PARALYZED VET WALKS AND RUNS AGAIN - MICHAEL E. DEBAKEY VA MEDICAL CENTER - MICHAEL E. DEBAKEY VA MEDICAL ...
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Michael E. DeBakey VA Medical Center
Moving Veterans along the tracks of excellent health care
Issue 8 | December 2019
PARALYZED
VET WALKS
AND RUNS
AGAIN
Pages 4-5
IN THIS FROM the
DIRECTOR
ISSUE
03 Message from the Director 14 VA Nurse Wins Magnet
Nurse of the Year Award
20 WISER & ROVER Programs
Dear Veterans,
Francisco Vazquez, MBA
As we close out 2019, I would like to take a moment to reflect with you on this
04 Paralyzed Veteran Walks & 22 Your Voice Matters past year’s journey to deliver innovative, cutting-edge, and top-quality health care
Runs Again 15 End Harassment services to more than 114,000 Veterans in southeast Texas. This past year alone
22 VA Video Connect your Houston VA has achieved milestones that many thought impossible just a few
05 VA Goes Smoke-Free 15 LGBTQ Health Care 23 Million Veteran Program years ago. Here are a few I’d like to highlight:
Designation
06 Crisscross Organ Swap • This year we became the first VA in the country to achieve the American Nurse Credentialing
16 Fisher House a Blessing 23 Important Phone Numbers Center’s magnet status for nursing excellence for the 4th straight time. Our one of impressive
07 Palliative Care Support Group
nurse practitioners, Melissa Fadipe, was recognized as the 2019 Magnet Nurse of the Year for
17 Adam’s Corner Cover Photo:
08 Robotic Knee Surgery Army Veteran Candice Transformational Leadership. I can’t tell you how proud I was to attend the International Magnet
18 Beaumont Staff Continue Caesar, a walking conference and witness our Houston VA nurses being recognized as among the best worldwide!
09 Lose Fat through MOVE! Caring for Veterans quadriplegic, runs her first
marathon with her son by • Your Houston VA employed new robotic technology to ensure Veterans undergoing knee
10 Prevent Veteran Suicide 19 Houston Texans Players her side. She was paralyzed replacement surgeries experience less pain and recover faster. Our new robotic-arm assisted
in a 1999 auto accident. technology is the first of its kind employed in the VA and we are very proud to be able to bring this
Visit Veterans Photo provided by Veteran.
12 Breast Imaging
Story on page 4. Photo new 3-D technology to our Veterans here in Texas.
19 Finding Your Way Around provided by Veteran
13 MISSION Act • Your Houston VA surgeons performed four simultaneous surgeries as they completed the first
single-center paired kidney exchange done entirely at a VA Medical Center. The wife and sister of
FREE FLU SHOT FOR VETERANS
two different Navy Veterans donated kidneys in the swap, which ended up changing the lives of
these Veterans forever. (Read more about this on page 6.)
• At the beginning of the year, we opened a brand new mental health outpatient building on our
F
lu is a contagious respiratory disease that campus. The new building houses some of the more than 100 new mental health providers
can lead to serious illness, hospitalization, (psychologists, social workers, etc.) that we have hired to care for Veterans.
or even death. Flu vaccination is the best • Your Houston VA is a recognized leader in the use of telehealth. Veterans can now dial in for their
way to prevent flu and its potentially serious appointments on their smart phones, tablets, and computers from the comfort of their own homes.
complications. Ask your provider if you are interested in receiving care via this technology. The Veterans I have
Veterans get your flu vaccines today! Protect talked to who use it have been very pleased.
yourself and your loved ones from the flu virus. • We had a very successful implementation of the MISSION Act here in Houston. We want our
Where can you get the flu shot? Veterans to choose to receive their care at the VA. However, in the event that we can’t provide care
• Michael E DeBakey VA Medical in a timely manner or a Veteran lives far away, the MISSION Act allows us to utilize care in the
Center: community as a way to make sure you are receiving prompt care. We have developed a network of
Primary Care provider hundreds of community care providers near Houston and our community based outpatient clinics
Specialty Care provider and this network continues to grow as more providers sign up to care for Veterans.
Flu Walk-in Clinic: PrimeCare Clinic 1, In 2020, we will focus our efforts on improving the overall experience our Veterans have when they
8 a.m.-3:30 p.m., Monday-Friday Army and Vietnam Veteran Clarence Shorter receives his flu come to our medical center or one of our clinics. I promise that we will be tireless in our efforts to
• Main Lobby Flu Shot Clinic: October shot in Prime Care Clinic 1. Photo by: Todd Goodman continue to provide you with care that is timely and Veteran-centric. I am excited about the future of
9, MEDVAMC, Main Lobby, 9 a.m.-2 p.m. VA and I, and all of our dedicated employees in southeast Texas, consider it an honor and privilege to
• All nine of our Community Based “We haven’t had a huge outbreak so far this care for you. Thank you for your service to our country and thank you for choosing us as your health
Outpatient Clinics year, but it’s still early,” said Susan Bogard, care provider.
• Any Walgreens Pharmacy: No Health Promotion Disease Prevention Program
manager. “The one thing about flu season Sincerely,
appointment required. Tell the Francisco Vazquez
pharmacist you receive care at a VA is that it’s very unpredictable. Our two best
defenses against it are to wash hands and get Medical Center Director and Proud Navy Veteran
facility, and show your Veterans Health
identification card and another form of the flu shot.”
“Every season flu sickens millions of Medical Center Director Contributing Writer & Photographer Published By:
photo ID. Standard dose vaccines are free. Francisco Vazquez, MBA Todd Goodman Communications Office
There will be a fee for high dose vaccines Americans, hospitalizes hundreds of thousands,
Michael E. DeBakey VAMC
and kills tens of thousands. The 2017-2018 Communications Director www.houston.va.gov
for adults over age 65. 2002 Holcombe Blvd.
flu season was the most severe in a decade. Be Maureen Dyman www.facebook.com/HoustonVAMC
Houston, Texas 77030
part of a growing population of individual who www.twitter.com/VAHouston
Editor | Design
2 VA Locomotive | www.houston.va.gov chose to fight the flu. Nikki Verbeck
www.houston.va.gov
www.instagram.com/HoustonVAMC | VA Locomotive 3
713.794.7349
VHAHOUPublicAffairs@va.gov
PARALYZED VETERAN NOW A MARATHONER ► by Todd Goodman
T
he National can have movement over “When I left the Army, I was able to walk a hand cycle to do the 10K. There was a “killer
Veterans my body. And that’s what with a cane, with assistance, and some leg hill” that she had to pass several times. That hill
Wheelchair happened.” braces,” she said. “To walk I have to pick my hip almost got the best of her, but she persevered
Games have given Army That attitude, as and quad up and put it down. I’ve got a lot of and once she conquered it the first time, her
Veteran Candice Caesar powerful as it is, only movement. It’s still weak, but it’s movement.” confidence soared.
