Volume 24, No. 6 June 2016

Did you know?...

Robert E. Bush Naval Hospital

“Serving with Pride and Professionalism since 1993”

You have the right toexpress your concernsabout patient safety and

quality of care.There are several avenues opento you:* Through the ICE website.* The Hospital CustomerRelations Officer at 760-830-2475, or any of the CustomerRelations representatives in theHospital clinics, or directly tothe Joint Commission via: E-mail at complaint@jointcommission.orgFax: 630-792-5636

The Joint CommissionOak Renaissance BoulevardOakbrook Terrace, IL 60181

To report Fraud, Waste andAbuse contact one of thebelow offices by calling:

Naval Hospital: 760-830-2344Combat Center: 760-830-7749NavMedWest: 1-877-479-3832Medical IG: 1-800-637-6175DoD IG: 1-800-424-9098

http://www.med.navy.mil/sites/nhtp/pages/default.aspx

An Award Winning Publication

THE EXAMINER

NHTP Welcomes New Command Master ChiefNaval Hospital TwentyninePalms has a new CommandMaster Chief. CommandMaster Chief (SW/AW/FMF)Jerry A. Ramey says it feels likecoming home. It’s more than afeeling--he is coming home.

Ramey has owned a home inTwentynine Palms since 2005.He first reported for duty withthe 1st Marine Division, MarineAir Ground Combat Center, inMarch 2000. He was born inPasadena and raised in Altadena,Calif. “I had never heard ofTwentynine Palms before I gothere,” Ramey said. After spend-ing one tour on the Green side,he said he fell in love with thearea. “I loved the environmentand everything about it,” hesaid.

Following a deployment to Iraqas Senior Medical DepartmentRepresentative for the 1stBattalion, 7th Marines, he

returned to Twentynine Palms toserve as Senior Enlisted Leaderfor the NHTP Directorate forClinical Services and as LeadChief Petty Officer for theEmergency MedicineDepartmentfrom Nov.2003 toSept. 2006.

“I’ve beento a lot ofgreatplaces,” hesaid. “Butfamily iswhere theheart is and Ijust didn’tget the samefeeling, thesame lovefor thoseplaces, as Ido here,” hesaid.

His wife,Antoinette, and daughter,

Ashley, have been maintainingthe family home in TwentyninePalms while Ramey wasassigned to positions at U.S.Naval Hospital Guam, on theUSS Carl Vinson (CVN 70) and

at NavyMedicineTraining SupportCenter, Fort SamHouston.

“When I left in2009, we made afamily decisionthat they wouldstay herebecause my wifeis an instruction-al aide for spe-cial educationkids for theMorongo SchoolDistrict,” Rameysaid. Ashely, who wasin junior highschool in 2009,will graduate

from Twentynine Palms High

School in June. She plans to fol-low in her father’s footsteps andbecome a U.S. Navy HospitalCorpsman.

“I’m taking her to MEPS (SanDiego) this Thursday [May 26]”Ramey noted.Command Master Chief Rameyhas been in the Navy for 28years, the last 14 years as aChief Petty Officer. He hopesthe Sailors in his command willview him as a resource forcareer and personal guidance. “I’m down to earth and I hopeeveryone sees me as having alot of experience and that theywill want to tap into that experi-ence,” Ramey said. “I can tellthem a lot of things about howto be successful.”

“It’s like a family here,” theCommand Master Chief said.“A lot of the same civilians arestill here and some of the active-duty are now civilians. It’s thatwarm feeling you have whenyou come home.”

Command Master Chief HospitalCorpsman (SW/AW/FMF) JerryRamey

By Dave Marks, NHTP PublicAffairs Officer

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Chief of Naval Operations Conducts Admiral’s Call at Base TheaterAdm. John M. Richardson,Chief of Naval Operations, vis-ited the Marine Corps AirGround Combat Center May 25-26. He held an Admiral’s Call atthe Base theater for Green SideCorpsmen and their Robert E.Bush Naval Hospital counter-parts (Blue Side), allowing anopportunity to ask questions.

