journal 052815

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Vol. 27 No. 21 www.cnic.navy.mil/bethesda/ May 28, 2015 By Bernard S. Little WRNMMC Public Affairs staff writer May is Women’s Health Month with a focus on the theme “Powerful Mind, Strong Body.” “As the roles of women in the Army, and work- force in general, continue to expand, it is imperative that we bring women’s health to the forefront of our military health-care system,” Lt. Gen. Patricia D. Horoho, the Army’s first female surgeon general, stated. “Over the past three years, my key focus to improve the health of our beneficiaries has cen- tered on concepts of well- ness and disease preven- tion. Within the concept of Lifespace, we have an initiative called the Per- formance Triad that pro- motes healthy behaviors and informed decisions. The three pillars of the Triad are sleep, activity and nutrition – a focus on sleeping well (eight hours of quality sleep per 24 hour period); being ac- tive (taking at least 10,000 steps per day; including resistance training two or more days per week; incor- porating at least 150 min- utes of moderate or great- er intensity aerobic exer- cise per week ); and eating better. When they all work together, they generate a positive and synergistic effort on health,” Horoho continued. “Women’s health and our health-care system are dependent upon healthier lifestyle behaviors and highly-aware practitio- ners, who are committed to systemic sustainable changes that will improve our provision of health and wellness programs and medical practice,” she concluded. The number of wom- en serving in the armed forces, as well as the num- ber of women veterans, is steadily rising, which has contributed to increased focus on women’s health issues within the military, according to Department of Defense (DOD) officials. “Disease prevention and management are tre- mendously important,” said Army Lt. Col. Nicole Powell-Dunford, Office of The Surgeon General Women’s Health consul- tant. “Women’s health means optimized perfor- mances in the workplace and in the Lifespace… Women’s health impacts the [services] as a whole, as well as the psychologi- cal well-being of partners, spouses, children and par- ents within our commu- nities. On a global scale, women’s health has a pro- found impact on regional security and stability, with direct implications for U.S. military involve- ment. In short women’s health matters – within our [military], within our communities and on the international stage,” she added. At Walter Reed Na- tional Military Medical Center (WRNMMC), the nation’s flagship military health-care facility, there are a number of programs to assist women in build- ing powerful minds and strong bodies. One such program is the Integra- tive Cardiac Health Proj- ect (ICHP), developed in 1999 at the former Walter Reed Army Medical Cen- ter as a result of a 10-year research grant. The proj- ect’s mission is to reduce cardiovascular disease and chronic illness among DOD beneficiaries. ICHP coordinators ex- plain that the program’s interdisciplinary team fo- cuses on a number of care and prevention practices for heart disease and dia- betes. Nurse practitioners, cardiologists, sleep and stress reduction specialists, registered dieticians and health coaches combine to implement ICHP. For more information concerning the program, call 301-400- 1111, or visit www.ichpcen- ter.org. Also available to all fed- eral employee WRNMMC staff members is the Employee Assistance Pro- gram, which promotes the well-being of employ- ees by helping them with a number of challenges, job-related and otherwise. For more information, visit WRNMMC’s EAP webpage, https://www. wrnmmc.intranet.capmed. mil/programs/empassist or go to FOH www.FOH4You. com to access additional resources. To make a confi- dential EAP appointment with a licensed counselor call 1-800-222-0364 (or 888-262-7848 if you are hearing-impaired). Call anytime – EAP is avail- able 24/7. WRNMMC nutrition- ists are also available to help beneficiaries build powerful bodies and minds through healthy eating. For more information, contact the Outpatient Nutrition Clinic at 301- 295-4065 to schedule an appointment with a regis- tered dietician. The John P. Murtha Cancer Center (MCC), also at WRNMMC, is DOD’s only Center of Excellence in Cancer Care and pro- vides world-class diag- nosis and treatment of cancers, including breast cancer - the most common form of cancer in women, according to the MCC’s Breast Care Center. “The most important things a person can do to reduce their risk for breast cancer is to limit daily al- cohol intake to one drink per day, maintain an ac- tive lifestyle by exercising, maintain a healthy weight and eat a healthy diet,” ac- cording to WRNMMC clin- ical genetic nurse, Anne Forsha. Women should also do monthly breast self-exams. For more in- formation about breast cancer prevention, call the Breast Care Center at 301-295-3899. According to Military Health System (MHS) officials, other common health issues female service members, fam- ily members, and retirees should be aware of include menopause, pregnancy, re- productive health, uterine diseases and sexual relat- ed health issues. Women who are preg- nant or are planning to get pregnant can help give ba- bies a healthy start with regular visits to health- care providers, MHS offi- cials advise. An early sign of uter- ine disease may be bleed- ing between periods or after sex. Causes of abnor- mal bleeding include hor- mones, thyroid problems, fibroids, polyps, cancer, in- fection or pregnancy. Reproductive health issues can impact fertil- ity, overall health and a person’s ability to enjoy a sexual relationship; there- fore it’s important women have regular visits to their health-care provider. The Army hosts the Women’s Health Portal, designed to provide ser- vice members, leaders and family members with up-to-date information about a variety of women’s health topics including health and wellness, self- care, and health consider- ations for the deployed en- vironment. To learn more, please visit: http://phc. amedd.army.mil/topics/ healthyliving/wh/Pages/ default.aspx. Women’s Health Month Initiative Focused on ‘Powerful Mind, Strong Body’ Photo by Mass Communication Specialist 1st Class Christopher Krucke Female service members and civilians participate in a special hos- pital-wide run for staff at Walter Reed National Military Medical Center May 20.

