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Navy Medicine 

September-October 2007 


Official Publication of the U.S. Navy Medical Department 

Volume 98, No. 5 

September-October 2007 

Surgeon General of the Navy 
Chief, BUMED 

VADM Adam M. Robinson, Jr., MC, USN 

Deputy Surgeon General 
Deputy Chief, BUMED 

RADM John M. Mateczun, MC, USN 


Jan Kenneth Herman 

Managing Editor 

Janice Marie Hores 

Staff Writer 

Andre B. Sobocinski 


Navy Medicine considers for publication photo essays, 
artwork, and manuscripts on research, history, unusual experi- 
ences, opinion, editorials, forum, professional, and clinical 
matters. Contributions are suitable for consideration by Navy 
Medicine if they represent original material, have cleared 
internal security review and received chain of command ap- 
proval. An author need not be a member of the Navy to submit 
articles for consideration. For guidelines on submission please 
contact: Janice Marie Hores, Managing Editor, Bureau of Med- 
icine and Surgery (M09B7C), 2300 E Street, NW, Washington, 
DC 20372-5300. Email: 

Navy Medicine, (ISSN 0895-8211 USPS 316-070) is 
published bimonthly by the Department of the Navy, Bureau of 
Medicine and Surgery (M09B7C), Washington, DC 20372- 
5300. Periodical postage paid at Washington, DC. 

POSTMASTER: Send address changes to Navy Medicine, 
Bureau of Medicine and Surgery, ATTN: M09B7C, 2300 E 
Street NW, Washington, DC 20372-5300. 

Personal subscription address changes: write to Navy 
Medicine, Bureau of Medicine and Surgery, M09B7C, 2300 
E Street, NW, Washington DC 20372-5300, or email Janice. Include old and new addresses when 
submitting a change of address to the above. 

The Secretary of the Navy has determined that this publi- 
cation is necessary in the transaction of business as required 
by law. Navy Medicine is published from appropriated funds by 
authority of the Bureau of Medicine and Surgery in accordance 
with Navy Publications and Printing Regulations P-35. 

The use of a name of any specific manufacturer, commer- 
cial product, commodity or service in this publication does not 
imply endorsement by the Navy or the Bureau of Medicine and 
Surgery. Any opinions herein are those of the authors, and 
do not necessarily represent the views of Navy Medicine, the 
Navy Department or the Bureau of Medicine and Surgery or 
the Department of Defense. 

COVER: VADM Adam M. Robinson, 
Jr., MC, USN, 36th Surgeon General of 
the Navy and 40th Chief of the Bureau 
of Medicine and Surgery. 

We Want Your Opinion 
Letters to the Editor are welcome. Please let us know what 
you think about Navy Medicine. Please send letters to: Janice 
Marie Hores, Managing Editor, Bureau of Medicine and Surgery 
(M09B7C), 2300 E Street, NW, Washington, DC, 20372-5300 or 

Online issue of Navy Medicine can be found at the GPO 
website http : //permanent . access . gpo. gov/ 

o n 




26 Not Beatin' Around the Mulberry 
Bush: The Life of Clay Aloysius 
Boland, Navy Dentist and Songwriter 

28 Luxury Meets the U.S. Navy 
Kevin Bash 

4 DepartmentRounds 

34 Book Review 
On Call In Hell 

35 A Look Back 
Navy Medicine 1951 

31 "I Canceled My Policy!' 
LT Bill Henry 


Navy Dental Corps Turns 95 

The sailors of Mobile Forward Recusitative Surgi- 
cal System. (Top L to R) HM3 Chad Flynn, HM1 
William Holley, IDC CPO Keith Becker, and HM3 
Derrick Ramos (Bottom Lto R) CDR Drew Pinilla, 
LCDR Christian Corwin, LCDR Angela Earley, and 

LT Kurt Giometti. Photo by SGT Andy Hurt, USMC 

Expeditionary Medical Force, Kuwait, Det. 
Delta, Camp Buehring Dental Clinic. (Back L to 
R) CDR Hariri, LT Hayes, CAPT Reynolds, HM1 
Richard, HMC Medina, HM2 Jazmin, HN Cruz, and 
HN Barcco. (Front L to R) HN Dedmon and HN 

Maynor. Photo from LCDR O. J. Stein Jr., DC 

RADM Carol Turner, Director of 
the Navy Dental Corps, cuts the 
birthday cake at BUMED, Wash- 
ington, DC. 

USS Peleliu (LHA-5). Dental Dept. is composed 
of Ship's Crew, 3rd DENBN (from Hawaii, 
Iwakuni and Okinawa), Canadian Army, Japa- 
nese Navy, and NGO (UCSD Pre-Dental Society 
Students). (Front L to R) WO Carole Buxcey 
(Canadian Army), HN Brittaney Thornton, HM2 
Laura Blanco, LCDR Paul Lim, Joanne Nguyen 
(UCSD), and Diana Lin (UCSD). (Back Lto R) HM1 
Lavonne Melton (LPO), LCDR Jay Geistkemper, 
Kennie Kwok (UCSD), CAPT Richard Dickinson 
(Canadian Army), HN Robert Bosch, HN Morgan 
Steele, LT Kevin Haveman, LCDR Mikio Ozawa 
(Japanese Navy), and HN Clarence Henning. Photo 

from LCDR Paul Lim 

Department Rounds 

Adam M. Robinson, Jr., Selected as 36th 
Surgeon General of the Navy 

VADM Robinson, a native of Louisville, KY, entered the 
Navy in 1977. He holds an MD degree from the Indi- 
ana University School of Medicine, Indianapolis, which he 
earned through the Armed Forces Health Professions Schol- 
arship Program. He was commissioned following comple- 
tion of his surgical internship at Southern Illinois University 
School of Medicine, Springfield. 

Dr. Robinson's first assignment was as a general medical 
officer, Branch Medical Clinic, Fort Allen, Puerto Rico, be- 
fore reporting to the National Naval Medical Center, Bethes- 
da, MD, in 1978 to complete a residency in general surgery. 
His subsequent duty assignments included: staff surgeon, 
U.S. Naval Hospital, Yokosuka, Japan, and ship's surgeon, 
USS Midway (CVAl). 

After completing a fellowship in colon and rectal surgery 
at Carle Foundation Hospital, University of Illinois School of 
Medicine (1984-85), Dr. Robinson reported to the National 
Naval Medical Center, Bethesda, as the head of the colon 
and rectal surgery division. While there, he was called to 
temporary duty in 1987 as ship's surgeon aboard USS John E 
Kennedy (CV-67) and in 1988 as ship's surgeon aboard USS 
Coral Sea (CV-43). 

Dr. Robinson reported to Naval Medical Center, Ports- 
mouth, VA, in 1990 as the head of the general surgery 
department and director of the general surgery residency 
program. He was appointed acting medical director for the 
facility in 1994. While there, he earned a Master's degree in 
business administration from the University of South Florida. 
In 1995, he reported to the commander, Naval Surface Force, 
U.S. Atlantic Fleet, as the force medical officer, serving in 

that capacity for 2 years. Following that assignment, he 
reported to Naval Hospital Jacksonville in 1997 as the execu- 
tive officer. In January 1999, as Fleet Hospital Jacksonville 
CO, Dr. Robinson commanded a detachment of the fleet 
hospital as a medical contingent to Joint Task Force Haiti 
(Operation New Horizon/Uphold Democracy). 

In August 1999, he reported to the Bureau of Medicine 
and Surgery (BUMED) as director of Readiness and was 
selected as the Principal Director, Clinical and Program 
Policy in the Office of the Assistant Secretary of Defense 
for Health Affairs in September 2000, where he also served 
as the Acting Deputy Assistant Secretary of Defense for 
Health Affairs, Clinical and Program Policy. Dr. Robinson 
was assigned as CO, U.S. Naval Hospital Yokosuka from 
September 2001 to January 2004, after which he was as- 
signed back to BUMED as Deputy Chief for Medical Sup- 
port Operations with additional duty as acting Chief of the 
Medical Corps. 

VADM Robinson holds fellowships in the American Col- 
lege of Surgeons and the American Society of Colon and 
Rectal Surgery. He is a member of the Le Societe Internatio- 
nale de Chirurgie, the Society of Black Academic Surgeons, 
and the National Business School Scholastic Society, Beta 
Gamma Sigma. 

VADM Robinson's personal decorations include the Le- 
gion of Merit (two awards), the Defense Meritorious Service 
Medal (two awards), the Meritorious Service Medal (three 
awards), the Navy Commendation Medal, the Joint Service 
Achievement Medal, the Navy Achievement Medal, and vari- 
ous service and campaign awards.^ 


Chiefs of BUMED/ Surgeon General Quiz 

1. The title "Surgeon General of the U.S. Navy" was 
created by an act of Congress on 3 March 1871. Prior to 
this, the top doctor of the Navy was known as the "Chief 
of the Bureau of Medicine and Surgery." Who was the first 
Surgeon General? 

2. How many ships have been named after Surgeons Gen- 
eral of the Navy? 

3. While serving as Surgeon General, how many Navy 
physicians also acted as White House physicians? 

4. Match the Chief of BUMED/Surgeon General to the 
U.S. President. 

Thomas Harris 
Jonathan Foltz 
Presley Rixey 
Ross Mclntire 

Franklin D. Roosevelt 
Theodore Roosevelt 
James Buchanan 
Andrew Jackson 

5. Match the Chief of BUMED/Surgeon General to the 
war and conflict they served in? 

Thomas Harris 
William Wood 
Percival Rossiter 
Donald Arthur 
Michael Cowan 
Donald Custis 
James Palmer 

Civil War 

War of 1812 

Mexican War 



Philippine Insurrection 

World War II 

6. The first Chief of the Bureau of Medicine and Surgery, 
this physician was a noted botanist and professor of Materia 
Medica. A father of 14 children, his colleagues would often 
kid that his middle initials "PC." stood for "Plenty of Chil- 
dren." Who was he? 

7. Who was the only foreign born Surgeon General? 

8. How many Surgeons General are buried in Arlington 

9. From 1844 to the present, most Chiefs of the Bureau 
of Medicine and Surgery/Surgeon General have come from 
what state? 

10. Who is the first Surgeon General to appear in a film? 

11. Notable cruises. Match the Chief of BUMED/Sur- 
geon General to the famous voyage. 

William Barton USS Hartford (Battle of Mobile Bay) 
James Palmer Wilkes Expedition 
Jonathan Foltz USS Brandy wine (Last voyage of Lafayette) 
Phineas Horwitz USS Niagara (Laying of the Transatlantic 

12. At only 43, this physician was the youngest and most 
junior person ever to serve as Chief of BUMED. 

13. Who is the first one-star Surgeon General? 

14. Who is the first two-star Surgeon General? 

15. Who is the first three-star Surgeon General? 

16. What is the longest tenure for a Chief of BUMED/ 
Surgeon General? 

A.) 3 years 
B.) 8 years 
C.) 12 years 
D.) 16 years 

17. Who had the shortest tenure in office? 

A.) 18 days 
B.) 36 days 
C.) 6 months 
D.) 1 year 

(Answers on page 33) 

Presley Rixey 

Charles Stokes 

Phineas Horwitz 

William Barton 

Jonathan Foltz 


Navy Medicine Prepares to Imple- 
ment NSPS 

In March 2008 Navy medicine will convert appropriated 
fund general schedule (GS) employees not covered by a 
bargaining unit (union) to the National Security Personnel 
System (NSPS). Navy medicine GS employees, both CO- 
NUS and OCONUS, will convert to NSPS in March 2008. 
Due to challenges in the court system by national labor or- 
ganizations, employees in positions which are covered under 
current collective bargaining agreements will not be included 
in the March 2008 conversion. Further court actions will 
determine when a full conversion will take place. 

Planning and preparation for the conversion to NSPS are 
well underway. NSPS working groups have been designated 
both at headquarters and at Navy medicine field activities. 
Regional Introductory Conferences for senior leaders and 
activity working group team members providing an overview 
of the NSPS conversion process were held during July and 
August 2007 in the National Capital Area; Bremerton, WA; 
San Diego, CA; Portsmouth/Norfolk, VA; and Jacksonville, 
FL. Training on NSPS for managers and supervisors, mili- 
tary and civilian, and converting employees will be provided 
beginning in the fall of 2007. Schedules are currently being 

The Bureau of Medicine and Surgery (BUMED) has 
contracted with SI International and its partner, Dougherty 
& Associates, Inc., to conduct the required NSPS training for 
all activities to ensure quality and consistency of the NSPS 
training. Building on the lessons learned by Department of 
Defense (DOD) activities which have already converted to 
NSPS, Navy medicine is on course to a civilian personnel 
management system designed to enhance flexibility, account- 
ability, and results. 


The 9/11 attacks on America forever changed the defense 
posture of the nation and DOD. In light of this new defense 
posture, the Department of Defense felt required to trans- 
form the current human resources system in order to provide 
a more flexible personnel system to hire, assign, promote, and 
compensate the Department's civilian work force. Ultimately, 
this will create a more modern and agile work force. 

The National Defense Authorization Act for Fiscal Year 
2004 allows DOD to establish a more responsive civilian hu- 
man resource system to enhance the Department's ability to 
execute its national security mission. 

NSPS is a new human resources management system 
designed to better meet the national security challenges of 
the 21st century. DOD's vision is to implement a human 
capital management system that is high performing, efficient, 
understandable, and properly aligned with our national de- 
fense mission. NSPS includes an enhanced human resources 

"NSPS accelerates Navy medi- 
cine's efforts to create a total force 
of military, civilian, and contrac- 
tor personnel operating as one 
cohesive unit in order to provide 
for the force health protection and 
promotion of our sailors, Marines, 
our families, and our retirees," 
stated VADM Adam M. Robinson, 
Navy Surgeon General and Chief, 
Bureau of Medicine and Surgery. 
"The successful implementa- 
tion of NSPS by Navy medicine 
will require the combined effort 
of both our military and civilian 

system covering staffing, work force shaping, classification, 
compensation (pay banding), and performance management 
(performance-based pay); the labor relations system and new 
adverse actions and appeals processes are currently enjoined 
and are not being implemented at this time. 


NSPS is being implemented for several reasons: 

•To advance DOD's critical national security mission; 

•To improve our ability to respond swiftly and decisively 
to national security threats and other missions; 

•To accelerate DOD's efforts to create a total force; 

•To enhance our ability to retain and attract talented and 
motivated employees committed to excellence; 

•To compensate and reward employees based on perfor- 
mance and mission contribution; and 

•To expand DOD's ability to hire more quickly and offer 
competitive salaries. 

NSPS has been designed to achieve these goals while: 

•Respecting the individual and protecting rights guaran- 
teed by law, especially veterans benefits; 

•Valuing talent, performance, leadership, and commit- 
ment to public service; 

•Being flexible, understandable, credible, responsive, and 

•Ensuring accountability at all levels; 

•Balancing human resources interoperability with unique 
mission requirements; and 

•Being competitive and cost-effective. 

For those civilian workers who will not convert to NSPS 
in March 2008, it is important for them to understand that 
many of the NSPS principles of performance improvement 
and the enhanced employee-supervisor relationship can be 
applied to their current performance goals and objectives and 
career development. It is also important that they understand 
the current awards program (cash, time-off, QSI, etc) will 
still remain in place. 

How You Can Prepare For NSPS Now 

Managers, supervisors, and employees are encouraged to 
take NSPS 101, a 1-hour, online introduction to NSPS. A 


link to NSPS 101 can be found on the new Navy medicine 
NSPS website, reachable through the Navy Medicine Online 
home page at The NSPS 
link is at the bottom of the navigation list on the left-hand 
column of the web page. 

