Journal 24 May

Vol. 24 No. 21 www.bethesda.med.navy.mil May 24, 2012

By Bernard S. LittleJournal Staff Writer

Walter Reed National MilitaryMedical Center (WRNMMC) andNaval Support Activity Bethesda(NSAB) will observe Summer SafetyDay on May 30 from 8 a.m. to 3 p.m.The event is part of the 101 CriticalDays of Summer campaign, whichruns annually between MemorialDay weekend, beginning May 25,through Labor Day weekend, end-ing Sept. 4.

During the 101 Critical Days ofSummer, vehicle and recreationalaccidents typically spike due to in-creased outdoor activities, explainedSean P. O’Reilly, occupational safetyand health specialist at WRNMMC.Jim Ganz, NSAB safety officer,added the Summer Safety Day willfocus on the theme, “Work, Play,Live Safe!” The event will include anumber of presentations concerningsafety at work and at play, to be held

in the Bldg. 10’s Laurel Clark Me-morial Auditorium and Bldg. 2’s Me-morial Auditorium.

Steve Verret, a stand-up comedi-an who is also an expert in trafficsafety, will perform throughout theday in Memorial Auditorium. Ver-ret, an instructor for the ImprovComedy Club Traffic School in SanDiego, Calif., has performed at theImprov and on HBO’s “Evening atthe Improv.” He is scheduled to per-form at 9 a.m., noon, and 2 p.m. May30 in Memorial Auditorium at Wal-ter Reed Bethesda.

Presentations in Clark Auditori-um on May 30 begin at 8 a.m. witha presentation by Cape Fox TrafficSafety Partner, followed by WRN-MMC Preventive Medicine staff ad-dressing heat stress at 9 a.m. At 10a.m., WRNMMC/NSAB EmergencyManagement personnel will conductCode White (Active Shooter) train-ing, and at 11 a.m. NSAB Fire De-

Base Prepares for ‘101 Critical Days’ of SummerSafety Day centers on “Work, Play, Live Safe!”

By Mass CommunicationSpecialist 2nd Class

John K. HamiltonNSAB Public Affairs

staff writer

The Naval Support ActivityBethesda (NSAB) security depart-ment is currently recruiting andseeking new members to add to theAuxiliary Security Force (ASF).

Tasked with augmenting base se-curity, ASF provides extra manningand works hand in hand with secu-rity personnel during high profileevents such as presidential visits,force protection condition increases,active threats, change of commandceremonies or when called upon bythe base commander.

For individuals interested in join-ing the elite force, the next ASFcourse runs from June 4 to June 22.

"Participants in the course will be

taught skills such as basic unarmedself defense, weapons handling, howto deal with irate personnel, the pub-lic, and customer service skills," saidMaster-at-Arms 1st Class DevonWilson, of NSAB security depart-ment. “After course graduation, theirduties as ASF members are to helpsecurity forces in all aspects such as;acting as a guard sentry, helpingwith investigations, providing forceprotection and traffic control forwhen we have base-wide events orbase exercises like Solid CurtainCitadel Shield," said Wilson.

One of the perks of being an ASFteam member is the duty can helpseparate service members of thesame peer group or rank.

"ASF is a great collateral duty. It’salso a great bullet on your perform-ance evaluations, especially amongst

Are You the Best of the Best? ASF WANTS YOU!

courtesy photo

Army Sgt. Anthony Robinson fights off the "Red Man" whiledemonstrating proper striking techniques, blocks and verbal taskdirections after being Oleoresin Capsicum (OC) sprayed.

See SUMMER page 11 Courtesy photo

See ASF page 9

2 Thursday, May 24, 2012 The Journal

Published by offset every Thurs-day by Comprint Military Publica-tions, 9030 Comprint Court,Gaithersburg, Md. 20877, a pri-vate firm in no way connectedwith the U.S. Navy, under exclu-sive written contract with theWalter Reed National MilitaryMedical Center, Bethesda, Md. Thiscommercial enterprise newspaper is anauthorized publication for members of the mil-itary services. Contents of The Journal are notnecessarily the official views of, nor endorsedby, the U.S. Government, the Department ofDefense, or the Department of Navy. The ap-pearance of advertising in this publication, in-cluding inserts or supplements, does not con-stitute endorsement by the Department of De-fense or Comprint, Inc., of the products orservices advertised. Everything advertised inthis publication shall be made available forpurchase, use or patronage without regard to

race, color, religion, sex, nationalorigin, age, marital status, phys-ical handicap, political affiliation,or any other non-merit factor ofthe purchaser, user, or patron.Editorial content is edited, pre-pared and provided by the

Public Affairs Office, WalterReed National Military Medical

Center, Bethesda, Md. News copyshould be submitted to the Public Affairs Of-fice, Bldg. 1, 11th Floor, by noon one weekpreceding the desired publication date.News items are welcomed from all WRN-MMC complex sources. Inquiries aboutnews copy will be answered by calling (301)295-5727. Commercial advertising shouldbe placed with the publisher by telephoning(301) 921-2800. Publisher’s advertising of-fices are located at 9030 Comprint Court,Gaithersburg, Md. 20877. Classified adscan be placed by calling (301) 670-2505.

Naval Support Activity (NSA) Bethesda

Commanding Officer: Capt. Frederick (Fritz) Kass

Public Affairs Officer NSAB: Joseph MacriPublic Affairs Office NSAB: (301) 295-5727

Journal StaffStaff Writers MC2 John Hamilton

MC3 Nathan PardeMCSN Dion DawsonSarah MarshallSharon Renee TaylorCat DeBinderKatie BradleyHelen Hocknell

Managing Editor MC1 Ardelle Purcell

Editor Bernard Little

Walter Reed National Military Medical CenterOffice of Media Relations (301) 295-5727

Fleet And Family Support Center (301) 319-4087

Family Ombudsman (443) 854-5167(410) 800-3787(240) 468-6386

Visit us on Facebook:Naval Support Activity Bethesda page:https://www.facebook.com/NSABethesda

Walter Reed National Medical Center page:http://www.facebook.com/pages/Walter-Reed-National-Military-Medical-Center/295857217111107

Commander's Column Women’s Leadership Group Meeting TodayAll military female service members are encouraged to

attend the Women’s Leadership Group meeting today at 10a.m. in Building 5, fourth floor, Rm. 4008. The group is de-signed to foster education, career development, and pro-vide networking and mentoring opportunities. For moreinformation, call HMC Timika Figgs at (301) 295-8188 [email protected] or SHC (SW/AW) CharlotteGee at (301) 295-5161 or [email protected].

