NAVY MEDICINE Official Magazine of U.S. Navy and Marine Corps Medicine Vol. 105 No.1 SPECIAL ISSUE CONTENTS Surgeon General of the Navy Chief, BUMED Vice Adm. Matthew L. Nathan SPECIAL ISSUE Deputy Surgeon General Deputy Chief, BUMED Rear Adm. Michael H. Mittelman 4 | Admiral’s Call Force Master Chief FORCM (SS/SW/FMF) Sherman E. Boss 8 | Navy Medicine 101 Public Affairs Officer Capt. Dora Lockwood 10 | Bureau of Medicine and Surgery Deputy Public Affairs Officer Shoshona Pilip-Florea 12 | Navy Medicine East Managing Editor Paul R. Ross 16 | Navy Medicine West NAVY MEDICINE is the professional magazine of the Navy Medical Department community. Its purpose is to educate its readers on Navy 20 | Navy Medicine National Capital Area Medicine missions and programs. This magazine will also draw upon the medical department’s rich historical legacy to instill a sense of pride and professionalism among the Navy Medical Department community and to 24 | Navy Medicine Education and enhance reader awareness of the increasing relevance of Navy Medicine in and for our nation’s defense. The opinions and assertions herein are the personal views of the authors and do not necessarily reflect the official views of the U.S. Government, Training Command the Department of Defense, or the Department of the Navy. The use of a name of any specific manufacturer, commercial product, commodity or service does not imply the endorsement by the 26 | Naval Medical Logistics Command Department of the Navy or the Bureau of Medicine and Surgery. NAVY MEDICINE, (ISSN 0895-8211 USPS 316-070) is published quarterly by the Department of the Navy, Bureau of Medicine and Surgery, 7700 Arlington Blvd., Falls Church, VA 22042. Periodical postage 27 | Navy and Marine Corps Public paid at Washington, DC. Authorization The Secretary of the Navy has determined that this publication is necessary in the transaction of business as required by law. NAVY MEDICINE is published from Health Center appropriated funds by authority of the Bureau of Medicine and Surgery in accordance with Navy Publications and Printing Regulations P-35. 28 | Navy Medicine Locations Map Guidelines for submission to NAVY MEDICINE. ABOUT NAVY MEDICINE: NAVY MEDICINE is published quarterly Winter/Spring/Summer/Fall. Please contact Paul Ross ([email protected]) for deadline of 30 | Naval Medical Research Center present issue in progress. SUBMISSION REQUIREMENTS: Articles must be between 600-1,000 words. 34 | Afl oat Medical Capabilites All articles must be present tense/active voice. Photos must be minimum 300 dpi. Photos showing action are preferred. All photos must be accompanied by a caption and photo credit. 38 | Medical Corps Subjects considered: Scuttlebutt: Stories about activities at MTFs and the field. Photo Album: Action shots from across Navy Medicine. 39 | Nurse Corps Feature Articles: Stories featuring interesting contributions of Navy Medicine to military operations including everything from combat support to Humanitarian Relief/Disaster Response will be considered. Please contact Paul Ross ([email protected]) for current theme of 40 | Dental Corps issue in progress. R & D and Innovations: Any new processes and/or research and development news. 41 | Medical Service Corps Quality Care: Anything that improves the quality of care for our patients. IT, QA: Any articles showing how Navy Medicine is utilizing the electronic age. 42 | Hospital Corps Shipmates: Anything interesting about our shipmates working in the healthcare field in the Department of the Navy. All submissions must be accompanied by complete contact information 46 | Global Health Engagement for author. In the event there is more than one author please assign one author to be primary correspondent. 48 | Medical Home Port Feedback Welcome NAVY MEDICINE Magazine Bureau of Medicine and Surgery Communications Directorate 49 | Wounded Warrior Care 7700 Arlington Blvd., Falls Church, VA 22042-5122 E-mail: [email protected] 52 | Mental Health Capabilites Subscriptions are for sale by the Superintendent of Documents Subscriptions may be ordered online, via phone, fax, or e-mail, or postal mail. To order online, visit the U.S. Government Printing Office bookstore ON THE COVER at http://bookstore.gpo.gov To order by phone, call toll-free 1-866-512-1800 or, in the DC metro Graphic illustration created by area, call 202-512-1800 Mary-Ann Ayrandjian. Send e-mail orders to contact [email protected] Send mail orders to: U.S. Government Printing Office P.O. Box 979050 St. Louis, MO 63197-9000 Annual cost: $23 U.S.; $32.20 Foreign (4 issues/year). Visit us online at www.med.navy.mil