Hospital Corpsman SecondClass Serrita Coleman, LPO forMulti-Service Ward, asked Adm.Richardson about removing theword “man” from militarynomenclature now that womenhave been designated as eligiblefor all military positions; andHospital Corpsman Third Class

Christopher San Miguel, NHTPManpower, asked about the costof living allowance in relationto rising seasonal energy bills.Adm. Richardson deferred the

COLA query to Naval HospitalCommanding Officer, Capt.John Lamberton. Adm.Richardson honored twoCorpsmen, HM2 Nicholas

Otazo and HM3 Ryan Spencer-Smith, as presiding officer attheir pinning ceremony. And hewas the presiding officer forthree Corpsmen who reenlisted.HM3 Adrian Monroy, HM2William Leins and HMC KevinKeosbounheuang were all hon-ored by the Admiral’s presenceas well as with having theirorders signed by the Chief ofNaval Operations. The follow-ing day, Capt. Lambertonaccompanied Adm. Richardsonand the 37th Commandant ofthe Marine Corps, Gen. RobertB. Neller, to MCAGCC ranges400 and 220 to observeIntegrated Training Exercise 3-16.

Chief of Naval Operations, Adm. John M. Richardson (left) reen-lists three hospital Corpsmen during a ceremony at the BaseTheater May 25. (Story and photo by Dave Marks)

2 -- The Examiner - June - 2016

Published by Hi-Desert Publishing, a private firm in no way connected with the Department of Defense, the UnitedStates Marine Corps, United States Navy or Naval Hospital, Twentynine Palms, under exclusive written contract withthe Marine Air Ground Task Force Training Command. The appearance of advertising in this publication, includinginserts or supplements, does not constitute endorsement by the Department of Defense, the United States MarineCorps, the United States Navy or Hi-Desert Publishing of the products or services advertised. Everything advertisedin this publication shall be made available for purchase, use, or patronage without regard to race, color, religion, sex,national origin, age, marital status, physical handicap, political affiliation, or any other non-merit factor of the pur-chaser, user or patron. If a violation or rejection of this equal opportunity policy by an advertiser is confirmed, thepublisher shall refuse to print advertising from that source until the violation is corrected. Editorial content is pre-pared by the Public Affairs Office, Naval Hospital, Twentynine Palms, Calif.

Commanding OfficerCapt. John A. Lamberton, MSC, USN

Executive OfficerCapt. Jeffrey W. Bitterman, MC, USN

Command Master Chief HMCM (SW/AW/FMF) Jerry Ramey, USN

Public Affairs Officer/EditorMr. Dave Marks

Command OmbudsmanMr. J.Wesley Bassard (760) 668-1348 email: nhtpombudsman@yahoo.com

The Examiner welcomes your comments and suggestions concerning the publication. Deadline for submission of arti-cles is the 15th of each month for the following month’s edition. Any format is welcome, however, the preferredmethod of submission is by e-mail or by computer disk.

How to reach us...Commanding Officer Naval HospitalPublic Affairs OfficeBox 788250 MAGTFTCTwentynine Palms, CA 92278-8250Com: (760) 830-2362DSN: 230-2362E-mail: david.m.marks.civ@mail.milHi-Desert Publishing Company56445 Twentynine Palms HighwayYucca Valley, CA 92284Com: (760) 365-3315FAX: (760) 365-8686

By HM1 Joshua Lukacovic

Naval Hospital TwentyninePalms First Class Petty OfficerAssociation (FCPOA) is retiringa worn American flag that wasflown over a local residentapartment complex inTwentynine Palms. A new localoutreach program, initiated byour very own NHTP FCPOA,will retire and replace any wornor torn American flags that arebeing displayed by local resi-dents and businesses. A newflag, donated by the FCPOA,will be provided at no cost tothe owner. The worn and retiredflags will be ceremoniouslyfolded, while honors are beingrendered, and will be transport-ed to a drop off location inYucca Valley for proper dispos-al by the Local VFW. If youwould like to notify the FCPOAof a worn or torn flag that isbeing flown, please contactHM1 Lukacovic or HM1Gonzalez at (760) 830-2020.

FCPOA Offers to Replace Worn Stars and Stripes

HM1 David Whittington lowers a worn flag to be replaced whileHM1 Saul Vasquez and HM1 Daniel Gonzalez pay respect.

