Naval District Washington

Patient Services III

Tuesday, Jan. 26, 2010

Ophthalmology (Eye Clinic)

Ophthalmology provides a full spectrum of clinical eye care services to all categories of military health care beneficiaries, including comprehensive eye examinations and treatment, utilizing laser treatment or surgery when indicated. Disorders treated include cataracts, glaucoma, corneal disease, eyelid abnormalities, eye infections or inflammation, retinal disorders, pediatric eye disorders, ocular injuries and ocular changes from diabetes.

Optometry Department

NNMC’s Optometry Department offers treatments ranging from comprehensive eye examinations and contact lens care to the prevention, remedy, and control of eye problems, diseases and injuries to the eye. Services are provided to patients of all ages from 1 year old and up. Optometry does provide new contact lens fitting services as time allows, renewals of current contact lens prescriptions and the prescription of medically indicated contact lenses as necessary. For renewals of current contact lenses, prescriptions are rewritten after an evaluation to insure that they are properly fit. Medical records, current eyeglasses and/or contact lenses as well as any prescriptions for eyeglasses and contacts available or the boxes from the contact lenses are required for all appointments. Active duty and retired military members are eligible for military-issue glasses through our Optical Shop. Referrals are not required to obtain an eye examination.

Orthopedic Surgery

Orthopedic Surgery is a completely integrated service between NNMC and WRAMC. At both hospitals, board-certified orthopedic specialists work as one team to address the full spectrum of musculoskeletal concerns, from sports medicine to total joint replacement. Sports medicine specialists treat injuries with the latest in minimally invasive and arthroscopic surgical techniques and non-surgical techniques, as well as with aggressive, proactive rehabilitation. Specialists in hand, upper extremity treat common and complex conditions including traumatic, degenerative, congenital, and repetitive use injuries. Adult-reconstructive surgeons perform joint reconstruction and joint replacement surgery, utilizing state-of-the-art implants and the most up-to-date surgical techniques. Foot and ankle surgeons and podiatrists address all concerns of the lower extremity. Nationally recognized specialists in trauma orthopedics provide care to our wounded warriors and to beneficiaries with community-based traumatic injuries including hip fractures, wrist and ankle fractures. The orthopedic service also provides specialized care in spine surgery, musculoskeletal tumor surgery and pediatric orthopedic surgery and participates in cutting-edge research in the advancement of all areas of orthopedic surgery.

Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery diagnoses and treats patients with diseases, injuries and defects of the hard and soft tissues of the mouth, teeth, jaws and face. They also correct problematic wisdom teeth, facial pain, facial trauma, sleep apnea and misaligned jaws. Reconstructive and dental implant surgeries are offered as well as treatment for tumors, cysts and other defects of the jaws and face. Emergency care for non-active duty patients is limited to humanitarian relief of acute pain, trauma and infections. The Tricare Dependent Dental Plan and the Retiree Dental Plan is available to meet the dental needs of non-active duty family members and retirees.

Otolaryngology Surgery (ENT)

This department’s wide range of medical and surgical specialists work together to treat patients of all ages who have problems of the ear-, nose-, and throat-related head and neck structures, and hearing loss. Otolaryngology surgery, commonly known as ENT (ear, nose and throat), provides comprehensive, compassionate care; whether your newborn baby needs a hearing test, you are experiencing dizziness, or you have an infection or allergy.

Pediatric Medicine

The General Pediatric Medicine Clinic provides the best in pediatric health care, from routine health maintenance to management of your child’s acute and chronic medical needs as well. Scheduled appointments for well baby and well child check-ups, school and sports physicals, health screening, and vaccinations are just some of the many health maintenance services we offer our patients on a routine basis. We also welcome consultations for all Military Health System pediatric beneficiaries from other primary care providers, or other health care professions for complex symptoms and disease management. The Service is the clinical site for the Department of Defense’s largest training program in general pediatrics, with residents from the Army, Navy, and Air Force composing our joint service program. The residency is a three-year ACGME-accredited program designed to train active duty pediatricians for competency and subspecialty board eligibility in general pediatrics. The program emphasizes a diversified education in general pediatric medicine, clinical and basic science research. The program is very active in clinical and basic science research in collaboration with the Uniformed Services University of the Health Sciences, National Institutes of Health, Walter Reed Army Institute of Research, the Food and Drug Administration, and other regional and national research institutions.
Patient services provided:

