01_HP (Page 1) - Herald-Post
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2 OUTLOOK<br />
Thursday, April 10, 2008 <strong>HP</strong><br />
COMMENTARY<br />
Doing your part to<br />
prevent sexual assault<br />
By Karoline R. Hay<br />
IMCOM-EUROPE SEXUAL ASSAULTTRAINER<br />
AprilisSexual Assault Awareness Month, but what<br />
does that really mean to you? For some it will mean<br />
attending community events and briefings, often with<br />
little interest and even less enthusiasm. For others it<br />
will be a painful reminder of an event that they may<br />
have never disclosed to another human being. For all<br />
of us, it needs to be a call to action.<br />
Sexual assault is a crime that strikes too many of<br />
us for anyone to stay out of this fight. While we can’t<br />
avoid the briefings, flyers and AFN commercials<br />
regarding sexual assault, all of us deny that they have<br />
anything to do with us. We hear statistics such as one<br />
in three women and one in six men will be victims of<br />
sexual assault in their lifetimes, but we come up with<br />
reasons why it will never be us. The majority of men<br />
and women will never be victims of sexual assault, but<br />
you know someone who has been. It’s a friend, a coworker,<br />
a parent, a lover, but it is someone, whether or<br />
not they have confided in you.<br />
There is something everyone can do every day to<br />
prevent sexual assault. It starts with creating an environment<br />
where victims know they can come forward<br />
without blame or reprisal. If victims know they will<br />
be accepted and respected when they make a report of<br />
sexual assault, then they will. If they are denied those<br />
rights, they will keep silent and the perpetrators will<br />
continue to offend.<br />
It is morally impossible to remain neutral in this<br />
situation. Perpetrators will interpret silence as forgiveness<br />
or even approval, while to the victim it means no<br />
one will help and no one cares.<br />
Do not let yourself become an unwitting accomplice.<br />
Each of us has the responsibility to ask friends<br />
and co-workers if they need help, to act when help is<br />
needed, and to intervene when people are in trouble.<br />
Learn to recognize potentially dangerous situations<br />
and have the courage to take action. Inappropriate<br />
touching, suggestive remarks, testing boundaries, or<br />
disregarding set boundaries, inappropriate intimacy,<br />
attempts to isolate someone, pressuring someone to<br />
drink alcohol, or pursuing someone who is obviously<br />
impaired, and violent behavior are all indicators<br />
that intervention is necessary. Intervening does not<br />
necessarily mean that you confront the instigator and<br />
demand that they desist, but it does mean that you<br />
support and provide a means of escape for someone<br />
who is being subjected to it. And in cases of violence,<br />
it means calling the MPs.<br />
Preventing sexual assault is everyone’s responsibility,<br />
and with education, communication and all of our<br />
efforts, we can succeed in eliminating it.<br />
COMMENTARY<br />
Understanding the Acute Care Clinic<br />
By Dr. Robert D. Walker<br />
HEIDELBERG FAMILY PRACTICE CLINIC<br />
Asthe Heidelberg Hospital<br />
continues with its<br />
directed transformation,<br />
we have several changes<br />
that are ongoing. One of those<br />
changes is the transformation<br />
of our former emergency room<br />
into an Acute Care Clinic.<br />
Why the change?<br />
There are several reasons.<br />
The European theater is undergoing<br />
significant changes<br />
with closures of some military<br />
communities and increases in<br />
populations in others. With<br />
these changes, the medical<br />
departments need to shift as<br />
well. We need to realign assets<br />
to locations where they’re more<br />
critically needed.<br />
Secondly, and possibly more<br />
importantly, with the advancements<br />
in specialized care available<br />
today, we at the U.S. Army<br />
hospital could no longer offer<br />
the same wide array of services<br />
that larger local medical centers<br />
can. This is especially critical<br />
when it comes to emergency<br />
care, where a delay in minutes<br />
can mean the difference in a<br />
good outcome versus a bad<br />
one.<br />
The medical care provided<br />
on the economy in the Heidelberg<br />
area is world-class. There<br />
may be subtle cultural differences,<br />
but the level of care is<br />
comparable to that of the best<br />
hospitals in the United States.<br />
What level of care does an<br />
Acute Care Clinic offer?<br />
Its function lies in the<br />
middle ground between the<br />
doctor’s office and an emergency<br />
room. It offers unscheduled,<br />
walk-in care for non-lifethreatening<br />
medical injuries<br />
and illnesses. It is meant to<br />
treat minor illnesses and injuries,<br />
lacerations and sprains. It<br />
will have laboratory and x-ray<br />
