Volume 42, No. 9 JUNE 2015

A worldwide publication telling the Army Medicine Story ARMY MEDICINE MERCURY CONTENTS

DEPARTMENTS 03

04 TSG Speaks!

FEATURE 18 05 15 Around Army Medicine

06 AMEDD Global

25 Recognitions

12 

13 Men’s Health Month

14 Performance Triad

16 It’s All About Health.

2 MERCURY | ARMYMEDICINE.MIL ARMY MEDICINE MERCURY US ARMY MEDICAL COMMAND ARMY MEDICINE PRIORITIES Commander Lt. Gen. Patricia D. Horoho COMBAT CASUALTY CARE Army Medicine personnel, services, and doctrine that save Service members’ and DOD Director of Communications Civilians’ lives and maintain their health in all operational environments. Col. John Via

Chief, MEDCOM Public READINESS AND HEALTH OF THE FORCE Affairs Officer Army Medicine personnel and services that maintain, restore, and improve the Kirk Frady deployability, resiliency, and performance of Service members. Editor Dr. Valecia L. Dunbar, D.M. READY & DEPLOYABLE MEDICAL FORCE AMEDD personnel who are professionally developed and resilient, and with their units, Graphic Designer are responsive in providing the highest level of healthcare in all operational environments. Jennifer Donnelly HEALTH OF FAMILIES AND RETIREES The MERCURY is an Army Medicine personnel and services that optimize the health and resiliency of Families authorized publication and Retirees. for members of the U.S. Army Medical Department, published under the authority of AR 360-1. Contents are not necessarily official views CONNECT WITH ARMY MEDICINE of, or endorsed by, the U.S. Government, Department of Defense, Department of the CLICK ON A LINK BELOW AND JOIN THE CONVERSATION Army, or this command.

The MERCURY is published monthly by the Directorate of FACEBOOK FLICKR Communications, U.S. Army Medical Command, 2748 Worth Road Ste 11, Fort Sam Houston, TX 78234-6011.

Questions, comments or submissions for the MERCURY should be directed to the editor at Personal and Mission Readiness Surgeon General visits WRAIR starts with YOU 210-221-6722 (DSN 471-7), or by email;

The deadline is 25 days before the month of publication. YOUTUBE TWITTER Unless otherwise indicated, all MEN: It’s time to take charge photos are U.S. Army photos. of your health! Join us for the The MERCURY submission #MHSMensHealth Twitter chat on and style guide can be accessed June 9 at 12pm.

MERCURY archives can be accessed at: http://stimson. Army Medicine Secure Messaging contentdm.oclc.org/cdm/ Testimonial landingpage/collection/ p16379coll1

3 | ARMYMEDICINE.MIL

CONNECT WITH ARMY MEDICINE TSG SPEAKS! TSG Speaks at PRMC High Reliability Organization Summit By Ana Allen, PRMC and Master Sgt. Anthony Elliott, PRMC

The Pacific Regional Medical Horoho. Command (PRMC) held its High During the summit, leaders also Reliability Organization (HRO) Summit, discussed the common thread shared by April 23-24, at the Hale Koa Hotel, the aviation and healthcare industries. Hawaii. The summit was hosted by Both (medical and aviation industries) the Office of the U.S. Army Surgeon seek to repeatedly accomplish the mission General and was focused on the U.S. while avoiding catastrophic events, despite Army Medical Command’s (MEDCOM) significant hazards, dynamic tasks, time goal of being the world’s leader in high constraints, and complex technologies. Lt. Gen. Patricia D. Horoho reliability healthcare and creating an Sargent, a former Blackhawk pilot, says effective culture of safety. he is leveraging his aviation experience also enhance the proficiency of our medics The event was attended by the highest and training into Army Medicine today. and doctors when they go out into the levels of Army Medicine leadership “It’s about communication, about battlefield and provide support to our which included: Lt. Gen. Patricia collaboration, and about a significant men and women who are in harm’s way,” Horoho, U.S. Army surgeon general amount of understanding. In a cock-pit, said Sargent. and commanding general of U.S. Army you start talking about who’s flying the An effective HRO requires collective MEDCOM; Maj. Gen. Jimmie Keenan, aircraft or which way we are going to turn mindfulness, which can focus on deputy commanding general-operations or which emergency procedure we are identifying potential dangers; and, that all (DCG-O), U.S. Army MEDCOM; going to use, it’s the same thing with the members – from the doctors and nurses, Brig. Gen. Patrick Sargent, commanding doctor, nurse or the medic as it relates to to the housekeeping staff – communicate general, PRMC; and Command Sgt. Maj. the delivery of care,” said Sargent. effectively and are always willing to speak Gerald Ecker, command sergeant major, During her briefing, Horoho presented up and listen. U.S. Army MEDCOM. to the audience an example chart which Horoho reinforced throughout the During the two-day summit, command showed simulated patient safety data well summit that Army Medicine has already teams and key staff members from into the upper ninetieth percentile and been on the journey in becoming the PRMC, along with military and civilian showed performance as being “Green.” world’s leader in HROs but there is still medical partners from throughout It was this chart that had great impact room to improve in order to achieve the region, took part in open forum when Horoho asked the audience to “Zero Preventable Harm.” discussions geared at understanding not think about the color green and “I think what our beneficiaries can MEDCOM’s expectations when it comes high percentage of success, but rather expect is what they have expected in the to providing the safest healthcare possible. “think about the 2 percent that we could past. And that is compassionate, high- Horoho provided her vision for the way potentially be missing, any number under touch, high-tech care that is consistent forward in high reliability healthcare and 100 percent, when it comes to patient in the patient experience. We’ve made a demonstrated Army Medicine’s desire to safety, is not good enough.” decision that we will never be satisfied in foster a patient safety environment which The HRO philosophy for healthcare Army Medicine, we will continually look achieves “Zero Preventable Harm.” is predicated on the concept that each at how we will get better, because I believe “Safety is the fabric and the culture and every member of an organization those that have served our nation and the that we want across every aspect of the has equal say in ensuring the safety of Families that support them deserve the provision of care. Our pursuit of zero patients. very best,” said Horoho. preventable harm is something that “The concept of the HRO has the The summit marks the fifth HRO is doable. We have been successful in preoccupation with doing things much conference across MEDCOM and brings every single mission that we have ever more efficiently and more safely. So in the number of Army Medicine Leaders undertaken and this is just one more my mind it will not only enhance the who are HRO trained to 100 percent. mission that we are pursuing,” said overall delivery and quality of care, but

4 | ARMYMEDICINE.MIL AMEDD GLOBAL FEATURE 2016 U.S. Army Advanced Military Studies Program (AMSP) open to Medical Service Corps Officers By Kirk Frady, Army Medicine Public Affairs

Medical Service Corps Officers who have participated in AMSP undertake some of the Army Medical Department’s (AMEDD) most challenging plans, operations, and leadership roles. AMSP is an accredited graduate program operated by the School of Advanced Military Studies (SAMS) at Fort Leavenworth, Kansas. Graduates are awarded a Masters in Military Art and Science from the Command and General Staff College. The program develops officers as planners who help senior leaders understand the operational environment and then visualize and describe viable solutions to operational problems. Colonel Paula Lodi, a 2003 Medical Lt. Col E. Lee Bryan (back row, wearing eyeglasses), a 2008 Medical Service Corps SAMS graduate, is con- Service Corps graduate of AMSP, gratulated with select members of the Ebola Response Task Force by President Obama on February 11. currently commands the 14th Combat Support Hospital (CSH) at Fort history, and doctrine. Guiding each for CENTCOM’s anti-corruption task Benning, Ga. Lodi said, “I cannot think SAMS seminar are; a former Command force to deny access and resources to of a military operation that does not Select List (CSL) Battalion Commander/ insurgents. require the meticulous integration of Senior Service College (SSC) graduate, Health Services graduates often go health services. SAMS prepared me to do and a PhD. The SAMS curriculum is on to undertake some of the most this at the operational and strategic level.” strenuous and requires approximately important and complex issues facing SAMS has developed thousands of 150+ pages of reading per night, five the AMEDD. Lt. Col. Doug Clay and operational planners since its pilot joint-force practical exercises, a 40- Lt. Col. Jon Baker, also graduates of the course in 1983. The Army Medical page argumentative research paper of AMSP program, currently work at the Department (AMEDD) produced its first publishable quality, and culminates with U.S. Army Office of the Surgeon General SAMS graduate in 2002 with then, Maj. a 3-hour oral comprehensive exam. This assisting in the design of the AMEDD’s Raymond “Scott” Dingle. Today, there academic rigor provides students with future campaign plans and structure. are twelve active duty Health Services useful mental tools for arranging tactical AMSP is a career broadening experience Officers who have completed AMSP. actions in time, space, and purpose in well suited for operationally minded Five of these officers are currently in pursuit of strategic objectives. officers who are intellectually curious and command, or selected for command, at AMSP normally concludes with a thrive on challenges. the battalion or higher level. Colonel one year (Tier I) utilization assignment Dingle was recently confirmed by the as an operational planner on a general Applications for the 2016 AMSP U.S. Senate to become the first SAMS officer staff. Newly assigned planners are class will be accepted beginning educated AMEDD General Officer. often charged with leading operational in August 2015. The application SAMS focuses on developing critical planning teams (OPTs) in which they and selection process takes about and creative thinkers who are good are junior participants and have little months. Medical Service Corps leaders, effective operational planners, experience in the focus area. For example, Officers interested in applying and great teammates. It accomplishes Maj. John Taylor, a 2014 Medical for AMSP should consult their this by educating field grade officers at Service Corps graduate, is currently assignments officer for detailed the graduate level in operational theory, serving in Qatar as the lead planner application information.

5 | ARMYMEDICINE.MIL AMEDD GLOBAL Two Organizations Earn ASHMS Star Strong Status By The MEDCOM Safety Office

In March 2015, Livorno Army and Health Administration’s (OSHA) three stages over a three year period Health Clinic and Winn Army Voluntary Protection Program (VPP) and include reviews of the following Community Hospital each earned criteria. Livorno Army Health Clinic, safety and occupational health elements: recommendation for Army Safety and Camp Darby, Italy, was initially awarded leadership management and employee Health Management System (ASHMS) Star Status in 2012 and, in accordance involvement, worksite analysis, hazard Star Strong status; the highest safety with OSHA criteria, had to be reassessed prevention and control, and safety award offered by the U.S. Army. Each after three years. Both organizations training. For more information about organization demonstrated that their will be awarded their ASHMS Star ASHMS, contact your MEDCOM safety systems were “World Class,” Strong flags at an upcoming ceremony. safety professional or additional/ compared to the Occupational Safety ASHMS assessments are conducted in collateral duty safety officer.

