The Examiner Vol. 16 No. 1

4.9 MB·English

by  U.S. Navy. Robert E. Bush Naval Hospital

Volume 16, No. 1 ··sen ing \\·ith Prith· <111tf Pmfr..;sionn/i.-.111·· January 2008
Hi'storical Notes ...
.' :
'
O~e'ration Desert Storm
Check Out
E F
began on January 17, 1991 •
Our
Superstars The signing of the Vietnam a 7
Peace Accord took place on a
January 27, 1973
Pages 4.& 5
Inside ...
Ok, s0 you can bench
press 325 pounds, think
y0u are healthy? Maybe.
Maybe not page 2
II
I!
Each year Tuys for Tots at
the· Marine' C::orps Air
Gr{;lund'<Sombat Center relies
www.nhtp.med.navy.mil on v0luntee11s to make 'the
program a success, and this
From the Desk of the CO ...
year was no different as more
than· 32 hospital staff mem
Naval Hospital Twentynine Palms Year in Review
bers·a nd families donated
more than 230 h0urs of their
time to this year's drive.
Calendar Year 2007 Just last week I was infonned We provided 350 audiology page3
has proven to be that the fully medically ready screens, 82 orthopedic appoint
11
another successful status for the two Marine Corps ments, 25 mental health appoint
year for the com commands we are responsible ments, 74 radiology studies in
mand as we met all for here at 1\ventynine Palms, house and arranged for 23 MRis Gl~ucoma is a group 0f
readiness requirements while Headquarters and the Marine in the network. For our work, diseases that can damage
offering to our beneficiaries Corps Communications School, we were presented a Letter of the eye's optic nerve and
world class healthcare safely, was at 63 percent and 86 per Appreciation by the result in vision loss and
efficiently, and effectively. cent respectively- in September Commanding General, 4th blindness. page 6
Throughout the year our offi 2006 the fully medically ready Marine Division. At least in
cer and enlisted staff continued status was 0 to IO percent recent memory, never had a
to deploy throughout the globe respectively. Reserve Battalion of this size
supporting the war on terror. Not to be outdone, our Branch and with this large number of
Currently, 28 of our staff remain Health Clinic at China Lake, healthcare needS, demobilized
deployed while roughly 20 are responsible for the medical here at Twentynine Palms.
on deck to deploy between early readiness of IO to 12 units, In October we successfully
to mid calendar year 2008. increased the fully medically affected the most comprehensive
Continue to keep them and ready status of these units from business overhaul undertaken
their family members in your the low teens to the high 80s in here. We expanded appointment
thoughts. most cases. offerings; we increased from 15
Fully medically ready status Our Branch Clinic at to 20 minutes patient appoint
Budget methodology (paid for
for our own military staff has Bridgeport maintains the ments; we did away with the tra
workload or productivity) caus
remained between 88 to 92 per Marine's they service in the low ditional four hour Wednesday
ing me to create and offer train
cent for four consecutive months 90 percent fully medically administrative/training time; we
ing to clinic business teams to
now- the second highest of all ready. An incredible achieve extended the ancillary and
better monitor, evaluate, and
commands in the Navy ment in all respects. administrative hours of opera
manage individual clinical
Medicine West Area of Despite only a six day window tion to accommodate the
department business operations.
Responsibility- keep in mind of opportunity levied by demo expanded appointment offerings;
For the first time ever, the Navy
that in September 2006, fully bilization requirements, we we established written clinical
Medicine-established Relative
medically ready status for all responded magnificently to the business rules. Timely and
Value Unit (RVU) (outpatient
military. staff assigned to the healthcare needs of a 1300 per accurate workload data
workload metric)for the com-
command was roughly 42 per son Reserve Marine Corps remained a priority while transi
cent. Battalion returning from Iraq. tioning to a Performance Based Continued on page 7
2 - The Examiner --January 2008
Here's to your Health. ..
Do you really know the meaning of Wellness?
'
physical condition. Just because tery all the time. Think of stress ing seatbelts and making sure yourself off from your commu
Martha Hunt. MA Health someone age 50 is physically as running the engine of your that safety controls are in place nity and family, you become
Promotions Coordinator unable to accomplish what they car in high gear all the time to prevent injury. lonely and isolated and that is
Robert E. Bush Naval Hospital did at age 20, it does not make without moving out of your Social wellness is defined by very unhealthy. People who are
them physically unfit. It simply driveway. What would this do to the people around us. It is not socially isolated from family
0
k, so you can means that their bodies have your car? Stress does the same defined by how many friends or and community have been
bench press 325 changed due to age. We need to thing to our bodies. Stress left family members we have, but by shown to die much younger and
pounds, think you simply do the best we can with out of control wears away at our the quality of those relation have much poorer quality of
are healthy? the gifts we have. To that end, bodies and leaves us open to ill ships. If we surround ourselves life.
