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After Charlie Hoffmeister had her first baby at age 28, her body changed. She started struggling with her pelvic floor — the muscles spanning between the tail and pubic bones, which cradles the organs above it.

Pelvic floor dysfunction after childbirth is a widespread ailment. In fact, one in three women will be affected by a pelvic floor issue at some point in their life. Symptoms can include loss of bladder or bowel control and pain during intercourse, as well as low back or hip pain. And these frustrating symptoms aren’t just limited to people who have recently given birth: Men and women, young and old, can experience pelvic floor dysfunction, with severity ranging from inconvenient to life-altering.

In Hoffmeister’s case, the time she spent recreating outside dwindled, and she wasn’t as able to join her child in play.

“I was annoyed,” she said. “I felt like it really limited my ability to be the adventurous, rock climbing, running person that I had been.”

Although awareness about pelvic floor dysfunction is becoming more common, it’s still a relatively hushed topic. In part, that’s because it centers around a private area of the body, said Brooke Collins, a pelvic floor and physical therapist who started St. Charles’ pelvic floor therapy program more than a decade ago.

Pelvic floor therapy sessions begin with a thorough consultation, including a physical exam, and then center on the unique needs of a patient’s pelvic floor muscles, which either need to be strengthened or relaxed — or sometimes both. The ultimate goal? For the patient to regain control of their body. Pelvic floor therapy helps 97% of patients with stress urinary incontinence, for example, and cures it for 73% of patients.

“When there's dysfunction there, it can affect every aspect of your life,” Collins said. “We're helping people get control back so that their body is functioning the way they want.”

For patients whose muscles are weakened, a program plan will typically include exercises, not just for the pelvic floor muscles but also for the surrounding hip and core muscles. Patients with overly tight pelvic floor muscles will learn relaxation techniques. In both scenarios, practitioners employ biosensors that reflect muscle activity in real-time on a screen, allowing patients to understand better what is happening in their bodies.

Hoffmeister says she felt more confident after just the first session. After returning for another eight-week round of pelvic floor therapy following the birth of her twins, she could lace up her sneakers and get back into running after only six months postpartum. Now, at 33, she has no remaining symptoms, and she encourages anyone struggling with pelvic floor dysfunction to at least have a consultation, even if they ultimately decide against therapy, because it is empowering to learn about how the body works and what is considered normal, she said.

“You’re not alone; it’s very common,” Collins said. “Don’t put up with it, and don’t give the companies that make pads any more money.”

Learn more about the pelvic floor therapy services, which are offered at St. Charles' clinics in Madras, Prineville and Redmond.

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Pictured above are Melissa Chalker, Anthony Mattioda and Dominic Mattioda sitting on Guy's bench. Pictured below are Anthony and Dominic, plus Guy's sister Gina and his parents, Faye and Jerry.

When Melissa Chalker graduated from college and started working at St. Charles Bend 32 years ago, one of her jobs was to deliver paper patient charts from the medical records department to the Emergency Room.

“I would do that 10 or 12, maybe 15 times each day,” she said. “And when I did that, I had to pass the satellite phlebotomy station in the main hallway twice, once on the way and once on the way back.”

One day, she spotted someone new at the station: Guy Mattioda, a phlebotomist who had recently moved from night shift to days. Mattioda was friendly and had a great sense of humor. It wasn’t long before they started dating and were married in 1993.

“If it wasn’t for that job change, I’m not sure we would’ve found each other,” Chalker said.

Eventually, Chalker moved into utilization management and Mattioda became a Registered Nurse, where he earned the nickname “Father Guy” because of his ability to put patients and families at ease. They both got to know many St. Charles caregivers. The couple’s sons, Anthony and Dominic, were both born in the Bend hospital, as well.

“St. Charles has been an important part of our life,” Chalker said.

Life changed, however, in February of 2003, when Mattioda passed away. His funeral was held at the Catholic church in downtown Bend, and it overflowed with people mourning his loss.