NSPS Training Required 

Currently Navy medicine plans to implement three 
required NSPS classroom training courses. Managers and 
supervisors — military and civilian — will be required to take 
Navigating NSPS for Supervisors. This 2-day course teaches 
supervisors what they need to know to be successful under 

Civilian non-bargaining unit GS employees will take 
Navigating NSPS for Employees. This course explains the 
core elements and goals of NSPS and how conversions will 
happen. It explains the new classification architecture and 
how hiring, staffing, and compensation will work. It walks 
through the performance management cycle, including per- 
formance plans, how performance will be rated, and how to 
be successful under NSPS. 

Pay pool members and support staff will take Introduction 
to Pay Pool Management, a 2 to 2V^-day course. This highly 
interactive course discusses how the pay pool process works 
and gives participants a chance to practice conducting pay 
pool meetings. The course walks participants through each 
phase in the process, and gives them activities related to that 
phase. Throughout the course, attendees play the roles of the 
rating official, second level supervisors, pay pool panel mem- 

ber, pay pool panel manager, and pay pool panel advisor. The 
greatest amount of time is spent in running through a mock 
pay pool process, using data from a fictitious organization. 
Participants learn by doing in this course. In particular, they 
learn how to reconcile ratings to ensure consistency and fair- 
ness across the members of the pay pool and how to reconcile 
ratings against the standards for different performance levels. 


NSPS will create a more responsive and flexible DOD 
and Department of the Navy (DON) civilian workforce. 
NSPS will transform the Navy and Marine Corps civilian 
personnel culture to embed more high performance drivers 
and behaviors, and will serve as a major pillar in the DON's 
Human Capital Strategy. This culture change provides a huge 
opportunity to accomplish the strategic alignment of perfor- 
mance goals for mission accomplishment for all employees, 
regardless of when they convert to NSPS. These goals will be 
aligned and interpreted by employees at all levels so everyone 
knows precisely where they fit into the organization and how 
individual accomplishments support the DON national secu- 
rity mission. 

Implementing NSPS for Navy medicine is a demanding 
challenge, but one which must be met, and which provides 
great benefits for our mission and our customers: Navy and 
Marine Corps service members and their families. Stay tuned 
for additional articles which will highlight significant mile- 
stones as the March 2008 NSPS conversion date for Navy 
medicine approaches.^ 

The Society for the History of Navy Medicine 
(Established May 2006) 

Vision Statement: 

The Society for the History of Navy Medicine 
is an international association of people inter- 
ested in the history of all aspects of medicine as it 
relates to the maritime environment. 

Mission Statement: 

The mission of the Society is to promote the study, re- 
search, and publication of all aspects of maritime medicine. 

The Society will be a means of "mutual support" and 
communication for people of all countries — civilian, mili- 
tary, academic, independent scholar, medical practitioner — 
who are interested in the topic. 

Joining the Society: 

Anyone wishing to join the Society should e-mail CAPT 
Thomas Snyder, MC, USNR (Ret.) at thomaslsnyder@gmail. 
com. In your message please include your name, rank (if mili- 
tary), and list any specific interest/specialty you might have in 
Navy medical history (e.g., Civil War medicine, Navy nursing, 
hospital ships, hygiene, etc.) 

Call for Papers— 2008 Meeting 

The Society for the History of Navy Medicine invites sub- 
mission of abstracts for papers for its Second Annual Papers 
Session, to be held during the 10-13 April 2008 meeting of 
the American Association for the History of Medicine, in 
Rochester, NY. 

Papers may address any aspect of the history of medi- 
cine as it relates to navies and/or the maritime environment 
(including air, space, and sub-surface). Historians, graduate 
students, and medical practitioners are encouraged to submit 

Deadline for submission of your 250-word abstract is 15 
November 2007. Electronic submission is preferred, to Hard copy submission by the 
same deadline may be sent to: 

Thomas L. Snyder, MD 

CAPT, MC, USN (Ret.) 

Executive Director 

The Society for the History of Navy Medicine 

1 3 1 El Camino Real 

Vallejo, CA 94590-3464 


Navy Begins Construction of First- 
Ever Joint Health Care Facility 

Officials from the Navy, Department of Veterans Af- 
fairs (VA), and federal and local government joined 
in a ceremonial groundbreaking at Great Lakes 2 July for 
the first-ever joint Navy-VA Federal Health Care Facility 

Naval Facilities Engineering Command (NAVFAC) Mid- 
west is working with Joseph J. Henderson & Son, Inc., of 
Gurnee, IL, on the first phase of construction. The facility 
will be the first to use a completely integrated Navy-VA staff 
to treat recruits, active-duty service members, retirees, family 
members, and veterans. "Today we mark the beginning of 
construction that will eventually produce a first-of-its-kind 
facility," said CAPT Bob Gibbs, CO of NAVFAC Midwest. 
"In building the new parking and utilities infrastructure for 
this facility, we set the stage for the physical merger of two 
very capable medical centers into one comprehensive, effi- 
cient, state-of-the-art hospital. 

We are laying the groundwork, literally, for the best 
medical care our nation can provide to our service mem- 
bers, retirees, veterans, and their family members. "This 
effort underlines the fact that the Navy considers its people- 
-past and present — to be its most valuable resource," said 

Naval Health Clinic (NHC) Great Lakes is gradually 
merging operations with the existing VA staff and facili- 
ties. This will provide a full range of modernized medical 
and support resources for patients while at the same time 
eliminating costly duplications that currently exist between 
the two nearby medical facilities. The overall FHCF is 
planned for completion in 2010, and is expected to save 
approximately $160 million over the projected 40-year life 
span of the facility. "This truly is a unique endeavor," said 
CAPT Thomas McGue, CO of NHC Great Lakes. "When 
you look at where we were and where we have gone, this is 
definitely not your father's VA," said Patrick Sullivan, direc- 
tor of the North Chicago VA Medical Center. "Who would 
have thought that in our operating rooms today we would 
have Navy surgeons working alongside VA nurses and 
other support staff, and that we would also have kids being 
treated here? 

"And let's not forget about the young men and women 
who are fighting in Iraq, Afghanistan, and so many other 
places around the world to ensure we are safe at home," 
added Sullivan. "As they are answering the call, so must we 
ensure they receive the best possible care when they return 

Construction under the $16 million contract, awarded 25 
May, includes a staff parking area, four-story parking garage 
for patients, new site entryway, traffic light on Green Bay 
Road, and utility work to prepare for the eventual addition 

of a new wing to the current North Chicago VA Medical 
Center. Completion of the parking and infrastructure project 
is expected in June 2008.^ 

-Story by Bill Couch, Naval Facilities Engineering Command 
Midwest Public Affairs. 

Service Members, Vets Cite Need for 
Recovery Coordinators 

The Defense Department (DOD) and the Department of 
Veterans Affairs (VA) are partnering with other govern- 
ment and non-government agencies to find ways to improve 
the lives of severely injured service members and veterans, 
officials said in July. 

DOD and VA officials agree that the concept of a full- 
time patient-recovery coordinators would greatly help se- 
verely wounded warriors and veterans access needed services, 
Lynda C. Davis, Deputy Assistant Secretary of the Navy for 
military personnel policy, told American Forces Press Service. 

Davis and Kristin A. Day, the VA's acting national social work 
director, co-chair the case management reform action group, 
which collaborates with military family members, government 
agencies, veterans service organizations and private groups. 

Davis and Day hosted a joint Defense Department/ Vet- 
erans Affairs 26-27 July meeting at the Pentagon that ad- 
dressed non-clinical care management issues affecting severely 
wounded service members and veterans, such as coordination 
of benefits and disability, access to housing, transportation, 
rehabilitative care, occupational therapy, employment, educa- 
tion, and more. "It's everything in a person's life that's needed 
to make their recovery complete that is not the strictly medi- 
cal side," Davis said. 

A previous summit in May addressed what was needed in 
the clinical realm, she added, such as information technology 
and training requirements, including discussion of needed 
policy changes. 

This March, President Bush established the Presidential 
Commission on Care for America's Returning Wounded 
Warriors after the Washington Post disclosed patient-care 
shortfalls at Walter Reed Army Medical Center. The com- 
mission, chaired by former Sen. Robert J. Dole and former 
Health and Human Services Secretary Donna E. Shalala, 
examined the overall state of the military's healthcare system 
and care for veterans. The commission released its findings 
25 July One of the commission's recommendations is to 
develop a recovery plan for seriously injured service members 
and to assign recovery coordinators or case managers to se- 
verely wounded service members and veterans to help them 
access benefits and ongoing care. 

This person would complement the many current care pro- 
viders and be "a consistent resource that is with the individual 
service member and the family across the full continuum of 
their care from the point of acute care in a hospital in the DOD 


to the recuperation phase in the VA hospital, to the time when 
they'll live most of their life back in their community." 

Officials now are examining what type of standardized 
training recovery coordinators would require, Davis said, 
as well as closely examining requirements to determine an 
efficient, integrated recovery-care plan for injured military 

Officials envision that VA recovery coordinators, known 
as transition patient advocates, would begin to interface with 
their service member clients when they're still being treated 
in military hospitals, Day said. The VA has hired more than 
80 of 100 patient transition advocates over the past few 
months, Day pointed out. "If the patient's home is in Kansas 
City, for example, the transition patient advocate will be 
notified by the VA liaison at the DOD facility and will travel 
to the patient, introduce themselves, and start a relation- 
ship," Day explained. "It's very important to have somebody 
understand your whole story, to have been there with you 
[through] everything you've been through." 

VA patient advocates "will literally be at the kitchen table 
each step of the way" as veterans begin rebuilding their lives 
in their home towns, Day said. Up to now, wives or husbands 
often managed their veteran-spouses' recovery needs, with 
mixed results, Day said. "The families, right now, have to 
navigate all of these systems, and it's overwhelming. We're go- 
ing to do that for them." 

MAJ Peter Ortell, USMC, hometown link coordinator 
for the Marine for Life program, who attended the Pentagon 
summit meeting, said military and veterans' families have 
cited the need for a dedicated recovery advocate. "They want 
a single resource or point of contact they can go to, so that 
they do not have to learn the entire system themselves and 
become their own advocates," Ortell pointed out. Wounded 
warriors and veterans already "have a whole slew of stressors," 
Ortell also noted that "having more stress by having to navi- 
gate this huge medical system just adds more stress."^ 

-Story by Gerry J. Gilmore, American Forces Press Service, 
Washington, DC. 

Brisbane, Australia. HM2 Rolan- 
do Samortin dances with a resi- 
dent of Wesley Mission elderly 
home. USS Tortuga (LSD-46) 
sailors visited the home during 
a 4-day port visit in June. Photo 

by MC Brandon Myrick, USN. 

^1 B V 

VA To Construct New $5.4 Million 

To provide easier access for Guam's veterans to the world- 
class healthcare of the Department of Veterans Affairs 
(VA), the Department has announced plans to construct a 
new $5.4 million clinic on the periphery of the island's naval 
hospital. "Since World War II, the young men and women 
of Guam have served in every conflict that has confronted 
this nation, including the global war on terror," said Secre- 
tary of Veterans Affairs Jim Nicholson. "This new facility is 
tangible proof of our determination to honor our commit- 
ment to those veterans." 

The plan approved by Nicholson calls for a 6,000-square- 
foot outpatient clinic next to the grounds of the naval hospi- 
tal, with its own parking area. Patients will not have to pass 
through Navy security to get to the facility. The new clinic is 
scheduled to open in the summer of 2009. 

The new outpatient clinic replaces the existing 2,700- 
square-foot VA clinic at the naval hospital. VA will still 
partner with the naval facility for emergency and after-hours 
healthcare, acute inpatient care, and some specialty services. 
About 9,000 veterans live on the island. The existing clinic 
employs a staff of 1 1 , including an internal medicine physi- 
cian, psychiatrist, and nurse practitioner. It provides primary 
care, mental healthcare, limited specialty services, and physi- 
cal examinations for VA's compensation and pension benefits. 

During the Vietnam War, Guam had more casualties per 
capita than any state in the Union. Since 1989, VA has oper- 
ated a clinic at the naval hospital. Residents receive about 
$ 1 5 million annually in VA disability compensation and 
pensions, plus home loan guarantees, educational assistance, 
vocational assistance, and other VA programs. 

With 155 hospitals and more than 700 community-based 
outpatient clinics, VA operates the largest integrated health- 
care system in the country. VA's healthcare budget of more 
than $34 billion this year will provide healthcare to about 5.5 
million people during nearly 800,000 hospitalizations and 60 
million outpatient visits.^ 

-Veteran Affairs Press Release, July 2007. 

If you would like to be on the elec- 
tronic mailing list and receive the 
magazine in PDF format, please con- 
tact Janice Marie Hores, Managing 
Editor, at 


VA Researchers Develop New 
Prosthetic Ankle 

Veterans with lower-leg amputations can look forward to 
having a prosthetic ankle-foot that matches their natu- 
ral ease of motion, thanks to research funded by the Depart- 
ment of Veterans Affairs (VA) and conducted by researchers 
from the Department and two of the nation's top universi- 
ties. "Veterans are entitled to the best this nation has to 
offer, and at VA, we're constantly redefining the meaning of 
best," said Secretary of Veterans Affairs Jim Nicholson. "This 
new ankle-foot prosthetic is another example of VA's medical 
innovations for veterans that will benefit all Americans." 

Researchers say the new ankle-foot prosthesis is the first in 
a new family of artificial limbs. It will replicate natural mo- 
tion by propelling people forward using tendon-like springs 
powered by an electric motor. Through VA-funded research, 
the Center for Restorative and Regenerative Medicine, a 
partnership between the Providence VA Medical Center in 
Rhode Island, Brown University, and Massachusetts Institute 
of Technology, developed the new prosthesis. The center's 
goal is to restore natural function to amputees. 

VA expects to spend more than $1.2 billion this year on 
prosthetics and sensory aids, which includes glasses and hear- 
ing aids. The Department operates about 60 orthotic-pros- 
thetic labs across the country that fabricate, fit, and repair 
artificial limbs or oversee limbs provided by commercial 

-Veteran Affairs Press Release, July 2007. 

Navy Medical Center San Diego 
Presents Fisher House II 

Navy Medical Center San Diego (NMCSD) broke 
ground 15 June for the Fisher House II, which will be 
adjacent to the current Fisher House at NMCSD. 

The approximately 8,000-square-foot Fisher House II will 
have 1 1 rooms and will cost $4 million to build. Accord- 
ing to the Fisher House website, the Fisher House program 
is a unique private-public partnership supporting American 
military personnel in their time of need by providing a home 
away from home that allows family members to be near a 
loved one during hospitalization. 

There are 37 Fisher Houses located on 1 8 military instal- 
lations and eight Veterans Administration medical centers 
across the United States and in Germany. The Fisher House 
Program was founded in 1990 by Zachary and Elizabeth M. 
Fisher who dedicated more than $20 million to the construc- 
tion of comfort homes for the families of hospitalized mili- 
tary personnel. 

"We are reminded daily about our duty to pay tribute to 
those whose dedication to duty and passion for this country 
have left them ill, or injured and hospitalized," said Dave 
Coker, president of the Fisher House Foundation. "We have 
been able to help thousands in need because the exceptional 
generosity of others." 

"There is a need to have ample Fisher House rooms for 
military families to be close to their loved ones during their 
recuperation, and it's a privilege for us to be a part of this and 
make this happen," said David J. Mclntyre Jr., president and 
chief executive officer of TriWest Healthcare Alliance.^ 

-Story by MC Seaman Shannon K. Cassldy, Pacific Fleet 
Public Affairs. 

Navy Medicine Support Command En- 
sures Reservists Practice Medicine 

The Executive Committee for Medical and Dental Staff 
(ECOMS/DS) held a monthly meeting here recently 
to review the credentials files of Navy Reserve practitioners. 
This committee, consisting of both reserve and active duty 
medical staff officers, serves one of Navy medicine's most 
important functions — recommending a medical practitio- 
ner for independent service in one of hundreds of military 
healthcare clinics and hospitals worldwide. 

