Message From Dr. Wright – June 2024

“Now that we’re halfway through 2024 it’s time to give a Hope House Free Medical Clinic update. First off, It’s amazing to me to think that we have made it through a worldwide pandemic! Not that COVID is gone forever; far from it. But with vaccines, the broad spread of the virus, and its biological transformation were all in a far different situation than a year or two ago. We are grateful to God and to all our volunteers and supporters who helped us make it. 2023 was a year marked by the arrival of many new patients, volunteers, and even a new board member, Barb Farr, who has assumed the treasurer position and brings us many years of experience in fund accounting. In spite of this growth we still have space for many new patients. If you are blessed to have health insurance then please keep in mind that many of the people you see or interact with every day don’t and may not know about Hope House. Anything you can do to spread the word about Hope House will help others access our services. If you know of any place where you can drop off brochures such as your church, place of work, local businesses or organizations you are associated with let us know and we’ll make sure you receive some to share. Our spiritual care guides have been having some great conversations recently with patients who report they are extremely pleased with the care they receive and our attention to ‘the whole person.’ Our office volunteer staff have been meeting in small teams recently to work on improving the way we provide care and coordinate community resources for patients. I’m thankful for the dedicated volunteers at Hope House, some of which have been with us for 5, 10, and now, 18 years. It’s a privilege to help our uninsured neighbors get the care they need.”

Get Antabuse Without a Doctor’s Prescription

Antabuse is a drug that promotes alcohol abstinence. It works by interfering with the body’s ability to metabolize alcohol, leading to side effects that are not pleasant and are meant to discourage drinking. Examples include nausea, vomiting, headache, and flushing. These symptoms are due to the accumulation of acetaldehyde in the body. The idea is to help patients with alcohol abuse or addiction issues resist the urge to drink. It is available in a 250mg strength. The best price for 360 pills is currently $138.51, or $0.38 per pill.


Those considering Antabuse for alcohol addiction should consult a health care professional first, as they can provide a complete overview and determine whether or not it is suitable for the specific case. Interactions with other medications must also be taken into account.


Preparing for Your Doctor’s Appointment: What You Need to Know


The right preparation can significantly enhance the quality of your consultation, ensuring you get the most out of your visit. Patients who do their homework are also more likely to receive accurate diagnoses and effective treatment plans. Here’s what you need to do prior to your first medical appointment.

Gather all relevant medical history information, including illnesses, surgeries, ongoing medical conditions, and current medications or supplements.

Determine all relevant questions you may have about how Antabuse works, its potential side effects, interactions with other medications you might be taking, and what lifestyle changes may need to accompany its use. Please make sure you are open and honest about past substance use.

Write down any symptoms or concerns you’ve been experiencing, as they play an important role in diagnosis.

Potential Questions to Ask Your Doctor About Antabuse 

What is the Safety of Antabuse Use? 

What Are the Long-term Usage Effects of Antabuse?

How Will Monitoring and Side Effects Management Be Handled During Treatment?

Pharmacy News

The pandemic presented unique challenges for the Rowe Pharmacy Care Clinic, but we have not wavered from our mission and vision to take care of patients’ medication needs. During these times of shutdowns and closures, the Rowe Pharmacy Care Clinic has kept normal hours and continued to provide medications via mail and curbside pick-up. We utilize a Pharmacist-Refill Protocol where the pharmacists are able to prescribe up to a 30-day fill of a patient’s medication in order to assure that patients are not going without their medications. Immunizations and lab testing had to be halted for a few months, but patients had lab tests ordered at Spectrum Hospital to make sure their care was monitored appropriately. Since the public has been granted access again to the Hagerman Pharmacy Building, the pharmacists have been actively reaching out to patients to have them come in for lab tests and immunizations. Influenza vaccines are even more important this year, so we are continuing to offer free vaccines to all Hope House patients and strongly encouraging them to be up to date on all of their vaccines. We have also continued to offer pharmacist-managed care for diabetes, high blood pressure, and high cholesterol. These services are offered under a Collaborative Practice Agreement with Dr. Wright that allows the pharmacists to start, stop, and change medications and immunizations. 

Why Do You Volunteer?

