Vol. 24 No. 19 www.bethesda.med.navy.mil May 10, 2012

By Mass Communication SpecialistJohn Hamilton

NSAB Public Affairs staff writer

According to the Federal Highway Adminis-tration, each year pedestrian fatalities compriseabout 12 percent of all traffic fatalities and thereare approximately 4,000 pedestrian deaths. An-other 59,000 pedestrians are injured in roadwaycrashes annually.

Because pedestrian safety is a big concern atNaval Support Activity Bethesda (NSAB), newmeasures have been put into place to secure thesafety of people walking to and from work.

"The base has placed new pedestrian cross-walks that have lights to notify drivers if thereis a pedestrian who is in the crosswalk or isabout to walk," said Master-at-Arms 3rd ClassJacob Campbell, with the NSAB security office."There are a lot of people that walk around here,so you have to be careful."

It cannot be stressed enough to be carefulwhile driving on and around the installation.

"Drive [cautiously and defensively] and stopat all the stop signs, because every stop sign hasa crosswalk. You have to make sure nobody iswalking or wants to walk across, and make sure

to yield to pedestrians," said Campbell. In earlythe mornings before sunrise, when most pedes-trians are walking around base, you need tokeep an especially watchful eye, said Campbell.

"A lot of people are in a hurry in the mornings,so it can get pretty hectic in the crosswalk. Becareful and make sure you are aware of yoursurroundings. There are a lot of entrances wherecars can come out of nowhere- especially if thereare blind spots in that area where they can't seepeople walking across, or cars are blocking cer-tain views."

Think safety first while driving and walkingaround the campus. Not doing so could lead tostiff fines or penalties.

"There are laws if you don't yield to a pedes-trian," said Campbell. "You could receive a cita-tion if it's witnessed, or if someone complainsabout a certain crosswalk, we will sit in thatarea to make sure pedestrians are treated theway they are suppose to be treated."

The NSAB security force is in place to help en-sure safety on base, however it is ultimately upto pedestrians and drivers to adhere to the traf-fic signs and obey safety rules.

Look Both Ways Before You Cross

Photo by Mass Communication Specialist 2nd Class John Hamilton

Pedestrians are encouraged to use the cross-walk to safely cross from one side of thestreet to the other to enter the hospital onboard Naval Support Activity Bethesda.

By Helen HocknellNSAB Public Affairs staff writer

As the Navy-Marine Corps Relief Society(NMCRS) fundraising drive winds down at theend of May, organizers are ensuring everyonehas been contacted and has the opportunity tocontribute.

Sponsored by the Department of the Navy,NMCRS was founded in 1904 and is a privatenonprofit charitable organization with approxi-mately 250 offices afloat and ashore at NavyMarine Corps bases throughout the world. Theirmission is to provide financial, educational, andother assistance to active-duty Sailors andMarines, their family members and survivorswhen in need.

Gillian Connon, director of NMCRS at NavalSupport Activity Bethesda (NSAB), said theirmain goal during this year's fund drive is toachieve 100 percent contact with everyone atthe installation. This also helps to get the wordout about the services that the NMCRS offers,while letting people know they are there forthose who need it, she said.

"Everyone needs a little help now and then,but if you haven't used us, it's hard to walkthrough the doors and ask for help, and mostpeople don't want to talk about it after theywalk out the door," explained Connon, who em-phasized that all requests for assistance arekept strictly confidential.

Often, the NMCRS can relieve the extra bur-den of financial stress during what may alreadybe a stressful situation for service members.

"As a commander, I see firsthand the pro-found impact a financial emergency can have ona service member's life," said NSAB Command-er Capt. Frederick Kass. "Often the financialemergency is an additional burden to someonealready facing a difficult situation or familytragedy."

Master-At-Arms 1st Class Mark L. Collins,base coordinator for the NMCRS fund drive,said he'd been a longtime volunteer with NM-CRS when he needed their help in 2009. Collinswas stationed at Naval Air Station Sigonella inSicily, Italy, where there was a waiting list foron-base housing. Living out in the communityrequired spending thousands of dollars on first

and last month's rent. NMCRS provided himwith a no-interest loan he was able to pay offwithin 90 days, after he received his OverseasHousing Allowance.

In 2011, NMCRS distributed more than$400,000 in aid at NSAB, $43,000 of which wasgrant money. Globally, aid by NMCRS was near-ly $50 million, according to NMCRS officials. Asof Monday, NMCRS has received $9,200 in do-nations. During last year's fundraising drive,they collected roughly $22,000, according toConnon.

People can donate either by giving a one-timeamount or by having a small amount withheldfrom their pay each month.

"Even a small contribution - just $10 a month,which is less than a lot of us spend on coffeeeach week - can make the difference between adifficult situation and an impossible one for oneof your shipmates," said Kass.

For more information about NMCRS or to do-nate, contact Master-at-Arms 1st Class Mark L.Collins at (301) 295-4196 or by e-mail atmark.collins@med.navy.mil.