6 | ARMYMEDICINE.MIL THE GAMES ARE COMING... Follow us online: Defense.gov/WarriorGames

OPEN TO THE PUBLIC 19-28 JUNE MARINE CORPS BASE QUANTICO

*No Federal or DoD endorsement implied. AMEDD GLOBAL Clinical immunization services at your fingertips, 24/7 By Sgt. Julie A. Bytnar, Defense Health Agency Immunization Healthcare Branch

The Defense Health Agency’s unique opportunities to interact Department Center & School, and Immunization Healthcare Branch with national immunization policy the Air Force Allergy & Immunology (DHA IHB) has a proud history of high makers, to collaborate with renowned Fellowship training program. In quality clinical support, education, and immunization healthcare researchers, addition, this office provides initial research in immunization healthcare. and to participate on a variety of federal clinical investigation of all vaccine The Regional Immunization Healthcare government advisory committees. adverse events for military beneficiaries Offices (Regional Offices) support The Fort Bragg Regional reported through the Centers for more than 1,200 immunization Immunization Healthcare Office has a Disease Control/Food and Drug centers serving more than 9.4 million strong presence in supporting numerous Administration’s Vaccine Adverse Event people worldwide and play a vital role Army units, Special Operations Units, Reporting System (VAERS). in providing support directly to the multiple Reserve units, and military The San Diego Regional providers in the field who need them the forces that have deployed to Iraq Immunization Healthcare Office is most. and Afghanistan. The office actively the newest clinical services office, Located in Bethesda, Md.; Fort participates in collaborative anthrax having opened its doors in 2014. This Belvoir, Va.; Fort Bragg, NC; San and smallpox research. This office team works closely with the Marine Antonio, Texas; Portsmouth, Va.; and also supports the Womack Army Corps Recruit Depot and the Marine San Diego, Calif., each office provides Medical Center Travel Clinic, which Corps Expeditionary Forces in Camp services comprised of educational provides travel medicine counseling Pendleton and Japan. It serves the programs, educational outreach, quality and immunizations for international unique needs of the Pacific region assurance initiatives, clinical consultative travelers. in addressing vaccine-preventable services, and direct patient care while The R.E. Shope Regional infections among military members also situated to support the unique Immunization Healthcare Office and their Families. It is also active in needs of their multi-state service area located at the Naval Medical Center, training military public health students and local affiliates. Further, staff have Portsmouth, provides exceptional and preventive medicine residents in the published more than 70 scientific support for the unique needs of the region. articles and actively participate in operational Navy, the Coast Guard, The Immunization Healthcare clinical research dealing with vaccine Military Sealift Command, and Support Center is available to answer safety and adverse reactions. They are led Fleet Marine Force. The isolated questions regarding all issues before by regional directors who are experts in nature of naval deployments requires and after immunization, including the field and often called upon to guide strict attention to vaccine healthcare screening, precautions, exemptions policy makers at the federal, regional, education and consultation. The regional and the recognition and management and Command levels. office also supports Langley Air Force of potential adverse effects. There is a The first regional office was established Base, Fort Lee, the Joint Expeditionary nurse, nurse practitioner or physician at the Walter Reed National Military Base, Navy Submarine Forces, Atlantic, on call for clinical consultation 24 Medical Center in Washington, D.C. and the Navy’s Environmental hours a day, 365 days a year. Questions The Walter Reed Regional Office Preventive Medicine Unit. may also be submitted via email and and the nearby Fort Belvoir Regional The San Antonio Regional are answered within 24 hours. Any of Office provide specialized clinical Immunization Healthcare Office the regional offices can be contacted and educational support to the many supports military basic training and through the DHA IHB website, www. medical centers and clinics within the military medical education in the vaccines.mil. The 24/7 Support Center National Capital Region (NCR) and Greater San Antonio area. Educational can be accessed at 877-GET-VACC the North Atlantic Regional Medical and research opportunities abound (438-8222). Command’s area of responsibility at the San Antonio Military Medical (AOR). Visibility in the NCR provides Center, the U.S. Army Medical

8 | ARMYMEDICINE.MIL AMEDD GLOBAL Dealing With Uncertainty: The Importance of Strategic Communication By Lori S. Geckle, Strategic Risk Communication Specialist and Dr. Valecia Dunbar, DM, MPA, U.S. Army Medical Command

Much of the research regarding at work as well. For example, patients and their well-being. Audience effective communications on issues of with a terminal disease want to know, perceptions of communicators’ uncertainty comes from the human “How long do I have to live?” “Soldiers caring and empathy - especially resources field, where organizational with behavioral health issues want to when concern is high, are the most changes have been shown to cause know, “Will I get better and when?” important factor in deciding the employee stress. Army Medicine is Employees concerned about workplace credibility of the information and the facing uncertainties associated with exposures want to know, “Is it safe information source. Yet too often, our own reorganizational challenges, to work here?” Team members facing communication during times of Army transformation, budget cutbacks, possible downsizing want to know, uncertainty is shut down completely and intense media and Congressional “How will proposed organizational while awaiting additional information scrutiny of our mission. While changes affect me?” or headquarters approvals. communication alone cannot decrease Employees process communications What does research and empirical uncertainties or the concerns that according to their own perceptions evidence tell us about communicating go along with it, the lack of good which are influenced by their cognitive more effectively about uncertainties? “uncertainty communications” has disposition to the immediate situation • Recognize that, in all cases, the been proven to have detrimental effects: and environmental factors. For example, most effective communication is a organizational inefficiencies, low employees under stress experience conversation between leaders and morale, high turnover, and emotional “mental noise” that can cause them to employees, not a one-way information triggers recalling memories of past lose up to 80 percent of their ability dissemination process that happens events (both positive and negative). to process information. The remaining only after all details are worked out. Conversely, effective communication 20 percent is often focused on issues • Identify the communication needs strategies in high-uncertainty of high concern to the individual, and expectations of both leaders environments can help reduce rather than on issues deemed important and employees. The most effective uncertainties, and forge a unified to management. Key findings uncertainty communication approach bond between leaders and employees. about communication in uncertain involves a partnership that integrates Well designed and executed strategies environments include: the communication needs and are associated with productivity • When audiences can’t get information expectations of those leading the gains, efficiency improvements, cost from their own organization or change and those impacted by it. reductions, improved morale, and leadership, they turn to other sources Understanding and integrating decreased employee turnover. because information-seeking behavior the goals of the organization, and the Communicating about the unknown is the most common response to needs and expectations of both can be challenging. Receivers experience feelings of uncertainty. Some of these leaders and employees can provide difficulties processing information due information sources may be unreliable the basis for a sound uncertainty to cognitive static, yet messengers often or operate with agendas, both of communication strategy. assume that “more information which can generate more stress about • Understand and appreciate the time is better” or worse yet, that “no the uncertainty (e.g., news sources, it takes to develop, execute and information is better.” So, how do social media, the internet, each other, assess an uncertainty communication you communicate successfully when the media, Congress). strategy. Sending emails when new you don’t know or have all the facts to • When concerns are high and/or trust information is available may impact make necessary decisions? The use of is low, the “how” of communication employee awareness in the short-term, evidence-based risk communication is as -- or more important than the but emails alone will rarely motivate tools and principles can help. “what.” Yes, facts are important, but or change employees in a significant We are all familiar with uncertainty when uncertainties are involved, way, or generate a desired action. communications in our personal lives. audiences want to know that someone Awareness, motivation and action Uncertainty communications occur cares about them, their concerns are very different, particularly when

9 | ARMYMEDICINE.MIL AMEDD GLOBAL

communicating about uncertainties. to demonstrate care and empathy for one built on feedback from leaders The ultimate test for a communication those concerned, and to strengthen and employees, and analyzed side- strategy involving uncertainties is trust - all qualities known to help by-side with organizational goals. to shape employee actions; a strong reduce uncertainties. Although uncertainty communication communication process can affect Army Medicine and the Military can be challenging, regular strategic that. Health System are facing many communications should take place - • In-person, two-way communication challenges in the months ahead, and and is necessary in order to achieve opportunities are essential so that uncertainties are likely to remain successful change and to sustain full audiences can voice concerns, ask high. One way to reduce those team support as Army Medicine questions, propose solutions, and uncertainties--and help employees reorganizes to align with the Army of collectively discuss issues related to the make sense of proposed changes-- the future. uncertainty. The simple act of listening is to develop, execute, and assess is one of the most compelling gestures a sound communication strategy, Cobra medics screen Soldiers’ blood types for future operations

Capt. Nicholas Gorham, the 296th Brigade Support Battalion Surgeon, supervises Pfc. Kathleen Little, a medic assigned to Charlie Company, 296th Brigade Support Battalion, 3rd Stryker Brigade Combat Team, 2nd Infantry Division, as she draws blood from a patient at Yakima Training Center, Joint Base Lewis-McChord, Wash. In order to conduct a blood type and screen test, the medic puts a droplet of blood on a card which then reacts to show the blood’s type. A medical company screens blood in order to create a roster showing all of the Soldiers’ blood types in a specific unit. If an event occurs in which the medical company’s aid station’s blood supply is exhausted, this roster allows the aid station to quickly select personnel to draw blood from in order to potentially save lives. Yakima Training Center provides training support for transient units and organizations by sustaining training lands, range complexes, and support facilities in order to enhance readiness. (U.S. Army photo by Capt. Kelly McManus, Charlie Company Commander)

10 | ARMYMEDICINE.MIL AMEDD GLOBAL US Army Europe’s Combat Support Hospital exercises medic readiness, proficiency and interoperability By Capt. Mary Andrea Ugaddan, 212th CSH Public Affairs Officer

The 212th Combat Support documentation, patient controlled throughout the hospital operations. Hospital (CSH) validated its readiness, analgesia pumps, lab forms, chest Soldiers from 30th Medical Brigade proficiency and interoperability during tubes and intravenous placement. and 421st Multifunctional Medical a live surgical exercise April 13 – 24 at Instructors used standardized Battalion provided key support as well. Miesau Ammo Depot, Germany. education resource material for their “I was here at the right moment. The 212th CSH’s Live Surgical instruction. It was great seeing the 4-bed MEEP Exercise, or LIVEX, kicked off on “The skills fair was fun. The blood expanded into the full 84-bed April 13 with its 4-bed Modular Early transfusion station was definitely hospital and the Soldiers training. Entry Package (MEEP) occupying a good refresher, especially for me The enthusiasm and hospitality was the field site while convoy operations working in the EMT, where we do that amazing!” said Maj. AJ Soons, a Dutch were underway bringing the 84-bed a lot,” said Spc. Justin Macias, a medic physician and operations officer. package. Although non-doctrinal, from the Emergency Medical Team. The exercise culminated with the the MEEP is 212th’s smallest The hospital started treating live 212th CSH operating on live patients deployable configuration containing patients on day five. For three on days eight and nine, as well as emergency medical services, surgical days, they provided Periodic Health conducting a blood drive in the field. capability, intensive care services, Assessments to 37 Army National Eight surgeries were performed and pharmacy, radiology and laboratory Guard Soldiers from 361st Civil Affairs nine surgical specimens were collected. all in one tent. In just six hours, Brigade as well as Post Deployment The blood drive was equally successful the CSH already had the ability to Health Reassessments to 17 Soldiers with 55 donors and 42 units of packed treat casualties including two surgical from the 67th Forward Surgical Team, red blood cells collected. patients, whereas other field hospitals who returned from deployment April Recovery operations from the LIVEX would traditionally start treating 14. Twenty-six immunizations were began April 22. But as the 212th CSH patients after 24 hours. By the end of given and 23 laboratory tests were packs all their supplies and equipment, day three, the whole 84-bed and the drawn. they are getting ready to join the 30th Tactical Operations Center were 100 “I am really proud of my Soldiers. Medical Brigade for Combined Resolve percent operational. This is the first time after three years IV on May 17 at Grafenwoehr and At day four, the focus shifted that the Medical Specialties Clinic Hohenfels training sites. A group of to validation of the hospital and was fully set up in the field and we 4,700 participants from 10 NATO patient care staff. Thirteen stations are actually treating live patients! allies will converge with U.S. Army were in operation throughout the Everyone worked our processes out as a rotational forces in Europe to train hospital ranging from patient records team and I am proud of what we have together in an integrated environment. and documentation to equipment accomplished here,” said Capt. Theresa The LIVEX reaffirmed the 212th familiarization and clinical skills. Wolfe, a behavioral health nurse and CSH’s readiness and resolve to deploy Personnel had competency checklists officer in charge of medical specialties at a moment’s notice to provide health that were validated by instructors Meanwhile, healthcare providers services support while being at the fore as they went through the following and staff from NATO, the United of global medical interoperability. skills stations: blood transfusion, Kingdom, Germany, Hungary, Greece, “The 212th CSH is the medical nasogastric tubes, rapid fluid infuser Italy, Spain, Sweden, Netherlands, ambassador to Strong Europe,” said Lt. and hyperthermia pump, arterial Ukraine, as well as Reservists from Col. Marcus Hurd, 212th CSH deputy blood gas, forced air warming blanket, Medical Support Unit Europe and chief of administration and executive triple channel intravenous pump, Airmen from 86th Aeromedical officer. feeding pump, 12-lead EKG, X-ray Evacuation Squadron were embedded

11 | ARMYMEDICINE.MIL COMMEMORATIONS

June 3: Veterinary Corps celebrates 99 years of service U.S. Army Medical Command and the Office of the Surgeon General wish the Army Veterinary Corps a happy anniversary as they celebrate 99 years of faithful service on June 3. Since the Army Veterinary Corps was established in 1916, the Corps has proven to be a key enabler of safe and healthy operations for Soldiers and their Families. Military veterinary supervision at ration assembly and distribution points is critical to ensuring safe, wholesome food for our deployed service members. They also play a vital role in the health and safety of all military working animals. The Veterinary Corps helps to maximize available personnel strength, prevent disease and injury, and build resiliency. Their contributions are vital to ensuring we maintain a Ready and Healthy Force and for the Health of our Families and Retirees.

