Detroit PBS Documentaries
The Safety Net
Special | 15m 54sVideo has Closed Captions
In Detroit, a fragile safety net serves the vulnerable. Dean Carpenter's death before COVID-19 left
In Detroit, where health infrastructure crumbles, a fragmented safety net serves the city's most vulnerable. Nurses, medical students, and volunteer physicians provide outreach and care. In 2019, nurse Dean Carpenter led Wayne State medical students in street care. His sudden death before COVID-19 left the service community grappling with what was lost—and what remains.
Detroit PBS Documentaries is a local public television program presented by Detroit PBS
Detroit PBS Documentaries
The Safety Net
Special | 15m 54sVideo has Closed Captions
In Detroit, where health infrastructure crumbles, a fragmented safety net serves the city's most vulnerable. Nurses, medical students, and volunteer physicians provide outreach and care. In 2019, nurse Dean Carpenter led Wayne State medical students in street care. His sudden death before COVID-19 left the service community grappling with what was lost—and what remains.
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Where was the longest place that you lived somewhere?
Ohio.
Are you an Ohio State fan?
Watch out now!
Let's go Buckeyes!
That's right.
I don't know about that, because I'm a big Michigan fan.
Ooh, watch out, we're about to go at it.
I don't think I can do that.
How long did you live in Ohio?
Most of my life.
What brought you to Detroit?
Change.
Do you have any openings in your skin here or anywhere?
All right, so we'll get this ... Do you have insurance?
I'm not for sure, I think so?
So we'll get the antibiotic from the pharmacy.
So I just answered an ad in the in the paper, the Detroit Free Press.
They're advertising for this job.
I didn't know anything really about homeless health care or anything.
And then I discovered what a cool job it is.
There are a couple of agencies out there that specialize in, donating meds to free clinics and, they'll post a list of the medications that they have available and, these are what they're called near dated, meaning they're about ready to expire.
So pharmacies don't want them.
Medications that, people aren't using anymore, like, you know, my uncle Harry died, and he had all these, all this medication.
So they donate to us, and we'll use it.
Fortunately, now with the Affordable Care Act, most people are insured.
So I can get a lot of medications just under people's insurance.
Truthfully, the most unreliable part of the whole system is me, because I have to keep in mind what inventory I have and where the gaps are.
Dean was very humble.
He was very humble.
He was a hero to us, but to him, He was just being him.
First, I was just practicing here in the clinic, and in the center, and, you know, kind of had it in the back of my mind About... what about the people who don't come into the center?
What sort of pathology is out there lingering?
These relatively minor conditions that could be easily managed, go untreated until it's catastrophic.
What does he need?
He needs those underwear, those thermals, really bad.
Does he... does he have any health concerns?
Does he take medication?
Gentlemen who come here to the center and was looking for housing.
He was very frail and, had a bad cough.
So we sent him to the hospital.
We took him up to the emergency room.
But what happens frequently is he was not treated with respect while he was there and left against medical advice that night.
So we made arrangements to get him admitted to Karmanos Cancer Center.
They wanted a $100 facilities fee, and the students raised the money themselves to get him admitted.
That was on a Friday.
He was going to be admitted Monday.
He got worse over the weekend, went back into the hospital, and then he died that Sunday.
I thank you, my father God the most high, the most glorious.
Dean's passing really affected all of us.
I'm one of the people that it really impacted.
I've known Dean for quite a while.
I actually was a resident of the Tumaini Center, being homeless myself.
For four years.
One day I was sick.
I think I had pneumonia, found out, I had asthmas and bronchitis at the same time Because Dean put me in his car and actually drove me to the emergency room.
Probably saved my life that day.
I was really sick.
That was when I was in my addiction.
With the support of people like Dean and, another gentleman I work with, they encouraged me and so I was able to get back on my feet.
And I've been here ever since, and I'm still being supported and still being groomed, and I learned a lot from it.
And that's how me and Dean wound up working together.
Simple things to us.
Like, you know, clean socks means a lot to people who are out on the street.
And they're very grateful for it.
How are you doing?
we're street medicine, medical student volunteers.
Okay.
Do you have any medical conditions, any health concerns?
Interested in the housing?
He's on the edge The best we can hope really is just repeated encounters will kind of wear down his reluctance to get services and get him into housing.
Success.
Detroit has really changed over the last few years.
It's been a lot of expansion, a lot of building up.
The Tumaini Center left and people had to find other resources.
I remember I started attending groups here.
I used to just go in to go in the group for milk and cookies.
At first, and, I started hearing some things that made sense to me.
And, I kept coming back.
The Tumaini Center saved a lot of lives.
I had a range of emotions.
One was, oh, no, it's gone.
The safety net is gone.
Nurses are patient advocates.
I find most nurses, not all, but most nurses are not judgmental.
Dean was an excellent nurse, and I know I'm biased.
We met at the VA Medical Center in Ann Arbor.
He was very spontaneous.
Always very curious about things, curious about nature, curious about life.
He had graduated from high school and went to Michigan Tech in the U.P.
initially he was going there because he wanted to do pre-med.
But that really wasn't clicking with him at the time, and he just didn't know what he wanted to do.
So he decided that he was going to join the Navy.
Being young and just wanting to do something different, wanted to explore the world and see what was out there.
And he would frequently get asked, how come he, didn't go to medical school?
And, he said if he was a doctor, he could not spend as much time with his patients.
He was a very introverted, shy person underneath it all.
But he did have just a real knack at just putting people at ease.
He suffered from depression.
And, and a lot of people, I think, didn't know that, but I think that's, you know, one of the reasons why, he related so well to his patients.
It was unexpected.
We were up north at our family cabin.
It was essentially his heart.
He went to bed and just didn't wake up the next morning.
His long term dream was to open, a respite center in Detroit.
When he would visit other cities, when he would go to conferences, he said one of the things he, noticed is that, there would be a center for, you know, homeless people to go to after they were discharged from the hospital.
So Detroit didn't have that.
And so that was Dean's kind of long term goal was to open something like that in Detroit.
We cleaning up the room ... ... and found all of these.
But we found some more.
But we need you to look at it, see if it's any good.
All right.
Okay.
Thanks.
But we found all of those in drawers.
Okay.
Thank you so much.
At least for the shoulder.
He says it's not currently bothering him.
He doesn't have any pain in motion.
He's able to, like, lift the shoulder ... That was easy.
But there still is quite a bit of that, warm, personal, you know, hand off.
Oops.
Okay.
Sorry.
Hello?
Okay.
Okay, great.
All right.
Thank you, sir, I appreciate it.
Who was that?
That's Mike from the pharmacy, Midtown pharmacy.
He's really good.
How did you learn to kind of work this charity system?
It's an ongoing process.
It's happening all the time.
Detroit PBS Documentaries is a local public television program presented by Detroit PBS