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Navy & Marine Corps Medical News 
MEDNEWS #97-37 
September 12, 1997 

This service distributes news and information to 
Sailors and Marines, their families, civilian employees, 
and retired Navy and Marine Corps families. Further 
dissemination of this e-mail is encouraged. 

MN970400 . Guantanamo's Door to Door Service Targets 

Customers 
MN970401. Norfolk's Dental Center Fights Tobacco Battle 
MN970402. "HMl Jackson is a Hero!" 

MN970403. Language No Barrier to Compassion in Okinawa 
MN970404 . Patuxent River Captures Customer Service Award 
MN970405. TwentyNine Palms Exceeds TRICARE Prime Goals 
MN970406 . June Wins Prestigious Conrad Award 
MN970407 . TRICARE Question and Answer 
MN970408. Healthwatch: Home Sweet Home - Or Is It? 

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MN970400 . Guantanamo's Door to Door Service Targets 
Customers 

Guantanamo Bay, Cuba - Need to get your prescription 
refilled? If you live on the naval base in Guantanamo Bay, 
you can now have your medication delivered to your work or 
home. 

The pharmacy at U.S. Naval Hospital (USNH) Guantanamo 
Bay, started the program for patients whose work hours made 
it difficult for them to pick up their medication, who 
didn't have a car available to get to the pharmacy or had 
other logistical problems. 

"The program has been particularly useful for our aging 
Cuban exile population who can't easily come to the hospital 
for medication refills, " said Joan Marsh, USNH Guantanamo 
Bay's community health nurse. 

Patients who wish to have their prescription refill 
delivered to them at their workspace or home call in the 
request to the pharmacy. Pharmacy technicians deliver the 
medications on Wednesdays or Saturdays . They also provide 
information on how to take the medication properly . 

In addition to making it easier for patients to get 
their medication, the hospital has found there are fewer 
incidences where medication is ordered but never picked up. 
By LT E. C. Chamberlain, MSC, USNH Guantanamo Bay 



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MN970401. Norfolk's Dental Center Fights Tobacco Battle 

Norfolk, VA - Polonium, formaldehyde, cadmium, cyanide, 
arsenic, benzene, lead, nicotine, and carbon monoxide - the 
chemicals in tobacco read like the contents of a toxic waste 
dump. 

Of all of the above, one of the most deadly is carbon 
monoxide, a colorless, odorless gas that can steal the life- 
giving oxygen from your body and put unnecessary stress on 
your cardiovascular system. 

To help illustrate the point. Naval Dental Center (NDC) 
Norfolk is installing a carbon monoxide detector, a device 
that looks a lot like the breathalyzer used to detect 
alcohol. But in this case, it detects the carbon monoxide 
in a smoker's system - carbon monoxide that can remain as 
long as 24 hours after a smoker's last cigarette. 

According to CDR Larry Williams, DC, NDC Norfolk's 
wellness coordinator, the carbon monoxide released from 
cigarettes starves muscles for oxygen because blood cells 
will "pick up" carbon monoxide more readily than it will 
pick up oxygen. 

"That ' s what contributes to cardiovascular problems (in 
smokers) , " said Williams. He said that while many people 
associate tobacco with lung and other cancers, it ' s also a 
major cause of cardiovascular diseases, much of it caused by 
the carbon monoxide in cigarettes. 

According to Williams, the dental clinic is the perfect 
place for the detector . It'sa tool that can be used to 
show Sailors and Marines who come in for their annual exams 
about the dangers of smoking during what he calls a 
"teachable moment . " 

"You got the patient in the chair for a non-acute 
dental appointment, you have the time to talk to them (about 
their overall health) , " he said. 

The staff is now being trained on how to use the 
detector, and plans to begin using it regularly with their 
patients who are smokers in October. 