a new social circle and works when it’s turned on, So much movement that she did what she “When I passed somebody using his legs and
extended family—but the she said. The first time assured her doctors in Germany that she would I’m using my arms, that just gave me a little
inspiring part is what she walked, she took two do—run/walk a marathon. So far, she’s done 17 extra power,” she said. “I thought, ‘Oh! I can
she’s had to overcome. steps and then it was back marathons and 73 half marathons in 43 states. beat people using their legs!’ For me, I was like,
Caesar was stationed into the wheelchair. When her Houston VA doctor advised her to “Oh, my God, I’m passing him up!’ That gave
in Germany in 1999 “There was a lot of find other activities, as running was too tough me some extra motivation. I could have gone
when she was involved falling,” she said. “There on her body, Caesar joined Paralyzed Veterans another 10K around the course, I had that much
in a motor vehicle was a lot of bleeding. of America Texas Chapter and discovered a slew fun at Wheelchair Games.”
accident. The vehicle There was a lot of crying. of things she could do, to include Wheelchair Caesar is determined to make these games
slid on black ice and Some days I lay in bed and Games. an annual event, no matter what is going on in
crashed. A Soldier in the said, ‘God, why did this “I had the best time with Wheelchair Games,” her busy life. Since the accident, she’s gotten
back seat, who was not happen to me? I need to she said. “When I left (this year’s games in two bachelor’s degrees and a master’s degree
wearing a seat belt, flew Candice Caesar participates in her favorite National die. I can’t kill myself, but Louisville, KY), I had 20 new connections. I in speech pathology and currently works as
forward and slammed into Veterans Wheelchair Games event—the 10K. She is seen here just let me die. Let me close will never be alone again in another state. I a speech pathologist, working with autistic
her, breaking several of using a hand-cycle. Photo provided by Veteran. my eyes and just die.’ I was didn’t understand the different activities and children. She continues to receive care for her
her vertebrae. She also in an awful place.” organizations that I could be a part of and spinal cord injury at the Houston VA Medical
punctured a lung and sustained a traumatic brain She was desperate to get home to her two-year learned all of that by going to Wheelchair Center.
injury. old son, whom she hadn’t seen since the accident. Games and being hooked up with the Paralyzed “I have to be at the Wheelchair Games,” she
She was paralyzed. She begged doctors to discharge her. After Veterans of America. They just have no idea how said. “I have people to hang out with, people to
“I couldn’t move anything on my right side,” approximately five weeks in the hospital, using a they’ve changed my life. talk to, connections to make, and some rivals to
she said. flat-bed crutch and a cane, she was able to walk Her favorite event at the games was using beat.”
A German doctor fused her vertebrae but enough to go home. She covered her right side in
nicked her vocal cord in the process, leaving her
barely able to speak for six years.
Doctors told her they didn’t think she would
walk again.
band-aids so her son would know not to touch her
there. With communication an issue, as she could
barely speak above a whisper, she used what was
available.
VA GOES SMOKE-FREE
V
“I couldn’t believe it,” she said. “You don’t “I blew whistles,” she said. “When I wanted HA is working to make sure all its combustion of tobacco, including but not
know what you’re talking about. I went straight him to stop, I blew once. When I wanted him to facilities become smoke-free to protect limited to electronic or e-cigarettes, vape pens
into denial. And that is when I leaned on my faith turn around, I blew twice. My kid was trained like the safety and health of our community. or e-cigars.
and said, ‘I’m going to walk a marathon.’ I did a dog, basically. But that’s the best I could do.” There is overwhelming evidence that smoking We understand that this may present
not know that a marathon was 26.2 miles. That A speech therapist inspired her, working and exposure to secondhand smoke creates challenges to some and are committed as an
is just what came into my brain. You don’t know on her swallowing, her pitch, and her ability to significant medical risks, and a growing body organization to provide the resources and
what you’re talking about. I just didn’t believe project. She even suggested something at the time, of evidence that exposure to thirdhand smoke support to those who wish to participate in
them.” which seemed unthinkable—a career change. creates additional risks to safety and direct our smoking cessation programs. Veterans and
As she lay in bed, she lamented her lost “She said, ‘You can be a speech pathologist.’ patient care. employees interested in our smoking cessation
military career. She was going to be a drill What are you talking about? I can’t remember All VA health care facilities implemented programs should contact Susan Bogard, Health
sergeant, get her commission, and become a anything! I can’t speak! I can’t hear! And the a smoke-free policy for all, beginning October Promotion and Disease Prevention Program
physical therapist. therapist told me, ‘I’m going to get you right.’” 1. The policy is consistent with our mission to manager, Susan.Bogard@va.gov or 713-791-
“I had a plan and now you’re telling me I can When Caesar was medically retired from promote a healthy environment for patients, 1414, extension 28768.
