European Stars And Stripes (Newspaper) - February 5, 1986, Darmstadt, Hesse                                Wednesday february 1086 the stars and stripes Page 7 military Medicine shape the International Hospital t not All medical care for american cry  and their families in Europe is provided at . Military hospitals or clinics in  Wales to Turkey and Spain to Italy medical officials in the air Force army and Navy have tailored a variety of facilities and services to their communities bused on their available resources. Seven of those medical facilities Are Dis cussed in today s instalment of the stars and stripes review of health care in the military.  writer he .army Hospital at shape Bel Gium May be run by americans but it i almost As International As the Community it serves.,while the army runs the input incl Hospi Tal facility outpatient services known As the polyclinic on the main floor arc handled by the  that belong to nato. Outpatients Are seen in the outpatient clinic of their nationality. The germans treat germans with the flu. The British treat United kingdom sprains. And the Bel Gians care for the belgians norwegians and dutch. Citi Zens of countries not providing medical staff to the paly clinic Are seen initially at the belgian element. The american outpatient clinic has a . Military doctor and physicians from Turkey Greece Canada and Italy. But the doctors All take turns at emergency room duty after hours treating whoever shows up.  to have a lot of diplomacy in the hallway Roget some forms said . Army capt. Eduardo Guerrero Hospital adjutant. The complicated relationship Between the polyclinic and the Hospital and the army s increased emphasis on Quality control sometimes has required All the diplomacy that medical officials can Muster. The polyclinic comes under the control of the Hospital commander an army officer. But the foreign doctors of the polyclinic Are not under the jurisdiction of the Deputy commander for clinical services who normally is in charge of professional medical issues. The foreign doctors medical credentials Are checked by their military representatives at shape not the Hospital s credential . Mustafa Kahr Manyol a turkish lieutenant Colo Nel who works in the american outpatient clinic said he would find it humiliating to present his credentials to an american committee at what he believes should be a truly International  other officers Don t have to present credentials. Why should i he said. The polyclinic chief should be a rotating position he said. And he believes any polyclinic doctor should be Able to admit patients without going through the Hospi Tal medical officer on duty. I Felt like a second class physician in this Hospital he said. But he said the doctors maintain Good relations by personally working out problems among themselves. If the . Military hospitals in Ger Many have trouble adjusting american building Stan Dards and medical products to that nation shape has the problem of being an even More unknown Quantity tothe planners in Washington. The shape Hospital for example must follow belgian building codes while i makes improvements to meet . Standards the shape Usa eur agreement governing the Hospital is difficult to change because of All the govern ments involved said la. Col. Alex Gale pcs executive  Many respects we arc not a . Facility. At the Nassau Hospital on the sea  Bureau  if you get sick aboard the Nassau the 2nd Fleet flagship there s generally a bed available there Are As Many Hospital Beds available on the 40,000-ton amphibious assault ship As the 300-bed army Hospital in Frankfurt. The army Hospital in the North German port City of Bremerhaven a to eying is Ives care unit on the Nassau is better than a lot of civilian hospitals. It. Joseph l. Durbin the a Fth z jets of s Many As 400 operations. Durbin  addition to a pair of in a Alo aae ship s dentist. The More than 800 sailors aboard the ship Are 95 percent cavity free Durbin said the resp to on the Nassau normally has 17 close observation Beds with monitors 47 regular Beds and a a new diurnal space can be found in Adia cent quarters normally occupied by marines said . The ship s Nedical officer. I Chowsu said the theory is that when the marines Are whore Fig songs when tie extra Beds will be needed. Idle a. Ray laboratories four operating rooms Are clustered immediately off a below deck area where the initial sorting of casualties would take place. There is enough sophisticated medical equipment on Board to keep a Bio medical repairman around Durbi said. Rough seas can pose a problem in the operating room Zackowski said you be got to Brace yourself he said. You can Planin Advance to judge the Roll of the ship and do what you have to  life in the Hospital was fairly quiet while the Nassau participated in Ocean safari 85, the North Atlantic exercise that ended in late september. Among the patients Zackowski treated was a Sailor transferred from another ship when he was suspected of having a broken Back. But a rays taken aboard the Nas Sau while the Man was immobilized in a spinal boar indicated his Back was not broken said Zackowski. During the North Atlantic exercise the Nassau received an average of two medical evacuations per week Zackowski said. However in 1984 in the Mediterranean sea the Nassau admitted 425 patients Between february and August. Off the coast of Honduras but april 63 patients were admitted during a five week period with injuries ranging from Snake bites to spinal damage. Every Opportunity we try to raise the International nature of the Hospital As a political reality Gale Hes said. The doctors Are paid by their own nations and shape pays the Cost of leasing and maintaining the Hospital . Col Robert w. Muscati Deputy commander of clinical services said that while the care May be differ ent from american practices it is Good. The commander and Musetti review the outpatient cases each Day he added. These people have All different ways of practising Medicine none of which Are like the ., Muscati said. It s stimulating. We learn from  the shape medical activity supports a population of about 27,000, including 4,000 nato peo ple in the Netherlands and 11,000 near Brussels. There arc dental facilities and veterinary services. Like most other . Military hospitals in Europe the 25-bcd facility at shape is basically a Small Community Hospital. Surgery for serious head wounds for example probably would be referred to local hospitals in Brussels about 30 Miles away or to american facilities in  Brussels emergency care team can Fly in to pick up newborns who Are seriously premature or in other difficulty or the babies can be sent to the army hospitals at lands Uhl or  among the medical stuff normally is not a serious  physicians All speak fairly Good  said Sec. Sue Jiru no in charge of the polyclinic " " s the patients who have problems she said a greek patient suffering seizures was uncomfortable dealing with a foreign doctor and hesitate to be treated so the staff called in the greek doctor. Nave Ohio or. Cmdr satyr Barahl an orthopaedic aur Gaon from the Navy hoi Piui in Charleston 8.c, per. Torn a Argiry in us operating room of Iho Naa my an amphibious assault hip