journal 17 may

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Vol. 24 No. 20 www.bethesda.med.navy.mil May 17, 2012 Photo by Helen Hocknell Speaking from a barn at Antietam National Battlefield, Explosive Ordnance DisposalTechnician 1st Class Todd Hammond discusses injuries he sustained while serving inAfghanistan in 2011 with first-year medical students from the Uniformed Services University of Health Sciences. Hammond is a wounded warrior and patient atWalter Reed National Military Medical Center. Dr. John Rathgeb, (right) a retired ortho- pedic surgeon and volunteer with the National Museum of CivilWar Medicine, explained to students how Hammond's treatment compared to the care soldiers received during the CivilWar.See page 3. Inside Inside Career Day Health profession- als share their pas- sion...... Pg. 4 Summer Safety How to avoid the dangers of summer..... Pg. 5 Sport of Recovery Adaptive sports programs aid with healing...... Pg. 8 Heritage Celebration of Asian/ Pacific American endeavors..... Pg. 9

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Naval Support Activity Bethesda and WRNMMC weekly newspaper

TRANSCRIPT

Page 1: Journal 17 May

Vol. 24 No. 20 www.bethesda.med.navy.mil May 17, 2012

Photo by Helen Hocknell

Speaking from a barn at Antietam National Battlefield, Explosive Ordnance DisposalTechnician 1st ClassTodd Hammond discusses injuries he sustained while serving inAfghanistan in 2011 with first-year medicalstudents from the Uniformed Services University of Health Sciences. Hammond is a wounded warriorand patient at Walter Reed National Military Medical Center. Dr. John Rathgeb, (right) a retired ortho-pedic surgeon and volunteer with the National Museum of CivilWar Medicine, explained to students howHammond's treatment compared to the care soldiers received during the Civil War. See page 3.

InsideInside

Career DayHealth profession-als share their pas-sion......Pg. 4

Summer SafetyHow to avoid thedangers ofsummer.....Pg. 5

Sport of RecoveryAdaptive sportsprograms aid withhealing......Pg. 8

HeritageCelebration of Asian/Pacific Americanendeavors.....Pg. 9

Page 2: Journal 17 May

2 Thursday, May 17, 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) 295-1803

Journal StaffStaff Writers MC2 John Hamilton

MCSN Dion DawsonSarah MarshallSharon Renee TaylorCat DeBinderKatie BradleyHelen Hocknell

Managing Editor MC1 Ardelle Purcell

Editors MC3 Nathan PardeBernard 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

In January of 1982, whileI was stationed at NavalSubmarine Base, Groton,Conn., I was invited to havedinner with a shipmate ofmine and his family. I wastold there was a youngwoman invited to the dinnerand that the dinner was in-tended as an arranged meet-ing or a “blind date.” Littledid I know at the time butthis arranged meeting would foreverchange the course of my life. Five weeksafter meeting Jayne Griffin, I asked her tomarry me and she said “YES!” Many wereconcerned we didn’t know each other longenough to make that kind of commitment,but this year, Jayne and I will celebrate 30wonderful years together. Although shedidn’t realize it when we married, she wasnot only making a commitment to be mywife, but she was making a commitmentto become a Navy spouse. A commitmentthat she took on willingly and handledamazingly from the day we were married,until the day I retired from the Navy onJuly 1, 2006.

I’m not sure how many people realizethe dedication and sacrifices made byspouses of married service members, butMay is “Month of the Military Spouse” andthis allows those of us who are marriedand serving the opportunity to say“THANK YOU” to our spouses for theirselfless commitment to our service, andfor the sacrifices that they make year inand year out. I can reflect back on myyears of service and know the success andaccomplishments I enjoyed in the Navywere in large part a direct result ofJayne’s support and love. Love not onlyfor me, but for what the Navy represent-ed.

Through thick and thin, good times andbad, deployments, transfers and manynights and weekends of me standing dutyor being called for a mission related mat-ter, Jayne made the best of every situationand fully supported every moment. In ad-dition to managing our household, Jayne

also kept our kids on a steadycourse and made sure theirneeds were met, often at thesacrifice of her own time andsanity. She's a great wife, a ter-rific mom, and to this day, re-mains the consummate Navyspouse. She still supports mein my role as a team memberof the Fleet and Family Sup-port Center (FFSC) here atNaval Support Activity

Bethesda (NSAB).If you are married, take some time to

convey your gratitude to your spouse forall they give or gave in support of yourservice. If you’re not married, take a mo-ment and say thank you to a militaryspouse or to your family and friends whohave supported all that you do. Withoutthat love and support, our service wouldnot be as successful or rewarding. In clos-ing, I wanted to share something I foundcalled “Recipe for a Military Spouse.” Theauthor is unknown, but through thesewords, I would like to say thank you to mywife and to all of our military spouseshere at NSAB, as well as those who aresupporting their spouse's careers in allfour corners of the globe. On behalf ofFFSC, we are grateful for everything thatyou do for your spouse and for your na-tion. The following is dedicated to you:

Recipe for a Military Spouse1 ½ cups of Patience2 tablespoons of Elbow Grease1 Pound of Courage1 ¼ cups of ToleranceAdd a dash of Adventure.Marinate frequently with salty tears.Sprinkle ever so lightly with money.Knead dough until payday.Season with international spices, bastewith a lot of good memories and friend-ship.Bake for twenty years or until done.Serve with pride!

Brian Pampuro,HMCM(SW/FMF) USN(Ret.)