do none of these things?” Caesar said. “So, now the Army in 2002, life was tough, with many visitors, contractors, volunteers, vendors, and Smoke-free resources:
you’re taking away my career and you’re telling nights spent in tears. However, she kept getting employees and is an important element of • www.va.gov/health/smokefree/
me I can’t walk? Well, you’ve got to leave me physically and mentally stronger, incorporating improving our health care system. The policy • www.mentalhealth.va.gov/quit-tobacco/
something. I can’t have my Army career, but I more and more muscles. applies to cigarettes, cigars, pipes, or any other • https://veterans.smokefree.gov/
4 VA Locomotive | www.houston.va.gov www.houston.va.gov | VA Locomotive 5
CRISSCROSS ORGAN SWAP ALTERS NAVY VETERANS’ LIVES ► by Maureen Dyman
A
drian Luna and Mike Green now have gives, whether they Organ Transplant
more in common than just their military know the person or not, Program Chief Venkat
service in the U.S. Navy. A crisscross of is precious. Agreeing to Ramanathan, M.D.,
organ donations recently changed their lives and donate an organ is a truly FASN, it takes a great
their families forever. amazing gesture.” deal of coordination,
In October, Luna and Green were the first According to planning, and teamwork
recipients of a single-center paired kidney Sandra, the benefits of to execute the four
exchange performed entirely at a VA Medical donating her kidney far simultaneous surgeries
Center. The donors? Family members of the outweighed the potential necessary for a paired
other veteran. risks. “As a mother of donation transplant,
A paired kidney exchange (commonly known five kids, I did not make but the Houston VA
as a kidney swap) happens when a potential the decision to donate Transplant Team is
living donor for kidney transplantation is my kidney lightly. I looking forward to
incompatible with the intended recipient. If In October, Navy Veterans Mike Green (left, with Luna’s wife, really feel I was given performing more in the
another compatible donor/recipient pair is Sandra) and Adrian Luna (with Green’s sister, Angela) were a gift in the form of an future. “I firmly believe
the first recipients of a paired kidney donation and live donor
identified, the donors can switch, and both surgery at the Michael E. DeBakey VA Medical Center in opportunity to change the “The quality of the medical care at the Houston VA has been living donor transplant
patients can receive life-saving transplants. Houston. Photo courtesy the Luna and Green families. lives of both my husband second to none. I feel like I have a second chance after this is the best option for
In this case, Green received a kidney donated and Mike, who is really surgery,” said Veteran Adrian Luna (left) with fellow Veteran our veterans since it
and kidney transplant recipient Mike Green, who lives in
by Luna’s wife, Sandra. At the exact same time, children, ranging in age from 5 to 12. Suffering a great guy. The surgery Amarillo, Texas and received a kidney donated by Luna’s wife. offers a better quality
Luna received a kidney donated by Green’s sister, from kidney disease, he has been anxiously went very smoothly, Luna, who lives in Los Angeles, California with his wife and of life for the recipient
Angela. All donor and recipient operations were awaiting a kidney transplant for the past several my recovery has been five children, received a kidney donated by Green’s sister. without the wait on the
performed at the Michael E. DeBakey VA Medical years. uneventful and in fact, Photo by: Todd Goodman transplant list, which
Center in Houston. The recipients and donors are “Waiting for a donor was very stressful for this surgery has made me averages eight to ten
all doing great post-operatively. Adrian and for our family. I would have been a lot more mindful about my own health.” years. Our entire team is honored to provide this
“I only had the surgery a few days ago and I happy to give him my kidney, but we weren’t a “The quality of the medical care at the service to our nation’s heroes.”
already feel like a new person,” said Green, who match,” said Sandra. “When we found out that Houston VA has been second to none. I feel like For more information about the Solid
traveled from Amarillo, Texas for the surgery. I matched a veteran in Texas, we were thrilled. I have a second chance after this surgery,” said Organ Transplant Program or how to become
“As a type 1 diabetic, I was diagnosed with I am so grateful to be able to donate my kidney Luna, who is looking forward to going home a a living kidney donor, contact the Houston VA
kidney issues years ago and have been on dialysis to Mike, and so thankful to Angela for doing the much-improved quality of life. Transplant Center at 713-794-8767.
since. This surgery has already changed my life.” same for my husband and our family.” According to Nephrology Section and Solid
When VA doctors told Green he needed a At the Houston VA, a dedicated team of
transplant, several of his eight siblings stepped specialists including two abdominal transplant
up to help as potential donors. After undergoing
a battery of tests, his sister, Angela, was found to
be a good match and the surgery was scheduled.
surgeons, two urologic surgeons, four
anesthesiologists, and four separate operating
room teams conducted the seven-hour series
PALLIATIVE CARE SUPPORT GROUP
T
That’s when Transplant Nurse Manager of operations. Each donor procedure was
Priscilla Sloan, R.N. came into the picture. performed using three-dimensional laparoscopic he Houston VAMC has a new support open discussion and support.
“Priscilla asked if I would consider donating equipment through a single small incision that, group for Veterans living with life- Stress & Coping
my kidney to another veteran whose wife was once fully healed, is barely visible. For the limiting and life-threatening illnesses. Mood Management
willing to donate her kidney. That kidney was an recipient operations, the kidneys are placed The Palliative Care Veteran Support Group Social Supports
even better match for my brother,” said Angela. in the pelvis through an incision in the lower “Finding a Path Through the Wilderness” will Quality of Life
“I thought – what a win-win for everyone. It abdomen. be held every Wednesday from 1-2 p.m. on the Leaving a Legacy
was a great opportunity for me to share my good The need for kidney donors is growing and first floor of Building 108A. The support group Interested Veterans should contact the
health and help not just my brother, but another the paired donation program is a great way is also available via telehealth at select VA group facilitator, Dr. L. Alexis Correll, palliative
veteran who served our country.” to shorten the wait for an organ says Ronald Community Based Outpatient Clinics. psychologist at 713-791-1414, extension 26948,
A Navy Corpsman from 1998 – 2005, Adrian Cotton, M.D., FACS, surgical director of the Members will meet other patients, explore to register for the support group.
Luna deployed during Operation Iraqi Freedom Houston VA Solid Organ Transplant Program. their individual coping and grief processes, and MEDVAMC offers a variety of support groups
and has many vivid memories of his time on the “Living donors not only help an intended gain knowledge and skills to help themselves for Veterans and their family members. See them
battlefield. Now living in Los Angeles, California, recipient but can also help someone else on and each other. on our website at www.houston.va.gov/services/
he and his wife, Sandra, are parents to five the transplant list who may desperately need Each session will include a rotating topic Support_Groups.asp.
a kidney. The gift that any living kidney donor with coping skills education, as well as time for
6 VA Locomotive | www.houston.va.gov www.houston.va.gov | VA Locomotive 7
PRECISE ROBOTIC KNEE LOSE FAT THROUGH MOVE!
SURGERY FAST-TRACKS ► by Todd Goodman
RECOVERY ► by Maureen Dyman
W
hen Veterans
want to lose
weight, they
myself through the pain of
a hip injury to walk again
and choose the natural
get moving through the path. It gave me a much
MOVE! program, which more active lifestyle. As
N
ew robotic technology at the Michael E. precisely the right location, making adjustments covers different topics on you get older, you get stuck
DeBakey VA Medical Center in Houston as necessary. The technology provides a healthy eating, behavior in your ways and don’t
is ensuring Veterans undergoing knee personalized surgical plan for each Veteran, modification, and physical move around as much. So,
replacement surgeries experience less pain and based on their unique anatomy. activity. I am immensely thankful to
recover faster. “The 3-D model simulates how a knee will MOVE! has several the program for getting me
Recently, David M. Green, M.D., M.S. and move and act once an implant is in place,” said components, including a moving again.”
Melvyn A. Harrington, Jr., M.D., orthopedic Harrington, who is also an associate professor health teaching kitchen, In addition to the 16-
surgeons at the Houston VA, performed the VA’s of Orthopedic Surgery at Baylor College of support groups, weekly week program, Faubion
first total knee replacement using the Mako Medicine. “Once the virtual model is complete, class series, telehealth Jordyn Forsyth, MOVE! weight management coordina- also completed MOVE!
Robotic-Arm Assisted technology. we use the robotic arm to perform the bone cuts options, walking groups, tor watches Army Veteran Warren Faubion demonstrate Chef and a gardening class.