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Page 1: Journal 052815

Vol. 27 No. 21 www.cnic.navy.mil/bethesda/ May 28, 2015

By Bernard S. LittleWRNMMC Public

Affairs staff writer

May is Women’s HealthMonth with a focus on thetheme “Powerful Mind,Strong Body.”“As the roles of women

in the Army, and work-force in general, continueto expand, it is imperativethat we bring women’shealth to the forefront ofour military health-caresystem,” Lt. Gen. PatriciaD. Horoho, the Army’s firstfemale surgeon general,stated.“Over the past three

years, my key focus toimprove the health ofour beneficiaries has cen-tered on concepts of well-ness and disease preven-tion. Within the conceptof Lifespace, we have aninitiative called the Per-formance Triad that pro-motes healthy behaviorsand informed decisions.The three pillars of theTriad are sleep, activityand nutrition – a focuson sleeping well (eighthours of quality sleep per24 hour period); being ac-tive (taking at least 10,000steps per day; includingresistance training two ormore days per week; incor-porating at least 150 min-utes of moderate or great-er intensity aerobic exer-cise per week ); and eatingbetter.When they all worktogether, they generate apositive and synergisticeffort on health,” Horohocontinued.“Women’s health and

our health-care system aredependent upon healthierlifestyle behaviors andhighly-aware practitio-

ners, who are committedto systemic sustainablechanges that will improveour provision of healthand wellness programsand medical practice,” sheconcluded.The number of wom-

en serving in the armedforces, as well as the num-ber of women veterans, issteadily rising, which hascontributed to increasedfocus on women’s healthissues within the military,according to Departmentof Defense (DOD) officials.“Disease prevention

and management are tre-mendously important,”said Army Lt. Col. NicolePowell-Dunford, Officeof The Surgeon GeneralWomen’s Health consul-tant. “Women’s healthmeans optimized perfor-mances in the workplaceand in the Lifespace…Women’s health impactsthe [services] as a whole,as well as the psychologi-cal well-being of partners,spouses, children and par-ents within our commu-nities. On a global scale,women’s health has a pro-found impact on regionalsecurity and stability,with direct implicationsfor U.S. military involve-ment. In short women’shealth matters – withinour [military], within ourcommunities and on theinternational stage,” sheadded.At Walter Reed Na-

tional Military MedicalCenter (WRNMMC), thenation’s flagship militaryhealth-care facility, thereare a number of programsto assist women in build-ing powerful minds andstrong bodies. One such

program is the Integra-tive Cardiac Health Proj-ect (ICHP), developed in1999 at the former WalterReed Army Medical Cen-ter as a result of a 10-yearresearch grant. The proj-ect’s mission is to reducecardiovascular diseaseand chronic illness amongDOD beneficiaries.ICHP coordinators ex-

plain that the program’sinterdisciplinary team fo-cuses on a number of careand prevention practicesfor heart disease and dia-betes. Nurse practitioners,cardiologists, sleep andstress reduction specialists,registered dieticians andhealth coaches combine toimplement ICHP. For moreinformation concerningthe program, call 301-400-1111, or visit www.ichpcen-ter.org.Also available to all fed-

eral employee WRNMMCstaff members is the

Employee Assistance Pro-gram, which promotesthe well-being of employ-ees by helping them witha number of challenges,job-related and otherwise.For more information,visit WRNMMC’s EAPwebpage, https://www.wrnmmc.intranet.capmed.mil/programs/empassist orgo to FOHwww.FOH4You.com to access additionalresources. To make a confi-dential EAP appointmentwith a licensed counselorcall 1-800-222-0364 (or888-262-7848 if you arehearing-impaired). Callanytime – EAP is avail-able 24/7.WRNMMC nutrition-

ists are also available tohelp beneficiaries buildpowerful bodies and mindsthrough healthy eating.For more information,contact the OutpatientNutrition Clinic at 301-295-4065 to schedule an

