Body

Land Acknowledgment

We acknowledge that the St. Charles campuses are located within the 10 million acres ceded to the Federal Government, also usual and accustomed areas, when the 1855 Treaty was signed with the Confederated Tribes of Warm Springs of Oregon. We offer this acknowledgment to honor all Native Americans that live in this area and who are the original people of this land.

What is a land acknowledgment and why did St. Charles create one?

A land acknowledgment is a way for organizations and entities to to recognize Indigenous people as the original stewards of the land upon which we reside and work. St. Charles is embracing this process in hopes that it can also serve as a tool for emotional healing that can help set a positive tone for future generations. 

St. Charles recognizes that the health system and hospitals occupy land originally inhabited by Indigenous people, who populated this region for thousands of years (sandals found near Fort Rock date back 7,000 years). 

It’s important to recognize that the descendants of the original inhabitants of this land continue to live and thrive in Central Oregon. Members of the Confederated Tribes of Warm Springs are part of the St. Charles community and are valued caregivers, patients and community members. By acknowledging the past and working towards an inclusive future, St. Charles also aims to be a place where Indigenous professionals can be part of a thriving health care system that uses culturally competent practices for all. 

What is the history of the Confederated Tribes of Warm Springs? 

The Jefferson County region has long been a place where food was gathered and collected. Tribes used this area as a hub for travel and commerce before settlers came in the 19th Century and well before the Treaty of 1855 was signed with the Mid-Columbia Tribes.  

The Confederated Tribes of Warm Springs is comprised of three distinct tribes:

Warm Springs: “Treaty Tribe” This includes many Ichishkiin Speaking tribes historically indigenous to the Jefferson/ Wasco/ Gilliam/ Wheeler/ Crook and Deschutes counties, now spoken of as one group.

Wascos: “Treaty Tribe” Re-located Kiksht Speaking tribes (Cascade Mountains to The Dalles) from the lush Columbia River to the arid High Desert.

Paiutes: “Non-Treaty Tribe” Many Numu Speaking tribes historically indigenous to the area from Deschutes County to western Idaho and south to Tonopah, Nevada and west to Yosemite National Park back to Deschutes County. These tribes were brought to the area after defending their territories against colonization, now a diaspora of people.  

See a map of the land ceded in the treaty with the Middle Bands of Oregon, courtesy of Robert Brunoe, tribal member and Secretary-Treasurer-CEO of the Confederated Tribes of Warm Springs

How was this land acknowledgment created?

St. Charles is grateful to all the partners who helped develop and inspire this project. We give special thanks to the following individuals for offering their insights and support. Thank you to members from the Confederated Tribes of Warm Springs, including Robert Brunoe, Tribal Member and Secretary-Treasurer-CEO of the Confederated Tribes of Warm Springs, and Shilo Shaw Tippett, Ph.D., Tribal Member, clinical psychologist with St. Charles and OHSU assistant professor, for helping create text of the land acknowledgment. Thank you to Rain Circle, Tribal Member, Kiksht language intern with the Cultural and Heritage Department with the Confederated Tribes of Warm Springs, for development and creation of content for the webpage. Thank you to the members of the CEO-appointed task force of St. Charles caregivers appointed to help support this effort, including Vanessa Culps, Tribal Member and a St. Charles caregiver. Thank you also to the many Tribal Members and St. Charles caregivers who provided valuable input, insight and support throughout the process. 

Where can the land acknowledgment be found?

Artwork depicting the text of the land acknowledgment can be found in the main entrance of St. Charles Madras. The land acknowledgment is also slated to be displayed at all four St. Charles hospitals and several St. Charles clinic locations throughout the region. 

What additional actions is St. Charles taking to align with this effort?

St. Charles Health System is committed to partnering with members of the Confederated Tribes of Warm Springs on programs that support increased health, wellness, education, understanding and awareness between our communities.

St. Charles Madras partners with spiritual leaders in Warm Springs to participate in beginning and end of life ceremonies in the hospital setting.

