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With the addition of three OB-GYN physicians to its staff, the St. Charles Center for Women’s Health is improving access to reproductive health care for all women.

The three physicians – Michal Montana, MD, Nicole Berrigan, MD and Amy Yuan, DO – join the center’s robust group of providers, including nurse midwives, behavioral health experts, nurse practitioners and doctors. With many providers accepting new patients, it’s easier than ever to get in to see someone.

“Our patients love our providers, and they tell their friends who tell their friends. The word is out, and that has kept our schedules very full in recent months,” said Tricia Clay, administrative director of Women’s and Pediatric Services for St. Charles. “With these arrivals, we’re expecting wait times for appointments to see our providers to significantly decrease.”

The center offers an array of services, including routine and preventive women’s care; obstetrics from preconception through postpartum; gynecology and gynecologic surgery; and pelvic floor therapy and procedures for overactive bladder/urinary retention. Providers see patients in Bend, Prineville, Redmond and Sisters and they perform surgeries in Bend and Redmond.

The new physicians will also bring new options for care to the practice, Clay said.

“One in three women experience bladder leakage during their lifetime. This is known as urinary incontinence, and it often worsens with age,” Clay said. “We are excited to bring new, minimally invasive procedures to our practice that will offer women more treatment options for their bladder symptoms.”

Dr. Michal Montana
Dr. Michal Montana

Dr. Michal Montana completed residency training at Loma Linda University Medical Center and prior to that she attended medical school at Oakland University William Beaumont School of Medicine in Michigan. She lives in Bend with her husband, two daughters and dog. Together, they love exploring the region’s natural beauty.

“My interest in women’s health came from a desire to incorporate a passion for hands-on care with lifelong patient relationships,” she said. “I look forward to serving the women of Central Oregon throughout some of the most special, vulnerable and difficult times of their lives.”

Dr. Nicole Berrigan
Dr. Nicole Berrigan

Prior to joining St. Charles, Dr. Nicole Berrigan worked in private practice for three years in the Willamette Valley. She completed her OB-GYN residency through the University of North Carolina and medical school at the University of Nebraska Medical Center in her hometown of Omaha, Neb. She and her husband love trail running, mountain biking, skiing and paddle boarding, and they’re excited to do those things in Central Oregon.

Berrigan practices the full spectrum of obstetrics and gynecology with special interest in surgery including robotic hysterectomies and pelvic floor repair. She also received a degree in studio art and has a special interest in integrating art into her practice.

“Having a piece of art to focus on during an exam or playing music during a procedure has been shown to decrease patient anxiety and pain,” Berrigan said. “I am looking forward to integrating art into our practice.”

Dr. Amy Yuan
Dr. Amy Yuan

Board-certified obstetrician/gynecologist Dr. Amy Yuan completed her OB-GYN residency in Cincinnati, Ohio and then was in private practice in Colorado before moving to Oregon to join St. Charles. She loves spending time with her family, traveling, camping, mountain biking, snowboarding and skiing, and she is thrilled to move to the area.

Yuan enjoys all aspects of women’s health, including helping people through high-risk pregnancies, infertility, urinary incontinence, pelvic pain, sexual dysfunction, menopause, and minimally invasive surgery, especially robotic assisted procedures.

“As an OB-GYN,” she said, “it is my goal to provide a comfortable and safe space to address sensitive and important issues for people in Central Oregon.”

Learn more about the St. Charles Center for Women’s Health, or call 541-526-6635 to schedule an appointment with a provider.

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Six years ago, David and Tess Tappert moved to Post, a remote town about 25 miles east of Prineville.

At the time, Tess worked at Norco, a medical equipment supplier in Bend. Her commute? About an hour and a half one way – on a good day.

“And she was there every single day, even in the winter,” said David, her husband of 30 years.

After three years of that, Tess decided it was time to retire. With newfound free time to spend, she picked up a new hobby: quilting. And she quickly gravitated to a method known as collage quilting, where the maker uses layered fabric to create collage art, then quilts over the fabric to keep the pieces together.

“You can take a picture and recreate it using the fabric as your paint palette,” Tess said. “I just loved that, and I really got into it.”

Tess started making collage quilts of coastal scenes and donating them to the town of Seaside, where her sister is on the city council. Then, a couple years ago, she had the idea to make one that represents Prineville. So she and David drove around town taking photos of different places, including many angles of the iconic Crook County Courthouse.

Eventually, she decided to make a triptych, or three panels to be placed side by side, featuring the courthouse and other recognizable features of Prineville. (The panels are each 20 inches across and 40 inches tall.) Using photos as a guide, David drew a smaller “map” of the quilt to help with construction, while Tess began auditioning different fabrics for use in the piece’s sunset and water elements.