June 14: The U.S. Army celebrates 240 years of service On June 14, we proudly celebrate the 240th birthday of the United States Army. For more than two centuries, the Nation has entrusted the Army with preserving its peace and freedom, and defending its democracy. Since 1775, American Soldiers have been the strength of our Nation. Our Soldiers are driven by the ideals of the warrior ethos and commit themselves to succeed in any mission our Nation gives them. Our Soldiers believe that our constitution and the freedom it guarantees are worth fighting for. They sacrifice their personal comfort and safety to answer a higher calling - service in the cause of freedom, both at home and abroad. We continue to be amazed at the professionalism and dedication of our Army and also the Soldiers and Civilians who comprise Army Medicine. Together, We are Serving to Heal...Honored to Serve.

June 30: Medical Service Corps celebrates 98 years of service On June 30, the Medical Service Corps celebrates its 98th anniversary. The history of the Medical Service Corps is one of achievement - achievement that continues to keep our Soldiers and their Families free from illness and safe from harm. Members of the Medical Service Corps continue to be on point in providing the world’s finest Combat Casualty Care and are critical to ensuring we have a Ready and Healthy Force and Healthy Families and Retirees. Our nation and your fellow team members at U.S. Army Medical Command thank you for your efforts in implementing the Performance Triad - helping the entire Army Family to practice better Sleep, Activity, and Nutrition habits. You will be the strongest pillar of Army Medicine as we create the Army of 2020 - an Army that is fit and responsive to America’s global needs. We thank you for all you do for Army Medicine, our Army, and for our Soldiers.

12 | ARMYMEDICINE.MIL NATIONAL MEN’S HEALTH MONTH Prevention and early detection can improve men’s health By Lauren A. Shirey, Program Evaluator, U.S. Army Public Health Command

American men are at risk for living less find a designated driver to ensure that healthy and shorter lives than American no one drinks and drives. women. According to the Men’s Health Army Wellness Centers, and installation Network, this risk may be a “silent health resources such as athletic centers and Sgt. Nicholas Johnson, U.S. Forces Korea Soldier crisis” in the United States and is also one recreational programs can help make and of the Year, finishes the pushup portion of the Army Physical Fitness Test during the 6th Annual Depart- that we can act on. continue these important changes for ment of the Army Best Warrior Competition at Fort There are several reasons that men may health. Lee, Va. be at higher risk for sickness and death than Taking care of mental and emotional women. For example, a report by the U.S. health is also of key importance. Men Get Screened for Early Detection Centers for Disease Control and Prevention often experience stress and suffer from Early detection of many conditions or states that women are 100 percent more depression. They are also less likely to seek diseases can lead to early treatment and can likely to visit the doctor for annual exams help for depression than women are and often reduce suffering or risk of death. To and for services to support health than are four times as likely to commit suicide ensure appropriate preventive screenings are men. as women. Depression affects overall health received and to increase chances of finding Men are also more likely than women to and well-being and shouldn’t be ignored. any health issue early: smoke cigarettes, to die in motor vehicle To help improve mental and emotional • Know the medical history of family accidents and experience other preventable health: and share it with the healthcare events. According to the Men’s Health • Find ways to de-stress, including provider. If a family member was Network, for younger men, much of the maximizing physical activity and sleep. recently diagnosed with a disease, be difference comes from increased risk-taking • Talk to a chaplain or healthcare sure to update this information with and suicide). Society also often does not professional if there is a struggle with the provider. Knowing family medical promote healthy behaviors for boys and negative thoughts, excessive worries or history can help the provider identify men. hopelessness. any screenings that might be of special Men aren’t the only ones affected by • If there are suicidal thoughts or plans importance. these health issues and these risks. Since for suicide, speak to a chaplain, behavioral • Keep any follow-up screening women generally live longer than men, they health professional, healthcare provider appointments that the provider see their dads, brothers, sons, husbands or to a member of the chain of command recommends. Screenings like and friends suffer or die early. Each June, immediately. colonoscopies, blood pressure checks the nation celebrates Men’s Health Month and blood tests are all important parts to increase awareness of preventable health Get Regular Health Exams of prevention and early detection of issues and encourage early detection and • Schedule an appointment to see a illness and disease. treatment for men and boys. To reduce healthcare provider for a health check- Women are in a unique position to men’s health risks and identify and treat any up at least once per year. help men to overcome barriers they face health conditions or diseases early, focus on • Go to the exam prepared to share in getting healthcare and in detecting the following three areas: personal medical history, including potential health risks or diseases early. current or past substance use, risk Men can be supported through positive Make Healthy Lifestyle Choices factors for sexually transmitted diseases, encouragement and letting them know it • Get quality sleep, engage in physical diet and exercise habits and symptoms is a sign of strength to prevent and address activity and improve nutrition. These of depression. Although it may seem health risks or conditions. Men and women are the focus of the Army Medicine’s hard to share, it is important to can both help boys and teenagers develop Performance Triad campaign and communicate this information to the these habits early in life, which is the best they are fundamental mechanisms to medical provider. course of prevention. optimize health. • Bring up any questions or concerns For more information on how to make • Do not smoke and avoid secondhand about any particular health issues, healthy lifestyle choices, obtain a health smoke. signs, or symptoms, with the provider exam or seek early screening, contact your • Drink alcohol only in moderation and during the exam. primary care provider.

13 | ARMYMEDICINE.MIL PERFORMANCE TRIAD “Move to Health”: Army Medicine Empowers the Patient By Ronald W. Wolf, Army Medicine

Medical professionals widely agree that permanent changes in the life choices of patients are needed to achieve sustained improvements in individual health and wellness. These cultural changes take time, however, and sustained support for individuals is needed until lifestyle changes are fully adopted. To help individuals change their life habits, Army Medicine aims to provide clinic personnel with additional tools to engage Soldiers and their Families and guide them to permanent changes in The Move to Health program allows Medical Home personnel to put into practice the advice they give to patients. Col. Margery Hanfelt leads basic Tai Chi movements. Tai chi is a combination of breathing and sleep, nutrition, and exercise habits. gentle movements that help to improve posture and reduce stress. The U.S. Army Medical Command has deployed “Move to Health,” a professional Clinical and administrative personnel reduce pain for those with arthritis, and development program designed to aid had a chance to explore and practice provide other health benefits as well. clinical personnel and clinic staff. The techniques. The critical goal is to get Move to Health moves beyond daily two-and-a-half day Move to Health patients involved in their individual activities to help empower patients to seminar was tested in April at Joint Base healthcare decisions. take increased personal responsibility for Myer-Henderson Hall, Virginia, and at Move to Health wants clinicians to improving their health, resilience and Fort Meade, Maryland, with the staff of explore with patients what really matters personal performance. the local Medical Home Team and other to them, so health decisions are choices Army Medicine has already created healthcare professionals. deliberately made by patients that drive the Performance Triad concept -- sleep, The Move to Health instructional team them toward health and fitness. activity, and nutrition -- to provide a is Lt. Col. Robert Oh, Lt. Col. Tamara Move to Health strives to ensure the tool for the Army Family to use to help Funari, Lt. Col. Rob Goodman, and Lt. entire healthcare team relates to patients encourage better health choices. Col. Amy King. and helps them find opportunities that The Move to Health Program aims About 20 personnel attended the initial support healing through nutrition, to reach patients with messages of Move to Health seminar. They received stress management, movement, and responsibility for health and wellness instruction on holistic approaches to mindfulness. and provides a direct benefit for clinical healthcare to share with patients. The Because patients are also encouraged personnel as well. Because the U.S. Army Performance Triad was reviewed, but to practice mindfulness techniques to Medical Command is accredited by the other components of self-care -- personal improve resiliency and prevent burnout in Accreditation Council for Continuing development, individual personal daily activities, the participants in Move Medical Education (CME) to provide surroundings, the power of the mind, to Health were given exposure to personal continuing medical education for spiritual growth, and Family and social control techniques, such as mindfulness, physicians, they will get credit toward relations -- and how they are important to and relaxation strategies, such as tai chi. some of their annual CME requirements. health received increased emphasis. Mindfulness is being aware of the The Move to Health pilot program The target audience for Move to Health present in a deliberate non-judgmental has been funded for training at seven is clinicians, including primary care way. It has been shown to reduce stress locations. Move to Health is the next providers, behavioral health providers, and help individuals regulate emotions step in activating the patient’s own inner nutritionists, social workers, and and improve sleep. self-healing mechanisms. It’s all part of psychologists; nurses, 68 Whiskey medics, Tai chi is a combination of breathing Army Medicine’s effort to change the and even administrative personnel who and body movements made mindfully. Tai conversation when it comes to healthcare. have contact with patients. chi has been shown to improve balance,

14 | ARMYMEDICINE.MIL PERFORMANCE TRIAD Are We Addicted to Food? By Capt. William R. Conkright, Chief, Outpatient Nutrition Clinic, Tripler Army Medical Center

Are Americans addicted to food? We’ve all heard the statistics that approximately two-thirds of Americans are overweight or obese. All of this despite the fact that at any given time well over 100 million Americans are on a diet, and the revenue of the weight loss industry is over $20 billion annually. America’s weight problem is likely due to a number of factors, one of which is our relationship with food. Scientific studies show that certain foods affect our brains in a manner similar to alcohol, nicotine, and certain drugs. At first, such foods are enticing because they release “feel-good” brain chemicals that can temporarily relieve emotional discomfort, anxiety, and sadness. This is a process similar to drug addiction: the food triggers the reward Capt. William R. Conkright, chief, Outpatient Nutrition Clinic, Tripler Army Medical Center monitors new center of the brain, causing a sense of health information as he prepares for his next patient in the nutrition clinic. pleasure. But with frequent consumption of such foods, we can become physically So how can you break the cycle of food 8. Get eight hours of sleep each night, and emotionally addicted. cravings? Here is a list of the top 10 steps and find enough down time for According to research the most to take to overcome food addiction. (For yourself during the day. addictive foods are those that contain more information on these steps, see the 9. Make time to exercise every day. lots of added fat, sugar, and salt, of nutrition clinic contact information or 10. Create a support system. which sugar is the most addictive. Highly visit the website listed below). Food addiction is a real problem and processed foods, such as sugar and refined 1. Eliminate processed foods, is likely one of the contributing factors flours, have the greatest impact on our sweeteners, flour, and any other foods to our nation’s growing weight problem. brains because they dramatically raise that trigger you to overeat. We must take control of our health and blood sugar and can override normal body 2. Prepare yourself for grocery it starts with what you feed yourself – “let mechanisms that tell us we have eaten shopping, and fill your kitchen with food be thy medicine.” Thomas Edison enough. Increased amounts are needed fresh, whole “real” foods. said it best: “The doctor of the future over time to satisfy cravings and avoid 3. Allow time to experience withdrawal will give no medicine but will interest his symptoms of withdrawal. symptoms from addictive foods. patients in the care of the human frame, American’s consumption of sugar (and 4. Never skip meals and try to eat every in diet, and in the cause and prevention of other “natural sweeteners”) has more than 4-5 hours throughout the day. disease.” doubled in the last 100 years and refined 5. Drink plenty of water. For other tips on beating food flour/grain consumption has increased 6. Whenever possible, try to focus on addiction or for any other nutrition by almost 30 percent since the 1960’s. mindful eating (i.e. eating without related concerns, you can contact the This increase in consumption is primarily distractions such as television, Tripler Army Medical Center Nutrition due to the fact that food manufacturing working on the computer, or multi- Outpatient. companies engineer foods to have these tasking). *Information contained in addictive qualities so the general public 7. Take time to plan and cook healthy this article adapted from: http:// will come back for more. meals. foodaddictionresearch.org.