St. Charles was grateful for the opportunity to work closely with community partners in Warm Springs to advocate for passage of new state legislation to allow health care organizations to better support patients’ cultural and spiritual beliefs (the legislation passed in July 2023.) St. Charles is honored to be longtime participants in Native Aspirations, a community group with the focus on health and well-being of the Warm Springs community. Our organization is also honored to participate in the Pi-Ume-Sha health fair held in Warm Springs, one of the largest such fairs in the region. In 2022, St. Charles honored the passing of the Wasco Chief by lowering American flags on the hospital campuses. 

Residents who are part of St. Charles' new graduate medical education program (Three Sisters Rural Track Program), will practice medicine at the Indian Health Service Clinic in Warm Springs in addition to serving at St. Charles Madras and other area sites. 

St. Charles Madras hosts a quarterly Patient Family Advisory Council meeting with members from local communities, including Warm Springs. We look to members of the council to consistently help us learn and grow in our cultural competencies as a provider of health care in the Central Oregon region and we look forward to continuing to strengthen our relationships into the future. 

St. Charles Madras has also hosted a Native Market featuring local vendors from the Confederated Tribes of Warm Springs. 

How can individuals learn more about the history, culture and current events related to the Confederated Tribes of Warm Springs and other Indigenous people?

The Tribes host an informative website that includes information on tribal history.

A widespread international campaign is underway to raise awareness about instances of violence against Indigenous people called Missing and Murdered Indigenous Women and Relatives (learn more), and often symbolized by a red hand, often depicted across the mouth of an individual. Learn more by visiting Sovereign Bodies Institute, which has a goal of using “Indigenous traditions data gathering and knowledge transfer to create, disseminate, and put into action research on gender and sexual violence against Indigenous people.” 

Oregon State University hosts an in-depth resource for those interested in learning more about land acknowledgments and related resources

The land acknowledgment in Madras includes many symbols – what do they mean?

The border for the land acknowledgment includes symbols of objects, foods, animals and artifacts of importance to the Confederated Tribes of Warm Springs. Pictured are huckleberries, arrowheads, a root-digging tool, a salmon, a black bear and a basket. 

Land Acknowledgment Symbols

Black bears are often seen while berry picking or in the forest on the Warm Springs Reservation.

Arrowheads are stone tools hafted onto shafts, allowing them to be used for hunting with bows. There are many different styles of arrowheads, all used for different purposes.

Traditional huckleberry baskets were woven with natural fibers and made in many sizes to fit the age and size of the person. They are tied around the waist of the picker to hold berries.

This root-digging tool is known as a gubin or kupin and was used in the spring to dig up roots that are a traditional food for the Confederated Tribes of Warm Springs. 

Huckleberries are a traditional food of the Confederated Tribes of Warm Springs. They are typically gathered in August each summer. They are eaten fresh, dried, in pastries, salads, etc. and are often served during important meals. 

Wild-caught salmon is one of the traditional foods of the Confederated Tribes of Warm Springs.

The logo of the Confederated Tribes of Warm Springs consists of three teepees that represent the three Tribes of Warm Springs: The Wasco, Warm Springs and Paiute. The sun on the teepees represents that we have been forever, as long as the sun. The water represents that we have always been held sacred by the Tribes, like water. 

She Who Watches (Tsagaglalal), a pictograph/petroglyph inscribed in the rimrock in the Horsethief Lake section of the Columbia Hills State Park, is a symbol of conscience and of death.

Famous among archaeologists around the world, this ancient rock painting in the Columbia River Gorge comes with an interesting story about its creation. The story says that coyote, known as a trickster by Native Americans, had attempted to betray the leader of a local tribe. After a wrestling match, the wily animal tossed the female chief onto the cliff where she turned to stone. To this day, the tribe's guardian watches over her children.

Deer meat is one of the traditional foods of the Confederated Tribes of Warm Springs.

Body

At St. Charles Gastroenterology, we understand that maintaining your digestive health is a vital part of overall well-being. Our specialized colonoscopy services are designed to provide you with the highest standard of care, ensuring comfort and accuracy in every procedure.

Why Choose Us?

Expert Care: Our team of experienced gastroenterologists and medical professionals are dedicated to delivering precise and compassionate care. We use the latest technology and techniques to ensure thorough and effective examinations.