Other anti-tobacco initiatives the clinic has taken on 
include collaborating with the Tidewater American Cancer 
Society to provide tobacco cessation programs for smokers 
and helping with the training of tobacco cessation 
facilitators for Line personnel. Additionally, NDC Norfolk 
staff members will be spokespersons in the Tidewater area 
during the upcoming Great American Smokeout in November. 
By CDR Wayne Quesenberry, MSC, NDC Norfolk 

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MN970402. "HMl Jackson is a Hero!" 
Dear Vice Admiral Koenig, 

I wanted to let you know about a superb Independent 
Duty Corpsman by the name of HMl Darrell Jackson who is 
assigned to the USS STOUT (DDG 55) . 

HMl Jackson is a hero! 



Early one morning, while STOUT was in port in Florida, 
HMl Jackson went jogging with his shipmate, ETC Lee Smith. 
Shortly after they'd started jogging. Chief Smith 
collapsed. Jackson quickly started cardiopulmonary 
resuscitation (CPR) , continuing even while four cars passed 
him by. Finally, a car with two nurses stopped. Jackson 
continued CPR with one of the nurses while the other went 
for help. 

Local paramedics arrived but were not as aggressive in 
the resuscitation as Jackson would have liked. He took 
charge, diagnosing an unstable heart beat and defibrillating 
(shocking) Smith, bring his heart back to stable rhythm. 

By 8 a.m. - three hours after Chief Smith and Petty 
Officer Jackson began their faithful jog - Smith had 
undergone angioplasty, clearing arteries that were almost 
completely closed. 

As a cardiologist , I know how critical immediate and 
effective CPR is, as a predictor of patient outcome. HMl 
Jackson performed such superb pulmonary and cardiac 
resuscitation that Chief Smith suffered no side effects from 
his sudden death episode. 

HMl Jackson epitomizes the best in Navy Medicine. I 
would like to commend HMl Jackson for his superb skill and 
lifesaving heroics. 

But most importantly, my family and I would like to say 
thank you to him for saving my brother. Chief Smith's, life. 

Very respectfully, CAPT Candace Gibbin, MC 

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MN970403 . Language No Barrier to Compassion in Okinawa 

Okinawa, Japan - U.S. Naval Hospital (USNH) Okinawa and 
U.S. Naval Dental Center (USNDC) Okinawa recently united to 
help a Republic of Korea Navy sailor riding aboard USS MOBILE 
BAY (CG-53) while on a port visit to Okinawa. 

Five hours before leaving port, Neng Ho Kim began 
suffering severe tooth pain. He was transferred immediately 
to the Navy's Evans Dental Clinic where he was diagnosed 
with abscessed teeth. LCDR John Shea, DC, and LCDR Marty 
Hickey, DC, immediately removed the teeth, fulfilling Kim's 
health care needs. 

But left behind when USS MOBILE BAY departed, Kim's 
next dilemma was how to get home, a problem that was 
complicated by the fact that he spoke little English. 

Enter HN Chong Kim of USNH Okinawa's alcohol 
rehabilitation department, who acted as interpreter while 
the hospital ' s Fleet liaison, HMl Robert Eddy, worked on 
t ravel arrangements . 

While arrangements were being made and Neng Ho Kim 
recovered from his surgery, HMC Tom Dunwoody welcomed Neng 
Ho Kim into his home. 

"I'm glad I could help, " said Dunwoody. "My wife 
speaks Kim's native language. I know he felt much better 
being able to communicate . " 

Both health care facilities received kudos for their 



beyond-the-call-of duty efforts. Commander, Task Force 10, 
sent a message to thank all involved for the excellent 
treatment given Neng Ho Kim. 

"It was a team effort and we 're all happy it had a 
pleasant outcome, " said CDR Ken Takahashi, MSC, the 
hospital 's director for administration . 
By HMCM(SW) Michael C. Carr, USNH Okinawa 

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MN970404 . Patuxent River Captures Customer Service Award 

Patuxent River, MD - Naval Hospital (NH) Patuxent River 
has been named the top Navy hospital in customer 
satisfaction for 1997 by the Department of Defense Military 
Health Services System. 

Random patient questionnaires from every naval medical 
treatment facility were scored and ranked. Customer 
satisfaction honors were awarded in three categories - 
medical center, hospital and clinic. Patuxent River's 
facility won in the hospital category. 