Maybe. Maybe not. get an annual physical exam ness. with friends or family who wish Overall wellness is a life-long
Health and wellness is more (including dental and eye Environmental wellness refers us harm or who are angry or are process that helps you to maxi
complicated than how low your exams) and be consistent with to our overall environment, not users, then these are not healthy mize your potential. If any one
cholesterol level is or how many self-exams like breast self exam just to our work or home envi relationships. We need to be component of wellness is
miles you run every day. If any inations of you are a woman :and ronment Are you exposed to too sure that those people around us ignored, your life becomes
one part of your life is out of testicular cancer examinations much noise or pollution in your really care about us and are sup unbalanced and unhealthy. So?
balance, then your overall health for men. neighborhood or at work? Are portive us, especially when we You run 5 miles every day,
and well being will suffer. Make sure you keep your you exposed to second hand need help. based on the above components
The World Health immunizations up to date as smoke, a known cancer causing Social health also involves of health, are you really as
Organization (WHO) definition well. Regular exercise and a bal agent? Is your work space and going out and meeting new peo healthy as you think you are?
of health states: "Health is a anced diet helps keep your body home comfortable and designed ple and staying active in our
state of complete physical, men tuned up to meet the challenges for safety? This includes wear- community. When you wall
tal and social well-being and not
of every day life. Be sure to find
merely the absence of disease or an activity that you enjoy, how
infirmity." Wellness is a state of ever, or you will resent having Published by Hi-DeserL Publishing, a private firm in no way connected with the Department of Defense, the United
optimal well-being. It's not sim to exercise. When you engage in States Marine Corps, United Stales Navy or Naval Hospitnl, Twentynine Palms under exclusive written contract \yith
ply the absence of illness, but an activity that you like, such as the Marine Air Ground Task Force Training Command. The appearance af advertising in this publication, including
improved quality of life result walking, then you are more like inserts or supplements, does not constitute endorsement by the Department of Defense, the United States Marine
ing from balanced physical, ly to actually do it. Avoiding Cor-ps, the United States Navy or Hi-Desert Publislring of the products or services advertised. Everything advertised
social, mental, emotional, spiri tobacco and alcohol further in this publication shall be made available for purchase, use, or patronage without regard to race, color, religion, sex,
tual and environmental health. reduces your risk of cancer, national omgin, age, marit'dl status, physical handicap, political affiliation, or any other non-merit factor of the pur
The components of total well heart and lung disease as well as chaser, user or patron. If a violation or rejection of this equal opportunity policy by an advertiser is confifllled, the
publisher shall refuse to print advertising from that souree until t11e violation is corrected. Editorial content is prepared
ness include: Spiritual, Physical, other chronic diseases such as
by the Public Affairs Office, Naval Hospital, 1\ventynine Pillms, Calif.
Mental, Emotional,
diabetes.
Environmental and Social well Mental wellness involves find Commanding Officer
ness. Spiritual wellness involves ing things that stimulate us Captain Mnrk 0. Boman, MSC, USN
personal beliefs, morals and/or intellectually and challenge 1,1s. Executive Officer
religion. It is how we find pur If our jobs are boring or we sim Captain Bruce Laverty, MC, USN
pose in life and meaning in what ply sit home at night and play
Public Affairs' Officer/Editor
we do and believe. Spiritual Nintendo or watch TV, then we
Dan Barber
health is found in the philoso stop growing intellectually and
phies that we live by. If we become bored. In fact, video Public Affairs Assistants
don't have something that game playing has been linked to Eliza Russell
guides us and gives us a moral attention deficit disorder in kids SK! Kimberly Blain-Sweet
foundation, then we will not be who play these games for more
able to set goals and purpose in than one hour per day. Command Ombudsman
Lacy Richey
our life. Emotional wellness is defined
800-238-5852
Physical wellness is how we by how well we deal with stress.
best take care of our bodies When we let stress run wild in The Examiner welcomes your.comments and suggestions concerning the publication. Deadline for submission of
given the physical restraints we our lives, our blood pressure and articles is the 15th o( each month for the following month's edition. Any format is welcome, however, the preferred
may experience due to age or blood sugar rises and we are jit- method of submission is by e-mail or by computer disk.
