Message From Dr. Wright – July 2025

If you have health insurance you are truly blessed. Many, however, do not. Layoffs, political turmoil, and divorce are just a few factors that can result is a loss of insurance. What is it like to lose your health coverage? Being uninsured in the US often means facing financial strain, limited access to healthcare, and potential delays in seeking necessary medical care. Uninsured individuals are more likely to skip or delay medical care due to cost concerns, and may face higher medical bills compared to those with insurance.


Financial Implications:


  • Higher out-of-pocket costs: Uninsured individuals pay a larger percentage of their healthcare costs out-of-pocket, including higher costs for prescription drugs. 


  • Potential for medical debt: Medical bills can lead to significant debt, especially if an unexpected illness or injury occurs. 


  • Difficulty affording care: Many uninsured adults worry about affording routine medical costs and may have problems paying for healthcare. 


Access to Healthcare:


  • Less preventative care: Uninsured individuals are less likely to receive preventative screenings and check-ups, potentially leading to more serious health problems later on. 


  • Delayed care: Concerns about cost can lead to delays in seeking necessary medical care, which can exacerbate existing conditions or lead to more serious complications. 


  • Fewer treatment options: Uninsured individuals may have limited access to specialists or certain treatments due to financial constraints. 


  • Potential for emergency room visits for non-emergencies: Due to limited access to primary care, some uninsured individuals may utilize emergency rooms for non-emergency situations, which can be more expensive. 


Other Considerations:


  • Stress and anxiety: The uncertainty of being uninsured and the potential for high medical costs can cause significant stress and anxiety. 


  • Impact on overall health: Reduced access to healthcare can lead to poorer health outcomes and increased risk of chronic conditions. 


  • Potential for discrimination: Some research suggests that uninsured individuals may face discrimination in healthcare settings. 



Being uninsured in the US can be a significant financial burden, limit access to necessary

healthcare, and negatively impact overall well-being. 


At Hope House we take seriously Jesus’ teaching regarding our responsibility to our neighbors. For almost 20 years Hope House Free Medical Clinic has provided hope by standing in the gap, coming along side those who lose their coverage by providing crucial medical care and a path towards a better tomorrow. We need your help to do this. Consider regularly praying for us, volunteering, spreading the word about the work that we do, referring those your know need our services, and supporting us financially as you are able. Thank you.


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.

Addressing Heat Stress during the Hot Summer Months

We’ve been experiencing quite a number of very hot days lately. While we expect the temperature to moderate we have a lot of summer left and more very hot days can be expected. People without health insurance often have other needs such as affordable housing and access to a cool environment. Heat stress is a very timely topic. Here are some important tips to keep in mind as we enter the peak summer season.


Heat stress occurs when the body can't cool itself down effectively, leading to a rise in core body temperature. Symptoms range from mild to severe, including sweating, dizziness, nausea, and in serious cases, heat stroke with symptoms like hot, dry skin and confusion. Immediate action is crucial, including moving to a cooler place, removing excess clothing, and cooling the body with water and fans. If symptoms worsen, especially with signs of heat stroke, seek

emergency medical attention. 


Understanding Heat Stress and its Stages:


  • Heat Cramps: Mildest form, characterized by muscle spasms, often in legs or abdomen, due to salt and water loss from sweating. 
  • Heat Exhaustion: More serious, caused by excessive sweating and fluid loss, leading to symptoms like heavy sweating, headache, dizziness, nausea, and rapid pulse. 
  • Heat Stroke: The most severe form, where the body's cooling system fails, resulting in a dangerously high body temperature, often above 104°F (40°C). Symptoms include hot, dry skin, confusion, loss of consciousness, and potentially seizures. 


What to Do for Heat Stress:


Prevention: Stay hydrated by drinking plenty of water, especially when engaging in physical activity or spending time outdoors in the heat. Wear loose-fitting, light-colored clothing to help your body regulate temperature. 


  • Immediate Action for Heat Exhaustion:


  • Move to a cooler area, preferably air-conditioned. 
  • Remove excess clothing and loosen tight clothing. 
  • Cool the body with cool water (shower, bath, or sponge bath). 
  • Apply cool packs or cloths to the neck, armpits, and groin. 
  • Drink cool water or sports drinks, avoiding alcohol and caffeine. 
  • Rest and elevate legs. 
  • Seek medical attention if symptoms don't improve within half an hour. 
  • Immediate Action for Heat Stroke:
  • Call for emergency help immediately (911 or your local emergency number). 
  • Move the person to a cooler area. 
  • Remove clothing and cool the body using available means (ice packs, cool water, fans). 
  • Do not give fluids to someone who is unconscious. 
  • Do not administer fever-reducing medications. 


When to Seek Medical Help:


  • If symptoms of heat exhaustion don't improve within 30 minutes. 
  • If symptoms of heat stroke develop (hot, dry skin, confusion, loss of consciousness). 
  • If you have any concerns about your health in the heat.


The Importance of Blood Pressure Medication

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Blood pressure medications are vital for managing hypertension and preventing related complications like heart attack and stroke. It's helpful to understand how these medications work, potential side effects, and how to take them correctly. When you have questions about your medications consult with one or our Hope House providers, nurses, and especially our

pharmacist partners at Ferris State Rowe Pharmacy Care Center. 

 

Here is some key Information About Blood Pressure Medications:


  • Types of Medications:


There are several classes of blood pressure medications, including ACE inhibitors, ARBs, calcium channel blockers, diuretics, and beta-blockers. Each class works differently to lower blood pressure. 


  • How They Work:


  • Diuretics: Help the body get rid of excess sodium and water, reducing blood volume and pressure. A common diuretic is hydrochlorothiazide.
  • ACE inhibitors and ARBs: Relax and widen blood vessels, improving blood flow and lowering pressure. They have important heart and kidney benefits for those with heart failure or diabetes. A very common ACE inhibitor is lisinopril and losartan is a frequently prescribed ARB although there are many.
  • Calcium channel blockers: Prevent calcium from entering muscle cells in the heart and blood vessels, causing them to relax and widen. Amlodipine is often chosen.
  • Beta-blockers: Reduce heart rate and the heart's workload, lowering blood pressure. There are quite a few but they are prescribed a bit less nowadays.


  • Importance of Adherence:


Taking medications as prescribed is essential for effectiveness. This includes taking the right dose at the right time and not skipping doses without consulting a doctor. Using a pill reminder container and linking your medication to a routine activity your always do is one way to not forget to take your medication. Check with the pharmacist regarding the best time to take your medications.


  • Side Effects:


While most side effects are mild and may subside over time, some common ones include cough, dizziness, fatigue, headache, and nausea. 


  • Importance of Monitoring:


Regular checkups with a doctor are crucial to monitor blood pressure, assess the effectiveness of medication, and address any potential side effects or complications. Checking your own blood pressure at home is very helpful. That’s why Hope House provides you with blood pressure devices. It usually isn’t necessary to check it daily but if you can record a number of home blood pressure recordings to bring for the doctor or pharmacist to review it can be very helpful.


  • Lifestyle Changes:


In addition to medication, lifestyle changes like diet, exercise, and stress management can play a significant role in managing high blood pressure. Hope House can arrange for you to consult with a dietary professional or begin a fitness plan if you feel it would help you. We highly recommend the health education classes and groups offered locally through Michigan State

University Extension services here in Big Rapids. They are free and include something for nearly everyone.


  • Communication with Healthcare Provider:


It's crucial to inform your doctor about all medications, supplements, and any side effects you experience. 


  • Long-Term Management:


High blood pressure management is often a lifelong commitment, and regular medication and monitoring are essential for long-term health.



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