8
By Ensign Devon Cassidy, NC Multi-Service Ward Robert E. Bush Naval Hospital T he Navy Nurse Corps was established by Congress on May 13, 1908. At the time, there were only 20 female nurses. These twenty nurses became known as the “Sacred Twenty.” They were the first females to formally serve in the US Navy. At the beginning of World War I, the Nurse Corps grew from 20 to 160 members who not only worked in hospi- tals and clinics on the home- front but were also deployed to overseas military hospitals and with special combat support operating teams. By November 1918 there were 1,550 active duty Navy Nurses. In 1920, Navy Nurses received orders for shipboard positions aboard the USS Relief. During World War II, Navy Nurses who served aboard the USS Solace were responsible for treating casualties from the Japanese attack on Pearl Harbor. By 1945, 11,086 nurses were serv- ing in over 40 Naval Hospitals, 176 Dispensaries and six Hospital Corps Schools. The first Navy Flight nurses served in Iwo Jima and Okinawa during medical evacuation flights in 1945. During the Cold War, Navy Nurses continued to serve aboard the Hospital ships pro- viding care to sailors and marines. After the Cold War, the Nurse Corps took on a new mission to aid in humanitarian relief and disaster support. With the Gulf War in the 1990’s, two hospital ships supported the fleet and fleet hospital facilities ashore. Today, Navy Nurses are deployed all around the world supporting humanitarian relief efforts and combat missions with Fleet Surgical Teams, hos- pital ships, aircraft carriers and boots on the ground with Marine and Army forces. In 1944, Navy Nurses were formally recognized as commis- sioned officers. The Navy Nurses were officially distin- guished as a permanent staff corps in 1947. The first male nurse officer was commissioned in 1964. Today, there are over 4,000 active and reserve Nurse Corps officers serving from Ensign to Rear Admiral. The primary mission of the Nurse Corps today is to provide quality nursing care and promote the health of uniformed personnel and their family members. Nurse Officers today serve in leadership roles, integrating compassion with discipline and preventative health promotion with wartime readiness. T HE E XAMINER Volume 21, No. 5 May 2013 Commanding Officer Naval Hospital Public Affairs Office Box 788250 MAGTFTC Twentynine Palms, CA 92278-8250 Did you know?... Robert E. Bush Naval Hospital “Serving with Pride and Professionalism since 1993” Y ou have the right to express your concerns about patient safety and quality of care. There are several avenues open to you: * Through the ICE website. * The Hospital Customer Relations Officer at 760-830- 2475, or any of the Customer Relations representatives in the Hospital clinics, or directly to the Joint Commission via: E-mail at [email protected] Fax: 630-792-5636 The Joint Commission Oak Renaissance Boulevard Oakbrook Terrace, IL 60181 T o report Fraud, Waste and Abuse contact one of the below offices by calling: Naval Hospital: 760-830-2764 Combat Center: 760-830-7749 NavMedWest: 1-877-479-3832 Medical IG: 1-800-637-6175 DoD IG: 1-800-424-9098 http://www.med.navy.mil/sites/nhtp/pages/default.aspx An Award Winning Publication Patients seen in March -- 13,153 Appointment No Shows in March -- 765 In March we had a 5.5 percent no show rate. We need to keep trending downward by keeping the appointments we make, or by canceling in enough time for someone else to use the slot... To help patients obtain appointments, the Naval Hospital now shows the number of open appointment slots each day on the hospital Facebook site, check it out. To make an appointment call -- 760-830-2752 To cancel an appointment call -- 760-830-2369 The Navy Nurse Corps Celebrates Birthday T RICARE beneficiaries may have noticed new kinds of “Emergency Centers” popping up in their area. It may seem like a tempting health care option but, free-standing emergency rooms (ER) that are not affiliated with a hospital may not be TRI- CARE-authorized. If a provider, such as a free-standing ER, is not authorized then TRI- CARE is prohibited from paying it “facility fees.” That can leave a beneficiary stuck with a big bill. Beneficiaries need to “know before you go.” Check a free-standing ER’s TRICARE status ñ before emergency care is needed. TRICARE defines an emergency department as an organized, hospi- tal-based facility available 24 hours a day providing emergency serv- ices to patients who need immediate medical attention. Emergency departments affiliated with a hospital are most likely TRICARE- authorized providers. Beneficiaries who seek care at a free-standing ER need to ask if the facility is affiliated with a hospital-based emer- gency department. If it isn’t, the beneficiary will need to make a deci- sion about getting care elsewhere or being responsible for the facility charges. Beneficiaries can check if a provider is TRICARE-authorized by calling their regional contractor. Contact information for regional con- tractors is available at www.tricare.mil/contactus. All TRICARE net- work providers are also searchable at www.tricare.mil/findaprovider. Learn more about emergency care under TRICARE at www.tricare.mil/emergency. You may also visit the TRICARE Service Center located in clinic A at the Robert E. Bush Naval Hospital. New Kind of ER May Not be OK’ed Patient Satisfaction Survey Leads to Better Patient Care T he Bureau of Medicine and Surgery (BUMED) Patient Satisfaction Survey is now available in the hospital via comput- er terminal. There are three Survey Stations for your convenience. One is locat- ed on the 3rd deck near the stairs and elevator. Another Survey Station is available in Family Practice area and the third Survey Station is located in the TRICARE lobby. Continued on page 7