A Heartfelt Thank You Stages of Healing Presents Sara JonesWalter Reed Bethesda's Stages of Healing

presents jazz vocalist Sara Jones performingtoday from noon to 1 p.m., in the AmericaBuilding lobby. Jones is the first-place winnerof the 2004 Billie Holiday Vocal Competition inBaltimore, Md. Stages of Healing performanc-es are for the entire Walter Reed Bethesdacommunity. All patients, families, staff and vis-itors are invited to attend. For more informa-tion, call Sara Barrett at (301) 295-1083 orMicah Sickel at (301) 295-2492.

Navy-wide Research CompetitionWalter Reed Bethesda hosts the 27th

Annual Navy-wide Research Competition to-morrow from 8 a.m. to noon in Building 10'sLaurel Clark Memorial Auditorium.Researchers from Walter Reed NationalMilitary Medical Center, Naval MedicalCenter San Diego and Naval Medical CenterPortsmouth will present their work during thecompetition. Presentations consist of approvedClinical Investigation Program research con-ducted under the jurisdiction of each respec-tive Clinical Investigation Department. Formore information, contact Capt. FarahJayman at [email protected], or(301) 295-8279.

Performance and ResilienceEnhancement Workshop

A Performance and ResilienceEnhancement Workshop will be held May 24,from 8 a.m. to 4 p.m., to help all staff andhealth care providers reach their potential, aswell as lower stress and compassion fatigue.The workshop, open to all military and civil-ians, will held in Building 5, Rm. 4028 and ispart of the Comprehensive Soldier Fitness pro-gram, designed to build and strengthen confi-dence, goal setting, attention control, energymanagement and integrate imagery. To re-serve a seat, contact Danielle Miller at either(571) 231-5262, or [email protected].

Bethesda NotebookBethesda Notebook

Page 3: Journal 17 May

The Journal Thursday, May 17, 2012 3Thursday, May 17, 2012 3Thursday, May 17, 2012 3

By Helen HocknellNSAB Public Affairs

staff writer

Each year, first year med-ical students from the Uni-formed Services University ofHealth Sciences (USUHS)gather in Sharpsburg, Md.,for theAntietam Road March.

"This is an opportunity forstudents to learn the princi-ples of military medicine, andthe foundations of wherethese innovations camefrom," said Navy Lt. BrianAndrews-Shigaki, USUHSassistant professor of emer-gency medicine, who organ-ized this year's march. Stu-dents had originally partici-pated in a march throughnearby Rock Creek Park tobreak in their new boots, butthe event took on a deepermeaning when it was movedto Antietam in the 1990s.

During the annual event,students walk a seven-mileroute around the park, volun-teers dressed in period cloth-ing demonstrate Civil Warsurgical procedures, andUSUHS professors discussbattle tactics and the logisticsof military medicine.

"It all started here," ex-plained Andrews-Shigaki."As the students see this bat-tlefield and hear about theexperiences of doctors in thepast, they gain a better un-derstanding of what they arelearning in school now."

The Battle of Antietam onSept. 15, 1862, resulted inmore than 23,000 casualties,leaving approximately 4,000dead. It marked the singlebloodiest one-day battle inAmerican history, but manylives were saved thanks tochanges implemented by Dr.Johnathan Letterman, a sur-geon appointed as medical di-rector of the Union army inJune 1862.

Known as "The Father ofMilitary Medicine," Letter-man was the first to organizea system for the evacuation ofwounded from the battlefield.He established mobile fieldhospitals, connected them byan efficient ambulance corpsand implemented a systemfor the distribution of medicalsupplies.

Kyle Wichtendahl, directorof interpretation and pro-gramming at The Pry HouseField Hospital Museum, said

Antietam marked a turningpoint in the development ofmilitary medicine. "It's com-mon sense today, but it wasrevolutionary at the time -you can't re-supply a hospitalyou don't know is there," ex-plained Wichtendahl.

In addition to the logisticalimprovements introduced byLetterman, the Civil Warbrought about advances infirst aid procedures and sur-gical techniques.

"The Civil War is consid-ered to be the beginning ofmodern military medicine,"said Dr. John Rathgeb, a re-tired orthopedic surgeon andvolunteer with the NationalMuseum of Civil War Medi-cine. "Was it primitive? Yes.But the Wright brothers did-n't fly a 747.They had to startsomewhere."

Rathgeb explained to thestudent group that Germanand French surgeons wereconsidered the best in theworld in the early 1800s, butby the conclusion of the CivilWar,American surgeons wereconsidered on par with theirEuropean counterparts.Rathgeb said patients contin-ue to reap the benefits ofthese advances nearly 150years later.

Explosive Ordnance Dis-posal Technician 1st ClassTodd Hammond, a wounded

warrior and patient at WalterReed National Military Med-ical Center, spoke to studentsabout his experiences in thecare of military doctors, anddescribed how his treatmentcompared to the care soldiersreceived during the Civil War.Hammond had his right legamputated below the knee af-ter he was severely injured byan improvised explosive de-vice while serving inAfghanistan in 2011.

"A military doctor is not al-ways in a hospital setting -their patients won't alwaysbe put on a table in front ofthem," said Hammond. "It'simportant that the studentsget a glimpse of what goes onoutside the hospital, out onthe battlefield."

Seated on a bale of hay ina barn similar to those usedas makeshift hospitals duringthe Civil War, Hammond de-scribed how he was treatedand transported fromAfghanistan to Germany,then brought to Walter ReedNational Military MedicalCenter. He showed studentshis scars, and explained howtourniquets were used to re-duce the bleeding from thewounds to his legs.

"Tourniquet theory haschanged over time, but whatthey did for me is actuallyquite similar to what they

did back then," explainedHammond.

