Vol. 26 No. 46 www.cnic.navy.mil/bethesda/ November 13, 2014

By Andrew Lopata,Business 2 Community,

Public Affairs

On Nov. 10, 1775, the Con-tinental Congress establishedthe Marines. The corps grewfrom just under 400 enlisted inits first 30 years in existence tonow more than 200,000 enlist-ed men and women. On Nov. 1,1921 Major General Comman-dant John A. Lejeune issuedMarine Order 47 declaring No-vember 10th as a Marine Holi-day and that the order be readaloud that day and each yearthereafter. In part, the orderreads:“This high name of distinc-

tion and soldierly repute wewho are Marines today have re-ceived from those who preced-ed us in the corps. With it wehave also received from themthe eternal spirit which has

animated our corps from gen-eration to generation and hasbeen the distinguishing markof the Marines in every age. Solong as that spirit continues toflourish Marines will be foundequal to every emergency in thefuture as they have been in thepast, and the men of our Nationwill regard us as worthy suc-cessors to the long line of illus-trious men who have served as“Soldiers of the Sea” since thefounding of the Corps.”Celebrations occurred

throughout the weekend alongwith the fabled “Marine CorpsBirthday Ball” that is held an-nually on or about November10 on both a national and locallevel for servicemen and vet-erans (there really are no ex-Marines).Often referred to as the

“First To Fight”, the UnitedStates Marine Corps is the only

branch of the armed servicesthat is forward deployed 24hours a day, seven days a week,and 365 days a year as a com-plete unit capable of sustain-ing war all by itself for abouta month.These Marine units are not

simply on standby but arespread out throughout theworld’s hot spots ready for ac-tion. No other branch can makethis claim. So when a crisiserupts anywhere in the world,the first responders will mostlikely be these units aboardtheir ships.General J. F. Dunford, Com-

mandant of the Marine Corps,issued a birthday greeting tohis troops this weekend and itseems fitting for the world tohear his words as well:“In his birthday greeting 70

years ago, General AlexanderVandegrift, our 18th Comman-

dant noted that, “A Birthdayis a fitting time to peer back-ward — and forward.” Thatyear, Marines reflected on anextraordinary year in combatduring their amphibious driveacross the Pacific. Despite thechallenges and the horrific con-ditions, Marines prevailed atGuam, Saipan, and Peleliu. OnNov. 10, 1944, Marines lookedback with pride on their accom-plishment — confident in theirability to meet future challeng-es.In 2004, 20,000 Marines de-

ployed to Al Anbar Province,Iraq — many Marines cel-ebrated the birthday in placeslike Fallujah, Ramadi, and AlQaim while decisively engagedin combat. That year, Marinesalso responded to crisis in thePacific following a tsunami

Marine Corps Celebrates 239th Birthday With Inspirational Message

USMC Photo by Cpl. Bryce Muhlenberg

Marines celebrating their birthday at Camp Lejeune during a 2008 ceremony.

See MARINES page 9

By NSA BethesdaTransportation

Program ManagementOffice

Naval Support ActivityBethesda and its tenantcommands continuouslywork to improve facilities,conditions and infrastruc-ture on the installationthrough various construc-tion projects.NAVFAC Washington’s

PWD Bethesda will provideconstruction managementoversight for many of theseprojects.Current and future

projects on the base in-clude a 650-space, six-levelparking garage; a coveredwalkway from Bldg. 62(Tranquility Hall) to Bldg.19 (America Bldg.) featur-ing an enclosed, air-con-ditioned bus shelter (lo-cated near Bldg. 60); andMontgomery County willbuild the MD 355 MetroCrossing, constructing twotunnels underneath theroadway to enhance pe-destrian traffic and safety.This project is expected tobegin construction in mid-to-late 2015, and will takeapproximately two yearsto complete.Additional future proj-

ects include numerousutility upgrades around thebase, and window replace-ment in Bldgs. 9 & 10 whichwill begin in a few monthsand take about three yearsto complete.“As we move forward on

these projects, we wouldlike to thank base employ-ees, visitors and residentsfor their patience and un-derstanding,” said NSABTransportation ProgramManager, Ryan Emery. “Ul-timately, these projects willimprove quality of life andworking conditions.”

NSA BethesdaConstruction Update

2 Thursday, November 13, 2014 The Journal

Published by offset every Thurs-day by Comprint Military Publi-cations, 9030 Comprint Court,Gaithersburg, Md. 20877, aprivate firm in no way con-nected with the U.S. Navy,under exclusive written con-tract with Naval Support ActivityBethesda, Md. This commercialenterprise newspaper is an autho-rized publication for members of themilitary services. Contents of The Journalare not necessarily the official views of, norendorsed by, the U.S. Government, theDepartment of Defense, or the Departmentof Navy. The appearance of advertising inthis publication, including inserts or supple-ments, does not constitute endorsement bythe Department of Defense or Comprint,Inc., of the products or services advertised.Everything advertised in this publicationshall be made available for purchase, useor patronage without regard to race, color,

religion, sex, national origin,age, marital status, physicalhandicap, political affiliationor any other non-merit fac-tor of the purchaser, user,or patron. Editorial contentis edited, prepared and pro-vided by the Public AffairsOffice, Naval Support Activ-

ity Bethesda, Md. News copyshould be submitted to the Pub-

lic Affairs Office, Building 17, first floor,across from PSD, by noon one week pre-ceding the desired publication date. Newsitems are welcomed from all installationsources. Inquiries about news copy will beanswered by calling 301-295-1803. Com-mercial advertising should be placed withthe publisher by calling 301-921-2800.Publisher’s advertising offices are locatedat 9030 Comprint Court, Gaithersburg, Md.20877. Classified ads can be placed bycalling 301-670-1700.

