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Cancer Genetics

All cancer is caused by genetic changes. The majority of these genetic changes are random and result in sporadic cancers. However, some individuals may inherit a genetic change that increases their risk of developing certain cancers. If you or your family have a history of cancer, you may qualify for a hereditary cancer risk assessment. Genetic testing may clarify your personal and family health history and inform personalized medical management guidelines to help prevent a cancer diagnosis.

Who should consider an evaluation with a Genetic Counselor?

If you or your family have any of the following history, you may benefit from a hereditary cancer risk evaluation:

  • Rare cancer diagnosis (i.e. ovarian, pancreatic, male breast, medullary thyroid)
  • Multiple cancer diagnoses (i.e. colon and uterine; or breast and ovarian) or cancer in paired organs (ie: bilateral breast)
  • Multiple relatives on the same side of the family with associated cancer (i.e. breast, ovarian, prostate; or colon, endometrial, gastric, ovarian, and pancreatic)
  • Multiple colon polyps (>10)
  • Ashkenazi Jewish ancestry
  • Known genetic variant in the family

How can a genetics counselor help?

Genetic Counseling is often recommended before any genetic testing for hereditary cancer. If you proceed with testing and a disease-causing genetic variant is identified, you will have a second appointment to discuss medical management options. Genetic counseling usually covers the following:

  • A hereditary cancer risk assessment based on personal and family history
  • A discussion of the purpose of genetic testing including medical management implications
  • A review of the types of genes analyzed, as well as possible findings
  • The potential impact on family members
  • The cost of testing and potential insurance implications
  • Explanation of test results and next steps

What to expect at your appointment

Your first visit will include a review of your personal history, family history, and a discussion of the purpose of genetic testing for hereditary cancer risk. If you elect to pursue genetic testing for cancer risk, your results will be personalized based on your personal history, family history, and any disease-causing genetic variants identified. With this information, you can work with your provider to develop a personalized plan for cancer screening and prevention. Referral options for other specialists may be provided. If you have questions or concerns, please contact 541-706-6729.

Screening and Prevention

For individuals at increased risk for developing cancer based on personal history, family history, or genetic test results, personalized screening and preventative recommendations may include*:

  • Starting mammograms earlier than age 40
  • Breast MRI
  • Full body MRI
  • Earlier and more frequent colonoscopy
  • Upper endoscopy
  • Annual dermatology exams
  • Pancreatic cancer screening
  • Earlier and more frequent prostate cancer screening
  • Preventative surgery such as mastectomy, colectomy (removal of colon), gastrectomy (removal of stomach), or oophorectomy (removal of ovaries)
  • Chemoprevention (medication to reduce the risk of developing cancer)

*This list is not comprehensive.

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Full Survey

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St. Charles Health System’s Trauma Services team is taking life-saving Stop the Bleed training and tourniquet kits to local schools and businesses this fall, thanks in part to money donated at the St. Charles Foundation’s Saints Gala fundraiser in 2019.

That year, the event raised money to benefit the trauma program, which provides injury prevention education and help for those who suffer traumatic injuries in Central Oregon. Donors at the event gave around $250,000 to the cause.

Trauma Services has spent some of that money on things like upgrading the Bend hospital’s trauma rooms and a new ultrasound machine. Now, the team is ready to relaunch Stop the Bleed training after more than two years off because of the COVID-19 pandemic.

“With a focus on injury prevention outreach, we are using some of the money we have left to purchase Stop the Bleed kits and get them out into the community,” said Jeremy Buller, trauma program coordinator for St. Charles.

Stop the Bleed trains, equips and empowers people to help others who are injured following a traumatic event. It is part of a national campaign organized by the U.S. Department of Homeland Security.

St. Charles regularly receives requests for the training from local individuals and organizations such as Bend-LaPine Schools and the Bend Chamber of Commerce, Buller said. Those requests have increased since the Aug. 28 Safeway shooting on the east side of Bend, he said.

Shootings can cause traumatic injuries, of course, but the majority of traumas in Central Oregon happen as the result of car crashes, falls off bikes and e-bikes, camping accidents and other everyday occurrences, Buller said.

“Hemorrhage is the number one leading cause of preventable death in trauma patients,” he said. “So the things we see on TV aren’t necessarily the reason we do this training. It’s more likely that you’re going to run across a need for this while you’re running an errand or you’re out on the trails.”

Training sessions are currently planned in November and December at Mountain View and Bend Senior high schools and the Bend Chamber, with more to be scheduled. Soon, Buller hopes to relaunch training that’s open to the public, and Stop the Bleed is now being taught as part of Trauma Services’ standard CPR education.

The department is also using the Saints Gala money to buy Stop the Bleed kits, which contain a tourniquet, gauze, gloves, scissors, a pressure bandage and more. They give these kits away for free as part of the training.

“The goal is to have these kits readily available in the event you run across someone that is experiencing life-threatening bleeding,” he said, “and to train as many people as possible on how to use them.”

If you have any questions about our Stop the Bleed classes, contact our Trauma Team via email.

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The St. Charles Board of Directors has begun working with a national search firm to find our next inspiring president and Chief Executive Officer for St. Charles Health System.

