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Oct. 20, 2020

Our opinion: This election, vote for healthy communities

Last week in Oregon, ballots were mailed to our homes, providing registered voters with an opportunity to have their voices heard on many important issues.

St. Charles Health System is endorsing two of those issues that we think are in alignment with our vision of “creating America’s healthiest community, together,” and I would like to share with you our reasons why.

Measure 108: Tobacco and e-cigarette tax increase for health programs 

We support Measure 108 because research has shown us that the single best way to reduce vaping and smoking is to increase the cost. If vapes and tobacco products are taxed more and thus cost more, we expect fewer people will use them, saving lives. 

As it stands now, Oregon doesn’t tax nicotine vapes one penny and has some of the lowest tobacco taxes in the country. We find this concerning since youth vaping in our state has increased 80 percent in the past two years alone. Tobacco companies are targeting kids with candy-flavored vapes that taste like gummy bears or cotton candy and are selling them for as little as 99 cents. According to the Journal of American Medicine, young people who vape are nearly three times more likely to start smoking cigarettes. 

Measure 108 was also written so that the dollars raised can only be used for tobacco cessation and prevention programs and to fund the Oregon Health Plan, which serves one in four Oregonians (including more than 400,000 children in our state), and nearly 56,000 people in Central Oregon. Measure 108 will protect this vital coverage, ensuring people continue getting the care they need, when they need it.

Measure 9-135: Bonds for traffic flow, east-west connections, neighborhood safety improvements

As a health care organization, we recognize that the path to good health starts outside of the walls of our hospitals and clinics. It involves not just the work of St. Charles, but also our cities, our schools, our nonprofit partners and our many wonderful local businesses coming together to ensure people who live here are safe and well-supported.

We support Measure 9-135 because it would allow the city of Bend to issue $190 million in bonds and invest that money in an increasingly stressed infrastructure. Passing the measure would help create safer street crossings and build a new network of sidewalks, bike lanes and bus pull-outs. These improvements would make it safer for our kids to get to school, for pedestrians and cyclists to get around and make navigating town easier for drivers.

Passing Measure 9-135 would also help fix dozens of intersections to reduce bottlenecks, build a bridge at Reed Market and upgrade traffic signals to improve traffic flow. It would improve east-west connectivity by building new links between existing roads, ensuring we can all get across town safely and smoothly however we travel.

As Bend grows, we think it’s important to protect our quality of life and our burgeoning economy. We need to preserve the vitality of our neighborhoods, improve the safety of our streets and help our local businesses thrive. For all of these reasons, we’d like to see this measure pass.

Make your voice heard

Whatever your opinion on these and other issues, I encourage you to vote and make your voice heard. As Americans, it’s one of our great privileges and responsibilities.

Remember, the last day to safely return your ballot by mail is Oct. 27. 

Be well,

Joe

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Stay strong Central Oregon 

In the past seven months, 22 people have died in Central Oregon because of the COVID-19 pandemic. 

Since March, 1,598 Central Oregonians have been struck ill with this virus – many of them have had significant health impacts and some have had a protracted illness with long-lasting symptoms. 

So far, 150 people have been discharged from a St. Charles hospital after needing care related to COVID-19. Of those, 31 have spent time in the ICU. The average length of stay for an ICU patient with COVID-19 is more than 15 days. 

This past week, we had another 97 positive COVID-19 cases in Central Oregon. That number is higher than it has been since early August. 

And yesterday marked the highest number of positive COVID-19 cases in the state since the pandemic began. 

All of this is to say that COVID-19 continues to be a real and very serious threat. Our numbers are up, which translates to people needing costly intensive care that could result in a lifetime of health-related struggles. 

Families throughout our region are mourning the loved ones they have lost. 

No matter how fatigued you may be by the restrictions in place and changes to our lives, we can’t give up. In fact, now is the time to continue staying strong and fighting even harder to protect ourselves and our loved ones. 