Staff is Recognized For Nurse Corps108th Birthday Celebration

Naval Hospital TwentyninePalms celebrated the 108thBirthday of Navy Nurse Corpson May 12. During the wel-coming statement, Lt. LauraBeth Brogdon gave a brief his-torical overview of Navy NurseCorps. Capt. John Lambertontalked about the significant roleof Navy nurses both in NavyMedicine and in civilian prac-tice. Capt. Lamberton conclud-ed his remarks by remindingaudience members that whilethe Navy “stretches the celebra-tion to one week, the recogni-tion runs 365 days.”

Congratulations from Bureau ofMedicine Service Chiefsaddressed to Rear Adm.Rebecca J. McCormick-Boyle,Director, Navy Nurse Corps,were read by Lt. Carolynn Hine,Cmdr. Susan Antle, Cmdr.Roger Bunch, Cmdr. SuzetteInzerillo, and Lt. StephanieRoadarmel.

During the Nurse Corps birth-day celebration, six recipients ofthe 2016 Annual Nurse Excel-lence Awards were recognizedfor NHTP. Mrs. BriannaGuthrie, Certified LactationConsultant, was recognized inthe Junior Contract LicensedVocational Nurse category. Ms.Danielle Vasquez, Immuniz-ations Clinic, was recognized in

the Junior GS LicensedVocational Nurse category. Ms.Cheryl Viau, EmergencyMedicine Department, was rec-ognized in the Senior ContractRegistered Nurse category. Ms.Lori McGee, HealthPromotions/Nurse Educator,Branch Health Clinic ChinaLake, was recognized in theSenior GS Registered Nursecategory. Lt. Karen Sanchez,OB/GYN Department, was rec-ognized in the Junior MilitaryNurse category. Lt. Cmdr.Marddi Rahn, Family MedicineBlue Team, was recognized inthe Senior Military Nurse cate-gory. Lt. Cmdr. Rahn summa-rized her 15 years as a NavyMedicine nurse with one word:Honor.

Registered nurse, Ms. MoriahThompson, invited Lt. j.g.Tanya Starker, RN, Ms. LindaDeutsch, RN, and Cmdr. SuzetteInzerillo, RN, to cut the birth-day cake.

Executive Officer Capt. JeffreyBitterman, Medical Corps, con-cluded the birthday celebrationnoting that Navy nurses are theforefront of healthcare deliveryand contribute to our culture ofsafety and high reliability with-out compromising care andcompassion. It is our great for-tune to have them as caregivers,Capt. Bitterman said.

By Lt. j.g. Qianning Zhang

L-R: Lt. j.g. Tanya Starker, RN, Ms. Linda Deutsch, RN, and Cmdr.Suzette Inzerillo, RN, cut the birthday cake celebrating the NavyNurse Corps’ 108th birthday. Ms. Deanna Daly, RN, and CaseManager baked and decorated the “black and white cake,” vanillaand chocolate cake with buttercream frosting.

The Examiner--June 2016-- 3Preventive Medicine CornerSubmit Questions/Concerns and Tanya Will Provide Answers

Tanya StuckeyDear Tanya, My husband has been complain-ing about pain after pt, butrefuses to go to see his doctor.Is there a way to convince himto go? Should I call someone inhis command or talk to the doc-tor myself about the things hehas been complaining of? I amfrustrated and don’t understand

why this is such a problem forhim.

Signed, Perplexed

Dear Perplexed,

Complaints about pain can bealarming after strenuous activi-ty. With limited information,there are many variables to con-sider. First is determining thedifference between pain and dis-comfort. Physical training exer-cises are often rigorous and maycause temporary discomfort. Ifyour husband is experiencingelevated pain that may be aresult of an injury obtained dur-ing training, it is important thathe seek medical attention. If heis not in urgent need, he maycall his provider and make anappointment to be evaluated. Ifhis condition changes and hispain is severe, the emergencydepartment may be an appropri-

ate route.

Preventive measures such ashydration, proper nutrition, sup-plement safety and scheduling(and showing up for) regularhealth screenings at recom-mended times is a great start tomaking healthy choices.Physical activity is also impor-tant in creating a healthylifestyle. All fitness coaches willadvise you to seek medicalclearance before participating instrenuous activity. If rest, hydra-tion and general self-care is notworking and he is unsure whatis causing pain or discomfort,encourage him to make anappointment to talk with a med-ical provider. Together, they candetermine what course of actionis best. Having choices andbeing able to make decisionsabout our own healthcare makesus more likely to consider rec-ommendations for services.