Address Changes (Please include old address): NAVY MEDICINE Magazine Twitter: twitter.com/NavyMedicine Bureau of Medicine and Surgery Public Affairs Office Facebook: U.S. Navy 7700 Arlington Blvd., Falls Church, VA 22042-5122 Bureau of Medicine and Surgery E-mail: [email protected] The Almanac | 2013 33 ADMIRAL’S CALL Weellccoommee ttoo tthhee tthhiirrdd eeddiittiioonn IInn oorrddeerr ttoo nnaavviiggaattee tthhee ttaasskkss aanndd of Navy Medicine’s annual challenges ahead, we must continue to guide! I am humbled with maintain the highest state of medical the opportunity to lead readiness for our naval forces, while this outstanding organiza- bringing more value and jointness tion and the 63,000 men and women to our operations. So, it should not who work to provide the highest quality come as a surprise that we have care to our Sailors and Marines. Navy focused our three goals of value, Medicine’s current state is extremely readiness and jointness around strong as we surmount challenges and these missions. create better and more effective ways of The importance of each goal doing our jobs. is directly tied to how it affects You may have noticed the change in our mission and the population the publication’s title from “Owners’ we serve. and Operators’ Manual” to “The Alma- Navy Medicine is in the readiness in everything we do. Placing emphasis nac.” This change has been made to cre- business. We have to be agile, forward- on preventive medicine and the overall ate a product unique to Navy Medicine leaning and ready to deploy in support health of our patients will improve and its mission, and to make it distinct of the warfighter and similarly we have readiness and quality of life while giving among publications with similar moni- to work to ensure that our warfighters us more “bang for our buck” as costs kers. Within these pages you will find a are equally prepared. Each facet of the associated with care go down because guide to all things Navy Medicine. Navy Medicine mission has an impact of healthier beneficiaries. We are going The whole purpose of this “special on our readiness. It’s what we do and to meet this goal in a variety of ways issue” of our quarterly-published Navy why we exist. From an independent including preventive medicine treat- Medicine Magazine is to show readers duty corpsman serving in a submarine, a ments like tobacco cessation programs the “nuts and bolts” of our force. From flight surgeon serving our naval aviators, or health and nutrition programs as op- the most seasoned Sailor to a civilian deployed civilian medical staff or a Navy posed to solely treating symptoms. far removed from military service, the corpsman embedded with the Marines, Along with these programs, Medical information in this magazine showcases you provide adaptable capabilities glob- Home Port teams are improving care who we are and what we do. ally across the range of military opera- for our beneficiaries by decreasing wait Within this column I will highlight tions in support of the national defense times, allowing more access, and increas- where we are as a service and what our strategy. ing communication between the patient goals and priorities will be going for- The next goal after maintaining a and health care providers. The next step ward. ready force is to ensure we find value is to build upon these initial successes and improve the standardization of care Navy Medicine is in the that will improve patient experience and create a more efficient, responsive care readiness business. We have structure. Our third goal is jointness. The to be agile, forward-leaning dynamic nature of the military and its missions has increased our opportuni- ties to work with our sister services, the and ready to deploy in Department of Veterans Affairs, and academic partners. These partnerships support of the warfighter and can be in a research lab developing a new vaccine or on a mission to MEDE- similarly we have to work to VAC a patient off the battlefield. We all need to embrace these opportunities to learn from one another and leverage ensure that our warfighters best practices from every source as Joint operations become a more regular part are equally prepared. of our work. By building on each other’s strengths, learning other cultures, and 4 Navy Medicine Vice Adm. Matthew Nathan, the 37th surgeon general of the Navy and chief of the Navy’s Bureau of Medicine and Surgery, congratulates Petty Offi cer 1st Class Brandie Mendoza, Headquarters Battalion, 1st Marine Division (Forward), Camp Leatherneck, Afghanistan, April 17. Mendoza was recognized by her unit for her excellence