Naval Support Activity (NSA) BethesdaCommanding Officer: Capt. David A. BitontiPublic Affairs Officer: Ron InmanPublic Affairs Office: 301-295-1803

Journal StaffStaff Writers MC2Ashante Hammons

MC2 Christopher KruckeSarah MarshallKatrina SkinnerSharon Renee Taylor

Managing Editor MC2BrandonWilliams-ChurchWRNMMC Editor Bernard Little

NSABethesdaFleet And Family Support Center 301-319-4087

Walter Reed National Military Medical CenterOffice of Media Relations 301-295-5727

NSAB Ombudsman

Michelle Herrera 240-370-5421

Sexual Assault Response

Coordinator Hotline 301-442-2053

Visit us on Facebook:Naval Support Activity Bethesda page:

https://www.facebook.com/NSABethesda

Walter Reed National Medical Center page:

http://www.facebook.com/pages/Walter-Reed-

National-Military-Medical-Center/295857217111107

Uniformed Services University of the Health

Sciences page:

http://www.facebook.com/pages/

Uniformed-Services-University-of-the-Health-

Sciences/96338890888?fref=ts

WRNMMC Town HallsTown halls for Walter Reed Bethesda

staff are scheduled for today at 7 a.m., noonand 3:30 p.m. in the Memorial Auditorium.Topics slated to be discussed include theEbola Virus Disease, Joint CommissionMock Survey, the Military Health SystemReview and upcoming construction projects.

NCO Induction CeremonyAn induction ceremony for new non-

commissioned officers at Walter ReedBethesda is tomorrow at 2 p.m. in theMemorial Auditorium. For more informa-tion contact Sgt. 1st Class Wendy Jarvisat wendy.s.jarvis.mil@mail.mil or Staff Sgt.Julian Hodges at Julian.d.hodges.mil@mail.mil.

Staff Talent ShowThe next Walter Reed Bethesda staff

talent show is scheduled for Wednesdayfrom 11:30 a.m. to 12:30 p.m. in the lob-by of the America Bldg. Refreshments willbe served. For more information, contactVivian Murga at 301-295-6516 or at Vivian.murga.ctr@mail.mil, or Donna O’Neill at atdonna.j.oneill9.ctr@mail.mil.

Prostate Cancer Support Group MeetingsThe Prostate Cancer Support Group

meets at Walter Reed National MilitaryMedical Center on the third Thursday of ev-ery month. The next meeting will be Nov. 20from 1 to 2 p.m. and from 6:30 to 7:30 p.m.in the America Building, River ConferenceRoom, 3rd floor. Spouses and partners areinvited. Military ID required for base accessto WRNMMC on Naval Support ActivityBethesda. For those without a military ID,call the Prostate Center at 301-319-2900 atleast four business days prior to event forbase access. For more information, contactretired Col. Jane Hudak at 301-319-2918 orjane.l.hudak.ctr@mail.mil.

Bethesda Notebook

According to Dr. KennethW. Kizer, “world-class healthcare is achieved by goingabove and beyond compli-ance with professional, ac-creditation, and certificationstandards to bring the bestof the art and science of med-icine together in a focusedeffort to meet the physical,mental, social, and spiritualneeds of the patient ... theextraordinary is ordinaryand the exceptional routine.”I fully agree with Dr. Kizer. If the pa-

tient experience is not extraordinary, ev-ery time, we have not met our world-classstandard.We do not always meet our standard. I

welcome criticism from our patients as anopportunity to improve the care we pro-vide. We owe those we are privileged toserve no less.I receive innumerable letters and emails

praising the great care we provide, wherewe have met our standard. Here are somerecent comments from our patients:

“He never minds searching through theschedule to find an appointment (or mul-tiple appointments) to suit my needs, andhe always offers to print an updated sum-mary of my appointments.”

“The entire process … from initial con-sultation, through pre-screening, lab work,the procedure itself, hospital overnight stay,and discharge … was timely, efficient andprofessional. My sincere thanks for a job(on me) well done!”

“I was given the absolute best quality ofmedical care, from the moment I enteredyour ER to the moment I walked out ofWard 3 the following day. Your staff wasprofessional and caring in all respects, andI was treated with the utmost dignity andrespect at all times.”

“The highlight of my experience is thetimely care I received. WRNMMC’s Ortho-pedic Surgeons made their evaluation andrepaired my injury approximately ten days

earlier than my alternative.”“It is one of the best facili-

ties that I have been in formedical care. It is well orga-nized and it has spacious clin-ic areas and patient rooms.”

“My family was kept at easewith meaningful and factualupdates on a routine basis, soas to minimize their concern.”

“The doctors that I havehad the pleasure to meet anddiscuss my medical problems

with have been excellent. They listen to mymedical problems and quickly find the bestsolutions.”

“The nursing staff who oversaw my carewas the tops with shout outs to my primarynurses for both day and night.”

“I could not have been more impressedwith my surgical team pre-operatively andduring my patient stay. Equally impressedwith the fabulous nursing care I receivedfrom everyone starting pre-operatively inAPU to discharge from 4 Center.”

“I will continue to serve proudly know-ing that our soldiers, sailors, and airmenare being cared for by highly experiencedand thoroughly competent doctors, nurses,and staff.”The extraordinary patient experience

must be our standard. If one of us meetsour standard, recommend them for A Cul-ture of Excellence Award.

If one of our patients shares a criticismthank them for the opportunity to improve.Those we are privileged to serve — ServiceMembers and their Families; our Retireesand their Families — deserve no less.Please be as proud of who we are, what

we do, and most importantly, how we do it,as I am to serve with you.As always, THANKS for all you do and

may God Bless!

Brig. Gen. Jeffrey B. Clark, MC, USADirector, Walter Reed NationalMilitary Medical Center

Director’s Column

The Journal Thursday, November 13, 2014 3

NSA Bethesda from the DeckplatesWhy is it important to celebrate Veterans Day?