Comfort First: We prioritize your comfort throughout the process. Our state-of-the-art facilities are designed to make your experience as smooth and stress-free as possible. From pre-procedure consultations to post-procedure follow-ups, we are here to support you every step of the way.

Comprehensive Services: Whether you’re undergoing routine screening or need diagnostic investigation, our services cover all aspects of colon health. We offer detailed assessments, personalized recommendations, and clear communication to help you understand your results and next steps.

Patient-Centered Approach: At St. Charles Gastroenterology, you’re not just a patient; you’re a valued partner in your health journey. We take the time to listen to your concerns, answer your questions, and provide tailored care that fits your needs.

Your Health, Our Priority

A colonoscopy is a critical tool for early detection and prevention of colon-related issues, including cancer. Regular screenings can save lives by identifying potential problems before they become serious. Let us help you take this important step toward a healthier future.

Contact Us Today

Ready to schedule your colonoscopy or have questions about the procedure? Our friendly staff is here to assist you and ensure you receive the best care possible. Call us today at 541-706-4220.

categories:
Body

Grand Rounds - September 6, 2024  
"LGBTQ+ Considerations in Healthcare"

Speaker: Emery Chang, MD. Associate Professor, UCLA Health; LGBTQ Medical Director, David Geffen School of Medicine at UCLA.

 

 

Objectives

  1. Identify and evaluate some health disparities in the LGBTQ community and their impact on public health overall.
  2. Analytically evaluate the legal and ethical risks that healthcare institutions face related to LGBTQ healthcare issues.
  3. Develop plans that work towards reducing health disparities in the LGBTQ community and improve the overall quality of care.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education 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.

The period to claim credit for this activity expires one year after its original publication. 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 [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

Share
categories:
Body

Have you ever wondered if you are at high risk for developing breast cancer? A new free event Sept. 12 at St. Charles Cancer Center in Bend aims to help women answer that question. St. Charles’ High-Risk Breast Clinic will host a free screening aimed at helping up to 150 women identify whether they may have an elevated lifetime risk of developing breast cancer. 

This drop-in event is open to women aged 25-55 who believe they may be at high risk of developing breast cancer or would like to learn their risk. Each screening will take approximately 5-10 minutes. Patients should be prepared to provide personal and family medical history, although individuals with unknown family history can still be screened. 

“Our hope with this clinic is to bring awareness and understanding to women about their breast cancer risk," said Jessica Keegan, cancer screening coordinator for the High-Risk Breast Clinic. “It’s important for women to know their risk and the resources available to increase surveillance and reduce that risk. Knowing your risk empowers women to make the right health care choices for themselves.” 

As part of the screening, caregivers will use National Comprehensive Cancer Network guidelines to calculate each patient's lifetime risk of developing breast cancer (no physical exams will take place). Individuals with a determined risk level greater than 20% may qualify for earlier and more frequent screenings and may benefit from further evaluation by the High-Risk Breast Clinic. Patients will also be assessed to determine if they met criteria for hereditary cancer risk testing. 

The clinic will take place from 4:30 to 6:30 p.m. and is a drop-in event; tickets or registration are not required to attend. Those unable to attend the event can contact the High-Risk Breast Clinic at 541-706-6729 to schedule an appointment or contact their primary physician for a referral.  

Screening is recommended for individuals with one or more of the following risk factors: 

  • Having a mother, sister or daughter diagnosed with breast cancer, particularly before menopause. 
  • Two or more close relatives - such as aunts, grandmothers or cousins - diagnosed with breast cancer, especially at a young age. 
  • Diagnosis of ovarian cancer in multiple family members. 
  • A combination of breast and ovarian cancer occurring on the same side of the family. 
  • Breast cancer diagnosed in a male relative.
  • A personal history of ovarian cancer. 
  • History of breast biopsy showing atypical hyperplasia or lobular carcinoma in-situ (LCIS). 
  • Carrying a gene mutation such as BRCA1 and BRCA2. 

More information can be found by calling 541-706-6729 or visiting our event webpage.  

Share
topics in this article
Body

On a sunny Wednesday morning in late June, dozens of local elected officials, St. Charles board members, community leaders, health care professionals, cancer survivors and interested citizens gathered on a vacant parcel south of our Redmond hospital to ceremonially break ground on a new St. Charles Cancer Center.