Performance and Resilience Enhancement WorkshopA Performance and Resilience Enhancement

Workshop will be held today, from 8 a.m. to 4 p.m., tohelp all staff and health care providers reach their po-tential, as well as lower stress and compassion fatigue.The workshop, open to all military and civilians, will beheld in Building 5, Rm. 4028, and is part of theComprehensive Soldier Fitness program, designed tobuild and strengthen confidence, goal setting, attentioncontrol, energy management and integrate imagery. Toreserve a seat, contact Danielle Miller at either (571)231-5262, or [email protected].

Prostate Cancer Support GroupThe Walter Reed National Military Medical Center

Prostate Cancer Support Group will meet on May 31 at 7p.m. in the River Conference Room, on the third floor of theAmerica Building 19 adjacent to the Center for ProstateDisease Research. Dr. George K. Philips, of the LombardiComprehensive Cancer Center at Georgetown UniversityHospital, is scheduled to speak on "The Role of ActiveSurveillance in Dealing with Prostate Cancer." For moreinformation, contact Vin McDonald at (703) 643-2658, [email protected].

Weight Management WorkshopThe Department of Defense Weight Management

Workshop, Ship Shape, will hold sessions at Walter ReedBethesda through July 10.The program is designed to helpactive duty service members and beneficiaries live healthylifestyles and maintain healthy body compositions. Pleasecontact Maj. Michelle Mardock, the program facilitator, at(301) 295-4065 to enroll in the Outpatient ClinicalNutrition Services.

Bethesda NotebookBethesda Notebook

For most, Memorial Daymarks the beginning of sum-mer, but for those who havemade the ultimate sacrifice, itis a time for tribute.

Since May 1868, threeyears after the Civil War, ithas been a time-honored tra-dition to express our utmostappreciation for our Nation’sfine men and women whohave donned the cloth of ourNation.

A time to honor our coura-geous men and women, whoheroically served and arevaliantly serving, each day,putting themselves in harm’sway to ensure freedom re-mains intact.

This noble group deservesall of the praise your heart canpour upon them. So as youhoist your flags in front ofyour homes and participate inthis grand holiday, I ask thatyou take a few moments to re-flect upon the freedoms we en-joy.

In the coming weeks as thisholiday becomes a memory oftime spent with friends andloved ones, please reserve aspot in your heart for thosewho have fallen and remem-ber their fearless sacrifice.

As you are well aware, as afamily it’s never easy to lose amember; therefore, I mustalso encourage you to respectthis time of year as it is a timefor high risk summer activi-ties.

Be it going out for a routinemotorcycle ride, scuba diving,hang gliding, a boat ride or theharmless barbecue, please

place safety at the forefront.There are countless stories

of preventable accidents. Ifjust a few moments had beentaken to consider risk in-volved, accidents would havebeen prevented.

I urge you when planningthat extended drive to includerest stops; when going for aswim keep an eye out for thosewho may have limited skills,and most importantly, if youchoose to drink, please do soresponsibly.

You are part of the Nation’sMedical Center, with count-less individuals relying on youfor the excellent service youprovide day in and day out.Your dedication to quality ofcare is unrivaled, so again, Isay, “Thank You,” for all you doand I wish you a happy, fun-filled, safe summer.

Commander SendsRear Adm. Alton L. StocksMC, USNWalter Reed NationalMilitary Medical Center

The Journal Thursday, May 24, 2012 3Thursday, May 24, 2012 3

By Mass Communication Specialist 3rdClass Nathan Parde

NSAB Public Affairs staff writer

To celebrate “Spouse Appreciation Month,” theNaval Support Activity Bethesda (NSAB) Fleetand Family Support Center (FFSC) sponsored anice-cream social yesterday.

“The ice cream social [was] just to show ourappreciation and give military spouses a chanceto meet and connect with others, building uppartnerships and relationships,” said CarolynCraig-Sprow, the Family Employment Readi-ness Program (FERP) manager at NSAB’sFFSC.

Craig-Sprow recently attended the Depart-ment of Defense Military Spouse EmploymentPartnership (MSEP) Induction Ceremony at thePentagon, where 34 new companies committedto the partnership program.

Launched by Dr. Jill Biden, wife of Vice Pres-ident Joe Biden, on June 29, 2011, MSEP servesspouses from all military branches. As Bidensaid in her remarks at the launch, “The fact is,if you’re looking for hard-working, highlyskilled, educated and dedicated employees, ourmilitary spouses are precisely the employeesyou need.”

The partnership program aims to increaseemployment opportunities for military spouses,assist them as they relocate, and support payequality for military spouses equivalent to theirlevel of training, work experience and creden-tials.

“It is a great program, and is doing a lot formilitary spouses,” said Craig-Sprow. “As aspouse of a Vietnam veteran, I appreciate whatthey do. Even though military spouses are notdirectly in the service, we share many of the re-sponsibilities that come with the service. Weknow how to face challenges and come togetheras a team to meet those challenges.”

Craig-Sprow said FFSC has many programsand resources that can help military spouses tofind employment and educational opportunities.

“They deserve the same time, education, andopportunities as everybody else. I encouragemilitary spouses to seek every opportunity outthere that is available to them,” she said.

When a spouse comes to her for assistance,

Craig-Sprow said she likes to sit down for an in-formal interview and find out where they are atnow and where they are headed.

“The first thing that we discuss is education,and how I can help,” said Craig-Sprow. “Thereare more than 50 scholarships that are availablehere for military spouses. Examples of thesescholarships include Air Force Aid scholarships,the Army Scholarship Foundation, and the Sa-ban Military Wife Educational Scholarship.”

The Saban Military Wife Educational Schol-arship 2012 is offered to wives of uniformedservice members who have been accepted forregistration by a vocational school in one of therequired medical fields and are an active volun-teer in their community. This year, they are of-fering 22 scholarships that total $237,500 inawards.

As FERP manager at NSAB,Craig-Sprow organ-izes classes that assist the transitioning militaryspouse.

“We have regular classes that teach how tofile unemployment, find jobs, build a resumeand develop interview skills,” said Craig-Sprow.“These are tools that will help military spouseto look ahead and build a future that is basedon more than just a job.”