"Nowadays we put themhigher up on the limb with-out worrying about tissuedamage, as we know therewon't be as much time elaps-ing between injury and treat-ment in a hospital," explainedHammond.

Hammond said he feelsgrateful to the military doc-tors for their service, and thatthis trip gave him a greaterappreciation of the heritageof military medicine.

"Quite a few doctorswho've worked on me are soskilled and talented andknowledgeable, they could gowherever they wanted. Anymajor trauma hospital in thecountry would snatch themup in a heartbeat, but they'rehere at Walter Reed becausethey want to be here andwork on wounded warriors,"said Hammond. "I feel luckyto have received such excel-lent care."

Air Force 2nd Lt. ElizabethKim, a first-year medical stu-dent at USUHS, said hearingdescriptions of the conditionsCivil War soldiers enduredand learning about the logis-tics of battlefield medicine wasboth moving and enlightening.

"It shows how much wecan learn from the past," saidKim.

Students learn history of military medicine

Photos by Helen Hocknell

Approximately 170 first-year medical students from Uniformed Services Univer-sity of Health Sciences participated in theAntietam Road March,an annual eventaimed at giving students a deeper appreciation for how advances made duringthe Civil War continue to shape the future of military medicine.

Army Lt. Col. (Dr.) JustinWoodson, assistant professorin the Department of Military and Emergency Medi-cine,speaks to Uniformed Services University of HealthSciences students about the treatment of woundedduring the Battle ofAntietam at Bloody Lane.

Page 4: Journal 17 May

4 Thursday, May 17, 2012 The Journal4 Thursday, May 17, 2012

By Cynthia HilsingerNMPDC Public Affairs

Sailors from Navy Medicine Pro-fessional Development Center(NMPDC), Walter Reed NationalMilitary Medical Center (WRN-MMC), and Naval Support ActivityBethesda (NSAB) recently visitedClopper Mill Elementary School inGermantown, Md., for career day.

The event provided students theopportunity to hear about medical,dental and administrative occupa-tions from the men and women whoperform these skills while servingin the military.

"I was surprised by one questiona student asked me, 'does it grossyou out looking into a patient'smouth?'" said Hospital Corpsman1st Class Arnel Galapir, NMPDCmaxillofacial laboratory technicianworking in the prosthetics depart-ment. Galapir spoke to the stu-dents about his career and an-swered questions, such as where hewas from and all the places he vis-ited while in the Navy.

Ranging between the ages of sixand 12, the children had several ca-reer occupations presented. All thespeakers were in dress uniforms,which drew questions about serviceribbons and qualification pins. "Iwas surprised at how receptive andattentive the children were," saidPersonnel Specialist 3rd Class De-Mario Stackhouse of the NSAB ad-ministration department.

"I volunteered to speak at careerday because I wanted the opportu-nity to help a child change their lifein the future," said Stackhouse.Hospital Corpsman 3rd ClassPatrick Goldsmith, of the Direc-

torate for Resources at NMPDC,also signed up for the classroomvisit to tell about his experiences inthe Navy.

"It is important to show childrenhow diverse and exciting a careerin the United States Navy is," saidGoldsmith. "The children were in-terested in the educational oppor-tunities and the benefits of being inthe military. They asked me ques-tions about how many times have Ibeen overseas, where I have been,and if have I been able to shoot anyweapon systems."

Goldsmith said he would not beable to do his job without studyingand preparing for it.

"I felt I made an impact by tellingthem all the positive things aboutthe military, but still emphasizingthat the only way to be successful iswith proper training and educa-tion," said Goldsmith. "I think shar-ing this information was importantto the children because it showedthem the different opportunitiesthey have when they get older."

Though impressed by stories oflife in the Navy, the kids were alsointerested in the responsibilitiesyoung Sailors performed.

"The kids asked me how old Iwas, and when I told them 'I'm only19,' they were shocked that I am soyoung, yet doing such an importantjob," said Hospitalman BrittanyWeathersby, WRNNMC obstetrics/gynecology department assistantleading petty officer.

Hospitalman George Coukoulis,an apprentice in the WRNMMCcardiology clinic, said some of thechildren's questions and the matu-rity of the third grade class that hevisited surprised him.

"They had very good questionshaving to do with equality in themilitary and benefits of the mili-tary," said Coukoulis. "The childrenwere mostly interested in the med-ical aspect of my job.

I showed them several wounddressing techniques. They loved thematerials I brought in, and thehands-on stuff they got to do withme," said Coukoulis.

All of the volunteers felt careerday was a success.

"I think sharing with these chil-dren is very important because oneday they could be the master chiefs,and the sergeant majors of our mil-itary," said Coukoulis. "They could

be the next person to make a med-ical breakthrough or save a Ma-rine's life in the field. This eventmade me think about the impact ofwearing our nation's uniforms andcoming to talk to young children ofour society."

Arcola Elementary School inWheaton-Glenmont, Md., is cur-rently searching for presenters toattend their career day on June 4from 9 to 11:30 a.m.

Individuals interested in partici-pating in the upcoming event shouldcontact Daniel Dunham via e-mailat [email protected] via phone at (301) 295-7849.

Medicine Presented at Elementary Career Day

Photo by Cynthia Hilsinger

Navy Medicine Professional Development Center’s Hospital Corps-man 3rd Class Patrick Goldsmith, left, and Naval Support ActivityBethesda’s Personnel Specialist 3rd Class Demario Stackhouse an-swer questions of the fifth grade class at Clopper Mill ElementarySchool in Germantown, Md., during their career day.

By Helen HocknellNSAB Public Affairs

staff writer

Wednesday marked the anniver-sary of expanded clinical servicesat Naval Support Activity Bethes-da's Fleet and Family Support Cen-ter (FFSC).