15 | ARMYMEDICINE.MIL Nutrition specialists compete for Top Chef honors By Brandy Ostanik, MEDDAC-AK Public Affairs

Peanut butter, jelly beans, caramel syrup, to have it added to the criteria. horseradish and spicy mustard may not “I wanted to make sure to sound like the ingredients for a gourmet incorporate nutrition into the meal, but with a little vision, creativity and competition criteria and show determination four Soldiers from Medical that the food we put out can be Department Activity –Alaska made a three- both delicious and nutritious,” course meal any chef would be proud of Said Otto. using these mystery ingredients. The initial ingredients As nutrition care specialists, these included about 60 basic Soldiers are used to arriving each morning kitchen items such as fresh From left: Sgt. Joshua Dabrowski, Pfc. Mary Jo Kadava, Pfc. Connor Prillwitz and Spc. FerminJohn Dela Cruz, assigned as nu- at 4:30 to spend most of their day planning salmon, chicken, rice, squash, trition care specialists to Bassett Army Community Hospital, Fort for and preparing 500 meals for patients, blueberries, butter, flour, oil Wainwright, Alaska, represented MEDDAC-AK to compete and take staff and community members. and spices. second place in the Inaugural Top Chef Competition hosted by Fort Wainwright Directorate of Family, Morale, Welfare & Recreation This often thankless work takes place “We had about 40 minutes May 8. (U.S. Army photo by Brandy Ostanik, MEDDAC-AK PAO) behind the scenes, but that was not the to sit down and look at the case as they competed against four Fort initial ingredients that were needed and some equipment challenges to Wainwright units in Containerized given to us to come up with a meal prepare our meal.” Kitchens (CK) to prepare appetizers, plan,” said Dabrowski who served as the Just like in real-world situations, the entrees and dessert for seven judges and MEDDAC-AK team lead. Once they had team found themselves having to make do 100 hungry onlookers. a plan in place the team set out in the CK with what was given to them. The KC they Organizers of the event wanted a fun, and began the prep work waiting to find were working in had only one operational challenging environment that highlighted out the mystery ingredients they would burner on the grill and they were lacking the work these Soldiers do day in and day receive two hours into the competition. utensils such as ladles. out. According to Dabrowski they didn’t These challenges did not prevent the “We wanted to showcase the talents worry too much about the mystery team from delivering quality dishes to the of our local food service specialists and ingredients. judging table. nutrition care specialists while building “The peanut butter, caramel sauce, For an appetizer, MEDDAC-AK esprit de corps,” said Chief Warrant Officer horseradish and spicy mustard worked presented grilled shrimp over cucumber Charity Dunham, who assisted with themselves in really easily,” said Dabrowski. slices with a Tzatziki sauce which organizing the event. “We wanted to give “Then we had the idea of cooking down the incorporated the horseradish from the these Soldiers culinary bragging rights.” jelly beans and adding them to blueberry mystery basket. The team used the peanut During the four-hour competition compote we used to top the cheesecake we butter and spicy mustard to create a sauce each team was given the same ingredients made for dessert.” for steak which was served with grilled to plan a meal and was then challenged The team all agreed they worked squash and asparagus for the entrée and the further when they were given a basket of well together and were able to not only jelly beans and caramel sauce were used in mystery ingredients to work into that meal. anticipate the moves of their teammates, the making of their cheesecake for dessert. The three course meals were then judged on but they were able to trust each other to While the team did not come out on creativity, presentation, taste and nutrition. work efficiently and get the job done in top in the competition they are proud of Initially nutrition was not one of the such a short amount of time. the dishes they presented to the judges judging categories, but Capt. Andrew “We were very resourceful,” said Kadava. and are already strategizing for next year’s Otto, chief of the nutrition care division at “We functioned well in the tight space and competition. MEDDAC-AK worked with the organizers worked through not having all the tools we

16 | ARMYMEDICINE.MIL AMEDDC&S AMEDD CENTER & SCHOOL COMBAT ANESTHESIA: THE FIRST 24 HOURS LATEST RELEASE IN THE TEXTBOOKS OF MILITARY MEDICINE SERIES By The Borden Institute

Developed by U.K. and U.S. in anesthesia techniques, protocols, survival rate in recent combat operations, anesthetists with extensive combat and equipment used in combat and and will continue to save lives as we face experience, the latest volume of Borden humanitarian operations. Chapters cover enduring conflict and humanitarian crises Institute’s Textbooks of Military Medicine combat trauma and physiology, roles of across the globe in the coming years. series focuses on the first 24 hours of care anesthesia team members, vascular access, Combat Anesthesia: The First 24 Hours following a service member’s injury in airway management, burns, imaging, pain can be ordered through the Borden battle. Critically wounded patients may management and medications, regional website (below) and will soon be available face resuscitation, evacuation through anesthesia, ventilation, postoperative on the site in PDF and ebook formats. several roles of care, and multiple management, and special populations. The The Borden Institute was established in surgeries. Provision of anesthesia is book concludes with several chapters on 1987 at the Walter Reed Army Medical essential in stabilizing these patients, continuing care at Role 3 and hospitals in Center in Washington, DC, to foster and enabling their transport, and ensuring that the United Kingdom and United States. promote excellence in military academic complex surgical procedures can be safely Fully referenced and with numerous medicine through the development and successfully undertaken. tables and figures illustrating physiological and publication of military medical Developed initially through the effects of injury, treatment algorithms, scholarship. The Borden Institute is collaboration of coalition physicians and equipment use, this book provides an agency of the U.S. Army Medical serving in Camp Bastion, Afghanistan, essential information and guidelines Department Center and School and is this volume documents the lessons for current and future anesthesia based at Fort Sam Houston, Texas, with learned by anesthesia providers during providers, both military and civilian. an office at Fort Detrick, Maryland. More Operations Iraqi Freedom and Enduring The critical services of these providers information can be found at Freedom, describing the latest advances have contributed to the historically high www.cs.amedd.army.mil/borden.

Feedback is important to us. We at the MERCURY welcome any feedback on how we can improve.

If you enjoyed reading content or have story ideas, please forward comments and suggestions to our e-mail inbox at:

Your comments may be published in a future edition of this publication.

17 | ARMYMEDICINE.MIL ASBP ARMED SERVICES BLOOD PROGRAM Bring It On: Battalion Challenge Accepted By Victor L. Shermer, ASBP Blood Donor Recruiter

After the 2nd Battalion, 1st Infantry Regiment sponsored an Armed Services Blood Program blood drive, three sister battalions from the 2nd Stryker Brigade Combat Team on Joint Base Lewis- McChord, Wash., scheduled blood drives of their own in April to see which unit could donate the most blood with the Armed Services Blood Bank Center- Pacific Northwest. First up was the 2nd Brigade Support Battalion. Army Spc. Alex Mach, a combat medic with the 2nd Brigade Support Battalion, contacted the ASBP blood donor recruiter for the ASBBC-PNW, took some dates to his command sergeant major for approval, and a date for the blood drive was quickly selected. Army Pfc. Ashley Rowell, from Alpha Company, 308th Brigade Support Battalion, is able to donate a unit of Mach, a native of Spokane, Wash., blood to the Armed Services Blood Program for the first time. has been in the Army 2½ years. Before joining the Army, he was an emergency we will beat the 2-1 Infantry Regiment signs out on the street, Army Pfc. Ashley medical technician, following in his collections,” Brog said. Rowell decided to donate. A member of Family’s history of medical careers. He There was 45 minutes remaining before Alpha Company, 308th Brigade Support has donated with the ASBP twice now, the end of the blood drive and Brog Battalion, she has been in the Army for the first being at the Akeroyd Blood knew there were Soldiers in a class that one year. She tried to donate once before, Donor Center on Fort Sam Houston, was about to end. He disappeared for a but she was deferred during Advanced Texas. few minutes and shortly after he returned Individual Training on Fort Leonard “As a battalion, the command never with an additional 15 Soldiers who were Wood, Mo. This time, Rowell was created a battalion objective outside its ready to roll up their sleeves and donate. successful, received a T-shirt for donating own mission,” Mach said. Another of Charlie Company’s combat and became knowledgeable about the Knowing that, he wanted to establish a medics that came to donate was Army mission of the ASBP. goal to get the command to donate blood Sgt. Elijah Allman. Allman has served in This challenge is not over. The 2nd to the ASBP and the battalion command the Army for six years and has donated Brigade Support Battalion, and its sergeant major agreed. twice with the ASBP. Like Mach, his first sister battalions, have until the end Army 1st Sgt. Justin Brog, from donation was on Fort Sam Houston, the of the calendar year to build upon Charlie Company, personally took up the schoolhouse for combat medics. Allman their donations to the ASBP. Brog is challenge to beat the sister battalions who has two deployments under his belt and determined not to lose and is looking also had blood drives scheduled in April. therefore a firsthand knowledge about the forward to his battalion being recognized “Supporting the ASBP is extremely importance of donating and the need for as the top donating unit for the ASBBC- important for Soldiers. Instead of buying blood. PNW in 2015. Completing this will be blood from civilian donor centers, Soldiers from outside the battalion also no easy task, but all of the battalions are Soldiers help save other Soldier’s lives and came to donate. Seeing the blood drive ready to “bring it on.”

18 | ARMYMEDICINE.MIL DENCOM DENTAL COMMAND Montoya recongized as MEDCOM 2015 Best Warrior

The U.S. Army Medical Command (MEDCOM) announced the winners of the 2015 Best Warrior Competition during an award ceremony held at Fort Sam Houston, Texas, May 8. MEDCOM’s chief enlisted officer, Command Sgt. Maj. Gerald Ecker extended congratulations to Sgt. Felipe Montoya, Dental Command, the MEDCOM Noncommissioned Officer of the Year. Montoya will go on to represent Army Medicine at the 2015 Department of the Army Noncommissioned Officer (NCO) and Soldier of the Year (SOY) “Best Warrior” competition to be held this fall at Fort Lee, Va., and Washington, D.C. Sgt. Montoya enlisted in the U.S. Army as a Dental Specialist. He is currently assigned to the Bavaria Dental Activity, Vilseck, Germany, and serves as a dental specialist and readiness coordinator noncommissioned officer (NCO) for the Grafenwoehr Dental Clinic. His previous assignments was as a prosthodontics dental assistant at Fort Benning, Georgia, from 2009-2011. His military training includes the Warrior Leader Course, Combatives Level I and II, and the Small Arms Maintenance course. Montoya’s awards and decorations include: Army Commendation Medal (1 OLC), Army Achievement Medal (6 OLC), Good Conduct Medal (2nd award), National Defense Service Medal, Global War on Terrorism Service Medal, Sgt. Felipe Montoya, Army Medical Command 2015 NCO of the Year. Montoya is a dental specialist from Military Outstanding Volunteer Service Medal, and the Noncommissioned U.S. Army Dental Command. (U.S. Army photo by Kirk Officer Professional Development Ribbon. Frady) Sgt. Montoya is pursuing a bachelor’s degree in psychology with University of Maryland University College Europe. His significant achievements include being promoted to sergeant and winning the MEDCOM Best Warrior of the Year (NCO), Europe Regional Dental Command Noncommissioned Officer of the Year, and Bavaria Dental Activity’s Noncommissioned Officer of the Year Competition.

