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St. Charles’ Neonatal Intensive Care Unit will host a reunion for current and former patients and their families alongside caregivers on Saturday, Sept. 27 from 1 to 4 p.m. at St. Charles Bend. This free family-friendly event will include interactive games, a bouncy house, face painting, AirLink tours, a visit from a fire truck and refreshments. Attendees are encouraged to wear a favorite superhero costume.

“Our caregivers and families look forward to this event all year. It’s so special for us to be able to see the infants we cared for playing with their families and thriving. It’s a really special event for everyone involved,” said Brook Jensen, director of women and children’s services for St. Charles Health System.

The reunion is made possible thanks to St. Charles Foundation donors.

The reunion will be held in Conference Rooms A-D at St. Charles Bend (enter through the main lobby.) Those planning to attend are encouraged to RSVP on our website https://stcharleshealthcare.org/form/nicu-reunion-2025

 

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This week marks the 50th anniversary of St. Charles Bend’s move from its downtown location on Hospital Hill to our current campus on Neff Road. 

In 1975, the idea of moving the hospital “halfway to Burns” was not very popular. But former St. Charles CEO Sister Catherine Hellmann had a vision, and she rallied community support to make it a reality. 

“They came to me and said, ‘Sister, we decided we want our medical center,’ but they said, ‘nowhere on God’s Earth will we get $12 million,’” she said in an interview that took place after she had retired and moved back to Indiana. 

Through many conversations over six years, Sister Catherine and her team managed to transition ownership of the hospital from the Catholic Church to a new, community-based and self-governed nonprofit organization — and secured more than $12 million in donations to build the new hospital. 

Thanks to that vision — and the community of Central Oregon coming together — the Bend hospital has served hundreds of thousands of people for a half-century. There is incredible history in these walls: Lives saved and suffering eased. New babies brought into the world. Weddings, talent shows, Lab Olympics and holiday breakfasts. It is truly a remarkable place, full of life and stories of heroism and bravery, tragedy and triumph, and also a million small moments each day that create a culture of caring and compassion.

And, just like those of us with a half-century behind us, the building is starting to show some significant signs of wear and tear, leaks and creaks. Our staff and patients are regularly inconvenienced with roof repairs, HVAC repairs, elevator repairs and other construction disruptions and delays. You’ve likely seen temporary walls, temporary imaging machines and more as the campus shows its age. 

All of this is to say that we are now tasked with thinking about what the next 50 years of St. Charles and health care should look like in our region. We are having our Sister Catherine moment. 

We are currently going through a master facility planning process that shows, without a doubt, this community needs more hospital beds and space for additional services. We need these spaces more quickly than we can design and build them and more quickly than we can secure financing for them. 

But that doesn’t mean we aren’t going to try. 

We have an obligation to serve our growing community for the next 50 years and beyond. And, I believe that our community today will recognize the need and choose to support us in this growth just like Sister Catherine experienced all those years ago. 

“I saw much more community involvement at this hospital than at any other hospital I ever worked at,” she said. “The people of (Central Oregon) were so open to new ideas. I was kind of like a bird out of a cage there.” 

It was true 50 years ago and it’s true today: We cannot fly without your support. Thank you for being on this journey with us.

Sincerely,
Steve

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How to provide a referral for ECT

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Submit through EpicCareLink

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Frequently asked questions about colonoscopy prep

Prep

What if I don’t have my prep or haven’t received it?


Your prep was sent to your pharmacy of choice on the day you scheduled your procedure. Please check with your pharmacy first. If they have not received the order, call our office to request that your prep be resent.

I don’t like the prep I was prescribed. Are there other options? How do I get them?


We send in the prep that is covered by your insurance company. Other preps are available, but you may have an out-of-pocket cost. Please call our office to discuss.

Do I need to mix anything with my prep? What can I mix with my prep? Can I add anything to my prep?


Please follow the instruction letter you received from your provider. Do not follow the instructions on your prep container.