For more information on the MSEP programand partners and to apply for future opportuni-ties, visit www.msepjobs.com. More informationon the Saban Military Wife Educational Schol-arship can be found at the Operation Homefrontwebsite, www.operationhomefront.net/scholar-ship.

For more information about the servicesFFSC offers military spouses, contact Craig-Sprow at [email protected] or(301) 400-2397.

Ice Cream Ice Cream Everyone Screams for Ice Cream!

FFSC shares sweets and scholarship information for Spouses

By Helen HocknellNSAB Public Affairs

staff writer

Peak moving season is upon us, and the Fleetand Family Support Center (FFSC) at NavalSupport Activity Bethesda (NSAB) is offering anew course to assist military personnel and theirfamilies preparing for a Permanent Change ofStation (PCS).

“Relocating and starting a new job are two ofthe most stressful things you can do in your life.In the military, we do both simultaneously everycouple years,” said Frederick G. Sherris, reloca-tion coordinator with the FFSC.

Relocating, transferring, or “PCS’ing” as it’scommonly referred to – can be a complex and of-ten frustrating process. It involves filling out aseries of forms in order to ship household goods,transport vehicles and register them in a newstate or country. The paperwork for moving abeloved pet overseas can also be a real headache.

Together with Christina Kennedy and KristyWickens of Naval Supply Command, Sherris

runs the PCS Workshop for the “HouseholdGoods” office, walking service members througheach step of completing the move process.

“Most branches of the military expect peopleto do this on their own, but we felt we couldmake the process a lot easier,” said Wickens. Inaddition to hands-on instruction, each partici-pant receives a packet of information specific totheir new station, including details about the lo-cal school system, housing costs, climate andtransportation systems.

“Moving is challenging, and so many peoplewere having difficulty navigating the system ontheir own. We designed a workshop to alleviateas much of that stress as possible,” explainedSherris.

“This class is a godsend,” said Culinary Spe-cialist 2nd Class Phillip Harrison, transferringin July to Key West, Fla. This is Harrison’s firstoff-base move since 2004, and he says he’d havebeen overwhelmed by the paperwork if not forthe workshop. “This has been very, very helpful– I’m so glad I signed up,” he added.

The popularity of the course has grown since

its inception earlier this year. As of last Friday,FFSC held 28 classes, helping nearly 100 mili-tary personnel prepare for relocations.

“We had the first classes in February, justonce a week, but in April things started speedingup as more people heard about it and werepreparing for a PCS. By May, we were doing itevery day, Monday through Friday,” said Sherris.

Sherris, a retired Navy command masterchief, said he wishes they’d had this kind ofhands-on workshop available during his manyrelocations.

“Every time I got orders, I’d go back to myspouse and she’d ask me two things: ‘where arewe going and what are the schools like?’ – I couldalways tell her where we were going, but couldn’ttell her much about the place or anything aboutthe schools there,” said Sherris. “With this class,you’ll be able to answer those kinds of ques-tions.”

The PCS Workshop is offered Mondaythrough Friday, 9 – 11 a.m. in Building 11. Formore information, call the FFSC at (301) 319-4087.

PCS workshop takes sting out of relocating

Photo by Mass Communication Specialist 3rd Class Nathan Parde

Military spouses Brittney Cipolla, left, andMarissaWallace enjoy an afternoon treat atan ice cream social, sponsored by the NavalSupport Activity Bethesda Fleet and FamilySupport Center yesterday.


By Bernard S. LittleJournal staff writer

During a five-day period in March,Rear Adm. Alton L. Stocks, WalterReed National Military Medical Cen-ter (WRNMMC) commander, took afirst-hand look at the medical evacu-ation (medevac) process -- from theGermany arrival of injured servicemembers from the battlefield, to theirstateside destination at WRNMMC.

Stocks, a pediatrician, medevacedpediatric patients from Europe to theU.S. when he was stationed in Italyfrom 2000 to 2003. His March visit toGermany along with senior membersof the WRNMMC medical staff re-sponsible for the care of woundedwarriors and their families, was thefirst time he reviewed the medevacprocess since he assumed commandof WRNMMC, the world’s largest mil-itary hospital, in September.

Stocks and the command teamtraveled to Germany on March 25,and flew on the medevac flight backto the U.S. with the wounded war-riors on March 30. He explained histrip to Germany, and the subsequentmedevac flight, were “to buildbridges” with the commands at Land-

stuhl Regional Medical Center(LRMC), home to the Deployed War-rior Medical Management Center(DWMMC), and the ContingencyAeromedical Staging Facility (CASF),located at Ramstein Air Base. All ofthe facilities help support the recov-ery and recuperation of woundedwarriors, Stocks added.

“The DWMMC is the eyes and earsfor LRMC,” explained Navy Capt.Thomas Craig, incoming director ofthe Warrior Family Coordination Cell(WFCC) at WRNMMC and a mem-ber of the Walter Reed Bethesda staffwho reviewed the medevac process.He explained the DWMMC is the co-ordination point of contact for theU.S. Transportation Command (US-TRANSCOM), which includes theTheater Patient Movement Require-ments Center (TPMRC) and GlobalPatient Movement RequirementsCenter (GPMRC) to medically evacu-ate patients from in theater.

“DWMMC is alerted when a pa-tient is inbound from theater, and an-nounces that information to the teamof physicians that will have the skillset to handle that particular type of

WRNMMC Commander Builds Bridges with Medevac Flight

photo by Bernard S. Little

Rear Adm. Alton L. Stocks, commander of Walter Reed NationalMilitary Medical Center (WRNMMC), Navy Capt. David A. Bitonti,assistant to the WRNMMC commander, and Cmdr. Carlos Ro-driguez, incoming chief of trauma at WRNMMC, observe the ar-rival of wounded warriors toWalter Reed Bethesda from Germany.Stocks and senior members of theWRNMMC medical staff recent-ly took a first-hand look at the medical evacuation (medevac)process -- from the Germany arrival of service members injuredon the battlefield, to their stateside destination at WRNMMC.See MEDEVAC page 8

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The Journal Thursday, May 24, 2012 5

By Bernard S. LittleJournal staff writer

In September 2010, a gunman, up-set over news regarding his mother’smedical condition, opened fire insideBaltimore’s Johns Hopkins Hospital.After wounding a doctor, the gunmanentered his mother’s hospital room,shot and killed her, before taking hisown life.