Private 1st Class June Han of the 618th Dental Company, Republic of Korea, shows relief after completing the 12-mile ruck march on day three of the Army Medical Command (MEDCOM) 2015 Best Warrior Competition held at Camp Bullis, Texas. Han was one of eighteen MEDCOM participants competing for the right to represent Army Medicine at the 2015 Department of the Army Noncommissioned Officer (NCO) and Soldier of the Year (SOY) “Best Warrior” competition to be held this fall at Fort Lee, Va., and Washington, D.C. (U.S. Army photo by Dr. Valecia Dunbar)

19 | ARMYMEDICINE.MIL MRMC U.S. ARMY MEDICAL RESEARCH AND MATERIEL COMMAND USAISR observes Medical Laboratory Professionals Week By Steven Galvan, USAISR Public Affairs Officer

The Commander of the U.S. Army Institute of Surgical Research (USAISR), Col. (Dr.) Michael D. Wirt proclaimed April 20-24 as Medical Laboratory Professionals Week (MLPW). During the MLPW proclamation signing ceremony April 20 at the Soldiers formation, Wirt read the Commander’s Proclamation. “Medical Laboratory Professionals Week is a time of recognition for the medical laboratory professionals and board-certified pathologists who play a vital role in every aspect of healthcare,” said Wirt. Since 1975 MLPW has been observed during the last full week of April and is designed to provide the profession the opportunity to raise public awareness, appreciation and understanding of laboratory employees. Staff Sgt. Khanesha Murrell and personnel at the Comparative Pathology Branch of the USAISR Laboratory Support Section planned daily activities including trivia games, a lab coat decorating contest, Lab Olympics and a scavenger hunt. The final event was a brunch where the winners of the week- long festivities were awarded prizes. “Beyond meeting this public need, the celebration of MLPW will increase recognition for the profession as it improves the individual practitioner’s Spc. Shawn Lackey models a decorated lab coat during the lab coat decorating contest of the Medical Labo- sense of self-worth,” said Staff Sgt. Gina ratory Professional Week. (U.S. Army photo by Steven Galvan) Chang, noncommissioned officer in charge of Laboratory Support Section. professionals are assigned including bone institutions employing their services. “Further, as the various professional tissue injury, clinical trauma, hemostasis, “With the public now demanding groups within laboratory practice work resuscitation, soft tissue injury, and the assurance of quality healthcare and together on this project, the sense of trauma informatics. professional accountability, organizations unity and purpose necessary to further Chang added that as team members of representing practitioners of this critical the goals of the laboratorians are one of the largest industries in the United science have a responsibility to ensure reinforced.” States, the dedicated efforts of laboratory that the public is well informed about There are six research areas at the professionals often go unnoticed by the laboratory competence,” added Chang. USAISR where medical laboratory general public, as well as by the very

20 | ARMYMEDICINE.MIL NRMC NORTHERN REGIONAL MEDICAL COMMAND Dignity and respect training drives customer service improvements By Terry J. Goodman, NRMC Public Affairs

Northern Regional Medical Command (NRMC) senior leadership attended a full- day of dignity and respect training May 13 to improve staff relationships and promote teambuilding as a means to improve customer service. When Brig. Gen. Robert Tenhet became commanding general of the region last year, one of his priorities was to establish a Dignity and Respect Cell to improve the workplace environment by ensuring all employees understand the importance of treating each other professionally. According to Tenhet, there is a direct correlation between employees who are working in a positive work environment Willie Day, Equal Employment Opportunity director (left) and Paul Meshanko, Connecting for Respect instruc- tor, discuss the previous lesson during a break May 13. The all-day training event focused on increasing and the performance of their jobs, which customer satisfaction by improving staff relationships. (U.S. Army photo by Terry J. Goodman) translates into providing better customer service. That’s the goal of this training. training opportunities to its Soldiers and so caught up in our daily business, and we “Our customers are our patients,” Tenhet Civilians that emphasize dignity and forget that the most valuable resource is our said. Although we do not engage with our respect, there is none that addresses it to people.” patients directly, everything we do at the the level where it becomes memorable and Sgt. 1st Class Aisha Austin, NRMC’s headquarters in support of our military actionable. That was the challenge to day – SHARP manager and D&R member, was treatment facilities impacts the patients. We find training that will do just that. impressed with the training and thinks it as a headquarters’ staff must remember that The “Connecting with Respect” training will be valuable to all staff, but requires every day.” consisted of seven units designed to explain buy-in by all to be effective. The Dignity and Respect (D&R) Cell and understand the emotional state that “I truly believe that the training will only is comprised of the Headquarters’ Equal is triggered by our behaviors around each be effective if we continue to practice what Employment Opportunity (EEO) director, other. According to the training manual, so many became excited about, “Austin Sexual Harassment/Assault Response “Practicing respect on a consistent basis said. “ This shouldn’t be a one-time thing. and Prevention (SHARP) program is an emotional competency that requires We need constant reminders and examples manager, Equal Opportunity advisor and increased awareness and practice. But, the of what right looks like.” the region’s Chaplain. Four very distinct effort is worth it.” Although the organizational senior organizations with different purposes, but This unique approach in the training leaders were the benefactors of this training, at the core within all of their missions is curriculum’s captured Day’s interest. “It the remaining Headquarters’ employees the betterment of work and personal lives teaches us to understand how our brains will also receive the training in the near of the Soldiers, Civilians and Families they are wired due to our experiences, our future. Of course, future training will be serve. cultures and influences, which directly tailored toward employee needs as this Willie Day, EEO director, was the target impact how we interact with others at work training was for supervisors. of the general’s aim to stand-up this unique and in our personal lives,” Day said. “This training is the first step in creating cell focused on relationship building. The “This training was very beneficial in our Regional Ethos,” Tenhet said. The three retired Army command sergeant major supporting the general’s vision,” Day said. elements canons or elements of the ethos accepted the challenge and began to “I hope the participants take what they are take care of our customer, take care establish the foundation of this diverse learned and apply the concepts taught, of each other and take care of ourselves,” organization. especially toward daily interactions with Tenhet said. While the Army provides numerous their peers and employees. We often get

21 | ARMYMEDICINE.MIL PRMC PACIFIC REGIONAL MEDICAL COMMAND Warrior Transition Battalion Hawaii Improving Care 4000 miles away By 1st Lt. Bre Boswell, Warrior Transition Battalion

Members of the Warrior Transition Battalion (WTB) cadre and staff recently traveled to Guam for a semi- annual remote care visit. The trip proved to be productive for all involved in the engagement. The WTB’s main priorities which drove the mission, centered on continued care for Soldiers attached to the WTB. The trip’s main focus was on resources and access to those resources for Soldiers in the Guam remote care program. Ms. Donna Gatewood, lead WTB social worker, Ms. Sherri Camacho, WTB lead Photographed with Guam hospital staff are Lieutenant Michael Taman, Guam Remote Care platoon leader; Ms. Sherri Camacho, BN occupational therapist; Ms. Donna Gatewood, BN social worker; and Capt. Renae occupational therapist , and Capt. Lauterbach, BN nurse case manager who met with Guam Naval Hospital staff to discuss required care for Renae Lauterbach, battalion nurse Soldiers in Transition residing in Guam. case manager met with Guam Naval Hospital command group to discuss to ensure compliance with Warrior experience their culture which allowed the Guam Remote program and the Transition Command guidance. better understanding and connection need to establish more behavioral “It’s important to be on ground to the STs from Guam” stated Capt. health and medical resources to meet and observe the unit (Guam National Christopher Phillips, WTB HHC the needs of Soldiers in Transition Guard remote care platoon) operations, commander. “It is a great honor to be (STs) in Guam. Together they were able medical care, and the unique challenges charged with this unique mission to to compile a roster for direct contact they are facing,” said Staff Sgt. Alicia strategically make a difference for our with the hospital chain of command Andrews, the Guam remote care Soldiers.” (COC), patient administration and platoon sergeant. “By connecting with This program will continue to remain department heads for each specialty. their leadership there, we are able to one of the top priorities for WTB “The progress we made will allow understand their concerns and assist in due to the impact it has on the ST’s for smoother transition for STs in addressing those concerns better.” ability to heal, the additional value of the remote care program” expressed Over the past eight months, the the ST being located in Guam where Lauterbach. “The Guam remote care program has successfully transitioned their Family can be incorporated in the platoon and the Guam Naval Hospital 88 percent of the Soldiers selected to healing and transition plan. The staff command are extremely supportive of participate in the Guam remote care and cadre will continue to build on the the mission of the WTB and getting platoon. This program has without progress achieved during this trip to the Guam STs the best care possible.” a doubt been a great opportunity to continue to improve the remote care Additionally, cadre were able to allow our Soldiers to transition closer program and build stronger relations work with 1st Lt. Michael Taman, to their Families which assists in the with the Guam Naval Hospital Guam remote care platoon leader, to reintegration process. command group and the Guam remote complete the Pacific Regional Medical “From the commander’s foxhole, it care platoon COC. Command’s Top 13 training priorities was a very humbling experience to be and inspect all administrative items afforded the opportunity to view and

22 | ARMYMEDICINE.MIL SRMC SOUTHERN REGIONAL MEDICAL COMMAND BAMC Soldiers to compete at 2015 DOD Warrior Games By Lori Newman, Brooke Army Medical Center Public Affairs

Five current or former Brooke Army basketball, and received a silver medal in Medical Center (BAMC) Warrior the air rifle prone, open division, but was Transition Battalion Soldiers will compete not able to make the Army team. at the Department of Defense Warrior “Shooting is what I enjoy the most, but Games June 19-28 at Marine Corps Base archery is just as fun to me,” Washington Quantico, Va. said. The Soldiers selected for the Army “I think Fort Bliss did an excellent job Team are 1st Lt. Kelly Elmlinger, Sgt 1st putting on the Army trials. The other part Class Katie Kuiper, retired Staff Sgt. Eric was the coaching staff. There were some Pardo, retired Sgt. Bethany Stewart and really good coaches there.” Sgt. 1st Class Michael Smith. Staff Sgt. Robert Green, Co. B., WTB, BAMC Soldiers were among those also faired well during the Army Trials who competed at the 2015 Army Trials receiving a gold medal in men’s seated at Fort Bliss, Texas, March 29 to April 2 shot put, and bronze medals in men’s with the hope of garnering a spot on the seated discus and air rifle standing, but Army team that will participate at the did not make the team Department of Defense Warrior Games. Green said he once heard a quote, Sgt. 1st Class Katie Kuiper, Company which he thought summed up his C, WTB, received three medals -- gold in experience at the Army Trials, “together women’s upright cycling, gold in women’s by chance, united by choice.” track 1,500 meter, and silver in women’s “We came together because of an injury Sgt. 1st Class Katie Kuiper wins the women’s upright bicycle event during the Army Trials for the 2015 track 400 meter. or illness, but it was up to each individual Department of Defense Warrior Games March 29 “It was a great opportunity. I enjoyed to come together as a team,” Green said. at Fort Bliss in El Paso, Texas. (DOD photo by EJ the coaching and getting to participate “It was a great experience meeting a lot of Hersom) with a huge group of guys motivating different people, new people, and having post and the high school is only five me,” Kuiper said. everybody come together as a group.” minutes away,” Weatherford said. “The Kuiper has been a part of the BAMC “I am very proud of all of our Soldiers,” facilities and coaching provided by CCHS WTB Soldier Adaptive Reconditioning Weatherford said. “Making the cut isn’t are invaluable to the success of the Soldiers Program since the beginning of 2014 just about their athletic achievements, it’s who shoot recreationally and compete in and will be medically retired when she about being a part of something bigger air guns.” competes in June. than yourself and all our Soldiers did very Green agreed, “The facility at Central “Cycling and running have been well.” Catholic is great. Retired 1st Sgt. [Pete] significant in Katie’s transitioning and Elminger didn’t go to the Army Trials Carrion is always there. If we need healing process both mentally and but she received an automatic invite to anything from pellets to getting air for physically,” said Jennifer Weatherford, the Warrior Games because she was on our canisters, he is always willing to step site coordinator for the BAMC Military the team last year and won several medals, in and help us out. He wants to make us Adaptive Sports Program. “It’s allowed Weatherford said. better because he doesn’t want us going to her to reach her goals and focus on Weatherford credited part of the competitions to just be there, he wants us something positive other than her medical Soldiers’ success to their ability to train at to compete and to do well.” appointments and surgeries.” Central Catholic High School here in San The track and field program is also run Capt. Noah Washington, Co. A, WTB, Antonio. at CCHS because there are no lines on the competed in three events at the Army “This partnership is vital. There is one regulation track located at Fort Sam trials -- archery, air rifle and wheelchair nowhere to shoot air rifles or pistols on Houston.