The Examiner

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Page 1: The Examiner

By Ensign Devon Cassidy, NCMulti-Service WardRobert E. Bush Naval Hospital

The Navy Nurse Corps wasestablished by Congresson May 13, 1908. At the

time, there were only 20 femalenurses. These twenty nursesbecame known as the “SacredTwenty.” They were the firstfemales to formally serve in theUS Navy. At the beginning ofWorld War I, the Nurse Corpsgrew from 20 to 160 memberswho not only worked in hospi-tals and clinics on the home-front but were also deployed tooverseas military hospitals andwith special combat supportoperating teams. By November1918 there were 1,550 activeduty Navy Nurses.

In 1920, Navy Nurses receivedorders for shipboard positionsaboard the USS Relief. DuringWorld War II, Navy Nurses whoserved aboard the USS Solacewere responsible for treatingcasualties from the Japaneseattack on Pearl Harbor. By1945, 11,086 nurses were serv-

ing in over 40 Naval Hospitals,176 Dispensaries and sixHospital Corps Schools. Thefirst Navy Flight nurses servedin Iwo Jima and Okinawa duringmedical evacuation flights in1945. During the Cold War,Navy Nurses continued to serveaboard the Hospital ships pro-viding care to sailors andmarines.

After the Cold War, the NurseCorps took on a new mission toaid in humanitarian relief anddisaster support. With the GulfWar in the 1990’s, two hospitalships supported the fleet andfleet hospital facilities ashore.Today, Navy Nurses aredeployed all around the worldsupporting humanitarian reliefefforts and combat missionswith Fleet Surgical Teams, hos-pital ships, aircraft carriers andboots on the ground with Marineand Army forces.

In 1944, Navy Nurses wereformally recognized as commis-sioned officers. The NavyNurses were officially distin-guished as a permanent staffcorps in 1947. The first malenurse officer was commissioned

in 1964. Today, there are over4,000 active and reserve NurseCorps officers serving fromEnsign to Rear Admiral. Theprimary mission of the NurseCorps today is to provide qualitynursing care and promote the

health of uniformed personneland their family members.Nurse Officers today serve inleadership roles, integratingcompassion with discipline andpreventative health promotionwith wartime readiness.

THE EXAMINER

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Did you know?...

Robert E. Bush Naval Hospital

“Serving with Pride and Professionalism since 1993”

You have the right toexpress your concernsabout patient safety and

quality of care.There are several avenues opento you:* Through the ICE website.* The Hospital CustomerRelations Officer at 760-830-2475, or any of the CustomerRelations representatives in theHospital clinics, or directly tothe Joint Commission via: E-mail at [email protected]: 630-792-5636

The Joint CommissionOak Renaissance BoulevardOakbrook Terrace, IL 60181

To report Fraud, Waste andAbuse contact one of thebelow offices by calling:

Naval Hospital: 760-830-2764Combat Center: 760-830-7749NavMedWest: 1-877-479-3832Medical IG: 1-800-637-6175DoD IG: 1-800-424-9098

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

An Award Winning Publication

Patients seen in March -- 13,153Appointment No Shows in March -- 765In March we had a 5.5 percent no show rate. We need to keep trendingdownward by keeping the appointments we make, or by canceling in enoughtime for someone else to use the slot...To help patients obtain appointments, the Naval Hospital now shows thenumber of open appointment slots each day on the hospital Facebook site,check it out.

