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Free Clinic in Rolla helps those in need

Judith Ross found herself in a predicament when her husband became ill and had to retire suddenly two years ago.

He was old enough to qualify for Medicare coverage. She was not.

Both have significant health problems, but Judith’s health issues have landed her in the Phelps County Regional Medical Center Emergency Room several times over the past two years.

She has diabetes, elevated cholesterol and coronary artery disease that has required “too many stents” to be able to remember. She has been to University of Missouri – Columbia five times for angioplasty procedures to open her arteries.

Yet, the surprisingly upbeat woman hasn’t given up on improving her quality of life. She watches her diabetic diet; exercises and doesn’t smoke. Her biggest problem? Not having affordable access to primary care and medication.

“Being able to afford going to the doctor is the main problem,” the 62-year-old said. “I can’t always take the medication I need and I haven’t regularly gone to the doctor to do blood work to see if my cholesterol is under control.”

A Group Effort
Dr. Randall Huss, St. John’s Clinic Rolla division president knows that people like Judith probably don’t have their cholesterol under control and will probably get progressively sicker since they don’t have regular access to primary care. That’s one reason reason he worked with others to open St. John’s We Care Clinic in Rolla last year.

St. John’s Foundation for Community Health donated the seed money of $5,000 to get the clinic started and St. John’s donated the clinic space and much of the equipment. Medical supply companies and pharmacies have helped out, donating services and supplies.

The free clinic is open each Tuesday evening from 6 to 9 p.m. at 1601 N. Bishop in a building owned by St. John’s. It is staffed by volunteer physicians and mid-level providers, a nurse, a receptionist and student volunteers from the University of Missouri-Rolla. The clinic serves about 30 patients each week – most of whom have no insurance, Medicare or Medicaid and cannot afford to access other health care services.

In addition to providing acute care, the clinic focuses on chronic illness management in the working poor population in Phelps and surrounding counties.

The clinic coordinates with and refers to other community resources for the underserved, such as Phelps County Health Department’s Breast and Cervical Cancer Prevention Program, immunization program, WIC, Community Care Clinic and mental health clinic, as well as Phelps County Regional Medical Center.

“The response from our co-workers and providers has been very encouraging,” Dr. Huss said. “Everyone is excited to contribute to this worthy undertaking.”

In addition to recruiting primary care physicians to provide care at the clinic, he also found specialists who were willing to provide consultation visits and services at their offices at no charge for We Care Clinic patients.

Some Good News
Dr. Huss gave Judith the good news on her fifth visit to the clinic that her blood pressure was down from previous visits and her blood sugar has decreased from the mid-200s to consistently between 85-100. He credits Judith with some of that success.

“I’ve been awful good,” she jokes with the doctor. “I’d hate to go hungry for nothing,” she said about maintaining a healthy diet.

Judith also took advantage of free diabetes education offered though the clinic. She met with a dietitian and learned how to count carbs.

“You’ve got to learn and do whatever you can,” she said.

St. John’s nurse practitioner Cheryl Dalton started the diabetes education program with a $30,000 Mercy Caritas grant.

“I’m frustrated as a nurse practitioner that I don’t have the time to educate diabetics. I see that when patients learn and get the tools they need to empower them, they do better. I also see what can happen if they don’t control their diabetes,” she said. She hopes to expand the free program in the future.

Help With Prescription Costs
Another thing that helped Judith improve her health was access to the medications she needs. Dr. Huss was able to move her to generic prescriptions available at area retailers for $4 each, provided her with some free samples and connected her with St. John’s Health System’s medication access program.

“My medicines were $170 for one prescription, $140 for another, $70 for another and I just couldn’t afford them,” Judith explained. All together, her medication costs per month totaled $606 each month. Now she spends less than $50 a month.

“It has been a blessing, and each time I come here, there’s more people being helped,” she said.


 

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