appointment with a regis-tered dietician.The John P. Murtha

Cancer Center (MCC), alsoat WRNMMC, is DOD’sonly Center of Excellencein Cancer Care and pro-vides world-class diag-nosis and treatment ofcancers, including breastcancer - the most commonform of cancer in women,according to the MCC’sBreast Care Center.“The most important

things a person can do toreduce their risk for breastcancer is to limit daily al-cohol intake to one drinkper day, maintain an ac-tive lifestyle by exercising,maintain a healthy weightand eat a healthy diet,” ac-cording toWRNMMC clin-ical genetic nurse, AnneForsha. Women shouldalso do monthly breastself-exams. For more in-formation about breastcancer prevention, call

the Breast Care Center at301-295-3899.According to Military

Health System (MHS)officials, other commonhealth issues femaleservice members, fam-ily members, and retireesshould be aware of includemenopause, pregnancy, re-productive health, uterinediseases and sexual relat-ed health issues.

• Women who are preg-nant or are planning to getpregnant can help give ba-bies a healthy start withregular visits to health-care providers, MHS offi-cials advise.

• An early sign of uter-ine disease may be bleed-ing between periods orafter sex. Causes of abnor-mal bleeding include hor-mones, thyroid problems,fibroids, polyps, cancer, in-fection or pregnancy.

• Reproductive healthissues can impact fertil-ity, overall health and aperson’s ability to enjoy asexual relationship; there-fore it’s important womenhave regular visits to theirhealth-care provider.The Army hosts the

Women’s Health Portal,designed to provide ser-vice members, leadersand family members withup-to-date informationabout a variety of women’shealth topics includinghealth and wellness, self-care, and health consider-ations for the deployed en-vironment. To learn more,please visit: http://phc.amedd.army.mil/topics/healthyliving/wh/Pages/default.aspx.

Women’s Health MonthInitiative Focused on ‘Powerful Mind, Strong Body’

Photo by Mass Communication Specialist 1st Class Christopher Krucke

Female service members and civilians participate in a special hos-pital-wide run for staff at Walter Reed National Military MedicalCenter May 20.

Page 2: Journal 052815

2 Thursday, May 28, 2015 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, the De-partment of Defense, or the Department ofthe 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: Ronald D. InmanPublic Affairs Office: 301-295-1803

Journal StaffManaging Editor MC3 Hank GettysWRNMMC Editor Bernard Little

Staff Writers MC1 Christopher KruckeAndrew DamstedtSarah MarshallSharon Renee TaylorJoseph Nieves

NSABethesdaFleet And Family Support Center 301-319-4087

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

NSAB Emergency Information Line 301-295-6246NSAB OmbudsmanMichelle Herrera 240-370-5421

NSAB Chaplain’s Office 301-319-4443/4706

Sexual Assault ResponseCoordinator 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 HealthSciences page:http://www.facebook.com/pages/Uniformed-Services-University-of-the-Health-Sciences/96338890888?fref=ts

Asian American PacificIslander Heritage Month

The Multicultural Committeeat Walter Reed Bethesda will hosta program in observance of AsianAmerican Pacific Islander Heri-tage Month today at 11:30 a.m.in Bldg. 19, 1st floor in the pianoarea. The program will feature aperformance by the NatananjaliSchool of Dance. Everyone is in-vited to attend.

Birth Month TrainingBirth month training for Army,

Navy and civilian personnel atWalter Reed Bethesda is held ev-ery second and fourth Thursday ofeach month in Clark Auditoriumbeginning at 8 a.m. Training ses-sions include personal financeand stress management; sexualharassment; suicide awarenessand prevention; customer service;threat awareness and counterin-telligence; as well as drug and al-cohol prevention education.

Employer Network EventAn Employer Network Event is

held monthly on the last Thursdayfrom 11 a.m. to 1 p.m. in Bldg. 11(lower level), Room 16. Attendeeswill be able to meet with industryrepresentatives, develop profes-sional connections and exploreemployment opportunities at theevent, open to all active duty, fam-ily members, veterans, reservists,non-medical attendees, contrac-tors and civilians. No registrationis required. For more information,contact Fleet and Family SupportCenter at 301-319-4087 or [email protected].

BethesdaNotebookLast weekend we began the

annual 101 Critical Days ofSummer, the annual campaignfocused on increasing and main-taining our safety at work andplay, which lasts through the La-bor Day weekend.

It is typically during the 101Critical Days of Summer mishapstend to increase because of therise in outdoor activities.

We at Walter Reed Bethesdaare family, and as a family it isimportant we look out for eachother at all times because we can-not afford to lose any one of ourfamily members to a preventable accident. Thisis why it is important we remain safety vigilantnot only during the 101 Critical Days of Summer,but each and every day of the year. What We DoMatters.

