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Grand Rounds - April 19, 2019
"Oral and Maxillofacial Trauma: Pearls for the ER Provider"

Speaker: Allen Cheng, MD, DDS, FACS, Head and Neck Surgical Associates. Section Chair, Oral and Maxillofacial Surgery, Legacy Emanuel Medical Center.

 

 

Accreditation: St. Charles Health System is accredited by the Oregon Medical Association to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].

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FOR IMMEDIATE RELEASE
April 3, 2019

BEND, Ore. – Curious about midwifery?

We invite you to take a leisurely stroll along the Deschutes River with a St. Charles Bend midwife. While you get your daily dose of exercise and vitamin D, she’ll explain what makes midwifery services unique and how low-intervention births can be accomplished in a hospital setting.

Starting April 11, our informative new series, “Walk with a Midwife,” will take place the second Thursday of every month—rain or shine—from 12:15 to 12:45 p.m. at Farewell Bend Park in Bend. We encourage participants to bring water, a snack and lots of good questions!

We hope to see you there.

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 clinics in Bend, Madras, Prineville, Redmond, Sisters and La Pine. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 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.

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FOR IMMEDIATE RELEASE
March 21, 2019

BEND, Ore. – Mid Oregon Credit Union has announced it will make a $50,000 gift toward St. Charles Bend’s new patient tower, which is scheduled to open May 19.

“St. Charles is a key community asset that benefits all of Central Oregon, providing access to health care for our members,” said Bill Anderson, CEO of Mid Oregon Credit Union, which serves more than 33,000 people in the region. “Mid Oregon is proud to support the new tower expansion at St. Charles, which will improve access to critical care for our local communities.”

In February, the Tykeson Family Foundation pledged a $1 million contribution toward the project if St. Charles Foundation raises a total of $4 million by April 30. Mid Oregon’s gift is a major step toward helping St. Charles Foundation meet that goal.

“For more than 23 years, Mid Oregon has partnered with us to bring high quality health care to Central Oregon,” said Joe Sluka, president and CEO of St. Charles Health System. “We deeply appreciate the support of Mid Oregon Credit Union and its members, especially as we work to meet the Tykeson family’s challenge.”

St. Charles Health System is responding to the rapid growth of Central Oregon by building the $66 million patient tower, which will feature a 28-bed Progressive Care Unit and 24-bed Intensive Care Unit, as well as another 20,000 square feet of shell space that will be available for future development. The impact of this investment will be immediate. Increasing the Bend hospital’s overall capacity for inpatient care will alleviate bottlenecks throughout the entire health system and help patients receive the focused care they need.

The only level II trauma center east of the Cascades, St. Charles Bend is currently beyond capacity. Nine out 10 inpatient beds are occupied most days. Last year alone, the Intensive Care Unit (ICU) was forced to transfer nearly 100 patients to other facilities for care.

For more information about the new patient tower or to make a gift to the St. Charles Foundation, contact John Jepson, senior philanthropy officer, at 541-706-6953 or [email protected].

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 clinics in Bend, Madras, Prineville, Redmond, Sisters and La Pine. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 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.

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FOR IMMEDIATE RELEASE
March 19, 2019

BEND, Ore. – Pediatric patients have a new advocate and source of support in Jeri Young.

St. Charles Bend’s first-ever child life specialist, Young has already helped a boy with diabetes and needle anxiety do his own finger sticks and injections. She’s prepared a girl needing a tonsillectomy for the operating room and helped assuage her fear and anxiety. And she's helped another girl with needle phobia have an IV started and later, while in the playroom, worked with her to develop a plan for future painful procedures.

Young said her role is to help promote effective coping through play, self-expression activities and age-appropriate medical education. She explains to children what’s going to happen, practices with them deep breathing techniques and talks through the procedure as it’s performed.

“It’s so rewarding to see a situation that’s unfamiliar or can be scary to families and children, and then by the time you work with them and give them the confidence and teach them the skills, they can do it,” said Young, who brings to her position 37 years of experience working as a child life specialist at Children’s Hospital Colorado in Colorado Springs, as well as Shriners Hospitals for Children and Doernbecher Children's Hospital in Portland.

Funded by more than $140,000 raised by the St. Charles Foundation, the hospital’s child life specialist program was created to help young patients and their families adjust and cope with hospital or clinic settings, illness or injury and the treatments involved. Because children process information much differently from adults, they have distinct needs for managing the effects of stress and trauma.

Child life specialists like Young are trained professionals with a bachelor’s or master’s degree in the areas of child life, human development and family studies, child and adolescent development, counseling, special education or similar fields. They have expertise in helping children and their families overcome life’s most challenging events and the importance of their work is well documented.