How to reach us ...
Commanding Officer Naval Hospital
Public Affairs Office
Box 788250 MAGTFTC
Twentynine Palms. CA 92278-8250
Cum: [phone]
DSi'1: 230-2362
f.:,x: r100' s:io-~:iHs
r !·•ail: d.b.irhi:r'!' nhlp.ml'd.navy.mil
·;.:-·1: !'ubli·-hing Cunipany
:i: Ii' Palm• Highw:!\'
··.-~
- ., :-.
~
The Examiner --January 2008 - 3
Hospital Staff Play Major Role in Toys for Tots Program
E CSSN Rossbnbickle HM2Petta
ach year Toys for Tots at the Marine Corps
Air Ground Combat Center relies on volun LT Panos HM3 Bremmer
HM3 Groke I I HNBrock
teers to make the program a success, and this
year was no different as more than 32 hospital Susan Compton HA Joseph
staff members and families donated more than HM3Thomton HM3 Booher
230 hours of their time to this year's drive. HM3 Holman HM3 McDurmon
LT Westcott HM3 Houston
Major Brian Manifor, the Marine Corps Air Ground
Combat Center Toys for Tots Officer In Charge said, LCDR Niles Ethel Santos
"Without the help from the Navy side, we would definite HN Rodriguez HM3 Mata
ly be less of a program. I am deeply appreciative of the HM2.Hunter HM2 White
outstanding effort put forth from the hospital staff. I think HM3 Cook According to Mero the majority of our staff volunteered
the run (being the 1st annual) was a success. Like all HM2 Toston to Man the Phone Hotlines and Bag and Tag toys for
events, most start out small, and then outgrow themselves CAPT Johnson families for distribution. In addition, the Hospital also co
quickly thereafter." HM3 Prince sponsored the 1st annual Naval Hospital and
Lieutenant Michael Mero, as the Naval Hospital repre- . CS2 Woods Headquarters Battalion Walk/Run Toy Drive. Mero stated,
sentative for the Toys for Tots Campaign, played a major HM3 Rice ''This event was a success with approximately 70 toys
role in enlisting the following volunteers from the hospi LTJG Underwood and Husband donated and $300 raised."
tal: LT Roulaine Toys were distributed to many grateful families in the
Mrs. Kerry Boman HM2 Roberts local communities and to many of our military families
YN2 Rosas HM2 Magee assigned here. ·
HM3 Atkinson HM2 Emery
Surgeon General Visits NSA Bahrain, Camps. . Arifjan and Buehring
board Naval Support Activity ties to support our warriors," Theater of Operations.
(NSA), Bahrain Dec. 6. Robinson said. ''Trauma support, internal
By MDS8 CommUilication Specialist 2nd Class Ron Kuzlik,
His trip to area medical facili After visiting Bahrain, medicine, and preventive medi
Commander, U.S. Naval Farces Central Command/Commander, U.S. 5th Fleet
ties in the U.S. Central Robinson headed to Camp cine are only a part of the equa
Command (CENTCOM) area of Arifjan to meet with Navy hos tion," Robinson said. "The capa
MANAMA, Bahrain (NNS) General and Chief of Bureau of responsibility was the first since pital corpsmen, doctors, dentists· bilities of EMF-K are so sophis
Vice Adm. Adam M. Robinson Medicine and Surgery visited assuming the duties and respon and nurses at the home of the ticated because they include
Jr., the U.S. Navy Surgeon the Branch Medical Clinic on · sibilities as the Navy's top doc U.S. Army Central Command, critical care, mental health,
tor in August. the Army component command behavioral health and all fonns
The visit was intended to get a er for CENTCOM. It also hous of general and plastic surgery."
strategic view of the medical es a 44-bed U.S. military hospi The Surgeon General then met
presence and services the Navy tal primarily staffed by Navy with Navy medical personnel at
is providing to U.S. and personnel from Expeditionary Camp Buehring, Kuwait, 15
Coalition forces in a region Medical Facility-Kuwait (EMF miles from the Iraqi border.
encompassing the Arabian Gulf, K). Camp Buehring serves as the
Red Sea, Gulf of Aden and parts Composed of 350 Navy med last training and staging base for
of the Indian Ocean. ical personnel from 30 different troops heading into Iraq.
