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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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“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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A few of our clinics in Redmond have moved recently!

Now located at 655 NW Jackpine Avenue in Redmond:

  • St. Charles Anticoagulation Clinic
  • St. Charles Heart and Lung Specialists
  • St. Charles Pulmonary Clinic
  • St. Charles Sleep Center

Now located at 916 SW 17th Street in Redmond:

  • St. Charles Behavioral Health
  • St. Charles Preoperative Medicine
  • St. Charles Rheumatology

St. Charles clinics are no longer located at 244 NW Kingwood.

Also, there is no longer a St. Charles lab at 1245 NW 4th Street. Lab services are available at St. Charles Family Care, 211 NW Larch Avenue.

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The COVID-19 virus is ever-changing, and so is our collective response to the pandemic. One thing that hasn’t changed, however, is this: The best way to protect yourself against severe illness as the result of COVID-19 is to make sure you’re up to date on your vaccinations and boosters.

St. Charles has the new bivalent boosters, emergency authorized by the FDA, which provide broad protection against both the original strain of COVID-19 as well as the omicron variant. Appointments are available for those 12 and older at any St. Charles Urgent Care clinic. If our schedule doesn’t work for you, please check out the many options for vaccination in Central Oregon.

“COVID-19 vaccines available in the United States are effective at protecting people from getting seriously ill, being hospitalized, and dying,” says the U.S. Centers for Disease Control, which publishes recommendations for different age groups. “As with other diseases, you are protected best from COVID-19 when you stay up to date with the recommended vaccines, including recommended boosters.”

Here are answers to five frequently asked questions about COVID-19 boosters:

What is a bivalent vaccine? How does it work?

Bivalent COVID-19 vaccines include a component of the original virus strain to provide broad protection against COVID-19 and a component of the omicron variant to provide better protection against COVID-19 caused by the omicron variant. They are called bivalent COVID-19 vaccines because they contain these two components.

When should I get a booster? Should I wait for another surge?

The CDC recommends vaccination for everyone ages 6 months and older and boosters for everyone age 5 and older, if eligible. Children ages 5-11 are recommended to get the original (monovalent) booster, and people age 12 and older are recommended to get the updated (bivalent) booster. More information is here, and the CDC has a handy chart showing who should get what (and when) here.

With a busy holiday season on the horizon and Australia experiencing a severe flu season (which is often an indication of what’s to come in the United States), October is a great time to get up to date on your flu shot and COVID vaccines.

I recently had COVID-19. Should I get a booster?

Getting a COVID-19 vaccine after you recover from COVID-19 infection provides added protection against the virus. People who already had COVID-19 and do not get vaccinated after their recovery are more likely to contract the virus again, according to the CDC.

However, per the CDC: “You may consider delaying your vaccine by three months from when your symptoms started or, if you had no symptoms, when you received a positive test.”

Are there side effects from the booster?

Reactions reported after getting a booster are similar to those after the primary series, including fever, headache, fatigue and pain at the injection site. Most side effects have been mild to moderate, and they vary from person to person. More information is here.

Can I get a COVID-19 booster and my flu vaccine at the same time?

Yes. There is no recommended waiting time between the COVID-19 booster and the flu vaccine or any other vaccine.

 

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Hello and happy autumn! It’s a busy time of year at St. Charles, and I want to make sure you’re aware of a few things that might otherwise slip past your radar:

We’ve welcomed a new member to the St. Charles Board of Directors: Jon Bullock, a resident of Redmond and co-founder and executive director of the Redmond Proficiency Academy. Before he founded RPA, he worked as an administrator with the Redmond School District and the Bethel School District in Eugene and served as a high school teacher and coach in Corvallis and Salem. In addition to his work at the K-12 level, Jon has also taught courses at the college and university level and currently serves as a member of the Southern Oregon University Board of Trustees. He is also a former member of the Redmond City Council and the Economic Development Central Oregon board.

I am excited to have a member of the board with such extensive experience and a career-long focus on education, not to mention deep roots in Redmond. Jon joined us to help St. Charles as we work to ensure the people of Central Oregon get the care and support they need and deserve.

