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Arthroscopic knee surgery is a safe and effective tool for diagnosing and treating knee problems. The word arthroscopy comes from the Greek words, “arthro” (joint) and “skopein” (to look). The term literally means to look within the joint. During the surgery, an orthopedic surgeon makes 2-3 small incisions to insert instruments into the knee joint. These instruments contain a lighting system to illuminate the structures inside the joint and a miniature camera, so the surgeon can visualize and examine the inside of the knee. They can examine the bones, cartilage, and ligaments of the knee and repair or correct various problems or injuries. Some of the more common reasons that knee arthroscopy is done include:

  • Torn meniscus
  • Abnormally formed mensicus
  • Fractures in or near knee joint
  • Repair of torn ligaments, such as ACL, PCL, and MCL
  • Persistent knee pain (for accurate diagnosis, combined with an evaluation, and imaging studies)
  • Removal of inflamed lining (synovium) in the knee
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Dr. Emily Baird works for Bend Anesthesiology Group, but she spends many of her days in St. Charles’ Family Birthing Center, working closely with nurses and doctors to deliver healthy babies.

That’s where she found a group of people to join her on a medical mission trip to the western highlands of Guatemala.

“I had told some of the labor and delivery nurses that I was going on this trip, and I was shocked at the interest,” Baird said. “Since I got back, even more people have said that next time, they want to go.”

In fact, there’s a long history of St. Charles caregivers traveling to Nuevo Progreso, a rural area in the southwest corner of Guatemala where crime rates are high and health care services are scarce. They go to work alongside resident health care workers at Hospital De La Familia, where they provide general medical care and specialized treatment and surgeries for locals, regardless of their ability to pay. (The foundation that organizes the trips also sends teams to provide vision care, maternal health services and care for malnourished children.)

Baird and three registered nurses — Nikki Truhlar, Dana Carmichael and Clarena Rule — from the Bend Family Birthing Center went to Nuevo Progreso in February. Over the course of five days, they provided much-needed treatment to more than 100 people, many of whom traveled long distances to receive care.

“Some come by bus. Some of them walk there. But they come because we are offering free medical care. They don’t have to pay anything,” Baird said. “The amazing thing about these patients is just how incredibly resilient and grateful they are. It’s remarkable to take care of them.”

The medical mission performed multiple medical services, including hysterectomies, hernia repairs, gallbladder removals and resection of uterine polyps. In addition, the group hosted a pregnancy clinic, offering screening ultrasounds and prenatal care in a region where physician-supervised prenatal care is uncommon.

One of goals was to build trust and enhance medical knowledge within the community of Nuevo Progreso.

“The hope was that there could be some education, and that this is something they will continue to do after we’re gone,” Baird said. “It was also a step toward trying to build some trust between the medical community and the patient population.”

When performing surgery, the team worked in a spartan room with three operating tables situated side by side, about 8 feet apart. They supplemented the hospital’s supplies with donated equipment and medications — including a couple thousand dollars worth from St. Charles, Baird said, which helped ensure a safe anesthetic experience for patients.

“Those are medications that I can’t get in Guatemala, but I really wanted to take them down there with me,” she said. “I think the most impressive thing was just how willing everyone I talked to at St. Charles was to help. I didn’t have to plead my case that hard, and just seeing how excited they were to help however they could made me feel really proud.”

For Truhlar, February’s trip was her second time working at Hospital De La Familia. This time, she managed post-anesthesia care for patients and coordinated logistical aspects of surgeries — two very different roles than what she has done for St. Charles for the past 15 years.

“We all kind of rotated around a little bit, which is part of the experience,” she said. “It’s not about going down and finding your niche and focusing on that, but to have the opportunity to experience a lot of other types of nursing, and to be part of a team that can come in and provide quality care for the people there.”

In particular, Truhlar enjoyed working alongside the hospital’s caregivers and augmenting the care they provide for the people of the region.

