Volume 37, No. 9 A world-wide publication for members of the Army Medical Department August 2010
Citizens can assist antiterrorism efforts
by Jerry Harben
“The price of liberty is eternal
vigilance,” wrote the third president
of the United States, Thomas Jef-
ferson. His statement carries special
meaning when the nation is at war
with an enemy that thrives in the
dark worlds of terrorism, espionage
and sabotage. The U.S. has many
weapons to defend itself against
such an enemy, but the most im-
portant may be the eyes, ears and
voices of its people.
The Army has designated August
as Antiterrorism Awareness Month.
A new program called iWATCH
encourages all Soldiers and Army
employees to be on watch and report
any suspicious activity to security
authorities or the military police.
“One of the conclusions of
the investigation of the Fort Hood
shooting incident is that the public
didn’t know what to look for and
who to report it to,” said Dave
Rudd, antiterrorism officer at Medi-
cal Command Headquarters.
“iWATCH is an enduring pro-
gram, to tell people what to look
for as far as suspicious people,
activities, and so on,” he added.
Hospitals will receive public in-
formation material supporting iWatch
and Antiterrorism Awareness Month
from MEDCOM through the regional
operations departments. They will
participate in the iWATCH pro-
grams of their host installations, and
MEDCOM has published guidance
to regions and subordinate com-
mands on what will be required
for Antiterrorism Awareness Month.
Two videos support Antiter-
rorism Awareness Month. Soldiers
and civilian employees will view
a three-minute video featuring the
Army vice chief of staff. Fam-
ily members, retirees and other
interested people should view the
Army Community Awareness video.
Anyone with an AKO account can
find both videos in the “Antiterror-
ism Awareness Tool Kit” at https://
In addition, every service mem-
ber and Department of Defense
civilian must complete the Level I
Antiterrorism Awareness Training
course each year. This is available
online at https://atlevel1.dtic.mil/at .
“The public shouldn’t look at
this as snitching. The public should
look at this as saving lives,” Rudd
said. “If you’re right only 10 per-
cent of the time, you have saved
lives.” Poster supporting the iWatch program, by the Office of the Provost Marshal General.
2 The Mercury
August 2010 http://www.armymedicine.army.mil
The opinions expressed on this page are those of the writers and are not official expressions of the Department of the Army or this command.
Preventing disease, injury deserves priority
by LTG Eric B. Schoomaker zoonotic diseases. The sessions in School, and Installation Management The Public Health Command
The Surgeon General of the Army this conference will cover all ar- Command, and provide command has taken another step in an effort
and commander of Medical Com- eas of public health and give the and control for the new organization. to collaborate with sister services
mand attendees an understanding of the A newly created Army Institute and provide the best possible public
This month, the new U.S. Army importance of public health in our of Public Health, located at Aber- health information. They are com-
Public Health Command (Provi- military health system. deen Proving Ground, Md., will bining the Force Health Protection
sional) hosts the 13th Annual Force This meeting also provides a report directly to the headquarters. Conference and the Navy & Marine
Health Protection Conference in venue to showcase how we are Fourteen public health districts, Corps Public Health Conference in
Phoenix, Ariz. The conference theme merging elements of the Army most of which are located on Army 2011.
is “Defining Public Health.” Over Center for Health Promotion and installations, will report to five Combining these two confer-
2,300 military and civilian attend- Preventive Medicine and Veterinary regional public health commands. ences represents a shared inter-
ees are expected, including repre- Command to form the new Public The DoD Military Working Dog est in optimizing the delivery of
sentatives from all Department of Health Command. Veterinary Service will also report public health services. The 2011
Defense services as well as those This new Public Health Com- to the Public Health Command. conference will be called the Armed
from allied foreign countries who mand is part of the transformation CONUS-based installation and Forces Public Health Conference.
are eager to learn and network with of Medical Command to a system preventive medicine services will be The theme is “Public Health in
their peers. that emphasizes prevention and sus- realigned to the medical treatment a Joint Environment,” and it is
This conference will include taining good health. It will provide facilities to allow for integration scheduled for March 18-25, 2011,
30 preconference training work- public health capabilities that will of public health at the local level. at Hampton Roads, Va.
shops. During the core conference, support our Soldiers, military re- The final goal is to enhance We expect great things from
12 technical tracks will cover all tirees, their Families, and Army health and wellness, optimize de- Public Health Command. These con-
areas of public health and preven- civilian employees. livery of public health services, ferences and the new command will
tive medicine. Continuing educa- The headquarters element, ex- provide full spectrum veterinary truly define public health and force
tion credits will be offered in 10 pected to be located at Fort Sam services to DoD, and create a single health protection for the MEDCOM
technical specialty areas. A variety Houston, Texas, will work more point of responsibility and account- and the U.S. Army.
of subjects will be covered from closely with the headquarters of the ability for public health within the Army Medicine — Bringing
disease and injury prevention to MEDCOM, the AMEDD Center and MEDCOM. Value and Inspiring Trust.
Serving heroes brings rewards
by Anthony Pinaula He watches his children stare at an old clock.
For some a hero is that person who can He sees the worry in their faces and the lump
throw a ball 60 yards on a dime or sink 10 in in his throat is so big, it’s difficult to speak.
a row from the top of the key. I chose a dif- He wishes he had come alone for this departure
ferent sort of person to admire. but this might be the last time he has with his
My heroes wear camouflage uniforms with Family. He takes a deep breath, kisses his wife,
razor sharp creases. They spend months, even and hugs his children’s wet faces. He waves
years, training to perform a thousand simple goodbye as he walks the tarmac. He climbs
tasks with perfection, so that when they are aboard the mold-smelling airplane and takes off
called upon they can work quickly and accurately to a far-away land.
under the worst kind of pressure. As he looks through the window he thinks
My hero is that young private who awakes about the older children he will soon care for.
at 0300 hours because it’s his turn to get the Then wishes he wasn’t so dam good at the
squad up for the day. At 0400 hours he stands work he does.
on the parade field with his band of brothers, I work at Eisenhower Army Medical Center,
and they raise our country’s flag at reveille. Fort Gordon, Ga. I have the privilege of car-
He eats breakfast way to early and at 0600 he ing for America’s heroes as an operating room
straps his 62-pound pack on his back, receives registered nurse. I get to irrigate their infected
his M16 from the armory, and grits his teeth wounds from the bullets and change their dress-
for the 12-mile march ahead of him. ings. It is my honor to work with them and to
My hero is that 23-year-old buck sergeant worry about the one that can’t walk the way
who stands at green ramp issuing parachutes. he used to.
I can see the words breathed out of his mouth There is no civilian job that compares to a The last, full
because it’s so cold. His ride is something less military medical facility. In my operating room I
than coach and he only has a one-way ticket.
He stands like cold steel in the door, hooks up,
get to use the best equipment available and my
surgeons are top shelf. I don’t have to concern
measure of devotion
says a short prayer and jumps into the dead myself with billing or insurance. SGT Nathan W. Cox, 68W, Special Troop Bat-
night. On the ground he gathers his aching The care my patients get is the best because talion, 1st Brigade Combat Team, 101st Air-
body to assemble his fire team. His band of they deserve the best. They stand on a wall be- borne Division, June 16, 2010
brothers is in position and at the ready before tween tyranny and freedom for very little pay. SPC Morganne M. McBeth, 68W, Special
the sun can rise. I am grateful for them because I get to live on Troop Battalion, 1st-82nd Advise and Assist
My hero is that 30-year old platoon sergeant the free side. They are my band of brothers and Brigade, July 1, 2010
that sits in a rinky-dink airport at 0800 hours. sisters and I love them.
Mercury is an authorized publication for members of the U.S. Army Medical Department, published under the authority Commander....................................................................................................................................................LTG Eric B. Schoomaker
of AR 360-1. Contents are not necessarily official views of, or endorsed by, the U.S. Government, Department of Defense, Director of Strategic Communication...............................................................................................................COL Wendy Martinson
Department of the Army, or this command. It is published monthly using offset reproduction by the Office of the Chief of Chief of Public Affairs ................................................................................................................................................Cynthia Vaughan
Public Affairs, Directorate of Strategic Communication, U.S. Army Medical Command, 2050 Worth Road Ste 11, Fort Sam Senior Public Affairs Supervisor...................................................................................................................................Jaime Cavazos
Houston, TX 78234-6011 (Commercial 210-316-2648 or 210-221-6213 or DSN 471-6213); email email@example.com. Editor ............................................................................................................................................................................... Jerry Harben
mil. Printed circulation is 23,000. Deadline is 40 days before the month of publication. Unless otherwise indicated, all photos
are U.S. Army photos.