The patient, so the implant his newly-acquired cooking skills in the Health Teaching
and more. All are designed Kitchen. Photo by: Todd Goodman He credits the cooking class
a 73-year-old can be precisely to bring Veteran health to with giving him the best
Navy Veteran, placed.” the forefront. nugget of information.
is recovering The most “It’s really rewarding when the Veteran tells “The pearl I took from that class was the
nicely. common cause me, ‘I feel better and I have more energy,’” said green smoothie,” he said. “The recipe was simple
“We do more of knee pain in Jordyn Forsyth, MOVE! weight management and got rid of my cravings for processed foods.
than 400 knee older adults is coordinator. “They show up to class and seem I lost 16 pounds and much of my arthritic pain
replacements osteoarthritis, happier with themselves. I love it when they disappeared. I have not missed a day of the
at the Houston a degenerative lose weight, but when I can see the outcomes smoothies since taking that class. I didn’t change
VA every year,” joint disease in their energy levels or mood and can see that my diet and it required no effort other than
said Green, who that causes the it’s improving their quality of life, that’s when I making that smoothie. My stomach feels tight
is also board deterioration of know I’m really making a difference. The weight and my energy has increased. It was effortless.
certified by the joint cartilage outcomes are great, but the real outcome is they MOVE! has been lifesaving for me.”
American Board and surrounding are improving their overall health through the Weight loss isn’t easy and results vary, but
of Orthopedic bones in the program.” 25% of people who participate in MOVE! lose at
Surgery. “This knees. When More than 4,000 Veterans come through least five percent of their total body weight.
new technology osteoarthritis the program each year. At the end of the main “Five percent is the goal is to improve health
will allow us of the knees courses, Veterans are asked to do a survey outcomes for obesity,” said Forsyth. “It’s been
to perform becomes severe, to see if they have made changes and how shown to improve heart health and extend life
these surgeries Houston VA doctors are thrilled to be able to use this state-of-the-art technology normal activities
to improve recovery time for Veterans with limited mobility who are often in a successful they were. This feedback helps staff span. Some Vets come in and want to lose 100 or
with even more great deal of pain. Photo by: VA staff like walking or plan the program. 200 pounds, but just focusing on that first 5-10%
precision. It going up stairs can “I think it’s a good program for empowering is where we get started. I do have people who
allows for more become painful or Veterans to take control of health and equips end up losing 100 pounds, but it takes a little
precise bone preparation, less soft tissue injury nearly impossible. Knee replacement surgeries them with the skills needed to not only treat longer than 16 weeks.”
and potentially a less painful and speedier can offer Veterans a solution to this pain and but also prevent several chronic diseases,” said There are many options within the program
recovery for our Veterans.” improve their quality of life. Forsyth. that Veterans may find appealing. Patients
The new technology creates a 3-D virtual Houston VA doctors are thrilled to be able to Army Veteran Warren Faubion, 65, chose interested in losing weight and enrolling in the
model of each patient’s bone anatomy, allowing use this state-of-the-art technology to improve MOVE! for that very reason—he didn’t want to MOVE! program can call Forsyth at (713) 791-
surgeons to map out the procedure beforehand recovery time for Veterans with limited mobility be on medication for cholesterol and high blood 1414 ext. 26166 to get started.
and size the implant perfectly by using the who are often in a great deal of pain. pressure. He completed the 16-week program “If it weren’t for the MOVE! program, I don’t
Veteran’s computed tomography (CT) scan. “We are committed to offering our Veterans and lost 15 pounds. know what I would have done,” said Faubion.
Surgeons use the virtual model to practice the best care along with the latest technology,” “We met once a week and covered everything “Jordyn got me moving again. She gave me
placing the implants or artificial joints in said Green. “They deserve nothing but the best, from exercise to counting calories,” said an alternative … I don’t take blood pressure
and we are proud to give it to them.” Faubion. “You learn to read food labels and or cholesterol meds and I was on the path of
they give you a pedometer so you can track needing them. The program changed my life and
8 VA Locomotive | www.houston.va.gov your movement. It helps motivate you. I forced
www.houston.va.gov | VA Locomotive 9
put a smile on my face.”
MAYOR’S CHALLENGE TO PREVENT VETERAN SUICIDE ► by Maureen Dyman
T
he Houston VA is referring people to ensure Veterans in crisis across our VA. “Working together, we can end Veteran
working closely follow up care is offered. • We have six full time suicide prevention suicide. We know that treatment works, and
with the City of • The Houston Health coordinators who work tirelessly to follow that recovery is possible,” said Vazquez. “Please
Houston and other local Department is working up on calls from the Veterans Crisis Line help us spread the word. Houston VA is here
agencies to increase suicide with hospitals and the and assist Veterans in crisis. for our Veterans. We offer our Veterans high
awareness and prevention Houston VA to enhance • We offer same day mental health care quality health care delivered in a Veteran-centric
support for Veterans, care coordination for veterans in crisis at our main medical manner, with a sense of urgency. We want all
servicemembers and their for veterans who are center and any of our nine community Veterans to know that we are ready and able to
families. This effort is part discharged after suicide based outpatient clinics. serve them here in Houston.”
of a nationwide Mayor’s attempts. “Suicide is a complex issue with no one For more information on Houston VA’s
Challenge where we join “An estimated single cause. It is a national public health issue mental health services, visit www.houston.va.gov/
City of Houston Mayor Medical Center Director Francisco Vazquez and Mental 300,000 Veterans live that affects people from all walks of life, not just services/Mental_Health.asp
Sylvester Turner and Health Care Line Executive Dr. Laura Marsh spoke to in the Houston-area.
media following the City of Houston Mayor’s Challenge Veterans. But just as there is no single cause of For more information on VA’s
local active military and press conference. Photo by: Maureen Dyman We all have a role to suicide, no single organization can end Veteran suicide prevention campaign, visit www.
Veterans organizations to play in preventing suicide alone,” Vazquez said. “The Houston VA veteranscrisisline.net/bethere.
end Veteran suicide. suicide, especially when it comes to those who is proud to be a part of the Houston Mayor’s For information on SAMHSA’s suicide
Houston was one of the original seven cities have served our country with duty, honor, and Challenge, working with the amazing people prevention efforts, visit www.samhsa.gov/suicide-
to participate in the challenge organized by courage,” Mayor Turner said. “I’m proud of my here today and all members of our Houston prevention/samhsas-efforts.
the Department of Veterans Affairs and the Veterans Affairs Office for accepting the Mayor’s community to put an end to Veteran suicide.” Veterans in crisis or having thoughts of
Department of Health and Human Services Challenge and joining with vital on-the-ground The Houston Mayors Challenge is a suicide — and those who know a Veteran in
Substance Abuse and Mental Health Services local agencies to address the epidemic of Veteran partnership between the City of Houston Police, crisis — should call the Veterans Crisis Line for
Administration (SAMHSA). suicide.” Fire, Health, and Veterans affairs departments; confidential support 24 hours a day, seven days
During a recent press conference, Mayor “Preventing Veteran suicide is the highest the Houston VA; Texas Health and Human a week, and 365 days a year. Call 800-273-8255
Turner discussed the challenge. “Partnerships clinical priority at the VA and we are committed Services Commission; the Harris Center, and press 1, chat online at VeteransCrisisLine.
between our local community, government, to bringing as many resources as possible to bear Counsel on Recovery, Combined Arms, and net/Chat, or text to 838255.
and non-profit agencies will allow us to reach to solve this issue here in Houston,” said Frank other local agencies.