“Veterans Day is aboutrecognizing those peoplethat defended our rightsand freedoms as Ameri-cans. They made sacrific-es for us to maintain thelifestyles that we have to-day.”

— Master-at-Arms 1st Class(EXW) Mark Collins, SecurityDepartment LPO, Naval Sup-

port Activity Bethesda

“It serves as a good re-minder of our past ac-complishments as a mili-tary. Additionally it al-lows us to refocus ourefforts and attention forfuture militaristic goals.”

— Mareba S. Mack, M. Ed.Education Services Specialist,Navy College, Naval Support

Activity Bethesda

“Veterans Day is aboutcelebrating our troopsand all the hard workthey do. It’s good to havethat one day to recognizethem, but we should cel-ebrate them every day.”

— Herbert Ramirez, NavalSupport Activity Bethesda Wil-liam III Gourmet Coffee Bldg.

17

“It is a day to rememberand to celebrate peoplewho’ve served in ourarmed forces. It is a dayfor those who are notin direct contact withmilitary personnel to sitback and appreciate allthat they’ve given to thiscountry.”

— Julie Riggs, MilitarySpouse and Volunteer Special-ist at USO Warrior and Fam-

ily Center Bethesda

“This day is about re-membering the past andwe should never forget it.If it wasn’t for them, wewouldn’t have the free-dom that we have today.”

— Roy V. Danielson Jr., Na-val Support Activity BethesdaBldg. 62 Front Desk Supervi-

sor, USN retired

By Mass CommunicationSpecialist 2nd Class

(SW/AW/IDW)Ashante N. Hammons,NSAB staff writer

As Americans commemoratethis Veterans Day, they takethe time to thank veteransfor their service. Businessesoffer specials. Cities have pa-rades. Active duty memberstake the time to rememberthose veterans that paved theway for them to serve and tohonor this nation. VeteransDay pays homage to thosethat have served and we say“thank you for your service.” Itis day to reflect on the purposeof service and what it meansto put service before self. Fivebrothers from Waterloo, Iowaproved this loyalty to theircountry.

According to the Naval His-tory and Heritage Command,brothers, Gunner’s Mate 2ndClass George Sullivan, Cox-swain Francis Sullivan, Sea-man 2nd Class Joseph Sulli-van, Seaman 2nd Class Madi-son Sullivan, and Seaman 2ndClass Albert Sullivan, born toThomas and Alleta, from Wa-terloo, Iowa enlisted in theNavy on Jan. 3, 1942. Eventhough the Navy had a poli-

cy stating that family mem-bers should not serve aboardthe same ship or station, thebrothers were allowed to servetogether aboard USS Juneau(CL-52).

On the night of Nov. 13,1942, Japanese submarineI-26 torpedoed the USS Ju-

neau (CL-52) which causedthe ship to explode and sankinstantly according to theNaval History and HeritageCommand website. Many Sail-ors were killed during the ini-tial explosion, including fourof the five Sullivan brothers.One brother, George, survived

the explosion but died severaldays later.

The brothers were survivedby their parents and their sis-ter, Genevieve. Albert Sullivanwas also survived by his wife,Katherine, and their youngson. Their family did not al-low the brothers’ death to be

in vain. Despite their sons’deaths, Thomas and Alleta didtheir part during the war bypromoting war bonds. Theirsister served in Women Avail-able for Volunteer EmergencyService or WAVES.

The Sullivan brothers mem-ory lives on to this day. Sincetheir death, two destroyershave been named in memoryof their service. According tothe Naval History and Heri-tage Command, Fletcher-class-destroyer USS The Sul-livans (DD-537) was commis-sioned in 1943 and sponsoredby their mother, Alleta. TheSullivans was decommissionedin 1965 and serves as a mu-seum at the Buffalo and ErieCounty Naval and MilitaryPark in Buffalo, New York.Arleigh Burke class destroyerUSS The Sullivans (DDG-68)was commissioned in 1997.Seaman 2nd Class Albert Sul-livan’s granddaughter, KellySullivan Loughren, christendthe ship at its commissioningceremony, according to the na-val history website. It is stillin service today. Each destroy-er bears the motto: “We sticktogether.”

Let us remember that westick together for the greatercause of defending our nation.

“We Stick Together”: Service Before Self on Veterans Day

U.S. Naval Historical Center Photograph

The Sullivan brothers on board USS Juneau (CL-52) at the time of her commis-sioning ceremonies at the New York Navy Yard, Feb. 14, 1942. All were lost withthe ship following the Nov. 13,1942 Naval Battle of Guadalcanal. The brothers are(from left to right): Joseph, Francis, Albert, Madison and George Sullivan.

4 Thursday, November 13, 2014 The Journal

By Sarah MarshallWRNMMC Public Affairs

staff writer

Helping to ease the minds ofpatients who are undergoingsurgery, perioperative nursesplay a key role in advocatingfor patients, ensuring theirsafety, and anticipating theirneeds during surgery.

Nov. 10 through 14 is Peri-operative Nurse Week, andWalter Reed Bethesda wantsto educate staff members abouttheir line of work, and unwav-ering efforts, said Cmdr. Su-san Malionek, service chief ofthe Main Operating Room atWalter Reed Bethesda. Thesespecialized nurses assist withpatient care in the preopera-tive, intraoperative and post-operative phases of surgery, sheexplained. She added they alsowork closely with the surgeonsand anesthesiologists, as wellas medical-surgical nurses, andsurgical technicians.

Currently, there are about47 perioperative nurses at themedical center – military andcivilian – working alongside 74surgical technicians, Malionek

said. On average, perioperativenurses care for about 200 to250 patients per week, includ-ing scheduled surgeries andemergencies, she added.

“It’s fast-paced, and that’sone of the best parts about it.Every day is different,” Ma-lionek said.