Navy-Marine Corps Relief Society Wraps Up Annual Fund Drive

2 Thursday, May 10, 2012 The Journal

Published by offset every Thurs-day by Comprint Military Publica-tions, 9030 Comprint Court,Gaithersburg, Md. 20877, a pri-vate firm in no way connectedwith the U.S. Navy, under exclu-sive written contract with theWalter Reed National MilitaryMedical Center, Bethesda, Md. Thiscommercial enterprise newspaper is anauthorized publication for members of the mil-itary services. Contents of The Journal are notnecessarily the official views of, nor endorsedby, the U.S. Government, the Department ofDefense, or the Department of Navy. The ap-pearance of advertising in this publication, in-cluding inserts or supplements, does not con-stitute endorsement by the Department of De-fense or Comprint, Inc., of the products orservices advertised. Everything advertised inthis publication shall be made available forpurchase, use or patronage without regard to

race, color, religion, sex, nationalorigin, age, marital status, phys-ical handicap, political affiliation,or any other non-merit factor ofthe purchaser, user, or patron.Editorial content is edited, pre-pared and provided by the

Public Affairs Office, WalterReed National Military Medical

Center, Bethesda, Md. News copyshould be submitted to the Public Affairs Of-fice, Bldg. 1, 11th Floor, by noon one weekpreceding the desired publication date.News items are welcomed from all WRN-MMC complex sources. Inquiries aboutnews copy will be answered by calling (301)295-5727. Commercial advertising shouldbe placed with the publisher by telephoning(301) 921-2800. Publisher’s advertising of-fices are located at 9030 Comprint Court,Gaithersburg, Md. 20877. Classified adscan be placed by calling (301) 670-2505.

Naval Support Activity (NSA) Bethesda

Commanding Officer: Capt. Frederick (Fritz) Kass

Public Affairs Officer NSAB: Joseph MacriPublic Affairs Office NSAB: (301) 295-1803

Journal StaffStaff Writers MC2 John Hamilton

MCSN Dion DawsonSarah MarshallSharon Renee TaylorCat DeBinderKatie BradleyHelen Hocknell

Managing Editor MC1 Ardelle Purcell

Editors MC3 Nathan PardeBernard Little

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

Fleet And Family Support Center (301) 319-4087

Family Ombudsman (443) 854-5167(410) 800-3787(240) 468-6386

Visit us on Facebook:Naval Support Activity Bethesda page:https://www.facebook.com/NSABethesda

Walter Reed National Medical Center page:http://www.facebook.com/pages/Walter-Reed-National-Military-Medical-Center/295857217111107

Asian Pacific American Heritage ObservanceAll are invited to the Asian Pacific American Heritage

Month observance today from 11:30 a.m. to 12:30 p.m. inthe America Building atrium (piano area). The event, spon-sored by the Bethesda Multicultural Committee, will in-clude dancers, singers and free traditional Asian food. Formore information, contact Sgt. 1st Class Jason Zielske at(301) 400-2847.

Family Advocacy Bi-annual TrainingFamily Advocacy will provide bi-annual training for key

personnel on Monday from either 9 to 11 a.m. or 1 to 3 p.m.in Clark Auditorium. Key personnel include Case ReviewCommittee members and Family Advocacy Points ofContact Commanding Officers, Executive Officers, Officers-in-Charge, Command Master Chiefs, Senior EnlistedAdvisors and FAP representatives. It is recommended thatDepartment Heads, Ombudsmen and military personnel E-7 and above attend this training. You must register in ad-vance. To register, call Fleet and Family Support at (301)319-4087.

Bike to Work DayStaff at Naval Support Activity Bethesda (NSAB) are

encouraged to participate in the annual "Bike to WorkDay" May 18. Light refreshments will be available at theNSAB pit stop, located at the South Gate entrance acrossfrom the Metro from 6 to 10 a.m. To pre-register for theevent, go to www.biketoworkmetrodc.org, or call 1-800-745-7433. Those who pre-register by tomorrow will receive afree "Bike to Work" T-shirt. The NSAB point of contact isJack Jackson, MWR intramural sports coordinator, (301)295-0031.

Performance and Resilience Enhancement WorkshopA Performance and Resilience Enhancement Workshop will

be held May 24, from 8 a.m. to 4 p.m., to help all staff andhealth care providers reach their potential, as well as lowerstress and compassion fatigue. The workshop, open to all mil-itary and civilians, is in Building 5, Rm. 4028. It's part of theComprehensive Soldier Fitness program, designed to buildand strengthen confidence, goal setting, attention control, en-ergy management and integrate imagery. To reserve a seat,contact Danielle Miller at either (571) 231-5262, orDanielle.n.miller.ctr@health.mil.

Bethesda NotebookBethesda NotebookCommander's ColumnSuicide is serious and its im-

pact can be felt by many at anygiven time. Here, at WalterReed- Bethesda we do not takeit lightly. We continue to fosteran environment where psycho-logical health is valued.

In our commitment to build-ing and maintaining a resilientjoint force, our goal is to ensureall Service members have accessto a support network, healthcare and the skills to getthrough trying times.

We are also deeply committedto every civilian and contractorbecause we know that we are afamily and everyone matters.

We offer services such as theEmployee Assistance Programto ensure no one’s needs areoverlooked.

Leadership, Service membersand family form the front linesin suicide prevention. Suicideprevention is most effectivewhen it starts at the local level,with active leadership knowingand understanding their peoplewell enough to recognize when itis time to intervene. I urge youto encourage those who are apart of your team to seek out as-sistance early . . . everyone ben-efits.

Peer to peer intervention isalso possible as you work to-gether on a day-to-day basis,which allows you to recognizewhen something is wrong andit’s time take action.

Families also play a very im-portant role in the prevention,as they know their loved onesbetter than anyone and are withthem when they may feel lessdefensive.

Please don’t underestimatethe positive effect of taking time

to care for someone in need.When folks feel like they are ina caring environment and whatthey do truly matters, a sense ofcommunity results where wecan be open and supportive.There are many instances whenan act of appreciation or under-standing has helped someonewho was considering suicidefind the confidence to ask forhelp or discover hope .