Historically a satellite office of-fering minimal services like transi-tion assistance programs and de-ployment support, other serviceswere previously only availablethrough Joint Base Anacostia-Bolling, said Bethesda's FFSC Di-rector Sallie Younger. The expand-ed services now include family ad-vocacy, clinical counseling and do-mestic assault victim advocateservices.

"These services are particularly

important because they addresshigh risk issues that require imme-diate response," explained Younger."This keeps our service membersfrom having to travel to D.C. or oth-er installations to get these veryimportant services when they needthem."

In addition to clinical services,FFSC also offers expanded familysupport and education opportuni-ties. One of the new classes intro-duced last October is aimed at par-ents with kids of all ages, and Clin-ical Case Manager Cindy Hurdsaid it has received overwhelming-ly positive reviews from partici-pants.

Hurd described the six-weekcourse, titled "Scream-Free Parent-ing," as a revolutionary approach tothe process of parenting rather

than teaching parents "tricks" fordealing with unruly kids.

"The premise is that the parentneeds to behave first," explainedHurd. "People wonder - 'why is thischild screaming and yelling andgetting upset?' Well, mom and dadare screaming and yelling and get-ting upset. That's the behaviorthat's being modeled for the child.It's total common sense. The childneeds to be able to look at the par-ent as a calming anchor in theworld."

Hurd said it doesn't take long forparticipants to benefit from thecourse. She emphasized that it'snot just meant for parents dealingwith specific behavioral problems,but rather designed to help anyparent who wants to improve thebond with their child. One of the

basic principles is to give yourselffive or 10 minutes to reflect on howbest to deal with a stressful situa-tion, allowing you to be morestrategic in your decision-making.

"The idea is that participantscan use what's taught in this classin everyday life, not just in parent-ing," said Hurd. "I had parents whocame back to the second class andsaid - 'we've already started usingwhat we've learned and it's reallyhelped.'"

"Scream-Free Parenting" will beoffered every Wednesday from 10a.m. to noon July 11 through Aug.15, and is open to parents of chil-dren up to age 18.

For more information, call theFFSC at (301) 319-4087 or to signup for the course, [email protected].

Fleet and Family Support offers "scream-free" alternative to parents

Page 5: Journal 17 May

The Journal Thursday, May 17, 2012 5Thursday, May 17, 2012 5Thursday, May 17, 2012 5

By Mass CommunicationSpecialist Seaman

Dion DawsonNSAB Public Affairs

staff writer

The '101 Critical Days of Summer'is the time period between MemorialDay and Labor Day when the militarysees a big spike in vehicle and recre-ational accidents. Every militarybranch promotes safety and aims toreduce the number of accidents andmishaps during this summer season.

To prepare for the warmer weather,the Walter Reed National MilitaryMedical Center (WRNMMC) andNaval Support Activity Bethesda(NSAB) will host "Summer SafetyDay" on May 30. The day will featuresafety training and presentationsfrom various departments, includingthe NSAB fire department, WRN-MMC preventive medicine clinic,emergency management and more.This year's theme is "Work.Play.Live.Safe."

"There will be tables with respira-tors, information and training on var-

ious topics primarily relating to sum-mer activities for everyone," said Mar-cus Rodin, a WRNMMC occupationalsafety specialist. "We will talk aboutrecreational safety topics as well. Our[service members] get hurt just asmuch off the job, as they do on the job.This happens while playing sports,boating, bicycling and even barbecu-ing. For our service members, everyinjury has to be reported so it's our jobto try and prevent every injury."

More than 200 service members

lost their lives in accidents last yearduring the '101 Critical Days ofSummer.'

"We want our service members tohave fun, but remain focused on po-tential dangers and continue to makeresponsible decisions," said ChrisDavies, WRNMMC assistant safetymanager. "If a Sailor goes to the beach,has a few drinks and prepares to headhome, it is not okay for them to drive.All the rules are the same.When boat-ing, always wear your life vest. Don'tdrink and boat.When maneuvering aboat, it's harder to stop than a car. Ifyou hit the brakes on a car, the wheelsstop. When stopping a boat, it takeslonger to come to a stop because youare reversing the motor."

Davies said even the simplest activ-ities, if not handled properly, couldyield dangerous, unwanted results.

"There are a lot of dangers when itcomes to barbecuing that people aren'taware of.When barbecuing with char-coal, we encourage everyone to avoidusing gas. A lot of people spray gaso-line on their coals to create a quickfire,which could cause an explosion. It

should not be done under your patioor in your garage. Instead, take yourgrill to a park and barbecue the safeway," he said.

Motorcycles are brought out of stor-age for the summer weather, but safe-ty is vital when riding them, Daviessaid.He also stated it is imperative forriders to wear the correct protectiveequipment, which includes a helmet,gloves, boots and reflective items.

There are courses available onlinefor Sailors and Soldiers on NavyKnowledge Online (NKO) and ArmyKnowledge Online (AKO),where serv-ice members can go to watch safetyvideos and read information aboutsafety practices.

"Accidents are going to happen,butthrough training,advice and planningaccordingly, we can do our part to en-sure the safety of everyone. The goalis for everyone to enjoy the beautifulweather, but come back safely in onepiece," said Rodin.

For more info on Summer SafetyDay or safety tips for the summer, con-tact Davies or Rodin at (301) 295-4663.

Taking Summer Safety Seriously

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Page 6: Journal 17 May

6 Thursday, May 17, 2012 The Journal6 Thursday, May 17, 20126 Thursday, May 17, 2012

By Marge JylkkaWRNMMC Occupational

Audiology

Hearing loss is painless, progres-sive, permanent, and most impor-tantly, preventable.