NMSC's Centralized Credentialing and Privileging 
Department (CCPD), the host of the ECOMS/DS, has a 
unique mission of supporting the Navy Surgeon General/ 
Chief, Bureau of Medicine and Surgery in the management 
and maintenance of individual credential files (ICFs) for the 
Reserve healthcare providers. 

The credential files contain the documents that Reserve 
medical providers must have to provide healthcare. CCPD 
maintains the ICFs for licensed independent practitioners, 
including physicians, dentists, nurse practitioners, and other 
allied healthcare givers. CCPD also maintains the individual 
professional files (IPFs) for Reserve clinical support staff such 
as professional nurses and dental hygienists. 

CCPD uses this system to grant privileges to more than 
2,000 healthcare providers serving across the Navy, ensuring 
that providers have the proper education, training, licenses, 
certifications, and current competency and skills within their 
chosen clinical specialty. 

"Having the centralized credentials files here at NMSC is 
like dealing a deck of cards," said Sandra Banning, CCPD's 
department head. "We hold all the cards (credentials files), 
and we deal them from here via electronic credentials transfer 
briefs. We know where the surgeons are located, we know 
where all the family physicians are located, and we know 
where the clinical support staff are located." 



Banning said Navy medicine is better served by keeping 
every provider's credential file in one location thereby mini- 
mizing delay in the credentialing and privileging process. 

During the ECOM/DS meeting, members spent the day 
discussing and reviewing the credential files before making 
their recommendations to NMSC's Chief of Staff, Mr. Wil- 
liam Lorenzen, the sole privileging authority for all Navy 
Reserve component providers. 

The ECOM/DS was formed in 1993 after then Navy 
Surgeon General VADM Donald F. Hagen decided to cen- 
tralize all the reserve medical providers who need to be privi- 
leged or critical support staff in one location. This critical 
mission belonged to the Naval Healthcare Support Office lo- 
cated in building H2005, which later transitioned to become 
Navy Medicine Support Command in November 2005. 

"Operation Desert Shield and Desert Storm in the early 
1990s let us know that at the time we couldn't effectively 
identify our Reserve component medical assets. For example, 
when physicians needed a billet they were often placed into 
any physician billet regardless of their specialty." Banning 
said. "When Desert Shield and Desert Storm occurred, we 
needed to know where our assets were and how they were 
distributed. CCPD helps BUMED reach that goal." 

At the conclusion of the monthly ECOMs meeting, 
NMSC's Chief of Staff has a number of applications and 
endorsement pages requiring his endorsement. After signing, 
the medical and dental providers are notified their privileges 
have been approved for the next 2 years, at which time, the 
entire cycle begins again. $ 

-Story by MC1(SW/AW) Jeffrey McDowell, Navy Medicine 
Support Command Public Affairs. 

Lejeune Hospital Unveils Operational 
Medicine Training Facility 

A ribbon-cutting ceremony 30 May marked the grand 
opening of a new $325,000 training facility located on 
the grounds of the Naval Hospital Camp Lejeune, NC. 

"We view this new construction as an expansion of our 
core facility [and] as an opportunity to enhance existing 
training programs for our active duty as well as beneficia- 
ries," said CAPT Mark C. Olesen, CO Naval Hospital Camp 
Lejeune. "It will create more space inside our main hospital 
that can be used for other purposes." 

The new Operational Medicine Training Facility features 
a spacious room designed for operational medicine training. 
The classroom will be outfitted with state-of-the-art equip- 
ment and can accommodate approximately 50 personnel. 
The new building will allow the hospital to expand training 
programs and implement new training initiatives. 

RADM Thomas R. Cullison, Commander Navy Medi- 
cine East, Naval Medical Command Portsmouth, VA, was 

Ribbon cutting: 
Left to right: Wil- 
liam A. Meir, XO, 
Marine Corps 
Base, CAPT 
Donna Styles, 
XO, Naval Hos- 
pital Camp 
Lejeune, CAPT 
Eleanor Valen- 
tin, CO, Naval 
Hospital Cherry 
Point, RADM 
Thomas Culli- 
son, CO, Navy 
Medicine East, 
MGEN Robert Dickerson, commanding general Marine Corps Instal- 
lations East, and CAPT Mark C. Olesen, CO, Naval Hospital cut the 
ribbon during the grand opening of the Operational Training facility. 

Photo by HM2 Thomas Bush, USN 

guest speaker for the event and noted the positive impact the 
new facility will have on the military and surrounding area. 
"Naval Hospital trains with the base and Onslow County for 
disaster preparedness. This is where we get our basic training 
and this new building will be used for a myriad of training," 
said Cullison. 

A dedication ceremony was held during the grand open- 
ing in memory of HMC John M. Westfield, who was killed 
in an automobile accident in February. Olesen described him 
as an invaluable member of the command, and a room in 
the new facility was named after Westfield to honor his hard 
work and dedication to the command. Olesen and CMC 
Kevin Kesterson presented a plaque to Westfield's wife and 

According to CDR Constance Worline, head of Educa- 
tion and training. The room will be used as an additional 
training classroom not only for Marines and sailors, but also 
to provide training to beneficiaries as a part of patient educa- 
tion. The room will also be used for pre-deployment practical 
skills training for years to come. 

The ceremony was attended by a number of military offi- 
cials including MGEN and Mrs. Robert C. Dickerson, Com- 
manding General of Marine Corps Installations East; CAPT 
Eleanor Valentin, CO, Naval Hospital Cherry Point; and 
William A. Meir, XO, Marine Corps Base Camp Lejeune. £ 

-Story by Raymond Applewhite, Naval Hospital Camp 
Lejeune Public Affairs. 

FRA Branch 29 Shows Their Fond 
Regards to NHB 

A commanding officer's office has a tendency to be more 
than just where a vast amount of decision making, per- 
sonnel assessment, and mounds of messages are handled. 

Fleet Reserve Association (FRA) Branch 29, of Bremerton, 
is well aware that the office belonging to CAPT Catherine 
A. Wilson, Naval Hospital Bremerton CO, is a repository in 



CAPT Catherine Wilson, accepts artwork from Fleet Reserve As- 
sociation Branch 29 of Bremerton for her support on behalf of 
her command. CMC Tom Countryman (far left) also is a stalwart 
supporter of numerous civic and veteran organizations and has 
personally worked with various members of FRA 29 in volunteer 
projects to benefit active duty and military family members during 

his tenure as CMC at NHB. Photo by Douglas H Stutz 

homage to Navy history. There's memorabilia from past Navy 
and joint commands, family heirlooms with a decidedly nau- 
tical tone, and Navy medicine mementoes. FRA Branch 29 
members, led by President Bob Hulet, Jerry Irvine, and Bob 
Crann, recently paid a visit to CAPT Wilson, to show their 
regards to her and her command for supporting them in their 
endeavors. They presented CAPT Wilson with a handmade 
intricately inlaid knot- tied mounted image of Naval Hospital 
Bremerton. "This is just our way to say thank you for sup- 
porting us, and especially to show our appreciation with your 
involvement in the Memorial Day Services at Forest Lawn 
Cemetery on May 28," said Hulet. 

"What a meaningful gift, it's such a beautiful piece of 
work and I'll always treasure it." commented CAPT Wilson. 
"This art truly exemplifies the traditions of the old Navy. You 
don't see this type of quality much anymore and Jerry Irvine 
is a master. I thank him for all he does to pass on his skill and 
the FRA that helps keep our Navy traditions alive." 

FRA Branch 29's motto is, "Doctors have the AMA, Law- 
yers have the ABA, Sea Services have the FRA." They have 
provided loyalty, protection, and service in adhering to their 
motto for almost 77 years. FRA 29 was formed on 18 July 
1930 and moved to its current location on Veterans Day, 1 1 
November 1968. Nationally, the Fleet Reserve Association 
(FRA) has served as the voice of Sea Services enlisted person- 
nel on Capitol Hill since 1924. FRA was the first enlisted 
military association to testify before a U.S. Congressional 
Committee. Today, FRA is recognized by the Secretary of 
the Navy to speak before the U.S. Congress on their behalf. 
In addition, the 1997 Defense Authorization Act granted a 
Federal Charter to the FRA. FRA represents the interests of 
enlisted and former enlisted active duty, reserve, retired, and 
veterans honorably discharged from the Navy, Marine Corps, 
Coast Guard, and their families.^ 

-Story by Douglas H. Stutz, Naval Hospital Bremerton Public 

Family Medicine Residency 

Six plus six adds up to a lot more than just a dozen, 
especially concerning the 2007 graduating class of 
Puget Sound Family Medicine Residency program at Naval 
Hospital Bremerton. A half-dozen family medicine first-year 
residents and an equal number of family medicine third-year 
residents were duly recognized at Naval Hospital Bremer- 
ton's Family Medicine Resident Graduation Ceremony on 
29 June 2007. 

"This is an important milestone, for one of our primary 
missions at NHB is providing graduate medical education 
for family physicians," said CAPT Ronald F. Dommermuth, 
MC, Program Director, Puget Sound Family Medicine 
Residency. "After 3 rigorous years, we have six of the world's 
finest deployable family physicians. They have advanced their 
own skill level, plus those around them. We also have five 
going on to their next year here and they are a very talented 

"Congratulations on now being independent practi- 
tioners," commented CAPT Robert F. Wilson, MC, guest 
speaker, addressing the graduating class. "Up to this point, 
the challenges have all been singular in surviving the resi- 
dency. Now, there will be multiple challenges. There will be 
briars and brambles in the path. You will be called upon to 
support the global war on terror. You are unmatched in your 
dedication of calling and are all remarkable." 

Family Medicine Third- Year Residents graduating are: 
LCDR Eric M. Buenviaje, duty station to be determined; LT 
David A. Duncan, duty station at Branch Medical Clinic, 
Iwakuni, Japan; LT Erica S. Grogan, duty station at Branch 
Medical Clinic, Iwakuni, Japan; LT Barbara G. Hoover, duty 
station at Branch Medical Clinic, Bangor WA; LT Michael 
L. McCord, duty station at U.S. Naval Hospital, Okinawa, 

Rendering honors due. ..Puget Sound Family Medicine Resident 
Graduation ceremony recognized six Family Medicine Third-Year 
Residents and an equal number of Family Medicine First-Year 
Residents before Naval Hospital Bremerton staff, family, teach- 
ers, and CAPT Catherine Wilson, NHB Commanding Officer. Photo 

by MC1(SW) Fletcher Gibson 



Japan; and LT Leslie A. Waldman, duty station at U.S. Na- 
val Hospital, Guam. Waldman also received the Residency 
Teacher Award for 2007, as the top teacher in her class. 

Family Medicine First- Year Residents are: LT Justin S. 
Clark, duty station at 3rd MARDIV FMFPAC Okinawa, 
Japan; LT Kelly G. Koren; LT Marcy G. Lake; LT Dawn M. 
Long; LT Malcolm C. Mas teller, and LT John S. Robertson, 
all continuing residency at NHB.^ 

-Story by Douglas H. Stutz, Naval Hospital Bremerton Public 

Naval Hospital Pensacola Helps Train 
Nation's Future Medical, Nursing 

On a given day at Naval Hospital Pensacola, or any 
one of its 1 1 Naval Branch Health Clinics across four 
states — Florida, Mississippi, Louisiana, and Tennessee — a 
number of students are in various stages of their educa- 
tional studies to become a doctor, surgical technician, nurse, 
radiologist, ultra-sound technician, dental assistant, or any 
number of other medical fields. 

These students, however, are not necessarily military med- 
ical officers in the making. Many are people with no military 
ties, pursuing a career in the medical field in many schools 
across the nation. They also happen to have been selected to 
perform a portion of their medical training — or rotations — 
at Naval Hospital Pensacola. 

"Each year we have up to 200 students performing their 
practical training here," says Tom Dunmore of the hospital's 
Command Education and Training Department. There are 
nursing and dental assistant students from Pensacola Junior 
College (PJC), physician assistant and nursing students from 
the University of South Alabama in Mobile, surgical techni- 
cians and medical assistants from Virginia College, as well 
as students from Kapps University, the University of West 
Florida, Auburn University, the University of Florida, and 

"We get the students from anywhere," said Dunmore, who 
is responsible for keeping track of these students and ensur- 
ing their educational needs are met during their rotation at 
the naval hospital. What that means for the students is an 
environment that has proven to be a worthwhile supplement 
to their education, he said. 

The military hospital, for the most part, is very similar to 
an area community hospital; but the "military influence" is a 
bit different and sometimes a very good influence on the stu- 
dents' training, continued Dunmore. "We have a 1 00 percent 
success rate with the nursing students who come here and 
go on to take their state boards [licensure exams] ," Dunmore 

Pensacola Ju- 
nior College 
Nurse program 
student Eliza- 
beth Burkhart 
assesses a 
Naval Hospi- 
tal Pensacola 
patient as part 
of her training 
program at the 
naval hospital. 

Photo by MC1 Russ 
Tafuri, USN 

"The Naval Hospital has established ties with the com- 
munity and has the resources to host the students. Plus, be- 
ing a part of the community is important to the command, 
the Navy, and the U.S. government. It's a great way of giving 
back to the community." While the experience of "working" 
at the naval hospital for most of these students will probably 
be a one-time event, for one student, who is finishing up her 
practical rotation at Naval Hospital Pensacola, it's somewhat 
of a homecoming. 

Elizabeth Burkhart is a week away from completing the 
2-year PJC Registered Nurse program and is currently do- 
ing her practical rotation at the hospital. Burkhart has been 
at the hospital before, but in a much different capacity. She 
was stationed there in 2002 while on Navy active duty as a 
corpsman. So for her, coming back, as she becomes an RN, 
is very gratifying in a number of ways. "Doing my practical 
rotations here is fitting because this is where I started when I 
transferred to Pensacola from Guam, and this is where I will 
finish," said Burkhart. 

She plans to relocate with her family upon graduation. 
But she says doing her practical rotations at the naval hos- 
pital is especially appealing, aside from the reminiscences of 
her years in the Navy, due to the learning environment the 
hospital presents. "I enjoy the military environment during 
practical rotations because everyone is so helpful, supportive, 
and nice," she said. "It really is a team effort and a team envi- 
ronment here, more than anywhere else I have trained during 
my 2-year RN program." 

Naval Hospital Pensacola has been a teaching facility with 
its Family Medicine residency program, since 1972, that is 
very popular with medical students, according to Dunmore. 
"The medical doctor-students who come, request to come 
because of the residency program in place. Many of the 
medical students will come in their third or fourth year to go 
through our Family practice Medicine specialty or surgical 
rotation programs we have," says Dunmore. 

The military environment of the hospital, although subtle 
at times, can have an influence on those who are here — even 
some of the students. Approximately three students per year 



sign up for the military after completing a rotation of practi- 
cal training at the Navy hospital, according to Dunmore. 

While Naval Hospital Pensacola may not be the size of or 
have the numerous specialties of a Walter Reed or Bethesda 
military medical center, the staff does meet the student train- 
ing mission. "We're not the biggest but we meet the students' 
education needs," states Dunmore, "and we make them feel 

-Story by MC1(AW) Russ Tafuri, Naval Hospital Pensacola. 

Doctor Prescribes New Qualification 
for Navy 

Gaining the trust of his patients is important for LCDR 
Alfredo Baker, flight surgeon, Marine Aviation Logistics 
Squadron 24. It's why he spent 9 months training to become 
a Fleet Marine Force qualified officer. The doctor is one of 
fewer than 1 newly qualified naval officers to wear the cor- 
responding pin at Marine Corps Base Hawaii, Kaneohe Bay. 
Sailors who finish the process have demonstrated their skill in 
understanding Corps history, infrastructure, and operations. 