It’s also important we are frequently remind-ed of the components of the 101 Critical Daysof Summer, which include wearing seatbelts; notdrinking and driving; practicing water safetywhen swimming and boating; remaining hydrat-ed by drinking water to avoid heat injury; andadhering to other measures designed to preventaccidents and injuries.

Oftentimes when bad things happen, alcohol isinvolved. This is another area in which we needto look out for one another. Alcohol-involvementis one of the key factors in sexual harassmentand sexual assault, which are absolutely unac-ceptable in our military and within our WalterReed Bethesda family.

We also have many motorcyclists in our Wal-ter Reed Bethesda family, and it’s important forthem to be visible (use reflective strips or decalson clothing and motorcycles, as well as flash thebrake light when slowing down and before stop-ping); dress for safety (helmet, eye protection,leather or other synthetic, protective clothing,long sleeves and pants, over-the ankle boots andgloves); and give yourself space (people drivingcars often don’t see motorcycles and if they do,they may not be able to properly judge speed).

Bicyclists should also wear similar personalprotective equipment, as well as use lights andreflectors to see and be seen.

Distracted driving is anotherchallenge on roadways. It is againstthe law for the operator of a mo-tor vehicle to talk or text on a cellphone while the vehicle is in motion.An exception is for hands-free de-vices or hands-free operating mode.Also, if you travel long distances bycar, take frequent breaks.

Protective gear, such as eyeprotection, ear plugs, gloves, long-sleeved shirts and pants, as well asheavy-duty, non-slip shoes shouldalso be worn when using a lawnmower and doing yard work.

To remain cool with the increasein temperatures, many of us will be taking toswimming pools and beaches. With that in mind,remember to never swim alone, even if you are anexperienced swimmer; swim only at supervisedareas; never swim when exhausted, overheatedor immediately after eating; before diving, makesure the water is deep enough; and don’t dependon a tube or inflated toy for buoyancy.

Another activity which should always be doneoutdoors and with caution is grilling. If you do so,remember to choose a safe grilling location awayfrom children’s play areas and areas of heavy traf-fic; the area should be well-ventilated to avoid thedanger from carbon monoxide and other combus-tion byproducts; never grill inside or even in asemi-enclosed area such as a tent or camper; andalways grill on a flat, stable platform.

Also during the overly hot, humid days, makesure to stay hydrated and limit intense, outdoorexercise. Focus on replacing lost salt and miner-als with water and sports drinks and avoid alco-hol and caffeinated drinks.

It is also important to recognize the signs ofheatstroke and heat exhaustion. According to theCenters for Disease Control and Prevention, fa-tigue, heavy sweating, confusion, extreme thirst,dizziness, cramps and nausea are all symptomsand must be taken seriously.

No matter the activity, practicing safety andresponsibility has a direct effect on mission re-quirements each and every day. Remember, weare family at Walter Reed Bethesda, and as fam-ily, it’s important we look out for one another. Weare…Walter Reed Bethesda!

WRNMMC CMC’s Column

Command MasterChief Tyrone Willis,

WRNMMC

Page 3: Journal 052815

By Andrew DamstedtNSAB Public Affairs

staff writer

Ask any Spinz employee toname a favorite dish at the Na-val Support Activity BethesdaBowling Center’s new snackbar, and they’ll start ticking offseveral items.Mac and cheese bites, a

Spinz steak sub, nachos madefrom fried flour tortillas, Geno-vese pizza, the Santa Fe blackbean burger, wings, hot dogsliders - and the list can go onfor a while.“It’s not just regular bowling

alley food; it’s good cuisine,”said Spinz employee Akiti Lee-Smalley.Spinz’ main goal as the

newest dining option on theinstallation is to get people totry out their spin on the tradi-tional snack bar menu. That’swhy they offer samples duringleague nights and are planningto go around to various officeson base to offer samples, saidSpinz manager Bill O’Donnell.“You get people who look at

the menu and they have this(hesitation and say) ‘I don’tknow,’” he said. “We’re trying toget the food in their hands sothey can say ‘Ah yeah, okay, Ican do this.’”