It was a really neat event. Attendees could walk the footprint of the new building and read about the different services that will be provided. Of course, some of us lined up and symbolically stuck a bunch of shovels into dirt. Most importantly, we had a chance to mingle and talk, face to face, with key stakeholders not only in this project, but in the future of cancer care in Central Oregon.

Groundbreaking in Redmond for the new Cancer Center

Also, all in attendance were invited to write meaningful words — “hope” or “healing,” for example, or the name of a loved one affected by cancer – on a smooth stone about the size of a golf ball. Those stones were collected at the end of the event and will be incorporated into a permanent art installation inside the cancer center.

I was holding my stone in my hand and speaking to the crowd when I got choked up. It has been 40 years since my mother died of cancer. Grief is a fickle friend. On that sunny Wednesday morning, I just happened to be standing on a stage and holding a microphone when the feeling hit me. I know I am not alone — that almost all of us know someone whose life has been affected by cancer. I was touched by how many guests approached me afterwards and shared their uplifting and inspiring stories.

Healing and recovery take time, for survivors and for families. Creating healing places and supporting excellence in cancer care is a critical role St. Charles plays in our growing region. The new facility will be a major component of that effort, serving up to 300 cancer patients every day. I’m excited to see the project complete and to open our new facility. Yes, mom would be proud.

Which reminds me: St. Charles Foundation’s annual Heaven Can Wait 5K run/walk is happening in Redmond again this year, on Sunday, Oct. 6. This is the 25th year of the event, which raises money for Sara’s Project, a fund of the foundation that provides education, early detection and support services to ease the challenges of breast cancer for people in Central and Eastern Oregon.

It’s a fun time for a great cause. And this year, in honor of Heaven Can Wait’s 25th year, organizers are hoping to raise an additional $25,000. So please visit HeavenCanWait.org today to learn more about the event and sign up to participate.

Thanks, as always, for reading.

Sincerely,
Steve

Share
topics in this article
Body

Suprep Bowel Prep Instructions 

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

SUPREP INSTRUCTIONS

For your procedure, you will take one half of the prep the evening before the procedure, and the other half the morning of the procedure.

  • Dose one: 5 p.m. the day prior to your procedure, pour the first bottle of Suprep liquid into the mixing container and fill the container to the "fill line" with cool water; mix. Drink all of the liquid in the container. You must drink two more 16 ounce containers of water over the next hour. Continue drinking clear liquids all evening.

DAY OF PROCEDURE

  • Dose two: The day of the procedure, 6 hours before your ARRIVAL TIME, pour the second bottle of Suprep into the mixing container and fill the container to the "fill line" with cool water; mix. Drink all of the liquid in the container. You must drink two more 16 ounce containers of water over the next hour.

    Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda, or club soda) until 4 hours prior to your ARRIVAL TIME.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

Body

Suflave Bowel Prep Instructions 

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

SUFLAVE PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the evening before the procedure, and the other half the morning of the procedure.

One Day Before Procedure

In the A.M.:  

  • Open 1 flavor enhancing packet and pour contents into 1 bottle. Fill the provided bottle with LUKEWARM water up to the fill line. After capping, gently shake the bottle until all the powder is dissolved. Refrigerate the solution. Remember no solid foods - clear liquids only.

At 5 p.m.:

  • Drink 8 ounces of solution every 15 minutes until the bottle is empty. Drink an additional 16 ounces of water following.

In the evening:

  • Mix second dose and place in fridge (see above mixing instructions).

DAY OF PROCEDURE

  • 6 hours before ARRIVAL TIME: Drink 8 ounces of solution every 15 minutes until the bottle is empty. Drink an additional 16 ounces of water following.

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

Body

For more than 20 years, St. Charles’ bariatrics program has been consistently recognized for its high quality of care, commitment to improvement and dedication to safety.

And that’s not changing, even as new providers join the team – bringing with them openings for new patients, it should be noted.