The qualification is reserved for those who work closely 
with Marines, and it is external recognition of the work an 
officer puts into training, said the flight surgeon. "The quali- 
fication is currently voluntary for officers," said Baker. "It's 
more specialized than the Navy (Fleet Marine Force) ribbon. 
Anyone who goes through the training gains a global under- 
standing of amphibious operations. Officers will see how the 
Marines and the Navy work as a team." 

As the program's coordinator, Baker teaches several of the 
training classes. The doctor organizes group field exercises, 
and he contacts Marine Corps officers to speak on topics 
such as weaponry. Formerly an elementary teacher who 
taught in Los Angeles, Baker said the experience has helped 
him learn how to connect with others. 

Baker's leadership has helped in educating classes of up to 
15 sailors, according to CDR Keith Hanley, flight surgeon, 
Marine Aircraft Group 24. Hanley, who works with Baker at 
the 1 st Marine Wing Medical Aid Station, said many units in 
U.S. Marine Forces, Pacific support the program, but Baker 
took the leading position for the Wing. "There are at least 
three folks at Marine Force Pacific who are wearing their pins 
now because of his efforts," he said. "We've also established 
dentists and a few chaplains who are working for their quali- 
fication, too." 

The additional training has helped him to make better 
decisions on monitoring resources, said Baker. After learning 
more extensively about the Marine Air Ground Task Force, 
the doctor said he has a clearer idea of how the Marines are 
organized into teams for a combined effort. 

Baker said he was eager to earn this qualification so he 
could better demonstrate his connection to the Corps. After 

LCDR Alfredo 
Baker, flight 
surgeon, Marine 
Aircraft Group 
24, stands 
in front of an 
anatomy chart 
used at the 1st 
Marine AirWing 
Medical Aid Sta- 
tion at Marine 
Corps Base Ha- 
waii, Kaneohe 

Bay. Photo by 
Christine Cabalo 

deploying with Regimental Combat Team 2 to Iraq in 2003, 
he said he feels privileged to care for service members who 
readily take on heavy responsibility. 

"He's very empathetic," said Hanley. "Alfredo takes a lot 
of personal ownership and pride for 'his' Marines. He's jovial 
and happy. He's not dour or a sourpuss. Alfredo is a happy 
guy who comes in with a positive attitude each day. I think 
that translates to his patients." 

His ability to bond with patients has led the qualified 
officer to pursue psychiatry as a medical specialty. Hanley 
said he thinks the doctor's personality makes him a natural 
psychiatrist. His good listening skills are important in a 
field where doctors need to be especially empathetic to pa- 
tients, according to the MAG-24 flight surgeon. "I'd like 
to help people who were in combat," said Baker. "Working 
with the Marines, I understand firsthand what they go 
through. They've got so many stresses, and I'll use any tool 
to help." 

As Hanley begins to take more of a leadership role in the 
program, he said he has admired the program coordinator's 
capacity for caring about his patients. 

"I hope that I bring the teaching skills he has," Hanley 
said. "He's a very effective teacher and he puts a little humor 
into everything. The ability to teach with a sense of humor is 
not a skill set that everyone has.' 


-Story by Christine Cabalo, Marine Corps Base Hawaii. 

Resiliency: A New Approach for 
Managing Stress 

The Navy Environmental Health Center (NEHC) em- 
phasizes use of resiliency techniques to help sailors and 
Marines deal with stress. 

According to Dr. Mark Long, psychologist and public 
health educator with NEHC, "resiliency," the term given 
to strategies and techniques for dealing with stress, is not 
"magic." Rather, it is simply a strategy and skill that enables 
individuals to "bounce back" from every day stressors. 

Long suggests that individuals who maintain a positive 
outlook on life are typically more resilient when faced with 



stress than those who aren't. "All of us face daily stressors 
and hassles," said Long. "We see some athletes who rebound 
quickly after a bad or difficult situation while others fall apart 
or stay stuck in the past. Which would you like to do?" 

While "resiliency" and "stress management" are often used 
synonymously, there are key differences. Where stress man- 
agement focuses on "what you do" during stressful situations, 
resiliency focuses on "who you are." 

Building resiliency over time helps to raise an individual's 
tolerance level to stressful situations. With increased resiliency, 
stressors are less likely to have the same impact that they once 
may have had and allow a person to adjust and adapt. "We all 
want to recover quicker, faster and better," said Dr. Long. "And 
resiliency is a practical and effective strategy to help us." 

For more information on resiliency, visit the NEHC 
ience.htm. ^ 

-Story by Hugh Cox, Navy Environmental Health Center 
Public Affairs. 

Eighty Interns Graduate at Naval 
Medical Center Portsmouth 

The intern class of 2007 graduated at Naval Medical 
Center Portsmouth on 29 June. The class was com- 
posed of 76 Navy and 4 Air Force interns. Like last year's 
class, the Air Force students were reassigned from Keesler Air 
Force Hospital in Biloxi, MS, which was heavily damaged by 
Hurricane Katrina. 

The interns marched down the granite steps of Building 1 , 
which opened in 1830 as the nation's first naval hospital. As 
first-year medical officers, they completed internship training 
in internal medicine, obstetrics and gynecology, orthopedics, 
otolaryngology, pediatrics, psychiatry, surgery, and the tran- 
sitional year programs. Unlike civilian programs, NMCP's 
interns are trained to be naval officers as well as physicians. 

They complete a rigorous program of general medical train- 
ing to support the nation's military forces around the world. 
Upon graduation, they will be eligible for their medical 

Unlike in the civilian world, where interns go right into resi- 
dency, most of NMCP's graduates serve 2 years as general medi- 
cal officers on ships, or pursue undersea medicine or in flight 
surgery training to gain operational experience with the military. 
They are assigned with operational forces, and will deploy over- 
seas to Iraq, Afghanistan, Guantanamo Bay, and to ships at sea, 
supporting the war on terror, and will provide medical care to 
forward-deployed forces. Later, they may pursue residency train- 
ing to become specialists in military hospitals. 

The guest speaker, LGEN Robert R. Blackman, Jr., Com- 
mander, U.S. Marine Corps Forces Command and Com- 
manding General, Fleet Marine Force, Atlantic, focused on 
Navy medicine's role in supporting the operational forces 
during war. Also speaking was RADM Thomas Cullison, 
current NMCP Commander, and the past Medical Officer 
of the Marine Corps. The ceremony emcee, CAPT Kevin 
Knoop, is NMCP Director for Medical Education, and a 
recent recipient of the Bronze Star for his service in Al-Taqa- 
ddam, Iraq. Additionally, the Command Intern Coordina- 
tor, CDR Edward Simmer, received the Meritorious Service 
Medal during the ceremony for his service with the Army 
while deployed to Iraq.^ 

-Story by Deborah Kallgren, Naval Medical Center 
Portsmouth Public Affairs. 

The Naval Medical Center Portsmouth Intern Class of 2007 salutes 
during the singing of the National Anthem at their graduation 

Ceremony. Photo by MCSN James Holcroft, USN 

Read any good books lately? 

Navy Medicine is looking for book re- 
views. If you've read a good book dealing 
with military (Navy) medicine and would 
like to write a review, the guidelines are: 

•Book reviews should be 600 words or 

•Introductory paragraph must contain 
this information: Book name by author. 
Publisher, city, state. Year published. Num- 
ber of pages. 

•Reviewer ID: sample: 

CAPT XYZ is Head of Internal Medi- 
cine at Naval Medical Center San Diego. 

Send submission for consideration to 
Janice Marie Hores, Managing Editor, at: or 



Naval Hospital Oak Harbor Opens 
Deployment Health Clinic 

Naval Hospital Oak Harbor (NHOH) opened a new 
Deployment Health Clinic (DHC) at Naval Air Sta- 
tion (NAS) Whidbey Island, 1 July "This clinic is the Navy 
medical community's future way of doing business," said 
CAPT Vernon Morgan, Branch Clinics and Flight Medicine 
director. "This new idea will inevitably come with some 
obstacles, but NHOH will identify and correct the discrep- 

NHOH was handpicked by Naval Air Enterprise, Bureau 
of Medicine and Surgery (BUMED), and Naval Air Forces to 
be the pilot study for this Navy project. 

"The DHC is an integration of three separate organiza- 
tions which makes it challenging," said LCDR Leslie Brown, 
department head of the DHC. "This is a coordinated effort 
between BUMED, the squadron Aviation Physiological Tech- 
nicians, and the Reserves." 

The DHC provides service members with the means 
to reach the six elements of deployment readiness prior 
to leaving. These elements include immunizations, blood 
work, dental, personal medical equipment, identifying any 
deployment limiting conditions, and the preventive health 
assessment. "The Deployment Health Clinic will centralize 

all aspects of health care needed for deployment readiness," 
said HM1 Jason McGuire, leading petty officer of the DHC. 
"Our goal is to increase the readiness of all sailors and Ma- 
rines to 100 percent." 

The clinic can see up to 30 patients a day using seven 
full-time and two part-time medical staff. "I'm proud to be 
part of contributing to the readiness and health of active duty 
sailors and Marines," said Nina Kamberger, periodic health 
assessment coordinator. 

The medical readiness process begins with a preventive 
health assessment on each service member's birth month. "I 
learned about healthy eating and maintaining a proper diet 
during my health assessment," said YN Juan Ojeda. "It's good 
to have something like this keeping everyone on track." 

The clinic conducts pre-deployment assessment, ensuring 
that sailors and Marines are medically prepared to deploy. 
They also conduct post-deployment assessments and a reas- 
sessment after returning for 90 to 180 days. "My hope is that 
the DHC will become a Navy-wide model," said Brown. 
"This is how our sailors and Marines should be taken care 
of." The DHC officially moved into its permanent home in 
the hospital, 12 July^ 

-Story by MC1 Bruce McVicar and MC2 Tucker Yates, Fleet 
Public Affairs Center Detachment Northwest. 

Free Resources for Deployed Service Members and their Family Members 

•Free computers for spouses or parents of deployed ser- 
vice members in ranks El - E5 

•Free magazines for deploying service members 

•Free mail/gifts sent to children of deployed service members 


•Free phone cards 

•Sign up to sponsor a Sailor/Marine with care packages and 

•Free cookies 

http : // www. treatthetroops . org/ 

•Free care packages 

•Virtual Care boxes for troops 


•Free books, DVD's, CD's. 

•Free care packages 

•Free care packages 

•Sign up to receive care packages 

•Free gifts and care packages 

•Free shipping materials for mailing to troops 



Navy Nurse Corps to Exceed Recruit- 
ing Goals 

The Navy Nurse Corps (NC) is expecting to surpass its 
established recruiting goals for fiscal year 2007 (FY07) 
by September. "The Navy Nurse Corps is increasingly 
becoming a top career option for nurses," said CDR Ray 
Wilson, NC, Nurse Corps Programs Manager, Commander 
Navy Recruiting Command (CNRC), Millington, TN. "In 
the most recent years, we have seen a growing interest and 
desire from civilian nurses who want to serve their country 
and they are choosing to become members of the Nurse 
Corps to fulfill that need." 

NC recruitment goals for FY 07 are 69 for active duty 
through direct accession, 70 for reservists, 75 for the Nurse 
Candidate Program, and 2 for reservists (active duty recalled). 
"We are definitely going to surpass these goals. Currently, we 
are at 75 percent of our active through direct accession goal 
with 26 alternates signed up for next fiscal year, 30 percent 
attainment for reservists, with 70 nurses waiting in the wings 
to be commissioned with a 1 to 1 5 roll-over for next fiscal 
year," said Wilson. "In the Nurse Candidate Program, we 
have reached 71 percent of our goal and have started an alter- 
nate list for next fiscal year." 

According to Wilson, nurses are choosing to become mem- 
bers of the NC team for a variety reasons including a more 
challenging work environment, higher job satisfaction, and more 
opportunities for career advancement. "There are a number 
of people choosing to sign up and be commissioned as Navy 
nurses. We have seen an ever-growing increase of patriotism in 
our country. People feel the need to serve our country and help 
and support our war fighters, offering their skills and talents to 
Navy medicine," he said. "Our nurses have immediate respect 
for the great medical care they provide and because of officer 
rank as well. In the civilian sector, the respect for nurses and the 
good work that they do can be lacking. Benefits in the military 
are great in comparison to the civilian market. We also offer 
opportunities for promotion, graduate education that the Navy 
will pay for, and opportunities to specialize. Another reason is 
that a lot of people want to leave their current employment situ- 
ation and they want to shake up their career for the better. They 
want to travel, they want a challenge like no other challenge 
in the world, and they want their careers to have meaning and 
purpose — personal fulfillment. Also, the Nurse Corps is very 
competitive with our civilian counterparts in terms of salary and 
we meet or exceed any bonuses nurses can receive in the civilian 
sector. We also have a much better retirement system." 

The Nurse Corps has a variety of specialties. "We have 
18-plus nursing specialties at work within Navy medicine. 
Among these specialties are critical care nursing, advance 
practice nursing, nursing anesthesia, maternal-infant nursing, 

and operational nursing. We have nurses that come into the 
Nurse Corps already having these specialties or we can send a 
Nurse Corps nurse to school to acquire education for a spe- 
cific specialty through our DUINS (duty under instruction) 
program. The two specialties that are high demand right now 
are nurse anesthesia and critical care," he said. 

Recruiting for nurses is an ongoing, active, and productive 
process. According to Wilson, there are 26 recruiting districts 
across the U.S. Most of the districts have a Nurse Corps of- 
ficer who is actively recruiting. These recruiting officers are 
responsible for attending conventions and job fairs, visiting 
schools in their district, and meeting with the deans. They 
also put on presentations and attend luncheons. All this is 
part of the bag-carrying Nurse Corps recruiter's responsibili- 
ties. In addition, local and national advertising campaigns 
help get out the word. There are also mailings to all nursing 
students who attend accredited nursing schools throughout 
the U.S. Enclosed is local contact information. 

RADM Christine Bruzek-Kohler, Director of the Nurse 
Corps, sends out a letter with her signature to all deans of 
these schools each year. CNRC sponsors five national con- 
ventions per year, which Wilson usually attends along with 
a NC officer recruiter representative from that local area. All 
nurse associations, including the National Hispanic Nurses 
Association, African American Nurses Association, National 
Student Nurses Association, receive visits from CNRC and 
Nurse Corps recruiters at their conventions as well. Profes- 
sional journal advertising also helps. 

"Our nurses not only come in through recruiting pro- 
grams. We have pipeline programs, STA-21 (Seaman to Ad- 
miral Program), ROTC, to name a few," he added. Certain 
financial benefits are also available to nurses who are consid- 
ering a commission in the Navy. "We have a $15,000 sign-on 
bonus for 3-year active duty commitment, and a $25,000 
bonus for a 4-year active duty commitment. We hold from 
20 to 25 seats each year for loan repayment and can pay up 
to $32,000 in loans and a $15,000 bonus with that for a 5- 
year active duty commitment," said Wilson. "Students who 
are in their junior and senior years in the Nurse Candidate 
Program can receive $1,000 a month and a $10,000 bonus, 
so they can get up to $34,000 to go to school while they are 
in school and they are commissioned when they graduate." 

There are certain basic requirements that a nurse must 
meet in order to receive a NC commission. "You must be a 
college graduate. The maximum age to enter is 42, but we 
can grant age waivers. Average age of joining is 21. Plus, you 
must meet the already established requirements set by the 
Navy such as physical requirements," said Wilson. 

Those interested in learning more about the Navy Nurse Corps 
program can visit, click the officer programs and 
view the Navy Nurse Corps section of the site. They can also con- 
tact their local recruiting district to obtain more information.^ 

-Story by Christine A. Mahoney, Bureau of Medicine and 
Surgery Public Affairs. 