  • Suprep: Pour the bottle of Suprep liquid into the provided mixing container and fill to the line with cool water.
  • Suflave: Open one flavor-enhancing packet and pour contents into one bottle. Fill the provided bottle with lukewarm water up to the fill line.
  • Clenpiq: Do not add anything additional to the prep.
  • Gavilyte: Mix with 128 ounces of electrolyte solution (such as Gatorade, BodyArmor or Smartwater).
  • Golytely: Mix with 135 ounces of lukewarm water.

What are the small pills I received with my prep?


If you received two small pills, they are anti-nausea medication to take 30 minutes before each dose of prep to help calm your stomach. They are optional and not included with every prep.

Where do I find my instructions on how to take the prep?


Your instructions can often be found in the Letters section of MyChart. You can also visit the colonoscopy section of our website - look to the left side navigation for instructions for each prep type.

The instructions I received from my provider do not match the instructions on my prep container. Which should I follow?


Please follow the instructions from your provider. Do not follow the instructions on your prep container.

Diet

What if I ate seeds, nuts, granola or corn the week before?


This is only a recommendation to avoid and will not delay your procedure. Please try to avoid these foods during the week before, if possible.

  • Corn: Corn chips and corn tortillas are fine to consume.

What if I ate breakfast the day before my colonoscopy?


Please do not eat anything further. Call our office immediately to discuss what you ate and whether you need to be rescheduled.

Medications

What if I didn’t stop my over-the-counter medications the week before?


Please call our office to discuss.

What do I do with my prescription medications?


Please contact your prescribing provider. Our office may not be fully aware of why you are taking that medication. Your prescribing provider will know best how to manage it before a procedure.

Scheduling

What if I need to cancel or reschedule?


Please contact our office as soon as you know you will be unable to make your appointment. We request a minimum of one week’s notice.

Body

Frequently asked questions about procedure prep

Prep

What if I don’t have my prep or haven’t received it?


Your prep was sent to your pharmacy of choice on the day you scheduled your procedure. Please check with your pharmacy first. If they have not received the order, call our office to request that your prep be resent.

I don’t like the prep I was prescribed. Are there other options? How do I get them?


We send in the prep that is covered by your insurance company. Other preps are available, but you may have an out-of-pocket cost. Please call our office to discuss.

Do I need to mix anything with my prep? What can I mix with my prep? Can I add anything to my prep?


Please follow the instruction letter you received from your provider. Do not follow the instructions on your prep container.

  • Suprep: Pour the bottle of Suprep liquid into the provided mixing container and fill to the line with cool water.
  • Suflave: Open one flavor-enhancing packet and pour contents into one bottle. Fill the provided bottle with lukewarm water up to the fill line.
  • Clenpiq: Do not add anything additional to the prep.
  • Gavilyte: Mix with 128 ounces of electrolyte solution (such as Gatorade, BodyArmor or Smartwater).
  • Golytely: Mix with 135 ounces of lukewarm water.

What are the small pills I received with my prep?


If you received two small pills, they are anti-nausea medication to take 30 minutes before each dose of prep to help calm your stomach. They are optional and not included with every prep.

Where do I find my instructions on how to take the prep?


Your instructions can often be found in the Letters section of MyChart. You can also visit the colonoscopy section of our website - look to the left side navigation for instructions for each prep type.

The instructions I received from my provider do not match the instructions on my prep container. Which should I follow?


Please follow the instructions from your provider. Do not follow the instructions on your prep container.

Diet

What if I ate seeds, nuts, granola or corn the week before?


This is only a recommendation to avoid and will not delay your procedure. Please try to avoid these foods during the week before, if possible.

  • Corn: Corn chips and corn tortillas are fine to consume.

What if I ate breakfast the day before my colonoscopy?


Please do not eat anything further. Call our office immediately to discuss what you ate and whether you need to be rescheduled.

Medications

What if I didn’t stop my over-the-counter medications the week before?


Please call our office to discuss.

What do I do with my prescription medications?


Please contact your prescribing provider. Our office may not be fully aware of why you are taking that medication. Your prescribing provider will know best how to manage it before a procedure.

Scheduling

What if I need to cancel or reschedule?


Please contact our office as soon as you know you will be unable to make your appointment. We request a minimum of one week’s notice.

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Is Electroconvulsive Therapy (ECT) right for me?