Houston area Veterans where they live, work, and Vazquez, Houston VA medical center director
thrive,” said Mayor Turner. “We want to expand • The Houston VA opened a brand-new
the conversation around suicide and reduce building for outpatient mental health
stigma for mental health and suicide.” earlier this year.
Using a public health approach, the Houston • We offer a robust marriage and family
Mayor’s Challenge team has developed multiple therapy program and have hired eight
new and innovative strategies to prevent suicide licensed marriage and family therapist to
in service members, Veterans, and their families. assist Veterans and their families.
• The Harris Center and the Houston VA • We have hired more than 100 new front-
now have a hand-off system between the line mental health providers, including
two agencies to assist with the care of psychologist, social workers, psychiatrists,
Veterans. and more over the last year.
• A network of communication between • Houston VA has embedded mental health
local hospitals and the VA to assist with professionals in our primary clinics to
veteran care is being built. reach Veterans where they are, and we
• The Houston Police Department and are embedding more and more in our
Houston Fire Department are better able specialty clinics like cardiology and
to identify suicidal behavior and will begin women’s health.
• We have vigorously trained our staff of
10 VA Locomotive | www.houston.va.gov over 5,400 on how to recognize and assist www.houston.va.gov | VA Locomotive 11
BREAST IMAGING SAVES LIVES ► by Todd Goodman
I
n the two-plus that the patients greatly perfect scores,” said Dr. Parizi. “Our next step “The science repeatedly demonstrates that
years that the appreciate. is to become a Center of Excellence in breast we save the most lives when we screen annually
Houston VA’s “We try to remove the imaging. Currently, the VA has 68 breast imaging starting at age 40” she said. “Up to 75% of breast
Breast Imaging Center anxiety from getting a programs and only one center of excellence cancers occur in women with no family history of
has been in operation, breast exam,” Dr. Parizi (Phoenix). We hope to become the second.” breast cancer. The biggest risk factor is gender:
more than 14,000 said. “The majority of So, when should women Veterans get simply being a woman.”
breast exams have our patients get their a screening mammogram to check for One of the other unique and excellent
been performed and results face-to-face before breast cancer? Currently, there are differing components of the Breast Imaging Center is that
the Breast Imaging leaving the center. If we recommendations regarding screening it helped launch a Breast Cancer Support group
Center has become a see an abnormality that mammography. However, Dr. Parizi points out for women who are currently going through breast
model of care across needs a biopsy, we try that The American College of Radiology, the cancer treatment or are survivors. This is unique
the nation’s VAs for to perform the biopsy American College of Surgeons, and the Society to the Michael E. DeBakey VA Medical Center
Women Veterans. before the patient leaves. of Breast Imaging—breast experts who are as many programs, including non-VA practices,
“We started Army Veteran Kim Pham, 30, receives chemotherapy for breast In the private world, most most knowledgeable about breast cancer and do not have this type of holistic approach to
our program from cancer at Houston VAMC. Photo by: Todd Goodman patients go home and diagnosing it—recommend to get a screening the patient. Veterans can now schedule their
the ground up and wait for a letter with their mammogram once annually, beginning at 40 screening mammograms by calling (713) 791-
have molded it into a quality program that is results. Here, we do everything the same day. years old (even when a patient does not have a 1414, extension 22471 or 24515.
comparable to some of the top-notch facilities in They go home knowing what their results are and family history of breast cancer).
Houston,” said Dr. Mahdieh Parizi, chief of the that alleviates a lot of anxiety.”
MISSION ACT
Breast Imaging Center, whose sub-specialty is Anxiety and depression were two feelings that
breast radiology. “Our goal was to set up a very Army Veteran Kim Pham, 30, felt when cancer
elite, high-quality practice that can meet the recently was discovered by Parizi during a breast
access
needs of our Veterans and be a shining star in the exam. Her cancer was a hair away from being
Houston community and beyond.” stage-4 when treatment began. Pham has no
This is precisely what the facility has family history of cancer.
accomplished. The center boasts two 3-D “I felt like I had been punched into space,”
mammography machines, each equipped with Pham said. “Everything I knew was just
the latest Smart-Curve technology and high-
resolution detectors. Smart-Curve refers to the
paddles used during a mammogram, which allows
completely shattered. It was the sensation of
your life being turned upside down.”
Parizi still calls Pham to check in on her to
Care When You Need It
for a more comfortable exam. High-resolution 3D make sure she is doing well and in good spirits.
detectors allow cancers to be discovered much “I’m just so grateful that I have this facility,” If you have a need for primary or mental
earlier—a key to better prognosis. In fact, very Pham said. “I’m blown away by how fortunate I
few practices and facilities in Houston have the am. Everything lined up just right because I could
health care, you can have it addressed the
smart-curve technology and the high-resolution be in a really bad situation right now.” same day during regular business hours.
software. Top programs have three things in common At the VA Southern Nevada Healthcare System, you can be seen
Another new and cutting-edge technology and Houston VAMC has them all: The physician by your provider or another appropriate clinical staff member, by
that will be implemented by the Breast Imaging who interprets the mammograms is sub- phone, through video care, Myhealthevet, or whatever way is most
Center is the use of radiofrequency emitting tags specialized in breast radiology; use of 3-D appropriate for the care you need.
to localize tumors for the surgery team. This mammography; and hires the most experienced
new technology will make it more efficient and technologists. This center checks each box. Its
“ The care that I am receiving here is
convenient for the patients to have localization of technologists have between 15-25 years of work second to none. I am recognized as a
the tumors without having to be stressed about experience. Talk to your PACT or Mental Health Team to learn about person, not a number. Myhealthevet
the use of a wire (the most common technology “We brought all of these quality parameters all the options you have to access care when you need it. allows me to communicate with my
doctors and get quick responses
in place). Additionally, this new technology allows together and we were able to create this amazing for my health concerns.”