Honoring Navy Heroes 

The Naval School of Health Sciences (NSHS), San Di- 
ego, unveiled the first-of-its-kind memorial 1 5 June to 
honor hospital corpsmen who have died in the line of duty 
since 9-11-2001. 

The memorial, created by NSHS staff corpsmen, is a 
replica of a soldier's battlefield grave from the World War 
II era and consists of an Ml 6 rifle, helmet, boots, and 
dog tags, all cast in copper. The memorial also includes a 
corpsman's tools — stethoscope, bandages, and tape. "Today, 
we are here to remember our fallen brothers and sisters who 
gave the ultimate sacrifice, and those among us who will 
also fall," said RADM James A. Johnson, MC, during the 

As of June, more than 30 corpsmen have perished in the 
global war on terror since the 9/11 terrorist attacks. As the 
Navy and Marine Corps's enlisted medical specialists, corps- 
men are the primary caregivers for sailors at sea and combat 
Marines in the field. 

The three NSHS staff members who crafted and designed 
the memorial are HM2 Leeann Weeden, HM2(FMF) Wil- 
son Ospina, and HM3 Joseph Tonti. For Ospina, serving in 
combat inspired his work on the memorial. "My experience 
in the battlefield impacted my feelings about this memorial," 
said Ospina. "To be able to share your life with someone, 
and in an instant, you find yourself fighting to save that life. 
That's what this is about." 

The Hospital Corps Monthly newsletter is now 
available electronically. To have your personal copy 
delivered to your emailbox please contact: 
HMC(FMF/NAC) RickVollbrecht 
Executive Assistant to BUMED FORCM 
Bureau of Medicine and Surgery 
2300 E Street NW, Washington, DC 20372 
(202)762-3137; DSN: 762-3137 
Cell: (571) 215-0571; Fax: (202) 762-3224 

HM3 Nerwin A. Sevilleja who serves at Navy Medicine 
Support Command in Jacksonville, FL, heard about the me- 
morial unveiling. "I think it's great that our fellow corpsmen 
are being honored for their service," said Sevilleja, a medical 
staff specialist in the Centralized Credentials and Privileging 
Department. "It's a reminder of the role I and other corps- 
men play in this global war on terrorism. Being a corpsman 
is a demanding job, and this memorial shows how we are 
willing to take an extra step for our fellow shipmates and for 
our country." 

"It takes an incredible amount of dedication and passion 
to serve this country," added CAPT Robin T. McKenzie, NC, 
NSHS commanding officer. "Navy corpsmen are the center 
of Navy medicine. They are the 'Doc' The Marine Corps 
will not go without their 'Doc,' and a corpsman will not 
leave without his Marine."^ 

-Story by MC Shannon K. Cassldy, Fleet Public Affairs 
Center Pacific. 

Farewell Message From Chief, Navy 
Dental Corps 

On the 18th of August, 2007, I will be 
turning over the leadership baton of 
our fabulous Dental Corps to my very good 
friend and colleague, RDML (Sel) Rich- 
ard Vinci. It has been a very challenging 
and rewarding 46 months coupled with a 
tremendous amount of change not only for 
our Dental Corps, but for Navy medicine 
and the Navy. As we focus on the changes 
around us, we do not want to lose sight of 
what Navy dentistry is really about-maxi- 
mizing the dental health and readiness of 
the sailors and Marines who have committed themselves 
to the defense or our nation, and the family members 
who accompany them when they are stationed in foreign 

As Chief of the Dental Corps and leader of the commu- 
nity, we worked with other corps and our sister services to 
develop those future opportunities to main- 
tain the vitality and energy of the dental com- 
munity. Our historical community strength 
arises from our tremendous professionalism, 
dedication, rapport, and support by the line 
coupled with our ability to adapt. To succeed 
in this era of change, we all need to continue 
to adapt, never losing focus on our primary 
mission, while looking for those opportuni- 
ties to contribute and build those teams that 
take us to the next level of support and align- 

It has been my great privilege and honor 
to support each and every one of you in service 
to our great country. May God always bless you and your 
families with "fair winds and following seas." 

RADM Carol Turner 



Marines Honor Navy Doc with Bronze 

The U.S. Marine Corps awarded CAPT Kevin Knoop 
with the Bronze Star on 14 June, for meritorious 
achievement at Camp Al Taqaddum, Iraq. On behalf of the 
Marines, RADM Thomas Cullison, Commander, Naval 
Medical Center Portsmouth, presented the medal. 

Knoop, a 22-year Navy veteran and Chesapeake resident, 
is an emergency physician and the Director of Graduate 
Medical Education at the medical center. He served as the 
OIC of the Taqaddum Surgical Shock Trauma Platoon from 
February through September 2005. "I can't say enough about 
the great job CAPT Knoop, and everyone there, is doing for 
our troops," said Cullison. 

Knoop's team of 54 highly skilled sailors and Marines 
provided Level II medical care to 450 patients, including 360 
combat-wounded coalition service members. Taqaddum Sur- 
gical achieved a 95 percent survival rate for all patients, in- 
cluding those arriving in critical condition. Nearly 25 percent 
of the coalition forces patients were returned to full duty. As 
a Senior Flight Surgeon, Knoop also provided instruction in 
aviation medicine. 

"I can't explain how rewarding it was to serve in that role," 
said Knoop. "What I saw there was awe-inspiring. Every- 
one there displayed extreme focus and determination. . .just 
great chemistry. It's an honor to have served with, and be the 
leader of such a great group. This is truly a team award." 

The citation, signed on behalf of the president by LGEN 
J.N. Mattis, Commander, U.S. Marine Corps Forces, Central 
Command, states, "Captain Knoop displayed incompa- 
rable medical skill, exceptional wisdom and innovation, and 
outstanding leadership in guiding Taqaddum Surgical to 
successful mission accomplishment, contributing greatly to II 
Marine Expeditionary Force (Forward) success in Operation 
Iraqi Freedom." 

COL Robert DeStafney, the Marine CO deployed with 
Knoop at Camp Al Taqaddum, drove from his current duty 
station at Camp Lejeune, NC, to Portsmouth to attend the 
ceremony with Knoop's family. "He's a great team builder," 
said DeStafney of Knoop. "He's a superb leader, humble and 

honest. We wouldn't have experienced the success we did 
without his leadership." 

The Bronze Star is a United States Armed Forces indi- 
vidual military decoration and is the fourth highest award. It 
is awarded for bravery, heroism, or meritorious service. £ 

-Story by Deborah Kallgren, Naval Medical Center Public 
Affairs, Portsmouth, VA. 

Hospital Corpsman Awarded Bronze 

HMCS Stephen A. Mur- 
ray was recognized for 
heroic lifesaving actions by 
receiving the Bronze Star. The 
award was submitted by Naval 
Forces Central Command's 
VADMKevinJ. Cosgriff. 
RADM Thomas Cullison, 
Commander, Naval Medical 
Center Portsmouth, made the 

RADM Thomas Cullison, Com- presentation on 18 July. 
mander Naval Medical Cen- Murray served as Senior 
ter Portsmouth, presents the Medic with the Combat Service 
Bronze Star to HMCS(SVWAW) c A/r , . , ~ 

Stephen Murray. Photo by mci Eric Su PP ort Medlcal Com P an 7> 
Deatherage, usn Navy Embedded Training Team 

Juliet, in Herat, Afghanistan, 
from November 2005 to June 2006. He is credited with saving 
lives in two separate incidents, both involving insurgent attacks. 
After his convoy struck two IEDs in March 2006, Murray ren- 
dered medical attention with no regard for personal safety. Mur- 
ray again rendered medical attention to two wounded soldiers, 
thereby saving eight lives in the two incidents. Murray's Bronze 
Star will be distinguished with the "V" for valor. $ 

-Naval Medical Center Portsmouth, Public Affairs. 

RADM Thomas 
Cullison pre- 
sens CAPT Kevin 
Knoop with the 
citation for his 
Bronze Star. Photo 

by MC1 Eric Deather- 
age, USN 

namo Bay, 
Cuba. CAPT 
Bruce C. 
M e n e I ey, 
center, re- 
lieves CAPT 
Ronald L. 
So I I ock, 
left, as com- 
mander of 
U.S. Naval 
and Joint 
Task Force 
(JTF) Guan- 
tanamo Bay 
Joint Medical Group during a change of command ceremony 

at the Bayview Club. 6 July 2007. Photo by SGT Jody Metzger, USA 



Beaufort Corpsman Receives Navy- 
wide Award 

Every year across the Navy, one of 
the nearly 700 preventive medi- 
cine technicians is recognized for the 
quality and leadership they employ 
while working in the medical field. 

On 21 May HM1 Michael Mann 
received the Master Chief Stephen 
W. Brown Award for Preventive 
Medicine Technician of the Year for 
his work while serving with Marine 
Wing Support Squadron 273 during HM1 Michael Mann 
2006. The award was established in 

memory of Brown who served as a preventive medicine tech- 
nician from 1952 until 1986. 

"We look for those who make a difference in a way that is 
noticeable by that person's command," said Navy CAPT Wil- 
liam Stover, CO of the Navy Environmental Health Center 
in Portsmouth, VA. 

Mann was selected out of 13 nominees for the award. Strong 
leadership and the drive to keep service members healthy are just 
two of the many qualities it takes to be selected for the award, 
according to Stover. "If I give him a mission, it's going to get 
accomplished," said CPO Chris Campbell, the LPO chief of 
preventive medicine. While assigned to the Sweathogs, Mann 

served as the leading petty officer for 2nd Marine Aircraft Wing 
Preventive Medicine, Al Asad Air Base, Iraq. While deployed, 
Mann led his team in an effort to provide efficient public health 
services to all units stationed within Denver, a 52,000-square- 
mile area of operation in the Al Anbar Province. 

"My job is to prevent disease non-battle injuries" such as food 
or water contamination as well as preventable injuries that take 
service members away from the fight, according to Mann. 

Mann also conducted 3,500 inspections in a combat envi- 
ronment to keep an overall 90 percent sanitation compliance 
at all facilities with no food-borne illness outbreaks. 

"He's one of the people that makes things happen," said 
GSGT Willie Peterson, the Headquarters and Support Com- 
pany first sergeant for MWSS-273. 

Working closely in joint service operations, Mann took 
charge of training and educating preventive medicine specialists 
from different services in standards for each branch's instructions 
as well as inspection and report procedures, according to Mann. 

"In my 12 years in the preventive medicine world, I've 
never had such a motivated, knowledgeable, and well-round- 
ed PMT and corpsman. He's very aggressive at ensuring that 
the job is done right the first time," said Campbell. 

Whether or not he had been recognized, Mann said that 
being able to pass on to young service members the knowl- 
edge and experience he has gained over the years has been the 
greatest aspect of his work.^ 

-Story by LCPL Ryan L Young, Marine Corps Air Station, 
Beaufort, SC. 

CAPT William M. Roberts is being 
assigned as Medical Officer to the Ma- 
rine Corps, Washington, DC. Roberts 
is currently serving as Deputy Director, 
Medical Resources, Plans and Policy, 
N931B, Office of the Chief of Naval 
Operations, Washington, DC. 

RDML Richard R. Jeffries is being 
assigned as commander, Navy Medicine 
Capital Area/Commander, National 
Naval Medical Center, Bethesda, MD. 
Jeffries is currently serving as Medical 
Officer to the Marine Corps, Washing- 
ton, DC. 

RDML Alton L. Stocks is being assigned as Assistant 
Deputy Chief, Health Care Operations, M3HB, Bureau 
of Medicine and Surgery, Washington, DC. Stocks is 
currently serving as Force Surgeon, U.S. Naval Forces 
Europe, Naples, Italy. 

HN Daniel S. Noble, 21, of Whittier, 
CA, died 24 July from injuries suffered as 
a result of enemy action while conducting 
security operations in the Diyala Province, 
Iraq. Noble was assigned to 1 st Marine 
Division, Fleet Marine Force Pacific, 
Camp Pendleton, CA. 




CJTF-HOA Partners with Islamic 
Relief USA, UPDF to Coordinate Hu- 
manitarian Aid for War-Torn Somalia 

The Combined Joint Task Force - Horn of Africa coor- 
dinated with the American charity Islamic Relief USA 
on the donation of $463,000 worth of food and medical 
supplies to the war-torn country of Somalia in August. The 
medicines and food were given to the Ugandan People's De- 
fence Forces (UPDF) which delivered them to Mogadishu. 

"Supporting the African Union peacekeepers like this is 
very satisfying from a physician's point of view," said CDR 
David Burch, former command surgeon for CJTF-HOA, 
who was instrumental in setting up the project. "We were 
able to support our medical counterparts in the Ugandan 
army, and by doing so, make a positive impact for the citizens 
of Mogadishu who are caught up in the fighting there." 

In keeping with the goal of the CJTF-HOA mission, 
which is to conduct unified action in the Horn of Africa 
to prevent conflict, promote regional stability, and protect 
coalition interests in order to prevail against extremism, the 
U.S. has been providing food aid to Somalia since the UPDF 
deployed there in April, but this bulk delivery of food and 
medical supplies was special because it marked the first time 
the non-governmental organization, Islamic Relief USA, had 
worked with CJTF-HOA. The undertaking required massive 
coordination and collaboration within the support system of 
the Department of Defense, the UPDF army, and U.S. Am- 
bassadors from the Uganda and Kenya embassies. 

"We were alerted to the potential for providing assistance 
by a discussion between Doctors Without Borders and the 
U.S. special envoy to Somalia," Burch said. "CJTF-HOA 
maintains close contact with the embassies in our area of 
responsibility, so the ambassador was able to relay this infor- 
mation to us. Through a source in DOD, we made contact 
with an Islamic non-governmental organization, and I per- 
sonally met with doctors in the Ugandan military, including 
the physician directly in charge of the contingent in Moga- 
dishu, to make sure we understood exactly what their needs 

Once those needs were determined, the decision was made 
to have the UPDF deliver the aid to Mogadishu. The UPDF 
is one of the only forces that has deployed to Somalia to 
conduct peace-keeping operations since fighting began ear- 
lier this year as a result of Ethiopian troops ejecting Islamic 
Courts from the capital city. The decision to use a military 
element for the delivery of humanitarian aid was two-fold: 
The UPDF operates a field hospital that provides immediate 
medical assistance to the people of Mogadishu and the secu- 
rity situation there makes it difficult for NGOs to operate 

It was a tasking that was readily and proudly taken on by 
the UPDF, many of whom have been trained by the CJTF- 

HOA U.S. Army soldiers of the 3rd Infantry, Old Guard, 
normally based at Fort Myer, VA. 

"This is a sign that our efforts as a country are appreci- 
ated," said UPDF Public Affairs Officer and Spokesman MAJ 
Felix Kulayigye, after witnessing the loading. "We are also 
grateful to the U.S. government who delivered the supplies 
here. This goes a long way in addressing the needs of the 
people in Mogadishu." 

Kulayigye's feelings are shared by CDR Joel Larcombe, 
who took over for Burch, and saw the project to completion. 
After taking over, he traveled to Uganda to conduct train- 
ing with their medical personnel, some of whom have been 
involved in the next deployment of peacekeepers and would 
then be able to assume the role of trainer themselves. The 
training also offered Larcombe the opportunity to incor- 
porate the medications the medics would be receiving and 
develop treatment plans for the diseases they would likely see 
while deployed to Somalia. 

"I think it was a great thing to see an Islamic NGO donate 
pharmaceutical supplies to Ugandan peacekeepers to treat 
Somali victims," Larcombe said. "When I arrived in Uganda, 
I had a candid conversation with the prospective deploying 
unit commander about the lack of medical care available in 
Somalia. He informed me that Ugandan medical personnel 
spent most of their time and supplies caring for Somalis, so 
we were happy to do everything we could. It was a true team 
effort." £ 

-Story by MC1(SW/AW) John Osborne, CJTF-HOA Public 
Affairs, Djibouti, Africa. 