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

The Navy Nurse Corps Celebrates Birthday

TRICARE beneficiaries may have noticed new kinds of“Emergency Centers” popping up in their area. It may seemlike a tempting health care option but, free-standing emergency

rooms (ER) that are not affiliated with a hospital may not be TRI-CARE-authorized.

If a provider, such as a free-standing ER, is not authorized then TRI-CARE is prohibited from paying it “facility fees.” That can leave abeneficiary stuck with a big bill.

Beneficiaries need to “know before you go.” Check a free-standingER’s TRICARE status ñ before emergency care is needed.

TRICARE defines an emergency department as an organized, hospi-tal-based facility available 24 hours a day providing emergency serv-ices to patients who need immediate medical attention. Emergencydepartments affiliated with a hospital are most likely TRICARE-authorized providers. Beneficiaries who seek care at a free-standingER need to ask if the facility is affiliated with a hospital-based emer-gency department. If it isn’t, the beneficiary will need to make a deci-sion about getting care elsewhere or being responsible for the facilitycharges.

Beneficiaries can check if a provider is TRICARE-authorized bycalling their regional contractor. Contact information for regional con-tractors is available at www.tricare.mil/contactus. All TRICARE net-work providers are also searchable at www.tricare.mil/findaprovider.Learn more about emergency care under TRICARE atwww.tricare.mil/emergency. You may also visit the TRICARE ServiceCenter located in clinic A at the Robert E. Bush Naval Hospital.

New Kind of ER May Not be OK’ed

Patient Satisfaction SurveyLeads to Better Patient Care

The Bureau of Medicine and Surgery (BUMED) PatientSatisfaction Survey is now available in the hospital via comput-er terminal.

There are three Survey Stations for your convenience. One is locat-ed on the 3rd deck near the stairs and elevator. Another SurveyStation is available in Family Practice area and the third SurveyStation is located in the TRICARE lobby. Continued on page 7

Page 2: The Examiner

By Martha Hunt, MA CAMFHealth Promotions CoordinatorRobert E. Bush Naval Hospital

Summer is starting soon andthere are plenty of stinginginsects buzzing around

Morongo Basin. Most bees andinsects will not attack when leftalone. However, if provoked, abee will sting in defense of itsnest or itself. Bees, wasps, hor-nets, yellow jackets and fire antstypically cause the most allergicreactions.

Mosquitoes, ticks, biting fliesand some spiders can also cause

reactions, but these are general-ly milder.

To reducing the risk of beingstung by bees: wear light-col-ored, smooth-finished clothing,avoid perfumed soaps, sham-poos, and deodorants, don'twear cologne or perfume andavoid bananas and banana-scented toiletries. Also, wearclean clothing and bathe dailysince the smell of sweat angersbees and can cause them toswarm around you.

Cover the body as much aspossible with clothing to reducethe amount of skin open to the

bees. Avoid flowering plants asthe bees may be feeding offthem and not appreciate youbeing near the flowers. If a sin-gle stinging insect is flyingaround, remain still or lie facedown on the ground. The face isthe most likely place for a beeor wasp to sting. Swinging orswatting at an insect may causeit to sting.

If attacked by several stinginginsects at the same time, run toget away from them. Go indoorsto get away from bees that arethreatening you. If outdoors, ashaded area is better than anopen area to get away from theinsects. If a bee gets inside yourvehicle, stop the car slowly andopen all the windows.

What to do if a person is stung?

For mild reactions, move thevictim to a safe area to avoidmore stings. Try to remove the

stinger by scraping or brushingit off with a firm edge, such as acredit card. Never squeeze thestinger or use tweezers as it willcause more venom to go intothe skin and injure the muscle.Wash the site with soap andwater and then swab the sitewith disinfectant.