August 2010 3
New regions should enhance readiness
by Jerry Harben the effort will improve support to
Medical Command is proceed- Soldiers, beneficiaries, Army readi-
ing apace with reorganization of ness, and transformation,” said COL
regional medical commands (RMCs) Mark Gibson, former head of the
to align with TRICARE regions transformation team at MEDCOM
and to improve readiness and sup- Headquarters.
port for the Army Force Generation Staff structures for the RMC
(ARFORGEN) cycle of deployments headquarters are being standardized,
and resets. with some variations to account for
Regional dental commands also regional size and for the differ-
are being realigned to match the ences between U.S. and overseas
new RMCs. operations.
This effort began last October The new RMCs have completed FORGEN process, with primary division for the new Southern RMC.
with four RMCs in the continental most of their initial operating capa- focus to support, coordinate, and The Southern RMC readiness divi-
United States being replaced by bilities tasks. MEDCOM published synchronize all medical and dental sion is operating at 80 percent to
three provisional RMCs aligned FRAGO 1, which disseminated most readiness issues for both active and support deploying and redeploying
with TRICARE regions. The new of the critical steps and coordinat- reserve (continental United States) Soldiers through the ARFORGEN
RMCs should reach full operational ing instructions to the staff and units,” Gibson said. process. Planners expect it to be the
capability October 1. subordinate units. Two readiness divisions are co- first readiness division to achieve
The three new regions are West- A strategic communication plan located with regional dental com- full operational capacity.
ern (headquartered at Joint Base has been published to include re- mand headquarters at Fort Bliss, “The overall reorganization po-
Lewis-McChord, Wash.), Southern organization information briefs, fre- Texas and Fort Gordon, Ga. The sitions MEDCOM to strategically
(headquartered at Fort Sam Houston, quently asked questions and com- Northern RMC readiness division continue to meet the national de-
Texas), and Northern (headquartered munication tools that can be used is at Fort Bragg N.C., while the fense strategy objectives; generate
at Fort Belvoir, Va.). Europe and to convey the reorganization efforts. regional dental command is head- forces to respond to growing global
Pacific RMCs are not changing People with Army Knowledge On- quartered at Fort Belvoir, Va., due health threats that affect our na-
geographically, but there will be line accounts can view this plan to Base Realignment and Closure. tional defense priorities; and align
as yet undetermined staff changes. at https://www.us.army.mil/suite/ Each RDC commander also serves the organization for a stronger, yet
“The end state for the (overseas) files/23467699. as the RMC deputy commanding flexible fit with the Institutional
RMC reorganization is to ensure the The new RMCs in the U.S. general for readiness, to manage Adaptation of our Army Core En-
respective levels of command and will include readiness divisions that the readiness division within the terprise processes, including our
staff leadership are reorganized to will coordinate all tasks supporting region and report directly to the commitment to the Army Family
provide the proper span of control; readiness within the region. regional commander. and Community Covenant and the
the requisite (command and con- “The readiness divisions are Much of the staff from the old Army Campaign Plan for Health
trol) leaders and structures are in the cornerstone of The Surgeon Southeast RMC headquarters has Promotion, Risk Reduction, and
place and projected accordingly; and General’s vision to support the AR- been reassigned to the readiness Suicide Prevention,” Gibson said.
Influenza vaccination season best ever
Conference examines military vaccine programs
by Chris Orose is underway for the 2010-2011 influenza season, the best results. As an example, discussions were
With a focus on recent accomplishments and which will involve just one vaccination because held on efforts by the services to share vaccine
an eye toward ever-expanding future missions, the H1N1 strain was added to the seasonal supplies and work together in joint campaigns,
the Military Vaccine (MILVAX) Agency held influenza vaccine, eliminating the need for an and personnel needs for one mass vaccination
its 2010 refresher training in Crystal City, Va. additional immunization. campaign at Fort Gordon, Ga. that accommodated
As detailed by keynote speaker Dr. Paul Offit Krukar also presented MILVAX’s vision more than 9,500 service members.
of the Children’s Hospital of Philadelphia, one for the future, including the now-completed
must know and appreciate the history of vaccines integration of the Vaccine Healthcare Centers Risk communication
in order to move forward to more significant (VHC) Network under MILVAX, the expansion Attendees participated in a risk communica-
accomplishments. That essential knowledge, Offit of the highly successful Accession Screening tion exercise, using a theoretical smallpox out-
noted, includes how vaccines were made, what and Immunization Program (ASIP), and various break as the setting for effective communication.
advances were made in manufacturing, how pa- post-licensure safety studies being conducted by Also included was an update on the ongoing,
tients respond to immunizations, how effective MILVAX’s safety and evaluation division. worldwide efforts of the Armed Forces Health
they are against disease, and various triumphs One of the most anticipated developments is Surveillance Center, which is a major part of
and controversies throughout the years. the future implementation of a universal immu- DoD’s program to identify diseases, treatments
nization tracking system for all of the services. and health trends in more than 75 countries.
Internet fears This developing system, which could begin pilot DoD was the first to identify the H1N1 influenza
Offit also described the “birth of fear” sur- testing by September, will track the immuniza- virus, and it continues to monitor the safety and
rounding vaccines, partly attributed to the Inter- tion status of service members, beneficiaries and effectiveness of the H1N1 vaccine.
net and the groundswell of online anti-vaccine retirees. System completion and integration could Public Health Service Commander Jennifer
movements. He was personally involved in many begin as early as Spring of 2011. Wright, of the Centers for Disease Control
cases in which those fears could be quelled by COL Renata Engler, director of the VHC and Prevention, presented the final results of a
scientific facts showing vaccines as safe and Network, discussed some of the clinical ac- long-term study to determine the most effective
effective means of prevention of disease. He complishments of the past year, focusing on dosing schedule for administering the anthrax
described some results of choosing not to be patient care and advances in vaccine research vaccine. Wright was part of the effort to reduce
immunized, such as a 2006 outbreak of pertus- and adverse-event education. the anthrax vaccine schedule from six to five
sis in Delaware and a 2008 measles epidemic. A panel of representatives from DoD, each doses and the route of administration change
This was all told under the umbrella of the Service and the US Coast Guard gave updates from subcutaneous to intramuscular. Wright re-
Department of Defense’s most successful influ- on their immunization efforts and compliance. ported that, upon completion of the study, the
enza season ever in 2009-2010. As MILVAX Hands-on learning also included a session on recommendation was a further reduction to three
Director COL Michael Krukar noted, each of the best practices for conducting mass vaccination doses of anthrax vaccine with boosters every
services and the U.S. Coast Guard achieved their campaigns, with presenters drawing on their per- three years; a review is pending with the Food
highest-ever compliance rates, surpassing the 90 sonal experiences with MILVAX and the VHC to & Drug Administration. (MILVAX)
percent threshold for the first time. Preparation discuss how different ideas and methods produced
4 The Mercury
August 2010 http://www.armymedicine.army.mil
Team recruits behavioral health civilians
by Jerry Harben The main tool used is a Website at www. job fairs each year, and they double traffic on
As the Army today provides more behavioral- civilianmedicaljobs.com. This site provides infor- the Website.
health services to Soldiers and their Families mation about job locations and benefits, along MEDCOM recruiters and medical staff also
than ever contemplated in previous conflicts, with profiles and interviews with current Army attend job fairs and conventions around the
one of the challenges is employing enough psy- medical employees. country to let medical professionals know they
chiatrists, psychologists, counselors and others “Traumatic Brain Injury is a new service for have opportunities working for the Army. They
who must provide those services. Not enough the Army. We have a big responsibility and a talk to prospects, hand out literature and direct
providers means not enough appointments, and big opportunity to learn and do things the right anyone interested to the Website. They advertise
the promise of service wherever and whenever way. … I have a great deal of support and an in professional publications and post to online
needed may go unfulfilled. incredible team to work with,” states Dr. Amy job-search sites like monster.com and career-
One group attempting to meet that challenge Bowles, chief of the traumatic brain injury center builder.com.
is the civilian recruitment and retention branch at Brooke Army Medical Center, during a video “Everything we do drives candidates to the
at Medical Command Headquarters, which at- testimony on the Website. Website,” Weary said.