Following that shooting at JohnsHopkins, the command at WalterReed National Military Medical Cen-ter (WRNMMC) in collaboration withNaval Support Activity Bethesda(NSAB) “spearheaded a very detailedand comprehensive training and ex-ercise plan” for an active shooter in-cident, said Christopher Gillette,service chief of Emergency Manage-ment at WRNMMC.

That 18-month training and exer-cise plan will be put to the test onJune 14 when WRNMMC conductsits first medical center-wide CodeWhite response drill.

Melissa H. Knapp, program man-ager for Emergency Management,Plans, Training and Exercises atWRNMMC, explained individual ar-eas and departments at Walter ReedBethesda have conducted CodeWhite training and drills since theJohn Hopkins shooting. This will bethe first for the entire medical center,

and NSAB will provide support.Knapp said a small part of the

June 14 exercise will include a CodeGreen (mass casualty) response drillfollowing the Code White drill. Sheadded that Code Green drills are con-ducted quarterly at the hospital. Thefrequency of hospital-wide CodeWhite drills is contingent upon theoutcome of the June 14 exercise,Gillette said. He added throughoutthe year, quarterly Code White train-ing in individual areas throughoutthe hospital will continue.

The June 14 exercise is scheduledto occur during normal working hoursand will impact all personnel, includ-ing patients, visitors and staff, withinthe medical center buildings, Gillettesaid. Knapp added the exercise willnot affect people entering or exitingthe installation, and staff membersare encouraged to let visitors and pa-tients know this is an exercise.

The Code White exercise is slatedto last no longer than 15 minutes,Gillette said. There should be nomovement throughout the hospitalduring that time, and all staff and de-partments should “shelter-in-place,”he added.Visitors will be asked to re-main where they are, or may be es-corted to a secure location. Staff, pa-tients and visitors attempting to en-ter the hospital during the exercisewill be asked to remain where they

are until the facility is secured.“We hope staff will be able to im-

plement what we’ve been trainingthem to do,” Gillette said. “We hopeall of the staff can get notificationthat there is an active shooter some-where on our campus or within ourhospital, staff can quickly implementtheir plans and policies to shelter-in-place and most importantly, includeour customers, patients and visitorsto take care of their safety and secu-rity just as they would take care oftheir own.”

Knapp encouraged staff to reviewthe orange emergency guide book intheir areas. The book includes CodeWhite shelter-in-place procedures,such as: moving all personnel and vis-itors from lobbies and general waitingareas into interior spaces; assigningpatient-care providers to rooms basedon patient acuity level; closing alldoors and locking and/or barricadingthem when possible; turning off alllights, closing blinds, and turning offcomputer screens; silencing cellphones; dispersing personnel as muchas possible so they are not huddled to-gether; and remaining hidden untilthe all clear is given.

She added that during the CodeWhite drill, the only people whoshould be seen are the 200-plus eval-uators and controllers for the exer-cise. “They want to see staff protect-

ing patients and visitors. They wantto see communications from staff tocustomers concerning the emergency.They want to see that doors areclosed, people are hiding, it’s quiet,and the hospital appears as if it hasshut down,” she explained.

Gillette called the evaluators andcontrollers, “the eyes and ears for theexercise,” to obtain measurable datato reevaluate the effectiveness ofplans. He added on an average daythere are about 7,000 staff memberson base, and about 80,000 hospitalvisits per month, which makes for“quite a few people here on an aver-age day, and our goal is to make surethose basic shelter-in-place measuresare taken. We hope that our traininghas been very effective.

“We need to be prepared and getthe word ‘exercise’ out of our vocabu-lary,” Gillette said. “Terrorists and ac-tive shooters don’t believe in the ‘call-ahead policy.’ They are not going tocall us and ask, ‘Is it convenient forme to show up,’ so staff has to con-stantly be prepared. [The exercise]may inconvenience our staff, patientsand business operations, but it’s forthe safety and security of the entirestaff and patient population.”

For more information about theCode White exercise, call Christo-pher Gillette at (301) 295-3115 orMelissa Knapp at (301) 319-4906.

Thursday, May 24, 2012 5

Medical Center to Conduct Response Drill

By Helen HocknellNSAB Public Affairs

staff writer

More than 200 uniformedand civilian medical profes-sionals and scientists re-ceived degrees at the 33rdcommencement exercise forthe Uniformed Services Uni-versity of the Health Sci-ences (USUHS) at Daugh-ters of the American Revolu-tion Constitution Hall inWashington, D.C. Saturday.

“It is the university’s dutyto not only educate physi-cians, nurses and scientistsand to produce uniformed of-ficers and leaders, but also tohelp forge outstanding hu-man beings – men andwomen of integrity, compas-sion, and loyalty to the val-ues that make our countrygreat,” said USUHS Presi-dent Dr. Charles L. Rice. “I’mconfident that each of thesegraduates has met thesegoals. They have chosen thepath of public service and arededicating their life’s work tothe greater good. It is both anawesome and a noble choice;one that demands humility

and sacrifice, but brings un-told rewards.”

Degrees awarded duringthe ceremony included 158Doctor of Medicine degrees,55 Biomedical Sciencesgraduate degrees, 35 Masterof Science degrees, and sixDoctor of Philosophy de-grees.

Lt. Gen. (Dr.) Charles B.Green, the United States AirForce Surgeon General de-livered the commencementaddress, emphasizing theimportance of three core ar-eas: jobs, people and learn-ing.

“The most important jobyou’ll have is the one you’rein… and the patient in frontof you is the most importantone you’ll treat,” said Green.He noted that althoughgraduates should feel proudof all they’d accomplished sofar, they should not think ofthis as the end of their for-mal education.

“The reality of a success-ful residency is teaching doc-tors how much they don’tknow,” said Green, citingcoups and volcanic eruptionsas great learning experi-

ences of his career.An expertin disaster relief operations,Green planned and led hu-manitarian relief efforts insupport of Operation FieryVigil following the 1991eruption of Mount Pinatuboin the Philippines.

Air Force Capt. Mark Ch-eney, who just received hismedical degree, said he is ex-cited for the future as heprepares to report to SanAntonio Military MedicalCenter in Texas.

“I know my classmatesand I are all very apprecia-tive of the faculty, family,friends, and others who sup-ported us during our time atUSUHS,” said Cheney. Oth-er graduates are headed tolocations as far-ranging asFlorida, Mississippi andHawaii.