To reduce pain and swelling,apply ice or a cold pack andthen apply 0.5 or 1 percenthydrocortisone cream, calaminelotion or a baking soda paste tothe bite or sting several times aday until the symptoms subside.Have someone stay with thevictim to be sure that they donot have an allergic reaction. Donot scratch the sting. This willcause the site to swell and itchmore, and increase the chanceof infection.

Severe reactions may progressrapidly. Dial 911 or call foremergency medical assistance ifthe victim experiences any of

the following signs or symp-toms: difficulty breathing orwheezing, swelling of the lips,throat, face or neck, faintness ordizziness, confusion, rapidheartbeat, hives, nausea, crampsor vomiting and finally a dropin blood pressure

While waiting for emergencytransportation, have the personlie down. If unconscious andbreathing, lay the person ontheir side to allow drainagefrom the mouth. If there is nobreathing, movement orresponse to touch, begin car-diopulmonary resuscitation(CPR) immediately! Check tosee if the person is carrying anallergy kit containing epineph-rine and follow instructions onthe kit. People with knownallergies to insect stings shouldalways carry an insect stingallergy kit and wear a medicalID bracelet or necklace statingtheir allergy.

2 -- The Examiner -- May 2013

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

Commanding OfficerCaptain Jay Sourbeer, MC, USN

Executive OfficerCaptain Cynthia Gantt, NC, USN

Command Master ChiefHMCM (SW/FMF) Rodney Ruth, USN

Public Affairs Staff/EditorsHN Logan Frutig

HN Jeyzon Fernandez Jimenez

Command OmbudsmanTimothy Ooms (760) 910-2050 email: [email protected]

The Examiner welcomes your comments and suggestions concerning the publication. Deadline for submission of arti-cles is the 15th of each month for the following month’s edition. Any format is welcome, however, the preferredmethod of submission is by e-mail or by computer disk.

How to reach us...Commanding Officer Naval HospitalPublic Affairs OfficeBox 788250 MAGTFTCTwentynine Palms, CA 92278-8250Com: (760) 830-2362DSN: 230-2362E-mail: [email protected] Publishing Company56445 Twentynine Palms HighwayYucca Valley, CA 92284Com: (760) 365-3315FAX: (760) 365-8686

Coming Soon to a Clinic Near You...

In an effort to create better patient care, and provide more space forproviders, the Behavioral Health Clinic will be moving into newtemporary “Relocatable” near the Dental Clinic.

The move is planned for the first week in June.As more information is available later this month look for updates in

the Combat Center’s “Observation Post” and on “Speedcall.”

Bees Bees Everywhere... What to do if stung!

Hospital Gets NewTechnologyWe apologize for the construction, but...

Starting in the middle of last month installation of a newComputed Tomography (CT Scanner) began in theRadiology Department. This process at the Naval Hospitalwill continue until late May.

During this time period a temporary mobile CT Scanner will beprovided in a trailer outside the Emergency Medicine Departmententrance. This required blocking 6 parking spaces in the old ambu-lance parking area.

The Radiology Department is acquiring this updated GEHealthcare (Optima CT660) 64 slice CT scanner, replacing thecurrent 16 slice CT scanner, to help provide better radiology serv-ice to beneficiaries.

CT scans otherwise known as CAT Scans have been performedsuccessfully over the last 30 years. They allow the ability of aRadiologist look inside the body without an invasiveprocedure/surgery.

Typical reasons for acquiring a CT scan include illness ofunknown origin, trauma, malignancy or other instances in which amedical problem is suspected that cannot be easily detected with aphysical exam. A CT scan obtains multiple 2-D images of thebody area of concern. The images are then evaluated in multipleplanes (front to back, side to side, top to bottom and sometimes in3-D) to rule out or diagnose a medical issue.

The goal is to provide the best medical care to patients. With thenew Optima CT660, the scanning time will be reduced whilemaintaining superior resolution quality. In short, faster scan times,lower radiation dose, and improved picture quality. The leaders ofthe hospital are excited to bring this upgraded imaging to patientsand providers here at Naval Hospital Twentynine Palms.

