth.

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