The food is made fresh andprepared at the beginning ofthe day, he said.“Everything comes out

hot, fresh and ready to go,”O’Donnell said. “And I likethe fact that it is a little dif-ferent and you’re building on

your normal snack food itemsand you’re taking it to anotherlevel.”Each employee adds their

personal touch when preparingthe dishes, said Spinz employeeJamie Stoneburner, describinghis own style of laying out the

toppings on the various pizzas.“I love attention to detail; I

want it to look, well, different,”he said.O’Donnell said having a

good rapport among Spinz em-ployees not only helps with off-setting the tight quarters, but

pays off in getting customers tocome back.“If they’re happy with their

job, we’re always going to workwell,” O’Donnell said. “And thenthat whole attitude goes out-ward and the customer startsseeing how much we enjoy ourjob and then they love to comehere, because it’s a fun place.That’s the key. You don’t see alot of that anymore.”Spinz opened April 24 and

O’Donnell said they have beenattracting more customerseach week. A grand openingand ribbon cutting ceremony isplanned for June 2 at 11 a.m.and will feature giveaways andfood sampling.Coming for the food is one

draw, but O’Donnell said theywant to make Spinz a recre-ational opportunity for peopleon base. In the near future, alounge will be built by remov-ing four lanes. Also, he said hewants to have more entertain-ment this summer on the patio.“I would like to think of it

not just as a dining option butas a place to actually come outand relax also – whether bowl-ing or just coming in to havea conversation or get togetherwith the office,” he said. “We’reone of the few open in the eve-nings – Friday and Saturdaylate.”

The Journal Thursday, May 28, 2015 3

Photo by Andrew Damstedt

Spinz employee Akiti Lee-Smalley takes out a pizza from the pizza oven at thenew snack bar at Naval Support Activity Bethesda’s Bowling Center. A grandopening for the new snack bar is planned for June 2 at 11 a.m.

Food, Fun Found at New NSAB Snack Bar

By Bernard S. LittleWRNMMC Public Affairs

staff writer

For more than 60 years, Mayhas been nationally recognizedas Mental Health AwarenessMonth, according to MilitaryHealth System (MHS) officials.Mental wellness is essential

for peak cognitive and physicalperformance, in addition to en-suring the readiness of servicemembers, MHS officials said.They added that mental well-ness is not only important forservice members, but for theirfamilies, retirees and Depart-ment of Defense (DOD) civiliansas well.“Mental health can be de-

fined many ways, but generally,mental health is a subjectivesense of well-being that in-cludes a sense of competence,independence, effectiveness andcontentment in one’s life,” ex-plained Mark Simpson, Ph.D.,

deputy chief of the Departmentof Psychology at Walter ReedNational Military Medical Cen-ter (WRNMMC).“Mental health comes with

feelings of accomplishment andsatisfaction with personal goals,relationships, career and a senseof life,” Simpson continued.He added WRNMMC Direc-

tor Brig. Gen. (Dr.) Jeffrey B.Clark’s prosperity plan andworkbook “are excellent exam-ples of goal setting and planningto help people achieve both posi-tive health and mental health.People who set goals, work toachieve them and have strongsupport systems, tend to bemore resilient during times ofstress and setback.To help people achieve men-

tal health, Resiliency and Psy-chological Health Service, aninterdisciplinary service, isopen to active duty, civilians,contractors and other personnelatWRNMMC. The service is de-

signed to foster an environmentof recovery, growth and adapta-tion under challenging circum-stances through programs andservices that promote healthand wellness, Simpson ex-plained. Resiliency and Psycho-logical Health Services can bereached at 301-400-1974.In addition, the Adult Be-

havioral Health Clinic providesindividual and group counsel-ing programs, psychologicaland psychiatric services for allWRNMMC beneficiaries andcan be reached at 301-295-0500.The Child and Adolescent

Psychiatry Service providesindividual and family therapy,parenting support and psychiat-ric medication services to youth18 and under and their families.For more information, call 301-295-0576.Many have viewed seeking

help for mental wellness as a“career ender,” but Simpson ex-plained just the opposite may bethe case.“In fact, if you are struggling

with depression, anger, sub-

stance use issues, post-traumat-ic stress or other emotional chal-lenges, not seeking assistancemay be much more likely to enda career or even worse, a life,”Simpson explained.“Unaddressed problems often

lead to incidents, such as fight-ing, DUI, domestic violence,disciplinary issues and more,”Simpson continued.He added that depression,

post-traumatic stress and otherconcerns have many effectivetreatments, but often may not

improve significantly withoutcare.“Given service members’ in-

credible dedication and sacrificeto the mission, each branch ofthe armed forces has taken greatstrides to ensure personnel haveaccess to quality mental healthcare without consequence,”Simpson said. “Voluntary treat-ment for mental health concernsis private and confidential, andis geared toward assisting theservice member to maintain orreturn to full duty.”

Mental Health Awareness Month

Courtesy Graphic

WRNMMC Offers Services For Wellness

Page 4: Journal 052815

By Sarah MarshallWRNMMC Public

Affairs staff writer

Louis Gilbert has aspecialized skill – one youwouldn’t expect to find inhospital dentistry.

