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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 />

Building 167, Patton Barracks<br />

373-7277/7243 or 06221-17-7277/7243<br />

usaghd.post@eur.army.mil<br />

Baden-Württemberg Public Affairs<br />

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 />

Kaiserslautern Public Affairs<br />

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 />

Advertising:<br />

All requests for advertising must be made<br />

to the publisher’s sales office at Schwetzingerstrasse<br />

54, Heidelberg-Kirchheim, telephone<br />

06221-603039; fax 06221-603078;<br />

www.hp-ads.de.<br />

The Public Affairs Office and <strong>Herald</strong> <strong>Post</strong><br />

staff may not accept advertising.<br />

The <strong>Herald</strong> <strong>Post</strong> is published by Adolf Deil<br />

GmbH & Co. KG, a private firm in no way connected<br />

with the Department of the Army,<br />

under exclusive written contract with the<br />

U.S. Army Garrison Baden-Württemberg.<br />

This commercial enterprise newspaper is an<br />

authorized publication for members of the<br />

U.S. Army overseas. Contents of the <strong>Herald</strong><br />

<strong>Post</strong> are not necessarily official views of, or<br />

endorsed by, the U.S. government, Department<br />

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Appearance of advertising in this publication,<br />

including inserts and supplements, does<br />

not constitute endorsement by the U.S. government,DepartmentofDefense,Department<br />

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marital status, physical handicap, political affiliation<br />

or any other non-merit factor of the<br />

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Editorial content is edited, prepared and<br />

provided by the USAG Baden-Württemberg<br />

Public Affairs Office.<br />

Printed circulation: 17,000.<br />

The<strong>Herald</strong> <strong>Post</strong> offices are in Building 167,<br />

Patton Barracks, Heidelberg. Military address:<br />

<strong>Herald</strong> <strong>Post</strong>, PAO, U.S. Army Garrison Baden-<br />

Württemberg, Unit 29237, APO AE 09102.<br />

Civilian address: <strong>Herald</strong> <strong>Post</strong>, Patton Kaserne,<br />

Gebäude 167, Kirchheimerweg 4, 69124<br />

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army.mil.<br />

Submissions are welcome, including letters<br />

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edit for style, space, libel, clarity, security and<br />

good taste. To be considered for publication in<br />

a particular issue, they must be in our hands<br />

by noon the precedingThursday.

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