Several medical providers in our Central Oregon communities have messages to share with you about why all of this remains important. Please take a moment to listen to Dr. Natalie Good from Prineville, Dr. Alwin Borgmann of La Pine and Dr. Shiloh Tippet of Madras.

They understand that COVID-19 is serious. And they care about your health and the health of our communities. I hope you will listen to them. That you will continue to wash your hands, wear a mask, physically distance yourself from others and stay home whenever possible. 

I also hope you will take the advice of our medical professionals and be sure to get your flu shot as soon as possible. Dr. Sanaz Askari shares why this year the flu shot is more important than ever. 

Stay strong Central Oregon. Together, we will get through this. 

Sincerely, 

Joe 

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BEND, Ore. – St. Charles Health System is hosting a medication take-back event on Saturday, Oct. 24, from 10 a.m. to 2 p.m. at its St. Charles Bend hospital campus at 2600 NE Neff Road.

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 2019, the second year the event was held, St. Charles collected 327 pounds of medication from more than 300 people.

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 medications will be accepted. Liquids, pills, powders, patches, creams, prescriptions or over-the-counter medicines can be dropped off. Oncology medications will also be accepted.

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.

 

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Early in the summer, 10-year-old JC Lacks of Bend looked at his mom, Lori, and dad, Jon, and told them he wanted to do something to help with the fight against COVID-19.

“This was not prompted at all,” said Lori, a school teacher. “I looked at him and said, ‘What do you mean?’”

Her son was already dreaming big.

“‘What about all the doctors? Maybe we can do something for them,’” JC remembers asking his parents. “‘Or maybe we could come up with a cure for COVID.’”

Lori can’t help but smile when she remembers the conversation.

“I told him, ‘Yes, that would be nice, but let’s keep thinking about this,’” she said.

With shortages of personal protective equipment making headlines earlier in the pandemic, the Lacks ultimately decided to try running a fundraiser, with a goal of donating money toward the purchase of gloves, masks and other gear for frontline caregivers. They called it the Outdoor-A-Thon St. Charles Frontline COVID Fundraiser.

“We wanted it to be purposeful for the kids, to get them outside and to encourage them to be active,” Lori Lacks said. “Rather than just asking people for money, we decided to have the kids do whatever they want outdoors -- hiking, biking walking -- and log the miles, and we asked people to make a donation in a lump sum or per mile.”

JC wrote a letter explaining the idea and sent it out to neighbors, friends and family. Lori created a Facebook group to organize the effort. Word of the fundraiser spread and JC’s buddies started joining in and clocking their miles and posting pictures of themselves on trails, atop bikes and even floating the river.

“It was great motivation to get us out and doing something as a family,” said Lori. “We’d be out somewhere and we’d say, ‘If we just go 10 more miles …’”

All told, a group of about 15 participants tallied more than 350 miles, with JC logging 135 on his own. They ended the fundraiser on Aug. 31, but money kept coming in until the total amount raised reached $1,155.

Earlier this week, JC and his friend Parker Sheppard, 10, got to present a check for that amount to Dr. Jeff Absalon, St. Charles’ chief physician executive, and Carlos Salcedo with the St. Charles Foundation.

“Do you know what you guys have in common with everyone who works here at St. Charles?” Absalon asked the boys. “They care about helping people, and you guys do, too. That’s a great quality to have.”

After making the donation, JC and Parker were beaming.

“This makes me so happy that we were able to raise all this money,” JC said. “And we had a lot of fun doing it.”

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I’m sure many of you who are reading this are doing everything you can to avoid contracting or spreading COVID-19.

But are you doing what you can to avoid the twin-demic?

If “twin-demic” is a phrase that’s new to you, you’re not alone. Only in the past couple of months have I heard health experts and medical professionals use it to describe a looming concern on our collective horizon: the potential collision of two viruses – COVID-19 and the seasonal flu – that cause some of the same symptoms.