Lt. Felicia Mendez (right), staff nurse in the EmergencyDepartment, accepts a ceremonial paddle from Lt. Cmdr. GaryClosas upon her PCS move to Camp Pendleton. Lt. Mendez hasbeen at NHTP for three years. A mustang officer, she started out asan electronic warfare technician and now looks forward to com-pletely her “twilight tour” at Naval Hospital Camp Pendleton.

Sex and Gender: How Being Male or Female Can Affect Your HealthAre you male or female? Theanswer to this seemingly simplequestion can have a majorimpact on your health. Whileboth sexes are similar in manyways, researchers have foundthat sex and social factors canmake a difference when itcomes to your risk for disease,how well you respond to med-ications, and how often youseek medical care. That’s whyscientists are taking a closerlook at the links between sex,gender, and health.

Sex and gender play a role inhow health and disease affectindividuals. There was a time

when we studied men andapplied those findings towomen, but we’ve learned thatthere are distinct biological dif-ferences between women andmen,” explains Dr. JanineAustin Clayton, who headsresearch on women’s health atNIH. “Women and men havedifferent hormones, differentorgans, and different culturalinfluences--all of which can leadto differences in health.”

For instance, women and mencan have different symptomsduring a heart attack. For bothmen and women, the most com-mon heart attack symptom is

chest pain or discomfort. Butwomen are more likely thanmen to have shortness of breath,nausea and vomiting, fatigue,and pain in the back, shoulders,and jaw. Knowing about suchdifferences can lead to betterdiagnoses and outcomes.

Men and women also tend tohave different responses to pain.NIH-funded researchers recent-ly learned that different cells inmale and female mice drivepain processing.

“Without studying both sexes,we wouldn't know if we’re tak-ing steps in the right direction

toward appropriate clinicaltreatment for men and women,”Clayton says. “Our differencesalso affect how we respond tomedications, as well as whichdiseases and conditions we maybe prone to and how those dis-eases progress in our bodies.”For example, women metabolizenicotine faster than men, sonicotine replacement therapiescan be less effective in women.

Scientists are finding that addic-tion to nicotine and other drugsis influenced by sex as well.“When it comes to addiction,differences in sex and gendercan be found across the board,”

says Dr. Sherry McKee, leadresearcher at an NIH-fundedcenter at Yale University thatstudies treatments for tobaccodependence. “There are differ-ent reasons men and womenpick up a drug and keep using adrug, and in how they respondto treatment and experiencerelapse. Sex also influences dis-ease risk in addiction. Forexample, women who smokeare more susceptible to lung andheart disease than men whosmoke.”

Continued on Page 7. Pleasesee Gender Differences.

4 -- The Examiner --June 2016

Awardees...

Lt. Temitope Ayeni is awarded a Navyand Marine Corps CommendationMedal.

Hospital Corpsman Third Class AndresBaena is presented with an NHTPPatient Safety Award.

Mr. Stephen Crowder is presented witha Letter of Appreciation upon hisselection as Junior Civilian of theQuarter (Jan. 1, 2016 to Mar. 31,2016).

Hospital Corpsman Second ClassAshleigh O’Connell accepts the Bestof the Best Award on behalf of theMulti-Service Ward. This award recog-nizes exceptional customer service.

Mr. Philip Breault accepts the Best ofthe Best Award on behalf of theInformation Management Department.This award recognizes exceptional cus-tomer service.

Hospital Corpsman Second Class MarcReyes is awarded the Navy and MarineCorps Achievement Medal.

Ms. Deana Daly is presented with aLetter of Appreciation upon her selec-tion as Senior Contractor of theQuarter (Jan. 1 to Mar. 31, 2016).

Lt. j.g. Christopher Skirvin is present-ed with a Letter of Appreciation uponhis selection as Officer of the Quarter(Jan. 1 to Mar. 31, 2016).

The Examiner --June 2016-- 5

Ms. Linda Deutsch is presented with aLetter of Appreciation upon her selec-tion as Senior Civilian of the Quarter(Jan. 1 to Mar. 31, 2016).

Cmdr. Charles Dickerson is awardedthe Navy and Marine CorpsCommendation Medal.