CAPT Paul Campbell, MC, the hospital 's commanding 
officer, said the customer service award is the first of its 
type in the defense department . 

"What made the contest unique, " Campbell said, "was 
that no one - patients or medical staff - was aware of the 
judging. It was all done anonymously . It'sa big-time team 
effort. We have providers, nurses and physicians who do a 
good job, but they can't do it without all the support they 
have - secretaries, people who order all the supplies, 
people who set up appointments and the people who keep the 
hospital clean. 

"The other aspect is we've made a number of customer- 
orientated changes, " Campbell added. He said the hospital 
has improved central appointment procedures, increased 
accessibility to the medical care system, offered after- 
hours care, established a once-a-month Saturday clinic and 
offered physical examinations once a month. 
By Jimmie Turner, Naval Air Station Patuxent River 

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MN970405. TwentyNine Palms Exceeds TRICARE Prime Goals 

TwentyNine Palms, CA - Naval Hospital (NH) TwentyNine 
Palms exceeded one of its key goals for the year by 
enrolling more than 75 percent of its active duty family 
members and 39 percent of eligible retirees in TRICARE 
Prime . 

The hospital's goal was to have at least 35 percent of 
its eligible beneficiaries enrolled in TRICARE Prime by 
January 1, 1998. Of those members enrolled in Prime, 98 
percent selected NH Twentynine Palms as their Primary Care 
Manager (PCM) . 

Key to the success was partnering with the Line 
commanders at the Marine Corps Air Ground Combat Center. 
Backed by the commanders, the hospital staff conducted 
frequent briefings and ensured almost 100 percent of the 
active duty population at the Center were able to get the 



information they needed about TRICARE. 

Additionally, Marines and Sailors with families 
reporting to the Combat Center are now required to check in 
through the hospital ' s TRICARE Service Center so they can 
receive individual information on TRICARE and enroll their 
families in Prime, if they wish. 

Even with this success, the hospital isn't resting on 
its laurels. 

"We can't just sit back now and relax, " said CAPT Joan 
Ruber, NC, TwentyNine Palms ' executive officer. "We must 
maintain our patients ' trust by providing the best possible 
medical care with guaranteed access standards, mixed in with 
the very best customer service. " 
By Dan Barber, NH Twentynine Palms 

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MN9704406. June Wins Prestigious Conrad Award 

Bethesda, MD - CAPT Carl June, MC, who retired from the 
Navy last year, has been awarded the Office of Naval 
Research's prestigious Conrad award for his research in 
immunology . 

The award cited June for his "remarkable 
accomplishments and performance as a medical research 
scientist, clinician. Professor of Medicine, and Head 
(Emeritus) of the Immune Cell Biology Program (at the Naval 
Medical Research Institute in Bethesda, MD) . " 

June is one of the world's most renown immunologists. 
He now works at the Henry M. Jackson Foundation on the 
National Naval Medical Center Bethesda campus. 

The Conrad award is presented annually and commemorates 
CAPT Robert Dexter Conrad, who in 1946 was one of the moving 
forces to establish a naval scientific research 
organization, which resulted in the establishment of the 
Office of Naval Research. 

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MN970407. TRICARE Question and Answer 

Question: I just enrolled in TRICARE Prime. How long 
is my enrollment period? 

Answer: TRICARE Prime requires a 12-month enrollment. 
At the end of this initial enrollment period, you must 
choose either to continue your enrollment in Prime or 
participate in TRICARE Standard or Extra. 

It's important to remember that while you're enrolled 
in TRICARE Prime, should you wish to seek care from someone 
besides your Primary Care Manager (PCM) , you must first get 
a referral . Otherwise, you may be required to pay up to 50 
percent of the cost for your "unreferred" visit to a doctor! 

Additional information on TRICARE is available on the 
World-Wide Web at <www.ha.osd.mil>. 

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MN970408. Healthwatch: Home Sweet Home - Or Is It? 

Many of us consider our homes a safe haven from danger. 