Working in the dentallaboratory at Walter ReedNational Military Medi-cal Center (WRNMMC),the retired Navy dentaltechnician creates hand-made, lifelike prostheticeyes.

While on active duty,Gilbert received trainingin maxillofacial prosthet-ics at the Naval Post-graduate Dental School(NPDS). The craft in-volves creating prostheticreplacements for humanears, noses and other fa-cial parts missing dueto birth defects, cancer,combat or trauma, heexplained. He completedthe six-month NPDSmaxillofacial laboratoryprosthodontics course in2000. The course enabledhim to expound upon his

dental technician skills,while learning the insand outs of painting andcreating facial prosthet-ics, which happens toinvolve using the samematerials as those usedto make dentures.

Though he learned tomaster the various as-pects of maxillofacialprosthodontics, Gilbertsaid he was very inter-ested in “mastering theeyes.”

“It was more appealingto me. It was more cre-ative,” he explained, as hehas always loved art.

After retiring from a20-year military career,Gilbert began working asa Department of Defensecivilian in 2006 at theformer Walter Reed ArmyMedical Center.

Now at WRNMMC,Gilbert continues work-ing with other skilledanaplastologists who spe-cialize in producing andfitting facial prosthetics.The team decided theywould each concentrate

on a particular aspect oftheir trade, with Gilbertfocusing primarily onprosthetic eyes, or ocu-lar prosthetics. His col-leagues have masteredsilicone work, while oth-ers are able to make “spe-cialized” eyes, which mayinclude a Marine emblem,or sports team logo, su-perimposed on the iris ofa prosthetic eye. Patientshave even asked for glow-in-the-dark prostheticeyes.

Gilbert explained heand his colleagues oftenmust “create somethingfrom nothing. That’s thebeauty of it. You have tobe creative.”

The entire process ofmaking a prosthetic eyetypically takes abouteight hours, he said. Alsoreferred to as an ocular-ist, Gilbert begins bymaking an impression ofthe eye socket, where theeye is missing. He uses analginate, or wax-like cast-ing material, to make theimpression, which he can

heat up and re-shape dur-ing the fitting process, ifneed be, he said. He willlater use this impressionto make a mold of the eye.

Gilbert then sits infront of the patient, andusing the remaining eyeas a guide, paints on anexact replica of the pa-tient’s iris on a small“canvas,” a round circu-lar fabric, about the sizeof a pinky nail. He mightalso use a photo of the pa-tient’s remaining eye asa guide. He makes sureto capture every intricatedetail of the iris, usingoil-based paints. He alsomeasures the patient’siris and pupil, on the re-maining eye, to ensurethe prosthetic matches.

Once he’s finishedpainting the iris, he su-perimposes a “pupil” ontop of the iris. A small,round, acrylic dome isthen placed over the irisand pupil, magnifying thecolors. Together, the pupiland iris are attached tothe mold. Gilbert theninserts the mold into theeye socket to check thealignment of the iris. Hecalls this part of the pro-cess “setting the gaze,”making sure the iris isaligned properly.

He completes the moldby painting the sclera, thewhite part of the eye. Hehas about a dozen shadesof acrylic paint to choosefrom for this part of theeye, including dark grays,yellows and different

shades of white. He thenuses red strands of threadto create veins in the eye,and finally, he adds aclear coat over the eye toseal the prosthetic.

The goal is to make theeye as natural and nor-mal as possible, he said,and to be the most com-fortable for the patient.

If there is no damageto the muscles behind theeye, then the prostheticeye should still be able tomove normally as well, henoted.

Gilbert will continueto see his patients withinthe months following hiswork on the prostheticeye to ensure proper fit,as post-surgery swellingcontinues to go down.Long term, patients usu-ally return about once ayear for polishing, and toensure the eye still fitsproperly.

Some eyes are morechallenging, he added,such as if an individualhas a unique eye color,but the hard work paysoff. “It’s an incrediblefeeling to see the look ona person’s face when theysee themselves in themirror for the first timewith their new eye,” hesaid.

“It’s exciting becauseI’m making them feelwhole again,” Gilbertadded. “This is absolutelythe best job. It’s really re-warding.”

About a year ago, Gil-bert made a prosthetic

eye for Jeannette Nunezshortly after her left eyewas removed due to com-plications with glaucoma.Since childhood, she hasstruggled with the dis-ease that damages theeye’s optic nerve, whichconnects the retina to thebrain.

“My entire life, doctorshad been telling me, oneday we’re going to have totake that eye out,” Nunezexplained. Knowing thatday was coming did notmake it any easier. Thatday came on March 17,2014. What did make itmore pleasant was herexperience at WRNMMC,and working with Gilbert,she explained.