“I got to see how they do their daily functions and how they manage patient care, and that really allowed me to have an understanding of the hard work they do,” she said. “It’s not just caring for the patients, but also recognizing the people who work there and how much work goes into caring for their own community.”

The trip was a perfect fit for Carmichael, who makes a habit of volunteering in fields that are important to her. Locally, she works with Street Dog Hero, and in Nuevo Progreso, she helped prepare patients for surgery.

“I like traveling. I like medicine. I like being of service. It’s a beautiful country and beautiful people,” she said. “It was just a cool experience in so many different ways, and something like this can kind of reset your priorities, you know? You come away saying, ‘OK, this is why I’m here. This is why I chose this profession.’”

In the evenings, the group engaged in community activities, playing soccer and volleyball with locals and participating in exercise classes. They lived in dorm-style rooms and at the end of the trip, hiked a volcano together. And when they arrived home in Central Oregon, they shared a stronger bond and new perspectives on both the world at large and the work they do every day.

“Trips like this reinforce for me just how happy the people are and how vibrant their lives can be with so little,” Baird said. “I also think it reinforces that it’s such a gift to be able to practice medicine and to be able to help people. And it was very fun to do it with people that I continue to work with now that we’re home.”

Pictured in the left-most image below, clockwise from upper left, are Dana Carmichael, Emily Baird, Nikki Truhlar and Clarena Rule. All photos were taken by Nikki Truhlar.

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At the St. Charles Cancer Center, healing takes many forms. Thanks to Foundation donor support, in addition to traditional medical treatments, cancer patients in Central Oregon also have access to massage and reiki therapy at no cost.

These integrative therapies complement traditional cancer treatments by supporting the whole person. Patients often face anxiety, fatigue and physical side effects like muscle tightness or nerve pain. Reiki and massage offer relief from these symptoms while providing a restorative and calming environment that promotes healing.

These therapies are making a real difference. In 2024 alone, patients received 1,162 massage treatments and 477 reiki sessions, provided by 15 reiki volunteers and licensed massage therapist at the Cancer Center.

“These services are much more than just comfort, they are essential tools in a patient’s healing journey,” said Jane Cook, a cancer patient who received these treatments.

Jane was introduced to the Cancer Center’s integrative services in 2022 during her treatment for lung cancer. She knew these therapies would be vital to her care and has since received reiki and massage regularly, finding both physical relief and emotional strength through these sessions. She says reiki, something she had never tried before, has become a source of emotional and spiritual healing. Massage therapy has helped alleviate the lasting effects of radiation, especially in her head and neck.

“Fighting cancer and healing is not just about the medicine. It’s your mental approach, your physical comfort and feeling like you’re a part of a supportive community. These services help me stay above water and gives me something positive to look forward to,” said Jane.  

Patients like Jane, who find strength, healing and comfort through integrative therapies, are a testament to the powerful impact of your donor support.

The opening of the St. Charles Cancer Center in Redmond in early 2026 will allow us to expand these vital services to even more patients, including those living in our rural communities.

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St. Charles Foundation invites the community to register for the 26th annual Heaven Can Wait 5k, which will take place on Sunday, Oct. 5 at 10:30 a.m at Redmond High School.

Heaven Can Wait is a family-friendly walk and run that raises funds for Sara’s Project, which provides education, early detection and support services to people across Central and Eastern Oregon facing breast cancer.

Since it began in 2000, Heaven Can Wait has welcomed 59,637 participants, including 5,729 breast cancer survivors and has raised over $1.75 million to support local cancer patients and their families.

“Heaven Can Wait is all about coming together as a community, celebrating survivors and supporting those affected by breast cancer,” said Jenny O’Bryan, director of St. Charles Foundation. “It’s such a wonderful, heartwarming event and it’s amazing to see survivors connect and celebrate how far they’ve come.”

Participants can register and begin fundraising at this webpage.

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Today, St. Charles’ new community pharmacy in Madras is open to the public, bucking the nationwide trend of pharmacy closures and helping fill a critical health need for the region. 
 