We lock doors and windows to shut out crime, dirt, noise and 
everything else "out there. " 

But did you know that you when close your doors and 
windows, you may also be creating an unhealthy environment 
in your home by closing in air pollution? 

Home air may be contaminated by pollutants brought in 
on clothes and shoes, or by molds, fungi or bacteria from a 
poorly maintained air conditioning system, poorly ventilated 
bathroom, or damp, musty basement or attic. 

Plywood and building materials used in home 
construction can produce formaldehyde vapors. Gas 
appliances may leak carbon monoxide and nitrogen dioxide. 
Homes that are well sealed for energy efficiency may also be 
traps for these pollutants. 

Pollution can cause allergy symptoms, such as sneezing, 
sniffling and coughing, as well as eye irritation, asthma, 
and chronic bronchitis . 

However, there are some steps you can take to reduce 
some of the pollutants in your home. Industrial hygienists 
at Navy Environmental Health Center (NEHC) in Norfolk, VA 
recommend taking these steps: 

- Keep potted plants, one plant for every 100 square 
feet. The most effective air cleaning plants are spider 
plants, philodendrons , palms, ivy, ferns, and 
chrysanthemums. Be careful not to over-water them; extra 
water can set up an environment for molds and mildew. 

- Keep rooms well ventilated rather than using 
deodorizers and moth crystals to mask stale smells. 

- Air dry-cleaned clothes outdoors before bringing them 
into the house. 

- Make your home a non-smoking household or restrict 
smoking to one well-ventilated room. 

- Remove your shoes and leave them by the front door. 
Vacuum cleaners pick up only about 10 percent of the dirt in 
carpets; use a higher efficiency bag in your vacuum cleaner 
(check with the manufacturer for ones to use with your 

model) . Better yet, buy a high-efficiency particulate 
(HEPA) -filtered vacuum cleaner. 

- Vent gas appliances to the outside. Choose gas 
appliances with spark ignition instead of pilot lights. 
Inspect stoves and furnaces for leaks. Install a carbon 
monoxide detector if you have gas appliances. Avoid using 
natural gas or kerosene space heaters. 

- If you have an attached garage, move your car out of 
it before warming the car up. The same goes for gasoline- 
powered lawn mowers. 

- Operate internal combustion engine devices outdoors 
only. Operate them far enough from the house so exhaust 
gases will not enter open windows and doors. 

- Keep air conditioning systems and furnaces clean and 
professionally inspected annually . Change air filters 
monthly using correctly sized filters. Make sure condensate 
drip pan drains are not blocked and that water does not 
accumulate . 



- To minimize growth sites for bacteria, and fungi, 
avoid using humidifiers, especially room humidifiers . If 
you must, use humidifiers that make steam from the water 
before it enters the house. Flow-through humidifiers are 
preferred over those with a reservoir . Set the humidity 
level on humidifiers between 30 and 50 percent and fill them 
with distilled water. Clean and disinfect the tank, nozzle, 
and generator daily. 

- Dry out water-damaged items as quickly as possible 
(within 6 to 12 hours) to prevent growth of molds and 

mildew. Do not allow materials within your home to be 
repetitively water-damaged; correct the cause of the water 
intrusion . 

- Vent range hoods to the outside to exhaust cooking 
odors, smoke and grease particles . Unvented range hoods are 
ineffective . 

- Leave asbestos and lead-based paint undisturbed, or 
have a licensed professional inspect and offer 
recommendations for safe removal . 

- Look for low emissions (low volatility or odor) 
paints, cleaners , and adhesives , when painting, hanging wall 
paper, or doing household projects . Ventilate the area well 
by opening windows. 

By Vera Ando-Winstead, Bureau of Medicine & Surgery and 
Karen Murphy, NEHC 

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Feedback and comments are welcome. Story 
submissions are encouraged. Contact Jan Davis, 
MEDNEWS editor, at e-mail <mednews@bms200.med.navy.mil>, 
telephone 202/762-3223 (DSN 762-3223), or 
fax 202/762-3224.