If you break your arm, yourfriends and family are unlikely toask you to carry groceries in from thecar. The cast is a visible alert to oth-ers that you are unable to use yourarm for some simple tasks of every-day life.

This is not the case when you suf-fer a hearing loss after usingfirearms, operating a chain saw, at-tending a rock concert or sporting

event without hearing protection.There are an estimated 36 million

Americans with hearing loss, andone in three developed their hearingloss from exposure to noise. Contin-uous exposure to excessive noise willmake hearing loss progressive. Dam-age to your hearing from noise expo-sure is permanent, and becausenoise-induced hearing loss (NIHL) ispainless, you may not notice the lossuntil the damage has been done.Thegood news is NIHL is preventable.

Noise is hazardous when it be-comes too loud and you are exposedto it too long. You should also takeinto account how close you are to thenoise. Noise level is measured inunits called decibels (dB), and sound

is usually measured on two scales –A and C.The human ear is most sen-sitive to the A scale. Leaves rustle at20dB, whereas normal conversationis about 60dB. Hazardous noise froman explosion (impulse noise) is dan-gerous at 140dBA, and continuousnoise over a period of time, such as awork day in a factory, is hazardous at85dBA. Noise levels in 2010 at theSuper Bowl were reported at 102dB,and the noise measured at the Stan-ley Cup Finals was 122 decibels, andthat was during the National An-them! Vuvuzela horns at the WorldCup were measured at 131dB, and aNew York City bus at 42nd St. andFifth Ave. was measured at 87dB.

Hair cells in the inner ear deliver

signals to the brain about what wehear. Hearing damage occurs whenthe hair cells in the inner ear are im-paired.When hair cells are damaged,the brain gets a distorted messageinstead of a clear one, like listeningthrough a defective speaker.

If you have noise-induced hearingloss, you do not hear clearly, especial-ly with background noise. This in-ability to hear clearly can pose safetyissues. For example, the individualwith hearing loss may think theyheard “Attack!” when the commandactually was “Get back!” Those withhearing loss may also ask others torepeat what they say, and others

See HEARING page 12

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8 Thursday, May 17, 2012 The Journal8 Thursday, May 17, 20128 Thursday, May 17, 2012

By Cat DeBinderJournal staff writer

In the fall of 2010, Cmdr.Ann Williams sent a base-wide e-mail to staff at the for-mer National Naval MedicalCenter to recruit individualsinterested in forming a cy-cling program on base. Shehad no idea the amount ofsupport and positive out-comes it would generate.

The cycling program, bornout of William's effort, is nowopen to wounded warriors, aswell as all active duty andretired service members whoare recovering from illness orinjury. Williams, the assis-tant department head of themain operating room at Wal-ter Reed National MilitaryMedical Center (WRN-MMC), co-chairs and directsthe cycling program with Lt.Cmdr. Bobbi Dittrich, Serv-ice Chief of Resiliency andPsychological Health atWRNMMC. Participants arereferred to the cycling pro-gram for a variety of reasons,including physical, behav-ioral, and psychological chal-lenges,Williams and Dittrichexplained.

Williams continued bystating the cycling programhelps wounded warriors tran-sition back into performingphysical activities. "It servesas an immediate transition,and provides therapeutic in-tervention in order to meetthe physical, social, emotion-al, cultural, recreational, and

health and wellness needs ofrecovering service members."

She said the cycling pro-gram provides outreach forwounded warriors and recov-ering service membersthrough the hospital as an ex-tension of their rehabilitation,and enhances their resiliency.

Behavioral Health Serviceis also involved with the cy-cling program to assist partic-ipants and help them en-hance their coping mecha-nisms as they rehabilitate.Dittrich said she has seen"enormous improvements" inboth the physical and emo-tional aspects of the membersin the club.

"Whatever the reason, wehave seen clear improvementin mood," Dittrich explained."[Participants gain] increasedtolerance, [become] more con-

fident, energetic, focused, andrelaxed, not to mention in-crease in fitness and health,endurance, stamina, power,and strength."

Although our participantsare recovering from diverseinjuries, they all have a com-mon bond,Dittrich continued."This bond of military serviceand collegiality unites themwith a common goal of heal-ing, while respecting eachother's abilities to work to-ward that goal."

She added cycling bringsveterans together to support,encourage, inspire, and moti-vate each other. Each partici-pant soon realizes they arenot alone in their struggles,and not only can they helpthemselves,but they are help-ing their peers too.

The program continues to

expand due to the contribu-tions and support of a numberof organizations.

Many have sponsored rid-ing events, contributed, orhelped design and developadaptive bikes for our am-putees, Williams added.

Master Sgt. John Masson,a 16-year Army veteran andtriple amputee,has been withthe cycling program for sixmonths. He said he originallygot into the program for theweight loss aspect, but stayedon when he realized the hid-den benefits.

"When you've got limita-tions, you try to focus onthings you can do and notwhat you [can't]," said Mas-son, injured on Oct. 16, 2010,in Panjwai, Kandahar,Afghanistan. "This programgave me the opportunity tochallenge myself and see howmuch I can do."

Masson continued, that it'sgrueling, hard work, but atthe end of a ride he felt chal-lenged, and that he has ac-complished something. "Youfeel better about yourself aftera challenge," he said.

As an amputee, Massonsaid he gets a lot of staresfrom people, and, dependingon his mood, this either both-ers him or not. "You start tothink of yourself as handi-capped sometimes [when peo-ple stare], but after a ridingaccomplishment, it doesn'tmatter - they can stare allthey want."