They assist with variousforms of surgery – one day itmay be cardiothoracic, or or-thopedic surgery. The next itmay be ENT (ear, nose andthroat), obstetrics/gynecologi-cal surgery, or plastic surgery,she said.

Perioperative nurses stay

busy in the 24/7 operatingrooms, with their focus on thepatients’ safety and needsthroughout their surgical ex-perience, she continued. Thereare 21 main operating rooms,in addition to several satelliteoperating rooms throughoutthe medical center, she said.

A perioperative nurse atWalter Reed Bethesda forabout eight years, Patty Krzy-wicki explained there is a greatamount of effort that goes intopreparing a patient for surgery,which might involve gettingtheir lab work completed, andany other last-minute testingbefore surgery. Additionally,they are comforting the patientand families, putting theirminds at ease as they mightbe anxious about the surgerythey’re about to undergo, shesaid. While surgery is un-derway, perioperative nursesanticipate what the surgicalteam may need in the room, i.e.tools or equipment. They alsoadvocate for what the patientmay need, as they are unableto speak for themselves underanesthesia. Following surgery,they assist the patient in theirrecovery, she continued.

“You want somebody to bethere who’s going to take thebest care of you,” Krzywickisaid.

Perioperative nurses alsohave a unique one-on-one re-

Observance Celebrates Perioperative Nurses

Photo by Sharon Renee Taylor

Walter Reed Bethesda operating room nurses, who care for more than 200 pa-tients per week, take moment for a photograph before the day’s surgeries beginon Nov. 6. There are nearly 50 nurses who work in the OR at Walter Reed Na-tional Military Medical Center. “It’s fast-paced, and that’s one of the best partsabout it. Every day is different,” said Cmdr. Susan Malionek, service chief of theMain Operating Room at Walter Reed Bethesda.

See NURSES page 10

10432011042853

The Journal Thursday, November 13, 2014 5

By Bernard S. LittleWRNMMC Public Affairs staff writer

The John P. Murtha Cancer Center at Walter ReedNational Military Medical Center (WRNMMC) hostedits Third Annual Lung Cancer Screening AwarenessDay Nov. 5.

November is Lung Cancer Awareness Month, andthe Great American Smoke-Out will also be observedNov. 20.

Navy Capt. Sarah L. Martin, WRNMMC chief ofstaff, said the Lung Cancer Screening Awareness Dayat Walter Reed Bethesda “is truly about the beneficia-ries we serve — our veterans, our active duty, theirfamily members and our retirees. We have a signifi-cant population who are at a much higher risk [forlung cancer] than other populations.” She added themilitary population may be at twice the risk for devel-oping lung cancer than other populations.

“That’s why this initiative [lung cancer screen-ing] is extremely important,” Martin said. She addedteaching prevention is important to discourage ser-vice members and others not to smoke, in addition toidentifying those who are already at high risk for lungcancer.

Screening those at high risk for lung cancer usinglow dose computed tomography (CT) can increase sur-vivability by 20 percent, added Lt. Cmdr. (Dr.) Corey A.Carter, hematologist and medical oncologist and inter-nal medicine chief of thoracic oncology at WRNMMC.He explained that in honor of veterans, WRNMMCand the Murtha Cancer Center, the Department ofDefense’s only Center of Excellence for Cancer Care,launched the Lung Cancer Screening Initiative in No-vember 2012. The multidisciplinary program includesan evaluation to determine if a veteran or beneficiaryis at risk for lung cancer and for those at high risk,enrollment into a screening program that will conductannual low-dose chest CT scans and smoking cessa-tion.

Carter said an estimated 50 percent of Vietnam vet-erans continue to smoke cigarettes, and their chancesfor lung cancer may be increased due to their possibleexposure to other known carcinogens including AgentOrange, radon, asbestos, diesel fuel and other battle-field emissions.

Dr. Arthur Kellerman, dean of the F. Edward He-bert School of Medicine at the Uniformed ServicesUniversity of the Health Sciences, also spoke at theevent, explaining his father was a member of the“greatest generation. Twenty-five years ago, my fatherwas diagnosed with lung cancer. And like many in thegreatest generation, my father [began to] smoke whenhe was in the military.”

The USU medical school dean explained that he be-gan in elementary school to discourage his father fromsmoking. “I won him over when I was in high school,but that was too late.” Kellerman said he knew thenthat he had less than nine months left with “his bestfriend,” his father.

“We’ve come a long way since then,” Kellerman con-tinued. “Every one of you at Walter Reed Bethesda hasmade a difference by encouraging early screening [ofbeneficiaries], getting them in for care, providing op-timum evidence-based treatment and treating everyman, woman and child who you take care of like theyare a member of your family. Thank you all for whatyou do.”

Sheila Ross, senior policy advisor of the Lung Can-cer Alliance, also spoke at the event. A 14-year lungcancer survivor, Ross said it’s an honor to work withstaff at WRNMMC in the battle against lung cancer.

“This is a very critical time for lung cancer,” Rosssaid. She explained while lung cancer remains one ofthe “most lethal” cancers, Walter Reed Bethesda andthe Murtha Cancer Center are “playing a pivotal rolein changing that fact.

“The change is early detection,” Ross continued.“Just as mammograms have done for breast cancer,and colonoscopies for colon cancer, we know now thatCT scans can find lung cancer at its earliest, mosttreatable, even curable stage.”

Former NFL player Chris Draft also shared his per-sonal story regarding lung cancer during the program.He lost his wife to the disease in December 2011. He

Walter Reed Bethesda Hosts Third Annual Lung Cancer Screening Awareness Day

Photo by Bernard S. Little

Former NFL player Chris Draft shares hispersonal story regarding lung cancer duringthe John P. Murtha Cancer Center’s ThirdAnnual Lung Cancer Screening AwarenessDay program on Nov. 5 at Walter ReedBethesda. He lost his wife to lung cancer inDecember 2011, a year after she was diag-nosed with the disease. She was not a smok-er. “We want people to know anyone canget the disease,” Draft said.