Pacific Partnership Joins with East 
Meets West during Vietnam Visit 

Sailors and non-government organizations (NGOs) that 
make up the Pacific Partnership dental team, joined with 
the Danang-based East Meets West Foundation (EMWF) 
to conduct a dental civil-action program (DENCAP) at the 
Mother's Love Medical Clinic in Danang. 

Pacific Partnership serves as an enabling platform through 
which military and NGO's coordinate assistance efforts in 
conjunction with the government of Vietnam. During the 
DENCAP, dentists and assistants performed procedures 
ranging from cleanings to extractions for more than 150 
Vietnamese locals, mostly children. "Participating in this 
exchange is a great opportunity to help those who really need 
the help," said HMl(FMF) Lavonne Nelson "It's great to 
come out here and provide quality care." 

The EMWF was started in 1988 by LeLy Hayslip and 
has continued to help the people of Vietnam through proper 
medical treatment and education through programs held at 
the Mother's Love Medical Clinic as well as the Peace Village 
Medical Center, also in Danang. Hayslip, whose life story was 



chronicled in two books she wrote and in Oliver Stone s film, 
"Heaven and Earth," where she returned to her village of Ky La 
in central Vietnam, according to East Meets West's website. 

"It's been a good experience working with the Ameri- 
cans," said Claire Castle, a dental student from Birmingham, 
England, and a volunteer with EMWE "If I had the chance 
to work in a multi-national setting like this again, I would 
definitely volunteer again." 

The medical, dental, and engineering support programs 
provided though Pacific Partnership assist the Vietnamese by 
providing the local community with a wide range of services. For 
this mission, the partnership includes the government of Vietnam 
and regional partners from Japan, Malaysia, Singapore, Canada, 
Australia, the Republic of Korea, and India. Navy personnel, mili- 
tary and civilian preventive medicine teams, U.S. Air Force, Army, 
and Uniformed Health Services medical personnel, NGOs, and a 
Navy mobile construction team also participated. ^ 

-Story by MC3 Patrick M. Kearney, USS Peleliu Public 

Local Woman's Life Saved by Pacific 
Partnership Health Care Professional 

Pacific Partnership team member LCDR Leila Williams, a 
doctor stationed at Branch Health Clinic, Marine Corps 
Base, Kaneohe Bay, HI, saved a Vietnamese woman from 
nearly choking to death while in Danang, Vietnam. 

Along with Dr. Dana Braner and Dr. Chris Truss, volun- 
teers from the non-governmental organization Project Hope, 
Dr. Willams and her colleagues were at Nai Hem Dong 
Elementary School participating in a medical civil-assistance 
program (MEDCAP). 

The medical team was wrapping up a 1 0-day visit to Viet- 
nam to assist the Ministry of Health. During their last day 
they visited a local Vietnamese restaurant for lunch. "As we 
walked in we noticed that the first floor was a wedding cer- 
emony so they took us to this nice room on the second floor, 
where we enjoyed our meals," said Williams. 

During lunch, Williams questioned Braner, about the con- 
tents in his pack he carries around his waist. "He said that he 
kept his airway breathing supplies that may come in handy 
one day," Williams said. 

After lunch, while waiting for transportation back to 
the medical facility, the group was watching a portion of 
the wedding ceremony. Suddenly one of the guests lost 
consciousness. "All of the family and friends surrounding 
her became frantic and scooped her up to carry her outside 
thinking it was air she needed," said Williams. 

Williams said, "We are American doctors, do you need 
help? I don't think they realized we were doctors because of 
the tee-shirts we were wearing," said Williams. 

Moving together quickly, Braner used a pulse oximeter to 
measure the patient's oxygen. The years of training immedi- 
ately took over for Williams as she assessed the patient. 

"Her oxygen level was at 84 percent which was bad since 
the average is above 95 percent. Thinking logically, I put two 
and two together and because they were just eating it became 
obvious to me that she was choking. I then performed the 
Heimlich maneuver on her," she said. 

While Williams was reaching for her stethoscope, Truss ad- 
ministered two back blows to continue clearing the blockage. 

"It was just a coincidence because I never carry around my 
stethoscope and on that day I had forgotten about it because 
it was hanging around my neck," said Williams. "As I listened 
to her lungs I realized she had some wheezing on the right 
side, so I administered the second abdominal thrust which 
cleared her lungs, then gave her oxygen." 

After the woman was transported to a hospital, the family 
at the wedding showed their appreciation by giving the team 
hugs and kisses. 

"This is what we do; this is part of being a military doctor. 
I don't think I am a hero for doing what I did," she said. "We 
are all taught basic life support treatments which we are ready 
to administer at any moment. I think if anyone else was in 
there at that moment they would have done the same."/ 

-Story by MC2(SW) Jennifer R. Hudson, USS Peleliu Public 

Comfort Repairs Young Girl's Foot, 
Answers Mothers Prayers 

A 5 -year-old girl lay quietly in her hospital bed aboard USNS 
Comfort (T-AH 20) on 3 1 July, recovering from her recent 
foot surgery as her mother sat by her side holding her hand. 

The surgery, a corrective procedure to repair a foot defor- 
mity with which Kathya Cortez was born, is something her 
mother Patricia has prayed for since her daughter was a baby. 

Kathya had what doctors call a "club foot," a malforma- 
tion that causes the foot to turn inward, forcing the person 
to walk on the outside of the foot. Calluses often form and 
cause excruciating pain. 

When Kathya was a year and a half old, Salvadoran doc- 
tors were unsuccessful in their attempts to repair the foot, ac- 
cording to Cortez. She described the surgery as a nightmare, 
saying it left her frightened and unsure of her daughter's 
future. "I felt like it's hopeless, like a door had closed on 
me," she said. "The hospitals here are so under equipped and 
poorly staffed; I didn't know where to go or what to do." 

Cortez briefly considered seeking a private Salvadoran 
doctor, but discovered the cost of the surgery was too much 
for her to afford. 

Soon, she began researching orthopedic surgeons in the 
U.S. on the Internet, and again realized there was no way she 
would be able to afford the journey to the States, let alone 



the procedure. "My husband and I had basically lost hope," 
she said. "All we could do is pray for our daughter and hope 
that everything would turn out okay." 

After years of dead ends, Cortez saw on television that 
Comfort would be in her area 25 July. She hurriedly made 
plans to drive the hour and a half to Acajutla to try and see 
the American doctors. 

Arriving late to the Sonsonate Hospital in Acajutla, Cortez 
found herself with her daughter at the end of the line, until 
Comfort medical personnel called for patients with bone 
deformities to come to the head of the line. "It was like a 
godsend," Cortez said. "After all the waiting, I couldn't be- 
lieve that my daughter might actually get the chance to see an 
American surgeon, and receive the care she needed." 

Following a screening at the hospital, Kathya and her 
mother were brought aboard Comfort to meet with LCDR 
Eric Shirley, an orthopedic surgeon. Surgery was scheduled 
and Cortez's prayers were finally answered. "The procedure is 
pretty basic, and it's something I see pretty often," said Shir- 
ley. "After she's fully recovered, Kathya will be able to walk 
just fine, and wear shoes without feeling pain." 

Cortez said she was very impressed with the staff aboard 
Comfort, pointing out the willingness of everyone to help 
make her and her daughter comfortable. "I have so much 
appreciation for everyone here," she said. "Everyone has been 
very nice, and has treated my daughter and me with a lot of 
respect and affection. I thank God for the whole crew, and 
I'll never forget any of this." 

Comfort is on a 4-month humanitarian deployment to 
Latin America and the Caribbean providing medical treat- 
ment to patients in a dozen countries. El Salvador is the fifth 
of a dozen countries that Comfort will visit during its first 
large-scale humanitarian aid mission. £ 

-Story by MC3 Tyler Jones, USNS Comfort Public Affairs. 

Comfort Treats Thousands During 4- 
day Visit to Panama 

Collectively, personnel from the U.S. Navy, Air Force, 
Army, Coast Guard, and Public Health Service, along 
with Project Hope volunteers, Canadian Forces doctors, and 
medical personnel from USNS Comfort (T-AH 20) treated 
nearly 5,000 patients during a 4-day site visit at the Al Brown 
Arena in Colon in early July. "We were offering pediatric 
medicine, adult medicine, dentistry, and optometry," said LT 
Johnny Ramos, site leader for the event. "We also had physi- 
cal therapy for 2 days and a pharmacist on board dispensing 

Patients lined the streets 5-9 July to receive the medical sup- 
port and assistance provided by the Comfort team. "The recep- 
tion was great. It's been overwhelmingly positive," Ramos said. 
"They were glad to see us here and we were glad to be there." 

In addition, Comfort personnel treated approximately 
20,000 patients at Juan Antonio Nunez Policentro and Ama- 
dor Guerrero Hospital, for an overall total of nearly 25,000 
patients. ^ 

-Story by MC2 Joshua Karsten, USNS Comfort Public 

Comfort Sailor Reunites with Family 
in Peru 

A crew member aboard USNS Comfort (T-AH 20) 
reunited with her family on board the ship 1 August 
after not seeing some of them for more than 30 years. HM1 
Wanda Ziehr, a patient administrator, has been separated 
from her extended family by international boundaries, with 
cousins, aunts, uncles, and grandparents living in Peru, 
Australia, and the United States. Ziehr coordinated the visit 
in advance of her deployment when she found out Comfort 
would be conducting operations in Peru. 

"When I found out Comfort would be here in Peru, I 
started making arrangements for us all to get together," 
said Ziehr. "I wasn't sure if it would all work out, but 
it's been great that it has." Her family members living in 
Australia and the United States flew to Lima, Peru, to 
meet with family already living there, and then took a bus 
to Trujillo, where Comfort was conducting humanitarian 

"Getting my family here wasn't easy," said Ziehr. "Once 
they were all in Lima, they had to take an 8-hour bus ride 
from there to Trujillo." During her family reunion, Ziehr 
brought them to the ship for a tour, which included the 
operating rooms, casualty receiving area, and gymnasium. "I 
think they enjoyed the tour very much," she said. "I'm glad I 
was able to take them around the ship and show them a little 
bit of what we do here." 

Ziehr said she was excited to see her family again, and 
that the years of separation have been difficult. "My family 
all told me how proud they were of me, and the Comfort's 
mission," Ziehr said. "When they were in town in Trujillo, 
they kept telling everyone that their daughter was with the 

The much-needed reunion was a change from the usual 
pace of deployment, said Ziehr. For her, seeing her family 
in such a far away place was a good experience. "It's been 
really emotional to see them all again," she said. "For the 
past several years, we've only been able to communicate 
through emails and phone calls. It's great to be able to 
send photos through e-mail and such, but nothing beats 
the real thing." ^ 

-Story by MC3 Tyler Jones, USN, USNS Comfort Public 



Danang, Vietnam. Children wait in line for a rou- 
tine check-up during a medical civic assistance 
program at Truong Tieu Hoc Quy School. The 
free medical screening is one of many projects 
supported by the Pacific Partnership team. July 

2007. Photo by MC Patrick D. House, USN 

Pacific Ocean. Sara Osego poses for a picture 
with her 4-month-old baby after checking onto 
Military Sealift Command hospital ship USNS 
Comfort (T-AH 20) for cleft palette care. Operation 
Smile, a non-government organization, joined the 
crew of Comfort to perform cleft palette proce- 
dures while off the coast of Nicaragua. July 2007. 

Photo by MC2 Elizabeth Allen, USN 

Pacific Ocean. HM1 Fausto Muhoz (left), an 
operating room technician, guides a tour for 
HM1 Wanda Ziehr (right), a patient administrator 
aboard USNS Comfort (T-AH 20), and her family. 
August 2007. Photo by MC3 Tyler Jones, USN 

Djibouti, Africa. CDR Jay Grove, General Surgeon 
and Senior Medical Officer of Expeditionary 
Medical Force(EMF) and DR. Elias Said Dirie, 
Chief of Surgery at Peltier Hospital, are assisted 
by a Djiboutian medical student on rotation from 
Morocco and LCDR Chris Smith, NC, Operating 
Room Nurse, EMF. The team performed a hemi- 
colectomy and a side-to-side anastomosis as 
treatment for colon cancer." August 2007. Photo 

by LT John H. Callahan, USN 

Pacific Ocean. Miguel Lopez, a retired bull fighter from Trujillo, 
Peru, displays a photograph of himself fighting a bull in Mexico 
City taken in September 1951, as LT Megan Zeller, an intensive 
care unit nurse, cares for him aboard USNS Comfort (T-AH 20). 

August 2007. Photo by MC3 Tyler Jones, USN 

Bifoun, Gabon. CDR David 
Greenman, left, and CAPT Tom 
Patton examine a patient during 
a medical civic action program 
(MEDCAP). Bifoun was the first 
of six MEDCAPs conducted 
during Medflag 07. Medflag is 
a medical exercise emphasiz- 
ing joint training with African 
nations. July 2007. Photo by lt 

Jonathan Orr, USN 

Madang, Papua New Guinea. LCDR Matthew 
Behil examines a patient for cataracts while 
a volunteer translator stands by at Meg Clinic 
near Madang. The medical civil-assistance 
program in support of Pacific Partnership was 
one of the many programs designed to aid the 

local Community. August 2007. Photo by MC3 Bryan 
M. Ilyankoff, USN 

Djubouti, Africa. LCDR Raoul 
Santos, DC, and HN Lena Red- 
kina, both of Expeditionary Medi- 
cal Force, provide dental care 
to a forward deployed sailor. 

August 2007. Photo by LT John H. 
Callahan, USN 

Bombo, Uganda. Combined Joint Task Force-Horn of 
Africa Command Surgeon CDR Joel Larcombe instructs 
members of Uganda's medical team on assessing and 
treating a wounded patient during the final training phase 
for Ugandan military personnel who will deploy to Somalia 
to render medical assistance. July 2007. Photo by mci(sw/aw) 

John Osborne, USN 





Sasamunga, Solomon Islands. LCDR Jay Geist- 
kemper checks a patient for cavities during a 
dental civil-assistance program in support of 
Pacific Partnership. August 2007. Photo by MC3(sw) 

Sean P. Lenahan, USN 

Odessa, Ukraine. Ukrainian marines and Navy 
corpsmen work together during a medical ex- 
ercise at the Shiroky Lan training camp during 
exercise Sea Breeze 2007. Sea Breeze is a 2- 
week joint invitational and combined maritime 
exercise held annually in the Black Sea and at 
various land-based Ukrainian training facilities. 

July 2007. Photo by MC2 Michael Campbell, USN 


Not Beatin' Around the 
Mulberry Bush 

The Life of Clay Aloysius Boland, 
Navy Dentist and Songwriter 

Perhaps the name Clay Boland never reached the 
peaks of fame as an Irving Berlin or a George 
Gershwin. But, of Boland, Berlin, and Gershwin, 
only one could be depended upon to extract your molar, 
clean your teeth, AND write a hit tune, while serving his 

Dr. Clay Aloysius Boland was the rare case of a military 
dentist with a musical opus. His songbook was extensive 
and included such hits as "The Gypsy in My Heart," "I 
Like it Here," "Midnight on the Trail," and "Stop Beatin 
Round the Mulberry Bush." Though not staples on today's 
radio, these tunes were covered by a veritable who's who of 
the swing era, including Count Basie, Bunny Berigan, and 
Tommy Dorsey. 