Page 3: The Examiner

By Martha Hunt, MA CAMFHealth Promotions CoordinatorRobert E. Bush Naval Hospital

Over-indebtedness is anincreasing problem intoday’s world causing

individual hardship and familyproblems such as divorce.

In these economic hard times,we all have to look at ourbehavior and how it affects thelevel of debt we live in. One ofthe leading drains on your per-sonal budget is tobacco if youare a tobacco user.

The Department of Defensehas long known that tobacco use-- especially in its junior ranks -- is a major financial burden.Those junior ranks are also thebiggest users of tobacco in themilitary.

Tobacco use affects every levelof the DoD from the juniorenlisted who cannot buy diapersor pay rent to being the secondleading drain on the DoD healthcare system through early med-ical discharge, decreased readi-ness, increased injury rates,chronic disease, etc.

The DoD has shown thatamong junior enlisted especially,tobacco households are twice aslikely to experience extremefinancial hardship as householdswhere no one uses tobacco.

What does tobacco cost you ifyou are a civilian or getting outof the military? That pack ofcigarettes or can of dip will costyou $42 per pack or can. Thecost of tobacco in the civilianworld is seen in the cost of thetobacco itself plus the cost ofyour health, life, car and homeinsurance. It is seen in the resale

value of your car and home. It isseen in everything from yourdental bills, dry cleaning bills toyour furniture and cleaning bills.

Why do you use tobacco? Youare stressed or bored. What isone of your major stressors?Money!

If you are spending too muchof your take home pay on thingsthat do not give you any return(tobacco, alcohol, junk food,energy drinks, etc) then youdon’t have enough money topay your bills and meet yourneeds to survive. And if youdon’t have good coping skills tostress, you smoke more andmore in order to “cope” withstress when in fact your tobaccois actually adding to the stressboth physically and financially.The more you feel overwhelmedby your money problems, themore tobacco you will usebecause you think it is helpingwhen in fact it is making you gofurther into debt.

Now in addition to the moneyyou spend on tobacco, roll in theamount you spend every day on

energy drinks, alcohol, junkfood and how much are youspending?

A pack of cigarettes or can ofdip, one energy drink andmaybe a bag of chips or food offthe food trucks can easily beover $10 per day.

Now multiply that by 365 daysand you have spent nearly fourgrand a year out of your takehome pay on absolutely nothing.

How many car payments canyou make with that money?

How many rent or mortgagepayments can you make withthat money? How many diapers,how much food, etc can you payfor with that money?

If you are interested in quittingtobacco contact HealthPromotion and Wellness at (760)830-2814 for more information.

You do not need to take a fourweek long class and all counsel-ing is done one on one. We willalso discuss better ways of deal-ing with stress so that you don’tfeel the need to use tobacco as acoping skill for stress.

The Examiner --March 2013 -- 3

2X3Smith’s Family

Properties

What is the real cost of that pack of cigarettes or can of dip?

FALLS CHURCH, Va. -- TRICARE beneficiariesin the West Region will get their TRICARE cover-age from a new contractor, UnitedHealthcareMilitary & Veterans, started April 1.

Region beneficiaries should have been notified bymail of the change.

UnitedHealthcare sent Welcome Packets to bene-ficiaries in February and March with informationabout their enhanced services, any actions theyneed to take and contact information should theyhave any questions. These packets were also sentto TRICARE For Life (TFL) beneficiaries in theWest Region to notify them of the change.However, TFL beneficiaries need to take no actionrelated to the transition. Wisconsin PhysicianServices (WPS) remains the TFL contractor, pro-

viding service to TFL beneficiaries across all TRI-CARE regions.

West Region beneficiaries with questions abouttheir health care can contact UnitedHealthcare at

1-877-988-WEST or visit the UnitedHealthcarewebsite at www.uhcmilitarywest.com.

The TRICARE Regional Office-West is workingclosely with UnitedHealthcare to ensure the contin-ued delivery of quality health care and customersatisfaction during the transition. Both are commit-ted to supporting military families and look for-ward to providing the information and assistance to

help beneficiaries maximize their TRICAREhealth care benefits.

For the most up-to-date information on the transi-tion, visit www.tricare.mil/westtransition.