See CANCER page 10

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6 Thursday, November 13, 2014 The Journal

By Carolyn MesnakWRNMMC IntegratedHealth and Wellness

Services/InternalMedicine Deptartment

If you want to quit smok-ing or help someone you careabout quit, the Great Ameri-can Smoke-Out (GASO) is agreat time to start. This year’sGASO is Nov. 20, and the In-tegrated Health and WellnessServices/Internal MedicineDepartment at Walter ReedBethesda (WRB) will have in-formation table displays in thelobbies of the America Build-ing (Bldg. 19) and TranquilityHall (Bldg. 62) from 10 a.m. to2 p.m.Tobacco cessation counsel-

ors in the Integrated Healthand Wellness Services/Inter-nal Medicine Department canprovide resources and sup-port to those who want to quitsmoking. Integrated Healthand Wellness offers individ-ual appointments, one-timeclass option each month, oronline program, access to pre-scription medications for ac-tive duty, retirees and familymembers. Civilians and con-tractors can participate in thecessation programs at WRBat no charge, however, pre-scription medications need tobe obtained from their medi-cal provider. To learn aboutthe available services, moreinformation or to make anappointment, call IntegratedHealth and Wellness Services301-295-0105 or 301-295-8773.Cessation tips and tools arealso available online atwww.cancer.org/smokeout; www.ucanquit2.org;www.chewfree.com;www.smokefree.gov; orcall the American Cancer So-ciety at1-800-227-2345.Tobacco use remains the

single largest preventablecause of disease and prema-ture death in the U.S., yet anestimated 45 million Ameri-cans still smoke. Researchshows that most people tryto quit smoking seven to 10times before they succeed, andalmost half of these smokershave tried to quit for at leastone day in the past year. Quit-ting is hard, but you can in-crease your chances of successif you get help. If a relapsehappens, think of it as practicefor the next step to success.Most people know that us-

ing tobacco can cause lungcancer, but few are aware it’s

also a risk factor for many oth-er kinds of cancer, includingcancer of the mouth, voice box(larynx), throat, esophagus,bladder, kidney, pancreas, cer-vix, stomach, and some formsof leukemia. It’s also linked toa number of other health prob-lems, from heart disease andemphysema to stroke.Cigars, pipes, and chewing

and other types of smokelesstobacco all pose serious healthrisks.Depending on how old they

are when they quit, ex-smok-ers can add up to nine or 10more birthdays to their lives.Younger quitters can add moreyears of life, but nearly every-one who quits adds to theirlifespan — and improves theirquality of life. Overall, one-third of cancer deaths couldbe prevented if people avoidedtobacco products.Need more motivation to

quit? It takes just minutes foryour body to start healing af-ter you quit smoking. You canlook forward to better circula-tion and lung function and animproved sense of taste andsmell. You’ll also be savingmoney by not buying packs ofexpensive cigarettes.

Here are some tips tohelp smokers kick thehabit.1. Get ready.• Set a quit date.• Change your environ-

ment. Get rid of all cigarettesand ashtrays in your home,car, and workplace.• Go over your past at-

tempts to quit — think aboutwhat worked and what didn’t.• Once you quit, don’t smoke

again — not even a puff.• Don’t let people smoke in

your home/car2. Get support and encour-

agement.Studies have shown that

you have a better chance of be-ing successful if you have help.• Tell your family, friends

and coworkers that you are go-ing to quit and want their sup-port. Ask them not to smokearound you, and ask themto put their cigarettes out ofsight.• Tell your health care pro-

vider (e.g., doctor, dentist,nurse, pharmacist, psycholo-gist, or smoking counselor)about your decision to quit.• Get individual, group, or

telephone counseling. Pro-grams are often given at localhospitals and health centers.Call Integrated Health andWellness at 301-295-0105 or301-295-8773; ACS 1-800-227-2345 for information aboutprograms in your area.3. Learn new skills and be-

haviors.• Try to distract yourself

from urges to smoke. Talk tosomeone, go for a walk or getbusy with a task.4. Helping a Smoker Quit:

Do’s and Don’tsGeneral Hints for Friends

and Family• Do respect that the quit-

ter is in charge. This is theirlifestyle change and challenge,not yours.• Do ask the person if they

want you to call or visit regu-larly to see how they are do-ing. Let the person know thatit’s okay to call you wheneverthey need to hear encouragingwords.• Do help the quitter get

what they need, such as hardcandy to suck on, straws tochew on, and fresh veggies cutup and chilled.• Do spend time doing

things with the quitter to keeptheir mind off smoking — go tothe movies, take a walk to getpast a craving (what many calla “nicotine fit”), or take a bikeride together.• When you first try to quit,

change your routine. For ex-ample, use a different route towork.• Do something to reduce

your stress — take a hot bath,exercise, or read a book.• Plan to do something en-

joyable every day.• Drink a lot of water and

other fluids.5. Get medication, and use

it correctly.Medications can help you

stop smoking and lessen theurge to smoke. The US Foodand Drug Administrationhas approved the followingmedications to help you quitsmoking, including nicotineinhaler, nicotine nasal spray,nicotine gum, nicotine patchand nicotine lozenges.6. Be prepared for a relapse

or difficult situations.Most relapses occur within

the first three months afterquitting. Don’t be discouragedif you start smoking again. Re-member, most people try sev-eral times before they finallyquit for good. Here are somedifficult situations to watch for:• Alcohol. When you drink

alcohol, it lowers your chancesof success. It’s best to avoiddrinking.• Other smokers. When

you’re around people whosmoke, it can make you wantto smoke. It’s best to avoidthem.• Weight gain. Many smok-

ers gain weight when they quit,usually fewer than 10 pounds.Eat a healthy diet and stayactive. Don’t let weight gaindistract you from your maingoal — quitting smoking. Somesmoking-cessation medicinesmay help delay weight gain.• Bad mood or depression.