Lt. Cmdr. Chris S. Martin,USUHS Chaplain, deliveredthe invocation, giving specialthanks for the family andfriends assembled. Martinblessed the graduates asthey began their life-longwork as “healers, comforters,providers, listeners and ex-plorers.”

“May they never stoplearning, but always be stu-dious. To lead as wise andcompassionate military offi-

cers, and to always strive forthe best, caring for thosewho go in harm’s way,” saidMartin.


Graduates embark on next stage of 'Caring for Those in Harm's Way'

by Helen Hocknell

Graduates of the F. Edward Herbert School of Medi-cine recite the Hippocratic Oath at the UniformedServices University of the Health Sciences 2012Commencement Exercise at DAR Constitution Hallin Washington, D.C. on May 19.After receiving theirDoctor of Medicine degrees, graduates changed intotheir military uniforms and returned to the hall totake their respective service oaths of office.To learnmore about USUHS, please visit: www.usuhs.mil.Toview photos and video clips from Saturday’s com-mencement ceremony please visit the Naval SupportActivity Bethesda facebook page at: www.facebook.com/NSABethesda.

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This article is one in a series ofstories highlighting individuals whomake a positive difference at WalterReed National Military MedicalCenter.

By Sharon TaylorJournal staff writer

When patients see Tim Keilly forshoe inserts or a wrist brace atWalter Reed Bethesda, it may ap-pear as if he’s known them all hislife.

Keilly is an orthotist, a health-care professional who customizesorthopedic braces.

“Tim is like an old-fashionedfamily doctor — the kind that madehouse calls,” explained DavidLaufer, service chief for the Orthot-ic and Prosthetic Service in the De-partment of Orthopedics and Reha-bilitation at Walter Reed NationalMilitary Medical Center (WRN-MMC). Laufer has worked withKeilly for more than 15 years. “Heis good at making patients comfort-able, he connects with his patientsand builds good relationships,”Laufer said.

The good-natured Keilly ex-plained his ability to speak and re-late to people from all walks of life,and recalled a woman who came in

for wrist splints after typing formany years. It appeared they hadnothing in common.

“We got to talking. I was only in

there for 10 minutes but we werelike best friends when I left. It’samazing,” Keilly said. “Every pa-tient is different…I just start talk-ing,” he laughs.

“When I talk to them, it opensthem up,” Keilly said. “You getalong with people better and thenthey open up to you.”

Orthotist Sharon Wagner calledher colleague, “a throwback to an-other era.” The 62-year-old Keillyhas seen more than five decades ofwound-care, and spent more than40 years in the field of orthotics. Hefirst served as a corpsman at Na-tional Naval Medical Center(NNMC) in 1971, on active dutyduring Vietnam. He worked onWard 6C, neurosurgery and minorplastics, providing care for servicemembers wounded in war. Later, hebegan a four-year apprenticeship ata Silver Spring, Md., brace shopwhere he honed his skills for 15years before joining the staff atWalter Reed Army Medical Center(WRAMC) in 1988. There heworked for nearly 25 years until


Spotlight on Faces of Walter Reed Bethesda

Home-spun Conversation Connects With Patients

Photo by Sharon Renee Taylor.

Orthotist Tim Keily examines a leg cast in the Orthotic and Pros-thetic Service of the Department of Orthopedics and Rehabilita-tion at Walter Reed National Military Medical Center. Keily hasspent more than 25 years making braces and supports for the na-tion's military.

See PATIENTS page 9

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8 Thursday, May 24, 2012 The Journal8 Thursday, May 24, 2012

By Bernard LittleJournal staff writer

When the dust settled following agrueling 12-mile road march theywere required to complete in threehours with a M16 rifle and more than30 pounds of other standard combatfield equipment in tow, four Soldiersfrom Walter Reed National MilitaryMedical Center (WRNMMC) wereamong 21 who earned the coveted Ex-pert Field Medical Badge (EFMB) lastmonth in New Jersey.

More than 100 service members be-gan the arduous quest to earn theEFMB on April 17 at Joint BaseMcGuire-Dix-Lakehurst, N.J. The 21candidates who met their goal andwere pinned with the EFMB on April29 by Brig. Gen. Joseph Caravalho,commanding general of the U.S.Army’s Northern Regional MedicalCommander (NRMC), included fromWRNMMC, Lt. Col. Maureen Pe-tersen, Capt. David Boland, 2nd Lt.Micah Krishnan and Sgt. FranciscoLopez.

“I am super excited about earningthe EFMB,” said Lopez. “I took a lot oftime to prepare for testing and badlywanted to earn it.”

Krishnan agreed. “EFMB is some-thing I’ve had in my sights on since theday I entered the medical side of theArmy. I heard it was hard, and I’ve al-ways enjoyed a good challenge, sowhen EFMB came up I jumped at it,”he said.

The EFMB is a U.S. Army decora-tion created in 1965 as the non-combatequivalent to the Combat MedicalBadge. It is awarded to U.S. militarymedical personnel who successfullycomplete written and performancetests proving their field medical capa-bilities. The written test includes 60questions requiring a score of 75 per-cent to pass,and the performance por-tion of the EFMB includes the ArmyPhysical Fitness Test, weapons quali-fication, land navigation, tactical com-bat casualty care tasks, CPR certifica-tion, medical and casualty evacuationtasks, warrior skills tasks, communi-

cations tasks, and the forced roadmarch.

According to the U.S.Army MedicalDepartment (AMEDD) Center andSchool at Fort Sam Houston, Texas,which oversees EFMB testing, passrate for the badge averages approxi-mately 15 percent,which makes it oneof the most difficult and prestigiousArmy skills badges to earn.

“The EFMB testing is intended torecognize military medical personnelwho maintain a high degree of profes-sional skills and proficiency as medicalproviders on the battlefield,” said Maj.Dominick Ivener, executive officer,Troop Command, U.S.Army Element,at WRNMMC.

“This year, the [NRMC] opened test-ing to Army, Navy and Air Force can-didates from the Joint Task Force Na-tional Capital Medical Region (JTFCapMed),” Ivener continued. “WRN-MMC sent 10 personnel to test andfour successfully completed the testingand received the EFMB; the highest

pass rate of any unit that attended.”Other candidates for the EFMB

came from units throughout theNRMC, which includes military med-ical facilities on the east coast fromMaine to South Carolina, as well asfrom the Atlantic Coast west to Wis-consin. Overall, 150 military person-nel, in addition to the EFMB competi-tors, were involved with lanes prepa-ration, mentoring, grading, and tech-nical support for the testing.