and professionalism. (Photos by Petty Offi cer 3rd Class Monique LaRouche) also preserving those qualities, tradi- to a 97 percent survivability rate on the Navy Medicine tions, and skill sets that are uniquely battlefield. This feat is truly remarkable. Navy Medicine, we will ultimately ben- As we set out on this next year, with Priorities Video efit the population we serve. a new charted course, we will need en- Use your Smart Phone A prime example of the kind of joint ablers to help keep us on our set path. to view this video by environment where Navy Medicine’s We look to medical informatics, the use downloading a QR Code goals of readiness, value, and jointness of telemedicine solutions, and technol- reader and scanning the QR are exemplified is the Medical Education ogy; as well as standardizing clinical, Code. The video can also and Training Campus (METC) in San non-clinical and business practices; and be viewed at http://www. youtube.com/watch?v=49Ma Antonio, Texas. The program ensures improving strategic communication and UXJVyts&feature=youtu.be through education and training that our organizational alignment to accomplish service members are ready to deploy and these goals. I am certain that through accomplish the mission of Navy Medi- your hard work, dedication, and col- cine. The value that this type of training laboration, we can achieve these goals. brings to the overall health of our Sailors As always, I am honored and proud and Marines and their families is unpar- to serve as your Surgeon General. alleled. Navy Medicine’s complete mission Additionally, it is through a joint cur- and vision including the strategy map riculum at METC that we create value and accompanying documents is avail- by reducing redundancies in training able online at: http://www.med.navy. costs while still teaching our corpsmen mil/Pages/MissionandVision.aspx. and medics the life-saving skills in a collaborative environment that has led --Vice Adm. Matthew L. Nathan The Almanac | 2013 5 6 Navy Medicine Navy Hospital Corpsman 3rd Class Frank Martin, assigned to the Blackjacks of Helicopter Sea Combat Squadron (HSC) 21, makes friends with Indonesian children during a Pacifi c Partnership 2012 disaster relief medical evacuation helicopter rescue demonstration. Pacifi c Partnership is an annual U.S. Pacifi c Fleet humanitarian and civic assistance mission that brings together U.S military personnel, host and partner nations, non-governmental organizations and international agencies to build stronger relationships and develop disaster response capabilities throughout the Asia-Pacifi c region. (Photo by Mass Communication Specialist 3rd Class Clay M. Whaley) The Almanac | 2013 7 sspirit. Our focus is multi-disciplinary- NAVY MEDICINE 101 bbased care, bringing together medical ttreatment providers, social workers, case mmanagers, behavioral health providers, aand chaplains. We are working closely wwith our line counterparts with pro- WWhhaatt WWee DDoo aallll ddiimmeennssiioonnss ooff pphhyyssiiccaall aanndd mmeennttaall grams like the Marine Corps’ Wounded Force Health Protection well-being. Nowhere is our commitment Warrior Regiments that coordinate with The foundation of Navy Medicine to force health protection more evident Battalion Surgeons, Deployed Units, is force health protection and direct than in our active engagement in global and Medical Treatment Facilities to set support to the warfighter. It’s what the military operations. As our involvement up anticipated medical appointments, enterprise does and why it exists. Navy in overseas contingency operations have ensuring a majority of medical needs Medicine is in the readiness business – evolved, we have experienced a burgeon- are assessed prior to demobilization. operating forward and being globally ing demand to provide expeditionary Similarly, the Navy and Coast Guard’s engaged, no matter what the environ- combat casualty care in support of joint Safe Harbor program with its national ment and regardless of the challenge. operations. The Navy Medicine team of network of Navy Operational Support Whether it is on the sea, above the sea, physicians, nurses, corpsmen, dentists Centers support the full-spectrum re- below the sea, on the battlefield or on and mental health providers is working covery process for Sailors, Marines, and the homefront, Navy Medicine enables in tandem with the Army and Air Force their families. Based on the types of in- Sailors and Marines to complete their medical personnel and coalition forces juries that we are seeing, Navy Medicine mission. to ensure the physical and mental well- continues to