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CRCC Newsletter July 2011

CRCC Newsletter July 2011

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Published by: 2d Marine Logistics Group on Jul 22, 2011
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CRCC - COMPREHENSIVE WARRIOR CARE

"

JULY, 2011

Concussion Restoration Care Center
The ECW:
New Partners in Warrior Care
• Letter from the OIC MESSAGE FROM THE OIC Hello everyone! Here it is, already July - we are just a few months from coming home! The month of June went by quickly and brought many changes. First, let us hail the newest member of our team, HN Tyler Prolo. Second, we had the Honorable Ray Mabus, Secretary of the Navy, tour the facilities. A pleasant southern gentleman, he was very interested in the clinic, taking time from a grueling schedule to visit with the staff and wounded warriors. His presence attests to the level of visibility targeting concussion care in the field. Further enhancements to our care has been the addition of Chaplain Mike Tomlinson to our schedule. His presence has made a notable impact on patient recovery; in fact, we had to double the number of appointments in the clinic due to the high demand for his pastoral counseling and insight. This month, I’d like to dedicate our newsletter to Alpha Surgical Company’s newest asset, the Extended Care Ward (ECW). The ECW has allowed Alpha Surgical to expand the mission of temporary casualty holding right next door to the CRCC. The ECW allows patients with more acute injuries to be managed and treated, sometimes within hours of a concussive event! The OIC, LCDR Clark, will describe the ECW in more detail this issue. The end of June has seen increased kinetics in the war - meaning our clinic gets real busy. Our Hero segment will focus one of our own, a Navy Hospital Corpsman. The Corpsmen, or “Docs” as called by their Marine brethren, are warrior healers in the field, risking their lives to minister life saving efforts to their comrades. This Corpsman’s story is truly heroic and unbelievable and highlights the benefits of the ECW to the Alpha Surgical mission and effort! I hope this issue gives a better understanding of what is going on in the world of Navy Medicine and how we are doing our part in the war. Treating the acutely injured Warrior here is a true privilege and honor. Enjoy and God bless. CDR Earl Frantz, DO, USN • Extended Care Ward • Stories from our Heroes

In this Issue

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CRCC - COMPREHENSIVE WARRIOR CARE"
THE EXTENDED CARE WARD

JULY, 2011

When Alpha Surgical Co arrived, there was talk of creating a facility that allowed Soldiers, Marines, Sailors and Airman a place to receive some level of ongoing medical and nursing care that, although necessary, did not require the services of Bastion Hospital. That facility has become a reality.
ECW residents enjoy their meals in the ECW common area.

LTJG Mary-Pat Tobola has led the way in creating an environment conducive not only to healing, but for residents to open up to one another about their injuries and experiences - a therapeutic interaction that can’t always be achieved in quite the same way between a doctor and patient. The corps staff man the facility 24/7 The Extended Care Ward providing structure, support, and (ECW) is headed by LCDR Dan medical care as needed. Clark and staffed with a nurse, The facility also maintains a independent duty corpsman, five good working relationship with the corpsman, and a rotating night crew from other areas within Alpha Role 3, Bastion Hospital. Often times, bed space becomes a Surgical Co. Its mission is to provide inpatient medical care for premium, especially during times of multiple casualties. The ECW Marines, Soldiers, Sailors and allows a means of continuing care Airmen discharged from Bastion for patients that might otherwise Hospital that still require some have stayed in the hospital, but level of ongoing medical care yet still allows them to return to their would not need the services of round-the-clock nursing care. unit within about a week. Examples include wound care, The 16 bed ward began slow, concussion management, and with a Marine here and there for intravenous antibiotic therapy. The concussions or minor wounds, but process allows the ECW to quickly launched to nearly 50 transition patients rapidly and percent capacity. The environment safely out of the Role 3 hospital and quickly became that of 1/2 hospital into the Wounded Warrior ward, 1/2 recovery center, with the Battalion, while ensuring continuity residents sharing berthing, meals, of care. and stories of how they came to be - Dan Clark wounded warriors. LCDR,NC,USN,

The ward where ECW residents sleep

" The ECW has 16 beds, but the majority of residents share the main 12-bed ward (at right). This environment provides the Marines, Soldiers, Sailors and Airmen a place that is dark, cool, and quiet to rest, following wounds and concussions related to improvised explosive devices (IEDs). The ability to rest one’s mind and body immediately after such an event is crucial to a speedy recovery. The staff provide their meals and assistance 24 hours a day. The ward combines barracks familiarity with nursing ward concepts. This gives comfort to the warrior and confidence from Bastion Hospital that their patients will be well managed after discharge.