Born on 25 October 1903, Boland grew up in the 
anthracite belt of Pennsylvania. He was the youngest of 
nine children and perhaps the best prepared to escape the 
grim realities of coal country. His mother was hopeful of 
this, and being blessed with a predisposition for music, a 
sister who taught piano, and a desire for the "elsewhere" 
world, Boland left home for academia in 1920. Follow- 
ing graduation from college in Scranton, PA, he moved to 
Philadelphia where he spent the next 4 years attending the 
University of Pennsylvania Dental School. Between lec- 
tures on periodontal disease and the theories of orthodon- 
tic extraction, Boland wrote "pop" songs and performed 
them for local radio programs. During summer breaks, he 
played piano aboard trans-Atlantic cruise ships and enter- 
tained the "smart set" in the cafes and clubs of Europe. 

The year 1924 was a pivotal one for the young Boland. 
The University of Pennsylvania offered a prize for a "prom 
song" which Boland won with the aptly-named tune, 
"Dreary Weather," a song that promised sunny days ahead 

for Boland's songwriting career when it was covered by the 
"Prince of Pep," Fred Waring and his Pennsylvanians. 

Music was not a full-time commitment for Boland. In 
the 1930s, Boland established his own dental practice. 
"Dad loved music but only through dentistry could he 
have a steady income," recalled Boland's son, Clay, Jr. 
"He had a child's practice in Ardmore [PA] and an adult 
practice in Philadelphia, and on Wednesdays he'd go to 
New York City to 'sell' his newest songs." In a 1946 Time 
magazine article entitled "Tuneful Dentist," Boland was 
asked why he never became a full-time songwriter. Dr. 
Boland stated that he was considering offers to turn "Tin 
Pan Alley pro" but dentistry was paying him too well. 

Even though a dentist first and foremost, his other 
talent did not go unnoticed by his community. Boland, 
Jr. related, "Due to my father's ability to write and play 
music, we were mostly familiar with lesser members of 
Main Line Society, a number of whom were graduates of 
the University of Pennsylvania. These were people, like my 
father, who took the Paoli Local (the "main line") into the 
city to work and then would return to the suburbs to raise 
their families. Normally, most of these people here would 
have nothing to do with Irish Catholic dentists from a coal 
mining family, but my father's musical talent changed all 

His popularity among the exclusive "main line" soci- 
ety led to his involvement with Penn's "Mask and Wig" 
shows.* According to Clay Boland, Jr., "It was natural that 

*The Mask and Wig club presents an annual show, semiprofessional in nature, 
written and staged by graduates, and acted by undergraduates. They are the 
Penn equivalent of Harvard University's "Hasty Pudding Club" and Princeton's 
"Triangle Club." 

His success with the Mask and Wig shows led to his being elected president 
of the Penn Alumni club. He used this honor to gain admittance for non-gentiles, 
such as Moe Jaffe, who had formerly been excluded from membership. 



CDR Clay Boland, being presented the Freedoms Foundation 
Honor Medal for 1950 by the Rev. John Hart for the song "I Like 
It Here." 

they talked his father into writing the scores for almost a 
dozen shows in the 1930s and 40s." Along the way he de- 
veloped partnerships with lyricists Eddie De Lange, Moe 
Jaffe (a Penn Law Graduate), and Bickley Reichner. Moe 
Jaffe would achieve renown for penning the novelty song, 
"I'm My Own Grampaw" as well as writing the "Captain 
Spaulding song" memorably sung by Groucho Marx in the 
film "Animal Crackers." His tune "Collegiate," was later 
covered by Chico Marx in the movie "Horse Feathers." 

In 1942, Clay Boland joined the U.S. Navy Reserve. 
His son related, "As with all men and many women, my 
father wanted to join the war effort and so signed up." 
Boland first served at the Philadelphia Navy Yard and then 
in 1943 was assigned to the U.S. Naval Academy in An- 
napolis, MD. His talents came into great use while serving 
in Annapolis. He was very popular with the midshipmen 
and even wrote a show for them that featured Art Lund 
and the song "Annapolis Memories."** He even wrote a 
show about John Paul Jones after visiting the crypt where 
the Navy hero is buried. 

In the Navy, Boland's skill on the keyboard was not 
overlooked by leadership. As Boland, Jr., stated, "He was a 
definite social asset to his superiors." It has been rumored 
that one chief of the Dental Corps used Boland's talents 
at every social occasion. At every Dental Corps soiree one 
could find Boland singing and playing his songs, some- 
times accompanied by the admiral's wife. 

Boland retired from the Navy in 1962 while serving at 
Naval Hospital St. Albans, NY. Sadly, his retirement was 

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Songsheet of Boland's "Dreary Weather," with ukulele arrange- 
ment by May Singhi Breen. 

short-lived. He died in July 1963, and is buried in Arling- 
ton National Cemetery. 

In remembering his father, Clay Boland, Jr. stated that 
"throughout my childhood, I would go to sleep listening to 
my father writing and playing songs and so learned much 
hypnotically. He insisted that I practice for an hour every 
morning before catching the school bus. He taught me how 
to play in his style. And he also introduced me to the piano 
parts crafted by George Gershwin for his songs — and I also 
learned not to try to balance two careers."*** — ABS ^ 

***Unlike his father, Clay Boland, Jr. decided not to pursue a career in dentistry. 
After graduating from the University of Pennsylvania, Boland went on to become a 
songwriter, arranger, and pianist in New York City before deciding on a career as 
a teacher. After retiring from his post at Colorado Mountain College, Boland, Jr., 
refocused his energies on music. He has performed classical and jazz standards 
in numerous concerts. In 2002, he released an album of interpretations of Ira and 
George Gershwin songs. — ABS 

**Art Lund (1 91 5-1 990)-An atypical graduate of the Naval Academy, Lund went 
on to sing in the Benny Goodman and Harry James bands and act on Broadway. 
In 1947, he reached the music charts with the song "Mam'selle." 

This article originally appeared in May-June 2007 edition of The 
Grog Ration, a bimonthly Navy medical historical publication. Electronic 
subscriptions to The Grog Ration can be obtained by writing to andre. 



Luxury Meets 


U.S. Navy 

Kevin Bash 

Norco, CA, is known as "Horse Town, USA." 
Surrounded by urban sprawl, this rural oasis 
is 1 5 square miles of large land parcels — open 
space — home to over 20,000 horses. There is, however, 
another side to this small and genuinely unique town. Two 
architectural landmarks — the Californian Rehabilitation 
Center, a medium security prison, and the Naval Surface 
Warfare Assessment Center — make their home in Norco. 
Behind barbed wire and Navy security, these structures 
serve as some of the finest examples of Mediterranean- 
Mission Style architecture ever constructed. It is hard to 
believe in the not-too-distant past the buildings served as 
the a destination point for the greatest Hollywood stars, 
Olympic Champions, and, later, Pearl Harbor survivors. 

Rex s Folly 

In 1920, Norco was an unsuccessful agricultural 
community. Along came Rex Clark, a former stationery 
salesman turned land developer, with the good fortune to 
be married to Grace Scripps, daughter of James Scripps, 
the powerful newspaper publisher. Backed by her money, 
Clark bought Norco with the idea to develop and sell 
chicken ranches. The fledgling township flourished as 
Clark laid roads, created a manufacturing center, and dug 
wells to supply cheap water. It was in the course of digging 
just such a well that a plentiful supply of hot mineral wa- 
ter was found and the Norconian Resort was born. 

In 1927, Rex Clark began to "build the finest resort 
and mineral hot springs spa in America." Two years later, 
Clark installed a 60-acre lake, a marvelous pavilion/casino 
and boathouse, a chauffeurs' quarters, a 100-car garage, 
a full service laundry, a state-of-the-art power house, an 
airfield, one of the finest golf courses on the West Coast, 
American Athletic Union (AAU) qualifying diving and 
swimming pools, indoor swimming pools, riding trails, 
tennis courts, a fabulous "Tea Room," and a magnificent 
250-room hotel complete with stunning dining room, 
lounge, and ballroom. 

Called "The Norconian," this facility opened its 
doors on 2 February 1929, and became an instant 

Naval Hospital Corona 

success with the rich and famous. Many movie stars 
flocked to the resort. It was not unusual to see Charlie 
Chaplin playing tennis, Clark Gable driving to the lo- 
cal gun club, Buster Keaton on the golf links, Norma 
Shearer riding horseback, or Will Rogers and Wiley 
Post giving plane rides to local kids. MGM, Fox, and 
Disney Studios all held annual picnics on the site. 
The lake was used as a raceway where some of the best 
speedboat racers in world practiced their craft. The 
outdoor pools, the only AAU qualifiers in Southern 
California until the 1932 Olympics, attracted the finest 
Olympic divers and swimmers and witnessed several 
national and world records. 

Unfortunately, the Norconian Resort Supreme never 
made a nickel. The Great Depression was devastating to 
both the resort and the town of Norco. The club struggled 
into the early 1930s, moving from a year-round club 
to a seasonal resort, to sporadic openings and closings. 
Clark's $4,500,000 dream soon became known as "Rex's 
Folly." By 1940, the club was suffering labor problems and 



hounded by creditors. Clark secretly put the resort on sale 
for the asking price of $2,000,000. 

By early 1 94 1 , the nation knew it was going to war, the 
draft was in effect, and military bases were slowly being 
manned with ill-equipped troops. The U.S. Army was the 
first to approach Clark with the idea that his resort would 
make an outstanding hospital; the offer reportedly was 
$1,800,000. Then, in mid December, it was announced 
that the Navy, also with the intention of converting it to a 
hospital, had agreed to Clark's asking price. Unfortunately 
for Clark, some in congress felt the price tag was too 
high and instead of payment, the government instituted 
a condemnation suit to determine the resort's worth. The 
new offer was $850,000. Clark fought the Navy in Federal 
Court and was ultimately victorious, though his second 
wife claimed years later that only $400,000 was received. 

Naval Hospital Corona Established 

On 2 January 1942, Captain H.L. Jensen, MC, USN, 
took command of Naval Hospital Corona. Initially, 
patients were housed and treated within the former hotel 
building. The mineral spas were used as hydrotherapy 
units, hotel rooms became operating and patient rooms, 
the ballroom, a full ward, and the former chauffeurs' 
quarters, home to Navy personnel. By 1 May 1942, it was 
reported that most of the patients, totaling around 100, 
were wounded from the attack on Pearl Harbor. 

In the midst of World War II, massive changes were 
in progress at the former resort. A three-wing, five-story 
ward building was opened in April 1942, and prompted 
a visit by none other than First Lady Eleanor Roosevelt. 
The hospital was "designated a respiratory disease center" 
and "a complex of 1 5 one-story interconnecting isolation 
ward buildings" were built on the eastern edge of the golf 
course. The wards' open porches provided the "fresh air 
and sunshine" needed to treat rheumatic fever, malaria, 
polio, and tuberculosis. 

Eventually the hospital complex included officers, 
nurses, waves, and corpsman quarters, two theaters, an 
additional weaving complex of wards (known as "Splin- 
terville"), gymnasium, chapel, and dozens of maintenance 
and service buildings. Still in use from the old resort were 
the hotel, power station, garage, laundry, and lake pavil- 
ion. By 1945, close to 5,000 patients were being treated at 
the site. 

According to news articles, the naval hospital may well 
have been the first to have used penicillin to treat tubercu- 
losis complications. Other achievements included ground- 
breaking advances in the treatment of polio and rheumatic 
fever, the development of prosthetic devices, occupational 
and physical therapy, and the first "Atomic powered, 
hand-held x-ray device." Wheelchair basketball may or 


Eleanor Roosevelt visiting a patient at Naval Hospital Corona 

may not have begun at the hospital but most certainly it 
was given a boost on the wheels by the hospital's "Rolling 
Devils." With an eye toward rehabilitation, Dr. Gerald 
Gray, known as the "Father of Wheelchair Basketball," 
put together teams that took on all comers. The team was 
described by one fan as "unbeatable" and "Globetrotters 
on wheels." 

Hospital Patients Receive Community Support 

Throughout World War II, Gray Lady Corps and Navy 
mothers spent countless hours visiting patients, supplying 
baked goods, and providing transportation.* 

Hollywood and the Naval Aid Auxiliary quickly came 
forward and forgotten star Kay Francis was put in charge 
of organizing visitations to patients at the Corona Hospi- 
tal. For the duration, every Thursday, Kay Francis and/or 
a few of "her friends" would pay a visit to Corona. 
Her friends included Cary Grant, James Cagney, Bing 
Crosby, Marlene Dietrich, Bob Hope, Clark Gable, and 
The Three Stooges, to name a few. Harry James and Jack 
Benny both broadcast radio programs from the hospital 

After the war, the patient load naturally diminished 
and, in 1949, only weeks after announcing the completion 
of $15,000,000 in renovations and improvements, the 
naval hospital was closed and stripped. 

In 1951, during the Korean War, the hospital was 
re-opened. The Navy spent $2,000,000 to replace what 

*Originally begun in 1918 at Walter Reed Army Hospital, the "Gray Ladies" or 
the Hostess and Hospital Service and Recreation Corps of the Red Cross, were 
volunteers who provided friendly, personal services of a non-medical nature to sick, 
injured, and disabled patients in American hospitals, other healthcare facilities, and 
private homes. Their uniforms consisted of gray dresses with gray veils. 



had been carted off 
for pennies only years 
before. Finally, in 
1957, again ignor- 
ing widespread pleas 
that the facility was 
needed and neces- 
sary, Naval Hospital 
Corona was closed for 

In 1963, the old 
hotel/ hospital cam- 
pus was partitioned. 
Ninety-four acres 
were cut away for use 
as the Naval Surface 
Warfare Assessment 
Center; the for- 
mer hotel, hospital 
wing, "Splinterville," 
chapel, theater, and 
gymnasium were 
turned over to the 
California Reha- 
bilitation Center, 
a place to "cure 
those addicted to 
drugs." In 2000, 19 
buildings of the old 
hospital complex 
were placed on the 
National Register of 
Historic Places, but, 
unfortunately, that 
means little with re- 
gard to preservation. 
The main hotel was 
deemed "too costly" 

and abandoned in 2002. This "national treasure" has 
been officially declared a "Black Building," meaning 
the structure is sealed up and permitted to die from 
the inside out. 

Film star Kay Francis, left, with Constance Bennett, in 1944. As "director of 
entertainment" at Corona, Francis spent untold hours at the Navy hospital. 

Remarkably, the old 
hotel, despite 80 years 
of service and renova- 
tions as a hospital and 
prison, looks much as 
it did in 1929; fabulous 
paintings and murals 
cover the ceilings, 
exquisite and color- 
ful tile is everywhere, 
and dozens of priceless 
chandeliers collect dust. 
Even the bathroom 
mirrors still bear the 
initials LNC — Lake 
Norconian Club. Un- 
fortunately, rainwater is 
now working into the 
interior; the building 
occupants are feral cats, 
possums, and raccoons. 
Already much has been 
destroyed. Recently, 
a group of citizens 
banded together with 
the idea that the state 
has a legal obligation to 
maintain this building. 
The Navy, after years 
of preservation efforts, 
is also now abandoning 
historic buildings and 
demolitions are being 

Sadly, it is quite 
likely that one of the 
finest examples of 
1920s Mediterranean, 
California Mission 
Revival Style Architecture, a site with an unequaled state 
and military history, will soon be no more, a ghost found 
only in the pages of a dusty book. ^ 

This article originally appeared in May-June 2007 edition of The 
Grog Ration, a bimonthly Navy medical historical publication. Electronic 
subscriptions to The Grog Ration can be obtained by writing to andre. 

Kevin Bash is a television and theater actor who, in addition to appear- 
ing in more than 200 commercials, has operated an award-winning Los 
Angeles theater company. He currently splits his time managing a produc- 
tion company specializing in commercials, and developing a documentary 
and two books on the Norconian Hotel/Naval Hospital Corona. 



