Pre-surgery and surgery prep instructions

These instructions are not meant to replace any information given to you by your physician. If you have questions, please contact the clinic at 541-382-3344.

A nurse from the hospital or Cascade Surgicenter will call you the day before your surgery to confirm the time of your surgery. They will also ask you questions regarding current or past medical conditions, allergies, and medications you are taking. Please don’t hesitate to ask any questions you may have and be sure to let the staff know of any special needs.

If you will be away from your phone the day before surgery, please contact St. Charles Bend 541-708-7728 or Cascade Surgicenter 541-322-2395 and give them an alternate number to contact you.

Food and drink

Please do not consume food or drink after midnight the night before your surgery, unless specified by your anesthesiologist. Further instructions will be given to you from the pre-op nurse.

Medications

If you take medication for any condition, ask your doctor and/or the facility’s nurse whether or not to take it the day of your procedure.

Day of surgery

• Regardless of what type of procedure you are having, please arrange to have someone drive you home from surgery.
• Wear comfortable, loose fitting clothing.
• Do not wear nail polish, makeup, lotions or perfume.
• Wear your glasses (please bring a case); leave your contacts at home.
• Wear your dentures, partials and hearing aids.

Your surgeon will provide specific instructions for care while recovering at home. In the event of any difficulty, please call your surgeon at 541-382-3344.

Post-operative instructions

Call your surgeon immediately if you experience any of the following symptoms after your surgery:

• Temperature over 101 degrees Fahrenheit
• Chills and/or night sweats
• Increased swelling not relieved with elevation
• Increased redness or streaks from incision
• Increased pain not responding to pain medication
• Drainage from incision site
• Nausea
• Cast or dressing problems
• Tenderness, swelling or pain in your calf

After hours and weekend calls will be directed to the on-call physician, who will get back to you to address your concerns.

Sports Medicine at the St. Charles Center

Since 1958 our orthopedic physicians have been caring for active individuals and athletes of all abilities throughout Central Oregon, and today the St. Charles Center is still the premiere location for sports injuries. Our board certified orthopedic surgeons have the highest level of training and experience, completing advanced fellowship training in Sports Medicine. They care for patients of all ages with diverse backgrounds to restore injuries such as torn ligaments, torn cartilage, joint instability, muscle weakness, sprains and fractures. 

To ensure they remain leaders both in our community and nationally, the physicians at the St. Charles Center for Orthopedics & Neurosurgery participate in a range of orthopedic clinical research projects. From evaluating the effectiveness of new designs for shoulder arthroplasty to state-of-the-art motion analysis in conjunction with the Oregon State University FORCE Lab, our team sets a strong standard of excellence. As former athletes and current fitness enthusiasts, they know what it’s like to train and compete. They use the latest noninvasive techniques and surgical technology combined with a team approach for the best possible care. Find out why athletes of all abilities turn to the St. Charles Center. Our orthopedic doctors are at the top of their game to get you back in the game.

Who we work with

The St. Charles Center is proud to serve as the official sports medicine provider and team physicians for the following:

Caring for kids from head to toe

Children and teenagers need specialized orthopedic and neurosurgical care for their growing bodies and brains. Our pediatric specialists are here to provide a wide range of specialized treatment options for families in Central Oregon, with exceptional care and compassion. If your child is in need of immediate care, our NOWcare walk-in injury clinic is open to provide orthopedic expertise and concussion care services.

An EMG is done to help diagnose diseases that damage muscle tissue, nerves, or the junctions between nerve and muscle.

EMG/Nerve Conduction Studies are done to help diagnose injuries or diseases that damage muscles, nerves, or the junctions between the nerve and muscle. This diagnostic test can help find the cause of pain, numbness/tingling, or weakness. EMG measures the electrical activity of muscles at rest and during contraction. Nerve conduction studies measure how well and how fast the nerves can send electrical signals.

To prepare for these tests, ask your referring physician for any special instructions. You should bathe before the test and DO NOT apply any body lotion. Take your regularly scheduled medications. Tell the doctor that is performing your test if you are taking a blood thinner (i.e. Coumadin), if you have a pacemaker, or if you have hemophilia.

There are very few risks or side effects from these tests. Each study is designed specifically for your symptoms so the length of the test can vary, but they are usually between 30-60 minutes. Watch this short video to learn more about what to expect.

Diverse by design, our team of highly trained orthopedic, neurosurgical, occupational medicine, and physiatry doctors offer a wide range of recovery solutions meant to meet the needs of our assorted patients – a community as expansive and varied as the Central Oregon landscape itself.

We treat our patients with compassion because we understand how important their passions are to them – be it working outside, getting out on the water, or a walk in the woods; we all know what it means to get back to what you love, to find your strength again.

It’s all of us thriving together that make our home in the High Desert special.

Recovery isn’t always easy, it can be challenging – both physically and mentally – and not just for our patients! Every injury brings something new, and we embrace each patients’ challenges as an opportunity to better ourselves, our practice, and our community.