As we continue through thespring, the season of renewal, Iask you to be mindful of thosearound you and who are in yourcare to ensure that you are notleft asking “is there somethingmore I could have done.”

For more information on sui-cide prevention please contactour Behavioral Health Clinic at301-295-0500 or the NationalSuicide Prevention Lifeline at 1-800-273-TALK. Additional re-sources can be found at www.militaryonesource.mil.

Commander Sends,Rear Adm. Alton L. StocksMC, USNWalter Reed NationalMilitary Medical Center

The Journal Thursday, May 10, 2012 3Thursday, May 10, 2012 3Thursday, May 10, 2012 3

By Sarah MarshallJournal staff writer

Dr. William DeVries made histo-ry nearly 20 years ago when he be-came the first surgeon, authorizedby the FDA, to implant an artificialheart into a human. After dedicat-ing much of his career to givingothers a chance at life, he continuesto make an impact on the medicalcommunity, mentoring medical stu-dents at Walter Reed Bethesda.

DeVries, born at the BostonNavy Yard and raised in Utah, wasan Eagle Scout, who loved sports,mechanics and working with hishands, and knew one day he want-ed to be a surgeon. Growing upwith nine other siblings, he said hewas fortunate to get into medicalschool at the University of Utah onan athletic scholarship. During hisfirst year, he was walking throughthe hallway when he overheard alecture about artificial kidneys andhearts.

"I was just totally sucked in," hesaid. He stopped to listen to Dr.Willem Kolff, a Netherlands-bornbiomedical engineer, who built thefirst artificial kidney, which laterevolved into dialysis machines. Af-ter Kolff's lecture, DeVries ap-proached him and said he'd like towork with him. Kolff asked for De-Vries' name, and upon hearing theyoung student also had a Dutchname, Kolff said, "Of course youcan work with me."

"That was just pure serendipity,"DeVries explained. Kolff later wentto work at the Cleveland ClinicFoundation in Salt Lake City. De-Vries remained in Kolff's lab,where he prepared the engineer'sresearch papers and followed arti-ficial heart testing in calves.

"My job at night would be to sitwith the calves who had the artifi-

cial heart," DeVries said. "I wasjust a true believer," he said, of theartificial heart and its capabilities.It was then, working for Kolff, hedecided he wanted to become aheart surgeon.

In 1966, DeVries began his resi-dency at Duke University. Aftercompleting his residency almost adecade later, he returned to work atthe Utah University's medical cen-ter, where he implemented a heartsurgery program. At the time, De-Vries said he was sure he would re-turn to find the artificial heart suc-

cessfully used in humans. Althoughthere had been significant progresswith the heart.

"Nobody was ready to take thestep from animals to people," hesaid. "In the back of my mind, Icouldn't really understand why weweren't [implanting it in] humans."

He then went to work with Dr.Robert Jarvik to help design thefirst successful artificial heart, theJarvik-7, which replaced the hu-man heart's ventricles. The pump-ing action of the artificial heartfrom an electrical unit outside anindividual's body, which came fromcompressed air, DeVries explained.

"At that particular time, a newinstitution was coming on, the FDA(U.S. Food & Drug Administration),[and] the FDA wanted to regulatethis," he said.

Moving MountainsThis process was a challenge. He

had to prove to the administrationthe experimental heart could sur-vive in high altitudes, in case a pa-tient needed to be airlifted. Hesaid, "We had to put a calf [with theheart] on a plane."

DeVries also needed authoriza-tion from an Institutional ReviewBoard, and had to create a 25-pagepatient consent form, then identifysuitable patients - those who werenear death and ineligible for aheart transplant.

"We had to actually sign the pa-tient up, wait for a day, and then re-sign the patient up," he said.

When it came to seeking funds,many people told him his ideaswere outlandish, he said. "I didn'tthink I was going to make it." Butat the age of 35, he said, he was anidealist, and so he persevered, fol-lowing the federal regulations. "Ibelieved in. I knew it was going towork. I had dotted all my I's and

crossed all my T's, and so they letme do it and we started looking fora patient."

The candidate had to be too sickfor a heart transplant, and neededto have their family's support. Ad-ditionally, the patient needed to bea man, as the experimental heartwas too large for a woman. Therewas just one size at the time, De-Vries added.

"Barney Clark was a dentist whohad gone into congestive heart fail-ure. He was 62 years old," DeVriessaid. Clark volunteered for the ar-tificial heart because he wanted togive back to others, in hopes ofmaking a contribution to medicalscience.

Many skeptics believed Clarkwouldn't come out of the surgery, orlive more than a few days; however,Clark went on to live another 112days. Though it was deemed suc-cessful, some new concerns came tolight: if a patient's body dies, butthe artificial heart's still beating,how and when is the time of deathdetermined? Thus, brain deathtime came into play.

"Those were things that had nev-er been discussed before. It was allbrand new," he said.

As DeVries went on to implantthe artificial heart in other pa-tients, the news grabbed theworld's attention. In 1984, DeVriesmade the cover of Time magazine -an achievement he never expected,but found extremely rewarding."People looked at the heart as theseed to the soul, a sign of love. Ithad taken hold of the public."