  • Acute disease evaluation and management
  • Routine preventative healthcare
  • Chronic disease management and counseling
  • Mother-Infant Care
  • Telephone advice
  • Blood-drawing
  • IV fluid therapy
  • Administration of IV medications
  • Implementation of breathing treatments
  • Procedural evaluation of most patients prior to inpatient hospitalization,
  • Lumbar puncture
  • Comprehensive diagnostic imaging
  • Childhood vaccinations
Pediatrics Neurodevelopmental Division

The Neuro-Developmental Pediatric Division sees children of all ages and provides pediatric neuro-developmental assessments and treatment. Services include:

  • Neuro-developmental pediatric services by developmental pediatricians
  • Neuro-psychological, physical therapy and occupational therapy diagnostic assessments and treatment
  • Evaluation and psychological behavior management services for children with such diagnoses as ADHD and Pervasive Developmental Disorders (PDD)
  • Social worker interventions as needed
Pharmacy

Pharmacy services are one of the most popular benefits for our patients. In addition to obtaining medications from the NNMC Pharmacy, this benefit now includes the Tricare Mail-Order Pharmacy (TMOP) and the Tricare Retail Pharmacy network (TRRx). Since 2003, NNMC’s pharmacy has used an automated, robotic system to refill prescriptions. This technology guides pharmacy staff at each step in the prescription filling process, minimizing the potential for human error. It uses bar code technology to reduce wait times and ensure medication-dispensing accuracy. The pharmacy processes approximately 60,000 prescriptions each month. Due to the volume of pharmacy visitors each day, please take a few seconds to become familiar with the established procedures and routines. Simple measures such as using the automated call-in refill service, taking the appropriate ticket at the pharmacy, and having identification card readily available will help keep operations moving as quickly and efficiently as possible.

  • NNMC Main Pharmacy
    The Main Pharmacy is located in Bldg. 9 on the 2nd floor. Hours of operation are from 7:30 a.m. to 8:30 p.m. (Monday through Friday) and Saturdays from 8 a.m. to noon. Peak business hours are on weekdays from 10 a.m. to 5 p.m., with the busiest days being Monday, Tuesday, and the day after a three-day weekend. It is best to visit the pharmacy outside of these time periods to avoid extended wait times. For customer service, please call 301-319-4432.

  • NNMC Satellite Pharmacy (Drive-Through Refill Service)
    NNMC offers a drive-through pharmacy refill service for our beneficiaries to receive medication refills without leaving the vehicle. The average waiting time at the Pharmacy Refill Satellite is two to three minutes. Refills must be requested 3 days prior to pick-up at 800-377-1723 or online at www.bethesda.med.navy.mil/refill. Hours of operation are from 8 a.m. to 6 p.m. Monday through Friday and Saturdays from 8 a.m. to noon. The outpatient pharmacy wait time can be long during peak hours. Multiple options are available to assist patients who choose not to wait for main pharmacy service. Please consult a pharmacy staff member for information on prescription drop-off service, remote satellite pick up, the TMOP program, and retail pharmacy benefits.

    Physical Medicine & Rehabilitation

    Physical Medicine and Rehabilitation (PM&R) offers a non-surgical approach to pain, injury and disease for neuro-musculoskeletal (involving the muscles and skeleton) disorders. Services include the evaluation and management of:

    • Back and neck injuries or pain (Musculo-skeletal Medicine)
    • Nerve and muscle disorders (Electrodiagnostic Medicine)
    • Functional limitations due to injury or disease (General Rehabilitation)
    Our physiatrist (specialist in Physical Medicine and Rehabilitation) is expert in musculoskeletal anatomy, biomechanics and exercise physiology, and evaluating symptoms and identifying their underlying causes.

    Physical Therapy

    Physical Therapy serves patients who have physical impairments, functional limitations, disabilities or changes in physical function and health status resulting from injury, disease or other causes. Physical therapy specialists administer treatment, develop rehabilitative programs and offer education for neurological, musculoskeletal disorders and post-surgical complications.

    Plastic & Reconstructive Services (Pediatric & Adult)

    The Plastic and Reconstructive Services restore the quality of life and function for its patients who have physical defects or damage. The specialty of plastic surgery deals with the excision, repair, replacement, and reconstruction of defects of form and function of the integument and its underlying musculoskeletal system, with emphasis on the craniofacial structures, the oral pharanx, the upper and lower limbs, the trunk, the breasts, and the external undesirable form. Conditions Treated:

    • War Trauma/Reconstructive Microsurgery Unit
    • Pediatric/Craniofacial Surgery Unit
    • Peripheral Nerve, Brachial Plexus
    • General Reconstruction/ Oncologic
    • Surgery Reconstruction
    • Cosmetic Surgery
    Podiatry

    With training in the latest surgical techniques, doctors in the Podiatry Clinic address foot and ankle pathologies for patients of all ages. Podiatrists are also trained in clinical treatments, and possess the skills and knowledge necessary to handle all levels of the diagnosis and treatment of the lower extremities.