adapt our capabilities to From the most advanced medical being of our troops and civilians alike. best treat these conditions. suites and staffs serving on amphibious ships, to the flight surgeons support- Support to our Warfighters and Global Engagement ing the naval aviation enterprise, to the Caring for our Caregivers Humanitarian Assistance/ independent duty corpsman serving Caring for our Sailors and Marines Disaster Response in submarines, or to the Navy corps- at home and abroad is our first mis- Navy Medicine’s mission is one with man embedded with Marines or special sion, but there is no greater honor than a truly global footprint. We are forward forces; Navy Medicine enables the the opportunity to provide care to our deployed with our warfighters overseas warfighter. Wherever a Sailor or Marine wounded, ill, and injured. These brave and our research units provide a global goes, Navy Medicine is there. men and women are heroes and we, who health benefit around the world. Navy In executing its force health protec- are fortunate enough to care for them, Medicine personnel serve as ambassa- tion mission, the 63,000 active duty and do not take this responsibility lightly. dors worldwide and are the heart and reservists, government civilians and con- As our wounded warriors return from soul of the U.S. Navy as a “Global Force tractors of Navy Medicine are engaged combat to begin the healing process, for Good.” in all aspects of expeditionary medical they deserve a seamless and compre- Our humanitarian assistance/disaster operations in support of warfighter. The hensive approach to their recovery. We response (HA/DR) missions in direct continuum of care provided includes help them to heal in body, mind, and support of the Navy’s Maritime Strategy Navy Medicine Video The Navy hospital ship Use your Smart Phone to view USNS Mercy (T-AH-19) this video by downloading underway off the coast a QR Code reader and of Manado Bay after the opening ceremony for scanning the QR Code. The Pacifi c Partnership 2012. video can also be viewed (Photo by Camelia Montoy) at http://www.youtube.com/ watch?v=mYaWUeQhJ1Y 8 Navy Medicine continue to expand because they con- tinually prove to be highly successful. With past support to critical missions like Operation Tomodachi after the devastating earthquake and tsunami in Japan in 2011, Navy Medicine serves the international community as a global leader in HA/DR. The Navy hospital ships also con- duct planned deployment humanitarian assistance missions, working with local ministries of health to bring care to the people of foreign nations.USNS Mercy’s 2012 Pacific Partnership mission to Southeast Asia provided humanitarian assistance to thousands of men, woman and children in need. This is further evi- dence of our commitment to the global efforts to foster security and stability worldwide. Our hospital ships are ex- ecuting our Maritime Strategy by build- ing the trust and cooperation we need to strengthen our regional alliances and empower partners around the world. With each successful deployment, we increase our interoperability with host and partner nations, non-governmental organizations and the interagency. Senior Chief Hospital Corpsman Charles Canterbury, left, conducts medical training for Sailors Excellence in Research during a general quarters drill aboard the amphibious dock landing ship USS Fort McHenry and Development (LSD 43). Fort McHenry, homeported in Little Creek, Va., was on a deployment in support of maritime security operations and theater security cooperation efforts in the U.S. 6th Fleet area Navy Medicine would not be able to of responsibility. (Photo by Mass Communication Specialist Seaman Erik Luebke) accomplish its mission without a vibrant Research and Development (R&D) strategic guidance. To ensure the fulfill- ability by pursuing the most effective community. The work that our research- ment of its mission, he has outlined ways of mission accomplishment. The ers do is having a direct impact on the three strategic goals for the BUMED en- synergy of creating efficiencies, remov- treatment we are able to provide, from terprise: readiness, value and jointness. ing redundancies and allowing transpar- the battlefield to the bedside. Many Readiness: Navy Medicine will ency will elevate care and reduce costs. wounded warriors are walking, talk- provide agile, adaptable and scalable In the upcoming years, Navy Medi- ing, and leading productive lives today capabilities prepared to engage globally cine will focus on providing military because of the research and medical across the range of military operations