“Today is an exciting day for our community and St. Charles, as we are opening a pilot community pharmacy in Madras to help increase access to medicine for Central Oregonians,” said Todd Shields, vice president hospital administrator for St. Charles Madras. “We are tremendously grateful to the organizations that supported the effort to open a new pharmacy, including the Central Oregon Health Council, Roundhouse Foundation, Bean Foundation and Mid Oregon Credit Union. Thanks to this outpouring of support, we are able to provide this much needed service to the residents of Jefferson County.”  
 
The new pharmacy is located at 65 N.E. Oak Street, Suite 100 and will be open Monday to Saturday from 9 a.m. to 6 p.m. The pharmacy will fill prescriptions (in store and via a drive-up window) and provide immunizations, medication management, injections for long-term care needs and retail sales for over-the-counter medicine and durable medical equipment (like crutches or walkers).  
 
Learn information about how to fill a prescription at the new pharmacy and other details on our pharmacy webpage

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I’m excited to share with you St. Charles' new annual report for the year 2024. Putting it together is a sizable task for several of our caregivers, and I’m appreciative of their efforts.

Last year, when we created our 2023 report, we oriented it to illustrate the profound impacts of the COVID-19 pandemic on our health system
— impacts that will continue to reverberate for the foreseeable future.

Even then, however, we knew that we must place renewed focus on one of our core goals: To provide the best care possible to the communities we serve. This is especially true right now, as the American health care landscape becomes more and more challenging and uncertain.

The good news: Central Oregon can count on St. Charles. For more than a century, we have been committed to the health and well-being of this region, and in 2024, that commitment blossomed into action over and over again.

Throughout the report, you’ll find facts and figures. But alongside them you’ll find story after story about the health system’s efforts to provide the best care possible by preserving, expanding and improving critical health care services within the communities we serve. From La Pine to Warm Springs, Sisters to Prineville and all points in between, we are stepping up to fill gaps in care wherever we can.

It’s pretty awesome to compile these efforts into one document and consider them all together. It fills me with enormous pride to see the collective results of our efforts to provide excellent care — for Central Oregon, in Central Oregon.

I want to take this opportunity to express my deepest gratitude to the more than 5,000 caregivers who make St. Charles such a great place to provide and receive care. Our 2024 annual report is a celebration of them and the important and impactful work they do every day.

Thanks, as always, for your interest in our work.

Sincerely,
Steve

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Eight nurses from St. Charles Health System recently earned DAISY Awards for Extraordinary Nurses, recognizing the outstanding, compassionate nursing care they provide patients and families every day. The nurses, who represent all four St. Charles hospitals in Bend, Redmond, Madras and Prineville, were recognized with a ceremony on their respective units and presented with a certificate, a pin and a "healer's touch" sculpture by their hospital’s chief nursing officer.

The five direct-care nurses earning DAISY awards are:

Emily Cahoon, an Intermediate Care Unit nurse at St. Charles Bend, was recognized for providing exceptional care to a postpartum patient who was also recovering from a stroke. She was specifically recognized for assisting in finding a treatment plan that fit the patient’s specific needs as a new mom.

Acacia Knutzen, a nurse at St. Charles Redmond, was recognized for the compassionate and skilled care she provided to a patient in their final days and the comfort she offered to their family. She supported the family with empathy and understanding during a difficult time, while also providing exceptional medical care.

Melissa Levesque, a nurse at St. Charles Prineville, was recognized for her strong teamwork and dedication to supporting her fellow caregivers. She was also commended for being a mentor to her team, inspiring and empowering others to grow and succeed in their roles.

Jessica Thurman, a nurse at St. Charles Madras, was recognized for not only providing exceptional care but also for her thoughtful gesture of purchasing a floral bouquet and card, signed by fellow nurses, to celebrate a patient and their spouse on their wedding anniversary.