Reaching speeds as high as

40 miles per hour,Masson hasbecome "hooked" on the rac-ing aspect of the cycling andadmits he's become a littlecompetitive. He also spendssome time at WRNMMC'sMilitary Advanced TrainingCenter, gently influencing theparticipation of others recov-ering from injury.

"I've dropped a lot of weightsince joining and have gottenin shape - now I want to keepin shape," Masson added.

Williams said they have amonthly "Bethesda CyclingRide Schedule" of upcomingorganized rides, including theTexas Challenge, a ride fromSan Antonio to Arlington,Texas, and a Redskin CharityRide with Washington Red-skins linebacker LorenzoAlexander.

"One of our biggest upcom-ing events is the MemorialDay Challenge," she added."It starts at Arlington Ceme-tery on May 28 and ends June2 in Virginia Beach, totaling[about] 275 miles," saidWilliams. "We will have afirst edition [Walter ReedBethesda] cyclingT-shirts andhope to get the word outabout the program."

For more informationabout the Walter ReedBethesda cycling program,contact Lt. Cmdr. BarbaraDittrich at (301) 204-1248, [email protected], or Cmdr.AnnWilliams at(240) 274-2908, or [email protected].

Cycling Program Changes Lives

Photo by Cat DeBinder

Master Sgt. John Masson,a 16-yearArmy veteran whowas injured on Oct. 16, 2010 in Panjwai, Kandahar,Afghanistan is seen here with his custom-made bike.

By Sarah MarshallJournal staff writer

To help wounded warriorsreturn to a sense of normalcy,increase their confidence aswell as independence - andsimply enjoy themselves -Walter Reed Bethesda hostedan Open Sports Day May 9 inthe America Building.

Led by the Orthopedicsand Rehabilitation depart-ment's Therapeutic Recre-ation and Adaptive SportsProgram, the event was heldfor the second time at themedical center to allow in-jured troops to explore themany recreational opportuni-ties available to them,both onand off base, such as adaptivegolf, bowling, and waterski-

ing, as well as therapeutic flyfishing, said Harvey Naranjo,the program's coordinator.

"Everybody does have theirlimitations,but we try to [givethem] every opportunity outthere to get them back towhat they did pre-injury,"Naranjo said.

Open Sports Day broughtrepresentatives from morethan 15 recreational andcharitable organizations,though the program regularlyworks with numerous others,according to Naranjo. Theevent is held twice a year - inthe spring to introduce sum-mer sports, and in the fall forwinter sports.

"It's part of the rehabilita-tion here," he said. Those inrecovery have many options

for their future, whether theyreturn to active duty or choseto retire, he continued. "Whatwe want to do is introducethem to an active lifestyle,post injury, so they can main-tain and continue being activeindividuals."

Whether traveling acrossthe country for an adaptiveski trip in Breckinridge,Colo.,deep sea diving in Guan-tanamo Bay, or kayaking inthe pool at the base fitnesscenter, Naranjo explainedthat medical attendants arealways involved to ensure thepatients' safety.

"Everything they're doingis documented and they aremedically monitored," he said,until they can be on theirown. "That's the level we

want to get them to, so theycan be independent."

Since he helped initiate theprogram in 2002 at the for-mer Walter Reed Army Med-ical Center, Naranjo has seenthe program evolve, estimat-ing well over 1,000 troopshave participated, thanks tooutpouring support from somany charitable organiza-tions, locally and internation-ally. "Anywhere there's an op-portunity for recreation,they're there.We've done scu-ba [diving], a bike ride in Is-rael and Germany, andthey're going out to the UK inSeptember."

Not letting his injury slowhim down, Marine Lance Cpl.Matias Ferreira is among themany program participants.

On Jan. 21, 2011, while inAfghanistan, the machinegunner sustained injurywhen an IED detonated nearhim. Prior to losing both legsin combat, he was highly ath-letic - a football linebacker,marathon runner and base-ball player for many years.The 23-year-old explained healso tried snowboarding afew times before, and decid-ed to give it a try with hisnew prosthetic limbs withthe help of the adaptivesports program at WalterReed Bethesda.

"It was like learningeverything all over again,"he said, describing his expe-rience on the slopes of Col-

Helping Troops Heal, One Sport at a Time

See HEALING page 10

Page 9: Journal 17 May

The Journal Thursday, May 17, 2012 9Thursday, May 17, 2012 9Thursday, May 17, 2012 9

By Bernard S. LittleJournal staff writer

The Walter Reed Bethesda commu-nity celebratedAsian PacificAmericanHeritage Month with a program fea-turing native dancers and foods onMay 10 in the atrium of the AmericaBuilding.

The Filipino-American Associa-tion of Bethesda performed the "Sin-ulog" festival dance, while JakeCortes, a native of Cebu City, Philip-pines, sang and played the acousticguitar. Ohana of Polynesia Inc., per-formed a cultural hula dance thatgot Soldiers, Sailors and civilians upand moving to the music. TheBethesda Multicultural Committeeand Filipino-American Association ofBethesda sponsored the event.

"May is Asian Pacific AmericanHeritage Month,and this year's themeis 'Striving for Excellence in Leader-ship, Diversity and Inclusion,'" ex-plained Sgt. 1st Class Jason Zielske,chair of the Bethesda MulticulturalCommittee. "Bethesda MulticulturalCommittee's goal is to support andpromote a culture that embraces di-versity. I thank everyone on the com-mittee and the Filipino-American As-sociation of Bethesda for putting on agreat event and providing a wonderfulopportunity for our staff and patientsto learn about Asian cultures."