health support for medical stability op- advancements in wound management, within maritime and other domains in erations; maintaining health deployment wound repair and reconstruction, as support of the National Defense Strat- readiness; and minimizing casualties in well as extremity and internal hemor- egy. Navy Medicine must maintain a the deployed forces through prevention rhage control and phantom limb pain in persistent state of high readiness so that of disease and non-battle injuries. In ad- amputees. Our R&D programs are truly its personnel are always ready to respond dition, Navy Medicine provides expedi- force multipliers to Navy Medicine’s to needs to support everything from tionary combat casualty care in support success and enable us to remain agile in kinetic action to humanitarian assistance of requirements across the spectrum of the world-class health care we provide to and disaster response missions. Readi- joint military operations, ensuring that our service members and beneficiaries. ness is the hallmark of Navy Medicine. functional operating room and ICU Value: Navy Medicine will provide beds are in place to meet warfighter Priorities, Goals, and exceptional value to those it serves by requirements. Looking to the Future ensuring full and efficient utilization of Regardless of the location -- in the Since becoming the Navy surgeon its services, highest quality care through air, on land, or above and below the seas general in November 2011, Vice Adm. best health care practices and best use of -- the men and women of Navy Medi- Nathan’s focus remains in alignment resources. cine will continue to do what they have with Navy and Marine Corps leadership Jointness: Navy Medicine will strive always done -- provide world-class care as Navy Medicine supports the defense for jointness and improved interoper- … anytime, anywhere. The Almanac | 2013 9 BUREAU OF MEDICINE AND SURGERY BUREAU OF MEDICINE AND SURGERY BUREAU OF MEDICINE AND SURGERY Rear. Adm. Michael Mittelman, deputy chief, U.S. Navy Bureau of Medicine and Surgery and deputy surgeon general of the U.S. Navy lead military and civilian staff outside of Bldg., 2 the Old Naval Observatory in Foggy Bottom, Washington D.C., for the last morning colors held at BUMED’s headquarters prior to the “Change of Port” ceremony and move to the Defense Health Headquarters, in Falls Church, Va. (Photo by Janet Tela) The Navy Bureau of Medicine and care anytime, anywhere. BUMED is re- Public Health Center, Naval Medical Surgery (BUMED) is the headquarters sponsible for all medical support for the Research Command, Naval Medical command for Navy Medicine. Under U.S. Marine Corps and the U.S. Navy. Logistics Command, Navy Medicine the leadership of Navy Surgeon General, BUMED is the site where the poli- Information System Support Activity. Vice Adm. Matthew L. Nathan, Navy cies and direction for Navy Medicine The BUMED headquarters has nine Medicine provides high-quality health are developed to ensure its patient and codes, or departments, that develop care to beneficiaries in wartime and family-centered care vision is carried policy for a wide range of topics for our peacetime. out. BUMED exercises direct control lower echelon commands to execute. Highly trained Navy Medicine per- over naval hospitals, medical centers, The nine codes are: sonnel deploy with Sailors and Marines dental clinics, preventive medicine (cid:129)M1: Manpower and Personnel— worldwide – providing critical mission units and technical schools for Medical Total Force support aboard ship, in the air, under Department personnel both inside the (cid:129)M2: Research and Development the sea and on the battlefield. At the U.S. and around the world. BUMED (cid:129)M3: Medical Operations same time, Navy Medicine’s military also maintains command and control (cid:129)M4: Installations and Logistics and civilian health care professionals are of its echelon III support commands (cid:129)M5: Strategy and Innovation providing care for uniformed services’ and their subordinate commands that (cid:129)M6: Office of the Chief family members and retirees at military are not involved with direct patient care Information Officer treatment facilities around the globe. but important contributors to Navy and (cid:129)M7: Education and Training Every day, no matter what the environ- Marine Corps readiness, including the (cid:129)M8: Comptroller and Resource ment, Navy Medicine is ready to care Navy Medicine Education and Training Management for those in need, providing world-class Command, Navy and Marine Corps (cid:129)M9: Wounded, Ill and Injured 10 Navy Medicine