“This is a great example of teamwork across practices, because I think we’re really all just focused on making sure the quality measures that we track never dip below where they’re supposed to be,” said Dr. Stephen Archer, a Summit Health surgeon who is also employed by St. Charles as medical director of the program. “It’s an arrangement that has worked well over the years, to the benefit of the community.”

Bariatrics is the study and treatment of obesity, and bariatric surgery is the most effective treatment for obesity “by far,” Archer said.

“It changes the anatomy of the stomach to help patients have different sensations of being full or hungry,” he said. “That can lead to prolonged and sustained weight loss of 20% to 30% of their total body weight, so a 300-pound person could expect to lose 100 pounds in the first year, for instance.”

Archer has been doing bariatric surgery at St. Charles since the early 2000s. For that entire time, the program has maintained what’s known as Comprehensive Center accreditation from the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery, which work together to advance safe, high-quality bariatric surgical care.

“(Accreditation) formally acknowledges your commitment to providing and supporting quality improvement and patient safety efforts for metabolic and bariatric surgery patients,” according to the organizations. “As an accredited program you have demonstrated that your center meets the needs of your patients by providing multidisciplinary, high-quality, patient-centered care.”

For Archer, the recognition is not just a validation of the bariatrics team’s efforts, it’s also a strong indicator of sustained quality within the program and safety for potential patients.

“We’re evaluated through an on-site visit every three years, where they make sure the hospital has the right protocols, equipment, staffing and education in place, and that we are monitoring the quality of care patients receive,” Archer said. “They use stringent criteria and we’ve always passed with flying colors, so there’s reason to believe that St. Charles is as safe as anywhere else in the country for bariatric surgery. That’s a great accomplishment.”

The program is growing, too, with the addition of two new surgeons in the past year, both of whom are actively taking on new patients:

  • Dr. Randy Kjorstad, who specializes in minimally invasive and robotic approaches to surgery, including bariatrics.
  • Dr. Shaan Akhtar, a board-certified general surgeon and a fellowship-trained minimally invasive, robotic and bariatric surgeon.

To make an appointment, ask questions or learn more about your weight-loss options, visit our website, fill out the “Contact our bariatric team” form or call 541-548-7761.

Share
Body

Golytely Bowel Prep Instructions

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

GOLYTELY PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the afternoon before the procedure, and the other half the day of the procedure.

One Day Before Colonoscopy

At 5 p.m.:  

  • Mix Golytely solution with lukewarm water to the fill mark (4 liters) on the jug. Do not add any other ingredients or flavors.

  • Place cap securely on the jug. Shake the jug very well several times to make sure the ingredients are well dissolved.

  • Begin drinking one 8 oz. glass of the prep every 10-15 minutes until half the container is gone. It is best to rapidly drink the whole glass rather than slowly sipping.

Continue to drink a variety of clear liquids ALL DAY.

DAY OF COLONOSCOPY

In the morning: Count back 6 hours from the time you are to arrive and finish drinking the last half of the container, ONE 8 oz. glass every 10-15 minutes, until gone. Be sure to finish ALL of the solution.

Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda or club soda) until 4 hours of ARRIVAL time.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

Body

Gavilyte Bowel Prep Instructions 

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

GAVILYTE PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the afternoon before the procedure, and the other half the day of the procedure.

Make sure to purchase:

  • 128 oz. of Gatorade (not red, blue or purple), Propel or Smartwater
    It must contain electrolytes

Two days before colonoscopy
In the evening:

  • Mix the Gavalyte with 128 oz. (1 gallon) of Gatorade according to the instructions of the bottle.

  • Shake and stir well until the powder is dissolved.

  • Store the solution in the refrigerator.

One Day Before Colonoscopy

At 5 p.m.:  Begin drinking one 8 oz. glass of the prep every 10-15 minutes until half the container is gone. It is best to keep the solution cold and rapidly drink the whole glass rather than slowly sipping. When you complete the first half of the container, put it back in the refrigerator.

Continue to drink a variety of clear liquids ALL DAY.

DAY OF COLONOSCOPY

In the morning: Count back 6 hours from the time you are to arrive and finish drinking the last half of the container, ONE 8 oz. glass every 10-15 minutes, until gone. Be sure to finish ALL of the solution.

Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda or club soda) until 4 hours of ARRIVAL time.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.