Our team is ready to help you schedule an appointment. Call 541-382-3344 Monday – Friday, 8 a.m. – 5 p.m.

Chris McClellan 

Chris McClellan is a managing director at the management consulting firm Huron. He joined the board in 2025 and brings experience working deeply with many health care clients. He understands the challenges facing rural hospitals and believes in their critical importance to the communities they serve. 

McClellan received a bachelor’s degree in business administration and religious studies from the University of Oregon. 

Reason for service: “A community hospital saved my three-year old son’s life when he contracted COVID. This experience furthered my conviction that maintaining the presence of rural hospitals is non-negotiable as they are often the only feasible means of timely, life-saving care for their communities.”

Advanced imaging for accurate diagnosis

Endoscopic Ultrasound (EUS) is a cutting-edge diagnostic procedure that combines endoscopy and ultrasound technology to obtain detailed images of the digestive tract and surrounding organs. This minimally invasive technique provides high-resolution images, enabling healthcare providers to diagnose and assess various gastrointestinal (GI) conditions with precision.

What is Endoscopic Ultrasound?

EUS involves the use of a thin, flexible tube called an endoscope, which is equipped with a high-frequency ultrasound probe at its tip. The endoscope is carefully guided through the mouth or rectum to reach the area of interest. The ultrasound waves create detailed images of the esophagus, stomach, pancreas, liver, gallbladder, and nearby lymph nodes, allowing for enhanced evaluation of abnormalities.

Why is EUS Performed?

EUS is recommended for various diagnostic and therapeutic purposes, including:

• Evaluating digestive diseases – Helps detect conditions such as tumors and pancreas cysts.
• Assessing pancreatic conditions – Provides detailed imaging of the pancreas to diagnose cysts, tumors, or pancreatitis.
• Staging cancers – Determines the size, depth, and spread of gastrointestinal and lung cancers for better treatment planning.
• Guiding biopsies (Fine-Needle Aspiration - FNA) – Enables precise tissue sampling for accurate diagnosis.
• Detecting gallbladder and bile duct diseases – Assists in identifying gallstones, blockages, and other biliary conditions.

What to Expect During an EUS Procedure

EUS is typically performed as an outpatient procedure under sedation. During the examination:

1. A specialist gently inserts the endoscope through the mouth (for upper GI imaging) or rectum (for lower GI imaging).
2. The ultrasound probe captures real-time images of the targeted areas.
3. If necessary, a biopsy or fluid sample may be taken using fine-needle aspiration or fine-needle biopsy.
4. The procedure usually lasts 30-60 minutes, and patients can return home the same day after a brief recovery period.

Benefits of Endoscopic Ultrasound

• Minimally invasive with high accuracy
• Provides detailed imaging beyond standard endoscopy or ultrasound
• Allows for real-time tissue sampling
• Aids in early detection and better treatment planning

Schedule Your EUS Consultation

If your doctor has recommended an Endoscopic Ultrasound, our experienced specialists are here to guide you through the process. Contact us today to learn more or schedule an appointment.

Sutab 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

SUTAB INSTRUCTIONS

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

• Dose one: 5 p.m. the day prior to your procedure, fill the provided container with 16 ounces of water and swallow each tablet (12) from the first bottle of pills with a sip of water and drink the entire container over 15-20 minutes. Approximately 1 hour after the last tablet is swallowed, fill the container again with 16 ounces of water and drink the entire amount over 30 minutes, and repeat with another 16 ounces of water in 30 minutes. It is very important to consume all water as directed for prep to be effective.

DAY OF PROCEDURE

• Dose two: 6 hours before your ARRIVAL TIME, repeat above directions using the second bottle of tablets (12). 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.

Restoring maximum function when injury, pain or disability get in the way. Physical medicine and rehabilitation physicians (physiatrists) specialize in state-of-the-art diagnostics and non-operative treatment of a variety of musculoskeletal and neurologic conditions including:

• Acute/persistent neck or back pain, may be associated with radiating extremity pain (pinched nerves)
• Acute/persistent joint or muscle pain
• Numbness, tingling and weakness
• Sports injuries
• Occupational injuries
• Motor vehicle injuries
• Concussions
• A variety of neurologic conditions including spinal cord injury, stroke, brain injury, cerebral palsy, spasticity, dystonia and multiple sclerosis.

Physiatry offers a different approach to treatment. At the St. Charles Center, our physical medicine and rehabilitation doctors work with you to diagnose the cause of your pain or disability. This involves a detailed medical history and physical exam, and may involve additional diagnostic tests including imaging studies, electrodiagnostic testing (EMG) and lab testing. A non-surgical treatment program will be created, beginning with education regarding your condition and a discussion of treatment options. Treatment may include the following:

• Physical therapy program
• Injection therapy (potentially under x-ray or ultrasonic guidance)
• Medications
• Platelet Rich Plasma (PRP) therapy injections
• Botox injections for spastic neurologic conditions
• Concussion management
• Other non-surgical modalities