23 | ARMYMEDICINE.MIL USAPHC U.S. ARMY PUBLIC HEALTH COMMAND Make small changes to fit exercise into your day By Justine Springer, Program Evaluator, U.S. Army Public Health Command

We all know that physical activity and dinner instead of exercise are important for overall health. turning on the TV. However, many people find themselves • Walk the dog instead of struggling to get the recommended just letting the dog out amount of physical activity in a day. in the yard. Research has shown a minimum of • Walk up and down 10,000 steps per day is necessary to the soccer or football maintain a healthy lifestyle. Despite field while your child is these recommendations, however, playing instead of just many Americans are only reaching sitting on the sidelines. approximately 6,000 steps. • Get outside and play Common complaints are not having with your children by enough time to exercise with busy throwing a ball around schedules and long workdays as reasons or playing tag for 10 for why individuals do not exercise. For minutes. most, it is often hard to find an extended • Park your car in a period of time to get physically active. space or location that is The good news is that small changes can farther away from the make a big difference over time. It’s not office door. necessary to get all your physical activity Some people have had in one burst. Finding time in your busy their desks converted into day to fit in an hour or two of physical a standing workstation and activity at one time is often unrealistic. alternate between sitting Incorporating physical activity into your and standing throughout routine in shorter intervals, even a few the day. 15-20 minutes walks, is much more To keep things manageable and sustainable in the long interesting, try different term. Over time, these small changes activities. Try hiking or will add up toward an ultimate physical biking on a local trail. activity goal. Join an exercise or yoga The U.S. Department of Agriculture, class. Try working out to the American College of Sports Medicine a video. Go on a skiing or Small bouts of exercise in your day may allow you to take advantage and the American Heart Association snowboarding trip. In the of the small breaks of time in your daily schedule. (U.S. Army photo) have many suggestions as to how to winter, go sledding or snow incorporate physical activity into daily tubing when it snows. In Any exercise is better than no exercise. life. Here are some quick suggestions of the summer, take advantage of the local Aim for at least 10-minute bouts of things to try: pool and go swimming with the Family exercise spread out throughout the • Take a walk during lunch or other or a friend. Play a sport, like tennis, day. Smaller bouts of exercise may be break or have a walking meeting basketball, volleyball or racquetball. more manageable and allow you to take instead of sitting in a conference The key is to pick activities that are advantage of the small breaks of time in room or colleague’s office. interesting to you. your busy schedule. • Take a walk with the Family after Remember, small changes add up.

24 | ARMYMEDICINE.MIL WRMC WESTERN REGIONAL MEDICAL COMMAND WRMC employees part of MEDCOM Wolf Pack Award-winning team By Flavia Hulsey, Western Regional Medical Command

“No Civilian Corps member left Lt. Gen. Patricia D. Horoho, execution by bringing in the right behind,” that is how one Western commanding general, U.S. Army capabilities to matrix this and not Regional Medical Command employee Medical Command, and the Army having any degradation in patient described the efforts of the U.S. Army surgeon general, praised the awardees services or a need for a (Civilian) Medical Command Warrior Transition for managing a complex project. reduction in force,” Horoho said. Unit Restructuring Project Team “This is probably one of the most Gregg Stevens, AMEDD Center and Kimberly Reinbrecht, Civilian complicated, high-visibility projects School, and AMEDD Civilian Corps Human Resources chief, WRMC; Sgt. that really has the potential to impact chief, said the WTU Restructuring Maj. Delvin Lewis, operations sergeant our warriors, their Families, the Project Team was a tremendous major, WRMC; and Ernest Williams, strategic reputation of Army Medicine example of collaboration across the Warrior Transition Office director, and the Army on how well we care for MEDCOM, and that is exactly what WRMC; were among a team of about those that are wounded, ill or injured,” the Wolf Pack Award aims to recognize: 20 Army Medicine professionals Horoho said. Mixed teams of MEDCOM military from across the United States who The award-winning team managed and Civilians supporting the Army collaborated to guide and implement the 2014 inactivation of 14 Warrior Medicine mission. the Fiscal Year 2014 Warrior Care and Transition Units and Community- “We’re blessed to have the best Transition Program Force Restructure. Based Warrior Transition Units, the mission in the world. The best thing The team was recently awarded activation of 11 Community Care any citizen can do for their country is the MEDCOM FY 2015 2nd Clinics, and deliberately managed to defend it. Whether you defend it in Quarter Wolf Pack Award in a video continued employment for 50 Civilian a green suit or a pinstripe suit, doesn’t teleconference ceremony. employees displaced by the inactivation matter,” Stevens said. “Within that “I am honored to receive the award,” of WTUs. mission, we have the most honorable Reinbrecht said. “It is truly a team “As a human resources professional, mission as Army Medicine because we effort.” understanding valued members of the take care of Soldiers and their Families The WTU Restructuring Project Civilian Corps is vital,” Reinbrecht -- anywhere, anytime and often under aligned and balanced the way Army said. “I am always proud of what we conditions nobody else would accept, Medicine manages the healing process can achieve together as a team by not and we do it the best in the world.” for wounded, ill or injured Soldiers in losing sight of compassion for those Stevens added that best practices transition back to the armed forces or employees whose job security was and lessons learned from the FY14 to civilian life. tested.” restructure will benefit Army Medicine “The team at the WRMC Warrior Reinbrecht credited the WRMC as it implements broader workforce Transition Office works diligently members of the team for helping to initiatives like Workforce 2020. daily to ensure that the wounded, ill define a good way forward, explaining “I am just always inspired and and injured service members and their that team members completed a wide impressed by the caliber of those who Families are entrusted to our care, variety of tasks such as facilitating are serving on the Army Medicine many times without recognition,” personnel actions, working with team,” Horoho said. “And I take pride Williams said. “So to be recognized multiple supervisors, working with in this particular award because I think as part of the team receiving a Civilian Personnel Advisory Center it really espouses what we’re known MEDCOM-level award provides representatives, and executing for. That is, the ability to have diverse validation that our efforts are valued successful job placement for the 50 capabilities coming together to make a as an important part of the Army displaced Civilian employees. difference in the lives of those that we Medicine team.” “Each of you did this with flawless serve.”

25 | ARMYMEDICINE.MIL WTC WARRIOR TRANSITION COMMAND Building Partnerships for Soldier Transition, DOD Warrior Games, and Beyond By Ronald W. Wolf, Army Medicine

Since 2009, the Warrior Transition to care in the NICoE Command (WTC) has provided ensures Soldiers with TBI oversight and facilities around the world or behavioral health issues to support wounded, ill and injured receive the most-qualified Soldiers as they transition back to duty or care. the civilian community. Representatives Invitees were bused of military service organizations (MSO) a short distance to the and Veterans service organizations (VSO) Wells Gymnasium. There, were invited to Fort Belvoir on May 4 for the MSO and VSO a tour of facilities and services that are representatives watched available to Soldiers in Transition. the Army sitting volleyball Col. Chris Toner (right), Commander of the Warrior Transition Command (WTC), discusses the WTC with representatives from The invitation from the Warrior team train for the 2015 military and veterans service organizations. The WTC is seeking to Transition Brigade-National Capital Department of Defense build additional strategic opportunities to “establish a community Region aimed to seek additional strategic Warrior Games at Marine of support,” as Col. Toner explained. (U.S. Army photo by Marlon Martin, Army Medicine) opportunities to “establish a community Corps Base, Quantico, of support,” as Col. Chris Toner Virginia, to be held June the WTB, the elements of emotional and explained to the guests. Toner is the 19-28. social support, often provided by MSOs WTC Commander. Sitting volleyball is one of the adaptive and VSOs, are critical as well. The three-hour event, with guests from reconditioning sports where wounded, The event highlighted the care and the Veterans of Foreign Wars, Disabled ill and injured Soldiers participate to services provided by multiple Fort Belvoir American Veterans, Blue Star Families improve their physical and emotional organizations that support wounded, ill and other organizations providing well-being. Adaptive sports contribute to and injured Soldiers and their Families. support to Soldiers and Veterans, began a successful recovery for Soldiers. The goal always has been to help all with a briefing from Col. Christopher The tour ended at the United Service Soldiers in the WTU remain ready and Boyle, WTB-NCR commander. Boyle Organization (USO), a valuable resource resilient. Soldiers in the WTU remain gave an overview of the mission of the for Soldiers around the world but an important component of total force Warrior Care and Transition Program especially important for Soldiers in the capability, and sustaining a culture of (WCTP). WTUs. A USO representative discussed dignity and respect for these men and The WCTP, Boyle said, provides an the additional healing opportunities for women is an important goal of the WTC. environment in each Warrior Transition Soldiers in Transition. The strategic outreach effort to Unit (WTU) to help the Soldiers heal. The programs and facilities offered the MSOs and VSOs aimed to build Each of the 3,600 individuals in the by the USO, including creative writing, partnerships to ensure the entire spectrum WTUs has a healing and transition plan art studio, music therapy, and other of support is available for Soldiers in tailored just for them, he explained. programs, are important in promoting Transition. Enduring and evolving The invited representatives inspected recovery. The USO has historically partnerships provide the optimal first-hand the living quarters in the provided a home-away-from-home opportunity for successful recovery. WTU. They took a short walk to the setting and emotional support for Soldier Family Assistance Center, which Soldiers, wherever duty takes them, and provides education, benefits, and Family they continue to do so for Soldiers in the For information on the services; and National Intrepid Center of WTU. upcoming Warrior Games and Excellence (NICoE), which specializes The strategic opportunity for a full list of participants visit: in the treatment of traumatic brain collaboration was the overarching theme http://www.defense.gov/home/ injury (TBI) and behavioral health. The for the day. While medical, housing and features/2015/0615_warriorgames scientific, standards-based approach transition services are well managed by

26 | ARMYMEDICINE.MIL RECOGNITIONS ISR Physician Accepted into Prestigious Capitol Hill Fellowship By Steven Galvan, USAISR Public Affairs Officer

For the first time since its inception Mabry served with an elite in 1973, an active duty Army Medicine special operations unit in doctor will be a Fellow at the Robert Wood Mogadishu, Somalia—the Johnson Foundation (RWJF) Health Policy operation made famous by Fellows program. Lt. Col. (Dr.) Robert L. the movie Blackhawk Down. Mabry, the Joint Trauma System Director “Back then, we were for Trauma Care Delivery at the U.S. Army taught to perform civilian Institute of Surgical Research will begin oriented prehospital care his year-long fellowship in September as a under fire on the battlefield. member of the 2015-2016 RWJF Health Care that was based on car Policy Fellows Program. For more than 40 wrecks and heart attacks,” Lt. Col. (Dr.) Robert Mabry was selected for a Fellowship at the Robert years the RWJF has worked to improve recalled Mabry. “Things like Wood Johnson Foundation Health Policy Fellows program. health and healthcare. The Foundation immobilizing someone’s spine strives to build a national culture of health if they had any injury to above make the most significant difference in that will enable all to live longer, healthier the shoulders, using tourniquets only as a combat casualty care survival, yet today, I am lives now and for generations to come. ‘last resort’ or putting an IV into someone the only board certified prehospital specialist “The reason I wanted to do this was to with a simple gunshot wound when the on active duty in the DOD.” improve my capacity as an AMEDD leader bleeding is under control. Looking back, it Mabry said that his experience in Somalia by seeing first-hand how things work at the did not make much sense, but that’s how we planted a seed in him to dedicate his career political and strategic level, and to see how were trained.” to improving combat casualty care. senior leaders deal with tough challenges,” Based on research that Mabry did while “Mogadishu was a big game changer for said Mabry. assigned to the ISR during his first tour, me,” he said. “I have been driven to improve With an illustrious 31-year Army career the Army spent $70 million to upgrade the care of Soldiers on the battlefield since thus far, Mabry believes that his experience flight medic training to meet that of then.” as an enlisted Soldier and a commissioned civilian critical care flight paramedics. The Nowadays his motivation remains officer on the colonel promotion list gives research compared outcomes of casualties the same, except that there’s an extra him a unique perspective on trying to flown by critical care paramedics from the incentive for him. Both of his sons are in improve combat casualty care. National Guard to those flown by Army the military—one is an Army Ranger and “I’ve have served as an infantryman, a flight medics. The data showed a 66 percent the other is in the Naval Academy with special operator, a combat medic and now reduction in death by National Guard flight aspirations to become a Navy SEAL or a as a doctor,” he said. “I’ve taken care of medics who were trained critical care flight Marine. Soldiers under fire on the battlefield, during paramedics. Mabry believes that the fellowship at tactical evacuation on board MEDEVAC, “One of my most prized possessions RWJF will help him to continue to make a at remote, forward an aid-stations, and in is a patch from the Critical Care Flight difference in Army Medicine and combat the hospital. I think my prior enlisted and Paramedic Class 001,” Mabry said. casualty care. special operations combat service gives me a Another accomplishment that Mabry “We are organizationally focused on unique insight into casualty care that is rare is proud of, one that he has been working hospital based care. Once a casualty reaches within the AMEDD.” with for the last four years, is establishing the the hospital, most survive,” Mabry said. Through personal experience while current Military Emergency Medical Service “But our data shows the vast majority treating casualties on the battlefield and and Disaster Medicine Fellowship Program. of combat deaths that are potentially research, Mabry has been effective in “It’s the only program in the Department salvageable die before reaching the hospital. changing how combat casualties are treated of Defense that trains doctors to understand We need more focus on prehospital care. at the point of injury. As a high-speed out-of-hospital care,” he said. “The research That’s where I believe that I can continue Special Forces medic, well-trained with that we’ve done here at the ISR shows that making a difference for our Soldiers.” the latest tools and techniques available, prehospital setting is the area where we can