tracts civilian health-care providers and refers Among the benefits of Army employment
them to Army medical treatment facilities that the Website lists are competitive salaries, health Matched up
have job openings. and life insurance, state-of-the-art training and Once prospective employees are interested,
tuition reimbursement. they can enter their resumes at the Website. Har-
Great need “People don’t know they can work for the rison and his staff then match them with loca-
“There’s a great need. It’s reflective of so- Army as a civilian,” Harrison said. “We talk tions that need their skills. Hospital commanders
ciety. As a society, we have realized this needs about the job, the benefits, the opportunities — receive lists of candidates from which to hire.
to be addressed — we can’t continue to push then we mention the Army.” “Commanders in the field drive the require-
it in a corner,” said Dr. Joseph Harrison, chief “While working in a (civilian medical facil- ments,” Harrison said. “We work off of require-
of the branch. ity) has its benefits, many hospitals experience ments rather than spaces and allocations. We look
“If people are identified with behavioral- understaffing, a below-average pay scale, and at what they have and what they say they need.”
health issues, and we don’t have the resources limited resources interfering with your ability to From January to June, almost 1,500 candidates
to deal with it, that’s not good, is it?” he added. properly care for patients. You can avoid these were recorded, about three times the volume
“It’s a continuous effort,” said Joe Weary, issues by becoming a part of the Army Medi- from the previous year.
one of three staff members working for Harri- cal Civilian Corps,” states one of the branch’s It’s all part of making sure enough appoint-
son. “We have some tools and procedures that recruiting flyers. ments are there when needed by Soldiers and
are helping.” Harrison said the branch holds two virtual their Families.
Heroes urge Soldiers
to seek care for PTSD
by Donna Miles ceived the Medal of Honor for his
Twenty-eight Medal of Honor actions in Vietnam, said he and his
recipients recently launched the crewmembers treated the physical
“Medal of Honor - Speak Out” cam- wounds of the warriors they rescued,
paign to encourage troops struggling but recognized that their unseen
with post-traumatic stress disorder, scars of combat ran deeper.
traumatic brain injuries and other “There were other wounds —
health problems to take advantage wounds that went beyond flesh
of services to help them. and blood; wounds that could not
be rescued by helicopters,” Brady
Message said. “Those enemy scars followed
The Medal of Honor recipients our troops home.”
echo a common theme in video mes- George E. “Bud” Day, an Air
sages for today’s returning combat Force forward air controller in Viet-
veterans: Take advantage of the nam, encouraged today’s troops to
resources now available to treat the seek help that wasn’t available when
unseen scars of war. he returned from combat.
“Make use of them,” they en-
courage today’s troops. “Stay strong, Resources available
and don’t let the enemy defeat you “Back in those days, they didn’t
at home.” have the services, resources and
The Medal of Honor recipients tools that are available today to help
acknowledge in individual videos the service members and their Families
emotional challenges many returning deal with the challenges of adjusting
combat veterans experience. after deployment,” Day said. “The
tools and resources are there now.
Experience Please make use of them.”
“I know firsthand the challenges The Medal of Honor recipients
of war,” said former SSG Drew Dix, expressed pride in today’s service
who received the Medal of Honor members who are following in their
for his actions as a Special Forces footsteps. Safety reminder
adviser in Vietnam. “Your experi- “Thank you for your service to This poster by Darnall Army Related, Walter Reed DENTAC in
ences in combat are so powerful our country,” said Hershel “Woody” Medical Center won first place in the Dental-Theme Related and European
Williams, a former Marine who Medical-General Patient Safety cat- Regional Dental Command in Dental-
that very few will or can understand
received a Medal of Honor for his egory of a contest by the MEDCOM General Patient Safety categories.
what you went through.” Patient Safety Center. Nearly 150 posters were submitted,
Retired MG Pat Brady, a he- actions during World War II. “We
Other winners were Munson with the top three in each category
licopter ambulance pilot who re- are so proud of you.” (American
Army Health Clinic in Medical-Theme receiving cash prizes.
Forces Press Service)
August 2010 5
feet during a unique team-building competition at Contingency Oper- health care in the same place,” said
Fort Carson exercise at Sea World San Antonio. ating Site Marez/Diamondback in COL Craig Webb, chief of primary
Public Health Command found
The program used the techniques Iraq. Each day began with a ruck care and community medicine for
that mobile behavioral-health teams
of animal trainers to influence hu- march, followed by timed tests of Fort Riley MEDDAC.
employed at Fort Carson, Colo.,
man relationships, motivation and skills such as applying tourniquets Services include radiology,
saved cost and reduced risky be-
productivity. Six hours of classroom or using intravenous catheters. physical therapy, occupational
haviors among Soldiers. The evalu-
instruction were followed by two “The motivation has really therapy, behavioral health and
ation involved two brigades of the
hours in a pool with beluga whales. picked up here with the training optometry.
4th Infantry Division. The 13-mem-
“This class helps us focus on and everyone has had a lot of fun,” The facility is named for PFC
ber teams stationed with these units
the positive and stop behavior that said SFC Robert Bates. Hubert Farrelly, who received the
increased access to care, improved
will negatively impact students if ***** Distinguished Service Cross as a
relationships between behavioral-
they become discouraged and want The 118th Multifunctional Medi- medical aidman in Vietnam.
health providers and commanders,
to get out of school,” said SFC cal Battalion hosted a medical logis-
and reduced stigma associated with
Cami Harris. tics conference at Joint Base Balad,
***** discussing potential issues as troop Fort Rucker
“Prevention is the greatest way Lyster Army Health Clinic and
The graduate school of the strength in Iraq draws down.
to eliminate adverse behavioral- the Veterans Affairs Wiregrass
Academy of Health Sciences hosted “The tough thing right now is
health outcomes; it will take a Outpatient Clinic have opened
its first research day to publicize that we still have to supply world-
layered approach starting with joint MRI and CT scan facilities.
research at the school. class health care while getting this
Comprehensive Soldier Fitness and The on-post facilities will avoid
“We have 12 graduate degree- equipment out of theater,” said CPT
extending to organic unit educa- the need for 200-mile trips for
producing programs within our Brian Osowiecki, officer-in-charge
tion and valued local community the scans.
graduate school, six that are here of medical logistics for the 118th.
outreach services,” said LTC Nick
(at Fort Sam Houston, Texas); then
Piantanida, deputy commander for
clinical services at Fort Carson
we have six programs that are in our
Fort Riley Fort Sill
(master’s degree schedule) across the A team of military dentists
MEDDAC. Farrelly Health Clinic, a $26-mil-
spectrum of the Army,” said COL treated about 220 children in Te-
Josef Moore, dean of the graduate lion, 52,000-square-foot facility built
for a patient-centered medical home gucigalpa, Honduras, during a two-
AMEDD Center school.
model, has opened at Fort Riley, week mission. The team included
four dental officers from Fort Sill,
and School Kan.
Ten Soldiers from the depart- Iraq “It’s going to bring the care Okla., one from Fort Benning, Ga.,
and an Air Force officer assigned
ment of medical sciences at the Soldiers in the 21st Combat Soldiers and Families receive more
Support Hospital tested their combat in line with each other because they in Honduras, along with enlisted
AMEDD Center and School got
medical skills during a three-day are going to receive their primary personnel.
a chance to jump in with both
Delegates to the Army Wounded Warrior Program Vance Y. Sohn, the MG Floyd L. Wergeland Award
Symposium identified five priority issues affecting for outstanding four-year graduate; CPT Dustin J.
wounded warriors: medically retired service mem- Little, the COL Robert Skelton Award for outstand-
bers’ eligibility for concurrent receipt of disability ing two- or three-year graduate; Commander Craig
pay; Post-9/11 GI Bill transferability to dependents Zelig, the Madigan Foundation Research Award;
of all medically retired service members; manda- MAJ Michael V. Krasnokutsky, the LTC Joseph
tory PTSD/TBI training for all VA health-care staff; A. Munaretto Outstanding Educator Award; retired
transfer option from temporary disability retired list COL Ronald Cooper, outstanding staff teacher; and
to permanent disability retired for wounded warriors; CPT Shawn Corcoran, outstanding resident teacher.
and benefits and entitlements information to wounded MAJ Patrick Donahue was inducted into the
warrior primary caregivers. Order of Military Medical Merit at Public Health
Kenner Army Health Clinic at Fort Lee, Va., Command (Provisional) Region-West…The World
received a perfect score from The Joint Commission War Two Living History Association Ltd. dedicated
following a comprehensive accreditation survey… a memorial plaque at Connaught House Weymouth in
All 14 recent graduates of the AMEDD Center and Dorset, England. It was the British base of the U.S.
