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Vestibular (inner ear) Physical Therapy is a science-driven, evidence-based specialty area of Physical Therapy that addresses common disorders of the vestibular and central balance systems. Our team of physical therapists includes certified neurologic specialists, and therapists experienced in vestibular rehabilitation and BPPV repositioning maneuvers. Our therapy programs are based on a comprehensive musculoskeletal, balance, gait and vestibular assessment. This allows us to develop a customized plan to address patients’ unique challenges.

We can help address dizziness and related issues, such as vertigo, lightheadedness, imbalance, oscillopsia (visual blurring) and motion sensitivity. We have diagnostic and exercise technology for vestibular rehabilitation, including infrared goggles that record eye movement and a Neurocom Balance Manager to assess use of balance systems.

Our vestibular specialist team of Physical Therapists have experience working with diagnoses of:

Inner Ear Problems

  • BPPV
  • Vestibular Neuritis
  • Labyrinthitis
  • Vestibular Hypofunction
  • Acoustic Neuroma
  • PPPD

Neurologic Disorders

  • Parkinson’s Disease
  • Cerebellar Disorders
  • Progressive Supranuclear Palsy
  • Concussion
  • TBI
  • Stroke
  • Multiple sclerosis
  • Vestibular Migraine
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UPDATE: Tickets have been sold out!

Tickets are available now for the 32nd annual Prineville Hospice Auction at the Crook County Fairgrounds indoor arena in Prineville on Dec. 2. The auction raises funds to support St. Charles’ hospice programs. The popular event includes a live auction of elaborately decorated Christmas trees and handmade quilts, as well as a buffet dinner, raffle and silent auction.  

“This is a wonderful tradition that builds community and celebrates the holiday season, all while raising money for a worthwhile cause,” said Jenny O’Bryan, executive director for the St. Charles Foundation. “Tickets are selling out quickly, so we encourage anyone interested in getting one while they still last.”

Starting this year, individuals can now purchase tickets online at hospiceauction.org. Advanced tickets are required.

Doors for the event open at 4:30 p.m., dinner begins at 6 and the auction begins at 7 p.m. A preview of the trees and quilts will take place Saturday from noon to 1 p.m.

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Last week, St. Charles Madras hosted a team of medical executives from the Japan Association for Development of Community Medicine (JADECOM), who were visiting the area as part of an effort to learn more about rural family medicine in the US. The collaborative visit included seven executives from Japan as well as representatives from OHSU Department of Family Medicine, which has a longstanding exchange program for medical residents, students, and physicians from Japan (learn more about the program). For years, the OHSU exchange program brought physicians to other rural areas in Oregon, but beginning this year, St. Charles Madras will host a portion of the exchange program. This is one of the many benefits of new Three Sisters Rural Track residency program, which will welcome its first class of residents in 2024.

This October, the team from Japan visited the OHSU campus and then came to Madras, so the executives could learn more about how rural family medicine is handled here and see where residents pursuing rural family medicine would train during their visits.

Dr. Daisuke Yamashita, associate professor of family medicine with OHSU, said the visit was successful and the team enjoyed seeing the health campus in Madras, which connects public health, Mosaic Community Medical (the federally qualified health center) and the hospital.

“This is an opportunity to reflect on and recognize the common threads that are universal in our health care systems, despite the differences in circumstances and cultures. This provides an opportunity to recognize strengths and areas of improvement,” Yamashita said.

Dr. Jinnell Lewis, director of the Three Sisters Rural Track Program, said in addition to providing a chance to collaborate and learn, this exchange is also special for the Madras community in particular. For many years Madras has had a sister city in Japan, Tomi City, and students have an exchange program between the two towns.

“This deepening of our connection with Japan and its medical community is one of the many benefits of the partnership we have with OHSU through the Three Sisters Rural Track residency program,” Lewis said.

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St. Charles Urology specializes in medical diseases of the urinary-tract system and the reproductive organs. We provide comprehensive diagnosis and treatment or surgical options to best fit your needs.

St. Charles Urology’s highly skilled and experienced team is committed to providing you with exceptional care, because your urological health is important to us. We will partner with your referring primary provider to determine the appropriate course of treatment and ensure the best possible outcome for you.

We offer evaluation and treatment of:

  • Urinary tract disorders, including infections

  • Kidney stones and kidney disease

  • Incontinence and overactive bladder

  • Male sexual health

  • Prostate health

  • Urological cancers

Our specialized services include:

  • Urodynamics

  • Bladder instillation: BCG, Botox

  • Prostate biopsy

  • PTNS

  • Voiding trials

  • Catheterization

  • Vasectomy

Because urological conditions can cause embarrassment or discomfort, we emphasize sensitivity and discretion when dealing with all issues and concerns.

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I read a story today that warmed my heart.

It was about a St. Charles caregiver named Desiree, who works in our Prineville Family Care clinic, and her 12-year-old daughter Zoe, who was born with an aortic valve that didn’t quite work right.

Desiree always knew Zoe would need heart surgery someday, but a growth spurt accelerated that need to this past summer. The family learned in June that Zoe would need the procedure, and within days it was scheduled for mid-July.

That’s great from a care perspective. But for Desiree, it came with added stress: Not anticipating the surgery, she had used her available time off, and her situation didn’t qualify for family medical leave or short-term disability.

Suddenly, she found herself facing the prospect of a two-week stay with Zoe in Portland, and no paycheck to help cover the bills. For a moment, she thought she might have to choose between accompanying Zoe and paying her rent.

That’s where St. Charles Cares comes into the picture. A fund of the St. Charles Foundation, the Cares fund supports our caregivers who experience economic hardship and are unable to afford housing, utilities or other basic living needs because of circumstances beyond their control.

A colleague encouraged Desiree to apply for Cares funding, and she was awarded $1,500 to help cover her rent, reducing her bills and allowing her to take off work and be with her daughter in Portland, where she could focus on helping Zoe recover. (I’m happy to report that Zoe is doing great, by the way.)

St. Charles Cares distributes about $17,000 annually and is funded by donations from the community as well as our own caregivers, who give generously because they know their money will go to help one of their own when they need it most.

In fact, our annual internal fundraising campaign – Giving Together: One St. Charles – is underway as we speak. If you’d like to support our caregivers and their support of each other, you can do so on the Foundation’s website by using the drop-down menu to designate your donation for “Caregiver Support.”

It is this spirit – caring for each other as we care for the communities we serve – that makes St. Charles a special place. I’m incredibly proud to be a part of it.

Sincerely,
Steve

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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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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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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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