Hospitalman Rome Lake is presentedwith a Patient Safety Award.

Mr. Larry Richelli is presented with aPatient Safety Award.

Hospital Corpsman Third ClassDomingo Sosa is awarded the Navyand Marine Corps Achievement Medal.

Ms. Brittany Tyndall is presented witha Letter of Appreciation upon herselection as Junior Contractor of theQuarter (Jan. 1 to Mar. 31, 2016).

HM1 (FMF) Joshua Lossius was piped ashore and into retirement May 27 after 20years of active-duty service. HM1 Lossius was raised in Placerville, Calif. He attendedPsychiatric Technician School and met his wife, Jeniffer while both were on assign-ment. HM1 Lossius plans to be a stay-at-home dad before returning to school for adegree in information technology. Fair Winds and Following Seas, HM1 Lossius!

6 -- The Examiner --June 2016

Introducing New Staff -- Welcome Aboard!

Mr. Albert Williams PSSA Rachel DietzLt. Danny Eason HM3 Domingo SosaHM2 Michael SpencerMr. Albert Williams is NHTP’snew Information TechnologySpecialist for Customer Service.He arrived from Charlotte, N.C.,where he worked for an interna-tional food distribution compa-ny on the customer service helpdesk. He has a Bachelor’sdegree in technical managementfrom DeVry University and aMaster’s degree in InformationSystems Management from theKellor Graduate School ofManagement. He’s certified as asystems security practitioner.Mr. Williams spent six years inthe Air Force as a heavy-equip-ment operator at Andrews AirForce Base and Hurlbut Field,on the Elgin Air Force Base,Florida. His wife, Shanna, andthree children, two boys, agesnine and 17 and a daughter, 14,will remain in North Carolinauntil he gets settled which alsoallows them to finish the schoolyear. Hobbies include fishingand watching sports. He says heused to enjoy hunting but hasn’thad the opportunity for a num-ber of years.

Lt. Danny Eason recentlyarrived from Naval MedicalCenter Portsmouth where hewas a staff nurse anesthetist forthe previous two years. Heenjoys earning a patient’s trustbefore he or she undergoes aprocedure. He’s the newestmember of NHTP’s SurgicalServices Department. Originallyfrom Lake Charles, La., Lt.Eason earned his Bachelor ofNursing degree from the Uni-versity of Missouri. He earnedhis Master’s degree inAnesthesiology from the Uni-formed Services University ofthe Health Sciences, performingthe didactic portion in Bethesdaand the clinical portion in SanDiego. Lt. Eason’s wife,Jennifer, is a dance instructor.They are expecting their firstchild in just a few months inSan Diego, Jennifer’s home-town. They’ve found a home inJoshua Tree. Hobbies includegolf, bicycling; “Obviously I’llget into hiking and maybe I’lldust off the climbing gear anddo some of that too,” Easonsaid.

Personnel Specialist SeamanApprentice Rachel Dietz hasonly been in the Navy fivemonths and she likes what she’sexperienced. “I was excited toget orders for Twentynine Palmsbecause it’s California,” shesaid. “And then I startedGoogling and I saw it’s in themiddle of the desert; but that’sgood! One of the reasons Ijoined the Navy was to see dif-ferent places.” She arrived fromthe 22-day “A” School forPersonnel Specialists at theNaval Technical TrainingCenter, Meridian, Miss.Assigned to NHTP’s HumanResources Dept., she said “Ilove customer service and help-ing people,” in reference tochoosing the PersonnelSpecialist rating. Her dad hadbeen a Navy disbursing clerkand she wanted to follow in hisfootsteps. Hometown isDagsboro, Del. Dietz plans onmaking the Navy her career andearn her Master’s degree. After20 years she wants to become amath teacher. Hobbies includepainting and reading.

When officials at the RecruitTraining Command, GreatLakes, Illinois, saw, then,Recruit Domingo Sosa’s 6’5”frame and natural military bear-ing, he was selected for theNaval Ceremonial Guard. Forthe next two years he impressedWashington D.C. visitors atfunerals, wreath-laying cere-monies and formal visiting dig-nitary visits. He’s been in theNavy 5 1/2 years. Hometown isFort Lauderdale, Fla. HM3 Sosais NHTP’s newest preventivemedicine technician. He arrivedfrom Branch Health Clinic,Naval Air Station Key West,Fla., where he was a general-duty corpsman. “It was great,”HM3 Sosa said. He said thesmall clinic required staff todiversify; so he worked in thelab, in pharmacy, in the dentalclinic and assisted in theRadiology Dept. HM3 Sosa’simmediate goal is to make rank.Longer term, he wants tobecome an EnvironmentalHealth Officer. Hobbies includeboating, fishing, spear fishing,scuba diving and jet skiing.