School’s pharmacy branch who volunteered for the 50th Field Hospital from April to September 1944,
Pharmacy Technician Certification Board test passed and received casualties of the Normandy invasion.
the national pharmacy certification exam. More than one billion TRICARE Encounter Data
COL Carolyn Jolitz, deputy commander for nurs- (TED) records now have been processed…The Army
ing at Fort Knox MEDDAC, received a Distinguished Medical Research Institute of Chemical Defense,
Alumni Award from her alma mater, the University Medical Research Institute of Infectious Diseases
of Wisconsin Oshkosh…Named Nurse of the Year in and Armed Forces Radiological Research Institute
various categories at Brooke Army Medical Center are presenting the Chemical, Biological, Radiological/ Paying respect
were MAJ Pamela Wulf, Darlene Deters, LTC Lisa Nuclear Course at the Association of Military Surgeons The statue "Passing of the Colors" was donated by
Lehning, Lisa Vanek, SSG Brandon Gibson, Andra of the United States (AMSUS) convention Nov. 2-4. artist Tom Morgan to Brooke Army Medical Center.
Mitchell, PFC William Maldonado and William Attendants may register online at https://ccc.apgea. Morgan said he wanted to create a non-combatant
Crayton…Graduation awards at Madigan Army army.mil/courses/In_house/brochureCBRNE_amsus_10. figure everyone could touch to remember service
Medical Center include MAJ Christina Vaccaro, htm . members. (Photo by Maria Gallegos/Fort Sam
the MG Byron Steger Award for research; CPT Houston)
6 The Mercury
August 2010 http://www.armymedicine.army.mil
Policy gives priority to medical operations
by Matt Pueschel affairs (ASD/HA) will be responsible for iden-
The Department of Defense has put in place tifying DoD-wide MSO capabilities and gaps
a groundbreaking new policy that assigns respon- and recommending priorities for the department
sibilities and instructions to specific department to address them; ensuring MHS research and
components for the military’s planning and development programs address MSO capabili-
provision of medical support in international ties and are integrated into DoD’s acquisition
stability operations. activities; establishing health standards of care
Stability operations are humanitarian relief and technical supervision for MSOs; collecting
missions that the military conducts outside the and examining MSO best practices to formulate
U.S. Such missions can include reestablishing a further policy guidance; and developing measures
safe environment, delivering aid, providing direct of effectiveness to evaluate progress in achiev-
care to the population, mentoring host country ing MSO goals.
military medical personnel or helping nations For example, IHD officials said measuring
rebuild their health infrastructure. how local medical capacity has grown or been
Improving local medical capacity can in improved over the long term, such as through
turn help stabilize governments and produce DoD’s provision of education and training to host
1LT Jessica Larson, a physician assistant with the 307th
healthier populations. The new policy elevates country military medics and health-care providers,
Brigade Support Battalion, examines an Iraqi child
the importance of such military health support during a one-day joint U.S./Iraqi medical clinic. (Photo might have as much or more value as the number
in stability operations, called Medical Stability by SPC Katie Summerhill/82nd Airborne Division) of patients treated or medications dispensed in
Operations (MSOs), to a DoD priority that is humanitarian outreach missions. They also said
comparable with combat operations. make the hand-off to NGOs (nongovernmental it is important for DoD to carefully plan health
DoD’s international health division (IHD) organizations) good if DoD has to do the care facility construction projects by working closely
crafted the new policy, referred to as DoD In- first,” advised Navy Commander William J. with host country partners and civilian agency
struction 6000.16, and it was officially signed Hughes IV, IHD’s program director for contin- development experts to build from existing local
into department policy by Under Secretary of gency planning, who wrote the instruction. infrastructure and capabilities, so that any new
Defense for Personnel and Readiness Dr. Clif- IHD officials said that when DoD physicians hospitals or clinics are sustainable.
ford L. Stanley. DoDI 6000.16 is available on provide care in short-term medical assistance The instruction also calls for each military
the Internet at http://www.dtic.mil/whs/directives/ missions they should consider what sustainable service to appoint a senior medical department
corres/pdf/600016p.pdf . sources of appropriate follow-up care are avail- officer to champion MSO initiatives, and develop
The instruction builds upon other recent able to patients through local doctors or NGOs MSO capabilities by equipping and training the
department policies that required DoD medical if further treatment may be needed, and make services’ medical personnel to carry them out
personnel and capabilities to be prepared to meet an effort to ensure those provisions are in place effectively. The chairman of the Joint Chiefs of
military and civilian health requirements in stabil- after they leave. Staff will develop joint and interagency MSO
ity operations. MSOs are now considered a core “Remember you have to first do no harm,” doctrine and support the ASD/HA and relevant
DoD mission that the Military Health System said IHD Director Dr. Warner Anderson. “It’s up U.S. government departments by participating
(MHS) must be prepared to conduct throughout to us to prove that we’re not going to be doing in federal and multinational stability operations
all phases of conflict and non-combat environ- harm, and how we’re impacting the health of the planning processes.
ments. MSOs must be integrated across MHS’s local population. If you can do things that have DoD’s regional Geographic Combatant Com-
doctrine and organization, as well as planning lasting impact, (it is better). We have to do it manders will identify gaps and incorporate MSOs
and training activities. smart and talk to the local health department and and related training into their theater security
The new instruction directs the MHS to NGOs in the area. We’re here to make (them) cooperation plans and partnerships, as well as
prepare to establish and maintain the health look good, and (they can also) let us know if ensure unity of command and effort for health
sector capacity and capability of other countries there is any threat (in the area if security needs engagements in their areas. Through the design
when the local population, international or U.S. to be enhanced).” and establishment of modeling and simulations
civilian agencies cannot do so, and to support All patients’ identifiable information that is aimed at identifying and testing innovative ideas,
and collaborate closely with other U.S. depart- collected during the delivery of care will be DoD’s Joint Forces Command will also explore
ments, foreign governments and security forces, safeguarded to the extent applicable. The instruc- new MSO concepts and capabilities for military-
nongovernmental and regional organizations. tion further outlines responsibilities for specific civilian teams to collaborate on and use in the
“One of the keys for deployers coming back DoD components. field. (DoD Office of Force Health Protection
was looking into lessons learned, and trying to The assistant secretary of defense for health and Readiness)
CPT Eric Storey, a veterinarian with the 994th
Medical Detachment, instructs officials from Viet-
nam's Ministry of Agriculture and Rural Develop-
ment on diagnosing heart problems in pets in Quy
A three-day veterinary conference was part of
Pacific Partnership 2010, a U.S. Navy Pacific Fleet
humanitarian and civic assistance project.
"It was important for us to open the lanes of
communication and obtain an understanding of
Vietnamese animal care," said CPT Jolene North,
a veterinarian with the Japan District Veterinary
Command, Misawa Branch, and team lead for the
conference. "What was apparent to all of us was our
dedication to patients and our desire to improve our
field by using individual resources as efficiently as
possible." (Photo by SGT Craig Anderson/Pacific
http://www.armymedicine.army.mil August 2010
Official tourniquets better than copies
by Steve Elliott from the authentic CAT.
Counterfeit models of the U.S. Army’s Com- The Element Cat (E-CAT) is a very carefully
bat Application Tourniquet are available on the made counterfeit CAT tourniquet, manufactured
Internet and on the open market. in Hong Kong for $8.50 each. It was designed
Using the counterfeits can be lethal and the to look, feel and act like the real thing.
Army considered this enough of a problem to The authentic item has a National Stock
send out a priority message sounding the alert Number of 6515-01-521-7976 and has a unit
on these bogus devices. cost of $27.28.