The patent for the Jarvik-7 waslater sold in the early 1990s, andthen again to another private com-pany, he explained. As of Feb. 10,2012, the heart had been implanted

Artificial Heart Surgeon Mentors at Walter Reed Bethesda

Photo by Sarah Marshall

Dr. William DeVries, academiccoordinator for the Cardiotho-racic Surgery at Walter ReedBethesda, was the first surgeonauthorized by the FDA to im-plant an artificial heart into ahuman nearly 20 years ago. Pic-tured above, he holds a demoof the artificial heart, theJarvik-7, which he also helpeddesign. The artificial heart re-placed the human heart's ven-tricles. Its pumping actioncame from compressed air,from an electrical unit outsidean individual's body.

See HEART page 7

By Cat DeBinderJournal Staff Writer

Leadership at Walter Reed Na-tional Military Medical Center(WRNMMC) is shaping its strate-gic plan to best reflect its missionand continue meeting the needs ofpatients, their families, and staffafter the integration of the formerWalter Reed Army Medical Centerand former National Naval Med-ical Center.

WRNMMC leaders came togetherApril 17-19 for training on effects-based planning being used to fleshout the medical center's strategicplan. "Our strategic plan is theroadmap for the future of Walter

Reed National Military Medical Cen-ter," said Rear Adm. Alton Stocks,WRNMMC commander. "This willdefine who we are and how we willcommit our resources."

Effects-based planning will alsoallow WRNMMC leaders "to useits collective wisdom to [shape] thefuture," Stocks continued."Through the use of effects-basedplanning, everyone in the com-mand will have the opportunity toparticipate in defining our future,"Stocks added.

During the training, Dr. Paul T.Stames, from the Naval PostgraduateSchool, explained effects-based plan-ning to WRNMMC staff. Accordingto Stames, effects-based planning is

a method of clarifying strategic objec-tives and measuring progress towardthe objectives.

"Effects-based planning is think-ing about the impact of what we'redoing and not just doing what we'redoing," Stames said. "The effects-based approach provides a broadframework for planning and execu-tions using elements of strengthsand weaknesses of technical ration-al."

WRNMMC's Organization Devel-opment Practitioner, Ann-Marie Re-gan who coordinated the training,explained, "This strategic planningmethod takes our vision, mission andpillars, [objectives], and defines inclear terms what we choose to

achieve in the next several years asa command."

She added the strategic planningmethod is about understanding de-sired results. "This focused approachserves as a guide for leaders movingfrom planning to action."

Col. Charles Callahan, WRN-MMC deputy commander and chiefof staff, noted the training was justthe beginning of a strategicallystructured sequence of initiatives,including leadership meetings,Board of Deputy Commanders off-sites, and a Strategic Plan Kick Offthat will ultimately lead to a rollout of the WRNMMC strategicplan to the entire organization lat-er this year.

Effects-based Planning to Help Set Roadmap for the Future

4 Thursday, May 10, 2012 The Journal4 Thursday, May 10, 20124 Thursday, May 10, 2012

By Bernard S. LittleJournal staff writer

"Relatively rare," "complex," and"enigmatic" are just a few of theterms used to describe sarcoidosis(SAR-COY-DOE-SIS), and you mayask, what is it?

"Sarcoidosis is an inflammatorydisease of unknown etiology," ex-plained Gail A. Hayes, sarcoidosisclinical navigator at Walter ReedNational Military Medical Center(WRNMMC).

To raise awareness about sar-coidosis, Congress first declaredApril as Sarcoidosis AwarenessMonth in 2008.

"It can affect any organ, [and]some research suggests that virus-es, bacteria or chemicals can triggerthe disease. These triggers are usu-ally harmless in most people, yet itmay cause the immune system todevelop inflammation in patientswith the right genetic disposition."Currently, there is no known curefor the disease.

Hayes added that because peoplewith sarcoidosis have compromisedimmune systems, they are suscepti-ble to other illnesses.

Hayes explained the aim of the ob-servance is not only to raise aware-ness about sarcoidosis, but to also en-courage further research into thedisease. She said sarcoidosis occursin about 10 to 20 people per 100,000and is more common among peopleof African descent than Caucasians."Sarcoidosis usually affects adultsbetween the ages of 20 and 40, and itis more common for women to get [it]than men," she added.

A number of celebrities have suf-fered, some fatally from this dis-ease.

Because sarcoidosis most com-monly affects the lungs, eyes andskin, the search for environmentalcauses has centered on exposure toairborne antigens, such as emis-sions from wood-burning stoves,tree pollen, insecticides and moldyenvironments, according to an arti-cle written by Drs. Michael C. Ian-nuzzi, Benjamin A. Rybicki andAlvin S. Teirstein published in "TheNew England Journal of Medicine"in November 2007. They added thesearch for causes has also looked atoccupational factors associated withcoalmining, metalworking, fire-fighting and handling of certainbuilding supplies.

Channie Bell, a WRNMMC bene-ficiary who was first diagnosed withsarcoidosis in 1980, said she feelsgenetics was instrumental in herdeveloping sarcoidosis. She is theyoungest daughter of three, andboth of her sisters have the disease

as well. Bell found out she had sar-coidosis while still in the Army sta-tioned at Fort Riley, Kan. She ex-plained a "real bad pain" in one ofher eyes forced her to go to theemergency room one night.

"I went to the emergency roombecause I couldn't get my eye open,"Bell said. "They kept me at the hos-pital and the following morning, anophthalmologist came in and deter-mined a biopsy was needed. Thenext day, he told me he thought Ihad a lung disease." She was thenaerovaced to the former FitzsimonsArmy Medical Center in Colorado,where a lung biopsy was done,which revealed her sarcoidosis.