According to evaluators who over-see EFMB testing, what gets many ofthe candidates is their level of atten-tion to detail. The evaluators ex-plained that on the real battlefield,service members know there is limitedtime to think about how to save a lifeand their training must take over.Thisis what the EFMB is designed to do,and what has saved numerous lives onthe battlefield. When wounded war-riors see the badge on their medic, theyknow they are in good hands, accord-ing to AMEDD officials.

Both Krishnan and Lopez saidpreparation was key to earning thebadge. “WRNMMC had three monthsto train up,” Krishnan explained.“Every week we spent a day rucking[marching in gear] in the morning, af-ter which we would study and practice.We also got out and spent some timeon a land navigation course, as well asspent an entire day running through amock EFMB.”

“This training really helped us getfamiliar with the tasks and set us upfor success,” Lopez added. “If you areserious about earning the EFMB, youneed to take the time to prepare,studyand practice.”

“You’ve got to live, eat and breathEFMB,” Krishnan added. “Makefriends and build your team. Thebadge is given to individuals, but it’syour team that gets you there.We hadan excellent team and I think itshowed with the number of badges webrought back.”

Both Soldiers credited EFMB train-ers at WRNMMC, who included StaffSgt. Omar Anderson, Sgt. Gene Brit-ton and Sgt. John Harr, for helpingthem earn the EFMB. “They spentcountless hours training us to suc-ceed,” Lopez said. “I attribute our[WRNMMC] 40 percent pass, morethan double the normal pass rate forthe EFMB, to these Soldiers and theirwork,” Krishnan added.

During the graduation ceremony forthose who successfully completed theweek-long testing,Caravalho congrat-ulated all the Soldiers bearing thebadge that is recognized the worldover--"the Army's Expert Field Med-ical Badge," he said.

"But the 90-plus individuals who[did not earn the badge] need to becommended for their courage, too.They stepped up to the line and tookon the challenge. It may not have beentheir day, but I can assure you thatsometime soon they will take on thischallenge again and continue to strivefor this badge," Caravalho added.

Editor’s note: David Moore, U.S.Army Support Activity - Fort Dix, N.J.,contributed to this article.

Four Walter Reed Bethesda Soldiers Earn Expert Field Medical Badge

courtesy photo

Army Lt. Col. Maureen Petersen, from Walter Reed National Mili-tary Medical Center, prepares a casualty to be extricated from avehicle during testing for the Expert Field Medical Badge at JointBase McGuire-Dix-Lakehurst, N.J.

injury,” Craig explained. “Upon ar-rival at LRMC, the patient is whiskedup to the intensive care unit wardarea and the teams that were alertedhours to days before meet the patient.”

A patient will not be moved on amedevac unless he or she is stable,Craig said. For instance, if a warriorneeds surgery to control internalbleeding, the patient will not bemoved, he explained.

The CASF at Ramstein is responsi-ble for the safe movement of woundedwarriors between medical facilities.

“TheAir Force has regularly sched-uled flights, [and] with three flightsper week, a patient may wait two orthree days max, unless the patientneeds stabilizing surgery,” Craig said.He added preparing wounded war-riors for transport back to the U.S. is“custom tailored to the medical needsof the patient to ensure safe, stabletransport. [For example], if the patienthas pulmonary contusion and has ahard time getting oxygen into theblood system, then the patient mayneed O2 supplement; if the patienthas an infection, then the patient willneed intravenous antibiotics,” he said.

Wounded warriors destined forWRNMMC from Germany generallyarrive at Joint Base Andrews, Md., ona C-17 flight usually lasting about 11

to 12 hours.The WRNMMC command team

praised the teamwork between theArmy, Navy and Air Force in the careand transportation of wounded war-riors during the medevac process.Navy Capt. Christine Sears, execu-tive assistant and part of the WRN-MMC team that reviewed the mede-vac process, described the care ofwounded warriors at Landstuhl andduring the evacuation flight as “out-standing. All the coordination be-tween the medical care and the serv-ices is amazing,” she added.

Care provided by the Critical CareAugmentation Team (CCAT) on theflight was “impressive,” according toStocks and Sears.The CCAT includesdoctors,nurses, technicians and corps-

men trained to treat patients suffer-ing from the most severe injurieswhile being transported betweenmedical facilities.

Once wounded warriors andStocks arrived at Joint Base An-drews, Md., the WRNMMC com-mander accompanied the woundedon the final leg of their journey hereto “the Nation’s Medical Center”(WRNMMC) in the Patient Evacua-tion Vehicle (PEV). The 40-foot-longPEV, staffed with specialized medicalpersonnel, is equipped with state-of-the-art medical systems and suppliesto provide the best care to patientsduring the 30 to 40 minute drivefrom the runways of Andrews toWRNMMC.

MEDEVACMEDEVACContinued from 4


By Sarah MarshallJournal staff writer

Like many wounded warriors in recovery atWalter Reed Bethesda, Marine Cpl. ChrisBrown likes keeping in touch with his friendsand family back home, and thanks to assistivetechnology, he can do so easily - and independ-ently.

Brown has been a patient at the medical cen-ter since Dec. 19, 2011, just six days after he wasinjured in Afghanistan by an IED, whichclaimed both his legs and his right index finger.Upon arrival, his mobility was highly limited.According to Brown, he could barely sit up, letalone call his loved ones to let them know hewas going to pull through. To help keep hisphone at reach, and without relying on others tobring it to him, an assistive technology special-ist, Mark Lindholm, mounted a robot-lookingarm onto Brown's hospital bed, holding thephone conveniently at Brown's side.

Over the last two years, Lindholm has workedin Occupational Therapy at the medical center,using assistive technology - fabricating andadapting equipment, tools and technology tohelp patients improve their functional capabili-ties.

After customizing a devise for Brown's phone,Lindholm then attached another similar deviceto the wounded warrior's bed for his computertablet, on which the Marine can watch movies,access his social networking sites, and most im-portantly to Brown, catch up with his lovedones.

"[These modifications] made things a lot eas-ier for me because everything is hands-free,"said Brown. "I don't have to hold up [my com-puter] to watch a movie. [I can] contact myfriends and say, 'Hey, I'm OK,' and don't have tohave someone reach [the phone] for me."