HM2 Michael Spencer is a sur-gical technician and arrivedfrom Camp Pendleton’s 1stDental Battalion where he spentthe past three years. “They havean oral surgery component, sothat’s how I got squeezed inthere,” Spencer noted. He start-ed out in oral surgery but thenbecame clinic Lead PettyOfficer and went on to becomeDirectorate LPO for the north-ern clinics. “I learned a lotthere,” he said. “Unaccomp-anied, single, no children,” ishow he describes himself. HM2Spenser grew up in UpperDarby, Pa. The California highdesert is a new experience andwhile he describes the sceneryas “pretty” he says it’s “scaryquiet.” Spencer earned hisAssociate’s degree fromKeystone College, Scranton,Pa., and has completed all of thepre-requisites for both medicaland dental school, completingthe work on weekends atSouthern California University.He plans to live as close to baseas possible. Hobbies includebowling and lifting weights.

The Examiner -- June 2016 -- 7

The Robert E. Bush Naval Hospital Color Guard, led by Hospital Corpsman Second Class SerritaColeman (second from left), marched in the 66th annual Yucca Valley Grubstake Days Parade May 28.Hospitalman Michael Deleon (far left), HM3 Donald Williams and HN Richard Cracium (far right) rep-resented the Naval Hospital as they spent Saturday morning marching from Kickapoo Ave. to Sage Ave.Parade watchers shouted “Go Navy!” and stood at attention as the nation’s colors passed by.

Finding better ways to help menand women quit smoking isimportant for everyone’s health.More than 16 million Americanshave diseases caused by smok-ing. It’s the leading cause ofpreventable death in the U.S.

Scientists have found sex influ-ences autoimmune disorders aswell. About 80 percent of thoseaffected are women. Butautoimmune conditions in menare often more severe. Forinstance, more women than menget multiple sclerosis (MS), adisease in which the body’simmune system attacks thebrain and spinal cord. But menseem more likely to get a pro-gressive form of MS that gradu-ally worsens and is more chal-lenging to treat.

“Not only are women more sus-ceptible to MS, but women alsohave many more considerationsin the management of the dis-ease, especially since it oftenbegins during child-bearingyears,” says Dr. Ellen Mowry, aspecialist who studies MS atJohns Hopkins University.

Reprinted from NIH News inHealth, May 2016, and editedto fit the available space.

Health Differences in GenderContinued from Page 3

Cmdr. Wendy Stone demonstrates a water purification device atNHTP’s Safety Stand-Down May 26. The Safety Stand-Downreminded Sailors and staff to observe safe practices during the 101days of summer, the period between Memorial Day and Labor Day.Table displays included Health Promotion and Wellness, CleanHands, Motorcycle Safety, Auto Skills, Mental Health, NaturalResources and Environmental Affairs (NREA), Sexual AssaultPrevention and Response, MCCS “That Guy” (Substance abusecounseling), and the Chaplain’s Care Giver Stress Relief Table.

The Robert E. Bush Naval Hospital celebrated Asian American Pacific Islander Heritage Month May 26. Guest Speaker was Lt. Col. FrankMarilao (center), Assistant Chief of Staff for Community Services aboard the Marine Air Ground Combat Center. Lt. Col. Marilao is a U.S.Marine Air Ground Task Force Intelligence officer. He regaled audience members with stories about his filipino father, his career as a U.S.Marine intelligence officer, and his interactions with fellow filipinos throughout his career. Following his remarks, a Thai dance and filipinotinkling dances were performed. The fierce Maori Haka dance was demonstrated via a video featuring professional dancers. Traditional foodswere featured following the dance performances and the benediction. The Chief’s Mess, the First Class Petty Officer Association and variousindividuals contributed to the cost of the Lechon, the traditional filipino roast pig.

8 -- The Examiner -- June-- 2016