TRICARE West Region Transitions

Finding Your Hidden Talent

CS2 Joshua Thomas hasalways known he wasdestined to become an

artist. Thomas, a Californianative, began drawing at sixyears old and has never lookedback.

In 1996 Thomas used his tal-ents to join the United StatesArmy Reserves as a lithograph-er. As a lithographer Thomaswas responsible for creating andmaintaining geographical mapsfor his unit. During his down-time Thomas would draw car-toon sketches and practice theart of painting.

After ten years of Army serv-ice Thomas decided to transferto the Navy to become aCulinary Specialist (CS). As aCS attached to Naval HospitalTwentynine Palms, Thomasbegan to further develop hisartistic talent. Thomas dedicat-ed himself to his new passion;

spending every free moment at alocal art supply store inTwentynine Palms. After sever-al years of hard work and dedi-cation CS2 Thomas has finallyaccomplished his goal of

becoming an artist. As of March 2012 he has sold

five paintings and his work is ondisplay at Whitaker's ArtSupply.

Page 4: The Examiner

4 -- The Examiner -- May 2013

Super Stars...

HM3 John Aleer, Laboratory, receives his secondGood Conduct Award.

HM2 Patrick Malone, Optometry Dept., receives aGold Star in lieu of his third Navy and MarineCorps Achievement Medal.

HMC Willie Crawford, Adult Medical Care Clinic,takes the oath of reenlistment.

The Indian Wells Valley Council of the Navy Leaguehonored eight Sailors/Marines at its 42nd annualBluejacket Awards Dinner. Among the nominees were two Sailors from the BranchHealth Clinic China Lake, HN Curtis Cameron, left,and HM2(NAC/AW) Matt Hawkins, right. Both of theseSailors were respectively selected as the Naval HospitalTwentynine Palms Blue Jacket of the Year and JuniorSailor of the Year for 2012.

“Bluejacket nominees, we are all proud to serve witheach and every one of you,” said Mark Storch, leaguepresident for 2012 and emcee of the event. “You arethe best of the best and your futures are bright. I con-gratulate you all on your extraordinary achievements.”Although not selected as the Navy League Blue Jackethonors, Cameron and Hawkins each received $1,000from the league for their accomplishments. Leagueselectees received an additional $500.

Page 5: The Examiner

The Examiner -- May 2013 -- 5

At the Chief Petty Officer Birthday celebration, HMC CaseyWheeler, left, and Force Master Chief Lou Green, (retired), right,cut the Chief Petty Officer birthday cake.

HM3 Tyrone Walker,Jr., Utilization

Management, receiveshis first Good Conduct

Award.

HN Maximo Norfleet, General Duty Corpsman inthe Pediatrics Clinic, receives a Navy and MarineCorps Achievement Medal.

HM3 Arturo Hernandez, Patient Administration,receives a Navy and Marine Corps AchievementMedal from U.S. Naval Hospital Rota, Spain, hisformer command.

Continued on page 8

HMC Ralph Zastro, Branch Health Clinic Bridgeport, with his wife Crystina are piped ashore at hisrecent retirement ceremony. (U.S. Navy Photo by HM3 Albert Escobedo)

Page 6: The Examiner

6 -- The Examiner -- May 2013

Sub Offer5X3

At a special dinner, Red Cross Volunteers here were honored. Lt. Gillian Claveria-Ooms, 4th from left,the hospital’s Red Cross Coordinator received separate honors at the dinner.

Red Cross Volunteers Honored...Salk Vaccine Ended Polio Threat;TRICARE Retail Pharmacy VaccineProgram Makes Immunizations Easy

April 12 marked 57 years since Dr. Jonas Salk introduced thevaccine to protect against polio. Polio had a devastating effecton children and adults during the late 1940’s and 1950’s, and

thousands of people contracted the disease each year until 1955 whenthe Salk vaccine was introduced. After the Salk vaccine became avail-able, cases of polio were drastically reduced, from more than 35,000in 1953 to fewer than 100 per year in 1965.

According to the Centers for Disease Control and Prevention (CDC),preventing a disease is always better than treating it. Vaccines protectagainst diseases that can be debilitating or deadly. Some of these dis-eases, such as polio, have been nearly eradicated thanks to worldwidevaccination efforts.