In proclaimingAsianAmerican andPacific Islander Heritage Month onMay 1, President Barack Obama stat-ed, "Generations of Asian Americansand Pacific Islanders have helpedmake America what it is today. Their

histories recall bitter hardships andproud accomplishments - from the la-borers who connected our coasts one-and-a-half centuries ago, to the patri-ots who fought overseas while theirfamilies were interned at home, fromthose who endured the harsh condi-tions ofAngel Island, to the innovatorsand entrepreneurs who are drivingour nation's economic growth in Sili-con Valley and beyond. Asian Ameri-can and Pacific Islander HeritageMonth offers us an opportunity to cel-ebrate the vast contributions AsianAmericans and Pacific Islanders havemade to our nation,reflect on the chal-lenges still faced by Asian Americanand Pacific Islander communities,andrecommit to making the Americandream a reality for all."

According to Library of Congress of-ficials, Asian American and Pacific Is-lander Heritage Month originated in1978 when Congress passed a jointresolution to commemorate AsianAmerican Heritage Week during thefirst week in May.This period was cho-sen because it includes the date for thearrival of the first Japanese immi-grants in America (May 7, 1843) andthe completion of the transcontinentalrailroad (by many Chinese laborers)on May 10, 1869.

In March 1979, President JimmyCarter issued the first presidentialproclamation forAsianAmerican Her-itageWeek. In 1990,Congress voted toexpand the week-long observance to amonth, and President George H.W.Bush designated May 1990 as the first"Asian/Pacific American HeritageMonth." In 1992, Congress voted to

permanently designate May of eachyear as "Asian/Pacific American Her-itage Month."

"Now numbering more than 17 mil-lion people, theAsianAmerican PacificIslander community has become thefastest-growing racial group in theUnited States, and we have many ac-complishments to celebrate and a tru-ly diverse history to honor," states U.S.Representative for California MikeHonda on his official website.Honda isof Japanese-American heritage.

According to the Department of De-fense, there are approximately1,400,000 service members serving in

active duty in the U.S. armed services.59,141 or 4.3 percent are Asian Amer-icans and 3, 237 (0.2 percent) are na-tive Hawaiian or other Pacific Islander.

Numbers from the U.S. Depart-ment of Commerce, U.S. Census Bu-reau in 2010 indicates there are265,200 single-race Asian militaryveterans, and 27,800 single-race Na-tive Hawaiian and Other Pacific Is-lander military veterans.

For more information about activi-ties and events sponsored by theBethesda Multicultural Committee,call Sgt. 1st Class Jason Zielske at(301) 400-2847.

Walter Reed Bethesda Celebrates Asian Pacific American Heritage

Photos by Bernard S. Little

Dancers of the Ohana of Polynesia Inc., lead a group of volunteer Sol-diers,Sailors and civilians in a cultural hula dance performance duringthe Asian Pacific American Heritage Month celebration at WalterReed Bethesda on May 10 in the atrium of the America Building.

By Cat DeBinderJournal staff writer

In its first DAISY Award ceremonyon May 7, at Walter Reed NationalMilitary Medical Center (WRNMMC)in Memorial Auditorium, three nurs-es were honored during the eventthat was part of a celebration of Na-tional Nurses Week, observed annu-ally May 6-12.

According to its website, http://daisyfoundation.org, the DAISYAward Foundation was formed inNovember 1999 by the family of J.Patrick Barnes, who died at age 33from complications of IdiopathicThrombocytopenic Purpura (ITP).DAISY is an acronym for DiseasesAttacking the Immune System.

Barbara Dudenhoeffer (OB/GYN),Army 2nd Lt. Julie Ross (5-East, sur-gical ward), and Suzanne Birney (7-East, Traumatic Brain Injury unit)were the winners among 34 othersnominated for the award,which recog-nizes nurses for their dedication andcommitment to quality care.Dudenho-effer earned the award for February,Ross for March and Birney for April.

"Any job that allows one to help oth-ers is rewarding," said Birney. "I par-ticularly like working in theTraumat-ic Brain Injury unit because patientsinvariably stay for an extended periodof time,allowing me to get to know thepatients and their families."

Ross agreed, saying she finds nurs-ing to be "extremely rewarding be-cause after experiencing theheartache of a patient's illness, youare able to experience their joy at be-ing discharged. "It's then that you tru-ly understand the impact you madeon their healing process."

"The most rewarding aspect of myjob is helping expectant parentsthrough the trials and tribulations ofpregnancy," Dundenhoeffer said. TheDAISY award honors those who havegone "above and beyond in giving ex-traordinary care to patients," ex-plained Christie Ferguson, co-chair ofthe DAISY committee at WRNMMC.Also honored during the ceremonywere Army, Navy, Air Force and civil-ian nurses at Walter Reed Bethesdanominated for the award.

Joan Loepker-Duncan, co-chair ofthe DAISY committee, said it was a

challenge to name the winners be-cause there were so many "wonderfulnominations." She explained, "Manypatients and patient family memberssubmitted nominations telling storieshow the nursing team memberschanged their lives or made a real im-pact on the care that they got."

"The ones [who] were chosen werethe ones [who] really brought it backhome to what nursing is all about.[They] give you that feeling aboutwhy you became a nurse," Loepker-Duncan added.

Created by the DAISY Foundation,the award is presented at hospitalsthroughout the nation, each recogniz-ing a different nurse for each month.The foundation developed the awardto recognize exceptional nursing pro-fessionals, such as nurse practitioners,registered nurses, licensed practicalnurses and nursing assistants,accord-ing to Ferguson,who works as the clin-ical nurse manager of the WRNMMCemergency department.