"Access to high-quality, affordable health care is essential for our community,” he said. “Serving on the St. Charles Board of Directors provides the opportunity to directly and positively influence our community's future.”

Please join me in welcoming Jon to the board and thanking him for his service!


Being up to date on your COVID-19 vaccinations and boosters is still the best way to protect yourself against severe illness and hospitalization as a result of the virus, and experts say October is a great time to get the booster (and a flu shot, too). St. Charles has the new bivalent boosters, which are emergency authorized by the FDA. Appointments are available for those 12 and older at any St. Charles Urgent Care clinic. If our schedule doesn’t work for yours, please check out the many options for vaccination in our community.


At St. Charles, we are cautiously returning to in-person events and, like you, enjoying spending more time with others – both in our facilities and in the communities we serve.

In recent weeks, our caregivers have attended the Bend Health Fair, the Latino Fest in Madras and Prineville and the Jefferson County Senior Center Health Fair, with more stops on the horizon. If you’re out and about and you see our blue tent or tablecloth, please stop by and say hi!

This Sunday you’ll find many of us at St. Charles Foundation’s annual 5K run/walk fundraiser, Heaven Can Wait, which returns to an in-person format after two years as a virtual event. Heaven Can Wait raises money for Sara’s Project, which provides education, early detection and support services to ease the challenges of breast cancer for people in Central and Eastern Oregon. And this year, the event moves to Redmond! It’s a fun time for a good cause and a celebration of life, survivorship and those who have passed on.


Finally, you may have noticed the American flag flying at half-mast at our hospitals in Bend, Madras, Prineville and Redmond. We lowered them to show our respect for Atwai Wasco Chief Alfred Smith Jr., who passed away earlier this week. St. Charles Health System sends its heartfelt condolences to his family and the Confederated Tribes of Warm Springs.

Sincerely,
Steve

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After two years of limited travel because of COVID-19, Americans are getting back to going overseas.

And in St. Charles’ new Infectious Disease (ID) clinic, Central Oregonians have a trusted and robust resource to help them stay healthy and safe during international travel.

The clinic is staffed by two infectious disease specialists: Dr. Cynthia Maree, who helped oversee St. Charles’ COVID-19 response, and Dr. Laura Selby, who is new to the health system. Selby’s arrival earlier this year allowed the health system to expand its ID program and open a dedicated clinic.

The physicians’ duties include managing complex infections for pre- and post-operative patients, hospital inpatients, immunocompromised people and others, as well as caring for patients with HIV, hepatitis, tuberculosis and sexually transmitted diseases. Additionally, they are available for consultation about medications, vaccinations and other health and safety issues for people traveling out of the country. (Traveling families are welcome at the clinic, too.)

“A lot of doctors are capable of doing pre-travel assessments,” Selby said. “But as ID specialists, we’re actually trained in pre- and post-travel counseling, diagnosis and treatment, from immunization to just-in-case prescriptions for diarrhea to fever evaluation after you return.”

Travel to Africa, Asia, South America and Central America comes with specific travel medicine recommendations, Selby said. People going to those areas of the world should see an ID physician before they travel – ideally four to six weeks before departure, though Selby said they will see people who are closer to their travel date.

If you are traveling and are unsure if you need a travel medicine consult, you can call the clinic for guidance, Selby said.

“We don’t just talk about infectious diseases,” she said. “We also discuss topics such as water and altitude safety. We look at embassy recommendations and make sure people are aware of any potential health or safety concerns in the country they’re visiting.”

The clinic can provide a number of commonly needed preventive drugs such as malaria prophylaxis, as well as an array of vaccines, including yellow fever, typhoid, hepatitis, influenza and COVID-19.

The pandemic did not spur St. Charles to launch the clinic, but the timing is fortuitous, Selby said.

“Most travel was on hold for the past couple of years, but people are traveling again and I think there’s a need for this kind of service – especially having providers who are trained to manage post-travel concerns. I think that’s a big plus,” she said, “and it’s exciting to offer this to the people of Central Oregon.”