“I have always felt like that was a great testament to him. There were tons of people from the hospital: Doctors, nurses, people he knew, people I knew,” Chalker said. “It was really, really heartwarming.”

After the funeral, St. Charles nurses supported the family by delivering food and collecting money to install a memorial bench in Mattioda’s honor. The bench is located just outside the hospital’s main entrance.

“They asked me what the plaque should say, and I thought, ‘What touches people the most?’” Chalker said. “I think it was his smile, because he was always smiling. That’s why we put, ‘Forever smiling, Forever in our hearts.’”

For the past 20 years, Jerry and Faye Mattioda have visited the bench outside St. Charles as a way to remember and honor their son, who grew up in the family’s home just down the road from the Bend hospital. Guy also took religious classes in Sister Catherine’s home when he was a child.

“It was very touching when they placed the bench after he died, and it’s very touching now,” Jerry Mattioda said. “Time goes by, but the memory is always there.”

Over the years, the family had worked with St. Charles’ Facilities crew on upkeep of the bench, but in recent years, Mattioda noticed that it was really starting to show its age. He and Chalker discussed another round of “loving care,” Mattioda said, but word of their concerns got to Derek Miller, director of Facilities for the health system, who had a different idea: To replace the original bench, which was nearing its end of life, and install the new one in the same location.

“I can’t thank Derek enough for how quickly and graciously he responded to our request. I could stand here all day thanking him and his team, because this just means that much to our lives,” Jerry Mattioda said. “St. Charles was a very special place to Guy. He loved his job and he loved what he did here.”

On a sunny Friday afternoon in late September, the family gathered under the trees outside the Bend hospital for a short, simple ceremony, where Jerry said a few words about Guy, then Anthony and Dominic removed the original bench and put the new one in place. There were stories told and photos taken, soft chuckles and tears on cheeks. And now there is a nice, clean, new place for patients, visitors and caregivers at St. Charles Bend to sit and reflect, whether or not they remember the person behind the name on the plaque.

“The real story is kindness: The kindness of Guy and the kindness of our coworkers,” Chalker said, “and the fact that his legacy lives on.”

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Grand Rounds - October 20, 2023  
"Idiopathic Pulmonary Fibrosis: Diagnosis and Management"

Speaker: Olanrewaju Esan, MD, MBA, FACP, FCCP, FAASM. Medical Director, West Hempstead Sleep Disorders Center.

 

 

Objectives

  1. Differentiate idiopathic pulmonary fibrosis (IPF) from other common ILDs.
  2. Apply evidence informing the use of antifibrotic therapy, nonpharmacologic strategies, and management of risk factors and comorbidities in patients with IPF.
  3. Individualize treatment of IPF.

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].

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Enduring Materials - Oct 20, 2023      
"Delirium or Dementia? Practical Guide to Differentiation and Management"

Speaker: Maureen Nash, MD FAPA ACP DFAAGP. Medical Director, Providence ElderPlace PACE Oregon.

 

Objectives

  1. Learners will be able to define delirium and dementia.
  2. Attendees will understand and be able to list 2 screening tools for delirium.
  3. Attendees will understand and be able to list 2 screening tools for dementia.

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of St. Charles Health System and the Older Adult Behavioral Health Initiative. St. Charles Health System is accredited by the ACCME to provide continuing medical education for physicians. St. Charles Health System designates this live virtual activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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]

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St. Charles Health System and the Bend Police Department are hosting a medication take-back event on Saturday, Oct. 28, from 10 a.m. to 2 p.m. at the Bend Police Department at 555 NE 15th St., Bend.

The take-back event is intended to help households dispose of medications that could be ingested by someone other than the person for whom they were prescribed and to prevent medications from ending up in the water table.

In 2022 this event collected 500 pounds of medications and sharps that were then disposed of safely.  

No questions will be asked. Individuals can drive through the parking lot and drop off medications right from their car window. Evidence technicians will accept the medications, then give them to the Drug Enforcement Administration (DEA) to dispose of safely.