Reasons to call a child life specialist include:

  • Preparation, education and support for procedures or surgeries
  • Medical play and therapeutic play needs
  • Non-pharmacological pain/stress management techniques
  • Difficulty taking oral medications
  • Difficulty coping with hospitalization or procedures
  • Medical care plan compliance
  • New diagnosis or life-changing illness or injury
  • Sibling preparation, education and support
  • Parent education and support
  • Death or impending death

“I think having a child life specialist is something a lot of us have had at children’s hospitals, but it’s an amazing resource you can have that makes the whole hospital more pediatric friendly,” said Dr. Suzanne Mendez, medical director of the pediatric hospitalist program at St. Charles Bend. “For me, it means the kids hopefully can recover faster and they can get through procedures without having to be quite as deeply sedated. And they’re easier for me to examine because they’re not so anxious.”

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 clinics in Bend, Madras, Prineville, Redmond, Sisters and La Pine. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 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.

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FOR IMMEDIATE RELEASE
March 14, 2019

BEND, Ore. – St. Charles Cancer Center has been awarded the 2018 Outstanding Achievement Award by the Commission on Cancer (CoC) of the American College of Surgeons (ACS).

St. Charles Cancer Center was one of only two accredited cancer programs in Oregon—and one of 24 in the country—to receive this honor for the more than 500 cancer surveys performed in 2018, placing it in the top 5 percent of all U.S. cancer programs.

“This award recognizes the comprehensiveness and excellence of our cancer treatments and programs, which span the entire continuum of care,” said Dr. Linyee Chang, a radiation oncologist and medical director of the cancer center. “From prevention and early detection, through diagnosis and active cancer treatment and extending into survivorship and wellness, our patients can be assured they are receiving the best cancer care close to home.”

The purpose of the award is to encourage cancer programs to raise the bar on quality cancer care, with the ultimate goal of increasing awareness about high quality, patient-centered care. In addition, the award is intended to:

  • Recognize those cancer programs that achieve excellence meeting the CoC Standards
  • Motivate other cancer programs to work toward improving their level of quality cancer care
  • Facilitate dialogue between award recipients and health care professionals at other cancer facilities for the purpose of sharing best practices
  • Encourage honorees to serve as quality care resources to other cancer programs

 

St. Charles Cancer Center was evaluated on 34 program standards categorized within five cancer program activity areas: program management, clinical services, continuum of care services, patient outcomes and data quality. The cancer program was further evaluated on seven commendation standards. To be eligible, all award recipients must have received commendation ratings in all seven commendation standards, in addition to receiving a compliance rating for each of the 27 other standards.

For a list of all cancer programs in the U.S. that received the award during 2018, visit this section of the ACS website.

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 clinics in Bend, Madras, Prineville, Redmond, Sisters and La Pine. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 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.

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In picture above: Chris Lillegard, center, and two of his "angels," Sue Takemoto, left, and Roma M. McCoy-Keller, reunite at St. Charles Bend in February 2019.

With a family history of heart problems and high cholesterol – including a heart attack that took his father’s life at age 50 – Chris Lillegard has already been counting his blessings for nearly two decades.

For years, he was the rare attorney who took long vacations to unplug from work. He traveled all over with his wife Margi, soaked up time with his eight grandchildren and frequently took advantage of Central Oregon’s ample outdoor activities.

“We’ll continue to do so, because you just don’t know,” said Lillegard, 67, on a recent Thursday afternoon, two days before heading south to his home in Arizona. “We’re at an age now where almost monthly you hear about a friend or acquaintance who is (struggling) with cancer or something.”

Still, Lillegard knew all along he had a ticking time bomb inside his chest.

“I’d been told, ‘You’re going to have some kind of episode. It’s just a matter of time,’” he said. “Kind of disconcerting.”

On Dec. 11, Lillegard’s heart finally gave out on him. He was in the middle of a regular workout at Orangetheory Fitness in Bend’s Old Mill District when he began to feel dizzy. He’d had no other symptoms up to that point, and assumed he was just unusually tired.

“I was working hard,” he said. “I don’t know any other way.”

It was 11:05 a.m., about a third of the way through a high-intensity training program, when Lillegard went into cardiac arrest.

"I got off the treadmill ... and I thought, 'God, I'm dizzy.' There was a bench there, so I thought maybe I'd just sit on the bench for a bit and wait for our coach. But I didn't get to the bench. I went right down into a stack of weights.”