27 | ARMYMEDICINE.MIL RECOGNITIONS Active Duty Army Nurse Hones Leadership Skills at Kaiser Permanente By U.S. Army Nurse Corps

After two combat tours in Iraq and the army – and especially to healthcare Afghanistan, where would a member of delivery in a combat environment. the United States Army Nurse Corp go to These experiences helped develop the augment his leadership skills even further? leadership and crisis skills he now puts How about to Kaiser Permanente? to use in his daily work. Knowing he has Major John Ament, RN, CNOR, “walked the talk” demonstrates to his FACHE, is the Army Nurse Corps’ second leaders, peers, and direct reports that he “Training with Industry” fellow at Kaiser can handle anything that comes his way. Major John Ament, RN, CNOR, FACHE, is the Army Nurse Corps’ second “Training with Industry” fellow at Permanente. The program places up- “Drawing on your leadership skills Kaiser Permanente. and-coming army leaders with successful whether you’re in combat support private and public sector organizations at hospital, in a state-side hospital, or in an continually working on such areas, the which they can learn state-of-the art skills office setting is like riding a bike,” says role of the nurse will continue to grow and in industrial practices and procedures not Ament. “You never forget them and the flourish, and will not get stagnant.” taught in traditional military education more you call on these skills, the more This was illustrated when he visited one programs. proficient you become.” of Kaiser Permanente’s newer hospitals He joined National Patient Care the Westside Medical Center in the Services in Oakland, Calif., from Reynolds Teaching and Learning Northwest, which uses digital dashboards Army Community Hospital, Fort Sill, Some of the similarities Ament sees for the patient’s plan of care, provides Okla., last summer, just a few months between the Army Nurse Corps and instant communication among the care after wrapping up his final combat mission Kaiser Permanente pertain to the speed team – even lab and pharmacy. in Afghanistan. He has since immersed in spreading ideas and getting them to He has been equally impressed with himself in learning the organization’s best the end user in a timely and effective other leading innovation activities he has practices, while sharing those of the Army manner. How do you get information, experienced at the Garfield Innovation Nurse Corps. practices, and policies out to the nurse at Center. “It’s thrilling to see the fruition “I’m excited about the collaborative the bedside? What are the most effective of innovations from the idea, all the way environment in which nursing professional mechanisms for communication to the to implementation in the facilities or practice is being advanced through both front lines? It’s a challenge that both virtually,” he says. organizations,” Ament says. “One of the organizations face – in fact, it’s something greatest educational experiences I’ve had to organizations throughout the industry What’s Next? date is learning how vital leadership is to face. After Ament leaves Kaiser Permanente the development of the nursing practice at Ament believes both organizations this fall, he will join a military hospital in a the bedside.” are working towards commendable and leadership role for the next three years. He effective solutions, and he points to knows his Kaiser Permanente fellowship, Temporary Transition to Civilian Sector Kaiser Permanente’s well-thought-out graduate school education, and tours of Ament’s two tours of duty as an methodology of approaching issues, duty have all culminated to prepare him operating room nurse were with small especially in such areas as performance for his senior-level strategic roles in the forward surgical teams that provided improvement, professional and clinical military as they help him understand the immediate triage and life-saving surgery growth, and quality assurance. larger landscape. on the battlefield before transporting “Ultimately what all of us want is to wounded Soldiers to the next level of care. Nursing Innovations Important for provide patients access to the highest- By his second tour, he was more familiar Future Landscape quality, safe care at an affordable price, with what was required, and used his “I’m excited to see how nursing has with clinically excellent and compassionate leadership skills to train and prepare new partnered with innovation to make people,” he says. “And that doesn’t change Soldiers not only for this largely unfamiliar healthcare even more efficient in providing whether you’re in the civilian sector, the aspect of healthcare delivery, but also to high-quality outcomes,” says Ament. “By government, or the military.”

28 | ARMYMEDICINE.MIL RECOGNITIONS Four NCOs inducted into Sgt. Audie Murphy Club By Suzanne Ovel, Army Medicine Public Affairs

Sergeants 1st Class Marcus Knight, Thadenia Leach, and Hugo Roman, with Southern Regional Medical Command and Sgt. 1st Class Kevin Tune, Brooke Army Medical Center, Warrior and Transition Battalion, became the newest members of the prestigious Sgt. Audie Murphy Club (SAMC) during an induction ceremony held March 25 at Blesse Auditorium, Willis Hall, Army Medical Department From left: Staff Sgt. Amy Davis, president of the Sgt. Maj. of the Army Leon Van Autreve Chapter of the Sgt. Audie Murphy Club, retired Army Command Sgt. Maj. Cornell Richardson, Sgts. 1st Class Marcus Knight, Center and School, U.S. Army Health Thadenia Leach, and Hugo Roman, with SRMC, and Sgt. 1st Class Kevin Tune, Brooke Army Medical Center, Readiness Center of Excellence, with host Warrior and Transition Battalion, newest members of the SAMC at the induction ceremony held March 25 at Blesse Auditorium, Willis Hall, Army Medical Department Center and School, US Army Health Readiness Command Sgt. Maj. Jayme Johnson, Center of Excellence, and Command Sgt. Maj. Jayme Johnson, SRMC, host for the ceremony. Southern Regional Medical Command. Johnson presented each new member with the SAMC Medallion, the Army “Combined they have 65 years of service, deployments wanted to become a member Commendation Medal and the SAMC 12 combat deployments, and they spent after reading about Audie’s military career Certificate of Achievement. The blue a total of two years preparing to become and the impact he still has on Soldiers. ribbon on the medallion represents the members of the Sergeant Audie Murphy Leach strives to be the best NCO she can, color of the infantry. Club,” said Richardson. as a mentor, leader and peer. Her goals are Guest speaker, retired Army Command When Roman joined the Army he could to continue to influence those around her Sgt. Maj. Cornell Richardson, spoke about not speak English. For many years he and obtain the rank of command sergeant commitment. Richardson gave examples carried an English-Spanish dictionary to major and finish her master’s degree in of commitment. For instance, he said a help him learn English. He now has a good Sport medicine. 12-year-old girl named Katie Francis was grasp of the English language. Roman has Knight has three combat tours, two to committed to doing her best by selling two combat deployments. He wanted to Iraq and one to Afghanistan. He finds 18,107 boxes of girls scout cookies, become a member so he could challenge fulfillment as a leader when he makes a breaking her record of 18,000. himself, be with NCOs that wanted to positive difference on someone else’s life. Richardson said, “Katie Francis make a difference for Soldiers and the He wanted to become a member for a was committed to doing her best and NCO Corps. His goal is to be become a number of reasons, from leadership to giving it her all, as did Audie Murphy sergeant major and get his bachelor’s degree serving as an advocate for Soldiers with with his commitment to be the best in public health. disabilities. His goals are to become a Soldier that he could be. Like these four After three combat tours in Iraq, Tune command sergeant major, attend a nursing noncommissioned officers (NCOs).” was medically evacuated out of Iraq to program and when he retires to work in Richardson also spoke about Army Brooke Army Medical Center and was underserved and rural areas of the United General Norman Schwarzkopf, who deemed unfit for duty. He submitted a States to provide people with adequate displayed successful leadership abilities continuation of active duty packet and was healthcare. in commanding the allied troops in the approved in 2014. Tune wanted to become Audie Murphy only lived 46 years but Persian Gulf War and his heroism or his a member so he can remind himself and he made a lasting imprint on American commitment to saving a Soldier’s life others that all Soldiers deserve the best history. He was assigned to the 15th during the Vietnam War. leadership possible. His goals are to retire Infantry Regiment of the 3rd Infantry Richardson then spoke about each with twenty years and become a first Division and fought in North Africa, Soldiers’ goal, challenges and why they sergeant. wanted to become SAMC members. Leach, a single parent with four

29 | ARMYMEDICINE.MIL RECOGNITIONS

Sicily, Italy, France and Germany. He Memorial Day. He is buried at Arlington Houston Sergeant Audie Murphy Club earned a battlefield commission for his National Cemetery. was redesignated as the Sergeant Major courage and leadership and more than 33 The Sergeant Audie Murphy Club was of the Army Leon Van Autreve Chapter, military awards, citations and decorations, started in 1986 by Lt. Gen. Crosbie Saint named after the fourth Sergeant Major of including three French and one Belgian at Fort Hood, Texas. It was intended to the Army. medal. Murphy was also awarded this recognize outstanding noncommissioned Soldiers inducted in the club exemplify nation’s highest decoration for gallantry officers who showed exemplary leadership the characteristics of the Sergeant Audie and bravery, the Medal of Honor. traits and attributes. The Fort Sam Murphy Club. They represent the Be, After he left the service Murphy starred Houston Sergeant Audie Murphy Club Know, Do - the epitome of professionalism in several Hollywood films and wrote and was established in 2000, when then and serve as examples of excellence to the published several poems. Murphy was installation Command Sergeant Major community and their Soldiers. killed in a plane crash on May 28, 1971. Adolph Arista directed the formation of His body was recovered two days later on a local chapter. In 2002, the Fort Sam 2015 Best Warrior Competition winners announced The U.S. Army Medical Command week-long competition held at Camp (MEDCOM) announced the winners Bullis, Texas. The other 14 remaining of the 2015 Best Warrior Competition Soldiers who competed represented during an award ceremony held at their commands with pride and Fort Sam Houston, Texas, May 8. professionalism. MEDCOM’s chief enlisted officer, “While there can only be one first Command Sgt. Maj. Gerald Ecker place trophy, all of these Soldiers are extended congratulations to Sgt. winners in my book,” said Ecker. Felipe Montoya, Dental Command The competitors vying for the title (Noncommissioned Officer of the of Best Warrior engaged in a series Year) and Spc. Jordan Mejia, Western of challenging events meant to test Regional Medical Command (Soldier of the physical and mental stamina Specialist Jordan Mejia, Army Medical the Year). and warrior task knowledge of each Command 2015 Soldier of the Year. Mejia is a 68W from Western Region “These two Warriors demonstrated competitor to select the ‘best of the best’ Medical Command. (U.S. Army photo first-hand they are the best of the who will represent MEDCOM at the by Kirk Frady) best. They can be proud of their Army-wide Best Warrior Competition accomplishments and set the standard later this year. The 2015 MEDCOM for others to follow,” said Ecker. Best Warrior competition included The two outstanding Soldiers a board appearance, written essay, successfully navigated several days of written exam, APFT, M16 zero and physically and mentally demanding qualification, day and night land obstacles during a week of competition navigation, obstacle course, a 12-mile and came out on top. foot march, Warrior Task and Battle Congratulations are also in order Drill hands-on testing. for the Runners-up, Staff Sgt. Shaun Montoya and Mejia will now Morand, Medical Research and Materiel represent Army Medicine in the Command, and Spc. Ashley Irmak, 2015 Department of the Army Northern Regional Medical Command. Noncommissioned Officer (NCO) and Morand and Irmak will compete in the Soldier of the Year (SOY) “Best Warrior” event the 1st Place finishers cannot. competition tentatively scheduled for Sgt. Felipe Montoya, Army Medical A total of 18 Soldiers from across October 2015 at Fort Lee, Va., and Command 2015 NCO of the Year. Montoya is a 68E from U.S. Army Army Medicine participated in the Washington, DC. Dental Command. (U.S. Army photo by Kirk Frady) RECOGNITIONS USAMRICD employees recognized by Baltimore Federal Executive Board By Cindy Kronman, USAMRICD