Any non-oncology medications will be accepted. Liquids, pills, powders, patches, creams, prescriptions or over-the-counter medicines can be dropped off. Representatives from St. Charles pharmacy will also be on-site to answer questions.

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, 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 4,800 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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Grand Rounds - October 13, 2023     
"Menopause: Conventional and Alternative Treatments"

Speaker: Nancy Phillips, MD. Professor, Rutgers Robert Wood Johnson Medical School, Department Obstetrics, Gynecology & Reproductive Science, New Brunswick, NJ.

 

 

Objectives

  1. Describe the menopause transition, associated symptoms, and health effects of menopause.
  2. Analyze the efficacy, side effects, benefits, and risks of conventional therapies for menopause.
  3. Analyze the evidence for alternative therapies in the treatment of symptoms associated with menopause.

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].

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Grand Rounds - October 6, 2023    
"Preparing for the big 3: RSV, Influenza, COVID-19 "

Speaker: Cynthia Maree, MD. Section Chief Infectious Diseases, St. Charles Health System.

 

 

Objectives

  1. Up to date understanding of COVID-19 severity and immunity.
  2. Review new vaccines to combat respiratory viral infections and recommended guidelines.
  3. Best way to prepare for the upcoming respiratory viral season.

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].

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Health system will no longer be in-network for Humana, HealthNet and WellCare

Citing continued, unresolved concerns about patient care and administrative burdens, St. Charles Health System announced today it will no longer be an in-network provider for Medicare Advantage plans from Humana, HealthNet and WellCare starting in 2024. Seniors and others on Medicare plans will continue to have options for insurance coverage at St. Charles, as the health system continues to accept traditional Medicare and some Medicare Advantage plans.

“We care deeply about our patients and the care they receive, which is why we are unwilling to continue with the status quo with Medicare Advantage plans that result in restrictions to patient care, longer hospital stays and administrative burdens for providers,” said Dr. Mark Hallett, chief clinical officer. “We are grateful that some insurance partners were willing to come to the table and try out innovative solutions to these complex problems.”

St. Charles joins many other hospitals and health systems around the country that are reevaluating their participation in Medicare Advantage plans, which are publicly funded, but privately run (“Hospitals are dropping Medicare Advantage left and right”).

“The conversation about Medicare Advantage continues at St. Charles and at health systems around the nation,” said Matt Swafford, chief financial officer. “We hope the innovative solutions we are piloting with PacificSource that we announced last week will serve as a model for future discussions.”

When Medicare open enrollment begins Oct. 15, local seniors will have options should they want to remain in-network for St. Charles. In addition to traditional Medicare and PacificSource, St. Charles will start the year accepting the following Medicare Advantage plans: Providence, Moda and Regence Blue Cross Blue Shield.

Individuals on Medicare Advantage plans from Humana, HealthNet and WellCare should receive a communication from their insurance provider about the changes to their health plan offerings and in-network provider availability.

Key dates:

  • Oct. 15, 2023: Medicare open enrollment begins

  • Dec. 7, 2023: Medicare open enrollment ends

  • Dec. 31, 2023: Humana coverage ends

  • Feb. 1, 2024: HealthNet and WellCare coverage ends

Central Oregonians who wish to explore insurance options, can contact:

  • Oregon Senior Health Insurance Benefits Assistance (SHIBA) at 800-722-4134, option 2,
  • 800-MEDICARE (800-633-4227),
  • Council on Aging of Central Oregon at 541-678-5483,
  • or an insurance broker of your choosing.

Additional information can be found on the St. Charles Medicare Advantage FAQ webpage or individuals can call 541-612-8378.

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, 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 4,800 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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Fall and winter is a wonderful time in Central Oregon, with plenty of fun stuff to do: Snow sports, sledding with the kids, hanging out by a fire, holiday gatherings and, of course, that much-needed February getaway to warmer climes.