Six weeks after hersurgery, she met the ocu-larist, and she was “in-stantly pleased,” with hisknowledge and his at-tention, she said. Nunezdidn’t feel rushed byGilbert, she continued.She explained he tookthe time to understandher concerns, and walkher through the process.When it came to mak-ing an impression of hersocket, he made sure sheknew step by step whatwas going to happen next.

Prior to her eye sur-gery, Nunez said she felta veil of insecurity, feelingshe was “different.” Herparents raised her to bestrong, and independent– and for the first time

4 Thursday, May 28, 2015 The Journal

A Creative Craft: Staff Member Makes Prosthetic Eyes

Photo by Beverli Alford

Louis Gilbert, an anaplastologist in the dental laboratory at WalterReed National Military Medical Center paints a dark brown iris ontoa small round canvas, which will later be attached to the mold.

See EYES page 61050071

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The Journal Thursday, May 28, 2015 5

By Andrew DamstedtNSAB Public Affairs

staff writer

If one happened to walkinside the Navy Exchangeonboard Naval Support Ac-tivity Bethesda (NSAB) May19 it might have been easyto mistake the front of thestore for the backstage of aNew York fashion show be-cause of the several womenin makeup chairs, brightlights and photographerstaking pictures.

Instead of a fashion show,however, 10 makeup artistswere teaching women howto wear the Bobbi BrownCosmetics line – overseenby a visit by founder BobbiBrown, who said providingthese lessons was her wayto say thank you to the mili-tary.

“When I go into a store,I bring the artists so theyteach the woman how to usethe makeup,” Brown said.“It’s not about how good theartists are – it’s about howwell they teach the women

to do their own makeup.”Brown said she enjoyed

meeting the service mem-bers and other individualswho came to the event.

“It’s actually a very emo-tional day when I meet allthe women – service women,married to – or children of– (military),” Brown said. “Ibelieve that a lot of Americadoesn’t always realize andcan take (service members)for granted … these return-ing veterans exist and theyneed our support.”

NSAB’s Navy Exchangewas the first military base tohave a Bobbi Brown Cosmet-ics counter, which openedtwo years ago, so Browndecided to make NSAB herfirst visit to a military base.

NSAB Navy Exchangecosmetic manager NicoleHarvin said her departmentwas happy that Brown de-cided to visit and describedBrown’s the line as natural.

“The best part of it is thather brand is geared towardjust enhancing what you al-ready have – that’s what she

believes in – so it keeps youvery natural and just makesyou a little bit better,” Har-vin said. “It makes you feelbetter about yourself.”

Sharon Glenn, Navy Ex-change soft line divisionmanager, said Brown’s visitwas exciting and she washopeful Brown would visitthe store again.

“She has a look that isvery clean, natural, fresh –not a lot of drama,” Glennsaid of the cosmetic line. “Soit’s an everyday look thatwill carry you from morninguntil evening.”

Brown said her brand wasdeveloped as a way to “em-power women to give confi-dence and boost self-esteemand I don’t care what youdo for a living, every womanwants to look better and feelbetter. It is really about con-fidence.”

And no matter what awoman is experiencing inher life, she said, “makeup isan easy way to make you feelbetter, no matter what.”

Makeup Lessons Serve as a Thank You to Military Women

Photo by Andrew Damstedt

A woman gets a makeup consultation at the NavyExchange onboard Naval Support Activity BethesdaMay 19 during the visit of makeup artist Bobbi Brown,not pictured, who provided the lessons as a way tosay thank you to the military.

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6 Thursday, May 28, 2015 The Journal

in her life after the surgery, with heridentical, dark brown eyes, she said,she has confidence in saying, “I believewhat was instilled in me … That was arevelation for me.”

A TEAM EFFORTIn this highly specialized craft, Gil-

bert works closely with anaplastologistsGwen Guildford and Robert Robinson.The three have crossed paths overthe years, each taking the maxillofa-cial course at NPDS, and each havingserved at one point on active duty at theformer National Naval Medical Center.They each continue to do dental work aswell, creating dental implants and den-tures. They agreed, their “hearts belonghere,” and they go out of their way toensure their patients are happy.“It’s a small group, as far as those of

us in the field,” said Robinson, who isthe “go to” for silicone work. He createsfacial prosthetics, such as nasal, facial,or ear prosthetics, using various formsof silicone to create life-like textures onthe prosthetic. He’s been doing ana-plastology for 17 years, and prostheticsfor 25 years. He agreed, it is “heart-warming to see how [a patient] reactswhen [he or she] looks in the mirror forthe first time with whatever we’re ableto make for [the patient].”Guilford, laboratory manager, echoed

similar sentiments. “We take greatpride in making sure our patients arehappy – that’s most important.”The anaplastologist creates special-