for a more flexible and patient friendly timing program, which became accredited with the
between when the tag is placed and when the American College of Radiology, and has passed - U.S. Army Veteran J.C. Arens
12 VA Locomotive
patient has excision| www.houston.va.gov
of the tagged tumor, a factor annual FDA inspections two years in a row with www.houston.va.gov | VA Locomotive
UH-1N Crew Chief & Door Gunner
Can Tho Delta, Vietnam (1970-1971) 13
HOUSTON VA NURSE “LGBTQ HEALTH CARE EQUALIT Y LEADER” DESIGNATION
WINS MAGNET NURSE OF T
he MEDVAMC earned a perfect score on Veterans with state-of-the-art patient centered
the Human Rights Campaign Foundation services in an inclusive and welcoming
(HRC) Health Care Equality Index, environment,” said Dr. Hiram Rivera-Mercado,
earning the “LGBTQ Health Care Equality LGBT Veteran Care Coordinator. “Receiving
THE YEAR AWARD
Leader” designation. The HRC Foundation is the Leadership status from HEI means we
education arm of America’s largest civil rights are continually progressing toward giving our
organization working to achieve equality for LGBT Veteran population what they look for in
► by Maureen Dyman lesbian, gay, bisexual, transgender, and queer healthcare institutions.”
people. “We are so proud to have this designation,”
The designation was awarded in the 12th said Elizabeth Steen, LGBT Veteran Care
M
elissa Fadipe, MSN, APRN, edition of HRC’s Healthcare Equality Index Coordinator. “We strive to be leaders in LGBT
FNP-C, one of our Nurse (HEI). A record 680 health care facilities healthcare, and as the only hospital in the Texas
Practitioners, is the recipient of actively participated in the HEI 2019 Medical Center to receive the HEI Leadership
the American Nurse Credential Center’s survey, with HRC Foundation proactively designation, we feel honored to be recognized.”
(ANCC) 2019 Magnet Nurse of the Year researching key policies at 1000 additional For more information about LGBT services
Award for Transformational Leadership. non-participating hospitals. Of those included at the MEDVAMC, visit www.houston.va.gov/
The award recognizes outstanding in the HEI, MEDVAMC was one of 406 who services/LGBT_Program.asp. For more
contributions of clinical nurses to earned a “LGBTQ health care Equality Leader” information about the VA LGBT Program, visit
innovation, consultation, leadership and designation. www.patientcare.va.gov/LGBT/.
professional risk taking. “MEDVAMC aspires to provide LGBT
The Houston VA is the first VA in
END HARASSMENT
the country to earn the ANCC’s Magnet
recognition for nursing excellence four
times.
“Fadipe’s commitment to her Veteran
patients and to making a positive impact
on those around her is inspiring to her
co-workers,” said Kelly Irving, associate
director for patient care services.
Congratulations! Fadipe, 2nd from right, accepted the award at the
ANCC Magnt Conference. Photo provided by VA staff.
Fadipe has been a nurse practitioner
in the Epilepsy Center of Excellence
(ECoE) since 2016. She spends her days
improving care for Veterans living with
epilepsy and PNES.
She’s working to standardize care
at all VA Epilepsy Centers of excellence
nationwide and collaborates with
specialists at the Epilepsy Foundation
Texas on the “You Are Not Alone”
initiative.
“I like working in the VA system
because the advances that we make can
be spread nationwide and I truly enjoy
advocating for our nation’s heroes,”
Fadipe said. “I choose nursing because
it allows me to make a difference in the
lives of my Veteran patients and the Several Houston VA Medical Center employees at the ANCC Magnet con-
community, and I care to evolve as a ference. Photo provided by VA staff.
leader.”
14 VA Locomotive | www.houston.va.gov www.houston.va.gov | VA Locomotive 15
FISHER HOUSE A BLESSING ADAM’S CORNER LETS
KIDS BE KIDS
► by Todd Goodman
F
or two Army Vietnam Veterans fighting ► by Todd Goodman
cancer, living at the Houston VA Fisher
H
House has been a game changer.
Harry Robinson Sr. 75, a door gunner in ouston VA Fisher books they didn’t know
Vietnam, and Leonard Adams, 69, a heavy House III recently what to do with them.
equipment repairman known as “Mr. Fix it”, opened an area “We had so many books
each currently reside in Fisher House III on solely dedicated to left over that we opened
the campus of Houston VAMC. And each man children—a place where another Adam’s Corner
has come a long way since his initial cancer they can play, read, and in Fort Hood.” Cynthia
diagnosis. just be kids while Veterans said. “But this is by far the
“I’ve had prostate cancer for 21 years,” and family members biggest we have opened.
said Robinson, currently in stage four cancer manage medical care. It’s It has morphed into an
recovery. “I’ve been treated at MD Anderson called Adam’s Corner in Adam’s Room here in
U.S. Army Vietnam Veterans Leonard Adams (left) and Harry
with six rounds of chemo treatment. My Robinson Sr. speak about their battles with cancer and the memory of Army Veteran Houston. I just love how
prognosis is looking good. All my vital signs are blessing it is to live at the Fisher House. Photo by: Todd Adam Garcia who died from Fisher House has allowed
Goodman Cynthia Garcia displays the portrait and bio of her son,
normal. I feel pretty good right now and have a injuries sustained while Adam Garcia, who died in 2006 from injuries sustained in us to do this.”
our minds off this stuff that we’re afflicted with. serving in Iraq. Iraq. Adam’s Corner are being opened in Fisher Houses For Frank Kelley,
very positive outlook.” across the country to give children a place to call their
Being here is like being at your own house.” This is the fourth manager of Houston
Adams, who hadn’t been to a VA in 41 years, own. Photo by: Todd Goodman
said outside doctors didn’t know what was At one’s own home, family would be present. Adam’s Corner to open in VA’s Fisher Houses, the
wrong with him. “That wasn’t encouraging to And that’s exactly what makes Fisher House a Fisher House, with many more planned in the decision to get involved with this project was
me because I needed help,” he said. “But there special. Family members of Veterans can stay at future. The idea came in 2006 when Garcia was an easy one.
was one doctor at the Houston VA who told no cost while a loved one receives treatment. critically injured by small arms fire. He was “As times change and we get more Veterans
me, ‘Before you leave here, I’m going to get you “As for the Veteran in the hospital, it is transported to an Army hospital in southwest and active-duty members with children, the
well.’” important for them to know we in the Fisher Germany and that is where his parents and opportunity to provide Adam’s Corner is a true
Adams had eight rounds of chemotherapy House will be doing everything we can for their sister had their first Fisher blessing as it gives the
and 100 stem cells from 100 different people. loved ones and caregivers, to protect and give House experience. youngsters a place of their
His blisters, which covered his body less the them the support they need while they are here,” “It was so welcoming own while they spend time
soles of his feet, began to clear up. said Frank Kelley, Fisher House manager. “The and heartwarming that we with us here at the Fisher
“The blisters were everywhere,” he said. “All people in the hospital need to know their loved felt comfortable leaving House.”
in my mouth, all in my throat. One got in my eye, ones are taken care of so they can concentrate on our 12-year-old daughter Her goal is to see an
which caused me to see double. I was a terrible getting better.” there while we went to the Adam’s Corner in every
sight to see.” While at Fisher House, family members hospital,” said Cynthia Fisher House in the
However, both men today look and sound of various Veterans form bonds and help one Garcia, Adam’s mom. “But country with 10 more
great. And in addition to the stellar care they another. They become a support system for each there was nothing for her scheduled this year by
each have received, living at the Fisher House other. to do, nothing for her to the Comcast Employee
has put each one—and their wives—at ease. “You meet people from all walks,” said read while we dealt with Resource Group.