Electroconvulsive Therapy (ECT) is used for severe psychiatric conditions, especially when other treatments have been unsuccessful. ECT is most often considered for:

  • Major depressive disorder: Particularly for those with life-disrupting symptoms who have not responded to medication or therapy.
  • Bipolar disorder: Effective for both manic and depressive episodes when other options fail.
  • Catatonia: Recognized as the first-line treatment for this severe syndrome featuring immobility, mutism, and behavioral abnormalities.
  • Other severe, treatment-resistant mental illnesses: Including some forms of psychosis and urgent psychiatric conditions not responding to therapy.

If your mental health challenges have been resistant to multiple standard treatments, or if your medical condition requires rapid improvement, ECT may be thoughtfully considered as part of your treatment plan.

Psychiatrists may recommend ECT when:
  • Multiple medications and therapies have proven ineffective or intolerable.
  • An urgent intervention is needed—such as in cases of suicidal thoughts, catatonia, or psychosis—where traditional treatments are too slow.
  • Medical circumstances limit the safety or effectiveness of medications.
  • The patient, informed of the risks and benefits, prefers ECT.

A thorough psychiatric and medical assessment is always done to determine if ECT is appropriate.

ECT is part of a comprehensive treatment plan

ECT is typically included as one part of a multifaceted care plan, not as stand-alone treatment. It is most effective when combined with:

  • Ongoing medication management
  • Individual or group psychotherapy
  • Monitoring and support from a mental health team
  • Careful follow-up (sometimes with maintenance ECT) to prevent relapse and promote long-term wellness

Is ECT safe?

Electroconvulsive therapy is FDA-approved and has been extensively studied for decades. It is routinely provided at leading medical centers, including Massachusetts General Hospital, Mayo Clinic, Cleveland Clinic, Stanford and UCLA. Your care team carefully monitors you before, during and after treatment to maximize safety. Most side effects are mild and temporary, though in rare cases, more serious issues such as memory loss or heart complications can occur. The decision to proceed is always based on a careful risk-benefit assessment tailored to your needs. Research consistently confirms the long-term safety of ECT when it is delivered in accredited hospitals by trained professionals.

What to expect

Before treatment: Evaluation and consent
  • Comprehensive assessment: You will be evaluated medically and psychiatrically, and tests may be ordered to ensure safety.
  • Informed consent: You’ll discuss the procedure’s benefits and risks and provide written agreement before starting.
  • Anesthesia preparation: ECT requires general anesthesia; fasting is necessary after midnight or for at least six hours prior to minimize complications.
During treatment
  • Controlled medical setting: The procedure is performed in a dedicated hospital suite by an experienced medical team.
  • Asleep and comfortable: Short-acting anesthesia and muscle relaxants are used so you are fully asleep and relaxed.
  • Brief, painless procedure: The ECT treatment itself lasts only 5–10 minutes, and due to anesthesia, you do not feel pain or remember the event.
After treatment
  • Recovery: Nurses monitor your vital signs as you wake up in a recovery area. Most patients are ready for discharge within one to two hours.
  • Common side effects: You may experience mild headache, nausea, muscle stiffness, or confusion; memory for the day of the procedure is often patchy or absent, and these effects usually resolve within hours.
  • Frequency: Most treatment courses involve ECT two to three times per week, with a total of six to twelve sessions (depending on response).
  • Support: You will require not only a ride home, but additional support from a designated caregiver for the first 24 hours after treatment.
     
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Residents in the Three Sisters Rural Track Program (RTP) arrived in Madras earlier this month and are immediately helping fill a need in the community by providing care for up to 900 patients a year in local primary care clinics and at St. Charles Madras. Drs. Ben Khalil and Callie Krewson are the first two residents to participate in the program, which is sponsored by Oregon Health & Science University and is the first graduate medical education program in Central Oregon.

“It’s thrilling to see these doctors caring for community members. We have been planning and eagerly awaiting this moment for many years and now it’s here,” said Dr. Jinnell Lewis, RTP director and St. Charles family doctor. “This program is helping us to develop and train providers who will specialize in rural family medicine and also helps us fill a shortage of primary care doctors in the region.”