    Post Anesthesia Care Unit

    The fundamental purpose of the Post Anesthesia Care Unit (PACU) is to provide direct and continuous patient observation during emergence from anesthesia in the immediate post-operative period. The goal is to prevent or promptly recognize and treat any post-operative complication. Nurses in this critical care unit are skilled in providing advanced life support measures for adult and pediatric patients.

    Preventive Medicine & Environmental Health Services

    Preventive Medicine and Environmental Health services ensure the health and safety of the NNMC community by protecting staff, patients and visitors from environmental and health threats through communicable disease, food, water and facility sanitation surveillance. Others services include: food safety inspections, smallpox vaccination program, tuberculosis control program and environmental health consultation.

    Psychological Health and Traumatic Brain Injury (PH-TBI)

    The PH-TBI Department provides interventions for Wounded Warriors across several levels of care, including an Inpatient Traumatic Brain Injury ward, Medical surgical wards, Outpatient and Intensive Outpatient. The program employs psychiatrists, neuropsychologists, psychologists, health psychologists, nurses, psychiatric technicians, art therapists, occupational therapists, physical therapists, recreational therapists and administrative staff.
    Services provided by the Department include:

    • Patient and family education
    • Individual therapy
    • Group therapy for PTSD / Stress / Addictions
    • Medication management
    • Neuropsychological Testing
    • Cognitive Rehabilitation
    • Biofeedback for stress and pain conditions
    • Marital therapy
    • Art therapy
    • Coordination with allied services:
      ° Physical Therapy
      ° Occupational Therapy
      ° Speech Language Pathology
      ° Recreational Therapy
      ° Neurology
      ° Trauma Surgery
    Pulmonary Medicine

    Pulmonary Medicine provides state-of-the-art diagnosis and treatment services to adult patients with diseases of the chest, lung and respiratory systems. Our pulmonary specialist have specialized knowledge and skill in interventional Pulmonology. We provide diagnosis, treatment and support of various lung conditions. We provide pre-operative evaluations, pulmonary function testing, exercise testing and treatment for the following:

    • Asthma
    • Lung Cancer
      ° Multidisciplinary lung cancer group
    • Hemoptysis
    • Chronic Coughs
    • COPD such as chronic bronchitis and emphysema
    • Sleep Apnea
    • Lung Nodules
    • Sarcoidosis
    • Cystic fibrosis
    • Occupational lung disease
    • Tuberculosis
    • Pneumonia
    • Pulmonary hypertension
    • Interventional Pulmonary Services
      ° Advanced diagnostics: Endobronchial ultrasound (EBUS) guided lung and mediastinal biopsies, electromagnetic navigation bronchoscopy (ENB), autofluorescence bronchoscopy (AF), narrow band imaging (NBI) bronchoscopy, virtual bronchoscopy (VB), semi-rigid pleuroscopy
      ° Therapeutic bronchoscopy: Airway stents, laser bronchoscopy, argon plasma coagulation (APC) and electrosurgical bronchoscopy, cryotherapy, foreign body extraction, rigid bronchoscopy, balloondilation
    Radiology

    Radiology offers a full spectrum of diagnostic and therapeutic radiological services, including radiographic examinations, Magnetic Resonance Imaging (MRI), computerized tomography studies, ultrasound studies and mammography studies. This department also interprets films and fluoroscopic screen images for staff health care providers, and provides education for NNMC staff. Radiology provides services in the following areas, while ensuring radiation safety for patients, staff and the environment:

    • Diagnostic Radiology
    • Nuclear Medicine
    • Physics and Radiology Safety
    • Radiation Therapy
    • Interventional Radiology
    • MRI (Neurological, Body, Musculoskeletal and Breast)
    • Positron Emission Tomography (PET) scanner NNMC also provides Virtual Colonoscopy (VC) in conjunction with the Gastrointestinal Department as part of the Colon Health Initiative for colorectal cancer screening.
    Rheumatology

    Rheumatology evaluates and manages a wide variety of adult autoimmune and inflammatory disorders such as rheumatoid and psoriatic arthritis, osteoarthritis, gout, systemic lupus erythematosus, and inflammatory myopathies. Additionally physicians perform arthrocenthesis, synovial fluid analysis, soft tissue and joint injections, including corticosteroids and viscosupplementation with hyaluronic acid. Rheumatology also provides follow-up, monitoring, education, and counseling.