There are a lot of ways to im-prove your mood other thansmoking (take a walk or watcha funny movie).• Do help the quitter with

a few chores, some child care,

cooking — whatever will helplighten the stress of quitting.• Do celebrate along the

way. Quitting smoking is a bigdeal!• Don’t take the quitter’s

grumpiness personally dur-ing their nicotine withdrawal.The symptoms usually pass inabout two weeks.• Don’t offer advice. Just

ask how you can help with theplan or program they are us-ing.If Your Smoker “Slips”• Don’t assume that they

will start back smoking likebefore. A “slip” (taking a puffor smoking a cigarette or two)is pretty common when a per-son is quitting.• Do remind the quitter how

long they went without a ciga-rette before the slip.• Do help the quitter re-

member all the reasons theywanted to quit, and to forgetabout the slip as soon as pos-sible.• Don’t scold, nag, or make

the quitter feel guilty. Be surethe quitter knows you careabout them, regardless ofwhether they smoke or not.

If Your SmokerRelapses• Don’t give up your efforts

to encourage and support yourloved one. If the person youcare about fails to quit:• Do praise them for try-

ing to quit and for whateverlength of time (days, weeks, ormonths) of not smoking.• Do encourage them to try

again. Don’t say, “If you tryagain ... ” Say, “When you tryagain ... ” Studies show thatmost people who don’t succeedin quitting are ready to tryagain in the near future.• Do encourage them to

learn from the attempt. Thingsa person learns from a failedattempt to quit may help thembe successful in a future at-tempt. It takes time and skillsto learn to be a nonsmoker.• Do say, “It’s normal to

not succeed the first time youtry to quit. Most people un-derstand this and know thatthey have to try to quit again.You didn’t smoke for twowhole weeks this time. Yougot through the worst part.Now you know you can do thatmuch. Now that you knowyou can get through the worstpart, you can get even furthernext time.”

Great American Smoke-Out Set for Nov. 20Walter Reed Bethesda Offers Resources to Help Smokers Kick the Habit

Photo illustration courtesy of the American Cancer Society

The Journal Thursday, November 13, 2014 7

By Sharon Renee TaylorWRNMMC Public Affairs

staff writer

Six Sailors and five Soldiersgraduated as the 2013-2014Clinical Psychology Intern-ship Class at Walter ReedBethesda’s Memorial Audito-rium, Oct. 24. The eleven newmilitary psychologists studiedassessment, cognitive behaviortherapy, neuropsychology andmore during a 12-month com-prehensive program that alsoprepared them as first-timemilitary officers.“Graduates, you have joined

an elite club — that of militarypsychologists,” keynote speak-er retired Army Col. DebraDunivin, a clinical psycholo-gist heralded as one of thefirst prescribing psychologistsin the U.S., told the interns.According to the psycholo-gist emeritus at Walter ReedBethesda, there are less than600 uniformed psychologists inthe U.S., which includes Army,Navy, Air Force as well as theU.S. Public Health Service.Three of the new gradu-

ates, all Soldiers, will remain

at Walter Reed Bethesda tobegin an Army post-doctoralresidency with clinical work atFort Meade, Md., Fort Belvoir,Va., and Fort Drum, N.Y., as

well as a rotation in ForensicPsychology. Their fellow grad-uates will go on to their firstassignments as clinical psy-chologists at Naval Hospital

Guam; Naval Medical CenterPortsmouth, Va.; Naval Hos-pital Jacksonville, Fl.; NavyHealth Clinic Cherry PointMarine Corps Air Station,

N.C.; and Naval Hospital Oki-nawa, Japan.“They come in with eyes

Clinical Psychology Internship Graduates 11 Service MembersOfficers Complete Year-Long Comprehensive Behavioral Health Program

Photo by Mass Communication Specialist 2nd Class Christopher Krucke

Six Sailors and five Soldiers graduated as the 2013-2014 Clinical Psychology Internship Class at Walter ReedBethesda’s Memorial Auditorium, Oct. 24. The eleven new military psychologists studied assessment, cog-nitive behavior therapy, neuropsychology and more during a 12-month comprehensive program that alsoprepared them as first-time military officers.

See PSYCHOLOGY page 9

By Mass CommunicationSpecialist 2nd Class(AW) Chris Krucke

WRNMMC Public Affairsstaff writer

The Walter Reed BethesdaMulticultural Committee pre-sented pianist Paul Ruskinas part of its observance rec-ognizing National Disabil-ity Employment AwarenessMonth (NDEAM) on Oct. 27 inthe America Building.National Disability Employ-

ment Awareness Month (NDE-AM) is a national campaignthat raises awareness aboutdisability employment issuesand celebrates the many andvaried contributions of Ameri-ca’s workers with disabilities.This year’s theme for the ob-servance is “Expect. Employ.Empower.”The NDEAM observance

can trace its roots back to1945, when Congress declaredthe first week in October ofeach year “National Employthe Physically HandicappedWeek.” In 1962, the word

“physically” was removed,and in 1988, Congress ex-panded the week to a monthand changed the name to “Na-tional Disability EmploymentAwareness Month.”In his proclamation for this

year’s observance, PresidentBarack Obama stated, “Ameri-cans with disabilities leadthriving businesses, teach ourchildren, and serve our Na-tion; they are innovators andpioneers of technology. In ur-ban centers and rural com-munities, they carry forwardour Nation’s legacy of hardwork, responsibility, and sac-rifice, and their contributionsstrengthen our economy and... “remind us that all Ameri-cans deserve the opportunityto participate fully in society.”The president added, “we

celebrate the Americans liv-ing with disabilities, includ-ing significant disabilities,who enrich our country, andwe reaffirm the simple truththat each of us has somethingto give to the American story.”To help celebrate Walter