Residents spend the first year of the program completing advanced training at OHSU before spending two years training and caring for patients in Jefferson County with a focus on rural family medicine. Khalil is caring for patients at Mosaic Community Health, while Krewson is caring for patients at St. Charles Family Clinic in Madras. Both doctors conduct rotations at the hospital and with area specialists where they train in family medicine, family birthing, emergency medicine, behavioral health and hospital medicine. They will also have learning opportunities at the Indian Health Services’ Warm Springs Health and Wellness Center.

"Drs. Krewson and Khalil have hit the ground running and are already enhancing the care of patients in our region,” said Dr. Katie Snyder, clinical medical director for Mosaic’s Madras Health Center and residency program teaching physician. “I look forward to continuing to partner with this critical program and train physicians locally to benefit our community for years to come."

Research has shown that about 55% of physicians stay within a 100-mile radius of their residency site. This means, within 10 years, Three Sisters RTP is estimated to produce more than 20 physicians who would reside in Central Oregon and provide care for 20,000 to 40,000 patients in the region.

Learn more about Three Sisters RTP.

About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care and specialty clinics in Bend, La Pine, Madras, Prineville, Redmond and Sisters. St. Charles is a private, nonprofit Oregon corporation and is the largest employer in Central Oregon with more than 5,000 caregivers. In addition, there are more than 400 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

About Mosaic Community Health
Mosaic Community Health is a nonprofit community health center that serves Central Oregonians from all walks of life. Through a network of more than a dozen clinics across the region, we offer integrated health services that address each patient’s medical, dental, behavioral health, nutrition and medication needs. Our care is never influenced by how much money our patients make, what language they speak or the status of their insurance coverage. Mosaic Community Health provides quality care for all. For more information, please visit MosaicCH.org.

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St. Charles Health System has awarded more than $85,000 in Community Benefit grants to 27 local organizations in Central Oregon. The grants were awarded to provide basic needs, sponsor local events and as part of St. Charles’ Priority Grant to increase a sense of belonging and reduce loneliness and isolation. Projects supported this year range from providing meals to families in need to creating outdoor spaces for local communities to enjoy.

A local nonprofit organization, CASA of Central Oregon, received $5,000 to expand its Family Find programming. Family Find aims to establish family connections between children in foster care and their relatives by locating long-term, caring, permanent connections and relationships for children and youth in foster care. The goal of this project is not only to find placement resources, but to assist youth in learning more about their familial history and having healthy connections with family members. 

“We are grateful to St. Charles Health System for a grant to support the Family Find program with CASA of Central Oregon,” said Heather Dion, Executive Director for CASA of Central Oregon. “The Family Find program connects children in foster care to their extended family, addressing loneliness and isolation that can sometimes affect youth in foster care. This work will help Central Oregon's most vulnerable children by giving them belonging within their extended family.”

Learn more about St. Charles Community Benefit program by clicking here.

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At St. Charles, we are concerned about the escalating total costs of insurance and out of pocket expenses faced by our patients, by our employees, by our business community and by taxpayers. 

Health care is simply too expensive.

For the past several years, St. Charles leaders have asked insurance companies to work with us on proposals that address our ongoing concerns related to delays in patient care, denials for treatments and administrative burdens on our care teams. Our goal is to find common ground with insurers to address inefficiencies and wasteful processes within our overly complicated payment systems that add to costs for everyone – especially our patients.

We’ve made strides and found common ground in most of these conversations, but not all. That is why the insurance companies that are contracted with the health system change from time to time. If you are curious where your coverage currently stands, I recommend reaching out to your insurance company first. You can also check this page on our website.

While health care costs continue to rise, hospitals and stand-alone clinics struggle to maintain financial viability. In 2024, 45% of Oregon’s community hospitals lost money. In other parts of the state, we are seeing medical practices and hospitals attempting to consolidate, looking for out-of-state investors, laying off staff, cutting programs and services, all in an effort to ward off closure.

Those aren’t good options for any community but are especially concerning for a region like Central Oregon where the population is growing rapidly, particularly among seniors, and alternative options may be hundreds of miles away. The net result for our community is a widening gap between demand and supply of services which most of us experience as difficulty finding providers and longer wait times for essential services. In order to meet this gap and growing need, we need to reinvest in our people, facilities and services. To do so (and to counter reimbursements from insurance companies and government programs that have not kept up with inflation), we have negotiated above average rate increases from insurance companies a few times in recent years.

