Virginia Kocieda Testimonial

Edward Emmett Testimonial

Jaime Szeinuk Testimonial

Aubrey Miller Testimonial

Dr. Raja Flores

“CARD is the most pure form of people taking care of people. Every single person at the CARD clinic from the person who greets you at the door to the assistants, the maintenance people, the medical personnel , and the doctors have a unified mission of making sure that asbestos risk in their community is contained and patients are cared for with empathy, understanding, and expertise. The surrounding community and CARD act as one in this fight together against the harms from asbestos. It has been such a privilege for me to be a part of this team for many years. CARD is an example of the practice of medicine in its purest form. This is why we went to medical school.”
Dr. Raja Flores, Chief of the Division of Thoracic Surgery at Mount Sinai New York

Charlene “Charlie” Winters, PhD, RN

“In 2004 my colleagues and I from Montana State University College of Nursing began working with the professionals at CARD and the residents of Libby to explore the health, psychosocial, and financial ramifications of amphibole asbestos exposure. This work was conducted prior to the 2009 Public Health Emergency Declaration. We found that exposed residents experienced psychological distress, and were significantly less satisfied with access and financial aspects of care when compared to adults in the general population with chronic illness. Of note is that younger residents were less satisfied with access and financial aspects of care than older residents. Persons exposed to amphibole asbestos through a family member or household contact (versus other routes of exposure) and those with a limited source of insurance through the voluntary HNA (mining) or LAMP programs resulted in the lowest scores on satisfaction. We also assessed residents’ willingness to engage in the important research taking place in Libby and found that residents viewed researchers positively and were likely to participate in research if they thought it would improve health or benefit the community or the residents’ family. We have published our findings to report that exposure to amphibole asbestos can significantly effect individuals’ biopsychosocial health status and their satisfaction with access and financial aspects of health care. Residents were willing to participate in research and we recommend that more research be conducted with CARD health care providers and staff to explore these issues post the Public Health Emergency Declaration.”
Charlene “Charlie” Winters, PhD, RN, Professor and Interim Campus Director, MSU College of Nursing

Jean C. Pfau, Ph.D.

“It has been my honor and privilege to work with the staff and patients of the CARD clinic in Libby since 2001! Even though we do not have all the answers yet, we’ve come a long way in our understanding of the immunological factors impacting disease outcomes from Libby Amphibole. We have published enough papers to make it widely known that exposure can lead to systemic autoimmune diseases. Our recent work also links an autoimmune process with the severe pleural disease too often seen in Libby. My dream and hope is that our work will lead to new approaches to treatment for people struggling with these diseases. We could not have done any of this without the incredible work of the folks at the CARD Clinic and the community’s willingness to participate in research.”
Jean C. Pfau, Ph.D. Montana State University, Department of Microbiology & Immunology

Nancy J

“I want to give a thumbs up to Ashley- Respiratory Therapist. She is one of the best and she does an awesome job for CARD”

Stu B

“The staff at CARD are very professional, extremely friendly and so compassionate”

Louise C

“They greet you at the door with a smile and it continues through your appointment. Everyone at CARD cares and it shows”


“Dr. Black and his staff have done more for me than I ever thought possible. I’ve survived lung cancer twice and I’m still here and it’s all due to their diligence and compassion”

Jeff G

“The work that is done at CARD is hard, I respect these people for stepping up to the plate and taking care of this community when everyone else walked away. As a patient and local I can’t say enough good things about these individuals. Keep up the fight”

Marilyn L

“I don’t know what I would do without the folks at the clinic. They have helped me get oxygen, help at home through the Pilot Program, and the support a person needs to deal with this disease/diagnosis. People have no idea how fortunate we are to have this care right here at home in Libby, MT.”