“When I was young, parents were very fearful of their children com-ing down with this terrible disease,” said Admiral Thomas McGinnis,chief of the TRICARE Pharmacy Branch. “There were thousands ofchildren who contacted polio each year and needed crutches, legbraces or a wheel chair to get around, and many died from the dis-ease. Today there are many childhood and adult diseases that can beeasily prevented with a simple, readily available vaccination.”

Children and adults still get diseases that are preventable with vac-cines. Accordingto the CDC therehave been recentresurgence ofmeasles and per-tussis, also knownas whoopingcough, in the U.S.

Some of these resulted in the patients' death.TRICARE beneficiaries are covered for age-appropriate, CDC-rec-

ommended vaccines. TRICARE’s expanded retail pharmacy vaccineprogram lets beneficiaries to get covered vaccines(www.tricare.mil/vaccines) at participating network pharmacies at nocost. Beneficiaries can find a participating network pharmacy onlineat www.express-scripts.com/TRICARE/pharmacy or by calling 1-877-363-1303. Beneficiaries can also get vaccines from any TRICARE-authorized provider, but co-payments or cost shares apply for officevisits.

“Getting vaccinated is an easy way to protect against disease,”McGinnis said. “In the past three years that TRICARE has coveredvaccines in its retail network pharmacies more than 1.3 million doseshave been given free of charge to beneficiaries. We hope beneficiariescontinue to realize the importance of getting vaccinated and keep get-ting their recommended immunizations.”

For more information on TRICARE’s coverage of vaccines go towww.tricare.mil/immunizations.

...Children and adults still get diseases that are preventable with

vaccines... What Does Your Plate Look Like?By Charlotte CaldwellTRICARE Management Activity

What good is eating a well-balanced meal?There are many reasons good nutritionmatters. Eating a well-balanced diet is a

key element in the prevention or treatment of seri-ous health conditions like diabetes, heart diseaseand obesity. Healthy eating helps bodies performbetter and boosts the immune system. Feelingfatigued? Sometimes its diet related. Good nutri-tion gives the body energy.

“Good nutrition is essential for supporting overallphysical and mental health,” said Dr. AndrewPlummer, TRICARE Population Health branchchief. “Everyone can benefit from good nutrition,especially our deployed active duty service and

their family members who support them whilemaintaining busy lives at home.”

With so much information about dieting andhealthy eating available, learning about good nutri-tion can certainly be overwhelming. Where is agood place to start?

“First, being aware of what a nutritious diet con-sists of is very important,” said Plummer. “Thedietary guidelines here in the United States recom-mend a diet rich in fruits and vegetables, wholegrains, and fat-free and low-fat dairy products forpeople aged 2 years and older. The guidelines alsorecommend that children, adolescents and adultslimit intake of solid fats (major sources of saturat-ed fats).”

My Plate, designed by the United States

Continued on page 7

Page 7: The Examiner

The Examiner -- March 2013 -- 7

MBTA2X8

You have the Power?Did you know that you have the power to influence how you are cared for at the

Robert E. Bush Naval Hospital?If you have recently received health care at the hospital you may receive a patient satis-

faction survey form from the Navy’s Bureau of Medicine and Surgery regarding your visit.Your opinion about the service you received is very important to the staff here at the hos-

pital and to our leadership in Washington, D.C. Please take a few minutes to complete andreturn the survey, noting our strengths and probably more importantly recommendations forareas to we need to improve. This data is very important to the leaders of the hospital.

If you have any questions or concerns whenever you receive care here, you are alwayswelcome to speak to the command’s Customer Relations Representative, HMC TamaraMarks. She can be reached at 760-830-2475. You can also leave a comment with theMarine Corps Air Ground Combat Center’s ICE system and your questions or concerns willbe promptly answered.

Your opinion counts with us and for you.

If you take the time to participate in theseSurveys, then you provide input into future deci-sions Navy leadership will make in determiningthe services you will receive at your NavyHospital.