Reed Bethesda’s observanceof NDEAM, Ruskin, a veter-an performer at WRB event,played a number of tuneson the piano. In addition toevents at WRB, he has per-formed with the U.S. ArmyJazz Trio and the U.S. ArmyBand “Down Range.”Although he hasn’t served

in the military, Ruskin ex-plained he has personal tieswith WRB and the WoundedWarriors cared for here. Hismiddle daughter has sky divedwith the U.S. Army GoldenKnights parachute team, andhis oldest daughter is a regis-tered physical therapist whointerned at the former Nation-al Naval Medical Center.He added that after his wife

passed a few years ago, neigh-bors of his “sort of adopted[him] into their family.”One of them was in the

Army and he brought Ruskinto WRB on an errand. Ruskinnoticed the piano in the Amer-ica Building lobby. He got per-

Obama Declares National Disability Employment Awareness Month

Photo by Mass Communication Specialist 2nd Class Christopher Krucke

Paul Ruskin, a veteran performer who has played withthe U.S. Army Jazz Trio and the U.S. Army Band“Down Range,” plays the piano during the WalterReed Bethesda Multicultural Committee’s NationalDisability Employment Awareness Month (NDEAM)celebration in the Walter Reed Bethesda’s AmericaBuilding on Oct. 27. NDEAM raises awareness aboutdisability employment issues and the varied contribu-tions of America’s workers with disabilities. See DISABILITY page 8

8 Thursday, November 13, 2014 The Journal

mission to play it, and “it seemed towork pretty good with the patients,”he said.His neighbor’s wife at the time was

a Navy lieutenant and part of the Wal-ter Reed Bethesda Multicultural Com-mittee. She asked Ruskin to come andplay again, which he has several times.“Music has great healing power,”

said Ruskin, who has also been amusic teacher. “I wanted to become amusic therapist, but in order to takethat course of study I would not haveearned enough money to support [my-self], so that did not happen. But bycoming here, I am extending some ofthe features of music therapy.”Ruskin has had offers to play at

other venues, but he said, “This place[WRB] really is special to me. I mightturn down the chance to play some-where else, but not here.”

Hospital Corpsman (HM) 2nd ClassBuddhika Abeyratne, president of theWalter Reed Bethesda MulticulturalCommittee, said that the committee“enhances the culture of others, andthat the disabled may not have a geo-graphical region, but they are part ofour society and should be honored aspart of our culture.”On Nov. 25 at 11:30 in the America

Building, first floor lobby, piano area,the committee will host its “NativeAmerican Indian Heritage Month” ob-servance with Native American danc-ers and singers.Anyone interested in joining the

Walter Reed Bethesda MulticulturalCommittee can attend any of theirweekly meetings on Thursdays at 11a.m. in Building 5, second deck in theCVD class room.For more information, contact HM2

Buddhika Abeyratne at 301-295-4265.For more information about Nation-

al Disability Employment AwarenessMonth, visit the United States Depart-ment of Labor’s website at www.DOL.gov.

DISABILITYContinued from pg. 7

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The Journal Thursday, November 13, 2014 9

wide open, they know the range ofthings [that] they’ll do — deploymentin difficult, arduous places — and yetthey choose to come in. That to me isa hallmark of this next generationof psychologists,” said Navy Capt.Richard D. Bergthold, Navy ClinicalPsychology Program Director, who re-called when he was intern at the for-mer National Naval Medical Center22 years ago in 1993.According to the clinical psycholo-

gist, there have been lots of changesto the internship program since then.“They know what they’re getting

into, they’re excited about their op-portunities and they’re uniquelytrained to meet remarkable challeng-es they just wouldn’t be able to do ifthey were trained in civilian kind oftraining programs as civilian psychol-ogists. This is the reason why we be-come [military] psychologists I think,because of all we get to do,” Bergtholdexplained.He said it’s important to point out

that although the Army and Navyeach have their own accredited train-ing program and traditions, the in-terns are learning as psychologists,side-by-side — a unique aspect to thepsychology training program at Wal-ter Reed Bethesda.

“I wondered how these two pro-grams were going to gel together andI was really surprised how well thesetwo classes got along,” confessed NavyLt. Rhondie Tait. The new Sailorgraduated with her Army cohorts dur-ing the Oct. 24 ceremony. “It was justone class instead of Army or Navy,”she said. Tait will serve as a staff psy-chologist at her first duty station: Na-val Hospital Yokosuka, Japan.“Our Navy Psychology interns are

graduating today knowing as muchabout Army regulations and Armymental health as their Army counter-parts, and vice versa. And so they areuniquely prepared for missions thatthey’re definitely going to experiencein the future, in joint environments,”Bergthold added.“They’ll all make great leaders in

very different ways,” said Army Maj.Jessica Parker, a clinical psycholo-gist and Bergthold’s Army trainingcolleague who directed preparationof the five Soldiers who completedthe 2013-2014 internship program.“There are so few who have achievedso much as these graduates of themilitary psychology internship pro-gram. They are truly exceptional toserve the Department of Defense asuniformed psychologists.”Parker described this year’s gradu-

ating class: thoughtful, motivated,with strength and the ability to bal-ance along with gifts and talents sodistinct. She called the 12-month,

comprehensive training program theycompleted, “intense.”“We [have] to pick the right person,”

Parker said, to learn solid competen-cies as a clinical psychologist and atthe same time become a service mem-ber as well as a military leader.Most enter the program brand new

to the military; they must learn boththe culture and customer, accord-ing to the Army training director. Inthe end, 11 individuals emerge fullyqualified as officers and clinical psy-chologists, confident that they can goout and do whatever they need to do,Parker added.Army Capt. Megan M. McGinty

worked 10 years counseling families,married couples and service membersas a civilian licensed clinical profes-sional counselor before she donned auniform herself to become a militaryclinical psychologist and learn moreabout research. Her internship atWalter Reed Bethesda provided herthe opportunity to work in researchat the National Intrepid Center of Ex-cellence.She said it’s an honor and privilege

to treat the military. “It’s very hum-bling, working with those that serveour country,” McGinty explained. TheSoldier will remain at Bethesda withtwo others for an additional year inthe 2014-2015 residency program atWalter Reed.

