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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. If you are not accessing them from the SCHS campus, it's always best to log in to the system VPN for smooth access.

If you need an article or other resource not listed, please email us, and we'll be happy to help. For hard-copy book suggestions, use this form.

Point of Care: 

Printed books:

Ebooks:

Databases:

Journals:


Check the library blog regularly for helpful tips on using our resources, and don't hesitate to contact us if you have any questions or want to suggest new resources to be added to this page.


Other resources (not subscribed to by the library):

 

 

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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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With the pandemic nearing the six-month mark and the start of the school year approaching, more and more parents are wondering how COVID-19 is affecting children and how to help their kids navigate this time of uncertainty and change.

In an effort to provide guidance and resources, local health care organizations have teamed up to host a live, interactive panel discussion among pediatric providers on Facebook Live at noon on Sept. 8. The panel of experts will feature:

  • Licensed clinical social worker Regina Joshi-McGaw from Central Oregon Pediatric Associates (COPA)
  • Pediatric neuropsychologist Dr. Daniel Kriz from the St. Charles PEDAL Clinic
  • Licensed clinical social worker Lindsey Overstreet of Mosaic Medical

The agenda will include a presentation by the panelists as well as a time for Q&A with the virtual audience. The presentation – titled Parenting in a Pandemic – will cover a wide range of topics, including back-to-school challenges, caring for your child’s mental wellbeing, keeping your kids safe in their interactions with others (both virtually and in real life) and the importance of caring for yourself so you can care for others.

“Without a doubt, this is a challenging time for all of us. COVID-19, separation from loved ones, social unrest, intense images on TV -- there are a lot of things happening that could cause kids to ask questions or to feel stressed or scared,” said Joshi-McGaw.

“It’s important for parents to remember that kids are not adults,” she continued. “They receive and process information in their own way, and they really need the adults in their lives to talk with them and help them understand what’s going on and what it all means.”

The event will be broadcast on the St. Charles Facebook page and also shared on the COPA and Mosaic Medical Facebook pages.

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In accordance with contact tracing guidelines from the Oregon Health Authority, door screeners are now collecting names and phone numbers of all visitors who enter any of St. Charles’ four hospitals.

The organization is committed to protecting the privacy of patients and visitors and will not use the information gathered at screenings unless it’s required for contact tracing.

Please note that this important new protocol could cause delays at visitor entrances.

The collection of contact info is a new addition to St. Charles’ visitor restriction policy as a result of COVID-19. Since March, door screeners have been following strict protocols to help keep St. Charles patients and caregivers safe and the health system functioning. These include:

  • Requiring individuals to adequately sanitize their hands.
  • Requiring all patients and visitors to wear a mask or face covering.

Read more about St. Charles' efforts to control access during the pandemic.

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At St. Charles, we work hard every day in pursuit of our vision: creating America’s healthiest community, together.

That last word – together – is a key component of our work.

As Oregon’s leading health care organization east of the Cascades, St. Charles plays a major role in the health of the communities we serve. But we can’t do it alone. We need an engaged constituency made up of people who are interested in health issues – the kind of people who not only open an email from their local health system, but also read the latest update from the health system’s CEO. (Thank you for doing so, by the way.)

We also need dedicated, knowledgeable community partners who share our vision for a healthier Central Oregon.

St. Charles is fortunate to work with many local organizations that fit that description. One of those is Stroke Awareness Oregon (SAO), which is expanding stroke education across the state and improving outcomes for stroke survivors.

By relentlessly focusing on stroke awareness and education, SAO is giving Oregonians the tools they need to do their part for stroke victims. That’s because stroke care is highly dependent on people who know the signs of stroke and can alert emergency responders quickly. For stroke victims, if a friend, family member, coworker or even a stranger doesn’t spot the symptoms and seek help, doctors cannot provide treatment.

At St. Charles, we’re doing our part, too. Led by a group of caregivers who are exceedingly committed to improving stroke care in our service area, the health system's stroke program has made some incredible advances over the past few years:

Number one, we have significantly increased our usage of t-PA, the best available medication to dissolve blood clots. At all four of our hospitals, this change is improving outcomes for stroke patients.

Number two, we now have 24/7 coverage of our Bend hospital by physicians trained in interventional stroke care. Using cutting-edge technology, these doctors are able to provide life-saving treatment as soon as a stroke victim comes through the door.

Number three – and this is a big deal – we are launching a rural outreach program. This will make our exceptional stroke care available to people in rural areas throughout Central and Eastern Oregon and, we hope, reduce the number of stroke victims being transferred out of state.

With a stroke, a rapid response is absolutely critical. For every minute treatment is delayed, 2 million brain cells will die. Every hour of delay leads to at least a 20% drop in recovery rates.

A rapid response is complicated, however, by the fact that St. Charles serves a huge, sparsely populated area. So we’re doing everything we can to ensure rural hospitals know about our stroke care program and we’re working with emergency responders across the state to get people the care they need as quickly as possible, including automatic deployment to stroke victims in rural and remote locations.

We’re also reaching out to our colleagues in towns like John Day and Burns to ensure we’re all working from the same modern playbook when it comes to stroke care. We believe this new program can serve as a model for similar areas and will save many lives.

There are other initiatives underway, too, all focused on one thing: Improving long-term outcomes for stroke victims in Central and Eastern Oregon. That’s our ultimate goal at St. Charles, and we’re proud to work with Stroke Awareness Oregon to get there together.

If you want to make sure you know the signs of a stroke – easily remembered using the acronym F.A.S.T. – please check out SAO's website for more information.

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