"Believe it or not, I really felt nosickness prior to this," said Bell,who at the time was in her early20s. She remained in the hospitalfour months after her diagnosis fortreatment.

Hayes explained steroids are thefirst line of treatment for sarcoido-sis, and this was the case for Bell,who, four years after being diag-nosed, began developing other chal-lenges from the disease and med-ication. Hayes said chronic patientswith sarcoidosis may deal withsymptoms that increase and de-crease in intensity over manyyears.

A native of Washington, D.C.,Bell said in 1985 she was dis-charged from the Army because hersarcoidosis made it difficult for herto meet certain military require-ments. She returned to D.C., andwas treated for her disease at theVeterans Affairs hospital and theformer Walter Reed Army MedicalCenter.

Bell said although she doesn'thave asthma, her sarcoidosis madeit difficult for her to breath in theD.C. region, so she moved to Floridain the late 1980s. She recently re-turned back to the area to care forher mother. She said she has a hardtime finding doctors who under-stand her disease.

"It's not a disease very prevalentamong other races," said Bell, whois African American, stating peopleof European heritage, especiallythose of Scandinavian ancestry, aswell as Hispanics, also have sar-coidosis in higher numbers than doCaucasians. She added that anoth-er concern with sarcoidosis is it isoften misdiagnosed, which was thecase with one of Bell's sister, whodid not receive care in the militaryhealth care system.

"My sister almost died because[doctors] were treating her foreverything under the sun and I toldmy mom to ask them to see if theychecked her for sarcoidosis," Bell

explained. "They tested her for itand found she has it." She addedthe symptoms of sarcoidosis aresimilar to those of cancer, for whichit is often diagnosed and what doc-tors had initially thought her sis-ters had developed.

"All three of us are in that per-centage of people in which doctorssay only about 4 percent of the peo-ple diagnosed with sarcoidosis haveit chronically," Bell continued. Sheadded she tries to eat right, exerciseand keep her weight down to de-

crease the challenges of sarcoidosis."I try to stay on top of it."

She said her sister has not beenas diligent, and the sarcoidosis hasaffected her brain.

"People need to be educatedabout the signs and symptoms forsarcoidosis, because they may be somild. Left untreated, sarcoidosiscan really cause a lot of problems,"Bell added.

For more information about sar-coidosis, call Gail Hayes in the Pul-monary Clinic at (301) 295-7786.

Bringing AwarenessTo a 'Complex' Disease

A disease that attacks the immune system, Sarcoidosis can havesigns and symptoms that affect every part of the body.

Sarcoidosis

The Journal Thursday, May 10, 2012 5Thursday, May 10, 2012 5

By Bernard S. LittleJournal staff writer

"Helping people is my calling,"says Gloria K. Martin-Smith, anurse specialist and nurse casemanager in the Orthopedic Podia-try Clinic at Walter Reed NationalMilitary Medical Center (WRN-MMC).

"Even as a young child, I was avery caring person," Martin-Smithadds. "I was the first one to assistin every task at home. I have al-ways been very sympathetic andattentive to people's needs, espe-cially since I had an older brotherwith special needs. I was very pro-tective when it came to his care."

The native Washingtonian ex-plained growing up, she also en-joyed watching television showswith medical themes, which in alllikelihood helped fueled her pas-sion to become a nurse. "I lovedwatching shows such as 'GeneralHospital' and 'Julia,'" she says.

Her passion led her to attendGeorgetown University School ofNursing, and she has worked as a

nurse at Walter Reed Bethesdasince 2001.

"I'm very thankful for the oppor-tunity to work in a military setting,"Martin-Smith continues, explainingit gives her a feeling of satisfactionto work with the wounded warriorsand train others to follow in herfootpath. "I enjoy the interactionwith my co-workers and the feelingof being part of a military team. Ifeel I've made a difference, specifi-cally when I've had the opportunityto mentor enlisted who have becomeofficers."

As a nurse specialist and nursecase manager, Martin-Smith coordi-nates preoperative and postopera-tive appointments for active duty,wounded warriors and dependentsurgical patients to include theirphysical therapy and any need theymay have for assistive devices forrehabilitation. She is also responsi-ble for educating patients and en-suring they understand their dis-charge instructions.

Even though patient flow has in-creased with the integration of Na-tional Naval Medical Center and

Walter Reed Army Medical Centerto form WRNMMC, Martin-Smithsays she makes it a point to ac-knowledge calls she receives frompatients regarding their care, whichcan be as many as 20 calls a day.

"Sometimes I'm returning calls lateinto the evenings, and I work week-ends when the clinic is busy," she ex-plains. "But I find patients are veryappreciative and some are surprisedto receive an acknowledgement." Onesuch patient expressed that appreci-ation on a patient feedback card, stat-ing, "I [was] very nervous about myupcoming surgery; Nurse Martin-Smith's professionalism put it all torest. Her calm personable concern re-ally put me at ease. It is a pleasureto work with [her] to ensure that mysurgery is a success. Thank you andkeep up the great work with ourwounded warriors and active duty[service members]."

Martin-Smith says she draws in-spiration not only from the woundedwarriors and other patients atWRNMMC, but also from the eldestof her two sons, who is disabled.

"He inspires me to be the bestmother and person with his uncon-ditional love, and service membershave sacrificed so much for countryto make our lives better," she ex-plains.

Martin-Smith's colleagues agreepatients are her first priority.