“While I haven’t seen any of these coun- “The markings appear to be a copyright or
terfeits in use, I have seen a few ordered by trademark infringement, and that is why law
logisticians more interested in cutting costs than enforcement has become involved in the investiga-
in quality control,” said COL John Kragh of the The authentic Combat Application Tourniquet (bottom) tion,” the colonel noted. “We have had a previ-
has a manufacturing date stamped on it. (Courtesy
Army Institute of Surgical Research. ous counterfeit CAT confirmed from the Middle
“The Combat Application Tourniquet is stan- East, but this was purged from the warehouses
dard issue to all deploying Soldiers. It’s in each Agency knows the fake items are available for uneventfully a couple of years ago. This is one
Soldier’s Individual First Aid Kit pouch,” he purchase through non-Department of Defense of the reasons why we should remain vigilant.”
added. Websites, and that authorized DoD procurement
gateways will supply only the approved com- Cost cutting
Weakness mercial part from authorized distributors. As to why anyone would purchase the fake
“The rod on the dummy tourniquet is bend- If the counterfeits are found in any inven- one while the authentic item is available through
able to a point where it cannot work right. It’s tory, they should be replaced by the real thing Army supply channels, the colonel had a pos-
like bending Gumby’s arm,” Kragh said. “The and the counterfeit should be reported to that sible explanation.
makers do not market the item ostensibly as a activity’s logistical supply office. “The ordering system is decentralized giving
medical device, but they sell it and package it “It’s easy to get the right items using routine, initiative to low-level supply persons who can
like a retail item. professional supply channels,” Kragh said. “If order what they think is best. An unknowing
“The danger is if someone mistakes the fake other channels are used, then it’s easy to get person could easily think that they are ordering
for a real CAT or a real medical device,” the the wrong stuff. It just takes a credit card and a Combat Application Tourniquet online for a
colonel said. “That mistake could be fatal, since choosing the wrong online supplier.” good price, but getting one cheap from China
it cannot control bleeding.” The message said the phony tourniquet was is too good to be true,” Kragh said.
A tourniquet is used to cut off the flow of first encountered several years ago in a depot Information about the proper combat applica-
blood, most often to an arm or leg. It may be in Afghanistan and was thought to have been tion tourniquet can be seen on the U.S. Army
a special surgical instrument, a rubber tube, a purged from the system. At that time, the item Medical Materiel Agency Website (http://www.
strip of cloth, or any flexible material that can was of obviously inferior construction and rec- usamma.army.mil/assets/docs/CAT.pdf) under the
be tightened to exert pressure. ognizable as a counterfeit. Today, the product category “Hot Topics.”
The message said that the Defense Logistics has been modified and is difficult to distinguish An information line at (301) 619-3548 is
also available. (Fort Sam Houston)
Get it right
PVT Scott Charging simulates bandaging an-
Seizure Easy does it other medic while SGT Sabrina Watts fills out a mild
SGT Diana McClure, a medic with the 278th Army Reserve medics lower a wounded ca- traumatic brain injury survey card, as medics of the
Armored Cavalry Regiment, assists an Iraqi boy sualty from a tower during a medical tactical lane 3rd Squadron, 3rd Armored Cavalry Regiment train
who had a seizure at a returnee assistance center scenario at Fort McCoy, Wis. at the National Training Center, Fort Irwin, Calif. All
in Baghdad, Iraq. McClure ensured the boy's airway "We had to assess, treat and then lower him medics at NTC carry literature to help identify Sol-
was clear and cooled him with water while monitor- from the tower and ensure all the equipment was diers who may have suffered a concussion.
ing his vital signs until he recovered. secure so we didn't drop him. We also did other "I told them that they need to put in 110 per-
"He was running around and getting extremely Soldier tasks such as land navigation and went to cent, because what they get out of this will directly
hot. I am sure that contributed to it," McClure said. the ranges to fire weapons," said PV2 Jefferson carry over to Iraq," said SFC Randy King. (Photo
(Photo by SGT Michael Carden/13th Sustainment Bonilla. (Photo by Rob Schuette/Fort McCoy) by PFC Jennifer Spradllin/16th Mobile Public Affairs
8 The Mercury
August 2010 http://www.armymedicine.army.mil
Adult lives can be saved Web-based training
helps smokers quit
with proper immunizations by Abby Friedman
The Department of Defense has announced
by BethAnn Cameron weakened form of disease is injected into the the launch of Train2Quit, an innovative Web-
Children are not the only people who need body. The body makes antibodies to fight the based tobacco cessation training specifically
immunizations — young adults to senior citi- invader. If the actual disease ever attacks the designed for military personnel and Families.
zens can benefit from immunizations, too. Many body in the future, the antibodies will still be Train2Quit is a step-by-step process with
adults become ill, disabled or die each year from there to destroy it. proven methods and interactive activities and
diseases that could easily have been prevented Immunizations protect the personal health of tools to help tobacco users quit for good.
by being immunized. military personnel, help maintain mission readi- The free customizable training, accessible
Immunizations also benefit people in the com- ness and are required. An immunized Soldier anytime to service members online (www.
munity where immunized persons live or work, is less likely to become seriously ill from a ucanquit2.org/train2quit.aspx), is the newest
putting fewer people at risk by preventing the disease that threatens his or her unit’s mission. addition to the DoD campaign, Quit Tobacco-
spread of diseases. Diseases like influenza (flu), By staying healthy, the immunized Soldier helps Make Everyone Proud (QTMEP).
tetanus and measles can cost Soldiers, Families other Soldiers accomplish their mission. Even “Soldiers, sailors, airmen and Marines
and civilian personnel time and money because though immunizations have reduced diseases to are used to training. Train2Quit doesn’t take
of doctor visits, lost duty and work time, and low levels in the United States, many diseases eight weeks or even eight hours. And although
hospitalizations. are still common in other parts of the world. quitting tobacco is tough, we know members
Some adults assume that the immunizations Soldiers, civilians and contractors getting ready of the Armed Forces are even tougher. They
they received as children will protect them for to deploy may require specific, additional im- can get through this unique and easy-to use
the rest of their lives. Usually this is true, ex- munizations depending on the health risks where online training to get quit and stay quit.”
cept that: they are deploying. said Captain David Arday, a Public Health
* Some adults were never immunized as Military personnel, their Family members and Service physician and chairman of the DoD
children, civilian personnel should work closely with their Alcohol and Tobacco Advisory Committee.
* Newer vaccines were not available when health-care providers to schedule immunizations Train2Quit accommodates users based on
some adults were children, and make sure that immunizations are up to date. where they are in the process of quitting to-
* Immunity can begin to fade over time, The U.S. Centers for Disease Control and bacco, whether thinking about quitting or in
and as we age, we become more susceptible to Prevention has the 2010 Adult Immunization the midst of a quit attempt. A self-assessment
serious diseases caused by common infections Schedule recommended for anyone over age 18. tool during enrollment determines where us-
(for example, flu and pneumococcus). It is available in English and Spanish and may ers fall on the spectrum and starts them in
These circumstances require that adults make be downloaded. To see the complete list of im- the corresponding module. The training then
sure their immunizations are up to date. The munizations recommended by the CDC for adults offers customized tools and individual support
recommended ones are: influenza, pneumococ- (as well as recommendations and schedules for based on their specific situation and stage in
cal polysaccharide (PPSV), Td/Tdap (Tetanus, adolescents and children), go to http://www.cdc. the quit process.
diphtheria, pertussis), MMR (measles, mumps, gov/vaccines/recs/schedules. Anonymous live chatting with expert quit
rubella), varicella (chickenpox) and hepatitis B. The Military Vaccine Agency has immuniza- coaches is currently available from 8:30 a.m.
People who travel overseas, college students and tion charts for U.S. military personnel in any of to 10:00 p.m. EST, and will soon be avail-
young women may require additional immuniza- the Department of Defense services including the able 24 hours a day.
tions. Health-care providers also recommend im- Coast Guard. MilVax also provides lists of vac- Users can stop at any point in the process
munizations for adults who have chronic illness cines by type of military population — trainees, and then re-start where they left off, track-
such as heart disease, lung disease and liver active-duty and reservists, as well as for deploy- ing their progress through the training. After
disease, or other risk factors such as alcoholism ments. Recommended guidelines and charts are successfully going through all four modules,
or cigarette smoking. on the Web at http://www.vaccines.mil/default. they receive a certificate of completion. (Army
How do immunizations work? They prevent aspx?cnt=resource/servicesHome. (Public Health News Service)
disease in the people who receive them. A Command (Prov))
Telemarketers know how to spoil a good evening
by Linda Turner Please, don’t be taken in. If you believe call you will be fined for every call.