PSYCHOLOGYContinued from pg. 7

which claimed the lives of more than200,000 people. On Nov. 10, 2004, Ma-rines looked back with pride on theiraccomplishments — confident in theirability to meet future challenges.As we celebrate our 239th birthday,

Marines are in combat in Afghanistan.Since we last gathered to celebrate ourCorps’ birthday, we also responded tocrises in the Philippines, South Sudan,Libya, and Iraq.Some things change. This year found

us in different climes and places thatour predecessors in 1944 and 2004. Wehave adapted our organization, train-ing, and equipment to the ever-changingoperating environment. Some things re-main the same. Marines attacked thisyear’s challenges with the same cour-age, commitment, loyalty, self-sacrifice,and adaptability as their predecessorsin Peleliu and Fallujah. For that reason,on Nov. 10, we Marines can look backwith pride on our accomplishments-confident in our ability to meet futurechallenges.Thanks for who you are and what

you do. Happy Birthday Marines.

Semper Fidelis, J. F. Dunford, Jr.General, U.S. Marine CorpsCommandant of the Marine Corps

MARINESContinued from pg. 1

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Seating is limited - So ACT NOW!RSVP: Call 1-800-296-2651 ext. 2220

10 Thursday, November 13, 2014 The Journal

lationship with the patient and theirfamilies, as well as a remarkable teameffort between each surgical teammember, Krzywicki continued. Ev-eryone works together to ensure thepatient’s safety, she added.

“We are here to make sure the pa-tient’s journey to surgery is a safe andpleasant one,” said Navy Lt. MarisolArmora.

A perioperative nurse at WalterReed Bethesda for more than twoyears, Armora added it is not easy towork in the operating room, and ittakes a strong person to do the job.It also takes passion, and there is noshortage of that among the periopera-tive nurses at Walter Reed Bethesda,she said.

It’s their duty to ensure patientsunderstand the procedure, the risksand benefits, and they ensure theirquestions are answered, Armora add-ed. They also explain what to expect inthe operating room, and in their recov-ery, she said.

That is what Armora said she en-joys most about the profession: helpingthe patient. While he or she might notremember their perioperative nurseduring a surgical experience, she saidshe can guarantee the perioperative

nurses are passion about each patient.In addition to seeing positive out-

comes, Gracy Premraj, a perioperativenurse at Walter Reed Bethesda since2008, said she also enjoys the teamwork.

“From the highest rank to the low-est, there is no separation. We are oneteam,” Premraj said. “For me, I lovewhat I do.”

Navy Lt. Amber Neal, a periopera-tive nurse at Walter Reed Bethesdafor over a year, shared the same sen-timent. “It takes everyone to do theirpart, to make sure the patient is safe,”she said.

Neal said she never imagined her-self as a nurse in the operating room,until she was on a deployment, andhad the opportunity to see what thejob entailed. She now thoroughly en-joys the team work, and helping pa-tients, she said.

“We are their voice,” she said. “Wetruly try to advocate for our patients.We try to anticipate all the needs ofthe patient.”

Hospitalman John Brewer, a leadtechnician on the cardiothoracic team,who works alongside perioperativenurses, expressed his appreciationfor their tireless efforts. He explainedthey are “behind the scenes,” and it’simportant to recognize their vital role.

“They’re the mediators,” he said.“They keep everything together.”

NURSESContinued from pg. 4

explained his wife, Keasha, was not asmoker and lived a healthy lifestyle,was diagnosed with Stage IV lung can-cer in December 2010 at the age of 38.He said during the year after she wasdiagnosed and before she passed, shevaliantly battled the disease.

“We want people to know anyone canget cancer,” Draft said, adding “the ulti-mate goal is survivorship” and that CTscreening is saving lives.

More than 400 Americans die fromlung cancer every day, according toAmerican Cancer Society (ACS) offi-cials. Lung cancer causes more deathsthan the next three most commoncancers combined (colon, breast andpancreatic), and an estimated 159,260Americans are expected to die fromlung cancer in 2014, accounting for ap-proximately 27 percent of all cancerdeaths, the ACS also reports.

The Centers for Disease Control andPrevention (CDC) states lung cancer isthe leading cancer killer in both menand women in the United States, and in1987, it surpassed breast cancer to be-

come the leading cause of cancer deathsin women.

According to the CDC, not everyonehas the same symptoms for lung cancer,but some of the most common signs forthe disease include:

- Shortness of breath- Coughing that doesn’t go away- Wheezing- Coughing up blood- Chest pain- Repeated respiratory infections

such as bronchitis or pneumoniaThe CDC also reports people can re-

duce their risk of developing lung can-cer in several ways, including the fol-lowing:

- Don’t smoke. If you do smoke, quitnow

- Avoid secondhand smoke- Have your home tested for radon

and take corrective actions if high lev-els are found

- Follow health and safety guidelinesin the workplace when working withtoxic materials.

- Avoid diesel exhaust and otherharmful air pollutants.

To participate in the lung cancerscreening at WRNMMC, beneficiariescan call 301-295-4191.

CANCERContinued from pg. 5

For more news from other bases around the Washington, D.C. area,

visit www.dcmilitary.com.

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