"She was the Orthopedic Cliniccustomer advocate for two yearsand resolved a number of patientissues," said Lt. Cmdr. John B. Mc-

Glorthan, Orthopedic Division Offi-cer at WRNMMC. "She works wellwith her co-workers and externalcustomers to the clinic, and goes outof her way to assist both internaland external customers. She hasgotten many written and verbal ac-colades for her efforts. She is will-ing to go above and beyond to assistour patients."

Nursing Is A 'Calling' For Walter Reed Bethesda RNThursday, May 10, 2012 5

Photo by Bernard S. Little

Gloria K. Martin-Smith, a nursespecialist and nurse case manag-er in the Orthopedic Podiatryclinic at Walter Reed NationalMilitary Medical Center (WRN-MMC),says helping people is hercalling, and nursing has allowedher this opportunity.

See NURSE page 8

1030807T

1031696

Heat Tolerance Test Study

The Uniformed Services University of theHealth Sciences is conducting a study tovalidate a heat tolerance test and to explorebiomarkers related to heat illness. Eligibleparticipants must be Active Duty membersof the Uniformed Services or DoD/PHS-heathcare beneficiaries men and womenbetween the ages of 18 and 45. Volunteersmay be compensated for their participation.

Uniformed Services UniversityHuman Performance Laboratory4301 Jones Bridge RoadBethesda, MD 20814

RESEARCH STUDYTelephone: 301-295-1371Email: humanperformancelab@usuhs.edu

6 Thursday, May 10, 2012 The Journal6 Thursday, May 10, 20126 Thursday, May 10, 2012

By Sarah MarshallJournal staff writer

Rising temperatures andchanging seasons can spelltrouble for the millions of peo-ple with asthma worldwide,and the Pulmonary Clinic atWalter Reed Bethesda wantspatients and their families torecognize the warning signs,manage symptoms and pre-vent hospitalizations.

Often exacerbated byweather and air quality condi-tions this time of year, asth-ma, a lifelong disease, leads toan estimated 3,000 deaths inthe U.S. each year, accordingto the Centers for DiseaseControl and Prevention. Inhonor of Asthma AwarenessMonth, the Pulmonary Clinicwill hand out literature andanswer questions, from 9 a.m.to 2:30 p.m. every Tuesday inMay at a table outside theclinic in Building 9.

"Asthma is chronic inflam-mation of the airways. Classicsigns and symptoms are chesttightness, coughing, shortnessof breath, and wheezing," ex-plained Shannon Coles, asth-ma educator and respiratorytherapist in the PulmonaryClinic. "It can start at any age,[and] the symptoms arebrought on by triggers, whichcan be a host of things: dust,perfume, pollen, a cold, [or] anallergen, such as tree pollens,smoke,exercise, [or] pollution."

Patients sometimes believethey have "outgrown" theirasthma, Coles said, andthough it can remain dor-mant for a number of years, itnever goes away. It's still pos-sible for patients to maintainquality of life, given they areeducated and have the appro-priate tools to control theirsymptoms, such as an Asth-ma Action Plan. Designed toidentify and track asthmasymptoms, the plan goeshand-in-hand with a patient'sPeak Flow meter. By blowinginto the meter, patients canmeasure their lung capacity,based on the "zone" they arein: green, yellow or red.

A patient in the green zonebreathes normally and shouldcontinue taking their pre-scribed medications, as usual.In the yellow zone,their symp-toms worsen and the patientshould avoid their identifiedtriggers as well as take theiradditionally prescribed med-ications to control their symp-toms. If they're still in the yel-low zone after 24 hours, theyshould see their doctor imme-diately, instead of waiting untilthey're in the red zone, inwhich case they should go tothe emergency room.

Coles asks her patients tokeep track of their peak flownumbers, and when they're inthe designated zones. Foradded convenience, she sug-gests using a new smart

phone app,which allows themto email their action plan datato her. The asthma educatoralso ensures her patients usetheir inhaler and spacer cor-rectly - the inhaler providesmedication, while the spacer,when attached to the inhaler,helps disperse the medicationevenly through the lungs, shesaid.

For patients whose symp-toms are not as easily con-trolled with medications,

Coles said the clinic recentlybegan offering bronchial ther-moplasty.For patients over 18,this treatment is available onan outpatient basis,deliveringelectrical currents to the air-way wall via a bronchoscopytube, placed in the airway.

"It's singeing the airway sothat it doesn't inflame asmuch," Coles said. Thoughthis is not a cure for asthma -one does not exist - this newprocedure helps patients con-

tinue living a better quality oflife, she added.

To keep patients and fami-lies educated about asthma,this month and throughoutthe year,she also offers classesto ensure patients know howto use their medications, iden-tify triggers and control theirsymptoms, Coles said. Class-es are offered on an individualbasis by physician referral.Lt.Cmdr. Harold Gelfand, anacute pain and regional anes-thesiologist at Walter ReedBethesda, said he under-stands the importance ofkeeping medications on handand tracking data using theaction plan. His 8-year-oldasthmatic son does reason-ably well, but, "He's most sen-sitive to seasonal changes,[and] temperature."

Gelfand explained, "Wekeep his [medicine] at home,and at school, in the car." Hecontinued, adding he appre-ciates the clinic's quality ofcare and outreach efforts. "Alot of families might not un-derstand the importance oftreatment. [You have to]make sure they have thevarious treatment modali-ties available, at all times, soyou can provide treatmentwhen necessary."

For more informationabout asthma, contact Shan-non Coles at 301-295-6527,or e-mail her at Shannon.coles@med.navy.mil.