"We have the ultimate respon healthcare facilities, EMF-K EMF-K provides medical care
sibility in ensuring the medical plays a vital role in supplying to another 10,000 Coalition
readiness of our warfighters to and sustaining combat opera troops at Camp Buehring, sus
make sure that our medical tions by providing medical care taining the warfighter and the
forces are prepared, trained and to tjle approximately 20,000 war effort.
deployed with the right capabili- coll.}ition forces in the Kuwaiti
.9fitro~./cm.!f
Alt <Gr1rce;attt JL(emrg1tJh1§
JHLatit.Jt: cdl
§ lt1LJ[ ~o
5Sl98 29 Pa.lm.s Hwv., #-1
CA .
'hioca Valley,
7 60.228..2422
4 - The Examiner -- January 2008
HM2 Christine Bmeiy. HM3 Michael Jiait, Multi
Emergency Medicine Service Wci.rd,.recdres a Na-r,y ·H i{Jos~·R.odriguez, Libratory
Department, receives a Na"}' Manedd aMl. ~· e~-C-orp.s Acb/ ieveme.:v.·r Departrii~nt, receives bis first
and Marine Corps Achievement
' ~.;.. ,Good CO.nduct Awa.rd. .
Medal. '
HN Paul Cohran, Eiii.ergency
Medicine Department, ieceives
a Letter of Commendation.
,..
-:"
'--~----~~~~~~--J!~.
Ensign Gregory, Emergency: -~: -;_ ~ ­
Medicine Department, has beea .
appointed as the "Boot" Ensign
for the command ·
~:·. - . . CSl Anthony Ii...ooper, FOOd. . ! Virginia,~, Human
receires
.FiM3 Aiigel. Gamboa, Pati~i.. -. s~ .pepartment, rec.§ives .. 7·, .8esoiirces $pecialjst, a
1IM3 Josq'uin cizii PACU~ Administration Department, · bis·fd'urtb ·Good Conduct · - · · Federal·Length of Service
Recorery, receives a Navy and rece.i-.es a Navy and Marine Awa.rd Award
Marine Corps Achievement Corps .Achievement Medal.
Mc.Pal. .
:'"~··· ~ ·>~':' :-:-=...,........-:-~~~~=
CS2 Leomar Claveria, Food
Lt Cmdr. Chris Niles,
-Ser:vices Department, receives
Emergency Medicine
bis second Good Conduct
Ann Denslow, Procureme1j.t Department, receires a Gold · HM2 Matthew ruitkins, DAC
Awa.rd Management, receives a HN Michael. Haggland, Star in lieu ofb is second Na"}' Clinic Management, receires a
Federal Length ofS ervice Optometry Clinic, receives his and Marine Corps Navy and Marine Corps
first Good Conduct Award. Commendation Medal. Achievement Medal.
Award
... . ··:_: ··.
The Examiner -- January 2008-5
.. -:-.
HMC Ben Carbaloc,
DACClinic
_._....... .. Management. recendy
- took the oath at his
early morning reenlist
ment ceremony.
Lt.j.g. Elizabeth Angelo,
LaboratoryOfficer, takes
the oath at her recent pro
motion ceremony.
Lt. Cmdr. Denise Breault. Laboratory Department Head BD.d former
acting Director for Clinical Services retires after 20 years ofa ctive - ..
,; ::Male1 fli111t1e1
duty. , :·.: -·
' .. ~HV WAIT! DRIVE T~u _co~/J
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6 - The Examiner - January 2008
January is Glaucoma Awareness Month -- Do you know your risk?
vision loss. African Americans over age 40, Caucasians of the same age This means that objects in front
Martha Hunt, M4. everyone over age 60, especially group. may still be seen clearly, but
Health Promotions Coordinator Does increased eye Mexican Americans, and people A thorough, dilated eye exam objects to the side may be
Robert B. Bush Naval Hospital pressure mean that I have with a family history of glauco- cah reveal more risk factors, missed.
.glaucoma? ma. Tobacco use is also a con- such as high eye pressure, thin-
What is glaucoma?
Not necessarily. Increased eye tributor to glaucoma and is the ness of the cornea, and abnor- Can glaucoma be treated?