Outside, a winter storm raged in the night, the company or charity really is legitimate, Telemarketers are also restricted from calling
coating the world in snow and ice, but the couple insist that any offer be sent to you in writing. you before 8 a.m. or after 9 p.m. They must
inside the mountain cabin never noticed. His Investigate a company before buying anything. tell you they are trying to sell you something,
eyes locked with hers as he reached for her… If you haven’t entered a contest, you haven’t give the name of the company they’re working
You know what’s coming, don’t you? The won a prize. Check charities out with the Bet- for, and what they are selling. If they tell you
phone rang. ter Business Bureau’s Wise Giving Alliance at you’ve won a prize, they must tell you that
“You’ve won a free trip to the far side of www.giv.org or call 703-276-0100. you don’t have to pay anything or purchase
the moon, you lucky dog. All you have to do The Federal Trade Commission also maintains anything to win. They have to inform you of
is sign up for six week’s worth of cheap flying the Consumer Sentinel (www.consumer.gov/sen- all costs, restrictions, and conditions before you
lessons, give me your credit card or checking tinel), which is an investigative and complaint spend any money.
account number so I can drain your accounts, database that lists Internet cons, telemarketing Your consent is required before processing
and you’re good to go!” scams, and other consumer fraud in the United any payment. The terms of any free trial period
Okay, not all telemarketers are out to steal States, Canada and Australia. If you’ve been a must be fully disclosed, and anyone soliciting a
you blind. But telling the good guys from the victim of a scam, you can post your story on charitable donation must disclose the name of
bad is next to impossible over the phone unless the Consumer Sentinel, thereby alerting law en- the organization they’re calling for. Furthermore,
you initiate the call and know exactly who’s on forcement officials around the world to the latest telemarketers are required to provide their phone
the other end of the line. frauds being perpetrated on innocent victims. number — and their names when possible — to
After all, telemarketing scams bilk Americans And you do have legal rights where tele- your Caller ID service.
out of over $50 billion a year! That’s right — marketers are concerned. You can legally restrict The best thing you can do to protect yourself,
billion with a B. These people know what they’re telemarketers from calling you again simply by however, is to simply hang up and not give the
doing. They often use familiar names that sound telling them not to call you. You can also place scam artists a chance to entice you.
like companies and charities you’ve heard of or your home telephone and cell phone numbers on And the next time you plan a romantic
done business with in the past. The deals they the Federal Trade Commission’s “Do Not Call” evening with a loved one, take the phone off
offer are fantastic … and, unfortunately, too list by either visiting www.donotcall.gov or call- the hook. (MEDCOM Office of the Staff Judge
good to be true. ing 1-888-382-1222. Anyone foolish enough to Advocate)
August 2010 9
Building a building
1LT Adhanna McCarthy cuts bracing slots in
wood beams for a Habitat for Humanity house for
a low-income family in San Antonio, Texas. About
30 members of the Interservice Physician Assis-
tant Student Society donated a day of service to
"We've worked at the soup kitchen at St.Vincent
Better living through technology de Paul, done a clothing and canned food drive,
worked in community gardens with Green Spaces
Dr. Vic Convertino checks what the data acquisi- "The system is extremely flexible and can record
Alliances and also volunteered at Faith Family
tion (DAQ) system developed by the Army Institute up to 32 different medical devices at the same time,"
Clinic, a free clinic that serves the underinsured,"
of Surgical Research says about a young dengue said Guy Drew of ISR's information management
patient in Thailand. The DAQ integrates various division, "and it permits us to add new equipment
"We're learning about teamwork, unity and
medical devices into a unique data structure. to the system as technology advances."
giving back to the community," said SSG Brian
"The goal of our research initiative is to develop Convertino took a miniaturized version of the
an algorithm using the DAQ system that will permit DAQ to Bankok and trained three nurses of the
"I've been renting an apartment on the north-
clinicians to identify internal hemorrhage as early as Armed Forces Research Institute of Medical Sci-
west side of San Antonio, but this house will be
possible so that corrective measures can be initiated ences (AFRIMS) to collect data in the dengue ward
a lot more affordable. And it will be mine," said
before the patient goes into shock," said Convertino, of the Queen Sirikit National Institute of Child Health.
Tamra Grant, the house's eventual owner. (Photo
chief of the human physiology research lab at ISR. (Photo by Barb Soller/MRMC)
by Steve Elliott/Fort Sam Houston)
Army targets improved pain management
by Alexandra Hemmerly-Brown eral different doctors, which can change medical care and the way body signals — such as tempera-
The final report of the Pain cause inconsistencies in care. But we take care of patients,” noted ture, heart rate, muscle tension and
Management Task Force, which was he maintained that this is not just Thomas. brain waves — to help patients
initiated by LTG Eric B. Schoomak- an Army problem — it’s a prob- with relaxation techniques and pain
er in August of 2009, addresses the lem throughout the U.S. health-care Exceeding standards reduction.
lack of a comprehensive pain-man- system. Schoomaker stressed that Army Schoomaker said he is hopeful
agement strategy across the Army, “This is a nation-wide problem practices have always been in com- that Soldiers will be receptive to
and suggests alternative treatments ... we’ve got a culture of ‘a pill pliance with America’s medical alternative methods of care once
to medication such as acupuncture, for every ill,’” agreed BG Richard regulations, but he thinks the Army they see that the treatments work.
meditation, biofeedback and yoga. W. Thomas, assistant Army surgeon can do better. “Seeing success is the best way
Also noted in the report is the fact general for force projection. “Everything we do in the Army, to convince people of the usefulness
that pain management has changed “As a physician, the hardest even managing a toothache, is all in and the need for other approaches,”
very little since the discovery of thing to deal with is patients with compliance with national standards agreed Jaffin.
morphine in 1805. chronic pain,” said COL Jonathan ... what we want to do is set the
H. Jaffin, director of heath policy bar higher,” Schoomaker explained. Recommendations
Troubling reports and services in the Office of The Schoomaker’s higher standards The 109 recommendations are
Schoomaker explained that with Surgeon General. “So many of us include offering treatment alterna- divided into four areas: to provide
the increasing numbers of Soldiers went into medicine to relieve suf- tives that might not yet be pre- tools and infrastructure that sup-
returning from combat with severe fering, and chronic pain is frus- scribed in average doctor’s offic- port pain management, build a full
wounds, reports of medication abuse trating because we want to relieve es, but which patients are already spectrum of best practices, focus on
and suicides with pain as a possible that pain.” seeking out on their own, such as Soldiers and Families, and synchro-
factor are troubling. acupuncture. He said the Army has nize a culture of pain awareness,
“While these issues might not Medical centers looked at research on the effective- education and intervention.
be directly related to pain manage- The task force visited 28 mili- ness of complementary techniques, Schoomaker said the recom-
ment, I felt a thorough evaluation tary, Veterans Affairs and civilian and he would like to see them mendations that can be put into
and assessment of current pain- medical centers between October integrated into traditional medical policy under his authority will be
management practice was indicated,” and January to observe treatment ca- treatment. implemented in the coming months,
Schoomaker said. pabilities and best practices. Schoo- “Programs such as biofeedback and the 2010 National Defense Au-
He said part of the problem is maker’s said his goal is to form a and yoga have been subjected to thorization Act asks the secretary
that severely injured Soldiers, like pain-management strategy that is scientific randomized trials and of defense to integrate a pain-man-
those in warrior transition units, are holistic, multidisciplinary and puts have been proven to be effective,” agement policy into the military
often prescribed multiple medica- Soldiers’ quality of life first. Schoomaker said. health-care system no later than
tions and sometimes seen by sev- “This is an opportunity to Biofeedback involves measuring March 2011. (Army News Service)
10 The Mercury
August 2010 http://www.armymedicine.army.mil
Researcher wins Top cadre earn awards from
SAIGE award Warrior Transition Command
by Jerry Harben Top squad leaders, platoon sergeants, nurse gional winners were Olivia Castro from Tripler,
LTC Max Teehee is the Society of American case managers and primary care managers com- CPT Robert G. Burdine from Fort Irwin, Calif.,
Indian Government Employees (SAIGE) Award peted this year for Warrior Transition Command’s MAJ Deborah Hood from Walter Reed Army
winner for 2010. Warrior Care and Transition Program Cadre of Medical Center, Washington, D.C., and Donna
Teehee is deputy director of Force Health the Year awards. Competitors were selected Argus from Heidelberg.