Fisher House takes the worry out of everyday Carolyn Adams, wife of Leonard. “Everybody adult stuff. She was bored “I feel lucky to work for
here has something going on in their lives. out of her mind.” Children play in Houston VA Fisher House III, where the a company that embraces
living and allows the Veterans to focus on just latest Adam’s Corner recently opened. Adam’s Corner
getting better. Fisher House makes you like family because And that was how lets kids be kids while parents focus on Veteran health that culture, that unity,
“We all are family here in the Fisher House,” you have no one else. We depend on each the idea was born. Her concerns. Photo by: Todd Goodman that family,” she said.
said Robinson. “We’re all here for the same other. We’re here to help each other. We are all daughter asked, “Wouldn’t Cynthia hung a picture
thing. I’ve been here since Feb. 20. This is it … here fighting together for our loved ones. It’s it be neat to have a corner somewhere where and bio of her son in the room dedicated at
home away from home.” a wonderful place. It goes beyond what they kids could just sit while you guys talk about Fisher House III.
Adams, who has resided at Fisher House intended.” whatever you talk about?” “I hope that children read this and get to
since Feb. 25, has so much appreciation for his Carolyn has been on Family Medical Leave Cynthia, an employee at Comcast Dallas, know who my son was,” she said. “He was
time here. for more than a year. She said her work will call told her co-workers what she wanted to do and loving. He was the funny one in the group,
“Being here brings a lot of relief and joy,” every now and then to ask her to come back, but they took it on as their project. It immediately but he was the protector of the group. He was
said Adams. “They make you feel like you’re in she refuses to leave her husband’s side. took off. a kid at heart. I’m happy that they opened up
your own house. They make you feel like you “I don’t want you to leave me” said Adams. A Dallas Fisher House gave them a 10’x10’ their doors and let us bring in a little piece of
are family. That’s how it makes you feel. You’re “Honestly speaking—I’m not ashamed to say that corner, which was set up with a mat, chairs and Adam.”
not VA
alone in this. It| www.houston.va.gov
just encourages us and takes I don’t know what I’d do without her here.” bookshelves. Donation boxes were set up at
16 Locomotive her work and they received so many children’s www.houston.va.gov | VA Locomotive 17
BEAUMONT STAFF CONTINUE HOUSTON TEXANS PLAYERS
CARING FOR VETERANS ► by Todd Goodman
VISIT VETERANS ► by Todd Goodman
H
ouston Texans players visited
cancer several years back. He currently is in
our Community Living Center
remission. However, this is his third or fourth
today to spread holiday cheer
time being in remission.
and pass out gift bags to our patients.
“I was supposed to have been dead already,”
Army and Vietnam Veteran Robert
Buchholz said. “The VA has kept me alive. I’m
Ausberry, a finance clerk in the
one of a few who has lived this long with this
military, was thrilled to meet them.
type of cancer. The VA has taken good care of
“You all just don’t know how much
me.”
this means to me,” he said. “What
Navy Veteran Otis Patterson echoed those
a pleasure it is to meet you guys.”
sentiments. Patterson, who was diagnosed with
Ausberry entertained the Texans with
stage 3 bone cancer, raved about the mobile
stories of his college football days at
clinic setup.
North Texas. It was there he played
“This is tremendous,” he said. “This is top
with future hall of famer Mean Joe
of the line. Seeing this (mobile clinic) takes me
Marine Corps and Vietnam Veteran Frank Buchholz praised Greene.
the efforts of the staff at the Beaumont Mobile Outpatient Clinic back to Iraq, but looks better because it’s got no
and remarked at how smoothly the operation was running. sand and it’s not 142 degrees.” Pictured left to right: John Weeks, #46, long
Photo by: Todd Goodman snapper; Kenny Stills, #12, wide receiver; Veteran
When asked about his care at the Beaumont Robert Ausberry; and Ka’imi Fairbairn, #7,
T
ropical Storm Imelda may have flooded
clinic, Patterson spoke effusively. kicker. Photo by: Todd Goodman
“God placed Dr. Pedrito Mangawang at the
the Beaumont VA Outpatient Clinic, but it
Beaumont Clinic in my life to see me through
didn’t dampen the spirits of the Beaumont
this situation because he has gone above and
Need Help Finding Your Way Around?
staff as it continues to provide exceptional
beyond the call of duty,” he said. “I love him. I
service to area Veterans.
get my care from the Blue Team. When the clinic
A medical mobile unit, medical tents,
stops at 4 p.m., they don’t stop until the job
temporary medical shelters were set up to
is done. They’ve stayed with me until 6 p.m. I
provide Veterans with primary care, mental
health, and laboratory services. In a difficult
appreciate what they do so much, at the highest View our interactive campus map on any smartphone or tablet.
levels.”
situation, staff members have made the best of
Repairs of the new clinic are ongoing, and we
3
it.
1
hope to be back in the clinic building treating
“We pulled together and did what we had to
Veterans in the Spring.
do to take care of our patients,” said Liz Taylor,
RN, clinic nurse manager. “They are the reason Visit @HoustonVAMC
we’re here. And we’re just happy that we can www.houston.va.gov
continue to care for them while the clinic is on your smartphone or
repaired.” tablet. @HoustonVAMC
The Veterans who have utilized services at
the temporary clinic have been impressed with
the efficiency of the operations. @VAHouston
2
“Hey, you’ve got to do what you’ve got to
do in situations like this,” said Marine Corps
and Vietnam Veteran Frank Buchholz. “I think Scroll down and
they’ve done a great job.” tap on the
Buchholz is a Beaumont clinic regular, where
he gets his primary care and lab work. He travels image of the Find your
to Michael E. Debakey for his cancer treatments. Campus Map. destination.