Unfortunately, fall and winter is also respiratory illness season. Influenza, COVID-19 and RSV are all common in the region, and each of them can cause serious illness that will wreck those plans you’ve been looking forward to.

Here’s the best way to protect yourself and your plans: Get vaccinated.

“This season, safe and effective vaccines designed to prevent serious cases of flu, COVID and RSV are available,” said Dr. Cynthia Maree, St. Charles’ infectious disease expert. “Getting sick is no fun, especially when it takes you away from doing the things you love to do. So I want to urge everyone 6 months old and older to get vaccinated against flu and COVID-19, and to talk to their primary care physician about whether they should get the RSV vaccine.”

Vaccines do not always prevent illness, but they can curtail how sick you get if you are infected. It is especially important for people over the age of 65 and people with underlying health conditions such as heart disease, diabetes, obesity or a weakened immune system to protect themselves by getting vaccinated, Maree said. 

“Vaccines remain our best protection against serious respiratory illness,” she said. “Other things you can do to stay healthy include washing your hands, physically distancing, wearing a mask in crowds and staying home if you do get sick.”

  • This season’s flu vaccine targets four strains of seasonal influenza and is recommended for everyone 6 months old and older. October is the ideal time to get a flu shot, because protection wanes throughout the season.
  • An updated COVID-19 vaccine is available now and is recommended for everyone 6 months old and older. For protection against severe disease, get it now unless you have received a booster within the past two months OR you were infected within the past three to four months.
  • There are two RSV vaccines (GSK and Pfizer) that are very similar and recommended for people 60 years old and older, as well as pregnant people. If you’re eligible, talk to your provider about getting the RSV vaccine. Protection is durable throughout the season.

For more information, including where to get vaccines, visit stcharleshealthcare.org/vaccines.

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St. Charles announces agreement with PacificSource that will benefit patients and providers

St. Charles Health System announced today that it has reached an agreement with PacificSource that promotes excellence in cancer care, reduces administrative burdens and keeps St. Charles hospitals and clinics in-network for PacificSource Medicare Advantage plans in Central Oregon through 2024. The agreement includes PacificSource’s Oregon Health Plan and commercial insurance plans. 

“We are excited to bring this agreement to our community and believe it addresses many of our concerns,” said Dr. Mark Hallett, chief clinical officer for St. Charles. “We are grateful to PacificSource for working with us to identify creative solutions that we believe will benefit patients and health care providers throughout the region.”

In particular, the teams agreed to focus on reducing administrative burdens for patients and health care workers, initially prioritizing the following innovative ideas: 

  • Beginning in 2024, St. Charles Cancer Center patients will be able to receive care prescribed by their physicians without prior authorization from PacificSource. This change recognizes St. Charles Cancer Center’s stellar record providing care within National Cancer Care Network guidelines. 
  • PacificSource and St. Charles will work together to ensure patients are able to be discharged from the hospital when they no longer need hospital-level care. 

“We are all committed to ensuring Central Oregonians retain access to high quality health care and this agreement is a step in the right direction,” said Matt Swafford, chief financial officer for St. Charles. “This is just the beginning of an ongoing conversation with all of our health insurance partners and we hope the innovative solutions we are piloting with PacificSource will serve as a model for future discussions.” 

Both organizations will monitor these new initiatives throughout the coming year to ensure they are achieving the desired outcomes of reducing stress on patients and families and increasing speed and access to appropriate levels of care, while also reducing the administrative burden on health care providers. 

St. Charles will continue to evaluate participation in Medicare Advantage Plans going forward and has not yet reached an agreement with Humana, HealthNet and WellCare Medicare Advantage plans for 2024. For more information on the traditional Medicare and Medicare Advantage options available in the Central Oregon region, seniors are encouraged to contact their health insurance provider, the Central Oregon Council on Aging at 541-678-5483 or the Oregon Senior Health Insurance Benefits Assistance (SHIBA) at 800-722-4134 option 2. 

Open enrollment for Medicare begins Oct. 15.

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, 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 4,500 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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