This necessary approach has allowed our workforce to grow, our staff vacancy rate to decrease while we are actively making physical upgrades to our hospitals and clinics, however, there is still more that needs to be accomplished. And, as highlighted in our 2024 Annual Report, we’re taking action to preserve, expand and improve access to care in the communities we serve with a strong focus on keeping care local.

Ultimately, St. Charles is committed to providing essential health care services in Central Oregon for years to come. To do that, we have to make good on another commitment: To grow sustainably by remaining strong financially. Without the latter, the former becomes much more difficult, if not impossible.

Thank you, as always, for reading, and for your interest in St. Charles – your local, nonprofit health care system. 

Sincerely,
Steve

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Pictured above, from left, are Athletes Without Limits board member Ian Conyers, Dr. Sondra Marshall, and Athletes Without Limits co-founders Julie and Barry Holman.


Before an athlete with an intellectual developmental disorder (IDD) competes in the Paralympics — or any major international competition — they must first be declared eligible for the event by a group of assessors with expertise in IDDs.

The assessor for the United States — Dr. Sondra Marshall — lives in Bend. She is a licensed psychologist and the director of St. Charles’ PEDAL Clinic, a specialty service for children and youth with special health care needs. And in her spare time, she is the U.S. National Eligibility Officer for Athletes Without Limits (AWL), an organization that supports athletes with IDDs who want to compete at the highest level of sport.

Practically speaking, that means Marshall reviews the documentation of every athlete who comes to AWL in search of a pathway to elite sports competition, including the Paralympics. Her role is vital to ensuring that those events are fair and that all athletes are competing on a level playing field.

“My job is to make sure athletes who want to compete in elite parasports meet their eligibility requirements,” Marshall said. “Athletes Without Limits manages eligibility for athletes with IDDs, and I’m the one looking at each athlete’s documentation to support their participation.”

AWL’s co-founders, Julie and Barry Holman, live in Bend, and Marshall joined the organization in 2017. In her first year, she reviewed the documentation for around a dozen athletes.

This year, she’s already up to about 250 — which is reflective of a widespread push to increase access to parasports for people with IDDs.

“There’s been a groundswell of energy around this issue and organizations are taking notice and the athletes are owning it. They have a voice and they’re using it to say, ‘We want full inclusion. We want to participate at this level,’” Marshall said. “In the past, we just hadn’t met a critical threshold of interest, but everything’s coming together.”

In mid-September, the International Olympic and Paralympic committees will host a training program in the Dominican Republic to address the need for increased inclusion of athletes with IDDs in the Paralympics. Representatives from 34 countries across the Americas will attend, and Marshall will be part of the U.S. Olympic contingency to serve as an expert consultant, providing other countries with insights, information and tools they need to help IDD athletes reach their goals.

Over the past eight years, Marshall has traveled to places like France and Mexico to support athletes in international competitions and meet with psychologists from other countries. She also served as a consultant at the United States Golf Association’s National Adaptive Golf Championship, held in July at Woodmont Country Club in Maryland. The September trip, however, is significant in that the Olympic and Paralympic governing bodies of the Americas are coming together to discuss increasing both inclusion of IDD athletes, as well as the number of sports on the international stage in which they can compete.

Marshall, who has dedicated her professional career to those with neurodevelopmental conditions such as IDD, is especially excited about the opportunity because she strongly believes that access to sport and high-level competition should be available to all.

“For anyone, this is good for the mind, good for the body, good for your sense of self — all those things,” she said.

“But it’s also just a human right to be able to participate,” Marshall continued. “I think it’s just a human quality to look around and want to gauge who we are relative to who’s around us. That’s true for all people, regardless of their intellectual or physical ability.”

You can see that quality in the growth of her workload with AWL: More awareness and more inclusion means more athletes seeking the benefits that come with participation in elite competition. 

“In my role here at St. Charles, our patient population at the PEDAL clinic falls under this umbrella,” she said. “So this population is my passion, and I’m proud of the work we’re doing for the athletes themselves but also the IDD community as a whole.”

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