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Patient Stories & Letters of Appreciation

In 1998, when Gary Stillman was forced to change jobs, his medical insurance changed as well-and not for the better. The new coverage was minimal and, under the provisions of his employer's contract, the insurance company reserved the right to assign employees to specific clinics and practices. In the case of the Gary and Deborah Stillman and their three children, the new location was Packard Community Clinic.

For five years, the Stillmans and their growing family received outstanding health care from the medical staff at PCC. Certainly, there were challenges along the way, calling for special attention and medical expertise.Matthew, their middle child, had been born with Down's Syndrome and suffered from serious heart problems that required, among other things, a pacemaker and a series of major operations. Their oldest daughter, Charith, was Uninsured Week plagued by upper respiratory infections that brought the Stillmans to Packard Community Clinic for frequent visits.

"We were at the clinic at least once every two months," Deborah notes. "And whatever the problem, the staff was excellent, very caring, very attentive, very patient. They always took as much time as necessary to make a diagnosis. And they really kept track of us-how we were doing, in every way." That sense of concern was especially evident in December of 2002, when PCC chose the Stillmans as their annual Christmas family. Presents flowed in from the PCC staff, more gifts than the family had ever seen, and not Americans and small business just items on their "needs" list but many from the "wants" list as well. According to Deborah, the kindness was providential, since Gary was pink-slipped in early January-leaving the family with no income and no health insurance.

For nearly a year, as the family struggled to make ends meet, the Stillmans and their three children continued to receive health care services from Packard Community Clinic. Today, Gary Stillman has a new job, but one that pays him just half of his former salary. Fortunately, the family's health care will never be in jeopardy, thanks to PCC. "We know that whenever we need medical attention, it will be there," Deborah says, "provided by people who really care about their patients."

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Lois Cline first heard about Packard Community Clinic from her sister, who was a patient of Dr. Jerry Walden's at the time. That was more than 20 years ago, and she's been on the patient roster ever since.

Speaking in a warm Kentucky accent, Lois recalls all the years she worked as a nurse's aide in various elder care facilities and nursing homes in Ann Arbor and Ypsilanti. She later took a job as assistant supervisor of housekeeping at the Marriott, and also worked as director of housekeeping services at Knight's Inn. During all that time, none of her employers ever provided health insurance, which meant continual worry and constant out-of-pocket expenses for medical care.

For Lois, Packard Community Clinic has made all the difference. She credits Dr.Walden and the PCC medical staff with helping keep her diabetes in check year after year-not only by prescribing the best possible medications but also by encouraging her to exercise and watch her diet. That condition brings her to the clinic every four to six weeks. In 1998, when she was diagnosed with breast cancer, the visits increased.

Now retired, Lois lives near South Lyon and makes the 25-minute commute to the clinic, as needed. "I've always been very satisfied with the services I've received at Packard Community Clinic," she says. "In fact, everyone on the staff has been great. They're very understanding and always willing to work me into the schedule when there's an emergency situation."

But she has a special spot in her heart for Dr.Walden. "He's always been super nice," she explains. "And after more than 20 years as my doctor, he's become like one of the family, someone I can talk to like a brother."

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Jim Mogensen was in his early 30s when he began experiencing chronic medical problems, severe asthma and diabetes among them. When deteriorating health forced him to quit his job as an occupational safety and health engineer, the small company he had worked for renewed his transitional medical benefits-known as COBRA-for as long as possible. Eventually, following an extended hospital stay, he qualified for Social Security disability income.

While many people are introduced to Packard Community Clinic by health care workers or friends, Jim knew about PCC through Jerry Walden, a longtime acquaintance. Approximately seven years ago, he became Jerry's patient. It's been an important relationship, for a variety of reasons. "Jerry and his staff have a lot of expertise in negotiating all the social safety net systems," he explains. "They make sure that I see specialists as needed and that hospital admissions, when they're required, are handled through the clinic instead of the emergency room, which can be very expensive."

Even with the support of PCC, however, Jim admits that keeping up with medical expenses is a constant, unrelenting struggle. With nine different prescriptions, plus various medical supplies, his monthly pharmacy bills often run as high as $300, accounting for nearly half of his income. Yet despite obvious hardships, he worries more about others than himself. "I have a fair amount of social capital to draw upon and can navigate the system pretty well," he says. "A lot of people fall through the safety net. And if they can't access the kind of services offered by Packard Community Clinic, things can deteriorate very quickly when serious medical problems arise. In fact, I've read that one of the major causes of personal bankruptcy is unexpected medical expenses among the underinsured and uninsured ."

For Jim, the importance of PCC is clear: "Finding ways to assure that people have the health care resources they need is vitally important. That demands a lot of time on the part of PCC staff members, time that isn't covered by any insurance. It takes the continuing financial support of the community to make those programs work."

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Five years ago, Danielle Larson was about to begin her final phase of pre-med studies at Eastern College in Pennsylvania. Despite a variety of mysterious and severe physical symptoms, she was completing her clinical rotation looking forward to a career in medicine. It was then that she received a conclusive diagnosis of multiple sclerosis from her physician. Soon afterward, with the condition growing steadily worse, she was forced to drop out of college.

Last year, she and her infant daughter moved to Ann Arbor to live with Danielle's mother.With no income and no health insurance, she recalls looking through the Yellow Pages with a sense of desperation. "Actually," she says with a wry smile, "I was hoping to find a listing for a Paupers' Clinic. Instead, I discovered Packard Community Clinic."

From her very first appointment, Danielle was amazed and delighted at the reception she received at PCC. "I couldn't believe how wonderful the staff was. They were so professional, so courteous, so compassionate, so genuinely concerned. They treated me like a human being. And they weren't selective. It wasn't just me-it was every patient."

Danielle has special praise for Julie Walker, her nurse practitioner, and Dr. Jerry Walden, both of whom, she notes, have gone out of their way to help her locate other support services and resources. However, even with their help and the assistance of various social service agencies, her situation is extraordinarily difficult. For nearly four years, Medicaid refused to pay the $1,200 per month for an Interferon-based drug that would slow the progression of her disease. As a consequence, Danielle's symptoms worsened considerably, to the point that it often takes her as long as four hours just to get out of bed and dress herself.

Danielle herself has no savings and, with every spare dollar going toward treatment costs, her mother is now deeply in debt as well. She readily admits that, five years ago, her views on health care and health insurance were considerably different from what they are today. "I used to think of the uninsured as 'those people.' Today, I'm one of them," she reflects. "I'm just one human being who has suffered a financial catastrophe due to lack of health insurance. And I have to wonder: how many others have been devastated in the same way?"

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3174 Packard Road, Ann Arbor, MI 48108 | Phone: 734.971.1073 | Fax: 734.971.8545
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