"I Canceled My 

"T%ill Henry became an officer through the Officer Candidate School and was commissioned into the 
JLj Marine Corps Reserve in 1966. Following a bout with collapsed lungs and subsequent lung surgery 
at the National Naval Medical Center in Bethesda, MD, he didnt arrive in Vietnam until November 
1967. He soon found himself in command of 2nd Platoon, Hotel Company, 2nd Battalion, 3rd Ma- 
rines. For 3 months the battalion patrolled an area south of Danang and south of Marble Mountain, 
encountering sniper fire, booby traps, and other enemy-harassing activity. 

At the end of the Tet Offensive of 1968, Henry and his Marines began patrolling farther north 
near Phu Bai and the DMZ. Henrys battalion participated in Scotland II, an operation to the west 
ofKhe Sanh. They were given the grim task of recovering 40 bodies who had been casualties of an 
ill-fated patrol — Charlie Company, 1st Battalion, 9th Marines. The remains — thought to be on the 
side of a hill and in enemy territory — had already been on the ground for 6 days. 

The recovery operation was well planned with two or three battalions involved. After the hills 
were secured, Henrys unit was ordered to follow and recover the remains. A helicopter would then 
fly the body bags out. 

But the plan went terribly awry. With the assigned unit unable to secure the hill, Henry s platoon, 
which expected to complete its mission very quickly, was forced to spend the night without equip- 
ment — even to dig foxholes to secure themselves. Enemy artillery rained down on the platoon caus- 
ing many casualties. LT Henry was one of them. 

I initially did not experience very much pain consider- 
ing that a fragment went through the center of my 
right foot, another through my right back, and I had 
burns up my left arm. Most people suspected it was a 
105mm artillery round. I didn't have any remnants of 
shrapnel left in me; everything that hit me went through 


The corpsman couldn't get my shoes off, but he 
packed the wounds to try to slow the bleeding and 
wrapped my chest as well. Then I was hauled in a pon- 
cho back up the hill. A gunship, which was flying in sup- 
port of our mission, dropped down and picked me up. 
They threw me on the floor and a gunner put his foot in 
my back to hold me in. We then flew about 2 miles back 
to Khe Sanh. 

When we got there, the helicopter landed right outside 
the door of the aid station and men ran out with an empty 
litter and pulled me onto it. From the time the helicopter 
hit the ground, no more than 1 5 seconds went by before 
they were out, had me on the litter, and had me back 

down into a shaft leading into the aid station [Charlie 

By virtue of having been at Bethesda, I was well experi- 
enced with the Navy medical system and understood how 
corpsmen, doctors, and nurses worked so well together. 
When I was taken deep into this aid station at Charlie 
Med, a very senior corpsman looked at me and saw I was 
an officer. He said, "Well, Lieutenant, it looks like you're 
going to have an occasion to use your Blue Cross/Blue 

I looked up at him and said, "You know, Doc, when I 
got my Navy doctors, I canceled my policy!" And that just 
broke everybody up. 

The medical staff took great pains to clear away the 
boots and clothes and were able to attack the wound in an 
effort to stop most of the bleeding, which was very serious. 
They had a tremendous amount of work to do. The shrap- 
nel that hit my foot went through my boot. I'm sure they 
did a fair amount of debriding because just to get the boot 
off my foot would have required a great deal of cutting 



and hacking. Then they tried to remove the leather pieces 
from my foot. It was a real mess. 

I was probably at Khe Sanh for a few hours before they 
took me out on another helicopter to Dong Ha. I recall 
a huge concrete slab out at a triage unit with water hoses 
and brushes. 

I did not receive any shots for pain until I immediately 
went into debriding surgery at 1 o'clock in the morning. 
Mind you, I had been hit in the field about 2 o'clock in 
the afternoon. 

The doctor singled me out to go in for surgery and said 
that I was bound to have internal damage. I said, "Doc, 
you picked the wrong one. I'm okay. I've had the upper 
lobe of my left lung taken out. I know what it feels like to 
have something wrong inside, and there's nothing wrong 
in there. 

He said, "It can't be. "The shrapnel round hit the big 
muscle that goes down your back." 

He took me into X-ray, and it turned out that I did not 
have any internal damage. 

The shrapnel had entered my chest underneath my 
arm and went straight across my rib cage from right 
to left from under the arm around to the back. It then 
exited just before the backbone. It was like a fillet knife 
had scraped the rib cage off. It was that close. The 
doctor said that if that shrapnel had been an eighth of 
an inch closer, it would have sent those bones into my 
chest cavity and I wouldn't have had a chance. It actu- 
ally didn't go inside the ribs at all. It just went through 
the meat and took all the muscle out — tore that muscle 

After the x-ray, they put me aboard a C-130 with a lot 
of other casualties and headed to Phu Bai. From there, 
they sent me to Danang to be evacuated from the coun- 
try. I went to the 249th Army General Hospital in Tokyo 
because the big Navy hospital in Japan — Yokosuka — was 

Then I went through another debriding surgery. I 
had "wound care" three times a day. The corpsmen or 
nurses pulled out the gauze from the wounds, poured 
in peroxide, and used tweezers or forceps to remove all 
the dead skin or tissue from the foot. Then they would 
repack it. 

It was quite a scary procedure because I had recalled 
that one of our corpsmen had been seriously wounded 
just south of Danang in mid-March, and he contracted 
gangrene and died. It just had me horrified that I was 
not getting correct wound care. I was insistent upon 
having my wounds checked to make sure they stayed 
clean. And it was a very painful routine to pull that 
gauze from those wounds and have peroxide poured in 
every day. 

Hospital corpsmen stabilize a casualty at a battalion aid station. 

I went home on an Air Force C-141 that had stacks and 
stacks of litters against each side and down the middle. I 
wound up at Millington [Naval Hospital Memphis] , TN, 
which was the closest hospital to my home in Mississippi. 
I was assigned to the SOQ [Sick Officers Quarters] . And 
as was the practice, every time you changed hospitals a 
doctor had to be present when the wounds were opened, 
and he had to prescribe the new round of medications. 
Nurses and corpsmen didn't have the authority to see the 
first one. When I got assigned and was sent to the ward, I 
kept screaming to get my wounds checked because it had 
been a full day of travel, and I had not had my wounds 
opened and looked at. 

It was on a weekend when I got into the hospital, and 
very few doctors were around. An internist was on duty, 
but he didn't know much about orthopedic care. I know 
that for a fact because where it used to take 1 5 minutes to 
bubble those gauzes out of my foot, he reached down with 
one hand and pulled that gauze out. This old hospital I 
was in had the pipe running down the roof of the build- 
ing. I thought I could reach that pipe when he grabbed 
those pieces of gauze and pulled them out. It was pretty 

I went through some fairly extensive surgeries. Hav- 
ing previously had some surgery at Bethesda, I knew the 



status of the hospitals. Bethesda was one of the best in 
the world. I was sad that I didn't get assigned to go back 
there. But, as it turned out, a young orthopedist from 
Wisconsin named Dr. George Lucas was at Millington. 
My foot was so destroyed that you could put your hand 
or finger in the top of my foot and touch the bottom 
layer of skin all the way across my foot. He brought the 
bones back and overlapped them some way. I'm not 
exactly sure what he did. Nevertheless, he reconstructed 
my foot — which is unbelievable. The foot is intact but I 
have a big hole right in the middle of it, and the center 
of the arch to the front is turned outward. To this day it 
still works although I experience some pain and swelling 
from time to time. He was just a phenomenally talented 



LCDR George Lucas was an orthopedic surgeon on the 
staff of Naval Hospital Memphis, TN, located in Millington. 
He graduated from medical school in 1961 and was drafted 
into the Navy. When he arrived in Millington, Lucas had had 
only 1 year of practice under his belt, but he was immediately 
named chief of orthopedics. The physician he was replacing 
had just left for Vietnam. 

I acquired a lot of experience in orthopedics during 
the 2 years I spent in Memphis. But I also developed an 
interest in hand surgery at that time, and that's basically 
what I've done ever since. Part of that interest was fostered 
by the wounded from Vietnam who showed up at Milling- 
ton. I began specializing in hand wounds and peripheral 
nerve injuries when I was in the service. 

At Millington, we received airevac patients practically 
every day — and in every stage of injury. The most com- 
mon injuries were compound leg fractures resulting mostly 
from mines. But we saw a lot of upper extremity injuries 

such as gunshot wounds that would knock out the medial 
or radial nerve. 

If the injuries looked like they were going to take 
many months to heal, those people would be boarded 
out and sent to a Veterans Hospital. But I did a fair bit 
of reconstructive upper extremity procedures that could 
be resolved in a few months, such as stabilization of hand 

I was the only orthopedist who was fully trained, 
although I usually had three other people with me. These 
were guys who were just out of medical school and might 
have had a year of internship. So the three or four of us 
ran the service. The hospital at that point was manned 
mostly by reservists since the regulars had gone to Viet- 

As I recall, Bill Henry had a severe foot injury and actu- 
ally lost a part of his foot, which was going to be a prob- 
lem in terms of walking and running. That outlook was 
devastating to him. We did some skin grafts and stabilized 
his fractures but he lost part of his foot. I think he had 
three or four procedures and achieved some mobility as a 
result of our work. 

I remember one interesting sidelight about this 
patient. I came from Wisconsin. I had trained in 
Wisconsin and was practicing in that state when I got 
drafted. Three or four newly minted nurses who had 
just finished nursing school were at Millington at the 
time. The Navy had sponsored their education so they 
owed the Navy a few years. They showed up at Mil- 
lington and because they were from Wisconsin, I got 
to know them rather well. Henry ended up falling in 
love with one of these girls and married her. They were 
married while he was still in our custody and I went 
to their wedding. It was a Catholic wedding and they 
had to kneel at the altar. When they finally stood up 
and marched out of the church, he was limping. I said, 
"Gee, Bill, you're going to ruin my reputation by limp- 
ing in front of all these people."^ 

Answers to SG Quiz page 5: 1. William Wood. 2. 5-USS Presley Rixey, USS J. Rufus Tryon, and three ships named William Wood. 
3. 2-Presley Rixey and Ross Mclntire. 4. Thomas Harris and Andrew Jackson, Jonathan Foltz and James Buchanan, Presley Rixey 
and Theodore Roosevelt, and Ross Mclntire and Franklin Roosevelt. 5. Thomas Harris and War of 1812, William Wood and Mexican 
War, Percival Rossiter and Philippine Insurrection, Donald Arthur and Gulf War, Michael Cowan and Somalia, Donald Custis and 
World War II, James Palmer and Civil War. 6. William Paul Crillon Barton. 7. William Grier, born in Ireland. 8. Ten. 9. Eight from the 
state of Pennsylvania. 10. Presley Rixey appeared in "President McKinley" (1899). 11. William Barton and USS Brandy wine; James 
Palmer and USS Hartford Wilkes Expedition; Jonathan Foltz and USS Niagara; Joseph Beale and USS Hartford did not serve on 
any of these cruises. 12. Phineas Horwitz. 13. William Wood was given the rank of Commodore with the title of Surgeon General 
in 1871. 14. William Van Reypen in 1899. 15. Robert Brown (Mclntire received a temporary third star in 1944 because of his role as 
White House physician). 16. C. 12 years (William Whelan 1853-1865. Dr. Whelan died in office). 17. A. 18 days (Dr. Newton Bates died 
of pneumonia 18 days into his term). 



Book Review 

On Call In Hell by CDR Richard Jadick, MC, 
USN. Penguin Books, New York, NY. 2007, 275 pages. 

The setting is the 2004 Battle of Fallujah, Iraq, 
the site of the most brutal urban warfare American 
troops have faced since the Marines recaptured Hue 
City from the North Vietnamese and Viet Cong dur- 
ing the 1968 Tet Offensive in Vietnam. The book 
provides the perspective of LCDR Richard Jadick, 
then a 38-year-old former Marine officer turned Navy 
physician. With 2 years of Navy postgraduate surgi- 
cal training. Jadick had stepped away from a "safe" 
regimental surgeon position to return for his second 
"on-the-ground" tour in Iraq as the medical officer 
with the 1,000-man 1st Battalion, 8th Marine Regi- 
ment (1/8). His narrative is a candid, unglorified, and 
gut-wrenching account of the devastation and horrific 
circumstances that compelled a group of young inex- 
perienced Navy corpsmen to "come of age" amidst the 
combined impact of death and human destruction. 
Their encounter with urban warfare involved their 
friends and comrades, all mixed with both the sounds 
of exploding ordnance and the sights of random body 
parts. Punctuating the horror were the smells of cord- 
ite explosive, blood, human excrement, and scattered 
brain tissue. 

This is not just another book outlining the heroic 
details of military conflict. Rather, it is a chronicle 
of an adaptive concept not yet ingrained in warfare 
doctrine, but what should be a realistic necessity in 
urban warfare. In Fallujah, Jadick's unit decided to 
move medical and resuscitative care to a level far 
forward of the doctrinal battalion aid station and set 
up the equivalent of an emergency room right in the 
middle of the battlefield. They did this because the 
time required for traditional means of casualty extrac- 
tion would have been excessive considering the narrow 
alleyways and buildings comprising the complex 
urban setting where they were operating. Even though 
1/8 experienced the most intense combat, they were 
able to save more than 30 Marines who would likely 
have died on the long tortuous route back to surgical 
centers behind the lines. And they accomplished this 
amidst the hundreds of casualties generated by the 
Fallujah battle. 

The medical team achieved this success not only due 
to the committed efforts of 1/8 s corpsmen but because 
the team was much closer to the action. The decision 
to insert the forward aid station was theirs. It was only 
later that senior officers began to inquire as to why Ma- 
rines from so many units ended up being cared for by 
the 1/8 medical team. How did they survive this ordeal 
under intense and hostile fire while still rendering far 
forward medical care with skill and dignity. And this 
despite their own fears and physical exhaustion? The 
answer, self evident to any reader, is clearly leadership! 

Jadick relates that during combat planning for Fal- 
lujah, the operations officers all met, and likewise the 
battalion combatant commanders all convened. All 
pondered the plan until everyone knew it "inside and 
out." Yet despite spending almost 7 days together as a 
unit at Camp Fallujah prior to the invasion, the doctors 
were never invited to sit down together, as officers, with 
the leaders to discuss an overall scheme of maneuver 
for casualty evacuation. Instead, a plan was presented 
to them which they were expected to follow. Why was 
a meeting not held to discuss a regiment-level medevac 
plan with the battalion surgeons? Why didn't the com- 
bat arms officers trust their medical officers sufficiently 
to include their input? (It is of historic interest that in 
preparation for the U.S. intervention in Grenada in 
1983, combat support planners, including medical rep- 
resentatives, were likewise excluded from initial opera- 
tional planning. Consequently, no estimate of logistical 
support was completed prior to execution, and the 
required medical support system never developed.) 

Jadick posits an existing collateral issue: an instinc- 
tive lack of confidence among the war fighting com- 
bat arms officers regarding the leadership capabilities 
of Navy medical officers. One wonders whether some 
personnel already possess the required leadership 
capabilities. Can these skills otherwise be taught in a 
classroom and reinforced by electronic tutorials as are 
utilized in military schools and professional acquisi- 
tion programs? These questions leave the reader with 
much to ponder with respect to Navy medical recruit- 
ing and retention.^ 

CAPT Arthur M. Smith, MC, USNR (Ret.) is Professor of Sur- 
gery (Urology) at the Medical College of Georgia, Augusta, GA, and 
Adjunct Professor of Surgery, and Adjunct Professor of Military and 
Emergency Medicine at the Uniformed Services University of the 
Health Sciences. 



A Look Back 

Navy Medicine 1951 

On an inspection tour in South Korea, Surgeon General H. Lamont Pugh reunites with his son. "I'd gladly trade my rank for 
your youth." 



WASHINGTON DC 20372-5300 



Postage and Fees Paid 


USPS 316-070