Helping Patients, Families Breathe with Ease

Photo by Sarah Marshall

Shannon Coles, right, talks to staff about the importance of controlling asthmasymptoms.The asthma educator, who works in the Pulmonary Clinic, will behanding out literature and answering questions about asthma every Tuesday inMay, as part of Asthma Awareness Month.

WRNMMC file photo

Shannon Coles, right, asthma educator and respiratory therapist in the Pulmonary clinic,helps Maria Harrispractice using her inhaler. The clinic educates patients and staff about the importance of managing asthmasymptoms with proper treatment.

The Journal Thursday, May 10, 2012 7Thursday, May 10, 2012 7Thursday, May 10, 2012 7

By Mass CommunicationSpecialist 3rd Class

Nathan PardeNSAB Public Affairs

staff writer

A free conference is scheduled tobe held May 14 - May 18 in the D.C.capital region for service membersand veterans affected by the wars inIraq and Afghanistan.

The weeklong Arts, Military andHealing (AMH) collaborative initia-tive will be hosted at seven locations,including the Library of Congress,Smithsonian, National Air andSpace Museum, and Walter ReedNational Military Medical Center(WRNMMC). The program featuresexhibitions, workshops, a filmscreening and a dance performancehighlighting the therapeutic andhealing benefits of the arts - for boththe artist and the public.

The mission of AMH is to give mil-itary members and their families achance to work side by side withartists, art institutions and art ther-apists.As one of the first hospitals tofeature an art/therapy workshop forveterans after World War II, WRN-MMC is supporting the AMH confer-ence in several ways. For example,patients from WRNMMC are creat-ing their own works of art to displayduring the conference.

"The patients have been workingvery hard to finish their sculptures,

and the artwork is incredible," saidSeema Reza, arts program coordina-tor for WRNMMC. "The patients aretelling the stories of their 'invisibleinjuries'— the ones that can't be seenby others, but impact their cognitionand social interaction."

Staff Sgt. Brett Graveline, who hasserved 21 years in the military, firstenlisted in Naval aviation. He servedtwo deployments to the Gulf beforejoining the Army and deploying toIraq, where he was medically evacu-ated for his injuries. He now has tita-nium rods and a plate replacing de-stroyed disks in his neck, as well as apacemaker in his bladder. Gravelineis creating a work of art that will besymbolic of his experiences.

"I am showing the wounds thatpeople don't see or don't expect tosee," said Graveline. "In addition toPTSD (Post Tramatic Stress Disor-der), depression, and anxiety, wehave actual physical wounds. I amdemonstrating some of mine in thisart project."

The completed art projects will beexhibited at the Concoran Gallery ofArt in D.C., May 17 from 6 to 9 p.m.Award-winning New York Timesphotographer Joao Silva will be onhand to share his experiences ofworking in combat zones. Silvaknows the perils first hand, havingsurvived a land mine explosion cov-ering the war in Afghanistan. Thereis also a planned film screening and

a presentation of the Combat PaperProject, an exhibit featuring hand-made paper and drawings that de-picts combat and military experi-ences. The event is free and open tothe public.

"Anyone interested in attendingshould come out to show their sup-port," said Reza. "It will be great toget [patients and veterans] somerecognition for their courage and

also to get their very importantmessage out."

Further information on WRN-MMC's involvement with the AMHconference will be released throughWRNMMC's postmaster e-mail.

For more information on the Arts,Military and Healing events, themission, the participants and collab-orators, please visit www.artsand-military.org.

The Arts, Military & Healing InitiativeTransforming War and Trauma Experiences into Healing

Photo by Mass Communication Specialist 3rd Class Nathan Parde

Seema Reza, arts program coordinator for Walter Reed NationalMilitary Medical Center, glues a piece of yarn to a balloon to rep-resent a bladder in an art project created by Staff Sgt. Brett Grav-eline May 3.

in more than 1,000 people world-wide by various surgeons, he said,allowing patients, collectively, tolive a total of an estimated 250years. He added that one of theonly differences of the heart, today,is that it's mostly used temporari-ly, for about month, while patientswait for a permanent heart trans-plant.

"It's been really interesting to seethe field grow and to be a part of it. Ijust believed in it. I was a true believ-er, and I still am," DeVries said.

He later left Utah and spent thebulk of his career at the HumanaHeart Institute in Louisville, Ky.,working on the artificial heart's de-velopment.

"I loved working with my hands. Iloved taking care of patients," hesaid. "It was never a job for me. Itwas really cool."

Then, and NowFrom there, he retired at 57 on a

20-acre farm. While golfing at FortKnox, near his home, he met a re-cruiting general who introduced himto the idea of working at the formerWalter Reed Army Medical Center(WRAMC). In 2000, he joined as anofficer, and became one of the oldestindividuals, at age 58, to complete of-ficer basic training. "It was reallyfun," he said. He and his wife thenmoved to Bethesda, and he beganworking in surgery at WRAMC,where he served as an officer untilabout three years ago.

Serving his country was a dreamcome true, and it connected him tohis family's military ties - his moth-er was a Navy nurse and his fatherwas a Sailor. He had always wantedto join the military, and had tried todo so in his 20s, but was unable, asthe sole survivor of a World War IIveteran. His father had died at sea,and so he never met him. Although,he noted, he did have an opportuni-ty to learn more about him, aftergaining the media's attention. Hisfather's shipmates saw DeVries inthe news, and began sending himletters, describing his father and hisdays at sea.