Several employees of the U.S. Army scene. Public Service Career; and Dr. Michael Medical Research Institute of Chemical Among the silver winners from Hepperle, principal investigator, Defense (USAMRICD) were winners the USAMRICD were Capt. Jeffrey Category 10b, Rookie Employee of at the Baltimore Federal Executive Havens, chief, Pharmacology Branch the Year - Technical, Scientific and Board’s annual luncheon on May 1, and chief, Collaborative Research Program Support. taking home two gold, three silver, and Facility, in Category 1b, Outstanding five bronze awards. Supervisor - GS-12 and “This year’s award winners represent below; Dr. Albert Ruff, a the excellence in scientific research principal investigator, in and support demonstrated daily by Category 2a, Outstanding MRICD employees,” said Col. Roman Professional (Non- Bilynsky, the institute’s commander. Supervisory) Technical, The Inhalation Toxicology Team, Scientific and Program consisting of Dr. Alfred Sciuto, Dr. Support; and Diana Phillips, Michael Perkins, Dr. Benjamin Wong, the administrative support Jennifer Devorak, Robin Deckert, assistant in the Chemical Jannitt Simons, and Spc. Antonio Casualty Care Division, in Gutierrez, as well as contractors Ashley Category 4a, Outstanding Rodriguez, Jaclynn Andres, and Justin Administrative Assistant/ Tressler, received gold in Category 3b, Management Assistant – Outstanding Para-Professional (Non- Individual. Supervisory) Technical, Scientific and Bronze awards were The Inhalation Toxicology Team won gold for the Technical, Sci- Program Support – Team. The win received by Gregory entific and Program Support – Team category: from left to right, Michael Perkins, Ashley Rodriguez, Benjamin Wong, Alfred Sciuto, recognized the team’s outstanding Smith, safety manager, in Robin Deckert, Jennifer Devorak (front), Jaclynn Andres (back), scientific accomplishments, extensive Category 1a, Outstanding Jannitt Simons, Reese Baker (a recent addition to the team), and Spec. Antonio Gutierrez. Not pictured is Justin Tressler. (US Army development of cutting edge Supervisor - GS-13 and photo by Stephanie Froberg) approaches for inhalation studies, and above; Larry Presley, continued dedication to government safety and occupational service. health specialist, in USAMRICD’s second gold, awarded Category 3a, Outstanding to Spc. Peter D’Antuono, was in Para-Professional (Non- Category 7a, Heroism - Individual Supervisory) Technical, Heroic Act. D’Antuono used his Scientific and Program combat medic skills to take lifesaving Support; the S4 Transition steps to revive an injured driver after Team (Thomas Hott, Carter he witnessed a vehicle crash on a major Bender, Martin Simon and interstate. In another act of bravery, Jeff Hinte), in Category 4b, D’Antuono noticed a house fire on his the Administrative Assistant/ way home from work one day, stopped Management Assistant and ensured the residence was free of - Work Group or Team; occupants, and then entered the house Kenneth Snyder, retired Spec. Peter D’Antuono’s act of heroism attempting to save the and attempted to put out the attic fire chief of the USAMRICD’s life of a motorist injured in a car crash was recognized with a gold award in Category 7a, Heroism - Individual Heroic Act. (US Army with his personal fire extinguisher prior Logistics Office (S4), in photo by Stephanie Froberg) to the fire department arriving on the Category 9, Distinguished

31 | ARMYMEDICINE.MIL RECOGNITIONS Womack Residency Program wins research award By Eve Meinhardt, Womack Army Medical Center Public Affairs

The Womack Army Medical Center with the residents on Family Medicine Residency Program won a variety of research the Outstanding Achievement Award in projects. Scholarly Activity for the second year in Capt. (Dr.) Jelaun a row. Newsome, a third year The program was recognized as the best resident at Womack, in research and scholarly activity from the has participated in a 17 Family Medicine residency programs number of research across the Department of Defense projects during his Military Health System. tenure. He’s had a The award was presented at the annual case report published, conference for the Uniformed Services has contributed book Maj. (Dr.) Lloyd Runser, left, research coordinator, Womack Army Medical Center, and Lt. Col. (Dr.) Mark Stack, right, residency program director, Academy of Family Physicians in summary chapters, and WAMC, receive the Outstanding Achievement in Scholarly Activity Award Washington, D.C., March 21. even traveled to Portugal for the WAMC Family Medicine Residency Program from Diane Reamy, Maj. (Dr.) Lloyd Runser, research to present about a Uniformed Services Academy of Family Physicians, at the USAFP con- ference in Washington , D.C., March 21. (U.S. Army photo by Maj. Lloyd coordinator, WAMC Family Medicine manipulation clinic. Runser) Residency Program, says the award is a “The hospital really testament to the high level of support emphasizes research,” patients at a high volume. I feel like I’m from the hospital. said Newsome. “The residents get to going to leave here this summer fully “We have a lot of great residents collaborate with staff members, which prepared for my next assignment.” and staff,” he said. “The Department is great because we’re able to draw from The residency program not only fosters of Clinical Investigation is very their experience.” a rich learning environment for the supportive and the hospital allows us In addition to any research projects they doctors, it also helps Womack provide to make research a priority. It’s a great may participate in, the residents rotate quality care to the more than 156,000 environment.” through every department of the hospital, enrolled patients from Fort Bragg and the The residency training is a three-year including inpatient and Outpatient, surrounding communities. program. Each class hosts seven to eight Obstetrics, Pediatrics, Women’s Health, “Our residents do a lot to help keep active duty service members. There are and Labor and Delivery, Intensive Care the hospital running,” said Runser. “They currently 28 residents at WAMC and 12 and Neonatal Intensive Care. work all hours and provide coverage Family Medicine staff members teaching “The program is amazing,” said throughout the hospital, even on nights the students. The staff often collaborates Newsome. “We see a diverse group of and weekends. They’re a great asset.”

32 | ARMYMEDICINE.MIL RECOGNITIONS Army Medical Command announces the 2014 MEDCOM Civilian Employee of the Year (EOY) Award recipients. Please join Army Medicine in recognizing and congratulating Daniel E. Garrido, Miriam H. Hammerle, and Dr. George V. Ludwig on their achievements and outstanding contributions to Army Medicine.

Single Charge Card Solution and Access to exceed all expectations and do On-Line (SCCS and AXOL) error astounding work for the Division. In reconciliation procedures resulted in addition to his regular duties, Garrido IDOC (Intermediate Document) error voluntarily assumed the regional reduction by 54 percent, from 605 to accountant duty responsibilities for the 277, in a 30 day period. Garrido is a key MEDCOM HQ Region, providing member of the command-wide ATAAPS oversight and customer support to Deployment team where he attends “Go fourteen different fund centers. His Live” events, providing assistance and outstanding customer service and his Daniel E. Garrido is an accountant hands-on training to activity personnel. interpersonal relationships with Defense in Finance & Accounting/G8 at Army Garrido created detailed ATAAPS Finance and Accounting Service (DFAS) Medical Command Headquarters, JBSA training guides utilized across the personnel are exemplary. Fort Sam Houston, Texas. Garrido command that have proven valuable Garrido received a bachelor’s degree in was converted as a Recent Graduate for a successful deployment. As part of accounting from The University of Texas Program trainee into a developmental the National Capital Region General at San Antonio in 2012 and a Master accountant position and has become Fund Enterprise Business System of Accounting degree in 2014. He is a major participant in the Operations (NCR GFEBS) support group, Garrido currently studying for the CPA Exams. Section as a payroll subject-matter was the main project manager in the He joined HQ MEDCOM January expert. He alone has been responsible development of the Memorandum 2013 and stands out as a future leader of in clearing more than 56,728 payroll of Agreement between NCR and the MEDCOM. errors, valued at $18M. Additionally, MEDCOM for GFEBS Help Desk his participation and engagement in the support and partnership. He continues

at San Antonio Military Medical course, and she spent many additional Center, JBSA Fort Sam Houston, self-study hours in order to obtain Texas, for over six years. She has made her certificate. Despite this training, remarkable efforts in self-study to Hammerle was frustrated with the become one of the foremost experts on-going marginal results, and she in the management of cervicogenic felt like the conventional knowledge dizziness. Prior to Hammerle joining about diagnosis and treatment for this the BIRS team, all warriors with population was incomplete. She then dizziness complaints were referred out embarked on a multi-year (and largely to the network for care. Providers self-funded) pursuit of additional were frustrated with the multiplicity of knowledge in order to better help tests requested, the extended duration these warriors. She concluded that of therapies, and the overall marginal therapy was too divided - focused on to poor results. When she joined neurological/vestibular techniques Miriam H. Hammerle has served as the staff, the services were provided alone or solely on orthopedic/ the Physical Therapist for the Brain in-house. Hammerle was sent to Injury Rehabilitation Service (BIRS) the Emory Vestibular Rehabilitation

33 | ARMYMEDICINE.MIL RECOGNITIONS

musculoskeletal issues. She has been through multiple research partners to discomfort with public speaking, and able to successfully integrate the two finally establish a successful research the fact that she presented to a non- approaches with spectacular patient partnership. The culmination of her physical-therapy professional audience. outcomes. work to date was an academic podium This was well outside her comfort zone, Hammerle has doggedly pursued the research presentation at the Joint DOD but Hammerle is clearly committed development and implementation of a and VA Audiology Conference in Las to sharing her knowledge, stimulating research program in order to formally Vegas, Nevada. This is particularly research questions in others, and evaluate her clinical findings. remarkable given Hammerle’s very ultimately improving care for this Hammerle has sought and sorted limited research experience, her relative patient population.

programming, budgeting, and execution the Diagnostic Systems Division at processes for the science and technology USAMRIID where he coordinated a components of a $1.2 billion per year program for development of advanced medical RDT&E effort. He has led diagnostics capable of identifying USAMRMC efforts to establish a new potential biological threats and other overseas laboratory in Tbilisi, Georgia, high-hazard infectious and non- serving as a strategic facilitator between infectious disease agents. He worked Georgian government and the U.S. extensively on vaccine development and DOD. His recent efforts to codify, traveled in support of humanitarian and organize and manage USAMRMC capacity-building efforts for the military scientific and technical competencies including as a team leader for disease have helped the Command ensure it outbreak investigations in Africa, South has the capabilities required to develop America, and the U.S. medical products in support of the Dr. Ludwig received his Ph.D. from George V. Ludwig is the Civilian Deputy warfighter. the University of Wisconsin in 1990 Principal Assistant for Research and Previously Dr. Ludwig served as Science and is author of nearly 70 manuscripts, Technology with the U.S. Army Medical Director at the United States Army technical reports, book chapters, and Research and Materiel Command Research Institute of Infectious Diseases other publications written during 30 (USAMRMC), MEDCOM where where he led a strategic reorganization years of relevant experience. He owns he is responsible for developing and effort to improve laboratory science five patents resulting from his work on implementing medical research policy, operations efficiencies and strategic vaccine delivery systems and has received facilitating strategic partnerships, and planning. He also served as a leader numerous awards and honors including coordinating medical research and in developing and enhancing DOD, the Order of Military Medical Merit, development intellectual capital and industry, and academic strategic Superior Civilian Service Medal and two physical infrastructure. Dr. Ludwig partnerships. Achievement Medals for Civilian Service. plays an integral role in the planning, Dr. Ludwig also served as Chief of

34 | ARMYMEDICINE.MIL Serving To Heal...Honored To Serve