The formerWalter ReedArmy Med-ical Center held the first DAISYAward ceremony for a military treat-ment facility in May 2010,according to

Ferguson. "Our goal was to recognizecare for wounded warriors - those whohave fought for us," she added.

Ferguson said in reviewing nomina-tions for the first Walter Reed Bethes-da DAISY award winners, severalwere hand-written, illustrating the im-pact nurses make on patients andtheir families. "In some cases, "therewasn't a dry eye," in the room whencommittee members were determin-ing the winners, she added.

Mark Barnes, who helped estab-lished the DAISY Award Foundationalong with other family members inthe memory of his son J. PatrickBarnes, presented the awards at theMay 7 ceremony at Walter ReedBethesda. He spoke about the humili-ty of the nurses when they receivedpraise for their compassion, and ex-plained many nurses stated theydidn't do anything special, just theirjob. He told the nurses, "You are trulymy personal heroes."

"As we brainstormed what to do inPat's memory, the one really positivething we could hold onto from the ex-

Three Earn Bethesda's First DAISY Awards

See DAISY page 12

Page 10: Journal 17 May

10 Thursday, May 17, 2012 The Journal10 Thursday, May 17, 201210 Thursday, May 17, 2012

orado. Within just a day or two, hewas right back at it. He quickly mas-tered the blue and green level trails -and the feeling was indescribable. "Itwas just instinct, you're out there,you're excited [to do] what you usedto do before."

He expressed his appreciation forthe program, and seeks to continuetrying new activities - the sky's thelimit. "There's always a way aroundthings that will allow you to do whatyou did before your injuries," he said.

Like Ferreira, many patients andtheir family members had a chanceto sign up for new activities duringthe sports day event and adaptivesports equipment were also on dis-play - like mono-skis and adaptivebikes - and watch a salsa demon-stration, performed by a non-profitdance program. Sherry Harris Mor-ganstein, lead instructor for the pro-gram designed for service members,explained how such activities allowwounded warriors to be active, whileallowing them to spend time andconnect with their significant oth-ers. Additionally, these recreationalactivities are helping them work ontheir balance and coordination - asignificant aspect in their rehabili-tation.

"It might be challenging, butthey're in a safe environment, wherethey have support," she said. "Thereare so many wonderful programs forour heroes.."

David Sheehi, who runs a localboxing gym, also attended the sportsday event to talk with patients andtheir families about his services.

"We show them that, even withyour injuries, [that] doesn't mean youcan't do this again.We have the tech-nology to [help] them. Everything isADA [Americans with DisabilitiesAct] compliant," Sheehi said.

He hopes to help more recoveringservice members return to the ring,so, "They can feel like a warrioragain, I can't wait to start gettingmore involved [with them].That's thebiggest part, is the rewarding part."Naranjo shared the same sentiment,having worked in the field of occupa-tional therapy for nearly a decade.Based on his experience, the word"no" doesn't exist in terms of recre-ation for wounded warriors. "Wecater to everybody," he said.

Adaptive Sports Rehabilitation op-portunities are available almostevery day on base, and are open to allthose who have a referral from theOrthopedics and Rehabilitation de-partment, Naranjo said. For more in-formation about the adaptive sportsprogram, contact Harvey Naranjo at(301) 295-8524, or Tiffany Smith, at(301) 295-8525.

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The Journal Thursday, May 17, 2012 11Thursday, May 17, 2012 11Thursday, May 17, 2012 11

1032113

Page 12: Journal 17 May

12 Thursday, May 17, 2012 The Journal

may think they are not paying atten-tion or ignoring them, when in fact,the person with the hearing loss didnot hear them at all. Individuals withhearing loss may also develop tinni-tus, or sound in their ears when thereis actually none externally.

Good hearing is a requirement formany jobs, including those in the mil-itary, or with the police or fire depart-ment. A hearing loss may short-stopyour career plans. Hearing aids mayhelp to manage hearing loss, but theydo not fix it.

Protective devices such as earplugsand earmuffs can help safeguard yourhearing and prevent noise-inducedhearing loss, and there are special de-vices available for recreational

hunters, musicians and occupationsrequiring radio communication.

Protect your hearing by also takingcharge of your personal listening de-vices.Listen to your iPod for 1 ½ hoursat 80 percent (or a volume of leveleight) to reduce your risk for hearingloss. Move away from loud noises.When you double your distance from anoise,you reduce the sound by six deci-bels.Choose tools with low noise levels,such as a rake rather than a leaf blow-er.You can even choose a quieter placeto eat.The restaurant reviews includea “Sound Check,” a rating of the deci-bel level in restaurants.One recent re-view measured the decibel level of aneatery at 104dB, a hazardous level.

Be proactive and preserve yourhearing.

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HEARINGHEARINGContinued from 6

ization was the skillful and amazing-ly compassionate care he receivedfrom his nurses - even when he wastotally sedated," Patrick's mother,Bonnie Barnes, explained. "When Patdied, we felt compelled to express ourprofound gratitude to nurses for thework they do for patients and their

families every day. This is the pri-mary mission of The DAISY Founda-tion," she said.

The Walter Reed Bethesda DAISYaward committee is comprised of mil-itary and civilian physicians, nurses,corpsmen and medics from both inpa-tient and outpatient areas, Fergusonexplained. Together, they critiquecandidates based on advocacy, com-mitment, professionalism, mentor-ship and teamwork, in addition totheir clinical skills and capacity forcompassion.

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The Journal Thursday, May 17, 2012 13Thursday, May 17, 2012 13

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14 Thursday, May 17, 2012 The Journal

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The Journal Thursday, May 17, 2012 15Thursday, May 17, 2012 15

Page 16: Journal 17 May

The Journal16 Thursday, May 17, 2012

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