Removing the financial barrier to critical treatment
January 2020
Without carotid artery surgery, Judy Hastings was at high risk for a stroke. But she couldn’t afford the treatment needed prior to surgery that would increase her chance of survival.
The Blessing Foundation paid for the prescribed medications and medical device, which worked well and allowed Judy to safely undergo surgery in January.
Judy Hastings and her husband, David, have been through a lot in recent years.
She’s been hospitalized multiple times since 2011 and almost lost her life when her heart stopped during one trip to the emergency room. Her chronic lung disease has diminished her quality of life and has greatly limited her independence.
‘I can’t afford that’
Judy’s primary care physician, Dr. Michael Kirkpatrick of Blessing Physician Services, told her that having a carotid artery that was 99 percent blocked meant a stroke or heart attack was imminent and the event was likely to be so massive that it would be difficult to recover.
Her situation was critical, and she needed carotid artery surgery to remove the blockage and restore blood flow.
Before she was scheduled for surgery, though, she was back in the emergency room with respiratory issues, which led to an appointment with Dr. Nanjappa Somanna, pulmonology specialist at Blessing Physician Services.
Somanna gave her a pulmonary function test.
“I failed it miserably,” she said. “He said, ‘You can’t have surgery.’”
Her lungs were functioning at just 25 percent and her PC02 (partial pressure of carbon dioxide) levels were dangerously high, which meant surgery would not be safe. A potential solution was to use nebulizer medications and a Trilogy ventilator to help improve her lung function.
Somanna said using the Trilogy machine three weeks prior to surgery and three weeks after surgery was vital “to improve her chance of survival.”
But the cost of the respiratory treatment was out of reach for Judy and David, who are on fixed incomes.
“I said, ‘I can’t afford that,’” Judy recalls. While she has Medicare coverage, it would not pay the full amount and the couple couldn’t pay the remainder of the cost.
It was the only thing standing between Judy and lifesaving surgery.
That’s when Dr. Somanna worked with Blessing Health System's Dana Herring, former social services case worker, and Laurie Jansen, RN, former outpatient care coordinator, who stepped in and contacted the Blessing Foundation.