At one point, Brown told Lindholm he alsomissed his music, and so Lindholm rigged asmall set of speakers to the top of his bed, givinghim the feel of "surround sound," Brown ex-plained.

"I got my own entertainment center on mybed," he said with a smile.

Brown's mom, Lynne, agreed these smallchanges have made "a world of difference." Sherecalled their hometown, Munford, Tenn., organ-izing a motorcycle ride in March to help raisefunds for her son - and he could watch the entireride from his computer without any strain. See-ing the outpouring support from his communitygoes a long way in his recovery, she said.

Expressing his appreciation for Lindholm'stalents, Brown noted the independence he hasgained and the impact this will have on histransition, as he prepares to move this month tothe wounded warrior barracks on base. "Peopleuse their talents to help others, and this is[Mark's] way of helping. He has a very uniquemind and way of figuring [things] out ... It's ablessing to me," Brown said.

Lindholm said he can't take all the credit - it'sa team effort. Assistive technology specialistswork in other areas of the medical center aswell. In the outpatient setting, they help pa-tients improve their basic living functions, andat the National Intrepid Center of Excellence,

they work with patients with traumatic braininjuries (TBI) to help improve their cognitivecomprehension, he said. What Lindholm mostenjoys about working in the inpatient setting,he added, is watching patients progress, andseeing the technology give them hope for abrighter future.

"Initially, it's pretty dark," he said. "This isjust one little part, accessing a computer, [for ex-ample]."

In addition to smart phones and tablets, Lind-holm has also helped set up "switches," allowingpatients to change the volume and channels ontheir TV, simply by tapping a lever with their el-bow, which is especially helpful when they aren'table to use their hands. He has also set upspeech recognition equipment to help patientsuse their computers, and has set up a device al-lowing patients to move their computer mouse,simply with their head movement.

Lindholm explained how he creates thesemechanisms, which he likened to 'erector sets.'He spends a lot of time experimenting, strategi-cally piecing together nuts and bolts to figureout what will work best for each individual andwhere they are in their rehabilitation.

"He is just amazing at fabricating or alteringdevices," said Matt Dodson, TBI OccupationalTherapy supervisor. "His ability to make every-day items, like TV remotes, accessible and read-ily available to the patients makes an incredibledifference in their quality of life."

Dodson noted the assistive technology hasalso had a noticeable impact on getting patientsmore engaged in their treatment. "[This] has acarry-over effect into their entire health and re-habilitation."

Stephanie Johnson, inpatient OccupationalTherapy supervisor, echoed the same sentiment.She explained, when a patient arrives at themedical center, it can be challenging to see be-yond what they've lost, but with assistive tech-nology, she said, they can see the light at the endof the tunnel.

"Mark's giving [patients] access when they haveno access," said Johnson. "It truly is being able tosee them little by little gain their independence,and that's what our profession focuses on."

Assistive Technology Gives Troops Independence, Hope

photo by Sarah Marshall

Walter Reed Bethesda's AssistiveTechnolo-gy Specialist Mark Lindholm, right, recentlymounted a smart phone and tablet holderto Marine Cpl. Chris Brown's hospital bed.The patient, injured in December 2011 byan IED blast, feels a greater sense of inde-pendence and hope, thanks to Lindhhom'sadaptations.

others who might not have collateral duties," saidWilson.

Although participating in a rigorous course withextensive training, Hospital Corpsman 3rd ClassBenjamin Billingsley found the class to be fun andeducational while gaining a lot of experience.

"My favorite part of the course was tacticalteam movements – going through the buildingand clearing rooms as a team, learning the handmotions and learning how to take down suspects,"said Billingsley. "Anyone who gets the opportuni-ty, I highly recommend it, especially if they havean interest in law enforcement and security. It'svery rewarding and one of the best command du-ties to have.”

Service members interested in joining ASF cancontact the security training department at (301)319-8301.

ASFASFContinued from 1

the hospital integrated with NNMC to formWRNMMC last fall. Keilly said it was “nice toreturn home,” to Walter Reed Bethesda.

“He’s seen it all,” said Tim Hamilton, Keil-ly’s supervisor, who has worked with the certi-fied orthotist for more than 23 years, sincetheir days at WRAMC. Hamilton said their di-verse patient population — from pediatrics togeriatrics, wounded warriors, stroke victims,and many others — requires non-traditionalbraces. “Tim is good with thinking out of thebox and coming up with different things tohelp some of these [service members],” Hamil-ton said.

Retired Hospital Corpsman 3rd Class Ed-ward A. Bonsiglio sustained a gunshot injuryto his left leg Aug. 10, 2009, during a deploy-

ment in Afghanistan. The bullet hit his sciaticnerve, causing numbness and severe foot drop,unable to move his foot, or wiggle his toes.Keilly adjusted his leg brace and provided or-thotics.

“If I had any questions that needed an an-swer, he would answer them right away,” saidBonsiglio, who explained the orthotist makeshim very comfortable. He can count on Keillyfor a ‘hello,’ a chat, and to ask how things aregoing. “He’s very easy to work with,” Bonsigliosaid.

Hamilton called Keilly both attentive and agood listener, but said “dependable” is the wordthat best describes him. “Through all theyears, that’s comforting, [when] you havecoworkers [who] you can depend on, [who are]going to show up to work and do the work at ahigh level.”

Keilly said medicine is an art. “I like it andI’m good at what I do.”

PATIENTSPATIENTSContinued from 7


Bike To Work Day 2012

Photo by Mass Communication Specialist Seaman Dion Dawson

Naval Support Activity Bethesda (NSAB) Police OfficerAlphonso Moore keeps traffic moving Friday during Bike ToWork Day 2012.More than 155 base staff members participat-ed in Bike To Work Day. NSAB's Morale,Welfare and Recre-ation provided participants with refreshments andT-shirts afterarriving and passing through base security.

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partment will have fire extinguisher training. Pre-ventive Medicine will conduct another heat stresspresentation at 1 p.m. At 2 p.m. NSA BethesdaSafety Office will conclude the Clark Auditoriumlectures with a presentation on Summer Safety.

In Memorial Auditorium on May 30, policefrom Montgomery County will have a presenta-tion at 8 a.m., followed by Steve Verret at 9 a.m.NSAB Fire Department officials discuss firehazards at 10 a.m., and Verret performs againat noon. WRNMMC/NSAB Emergency Manage-ment staff speaks about personal preparednessat 1 p.m., followed by Verret’s last performanceof the day at 2 p.m.