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CRCC - COMPREHENSIVE WARRIOR CARE"
STORIES FROM OUR HEROES ONCE A DOC . . . Nothing truly prepares one for the rigors of combat. Our Navy Corpsmen are well trained in the art of combat medicine, but when faced with the reality and horrors of war, the classroom seems a long way away. The young Corpsman, (otherwise known as “Doc” to his Marines) here on his first deployment, switched into automatic mode after the first IED. At the sound of the explosion, he looked to see injured Marines in the canal along the road - one Marine’s head held up out of the water by another Marine. Together, they dragged the most wounded of the group out of the stagnant water where he and the least injured Marine could start placing tourniquets on wounded legs. As they sped to stop the bleeding, another IED went off, barely three feet from Doc. superficial shrapnel wounds,” his clinical mind said. To reassure himself he clapped his hands together, verifying he had the mental and physical ability to keep working. He continued to assess his patients, using others in the group to help him render life-saving care tourniquets on one, two, then three of the Marines. “I need to start an IV,” he thought, reaching for an interosseous needle to deliver fluids straight into the bone marrow. Performing tasks that many physicians have only done in a lab, his training kicked into autopilot, overcoming what he recognized as slow and clumsy movements, a result of what he knew was his own concussion. droplets of paint thrown on the skin. He had a concussion, severe hearing loss and nearly complete perforation of his right eardrum. His arrival was one day after others from his unit. The smiles of the Marines in the ECW was something to behold as their Doc approached the doors. He looked as if he was about to start caring for them right on the spot, ignoring the fact he was now like his Marines an injured warrior from an IED. “He’s our Doc - that’s what he does,” they said.

JULY, 2011

He didn’t stay in the ECW long. After three days of treatment and recovery, he and three of his Marines were Aerovac’ed to Bagram for specialty care. Each respectfully expressed their After caring for everyone gratitude before they left. else, Doc realized he did not Eventually two Marines and feel right. He had a pounding Doc were sent back to the headache and he couldn’t US because of injuries. Even hear anything with his right as I got one final e-mail from ear. He had ignored the Landstuhl telling me the ringing in his ears to this plan, I knew they were still a point, so intent was he on his unit and “Doc” was still their At this point, through his tasks. Doc knew his patients doctor. mental and visual fog and were being MedEvac’ed and ringing ears, Doc realized so, he figured, would he. -- Judy Schauer" that he was injured from the He arrived to the ECW blast. As this surreal reality CAPT, MC, USN with the spattered shrapnel set in, he checked wounds on his face that have successively for all his limbs. become so common this Seeing blood he knew he was summer - the small clotted injured, but no amputations wounds looking like small greeted his scrutiny - “Just

“his training kicked into autopilot, overcoming what he recognized as slow and clumsy movements, a result of his own concussion”

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CRCC - COMPREHENSIVE WARRIOR CARE"
" In this issue, we’ll take a break from the numbers to show that the CRCC is not all work and no play. Last month a cornhole tournament was held just outside the ECW comprising members of Alpha Surgical Company from Camp Leatherneck. " Also, the USO hosted a “Ladies of Comedy Tour.” The comediennes came by to visit the wounded Warriors to chat a while and perform some of their comedy material.

JULY, 2011 Mailing Address
CRCC 2D MAINT BN FWD ATTN: SURG CO UNIT 73615 FPO AE 09510-3615

DSN Phone:
318-357-3900

We’re on Sharepoint!
In the RC(SW) homepage - search CRCC

Chief Rod Toler (standing, right) looks on as LT Frazier Wi$iams, attempts a less than successful shot. LT Joan Gonzalez demonstrates a little English on her throw while others look on.

THE ECW TEAM
• LCDR Dan Clark - Officer in Charge, Registered Nurse • LTJG Mary-Pat Tobola Registered Nurse • HMC Rod Toler - Independent Duty Corpsman • HM2 Shafia. Harris - Leading Petty Officer • HM2 Alvin Jules - Psychiatric Technician

CDR Rick Sams paired with CDR Earl Frantz pair off against HA Josiah Garcia and Chief Gordon Primeaux (le$ and right respectively)

• HM3 Michael Wood - General Duty Corpsman • HN Francisco Sanchez - General Duty Corpsman • HN Juan Hernandez - General Duty Corpsman • HN Dane Ashton - General Duty Corpsman

The Ladies of Comedy visit with the ECW staff and residents. The team included (clockwise )om bottom le*) Sarah Tiara, Tom Foss, Jodi Mi$er, and Christina Pazsitzky. who performed later that night for Camp Leatherneck.

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