Lillegard’s fall set off a flurry of action among three St. Charles caregivers and a Sisters-Camp Sherman Fire District paramedic who were in the room that day. Within a minute, Sue Takemoto, an operating room registered nurse, and Alex Barsotti, an ICU registered nurse, were by Lillegard’s side, feeling for a pulse. Roma M. McCoy-Keller, a registered nurse in the Emergency Department, supported his head, while her husband Dave Keller, the paramedic, tracked down the gym’s automated external defibrillator (AED). Meanwhile, Orangetheory staff cleared the room.

“They did an incredible job of giving us space to do what we do,” Takemoto said.

Soon, Barsotti and Takemoto started chest compressions, while McCoy-Keller gave Lillegard rescue breaths. Dave Keller applied the AED to Lillegard’s body, and when the device found a shockable rhythm in his heart, the team stood back and let it do what it's designed to do.

“After it shocked him, Alex resumed CPR and I went to give him a breath,” McCoy-Keller said, “and his eyes opened. He tried to sit up.”

The next thing Lillegard remembers is looking up at the emergency responders who had arrived on scene.

“I was pretty alert, because I remember when the ambulance guys were over me, I thought, ‘None of these guys can be old enough to drive,’” he said with a chuckle. “I was going to say, ‘Should I drive to the hospital?’”

Lillegard’s awakening didn’t mean he was out of the woods, but it did give him time to get to the hospital, where both of his daughters – surgical specialty registered nurse Susie Waldron and medical services registered nurse Sara Lillegard – were on duty. The more experienced Waldron said her heart sunk when she entered the ED and saw the chaplain and rapid response team outside her dad’s room. Meanwhile, on the fourth floor, Sara Lillegard hesitated before heading to the ED because she was actively caring for patients and wanted to make sure they were safe before she left.

When all was said and done, doctors found that three of Chris Lillegard’s arteries were 80 to 90 percent blocked, and that stenosis in one of his heart’s valves would require its replacement. He was scheduled for surgery with Dr. Angelo Vlessis two days later.

A couple months later, Lillegard is healing nicely and feeling both grateful and reflective.

“Two days before that, my wife and I were up in the woods dragging a 14-foot Christmas tree to the car, and I stopped about halfway down the hill and said, ‘God, I’m going to have a heart attack,’” he said. “I was just kidding, but … I was working as hard dragging that tree through the snow as I was on the treadmill. The powers that be made sure I was back closer to town (when this happened).”

He paused, his eyes gleaming with the beginnings of tears.

“I was real lucky,” he said. “Why me? I don’t know. My dad died at 50 of a heart attack. So I’m way past my ‘use by’ date.”

McCoy-Keller interjected: “We all were lucky that day. We were lucky that he had cardiac arrest 10 feet away from an AED. We were lucky that we had three nurses and a paramedic in the room,” she said. “I mean, I’ve had bad outcomes before, but this time, we were all just there at the right time, right place.”

Luck isn’t the only factor in Lillegard’s renewed lease on life, of course. All involved credit Orangetheory’s staff for their quick and calm response. And the nurses involved cited their extensive training and muscle memory for their actions that day.

“We go through this so many times that we have very defined roles in the ED as well as in the ICU,” Takemoto said. “If someone’s sitting over there, you know you’re sitting here and you know your role.”

As for Lillegard, he’s still counting his blessings, more so than ever. And that includes the ad hoc team of caregivers that saved his life last December.

“Nurses at St. Charles are angels, man,” he said. “They’re trained, professional, wonderful people. We could not have been treated better by everybody.”

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FOR IMMEDIATE RELEASE
March 4, 2019

Jefferson County Health Career Scholarships available

MADRAS, Ore. — Current residents of Jefferson County or graduates of Jefferson County High School are eligible to apply for the Jefferson County Career Scholarship. Funded by the St. Charles Foundation, between two and 10 scholarships—each between $1,000 and $2,500—will be awarded this year.
To be eligible for a scholarship, applicants must also be studying for a health-related career and have completed at least six units of classes at an accredited community college, public or private college or university, or an accredited career technical or trade school.
Selection will be based on a combination of the following criteria:

  • Strength of application, especially short essays
  • Personal qualities as described by references
  • Academic achievement and perseverance
  • Financial need

Scholarships may be renewed, but each year applicants must reapply and compete.
To apply, visit StCharlesHealthCare.org. The deadline for applications is April 12.

About St. Charles Foundation
As the philanthropic arm of St. Charles Health System, the Foundation works to support and improve health care in Central and Eastern Oregon. Private donations raised by the Foundation allow St. Charles to build new medical facilities, purchase state-of-the-art medical equipment, keep pace with the latest technological advances and deliver exceptional patient care in a healing environment. The Foundation does more than just raise money for bricks and mortar. The organization also raises money to support many programs that benefit low-income and uninsured patients.