Glaucoma is a group pressure means you are at risk leading cause of all types of ma! optic nerve anatomy. In Yes. Immediate treatment for
of diseases that can for glaucoma, but does not mean blindness in the US. Call Health some people with certain combi- early stage, glaucoma can delay
damage the eye's you have the disease. A person Promotions at 830-2814 if you nations of these high-risk fac- progression of the disease mak-
optic nerve and
has glaucoma only if the optic wish to enroll in a tobacco ces- tors, medicines in the form of ing early diagnosis very impor-
result in vision loss nerve is damaged. If you have sation class. eye drops reduce the risk of tant.
and blindness. The optic nerve
increased eye pressure but no Among African Americans, developing glaucoma by about
is the nerve that connects the damage to the optic nerve, you studies show that glaucoma is: half. What can I do if I already
back of your eye to your brain, do not have glaucoma. If you Five times more likely to occur have lost some vision from
allowing you to process what are at risk, follow the advice of in African Americans than in What are the symptoms of glaucoma?
you see. your eye care professional; Caucasians, about four times glaucoma? If you have lost some sight
Glaucoma occurs when the more likely to cause blindness At first, there are no symp- from glaucoma, ask your eye
normal fluid pressure inside the Who is at risk fo:i; in African Americans than in toms. Vision stays normal, and care professional about low
eyes slowly rises and damages glaucoma? Caucasians, and 15 times more there is no pain. However, as the vision services and devices that
the optic nerve. However, with Anyone can develop_glaucoma. likely to cause blindness in disease progresses, a person may help you make the most of
early treatment, you can often Some people are at higher risk African Americans between the with glaucoma may notice their your remaining vision.
protect your ey~s against serious than others. They include: ages of 4,5-64 than in side vision gradually failing.
Getting Behavioral Health Treatment is Easy with TRICARE
FALLS CHURCH, Va. - TRI nating the referral and authori their out-of-pocket expenses. also useful for resources and prior authorization requirements,
CARE wants its non-Active zation process for the first eight Beneficiaries may seek help information on behavioral visit the mental health and
Duty beneficiaries to know that visits," said Army Maj. Gen. from the following TRICARE health. behavioral page at www.tri
if they need help, there is no Elder Granger, deputy director, authorized behavioral health For more information about care.mil.
reason to hesitate. TRICARE Management professionals: Psychiatrists, treatment options, providers or
Non-Active Duty beneficiaries Activity. "It is important for clinical psychologists, certified
may make their first eight outpa families to seek treatment for psychiatric nurse specialists,
tient behavioral health care vis behavioral health symptoms as clinical social workers, and cer Spotting Family Health Risks
its per fiscal year (October 1 early as possible." tified marriage and family thera
September 30) without a referral To avoid the 50 percent cost pists. Result in a Life Saving Gift
from a primary care manager or share for behavioral health vis After the first eight visits, the
prior authorization from their its, TRICARE Prime beneficiar beneficiary must obtain authori
managed care support contractor ies must seek care from a TRJ zation from their MCSC for FALLS CHURCH, Va. -- People use genealogy to trace their family
(MCSC). CARE netwqrk provider, and additional visits. trees, or to find a specific person in a family's past. Like a family
Family members sometimes TRICARE Overseas Program An anonymous behavioral tree, the health history of blood relatives can help primary care man
avoid getting treatment because beneficiaries must seek care health self-assessment aid is agers (PCMs) predict maladies to which you may be at risk.
they fear it could reflect poorly from an Overseas Partnership available at www.militarymen Many experts think that family health history is the best 'genetic
on the Service member. provider. TRJCARE Standard talhealth.org./choos~lang.asp. test' available. Certainly it is the most readily accessible and cheap
''TRICARE makes it faster, beneficiaries are encouraged to The Military One Source Web est, and there is no time like holiday gatherings to share family histo
easier and more private for fam seek care from a TRICARE site at ry.
ilies to get treatment by elimi- authorized provider to reduce www.militaryonesource.com is The United States Surgeon General has even provided a My Family
Health Portrait tool at www.sur
geongeneral.gov/familyhistory
in partnership with other
GlEfJNING BY GEDRGE Department of Health and
Human Services agencies.
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sionals have known that com
Growing with our community since 1989
mon diseases such as heart dis
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• Ground Level Units Military & Senior Discounts TRJCARE Management
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• Month-to-Month Rentals George Gardner history and early detection. For
Owner - Operator instance, TRICARE recently
36i/-2510
365-4223 • Licensed• Bonded • Insured Continued on page 7
5020 Adobe Rd • 29 Palms
•'': :' ·. .•~ .. . .: ~ . .-.~ ' ·:' ". -
The Examiner --January 2008 - 7
Spotting Family Health Risks ..