ized eyes, or as she likes to call them“silly eyes.” In terms of these eyes, shesaid, “Basically anything they want,they can get here.”Once Gilbert finishes making a mold

to fit the patient’s socket, and createstheir natural looking eye, Guilfordcrafts the iris with a specialized design,be it a Purple Heart, Ranger emblem,diamonds, or a flower.She recalls making a Captain Amer-

ica eye for Sgt. Thomas Block, who wasseverely injured Oct. 5, 2013. While onpatrol with fellow Rangers in southernAfghanistan, an insurgent detonateda bomb strapped to her body, throwinghim back 35 feet into a minefield. Helost his right eye, but retained vision inhis left eye. He also had his ocular bone,nose and cheekbone rebuilt.Block was not aware they could make

such life-like prosthetic eyes, and wasparticularly surprised to learn the worktakes place in a dental lab. He askedfor the Captain America shield, becauseit was already in the shape of a circle,like an iris, and the symbol seemed pa-triotic. He said he enjoys seeing othersreact to his eye, especially kids. “Theyget really excited about it.”As he always strives to be a role mod-

el, and do what’s right for his family,friends and his country, he said, “[TheCaptain America eye] gives me a stan-dard to uphold.”Block also expressed his apprecia-

tion for the “amazing care” he’s receivedfrom the team in the dental lab.“They work really well together,” he

said. “They make it easy for me, the pa-tient, to feel comfortable wearing thisprosthetic. They’re here for us.”

EYESContinued from pg. 4

By Asha Jain MA,RD, CDE

OutpatientNutrition Services,

WRNMMC

Diabetes does not stayat home; it goes whereveryou go.Even though you may

be diabetic, you can gowherever you want togo and do whatever youwould like to do as long asyou remember one thing –plan ahead.It just takes a little

planning to handle yourdiabetes. How you preparedepends on where you’regoing and for how long.Two weeks backpack-ing through Europe re-quires different planningthan a week at the beach.Will you be crossing timezones? What kind of foodwill you eat, and when?Will you be more activeor less active than usual?Do you know how to makehealthy food choices wheneating in restaurants?

Food is one of life’s ne-cessities and eating is oneof life’s greatest pleasuresfor many people. Whentraveling to other parts ofthe world, experimentingwith regional foods or lo-cal cuisines, experiencingdifferent food customs oreven visiting relativeswho make your favoritedesserts, sticking to yourmeal plan can be espe-cially adventurous andchallenging at times.What can you do? Take

these steps to maintaintarget blood glucose levels.• Never take your pre-

meal insulin unless yourmeal is in front of you.Otherwise, a delay in themeal could lead to lowblood glucose. To be safe,always carry some foodwith you. If your mealis delayed or an orderis mixed up, you won’tbe stuck with an emptystomach.• Drink plenty of flu-

ids. Avoid caffeinatedand alcoholic beverages

to minimize the effects of“jet lag.”• Take action breaks

when flying or travelingby bus or train. Thesebreaks can include walk-ing in the aisles every twohours. If you drive, takebreaks to stretch or walkat rest stops or when get-ting gas.• Carry hard candies

or glucose tablets fortreatment of hypoglyce-mia.• Take along snacks

when hiking or sightsee-ing. Don’t assume you willbe able to find food. Carrynon-perishable snackfoods such as cheese withcrackers, peanut butterwith crackers and dryfruits.• Meal replacement

bars and/or snack barsare good to carry for de-layed meals or skippedmeals.• Avoid tap water over-

seas. This includes icecubes made from tap wa-ter.

• Ask for an ingredientlist for unfamiliar foods.Some foods may upsetyour stomach and hurtyour diabetes control.• Test your blood glu-

cose after you’ve eatenany foods that you’re notused to eating.• Eat something, a

meal or a snack, aboutevery four to five hours.• If the big meal of the

day will be served late atnight, you may want toeat a snack at your usualsupper time, and omityour bedtime snack.• Make requests. Can

food be grilled insteadof fried? Can an item oringredient be switched?Can sauces, gravies, anddressings be served onthe side?• Plan to split the main

dish with your companionto avoid taking home left-overs.• Avoid buffets unless

you know you can resisteating too much.• Fast food does not

have to be fat food. Theground rules of healthyand good nutrition stillapply when you orderfrom the drive-thru.• In some parts of the

world, breakfast is verylight so you may want tohave something extra toadd to it.

• If you get sick, askyour doctor, pharmacist,or diabetes educatorabout taking your medi-cines (insulin or pills).No matter what kind

of diabetes you have, it’ssmart to watch what youeat and drink when trav-eling.

Be Safe with Diabetes and Summer Travel

Courtesy Graphic

T6617480

Rockville

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8 Thursday, May 28, 2015 The Journal