Protection Investigation by regions from both warrior transition units The CBWTU Nurse Case Manager of the Year
— New Drug Branch for on installations and community-based warrior is LTC Margaret Trimble of CBWTU Alabama.
the Army Medical Mate- transition units. Regional winners were CPT Jolynn Newsome
riel Development Activ- The WTU Squad Leader of the Year is SSG of CBWTU California and MAJ Mercedes A.
ity (USAMMDA). He Randall G. Bagwell from Fort Sam Houston, Bagby of CBWTU Virginia.
leads a team that man- Texas. The regional winners were SSG Kris The WTU Primary Care Manager of the Year
ages investigational new Kaopuiki from Tripler Army Medical Center, is LTC Mary Patricia King from Walter Reed.
drug protocols against Hawaii, SSG Robert C. Cramer from Fort Riley, Regional winners were Dr. Robert Deedman from
such disease threats as Kan., SSG Javis Dew from Fort Meade, Md., and Tripler, Dr. Robbie J. Rampy from Fort Bliss,
anthrax and smallpox. SSG James Hower from Heidelberg, Germany. Texas, Dr. Carolynn Warner from Fort Stewart
Teehee, whose grand- The CBWTU Platoon Sergeant of the Year and Dr. Donna McLaughlin from Heidelberg.
father was listed on the is SFC Anthony Costa of CBWTU Illinois. The CBWTU Primary Care Manager of the
LTC Max Teehee 1906 Guion Miller Roll Regional winners were SSG Marsie Franco of Year is COL Donna Jean Wiberg of CBWTU
of Eastern Cherokees, CBWTU California and SFC Brent Waterhouse Massachusetts. Regional winners were COL Phil-
enlisted in the Air Force in 1979 but left the of CBWTU Alabama. lip S. Siegel of CBWTU California and COL
service for education, eventually earning a The WTU Nurse Case Manager of the Year Deborah Davis of CBWTU Alabama. (WTC)
Doctor of Veterinary Medicine degree from is William English from Fort Stewart, Ga. Re-
Louisiana State University in 1989. He served
three years as a Veterinary Corps officer, then
five years as a veterinary supervisor for the Detrick garrison applauded for practices
Department of Agriculture before returning to Fort Detrick, Md., is one of six Army gar- Fort Detrick was recognized for being a leader
the Army in 1997. risons recognized in a new category of Exem- in innovation and business development, exert-
After completing a PhD in microbiology, plary Practices in the 2010 Army Communities ing positive influence on the local community
he worked as a biodefense researcher at the of Excellence (ACOE) awards competition. and state while serving multiple missions since
Army Medical Research Institute of Infectious “We’re pretty tickled. I don’t think we could the 1940s. The installation received a trophy,
Diseases before his present assignment. have smiled any more than we did,” commented an Army Community of Excellence flag and a
In 2008, Teehee volunteered to oversee COL Judith Robinson, Fort Detrick garrison check for $75,000.
research into endemic viral diseases in the commander. “ACOE helps these installations focus on
Democratic Republic of Congo, spending eight The program encourages and rewards instal- cost-conscious and performance-based activi-
weeks in the tropical African country. More lations for continuous business process improve- ties, and that contributes directly to a resilient,
recently, he initiated a medical surveillance ment, individual innovation, groundbreaking initia- healthy and mission-ready Army,” said LTG Rick
section that monitors disease threats around tives and dedication to efficiency, effectiveness Lynch, commander of Installation Management
the world and the countermeasures available and customer care. The program uses Malcolm Command. (Adapted from Fort Detrick and
against them. Baldridge National Quality Program criteria. IMCOM releases.)
Dix simulation training center named Army's best
Story and photo the best medical training facility says that’s not what makes the Dix to try to trick us. We incorporate
by Edward Mingin in the Army. MSTC work so well. Instead, Levy that into the training,” said Levy.
The Army Support Activity-Dix The MSTC uses training tech- praises his staff, saying they are the “We teach them what they need
Medical Simulation Training Center niques and props, including life- reason for the organization’s success. to know, but we try to get them
(MSTC) at Joint Base McGuire- like mannequins that have a pulse, Levy and his crew get feed- thinking outside the box and give
Dix-Lakehurst, N.J., was presented blinking eyes, and the ability to back from Soldiers who have been them more to consider,” Hassell
with the CPL Angelo J. Vaccaro bleed. But SGM Douglas Levy, through the training and applied it added.
Award, which is given yearly to program director of the Dix MSTC, in a real-world situation. “They really put us in a combat
Feedback also comes from situation,” said SPC Christopher
Levy’s staff. Jamell Hassell, a con- Ripoll of the 288th Quartermaster
tract employee, is MSTC site man- Company. “It was different than
ager, and has firsthand knowledge other training I’ve had. The hardest
he can pass on to Soldiers. part was the room at the end of the
“I was in the Army for eight obstacle course. It was dark; there
years. I was a medic” said Hassell. were some flashing lights and a
“When my deployment was up, I lot of casualties. We had to check
started as a trainer.” for a pulse and see who was still
Hassell and the MSTC crew alive. There was a lot going on. It
strive to make the training as re- was really intense.”
alistic as possible, and they teach SPC Anthony Stewart, also of
Soldiers how to do more than apply the 288th, echoed the statements of
bandages and fix wounds. They’ll his comrade.
often role-play and act as hostiles, “I’ve had CLS [Combat Life
putting Soldiers on the spot to make Saver] classes before, it was noth-
hasty decisions. Role-players will do ing like this. There were bodies and
what they can to put Soldiers in a blood all over the place. It was a
difficult decision-making situation. shock when the mannequin started
SGT Monty Garza of the 288th Quartermaster Company calls for help during a
“We do a lot of innovative blinking and had a pulse. Made it
training exercise at Fort Dix Medical Simulation Training Center. things that people do over there seem realistic,” he said. (Fort Dix)
August 2010 11
Borden Institute expands Army library
by Jerry Harben bordeninstitute.army.mil/order.cfm . Civilians markable that they take the time and effort to
Since the dawn of civilization, books have can purchase volumes through the Government write these chapters. There would be nothing
been how humans have shared knowledge, passed Printing Office at http://bookstore.gpo.gov or by without the authors.”
on lessons learned, and recorded their place in calling (202) 512-1800. The Borden Institute was created in 1987
history. “Some books come unsolicited, interested as the Center of Excellence in Military Medi-
One organization is dedicated to ensuring authors present white papers demonstrating their cal Research and Education under the Office
members of Army Medicine benefit from ac- potential to the Borden. Some ideas have come of The Surgeon General. In 1992 it was named
cumulated knowledge shared in books. from the Office of The Surgeon General as an in honor of LTC William Cline Borden, who
The Borden Institute publishes books with area of interest. Others are part of the main- was MAJ Walter Reed’s personal physician and
information for military medical personnel, in- tenance of the Textbooks of Military Medicine was a leader in establishing Walter Reed Army
cluding the Textbooks of Military Medicine se- series — the series is periodically reviewed Medical Center in Washington, D.C. It now is
ries. These books are designed to illustrate how and updated as needed,” said COL Martha K. part of the AMEDD Center and School. Two
military medicine has built on the lessons learned Lenhart, director of the Borden Institute. staff members work at the Center and School
in past wars, and to lay out the scientific basis Lenhart said a seven-member publication on Fort Sam Houston, Texas, while others will
on which the practice of military medicine is board soon will be established to review ideas soon move from the Walter Reed campus to
grounded. The series of some 20 volumes cov- and suggest topics. Fort Detrick, Md.
ers such topics as military preventive medicine, After a senior editor is selected, he or she Two of the institute’s books recently were
military medical ethics, harsh environments and outlines a book’s contents and then identi- recognized for excellence by peers in the pub-
care of combat injuries. fies experts to write individual chapters. Many lishing industry. Care of the Combat Amputee
Although the books are written for military people contribute to the textbooks — Care of received the first place award in the Technical
audiences, civilian providers, including nonmili- the Combat Amputee had 129 authors. Text category for Small to Medium Nonprofit
tary national and civil defense responders, find Books on historical subjects more commonly organizations in the Washington Book Publishers’
these publications to be an essential resource. are written by a single author, supported through 2010 Book Design and Effectiveness Competition.
The institute’s books are available in print, as the Office of Medical History in MEDCOM’s Walter Reed Army Medical Center Centennial:
downloadable PDF documents, or on CD-ROM. directorate of strategic communication. A Pictorial History 1909-2009 was featured in
Active duty military personnel may obtain one “One of the strengths of the Borden lies the Library Journal’s list of Notable Government
copy at no charge by ordering online at www. within the authorship,” Lenhart said. “It is re- Documents for 2009.