Two years and about 1,300 hours of work later, the piece is complete. The three panels are each 20 inches across and 40 inches tall, quilted by Yvette Thomas of Crooked River Quilting in Prineville and mounted on frames by David Tappert.

The couple has named it “Then and Now,” celebrating the people and the rich history of Prineville and Crook County. Among many others, featured elements include the courthouse, Bowman Museum, Club Pioneer, Barney Prine’s steakhouse, Les Schwab Tire Center, the Pine Theater, Meadow Lakes Golf Course, Parr Lumber, the “War Paint” horse statue, Steins Pillar and several individuals.

When it came time to decide what to do with the piece, the Tapperts didn’t have to think for long before settling on a donation to the annual St. Charles Hospice Christmas Auction, to be held Dec. 3. Presented by St. Charles Foundation, the annual event has a 30-year tradition of raising money for crucial support services for patients of St. Charles Hospice and their families.

It’s a cause that is near and dear to the Tappert’s hearts. In past years, they’ve donated other quilts to the auction, as well as elaborately decorated trees, handmade ornaments and furniture – including a fully outfitted sewing room.

“Hospice was there for my mother before she passed away,” Tess said. “They came out to Post three times weekly from Prineville and they were so good with her. They drove all the way out there and they were incredibly kind every time.”

Ezperanza “Tita” Montero moved to Post to live with Tess and David and lived there for a little over a year before she passed away in 2016 at the age of 97. In the final three months of her life, David was her primary caretaker, and he gets emotional when he talks about the care she received.

“I want to shout out Dr. Michael Knower, specifically, because he is an amazing man, as well as her nurse, Ginger Hearty, who treated her with such kindness and dignity,” David said. “The whole team she had was amazing. They went above and beyond. They really did.”

David had experience with hospice care, having experienced it through his own mother years before. He understands the impact hospice caregivers can have on patients and their families during one of life’s most precious and vulnerable seasons.

“Hospice means a lot to both of us,” he said. “We know there’s a great need for it, so as long as we’re able, we’ll be there to support it.”

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Native American Market 2022

Our first Native Market at St. Charles Madras was a success! The community was able to come together, visit, build relationships and learn more about Native American culture. We are so grateful for the opportunity and we look forward to hosting this special event again next year.

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Pumpkin Pie Smoothie

Fall is the season for all things pumpkin. Eating pumpkin can be a healthy treat. Indulging in pumpkin has many health benefits - it's high in fiber, antioxidants, and vitamins A and B. Feel free to enjoy!

Ingredients

1/3 cup pumpkin puree

1/4 banana or apple

1/4 cup milk (dairy, nut, soy, hemp or rice)

1/4 cup Greek yogurt

1-2 tsp. honey or maple syrup

1/4 tsp. pumpkin pie spice

1/4 tsp. vanilla

1/4 tsp. ground cinnamon

Directions

Blend all ingredients with ice. Garnish with whipped cream and sprinkle with cinnamon (optional). Makes one serving.

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Chicken Enchilada Soup

This zesty soup is a fun spin on a Mexican food favorite - enchiladas - but is kinder to the waistline. Each one-cup serving (this recipe makes 12) is only 170 calories and three grams of fat. And with the chicken, it's a good source of protein, too - about 13 grams per serving. 

Ingredients

  • 2 teaspoons vegetable oil
  • 1 cup chopped onion
  • 2 cloves garlic, minced
  • 1 teaspoon ground cumin
  • 1 can (16 ounces) navy beans
  • 1 can (28 ounces) diced tomatoes
  • 2 cans (14 1/2 ounces each) fat-free chicken broth
  • 1 can (8 ounces) tomato sauce
  • 2 cans (4 ounces each) chopped green chilies
  • 2 teaspoons dried oregano
  • 2 cups chopped cooked chicken
  • 1⁄2 cup chopped fresh cilantro
  • 1 cup shredded cheese
  • 10 thin corn tortillas

Directions

  1. Heat oil in a large pot. Add onion, garlic, and cumin, and sauté until onion is softened but not browned.
  2. Drain and rinse beans. Add drained beans, tomatoes with liquid, and chicken broth. Heat to a boil. Reduce heat.
  3. Stir in tomato sauce, chilies, oregano, and chicken. Simmer 15 minutes.
  4. When ready to serve, stir in cilantro and 1 cup cheese until melted. Serve tortilla strips on the side as soup toppings.

Refrigerate leftovers within two hours.

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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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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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