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FOR IMMEDIATE RELEASE
March 4, 2019

Crook County Health Career scholarships available

PRINEVILLE, Ore. — Current residents of Crook County or graduates of Crook County High School are eligible to apply for the Crook County Career Scholarship. Funded by the Prineville Memorial Hospital Auxiliary, two scholarships—each $1,000—will be awarded this year.
To be eligible for a scholarship, applicants must also be studying for a health-related career and have completed at least 12 units of classes from an accredited community college, public or private college or university, or an accredited career technical or trade school with at least a 3.0 GPA.
Selection will be based on a combination of the following criteria:

  • Strength of application, especially short essays
  • Personal qualities as described by references
  • Academic achievement and perseverance
  • Financial need

To apply, visit StCharlesHealthCare.org. The deadline for applications is April 12.

About St. Charles Foundation
As the philanthropic arm of St. Charles Health System, the Foundation works to support and improve health care in Central and Eastern Oregon. Private donations raised by the Foundation allow St. Charles to build new medical facilities, purchase state-of-the-art medical equipment, keep pace with the latest technological advances and deliver exceptional patient care in a healing environment. The Foundation does more than just raise money for bricks and mortar. The organization also raises money to support many programs that benefit low-income and uninsured patients.

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FOR IMMEDIATE RELEASE
Feb. 25, 2019

BEND, Ore. – Due to hazardous road conditions, St. Charles has closed all but the following outpatient clinics:

  • St. Charles Cancer Center in Bend and Redmond: open until 2 p.m.
  • St. Charles Immediate Care in Bend and LaPine: open until 3 p.m.
  • St. Charles Family Care in Prineville: open until 3 p.m.
  • St. Charles Heart & Lung Center: open normal business hours

All emergency departments remain open.

 

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 clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 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.

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FOR IMMEDIATE RELEASE
Feb. 22, 2019

BEND, Ore. – The Tykeson Family Foundation has announced that it will contribute $1 million toward the new St. Charles Bend patient tower if St. Charles Foundation raises a total of $4 million by April 30.

The Tykeson Family Foundation offered the $1 million “cap challenge grant” as an investment in a facility that will help meet Central Oregon’s health care needs for decades to come.

“St. Charles has been a tremendous community asset for more than 100 years,” said Amy Tykeson, former president and CEO of BendBroadband and managing trustee of the Tykeson Family Foundation. “We hope our cap challenge grant will be a call to others to contribute to the tower fundraising campaign so that we can continue to expand access to critical care services.”

St. Charles Health System is responding to the rapid growth of Central Oregon by building the $66 million patient tower, which will feature a 28-bed Progressive Care Unit and 24-bed Intensive Care Unit, as well as another 20,000 square feet of shell space that will be available for future development. The impact of this investment will be immediate. Increasing the Bend hospital’s overall capacity for inpatient care will alleviate bottlenecks throughout the entire health system and help patients receive the focused care they need.

The only level II trauma center east of the Cascades, St. Charles Bend is currently beyond capacity. Nine out 10 inpatient beds are occupied most days. Last year alone, the Intensive Care Unit (ICU) was forced to transfer nearly 100 patients to other facilities for care.

In addition to being overcrowded, the hospital’s ICU is also outdated, said Joe Sluka, St. Charles’ president and CEO. Built in the 1990s, the current ICU rooms are 44 percent smaller than what is now recommended. That means in a crisis, there is only limited space for caregivers and equipment, and no room for family to stay.

“It’s abundantly clear to us just how much we need the new patient tower. Thanks to the incredible generosity of the Tykeson Family Foundation and our other donors, this project is going to be a reality,” he said. “We are asking the community to join with us and continue the legacy of giving. In addition to our caregivers, physicians and vendors, we’re hoping you—the community—will help us raise $800,000 to make us eligible for the $1 million Tykeson Family Foundation cap grant.”

For more information about the new patient tower or to make a gift to the St. Charles Foundation, contact John Jepson, senior philanthropy officer, at 541-706-6953 or [email protected].

About St. Charles Foundation
As the philanthropic arm of St. Charles Health System, the Foundation works to support and improve health care in Central and Eastern Oregon. Private donations raised by the Foundation allow St. Charles to build new medical facilities, purchase state-of-the-art medical equipment, keep pace with the latest technological advances and deliver exceptional patient care in a healing environment. The Foundation does more than just raise money for bricks and mortar. The organization also raises money to support many programs that benefit low-income and uninsured patients.

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