MG Patricia D. Horoho (left), a number of items from the hospital,
deputy surgeon general, accepts a flag which now is operated by the govern-
from COL Rafael A. DeJesus (center) ment of Iraq.
and CSM David J. Littereal for the Army The donation included signs, unit
Medical Department Museum at Fort insignia displays, an aerial photo of the
Sam Houston, Texas. Green Zone, a tracing of an original
Dejesus and Littereal, currently artwork, a small quilt made for the unit,
with the 10th Combat Support Hospital and a flag and granite plaque that was
at Fort Carson, Colo., were stationed in the hospital morgue. (Photo by Steve
together at Ibn Sina Hospital in Bagh- Elliott/Fort Sam Houston)
dad, Iraq.They donated to the museum
Doctor takes long road from White House to Iraq
Story and photo and for COL Daniel Parks, the 26th at all times and a physician or “One of the coolest things is
by MSG Duff E. McFadden Base Support Battalion surgeon at physician assistant with the vice being able to see the workings of
It’s a long way from the hal- Contingency Operating Site Marez president at all times. the executive branch of govern-
lowed walls of the White House to in Iraq, it was one wild ride. “We were a big medical team, ment from the inside,” Parks said.
the dusty environs of northern Iraq, From September 2001 to March approximately 25-26 people strong. “Imagine the opportunity to see it in
2009, Parks served as one of the We worked very closely with each action from a war-time perspective,
six White House physicians for other, with the Secret Service, and from the initiation of the war-time
U.S. Presidents George W. Bush with the military for protection of action, to today.”
and Barack Obama. the president,” said Parks. During his eight years of White
Parks said he had very few While the position had its ben- House service, he traveled to every
expectations about the job. efits, by the same token, the hardest continent of the world, with the
“I heard very little about the part had to be the time spent away exception of Antarctica, as well as
position beforehand. I only knew from home, he said. 43 countries, including three trips
it would be a different type of job “I was away for two- to two- to Iraq and two to Afghanistan.
with lots of travel, lots of medical and-a-half weeks a month. It was Parks was the duty physician,
contingencies,” he said. a 24/7 job and I was always on or the doctor assigned to the close
Despite a rather ominous start my Blackberry, or watching the TV proximity of the president, when
— his first day of work was Sept. news. If there was a tornado in the they had arrived in Shanghai for the
11, 2001 — he quickly learned the Midwest, we would have to start Asian Pacific Economic Conference.
ropes. After undergoing Emergency planning on how to move assets “I was in the elevator with the
Medical training and Nuclear, Bio- there in case of an impromptu visit president, Secretary of State Colin
logical and Chemical training, he by the president,” he said. Powell, National Security Advi-
began working side-by-side with While the position was normally sor Condoleezza Rice, and Russian
the Secret Service, the Marine One a three-year tour, he was asked to Premier Vladimir Putin. To be a
air squadron and the Air Force One extend by President Bush’s admin- fly on the wall in the back of that
air crews. istration, and then he assisted with elevator, with that much power, was
There’s a physician and nurse the transition of President Obama’s simply awe-inspiring,” he said. (3rd
within two minutes of the president administration. Infantry Division Public Affairs)
COL Daniel Parks
12 The Mercury
August 2010 http://www.armymedicine.army.mil
Courageous flight crew earns decorations
by Brandon Honig up two more injured Soldiers —
Hovering 70 feet over a battle again leaving Spraktes behind to
zone, about to be lowered to the care for and defend the Soldiers
ground on a cable dangling from on the ground.
his helicopter, medic SSG Emmett “By the grace of God, we were
Spraktes drummed up the necessary not hit,” said co-pilot CWO Scott
courage by picturing the parents of St. Aubin. “I have no idea how you
the injured Soldiers below. miss a giant Black Hawk helicopter.
“We’re up there, and we know It was really surreal.”
we can’t land and there’s a risk, but
I imagine looking into the eyes of More patients
a [Soldier’s] parent and saying, ‘I After dropping off patients for
can’t do this,’” Spraktes recalled. the second time, the Black Hawk
“How could I talk to the mother returned to find that Spraktes was
or father of one these boys and treating two Soldiers for dehydra-
say, ‘I was just too afraid to go’?” tion. He again deferred his place
on the aircraft to the injured Sol-
Stuck diers and sent the Black Hawk on
Moments later, when the cable its way, this time telling the crew
stopped moving only partway to he would stay on the ground and
the ground — making Spraktes a return to base on foot.
sitting target above the battlefield Spraktes’ crew would hear noth-
— it was his own children who ing of it, though, and returned to
came to mind. the dangerous location for a sixth Left to right, SSG Thomas A. Gifford, SSG Emmett Spraktes, CW4 Brandon Erd-
“When I was hanging, I thought time to perform yet another combat mann and CW2 Soctt St. Aubin pose after their award ceremony at Mather Air
I would never get out of there. I hoist extraction, finally bringing Force Base, Calif. (Photo by SFC Jesse Flagg/California National Guard)
was convinced this would be the Spraktes to safety.
end of me,” he said. “This is all “I told the pilots I wasn’t leav- our freedoms here at home,” said enemy often treats it as a bull’s-eye
my children are going to know of ing him,” Gifford said. “I was just Air Force BG Mary J. Kight, the instead, Medigovich said.
me — everything we’ve had up to doing my job and trying to get our adjutant general of the California “[MEDEVAC Soldiers] do the
this time.” guys out. [Medical evacuation] is National Guard, during a ceremony job every day, unhesitating,” he
He called up to crew chief SSG a very dangerous job — there’s at Mather Flight Facility. said. “It’s a very special breed.
Thomas A. Gifford: “Tell my chil- always somebody trying to shoot “These four Soldiers are Ameri- Just the fact that you’re flying in
dren I love them.” you down and stop you from what can heroes. … I am proud to serve there is testing one’s mettle. [This
“You love me?” came the con- you’re trying to do.” with you, and I believe the acronym crew] is the best example of how
fused response. DUSTOFF truly describes your ac- our Soldiers react to adversity and
“Not you, you idiot!” Spraktes tions,” Kight said. accomplish the mission, saving the
Awards DUSTOFF, which is synonymous lives of our fellow patriots.”
yelled. “My kids!” Spraktes was honored for his
The men shared a momentary with medical evacuation, stands for The four awardees, however,
actions with the Silver Star — the
laugh amid the gunfire, and then Dedicated Unhesitating Service To deflected all praise, insisting they
third-highest award for valor given
the cable started moving again. Our Fighting Forces. were only doing their job, doing
by the U.S. armed forces — and
Spraktes reached the ground in- “You four exemplify the very what the Soldiers on the ground
Gifford, St. Aubin and pilot CW4
tact with explosions and gun bursts best of our military,” said COL depended on them to do, what any
Brandon Erdmann each received the
echoing all around him and went to Mitchell Medigovich, commander of other DUSTOFF crew would have
Distinguished Flying Cross with “V”
work on the three injured patients the 40th Combat Aviation Brigade, done.
device for valor.
as his UH-60 Black Hawk crew which includes Company C. “We put “We just happened to be there
Erdmann is a member of the
flew to safety. This was only the you in the most austere conditions, when the mission came up,” St.
Wyoming National Guard. The other
beginning. the most difficult places and ask Aubin said. “Any one of the crews
three awardees are members of the
After tending to the most se- you to perform missions that are with us [in Afghanistan] would have
California National Guard’s Com-
verely injured patient, Spraktes simply daunting, and you always done the same thing. I’d trust my
pany C, 1-168th General Support
called for the Black Hawk to re- rise to the occasion.” life with any single one of them.”
turn to his location to pick up the He noted that MEDEVAC he- “MEDEVAC — you choose that
Spraktes was the first California
injured Soldier and fly him to a licopters, unlike all other aircraft unit,” he continued. “You know the
National Guard member to receive
nearby base. flown by the California Guard, are danger and inherent risk.” (Califor-
the Silver Star in this century.
The Black Hawk delivered the unarmed. The red cross on the heli- nia National Guard)
“This ceremony is about your
patient then returned and picked copter is meant to deter fire, but the
selfless service while protecting
SSG Oscar Guerra, a below-knee amputee,
swims in the far lane, while SGT Johnathan Reyna
guides CPL Matthew Bradford, who is blind and a
bilateral lower extremity amputee, down the near lane
during a mini-triathlon held at Fort Sam Houston,
Texas, for military members injured in Operation Iraqi
Freedom or Operation Enduring Freedom.
More than 100 patients from Brooke Army
Medical Center, Walter Reed Army Medical Center
and Balboa Naval Medical Center took part in the
event, featuring a 500-meter swim, 10-mile bicycle
ride and two mile run/walk.
"Events like this are great for us because it gets
you out of the barracks, keeps you active and gets
you in a social situation," said CPL Joshua Sweeney.
(Photo by Steve Elliott/Fort Sam Houston)