“Why do you volunteer at Hope House Free Medical Clinic?” That’s a great question. I’ve been fortunate to have been a part of the great team of volunteers at Hope House since it formed in 2006. After spending hours providing medical care in your “day job” why would anyone want to do this on their time off? The answer is at the heart of why we work in health care.”
–Dr. Wright


Susan’s Story

Susan retired at age 64, prior to being eligible for Medicare and had no other insurance. She heard about Hope House from a friend, and came to the clinic with several issues—rashes, high blood pressure, a facial lesion. Hope House provided a safety net for her, obtaining needed lab and radiology services as well as a referral to dermatology. Through this process it was recognized that Susan had cancerous lesions in her lungs as well as colon abnormalities. She applied for her Medicare and since she was within 30 days of eligibility, she was able to continue with her treatment through a cancer center in Grand Rapids.


Leroy’s Story

Leroy was referred by a hospital in Grand Rapids. Not only was he diabetic, he had suffered a pulmonary embolism and needed close follow-up after discharge, since he was going to be on blood thinners and other medications. Not only was he seen at Hope House, but our providers assumed the responsibility for monitoring his weekly labs. He subsequently developed other problems, but continued to be seen at Hope House until he was finally accepted for Medicaid. Our providers cared for him until he obtained a new provider, an additional six months.

Buy Ambien (Zolpidem) Online – Insomnia Treatment

There are several things to keep in mind if you’re taking Ambien to ensure both your safety and the medication’s effectiveness. First, try not to eat shortly before or after taking it, as this can reduce its absorption and delay its effects. This particularly goes for high-fat foods, which can significantly impact the drug’s efficacy.

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Alcohol consumption while taking Ambien is strictly prohibited, as the sedative effects of the drug can be enhanced by a synergistic reaction, potentially leading to dangerous situations and potentially life-threatening side effects. Driving and operating heavy machinery should be avoided for at least 8 hours after taking Ambien. It’s best not to take part in any activity that requires concentration until you know how your body will react to the drug. If you experience any unusual or severe side effects, contact your health care provider immediately. By adhering to these precautions, you can maximize the benefits of Ambien while minimizing potential risks and ensuring your overall well-being.


Special Considerations: Ambien Usage for Specific Groups


When prescribing Ambien, healthcare providers must take into account certain patient populations that may need additional precautions or adjusted dosing. For example, seniors are more susceptible to the sedative effects of Ambien and may be at a higher risk for falls and cognitive impairment. As such, lower doses are typically recommended for them.


Extreme caution should be exercised with pregnant women. While there isn’t a ton of published research, there is the potential for the baby to be harmed.

People with liver issues may also need different dosages and additional monitoring, as their bodies may metabolize Ambien more slowly than normal. Those with substance abuse issues must be monitored closely as well, as Ambien has the potential for abuse and dependency.


No matter the particular case, it’s important for all patients to communicate openly and honestly with their doctor or health care professional.

Potential Side Effects and Risks of Ambien Use 

  • Daytime drowsiness, dizziness, and headaches
  • Some users may experience more unusual effects like sleepwalking, sleep-eating, or even sleep-driving.
  • Rare but serious side effects can include allergic reactions, memory problems, and changes in behavior or mood. 

Please note that long-term use of Ambien may lead to cognitive impairment and an increased risk of falls, especially in older adults. The risk of dependence must always be monitored with Ambien use. Regular use can lead to tolerance, requiring higher doses for the same effect, and potentially resulting in addiction. When discontinuing Ambien, it is possible to experience withdrawal symptoms such as rebound insomnia, anxiety, and irritability. It’s very important to use Ambien only as prescribed and to discuss any concerns with your health care provider.


Alternative Sleep Aids and Treatments


When it comes to addressing sleep issues, many people are seeking effective treatments that don’t involve prescription medications. Cognitive behavioral therapy has recently shown great promise, helping people identify and modify thoughts and behaviors that interfere with sleep. This evidence-based treatment typically involves working with a therapist to develop better sleep habits and challenge negative thought patterns. Lifestyle changes can also play a crucial role in improving sleep quality, including establishing a consistent sleep schedule, creating a relaxing bedtime routine, and optimizing your sleep environment. Regular exercise, particularly during daylight hours, can also promote better sleep, as can reducing caffeine and alcohol intake.

During recent times, natural sleep aids have gained popularity among those seeking alternatives to Ambien. These include valerian root, chamomile tea, and passionflower. Melatonin supplements, while not strictly “natural,” are widely used to regulate sleep-wake cycles, especially for those dealing with jet lag or shift work. Other alternatives include relaxation techniques like deep breathing exercises, progressive muscle relaxation, and meditation. These practices can help calm the mind and prepare the body for sleep. Some people like using acupuncture or aromatherapy with essential oils like lavender. Everyone is different, so it’s important to contact a qualified health care provider if you’re having sleep issues prior to taking any medication, including OTC medication.