As part of the process, we are actively seeking input from St. Charles employees, providers, community partners and many other key stakeholders on what attributes are most needed in our next CEO. We launched an internal survey this week to our more than 5,000 employees and members of our medical staff to ensure they have a chance to share their voice on this important topic.

The information gathered will go into development of the job profile used to source candidates who are both highly qualified and a great fit to lead St. Charles into the future. Once the profile is created, we anticipate beginning the public search phase for candidates in early 2023.  

Ultimately, the St. Charles Board of Directors has the responsibility to select our next president and CEO. The input-gathering phase we are going through now will ensure the board’s search committee knows what matters most to the communities we have the privilege to serve. Because St. Charles is a community asset, we also believe it is important to keep you informed about the steps we are taking along the way.

Thanks to those of you who have already dedicated time to this process. It is heartening to know that our communities are invested in the future success of our health system.

Sincerely,
Steve

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St. Charles is seeing a concerning increase in respiratory illness in children and is encouraging families with infants to protect them as much as possible by limiting their exposure to others and practicing good hand hygiene.

“It has been a rough respiratory season so far, with rhinovirus and enterovirus starting to circulate in August and causing illness in a lot of kids,” said Dr. Suzanne Mendez, a pediatric hospitalist at St. Charles Bend.

Now, she said, RSV (respiratory syncytial virus)—which can be serious especially for infants—is hitting about two to three months sooner than usual.

Dr. Mike Johnson, St. Charles’ senior data scientist, said the health system has seen a pronounced difference in the number of pediatric patients who have visited a St. Charles Emergency Department with flu-like symptoms in September and October. In those two months, St. Charles saw 443 children versus 368 during the same period in 2021. He noted that COVID-19 does not appear to be among those viruses causing an increase in visits, as case numbers have remained relatively low for both children and adults in recent weeks.

The rise in pediatric respiratory cases in Central Oregon and around the country has created a shortage of hospital beds for children.

On Monday night, St. Charles Bend’s pediatric unit was full, and the health system is now working on a surge plan in anticipation of the West Coast following the trends currently being seen on the East Coast, where many children’s hospitals are full.

“We’ve also had to transfer more children to pediatric intensive care units in Portland than is usual for this time of year, and now we have early winter conditions that can make those transfers challenging,” Mendez said. “So, taking preventive measures to keep young children healthy is especially important right now.”

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St. Charles hosts medication take-back event Oct. 29 at Bend Police Department

BEND, Ore. – St. Charles Health System is hosting a medication take-back event on Saturday, Oct. 29, from 10 a.m. to 2 p.m. at the Bend Police Department at 555 NE 15th St.

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 2021, St. Charles collected 427 pounds of medication from more than 300 community members. The health system is pleased to be able to provide this opportunity, as other community drops sites have not been accessible due to COVID-19 safety measures.

No questions will be asked. Individuals can drive through the parking lot and drop off medications right from their car window. Bend police officers 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, not-for-profit 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.

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, not-for-profit 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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Grand Rounds - Oct. 21, 2022
"Multiple Sclerosis"

Speaker: Andrew Woo, MD, PhD. Santa Monica Neurological Consultants; Assistant Clinical Professor of Neurology, David Geffen School of Medicine at UCLA.

 

 

Objectives

  1. Recognize the typical clinical presentation of Multiple Sclerosis.
  2. Implement the initial evaluation of the patient with possible MS.
  3. Become familiar with the major disease-modifying therapies for MS.
  4. Manage common symptoms of MS.
  5. Identify the gender (female) and race (Caucasian) that is affected most often, and improve diagnosis as a result.

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 - Oct. 14, 2022
"Therapeutic Hypothermia"

Speaker: Michael Christopher Kurz, MD, MS, FACEP, FAHA. Heerink School of Medicine, The University of Alabama at Birmingham.

 

 

Objectives

  1. Define therapeutic hypothermia.
  2. Describe which patients are eligible for TTM and post-arrest care.
  3. Incorporate TTM into practice and understand physiologic changes that occur at different target temperatures.
  4. Predict and manage the predictable complications that occur when employing TTM.

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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“Getting this job off the Confederate Tribes of Warm Springs Reservation was out of my comfort zone and a little intimidating.

Being young and only knowing the Reservation (Rez) and thinking there's nothing for me off the Rez, and the feeling like I wasn't good enough or I didn't know enough was kind of my mindset. Any youth or even adult that is in their comfort zone, I encourage them to get out and challenge themselves. Our youth is our future.”

~Maraya (Rya) - Warm Springs, Yakama, Klamath Modoc tribal member and St. Charles Madras caregiver

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Grand Rounds - Oct. 7, 2022
"Water Sports and Recreation: Common Injuries and Prevention"

Speaker: Bianca R. Edison, MD, MS, FAAP. Attending Physician, Jackie and Gene Autry Orthopedic Center, Keck USC.

 

 

Objectives

  1. Assess different water sports available to young athletes and the potential dangers/injuries that can occur.
  2. Discuss risk factors for injuries in certain water sports.
  3. Identify prevention strategies for injuries discussed.
  4. .

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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