~
cent of Americans believe
knowing their family health his
Continued from page 6 tory is important. Yet, the same
survey found that only one-third
began covering magnetic reso be eligible to have a
of Americans have ever tried to
nance imaging (MIU) screening colonosc.opy more frequently.
gather and write down their
for women in their thirties who and at &n earlier age. PCMs
family's health history.
have a high risk of developing need to know health history to
breast cancer. The American reduce the risk of developing Here are a few tips:
Cancer Society has clear guide this disease.
lines defining high risk, and Use the My Family Health *
Take the time to complete a
family history is a factor in that Portrait page to help. It is
family health history, share it
risk assessment. designed to be completed at
with children, grandchildren and
"We want these women to home and serves as a starting
siblings.
have every chance to detect any point for a broader discussion of *
Print off a copy and take it
cancer at the earliest possible disease screening with health
to the next primary care
stages," said Army Major care providers. In addition to
provider appointment.
General Elder Granger, Deputy providing estimates of inherita *
Make sure the most accurate
Director, TRICARE ble disease risk, a careful family
and updated family history has
Management Activity. health history can provide
been documented in medical
"An MRI is an exceptional tool insights into family dynamics,
records.
for screening the highest risk shared environmental factors, *
Ask about any special
women for breast cancer," he and patient health concerns.
screenings because of specific
added. Americans know that family
family history.
Beneficiaries with a family history is important to health. A
history of colorectal cancer may recent survey found that 96 per-
lear in Revi.ew. ..
the Naval Medical Center, San only a fraction of what we, as
Diego 16 staff members to care one command have 9one, and
Continued from page 1 for 40 displaced civilian nursing may take pride in together.
home patients. In typical fash Both individually and collective
mand's primary care area as a best practices while continuing currently transport to San Diego
ion, our 16 staff members per ly, whether in a clinical, admin
whole (family medicine; pedi to expand with significant out or Camp Pendleton for their
formed superbly. Our Color istrative, or ancillary work
atrics; internal medicine) was reach programs to the servicing care.
Guard continues to participate in assignment, we remain together
not only met but exceeded in Marine Corps Battalions here at Our community efforts and
both military and civilian events as one team and what we have
October and again in November. Twentynine Pa1ms. Under the partnerships continue, while
throughout the San Bernardino accomplished is a testament to
As far as our records go back, DHC umbrella and consistent sending staff to Naval Hospital
County as well as the Morongo the adage, "working together
we have never even come close with Commander, Navy Lemoore, Naval Medical Center,
Basin and Coachella Valley works." I thank you and your
to meeting the monthly goal. Medicine West's vision to posi San Diego, Naval Hospital,
Communities, always presenting families for your service and
Moreover, the RVU encounter tion adequate resources on-site Camp Pendleton, Naval
impeccably and with honor. As sacrifice and wish all of you
average of .81 was exceeded by to respond to Traumatic Brain Hospital, Yokosuka, and Naval
a command and Navy family, continued success. And to our
all three individual primary care Injury screening, evaluation, and Medical Clinic, Hawaii to help
we responded with honor, digni new Navy family members from
departments in both October and treatment, an initiative is mov with their staffing shortages
ty, and respect in all aspects fol the Bridgeport Clinic, welcome
November. ing forward to increase the resulting from deployments and
lowing the tragic loss of our aboard-you have made us
The management of our DHCrrBI provider and support gapped billets. In October, as a
shipmate Hospitalman Brian stronger and better.
finances, equipment, supplies personnel staffing picture. result of the horrible fires in San
Bugayong due to a motor vehi
and facilities and especially the Having a more robust Diego County, we responded to cle accident-Brian's family le.ry respectfully,
responsiveness to both internal DHC!I'BI capability on-site por a call for help from
members remain forever grateful CAPT Mark Boman
and external customer needs tends greater patient satisfaction Commander, Navy Medicine for our show of support. Comm.anding Offi~r
have never been better while for Marines and Sailors who West subsequently sending to
What I have provided above is
procuring almost 100 percent of
supply and equipment needs
presented by our departments
and executing almost to the dol 'U'e'~'}d~~~
I
lar our 25 million dollar budget.
The Deployment Health Clinic ~~<J6&~~t
(DHC), directly aligned and
chartered to service the Marine
~~tk~·
Corps and Navy warfighters
returning from deployment sup
porting the war on terror. fully MORONGO.BASIN TRANSIT AUTHORIT
stood up in February 2007 and 62405 Verbena Rd.
was the first i11 the ?'\a\·~· Joshua Tree, CA 92252
Medicine Wesl f\ rea ~ •f
Responsibility to .:n1. anc
begin reporting Pl•,;i- 7.. "66-2986
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8 - The. Examiner --January 2008