As you probably know, flu season typically runs from October through April, and every year, the flu sickens millions of people and kills tens of thousands more. That’s the bad news. The good news is the impact of the flu can be markedly reduced by getting a flu vaccine.

Let’s be clear: The flu vaccine is safe and effective. Getting it can cut the risk of catching the flu by up to 60%, and for people who do get sick, it can diminish the symptoms and shorten the illness. That’s why the Centers for Disease Control recommends that anyone older than 6 months of age get the flu vaccine by the end of October.

If you are a person who normally doesn’t think about getting a flu shot, this is the year to make it a priority. Jill Johnson, communicable disease supervisor for Deschutes County Health Services, explained why in The Bulletin recently:

“It’s especially important this year because of the COVID-19 pandemic,” she said. “The seasonal flu vaccine can reduce the spread of respiratory illnesses. The danger is even in a mild flu year, there could be hundreds of thousands of hospitalizations, coupled with COVID-19, that could overwhelm the hospital systems.”

In other words, by getting the flu vaccine, you’ll protect yourself and your loved ones from the flu, and you’ll be helping our team at St. Charles by not inundating our hospital beds with flu patients.

The threat of COVID-19 is still very real in our community, and over the next few months, it is absolutely critical that we all work together to try to minimize its impact and the impact of the flu on Central Oregon. You can do your part by washing your hands effectively and regularly, practicing appropriate physical distancing, wearing a mask over your mouth and nose and getting your flu shot.

And get it soon, because health officials say it takes two to four weeks to become fully effective.

One last time: Get your flu shot. It may just be the simplest way you can help us avoid a twin-demic.

Thank you for doing your part to keep this community healthy.

Sincerely,
Joe

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Above, Dr. Katie Ruth looks over Lindsey Hutchinson of Klamath Falls during an office visit at the OHSU-Cascades East Family Medicine Center in Klamath Falls, 2019. Ruth performed her residency at Cascades East, a collaboration between OHSU and Sky Lakes Medical Center working to improve health access in rural Oregon. Credit: OHSU/Kristyna Wentz-Graff

Oregon Health & Science University is in the early stages of creating what is expected to be the first graduate medical education program primarily based in Central Oregon.

OHSU has received a $750,000 grant from the U.S. Department of Health and Human Services through the Health Resources & Service Administration’s Rural Residency Planning and Development Program. OHSU will use the grant to develop a new family medicine residency program in partnership with Bend-based St. Charles Health System. 

“Establishing a family medicine residency program in Central Oregon can help address health care gaps that occur too often in rural areas,” said Joe Skariah, D.O., M.P.H., M.B.A., who directs OHSU’s family medicine residency program and is leading the new program’s creation. “Knowing physicians often choose to stay and practice in the communities where they complete their residencies, this new program could also attract more skilled and compassionate health care providers to Central Oregon.”

Residents are new physicians who have recently completed medical school and receive advanced training in a specific medical field. This program will focus on family medicine, primary care that specializes in caring for the entire family.

After receiving accreditation, the program could welcome its first residents as early as July 2024. The program’s first year, known as an internship, would be based out of OHSU’s Portland campus. The program’s subsequent years would primarily bring residents to St. Charles Madras. Many of the program’s details are still being decided, including the number of residents involved.

The program will build on OHSU’s long-established rural medical education program. Every OHSU medical student completes at least one month of training in a rural setting, including in the Central Oregon communities of Warm Springs, Madras, Redmond, Prineville and Sisters. During OHSU’s last academic year, 42 medical students had clinical rotations with Central Oregon physicians, many of whom are associated with St. Charles Health System. Portland-based OHSU residents have also had rotations in Bend and Warm Springs. 

The new residency program is being organized through the OHSU School of Medicine’s Department of Family Medicine, which was recognized this year by U.S. News & World Report as the nation’s best family medicine program. OHSU is home to one of the oldest family medicine residency programs in the U.S., and the first family medicine residency program in Oregon.