Jonathan Schneider, an infusion nurse at St. Charles Cancer Center in Bend, was recognized by a patient for “exemplifying the very best of nursing. His compassion, his humor and his ability to bring light into the lives of his patients make him an extraordinary caregiver. He doesn’t just treat illness — he treats the soul.”

The three nursing leaders earning DAISY awards are:

Erin Olsen, a nurse leader at St. Charles Redmond, was recognized by a fellow caregiver for “creating an environment where teamwork thrives, where challenges are met with solutions, and where successes — big or small — are celebrated. Her dedication, kindness and unwavering support make all the difference, and I couldn’t ask for a better leader.”

Jennifer Brooks, an ambulatory nurse leader at St. Charles Bend, was recognized for her exceptional leadership and consistent support of caregivers and patients. She received special praise for her role during the recent integration with St. Charles Center for Orthopedics and Neurosurgery, where she continues to provide hands on assistance and advocate for caregiver needs.

Taylor Jones, a nurse leader for Sage View and in-patient behavioral health, was recognized for her remarkable leadership and dedication to improving behavioral health care. Through her leadership she has improved patient outcomes and fostered a supportive and collaborative environment for her entire team.

About the DAISY Awards:

The DAISY Foundation is a not-for-profit organization that was established in memory of J. Patrick Barnes by members of his family. Patrick died at the age of 33 in late 1999 from complications of Idiopathic Thrombocytopenic Purpura (ITP), a little known but not uncommon auto-immune disease. (DAISY is an acronym for Diseases Attacking the Immune System.) The care Patrick and his family received from nurses while he was ill inspired this unique means of thanking nurses for making a profound difference in the lives of their patients and patient families. This is one initiative of The DAISY Foundation to express gratitude to the nursing profession. Additionally, DAISY offers J. Patrick Barnes Grants for Nursing Research and Evidence-Based Practice Projects, The DAISY Faculty Award to honor inspiring faculty members in schools and colleges of nursing and The DAISY in Training Award for nursing students. More information is available at http://DAISYfoundation.org.

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Sports Medicine

Benefits of sport participation and athletic trainers

Promoting the health and safety of kids through access to sports medicine services and education is our mission. To accomplish this, we place certified athletic trainers in Central Oregon high schools. This is the heart of our Sports Medicine Program. Athletic training services include injury prevention, clinical recognition and assessment, emergency care, injury treatment and rehabilitation. In addition, athletic trainers educate students, parents and coaches on sports safety and injury prevention. Our athletic trainers serve in seven high schools with more than 5,000 STUDENT ATHLETES at more than 1,400 SPORTING EVENTS per year and keep kids safe at NO COST to the students or families they serve. 

Studies show that student involvement in sports is key to their overall physical, social and educational development. Students who play sports learn the importance of working in teams and collaborating, which helps them succeed later in life. Sports activities increase student success in academics, social interaction and high school completion. Furthermore, athletic participation decreases tobacco use, drug abuse and obesity. 

For these reasons, we feel it is important to keep students participating in athletics, as well as keeping them safe. Coaches readily state that they are unqualified to care for injured athletes. They need the St. Charles Center’s Sports Medicine Program and professional medical staff to provide immediate and on-going care. Moreover, research demonstrates that schools with certified athletic trainers have lower serious injury rates better concussion identification rates and faster return to play rates. 

It is clear to us that certified athletic trainers are the key to keeping young athletes safe and participating in the sports they love. We are immensely proud of our high school Sports Medicine Program and the work of our athletic trainers in communities across Central Oregon. 

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While most concussions heal relatively quickly (1-2 weeks for a return to normal activity) concussion recovery can take much longer if not treated properly. In fact, the most important aspect of speedy concussion recovery is early medical care. Studies show faster recovery when an athlete is seen by a healthcare provider within one week of injury. Often, the first person to see an athlete following injury is their athletic trainer. This is because athletic trainers are on the sidelines during practices and games – at the moment an injury occurs. 