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An osteotomy is any surgery that cuts and reshapes bone. Osteotomies are often performed to repair a damaged joint, or correct bone deformities. This can help to realign the joints, improve function, and reduce pain. The goal of an osteotomy is to preserve your normal joint anatomy and delay the need for a joint replacement for as long as possible. There are many types of osteotomies, including:

  • Hip osteotomy
  • Knee osteotomy
  • Spine osteotomy
  • Toe osteotomy
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Over 34 million people in the U.S. have diabetes and another 88 million are prediabetic. That means 1 in 3 people in America struggle with some form of the disease.

Two years ago, the Central Oregon Health Council awarded St. Charles a grant to purchase several continuous glucose monitors, which give diabetics an easy way to keep an eye on their blood sugar levels. (No more pricking fingertips!)

We launched a pilot program with 55 patients, and the results have been truly life-changing. Today, there are more than 200 St. Charles patients using the devices.

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“There were definitely a lot of people involved in this, and it just feels good knowing that I have such great colleagues to work with who were all willing to go above and beyond to learn what we were doing and understand the goal and help us improve. It’s nice to see that we can come together to make a more efficient process that will benefit the health system and, ultimately, our patients.”

Paulina, a coordinator on the Bend Ortho/Neuro floor who recently collaborated with several groups across the health system – including the Lean Improvement Office, Epic analysts, Wound Care nurses, the OR team, Environmental Services, Clinical Informatics, unit secretaries and more – to improve how the health system manages and tracks the use of rental wound vacuum-assisted closure (VAC) machines. Previously, Paulina was the only caregiver managing and tracking the machines, an extremely manual and time-consuming process. By incorporating Epic technology and working together to improve processes, the team was able to cut Paulina’s management time by half and increase the availability of VACs for patients.

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Workforce shortages, capacity concerns are rampant at Oregon hospitals

Over the past few weeks, you’ve likely seen a lot of headlines about hospitals’ capacity problems—including those at St. Charles. These problems are the result of many factors, chief among them short staffing and the inability to discharge patients.

Our state’s hospitals are as strained as they were at the peak of the Delta and Omicron surges. Patients are returning for much-needed care at the same time organizations can’t fill positions fast enough. This lost balance between supply and demand isn’t unique to health care, but it has the most serious consequences. This is especially true in Oregon, which has the lowest number of hospital beds per capita in the country. In “normal” times, this kind of efficiency is good. Right now, it’s disastrous.

As I write this, approximately 493 patients statewide are waiting to be moved from hospital beds to skilled nursing or assisted living facilities and another 224 are boarded in Emergency Departments, jeopardizing hospitals’ ability to admit patients who urgently need care. Recently, Salem Health—which has operated at more than 100% [BS1] capacity for more than a year—put ambulances on divert for the first time since 2008. In an interview on OPB’s Think Out Loud, CEO Cheryl Wolfe said the health system has since been “very, very close (to going on divert) multiple times because of the impact of not just the COVID patients, but also the number of ambulances coming to our Emergency Room.”

These aftershocks of the COVID-19 pandemic are rattling Oregon’s hospitals, demanding that we work with intensity and pace to find solutions. At St. Charles, we have a number of teams focused on initiatives to improve patient flow, bolster staffing and recruitment and ensure our caregivers have what they need to care for our patients.

We’re also partnering with the Oregon Association of Hospitals and Health Systems to ask the state of Oregon and the governor’s office to invest in short- and long-term solutions that will decompress the system. These include:

  • Declaring a staffing crisis in the state of Oregon
  • Expanding licensure both short- and long-term
  • Urging the state to join interstate staffing compacts, allowing nurses who are licensed in other states to work here (Oregon is one of only a handful of states not participating)
  • Allocating finances that will increase the availability of secondary care 

I know health care workers’ jobs are harder than they’ve ever been, which is why I take this work so personally and so seriously. These are challenges we have to overcome, for the good of our people, our organization and the communities we are proud to serve.

Sincerely,
Steve

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