He was diagnosed with stage four bone marrow Navy Veteran Otis Patterson visited the Beaumont Mobile Out-
patient Clinic to see his provider. Photo by: Todd Goodman
18 VA Locomotive | www.houston.va.gov www.houston.va.gov | VA Locomotive 19WISER & ROVER TAKE TREATMENT TO NEXT LEVEL ► by Todd Goodman
W
hen weekly enjoy, walking my dog and opportunity to hit the pause button, stop what ROVER wonder why they’d never heard of these
therapy is not getting out of the house you’re doing, and proceed mindfully.” programs.
enough to tackle more. The program— Mindfulness is a term that comes up often “They are just so grateful,” said Mullin. “They
trauma, WISER and ROVER although challenging at during therapy and it means being in the wish they had gotten this as they were getting
takes treatment to the next times—ended up being one moment. out of the military instead of after they’ve got so
level. of the best decisions I’ve “Veterans are either depressed because of much emotional scar tissue to repair.”
Women’s Inpatient ever made.” the past or they are anxious about the future “We hear that a lot,” added Brantley. “Why
Specialty Environment of Veterans must be and they are missing staying in the present,” wasn’t I offered this earlier? It’s just a matter of
Recovery (WISER) and ready to deal with a lot said Mullin. “That is why mindfulness is such a getting the message out there that we’re here to
Returning OEF/OIF/OND of emotions that bubble powerful tool.” help.”
Veterans’ Environment to the surface during In session, patients will be given “ROVER was so much more
of Recovery (ROVER) are cognitive processing candy and told to think about it than I expected,” said Army
five-week inpatient trauma therapy (CPT), which as they eat it. What do they taste? Veteran Matt Coleman, an
treatment programs that is done in both one- What do they smell? What types Arkansas resident. “Going into it, I
each accommodate up to 10 Female Veterans from the WISER program go on a on-one therapy with a of texture do they feel? The idea is was nervous about traveling, living
patients. The programs were sailing outing as part of their trauma therapy. Photo psychologist and in peer
by: Tami Schutter for them to get in touch with their with strangers, and talking about
created in 2008 by a joint groups. senses. my feelings. It was overwhelming,
task force that represented “The groups are powerful “Mindfulness is a practice that but you do come out of it feeling
psychiatry, psychology, and social work. Veterans for them to find out they are not the only ones,” allows Vets to be more in touch lighter. I came home with a better
stay on a psychiatric unit on the sixth floor of the said Mullin. “To hear that from other Veterans is with their emotions,” said Brantley. outlook of my future.”
Houston VA Medical Center. very freeing for them.” “It’s not just zero to 100, I got “Among the Veteran
WISER helps women Veterans of all eras, CPT stirs up the Veteran’s emotions by angry, I blanked out and don’t population, male Vets ages 18-
while ROVER focuses on post 9/11 male Veterans making them talk about the details of their know what happened. Because you 34 are at high risk for suicide,”
who have a combat-related PTSD diagnosis. The trauma. Dialectical behavior therapy (DBT) practiced mindfulness, you are said Brantley. “This is the ROVER
treatment is intensive, but the benefit is that as skills help them make sense of those emotions. more aware … my heart is beating population. Addressing PTSD
an inpatient, it’s a controlled environment with “DBT teaches them skills to deal with those fast, I’m beginning to sweat, I’m within this program means
24/7 support. emotions so they can survive and think straight,” clinching my fists. Now, you’re addressing suicidality as well.”
“Instead of doing one session for an hour said Mullin. “It helps them at least be able to more in tune to what’s going on In addition to therapy,
and then coming back a week later and saying, breathe. We get them to focus on other things inside and you can stop it before you get to that Veterans in the program are offered yoga, go on
‘Where were we?’, they set aside a month just for and teach them how to bring themselves down. point of aggression.” outings like sailing, bowling, steak nights, and a
themselves, lock the world out and get it done,” The flashback is not real. This is real (she taps Female Veterans on a sailing outing. host of other activities.
said Claudia Mullin, LCSW, and WISER social the desk in her office). And they go, ‘Oh, I can do “The other beautiful thing that happens Those interested in participating in WISER
worker. “It’s like a year’s worth of therapy in this. I can survive this. It’s not real. I’m not in here is we see the kid in them come out,” or ROVER must first be followed by an
about five weeks. It’s an excellent way of dealing war again. I’m not in a rape again.’ That’s what said Mullin. “Suddenly, being mindful and outpatient mental health practitioner. Once that
with trauma, but they must be ready for it.” DBT is about … to give them the skills to manage in the moment, they laugh. They’re having happens, the therapist will determine if they
“Before I went to the WISER program, I their emotions.” fun with one another. If you are mindful, are ready and will put in a consult. The WISER/
wasn’t living,” said Navy Veteran Monica Delano. “I was taught several skills that have helped and in the moment, you can enjoy instead of ROVER social workers will do a screening
“I was just existing. I was also in a very dark me move forward from events that happened in walking around numb. Some actually are able to determine if the Veteran will be a good
place. In general, my thought pattern was very my past and help me overcome issues that I face to experience happiness for the first time in candidate.
negative. I was stuck in the past and could not in the present,” said Delano. years.” “They have to get their toes wet in the
get motivated about my future. I was constantly One of the DBT skills they learn is called Staff also teach patients interpersonal skills beginning of the pool because coming here is
upset, easily offended and very irritable. I STOP—stop, take a step back, observe, and to communicate their wants and needs in a like being thrown into the middle of the pool,”
isolated myself from friends and family and proceed mindfully. positive way. said Mullin. “It’s that intensive. They need to
seldom left my house. “A lot of times your emotions are high and “You can learn how to get your needs met be ready to talk and show that they’re really
“Since completing WISER, I am happier,” she of course your behavior will follow those high without screaming or avoiding conflict because interested in getting better, not just give me
added. “I am accepting the things that happened emotions,” said Chassity Brantley, LMSW, and you’ve lost trust in yourself,” said Mullin. some pills and leave me alone, but serious about
in the past and keeping them there. I challenge ROVER social worker. “In combat, you needed “Many of our Veterans think, ‘I can’t talk. I can wanting to get better.”
the negative thoughts with the tools I learned. that. You needed to be on edge because you only scream. I can’t say what I need. I don’t “WISER is an exceptional program that I
My sleeping has improved, and I have started had to react quickly. But unfortunately, they know how to say it.’ So, we teach them how to highly recommend to any female Veteran who is
working out consistently, finding hobbies I continue that on-edge behavior as if they are communicate their needs.” willing to invest in herself and do the hard work
in war during regular life. This gives you the Many Veterans who complete WISER/ necessary to heal from past trauma and move
20 VA Locomotive | www.houston.va.gov in life,” said Delano. | VA Locomotive 21
forward www.houston.va.govYou can also read
