Dear John…
I know. I know. The rule is: no bad news, but this is important, and my hope is that by sharing this sad, exasperating happenstance, something good will come of it.
John Gustafson, a highschool classmate of mine, died on Sunday. I have only good memories of “Gus” in school. He was a fun, earnest kid; quick to smile, always friendly and easy to like. He was a tough competitor on the wrestling mat and made it to the State-A’s in his weight class. Although we weren’t close friends, he was the kind of person you knew had your back even if he didn’t make a big deal about it.
While I left South Dakota straight out of college, John stayed in our old hometown of Brookings, became a Realtor and made a good life for himself. By all accounts, he was a successful businessman and was active in the community…until heart disease short-circuited his activities.
When I saw John at our last class reunion a year and a half ago, I was reminded that we’d nearly lost him a few years earlier when he suffered his first heart attack. The prognosis had been grim, but he’d pulled through, and we were all thrilled to see him.
We didn’t speak about his health problems at the time. We met his beautiful wife, Dawn, and heard about their three young children. We reminisced about our high school years–it was a reunion, after all.
But in December of last year, I learned that John was caught up in the fight of his life–in more ways than one.
He’d received a LVAD (left ventricular assist device), which allows blood to bypass the heart and was on the list for transplants, but he also needed to undergo dialysis five days a week.
According to the website WeCareABoutJohn.com, John was one of six LVAD patients in South Dakota. (Nationally, there are 180 total.) Unfortunately, the medical director for Prairie Lakes Health Care, which provides dialysis for patients in the Brookings area, decided the LVAD device was “experimental,” and declared that treatment would require monitoring by both a cardiologist and a nephrologist, something Prairie Lakes was unwilling to allow.
The local newspaper did a story on John last year in an effort to get the word out about his situation and what he was up against. http://bit.ly/HgXGbM
Although there was a dialysis facility just four blocks from John’s house, Prairie Lakes refused him treatment. So, John had to be driven 65 miles for the four-hour treatment then be driven back home. His treatment and the two-hour round trip commute amounted to a full time job. And because his entire day was devoted to staying alive, John couldn’t work, provide for his family, interact in normal activities with his wife and kids and friends. The commute was not conducive to building up the strength he needed to keep fighting.
It’s telling about the kind of person John was that a group of friends started the We Care About John website. These generous people, including my old friends Dick and Theanne Peterson, bucked the system. They fought for common sense and compassion. They were this close to getting John the treatment he needed locally. Unfortunately, time was not on John’s side.
John was just one man, but what happened to him could happen to any of us. We work hard to buy the best health insurance we can afford, but one petty bureaucrat with her eye on the bottom line can mean the difference between life and death. I can only hope that John’s bravery and determination pays off down the road for patients facing the same hurdles. And my heart and prayers are with John’s family…and my classmates.
Now, on a happier note, my father-in-law, Milt, made it home safe and sound–and he flew in First Class! He said he doesn’t think can fly with the “common people” again. Lol.
Deb







March 27th, 2012 at 7:05 pm
Beautifully written, Deb. I’d like to see this published in every town that has contracts with Prairie Lakes Health Care. It is so disheartening that this one woman was able to keep John from getting the care he needed at home so that he could be with his family. I am so angry. If I could remember her name, I would surely list it here. I think this letter should go to the every politician in South Dakota….what do you think? I’d even print and mail….
Glad to know Milt made it home okay.
March 27th, 2012 at 8:31 pm
Thanks, Jackie. Even trying to give her the benefit of the doubt (like her job is on the line or something), I don’t get it. She sounds downright heartless.
This is an opinion piece, not investigative reporting. But I feel better getting it off my chest. LOL. Can it help fix this broken mess of a system that can DENY logical, beneficial treatment to someone who needs it? I wish. But I doubt it.
Deb
March 27th, 2012 at 11:29 pm
Health care is growing more restrictive as government takes greater control. It will only get worse as time goes by. Sheri
March 28th, 2012 at 9:48 am
I’m certain you are right, Sheri. The only way to avoid it is to STAY healthy.
Deb
April 2nd, 2012 at 11:30 am
Bureaucratic Jerks. I bet if they had a family member in John’s situation they’d be changing the law PDQ.
It just seems to be politicians don’t know much about life and how it is for most of us. Which is why I can take the news in very small doses and then go catch a repeat of NCIS!
Go Milt!
April 2nd, 2012 at 11:51 am
I think the lack of empathy has become an epidemic, Marcie. What’s up with that?
Hope all is GREAT in your world, Marcie!!!
Deb
April 2nd, 2012 at 1:40 pm
All is well Deb. Working on a story. Supposedly there’s going to be a pitch for Supers sometime this summer. May have to give that a try since I didn’t final in the So You Think You Can Write contest Harl just had.
And you – any Supers in the future? Indie books? If you can’t give details I completely understand! I don’t want to jinx you
April 8th, 2012 at 11:10 pm
There are over 10,000 LVAD recipients world wide… With the MAJORITY living in the US.