The purpose of this survey is to provide an eval-uation of the health care you receive. This infor-mation will provide tools for leadership to make

informed decisions about the type of care that willbe made available to you; it will provide insightfor targeting quality improvements; it will alsoallow for external comparisons of other health careservices in the region; and it will promote medicalcare that is consistent with clinical guidelines.

You are also invited to drop a line to theCustomer Relations Officer [email protected] to let thehospital know your opinion so they can betterserve you.

Satisfaction Survey...Continued from page 1

Department of Agriculture(USDA), illustrates the dietaryguidelines in a way that’s easyfor consumers to understand.ChooseMyPlate.gov has tips forbuilding a healthy plate, cuttingback on unhealthy foods, gettingthe right amount of calories andmore. The My Plate iconreminds consumers what ahealthy plate should look like atmeal time when each healthyfood group is included.

“What you eat at every mealshould start with carefully read-ing food and beverage labels.So remember to read before youbuy and certainly before youbite,” said Plummer. “Onceyou’re aware of what youshould be eating then the key isto plan your meals so that youcan achieve your nutritionalgoals. Packing nutritious snacksfor example, will satisfy hunger

between meals and make it lesslikely you'll become so hungrythat you consume more food atyour next meal than you intend-ed.”

My Plate teaches consumershow to read nutrition labels onpackaged food, how to eathealthy on a budget, how to pre-pare nutritious recipes anddesign meal plans. Go towww.ChooseMyPlate.gov formore of these helpful tips andhealthy eating information.

TRICARE supports goodnutrition and healthy lifestylesthrough Operation Live Well(OLW). The OLW campaignaims to improve healthy livingthroughout the military commu-nity by promoting healthy eat-ing, active living and weightmanagement, tobacco cessationand mental and spiritual wellbe-ing. The OLW website provides

information and resources toencourage healthy living choic-es. There are apps and widgetsfor meal planning, stress man-agement, quitting smoking andmore. For more information gotowww.militaryonesource.mil/olw.

“Good nutrition starts withmaking healthy choices.Knowing how to make healthychoices is the first step,”Plummer said. “Followingdietary guidelines and the MyPlate tips and advice helps serv-ice members and their familiesenjoy a healthy lifestyle.”

For more tips and advice foreating healthy go towww.ChooseMyPlate.gov. Formore healthy living tips andinformation go to www.tri-care.mil/livewell.

What Does Your Plate Look Like...Continued from page 6

Reminder--The Bureau of Medicine and Surgery (BUMED) PatientSatisfaction Survey is now available in the hospital via computer terminal.

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Super Stars...Continued from page 5

Captain Jay Sourbeer, left, Commanding Officer, Naval Hospital Twentynine Palms, and CommandMaster Chief Rodney Ruth, right, accept the certificate recognizing the staff of the Naval Hospital fortheir contribution toward the Marine Corps Air Ground Combat Center being awarded the Commanderin Chief Installation Excellence Award.

Future Naval Academy Cadet...

Naval HospitalTwentynine Palmswould like to congratu-

late Hospital Corpsman AnhNguyen, Adult Medical CareClinic (AMCC), for his selec-tion to attend the NavalAcademy Preparatory School(NAPS) at Newport, RhodeIsland.

Upon completion of thePreparatory School, Nguyen,from Downey, Calif., will jointhe Naval Academy class of2018. As a Naval Academy stu-dent Nguyen plans to major in

Weapons and SystemsEngineering and minor in for-eign language.

For Nguyen becoming a NavalOfficer will be a dream cometrue, he comes from a long line-age of military officers as hisgrandfather served as a Colonelin the Army of the Republic ofVietnam (ARVN). However,success for Nguyen has notcome easy. Eight years agoNguyen and his family emigrat-ed from Vietnam to the UnitedStates. Upon arrival to thiscountry Nguyen only knew sixwords of English and couldn’t

read or write in English. Withintwo years of arriving in hisadopted country Nguyen wasreading and writing at a higherlevel than most of his highschool peers.

Nguyen has been in the Navyapproximately two years andhas been a member of the com-mand for one year. Currently heis a staff corpsman at the AdultMedical Care Clinic. Nguyenwill depart the hospital in Julyto pursue his dream of becom-ing a Naval Officer.