DeVries now works as the aca-demic coordinator for CardiothoracicSurgery at Walter Reed Bethesda, aswell as a professor at the UniformedServices University of the HealthSciences and George WashingtonUniversity.

"I love coming to work. I love beinga part of the wounded warrior[care]," he said. "I'm proud of it."

When asked what has been hisproudest achievement, DeVriescouldn't nail down one single event.

"I look at my life as a series of suc-cesses," he said. "When I was in[medical] practice, I really liked thepatients. Now, I really like the med-ical students. It's exciting for me be-cause they come in, and they're ex-cited about things."

Having worked with DeVries for10 years, Col. Houman Tavaf, a staffcardiothoracic surgeon at WalterReed Bethesda, said DeVries has leda storied life, and is a pioneer in thefield of surgery. Despite this, Tavafadded, DeVries is incredibly person-able and approachable.

"His work on the artificial heartwas one of the landmark achieve-ments of the 20th century," according

to Tavaf. "We are still reaping the re-wards of Dr. DeVries' work."

DeVries said he enjoys talkingwith medical students about what itmeans to be a good doctor, and caringfor the patient. He encourages themto find out what they like, and dothat. He also tells them to stand upfor what they believe in, and not holdback when they have an idea, De-Vries said. He continued, "You givethem the strength that they can dowhat they want to do, and thestrength to be able to stand up anddo that. The whole [idea] is to haveconfidence in what you're doing, andwhere you're going with it."

"There is nothing [Dr. DeVries]likes better than sitting down one-on-one with medical students andtelling them stories about the histo-ry of medicine, lecturing them onsome aspect of physiology, or help-ing them with their medical re-search projects," Tavaf explained."He is a singular asset and a person-al hero of mine."

As for the years to come, DeVriessays he plans to continue workingas long as he can. "I'm 68. I have alot to give."

HEARTHEARTContinued from 3

8 Thursday, May 10, 2012 The Journal8 Thursday, May 10, 2012

By Mass Communication SpecialistSeaman Dion Dawson

NSAB Public Affairs staff writer

Before you spend your last 100 dollars on thatpurse you want really bad or go to the most ex-pensive restaurant you can find, Naval SupportActivity Bethesda (NSAB) Fleet & Family Sup-port Center (FFSC) reminds everyone they arehere to help people make the right financial de-cisions.

According to the U.S. Treasury Department,the national debt has risen to more than 15 tril-lion dollars and two-thirds of that is comprisedof debt held by the public.

"Debt in the U.S. is at an all-time high and wehave a chance to correct the mistakes we havemade in the past," said Lee Acker, financialcounselor with FFSC. "The Fleet and FamilySupport Center wants to help people realizethat it is possible to get in control of your money.I think everyone needs a little fine tuning whenit comes to financial choices and money manage-ment."

Acker, who will be celebrating 21 years of di-rect and volunteer work in the area of personalfinance this summer, said even savvy people canalways learn a thing or two from listening toother people's stories and experiences.

The FFSC offers countless financial counsel-ing, classes and seminars year-round to servicemembers, staff members, contractors and familymembers. They teach about military pay andcompensation, banking and financial services,credit scores, credit management, car buying,home buying, consumer awareness and retire-ment planning.

Upcoming classes include the Million DollarService Member, Woman Building Wealth, De-veloping Your Spending Plan with Young Serv-ice Members and more. "The Fleet and FamilySupport Center is great," said Hospital Corps-man 3rd Class Darius Summers, lead petty offi-cer for the neurosurgery clinic with the WalterReed National Military Medical Center. "Beingin control of our finances is part of our duty andobligation to our country. When I first joined theNavy, I didn't understand the military is morethan just wearing a uniform. We have to be ingood standing in every aspect of our lives be-cause we are ambassadors. If a Sailor or Soldierspends their day worried about their financial

situation, that means they can't focus on theirjob and continue to provide outstanding care forour patients."

Summers said Sailors who are strugglingwith their finances should tell somebody to re-ceive help.

"The Fleet and Family Support Center has ac-credited, well-versed financial counselors whosit down with you and take you through everyaspect of your money and how you spend it. Iwouldn't be where I am financially if it wasn'tfor them," he said.

To schedule a class or financial counseling,contact FFSC at 301-319-4087.

8 Thursday, May 10, 2012

Head nurse and office manager of OrthopedicSurgery Service, Bonnie L. Dwyer calls Martin-Smith "a dedicated, selfless, caring nurse with agentle giving professional manner. I am pleasedto work with her."

According to the American Nursing Associa-tion, "nursing is a profession that embraces ded-icated people with varied interests, strengths andpassion," and Martin-Smith embodies thesequalities, says her patients and co-workers. Na-tional Nurses Week, celebrated annually May 6-12, salutes the dedication of nurses such as Mar-tin-Smith. This year's theme for the observanceis "Nurses: Advocating, Leading, Caring." Mar-tin-Smith advocates for patients; leads in ensur-ing they receive the world-class care available atWRNMMC; and cares for not only the patients,but also for those with whom she works. "She hascoordinated many Orthopedic Service luncheonsfor departing individuals, which assisted in fa-cilitating camaraderie with our staff members,"McGlorthan explains.

Martin-Smith says although there aren'tenough hours in the day to complete all her tasks,she always tries to present a positive attitude anda smile. "I sit down to talk to patients to offer themoptions." She says she wants patients to knowthey are the Number One priority at WRNMMC.

"I would just like to be remembered as a compas-sionate person who's always present with a smile."

NURSENURSEContinued from 5

Every Cent Counts When Dealing With Your Finances

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