Concussion recovery can be seriously delayed if activity is continued following an injury. For example, 10-20 percent of individuals experience what is known as post-concussion syndrome – when symptoms persist longer than the anticipated recovery time. Importantly, continuing to play immediately following injury may dramatically slow recovery. This affects mood, sleep, appetite, and academic performance long-term. In some instances, these symptoms may last for weeks, months, and sometimes years following the original injury. As a result, treatment and recovery will vary depending on the symptoms that the individual is experiencing. 

Second Impact Syndrome occurs when an individual gets a second concussion before they have recovered from the first concussion. In this case, there is rapid and immediate swelling of the brain. While very rare, Second Impact Syndrome is always catastrophic, with an estimated 50% death rate and 100% permanent impairment. 

First … removal from play

When a concussion is sustained, it is critical to remove the athlete from play immediately. As stated above, continuing to play after injury will significantly delay recovery and increase the risk of Second Impact Syndrome. As an athlete, don’t stay silent if you suspect you might have a concussion! Report it, and remove yourself from play. Our athletic trainers are specialized in evaluating concussions and facilitating proper concussion treatment and recovery. They are there to help you recover and return to sports as quickly and safely as possible. In addition, athletic trainers work closely with physicians and other healthcare providers to ensure a fully supported recovery process. In fact, complete recovery is critical before returning to sports, regardless of the severity of the concussion. 

While removal from play and rest are the recommendation for the first 48 hours following injury, there are many additional steps athletes can take to help speed concussion recovery. 

Light exercise

After the first 48 hours, light exercise is recommended even if symptoms are still present. Typically, this includes activities like walking or riding a stationary bike for no more than 30 minutes. At the same time, it is important to monitor your symptoms during light exercise. Specifically, activities that make your symptoms worse are not light enough. In addition, any activity where you risk an impact to the head must be avoided. 

If you are having difficulty with light exercise, seek help. An evaluation with your athletic trainer, physical therapist, or concussion specialist will help you find the appropriate level of exercise. 

Mental rest

Mental rest means avoiding screen time and stimulation as much as possible. This is especially true early in the recovery process. Then, as symptoms start to resolve, you can slowly add screen time back in as long as symptoms don’t worsen. Ultimately, computer work, internet use, video games, television, text messaging and cell phone use, bright lights, loud music, loud noises, parties, concerts, driving, and school work can all delay recovery. 

Good sleep  

Make every effort to keep a regular schedule for bed time and waking up.  Sticking to a schedule can make falling asleep and staying asleep much easier. This is important because the brain needs rest to recover, and sleep provides the best environment for healing to occur. Click this link for more tips on good sleep for teens provided by Children’s Hospital of Orange County. 

Help with school 

Some people need extra help to perform school-related homework and classroom work. In fact, academic accommodations protect the brain from over-use during healing. Your physician, or a specialist at the St. Charles Concussion Clinic can provide academic accommodation paperwork to the school. As your symptoms decrease, accommodations will gradually be removed.   

Keep it calm 

Daily activities, basic chores, and interacting with friends should all take place in a low-key environment. In addition, you should take frequent rest breaks if you start to feel tired or fatigued. One strategy is to break up activities into short 10 minute intervals throughout the day, resting in between. While rest is important, gentle activity is also encouraged, so mix it up. 

Healthy diet

A healthy and balanced diet is always important, but even more so when recovering from a concussion. Also, stay hydrated with plenty of water.   

Medical support 

You don’t have to do this alone! If your symptoms are not getting better, there are many health care professionals who can offer additional therapy for specific concerns. Some of these include physical therapy for headaches, balance, exercise intolerance and vision impairments. 

NOWcare at the St. Charles Center, offers immediate concussion evaluation with no appointment. NOWcare is available Monday through Friday, 9 a.m. to 4 p.m. with same-day SWAY testing, if needed. Click here for more information. 

In addition, if your child plays high school sports in Central Oregon, your high school athletic trainer is available during school hours. Find your high school athletic trainer HERE