services available. An example<br />
of the level of care provided<br />
would be a bladder infection.<br />
For suchaproblem,youdon’t<br />
need an ER, but if your regular<br />
doctor isn’t available, you certainly<br />
shouldn’t wait and allow<br />
the infection to progress into a<br />
more serious problem. That’s<br />
when you visit the ACC.<br />
An ambulatory care clinic is<br />
not the same as an emergency<br />
room. For people with lifethreatening<br />
injuries or illnesses,<br />
there’s no substitute for an<br />
ER. Patients with symptoms<br />
that suggest a serious problem,<br />
such as any form of chest pain,<br />
shortness of breath, severe injury,<br />
threat of loss of life, limb<br />
or eyesight, severe bleeding or<br />
unbearable pain, should call<br />
an ambulance or go directly to<br />
alocal ER. Any delay in doing<br />
so can result in harm or even<br />
death.<br />
If you cometotheACC and<br />
your illness warrants an emergency<br />
room, we will decide if<br />
you can or cannot transport<br />
yourself to the nearest local facility.<br />
If you cannot, we will call<br />
an ambulance. Our physicians<br />
will consult with the receiving<br />
ER staff and communicate<br />
your status.<br />
If it’s after hours and you’re<br />
unsure what to do, you should<br />
call the Nurse Advice Line.<br />
The registered nurses who<br />
answer your calls provide<br />
24/7 medical advice. The call<br />
is toll-free by dialing DSN<br />
99-00-800-4759-2330, civ.<br />
00-800-4759-2330. They can<br />
help you decide what level of<br />
care you most likely need by<br />
asking question from medically<br />
approved scripts. In an<br />
emergency, dial DSN 117, civ.<br />
06221-57-117, and that will get<br />
you the American Fire Department<br />
where an English-speaking<br />
professional will direct your<br />
call and get you an ambulance.<br />
Do you need an<br />
appointment at the ACC?<br />
No. Patients do not need<br />
appointments nor do they need<br />
referrals to be seen in the ACC.<br />
Our ACC hours are 7 a.m.-9<br />
p.m. on weekdays and 9 a.m.-7<br />
p.m. on weekends, holidays<br />
and training holidays. This is<br />
not meant to be a substitute<br />
for your primary care manager.<br />
Chronic medical care is best<br />
delivered by a medical provider<br />
who can provide continuity to<br />
your care. Visits for such things<br />
as prescription refills should be<br />
done through your PCM. Also,<br />
there will not be any medical<br />
personnel staffing the facility<br />
after hours, and there will<br />
be limited pharmacy services<br />
available.<br />
Please familiarize yourself<br />
with the emergency rooms in<br />
your area. For the immediate<br />
Heidelberg area, the University<br />
Hospital has several emergency<br />
rooms. If you gotoanyoneof<br />
them, they will assist in your<br />
care. If you are not in the immediate<br />
Heidelberg area, our<br />
TRICARE office can assist with<br />
directions.<br />
We encourage you to make<br />
yourself familiar with the<br />
locations of the local emergency<br />
rooms and hospitals in<br />
advance to avoid any confusion<br />
that could delay your care<br />
when immediate medical care<br />
is needed. Remember, if you<br />
have chest pain, shortness of<br />
breath, severe injury, severe<br />
bleeding, unbearable pain or<br />
a threat of loss of life, limb or<br />
eyesight, please call DSN 117,<br />
civ. 06221-57-117 for an ambulance<br />
or have someone take you<br />
directly to a local ER.<br />
We are here to assist you in<br />
receiving the proper and timely<br />
care you deserve. We have staff<br />
ready to field your questions<br />
and help in any way.<br />
For TRICARE questions,<br />
please call DSN 371-2363,<br />
civ. 06221-57-2363. For<br />
general questions please call<br />
our administrative officer of<br />
the day at DSN 371-2605, civ.<br />
06221-17-2605.<br />
<strong>HP</strong><br />
Commander, U.S. Army Garrison<br />
Baden-Württemberg:<br />
Col. Robert J. Ulses<br />
Acting Public Affairs Officer:<br />
Harry Connors<br />
Editor:<br />
Kelli Bland<br />
Reporters:<br />
Christine June, Kaiserslautern<br />
Art McQueen, Heidelberg<br />
Amy Buenning Sturm, Darmstadt<br />
Webmeister:<br />
Juan Meléndez Jr.<br />
Contact information:<br />
<strong>Herald</strong> <strong>Post</strong><br />
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usaghd.post@eur.army.mil<br />
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373-1400/1600 or 06221-17-1400/1600<br />
usaghd.pao@eur.army.mil<br />
Darmstadt Public Affairs<br />
348-1600/6469 or 06151-69-1600/6469<br />
usagdmstpao@cmtymail.26asg.army.mil<br />
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493-4072 or 0631-3406-4062<br />
usak.pa1@eur.army.mil<br />
Mannheim Public Affairs<br />
380-1600/385-3369 or 0621-730-1600/3369<br />
usagmpao@eur.army.mil<br />
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