“I am excited to grow our collaboration with OHSU and create an important avenue for medical education in Central Oregon,” said Robert Ross, M.D., director of provider academics research and clinical service at St. Charles Health System and a clinical associate professor of family medicine at OHSU. 

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Watching the many wildfires burning in Oregon over the past week has been terrifying, heartbreaking and exhausting – both physically and emotionally. Like you, I understand the concerns about the hazardous air quality and I’m worried about all those who have been displaced by this horrific natural disaster.

On top of all of that, we are still focusing on responding to the COVID-19 pandemic and are now preparing for our annual flu season. It’s a lot, but I want you to know that St. Charles is here for you and continuing to provide the community with information, resources and the care you need.

The good news, on the COVID-19 front, is that our hospitalization numbers remain low and because we have worked together in our communities to contain the spread of the virus many of our kids are able to return to school sooner than expected. We need to keep this up by continuing to wear masks, wash hands and physically distance. For some of our team’s latest understanding of the COVID-19 virus, please watch this video featuring Dr. Bob Pfister.

Wildfires and smoke

Now that we have wildfires causing people to seek emergency shelter across the state, we are concerned the virus could find new, vulnerable populations in which to spread. It is incredibly important that we do our best to support those in need during this time.

Here are several resources for ways to help put together by the Central Oregon Emergency Information Network:

In addition to these many resources, the Oregon Association of Hospitals and Health Systems has established a fund to specifically help the more than 100 health care workers in the state who have lost their homes. You can learn more about this effort here.

For those of you concerned about the health effects of exposure to the wildfire smoke, please watch this video featuring Dr. Nathan Ansbaugh, one of our emergency physicians. The main takeaway is to stay indoors if you are at high risk of having lung issues. We are all hoping for clearer skies going into this weekend.

The flu

While many of the things affecting our lives are outside of our control – a pandemic, wildfires and smoke – there is one action we can proactively take to help ourselves over the next few months and it’s actually quite simple.

Please, get your flu shot. 

If you are a person who doesn’t normally think about getting a flu shot, this is the year to make it a priority. You will protect yourself and your loved ones from the flu and you’ll be helping our team at St. Charles by not inundating our hospital beds with flu patients.

Thank you for doing your part to keep all of us as healthy as possible.

Sincerely,

Joe

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Below, you can see our subscriptions. Check the library blog regularly for help and tips on using the resources, and contact us if you have any questions. 

If you need an article or other resource not on the list, email us, and we'll help! For hard-copy book suggestions, use this form.

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TARGET AUDIENCE: The St. Charles Medical Library provides physicians, advanced practice providers (NPs and PAs), and clinical pharmacists across Central and Eastern Oregon with direct access to the most up-to-date, evidence-based information available.

Location: St. Charles Bend Campus. The Library is located on the second floor (Bend Hospital) above the deli. Access is provided to all caregivers.

Medical Librarian: Javier Leiva.

Whatever your job responsibilities at SCHS, sometime during the year you will need information – to treat a patient, evaluate programs or services, educate staff or patients, or for your own health concerns. Do you know where to find the information you need?

The SCHS Medical Library is here to meet your knowledge-based information needs. Whether you come into the library or communicate via email, phone, or interoffice mail, the library has many information resources and services to help you.

Please check: 

Library resources      Library Blog

Do you need an article, a book chapter, or another document? Reach out for help at any time via email: [email protected].

If you want general consumer health information, please contact the Deschutes Public Library &/or Deschutes County Public Health.

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”Being in the mountains, that's a huge, huge part of me. It speaks to the balance in my life, having one foot in work and the other foot solidly planted in the things that fill my existence. I go out (almost every day) and drain myself physically, which fills me up emotionally and gets me excited to help others. It’s a major part of my own mental health. Without it I’m OK, but I’m not my best self without that connection to the outdoors and being disconnected from my phone and my email and the buzzing of the world around me."

- Adam, supervisor of clinic operations for Outpatient Behavioral Health, who loves just about any form of outdoor recreation, especially backcountry skiing and ski mountaineering

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