The Green Knights Military Motorcycle Club

and Washington Redskins Cheerleaders are alsoscheduled to attend Summer Safety Day at Wal-ter Reed Bethesda. The Redskin Cheerleadersare slated to lead callisthenic training from11:30 a.m. to 1 p.m. in Bldg. 9 mezzanine center.

Ganz said crash vehicles will also be set up atbase gates for driver awareness and to showpeople the consequences of drinking and driv-ing, as well as distracted driving (texting, speak-ing on the cell phone, eating, drinking, etc.)

“The 101 Critical Days of Summer covers any-thing to do with summer recreation, whetheryou’re dealing with the heat and humidity, bar-becues, fireworks, swimming, boating, water ski-ing, and anything else that’s an outdoor activityconcerning safety issues, among other things,”O’Reilly said. In addition to Summer Safety Day,Ganz said there will be continuous attention giv-en to safety issues throughout the summer.

“We understand everyone can’t go to all the

training and presentations all day on SummerSafety Day, but if some people from a clinic cango to certain events, they can take back whatthey learn and share it with others in their ar-eas,” O’Reilly said.

He added rosters will be available at the eventso those who participate can sign in and get cred-it for their safety training, which will be loggedinto ESAMS (Enterprise Safety ApplicationsManagement System) implemented at WalterReed Bethesda. ESAMS is the system of recordselected by the Bureau of Medicine and Surgery(BUMED) to collect and track safety training,safety inspections and mishap information.

Regarding the Critical Days of Summer, theNaval Safety Center, reports that between Me-morial Day and Labor Day 2011, 16 Sailors and15 Marines lost their lives. One died in an ATVwreck, three drowned, three died during otherrecreational activities, 11 died in cars andtrucks, and 13 died on motorcycles. Motorcyclefatalities increased from six in 2010 to 13 in2011 – more than a 100 percent increase.

According to the U.S. Army Combat Readiness/Safety Center, off-duty fatalities during the monthsbetween April and September have risen nearly 20percent during the past three fiscal years.

The Air Force Safety Center reports that be-tween 2002 and 2011, the Air Force experienced218 fatalities during the Critical Days of Sum-mer (201 off duty and 17 on duty). Service mem-bers are encouraged to access TRiPS (TravelRisk Planning System) through their respectiveservice’s Knowledge Online website before hit-ting the roads for travel this summer. The onlineprogram helps service members recognize andreduce travel risks.

For more information about safety, go to thewebsites for the Naval Safety Center (http://safe-tycenter.navy.mil/), Air Force Safety Center(http://www.afsec.af.mil/), or the U.S.Army Com-bat Readiness/Safety Center (https://safety.army.mil/).

For more information about Summer SafetyDay on May 30 at Walter Reed Bethesda, call SeanP. O’Reilly at (301) 295-6634 or Jim Ganz [email protected].


SUMMERSUMMERContinued from 1

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Naval Support Activity Bethesda (NSAB)mail delivery service will change its street ad-dresses to better adhere to Navy postal deliveryand enhanced emergency response (911) stan-dards to assist overall mail delivery and in re-sponse to emergency calls. The goal of this effortis to improve postal operations on the installa-tion, and bring the installation into compliancewith Navy regulations. They are scheduled tooccur in late 2012.

According to Elizabeth Lusk, a geographicalinformation systems analyst at NSAB, mail op-erations will change when individual facilitiesare provided with their own street address,rather than simply a building number, however,Lusk noted that some facilities on the installa-tion will not be affected.

“These changes will not affect the main hos-pital core of Walter Reed National Military Med-ical Center (Buildings 1-10 and 19), which willkeep 8901 Wisconsin Avenue as its street ad-dress. Additionally, neither the Fisher Housesnor the Flag Housing will be altered as their ad-dresses already conform to Navy standards."The new addressing system is intended to im-prove mail delivery to all facilities across the in-stallation and ensure compliance with Navyregulations,” said Lusk.

Currently, all mail and packages are deliv-ered to the main hospital building, after whichit may be collected by tenant commands andresidents.

In addition to mail delivery, it is often chal-lenging to provide directions to a particularNSAB building without being able to list astreet address. Facilities are not sequentiallynumbered along roadways. The building num-bers reflect the number provided at the end ofconstruction; those numbers are essential forbuilding records, utility costs and future opera-tion and maintenance budgeting. However, theyare not the most helpful for an NSAB visitor.

According to the NSAB Fire Department, theaddress change will also improve emergency re-sponse times.

"The proposed new addressing for the basewill assist our mutual aide partners; Mont-gomery County and the National Institute ofHealth Fire Departments in identifying the lo-cation of the emergency, providing a more rapidresponse time to situations,” said John Gray,Acting Fire Chief at NSAB.

A proposed list of addresses has been provid-ed by NSAB to Naval Supply Systems Com-mand (NAVSUP), the lead activity for the NavyOfficial Mail Program. This draft list is underreview with the United States Postal Service(USPS) and Montgomery County for compliancewith mail delivery standards and regional emer-gency response services.

As the list of addresses is finalized, they canonly go into effect once all facility signs havebeen replaced to reflect the new addresses.Signs may be either building-mounted or beplaced in front of the facility visible from theroad. The current sign design for individual fa-

cilities is under review to add this new informa-tion.

The building numbers for each facility willalso be retained on each facility, as these con-nect to facility maintenance records and associ-ated operations and maintenance funding. Thissystem is similar to other installations withinNaval District Washington.

According to Lusk, those getting a new ad-dress should keep the address changes in mind

as new letterhead, envelopes and business cardsare needed. The NSAB Public Works Depart-ment anticipates the address approval processto be complete by the end of the summer, how-ever, the procurement and installation of newsigns may take several more months.

Information and updates will continue to beprovided as the address change moves forward.Further questions about this change may be ad-dressed to Lusk at 295-5787.

12 Thursday, May 24, 2012

NSAB Prepares for New Addresses

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Period of Performance: Positions are typically Monday - Friday, 7:30 a.m.to 4:30 p.m. Positions start on or about 29 June 2012, or date of awardthrough 28 June 2013.

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The applicants will be evaluated by a technical committee and ranked nu-merically based on their technical qualifications. The Contracting Officerwill then evaluate and negotiate price with the applicable applicant(s) forcontract award.

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Documents

Journal 24 May