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It was an early December morning in 2017, and Brett Kinnard was most of the way to Prineville for work when he realized something didn’t feel right. 

“It was bad,” the 32-year-old Bend man said late last month. “I drive my truck … and oh man … ow … ouch … big time … big time. And pain, and pain. Oh my gosh.”

And that’s where Brett’s streak of good luck started. Despite an intense headache and blurry vision, he was able to turn around and drive all the way back home. There, his wife Heather was home when she typically wouldn’t have been. She had dropped their children at daycare and stopped back by to grab something on the way to another appointment.

“I heard him come in loudly, stumbling around. I thought, ‘What the heck is this guy doing here?’” said Heather, a registered nurse on St. Charles Bend’s surgical floor. “He was walking around opening cupboards and not saying anything to me. Which is not abnormal for husbands to ignore their wives, right?”

But this was different. Brett was clearly looking for something. When Heather asked him what he needed, he replied, “Pencils.”

She was confused. “Why do you need pencils?” she asked.

That’s when Brett responded with a nonsense string of words that worried both of them.

Heather went into nurse mode. She sat Brett down and did a quick assessment. He seemed a little panicked but otherwise looked fine. She looked for the FAST signs of stroke: F for facial droop (nope), A for arm weakness (nope), S for speech difficulties (yup). She decided it was T -- time to go to the hospital.

“I just had this really bad gut feeling that he was having a stroke,” Heather said. “We got to the emergency room in about five minutes and he walked in just fine, but by the time he was in triage, his face was starting to droop.” 

Indeed, Brett had suffered an embolic stroke, which means a blood clot traveled to his brain. He spent three days in the ICU, a couple days in Ortho/Neuro and then four weeks in inpatient rehab, where he entered completely paralyzed on his right side and mostly unable to speak.

“The only words he could say reliably,” Heather says with a laugh, “were curse words.” 

Thanks to his strong work ethic and St. Charles’ excellent rehab program, Brett left inpatient rehab walking with a cane.

“Our experience at St. Charles, from the second I walked into the ER till now through the ICU through inpatient rehab and then outpatient rehab has been amazing,” Heather said. “There was never a time when I felt like we could have been in a better place for him to get better.”

By March of 2018, Brett was snowboarding with the help of the folks at Oregon Adaptive Sports. Since then, he has biked and climbed at the rock-climbing gym, and this winter he’s snowboarding with no extra help or gear. In February, Heather came home to find him on the roof of their home, removing ice dams.

“Oh my gosh. It’s awesome. Big time,” Brett says. “Speak is … better. But leg and arm is awesome.”

Over the past 18 months, Heather has become a sort of amateur speech therapist, and last winter, she saw Brett’s speech progress starting to plateau. So she started researching intensive speech therapy options and found The Aphasia Center, a private treatment center in St. Petersburg, Florida. From mid-March to mid-April, Brett stayed at the center and worked with a therapist for five-to-six-hours-a-day, five-days-a-week. When he wasn’t working on his speech, he was outside soaking up the sunshine and warm weather.

 “He has been really motivated, so I wanted to give him something to look forward to, but also give him a challenge to get better,” Heather said.

As always, Brett was up for that challenge.

“Let’s go! That’s fine. Exciting,” he said. “I need my life. So it’s like … OK. Let’s go.”

Brett has been back for a month now, and Heather called the progress he made there “remarkable,” especially given that he’s now 18 months post-stroke. These days, their kids understand Brett better than anyone, she said.

“They just adapt so quickly. They finish his sentences for him. They know what he wants before he knows what he wants,” she said. “They notice if he says something he’s never said before. They’re his little cheerleaders.”

The kids are just part of Brett’s support system. His parents spent several months in Bend last year to help him and Heather. His twin brother Todd comes to visit and hang out and have fun. A whole bunch of people contributed to a GoFundMe fundraiser to help the Kinnard’s pay for Brett’s trip to The Aphasia Center.

“A lot of people like Brett,” Heather says, her voice quivering ever so slightly. “And I feel like he’s always felt like he has someone to get better for, which is really important. It wasn’t an option to just sit around and not get better.”

Brett agrees. And when he does so, his message and his motivation comes through crystal clear.

“Fills my soul,” he said. “Kids and a wife … are amazing.”

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Central Oregon health care providers and public health departments are working together to raise awareness of safe sleep practices in response to troubling data that suggest the number of infants dying while sleeping is on the rise.

Between 2012 and 2017, 14 Deschutes County children died by suffocation or strangulation while sleeping, according to statistics provided by the state of Oregon. Five of those deaths occurred in 2016 alone, compared to one death in 2012.

The Deschutes County Child Fatality Review—a team of multidisciplinary community agencies that convene twice a year to identify trends and possible interventions—was motivated by the concerning rise in sleep-related infant deaths to create awareness of the problem.

Spearheaded by KIDS Center and St. Charles Health System, a collaborative effort has begun to more proactively share information about safe sleep practices on social media channels and in clinics through the end of June. Summit Medical Group Oregon, Central Oregon Pediatric Associates (COPA), Mosaic Medical and public health departments in Crook, Deschutes and Jefferson counties are also participating.

Dr. Nancy Heavilin, a pediatrician and KIDS Center’s medical director, said the number of infant deaths is a sobering reminder of the importance of safe sleep practices.
“In reviewing the data, it became clear our community needs to talk more about how to safely prepare a baby for sleep,” she said. “With proper education, fatal circumstances can be prevented.”

The leading cause of death for infants 1 month to 1 year old is Sudden Unexpected Infant Death (SUID), which includes sleep-related deaths and SIDS, according to the American Academy of Pediatrics.

Dr. Logan Clausen, chief medical officer at COPA, said more than 95 percent of SIDS cases are associated with one or more risk factors. The most common risk factors for babies are sleeping on a soft surface, sleeping on their stomach and exposure to parental smoking. Premature babies and low birth weight babies are also at higher risk, as are those who sleep in the same bed as their parents.

“The safest way for babies to sleep is on their back on a firm mattress without any crib bumpers, stuffed animals, thick blankets or pillows in the sleeping area,” Clausen said. “Exposure to any second-hand smoke should also be limited.”
The best way to prevent SUID is to:

  1. Put babies to sleep on their back. When they’re too young to turn themselves over, this is the safest way to sleep.
  2. Put them to sleep in the same room as their caretaker, but in their own space.
  3. Use a firm, flat mattress.
  4. Keep the sleep surface clutter-free (skip the bumpers, blankets, pillows and toys.)

Dr. Brooks Booker, a pediatrician at Summit Medical Group Oregon, added, “Be sure to schedule and go to all well-child visits. Your baby will receive important immunizations at these doctor visits. Recent evidence suggests that immunizations may have a protective effect against SIDS.”
For more information about how to help babies sleep safely, visit HealthyChildren.org/SafeSleep.

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St. Charles Cancer Center was awarded the 2018 Outstanding Achievement Award by the Commission on Cancer of the American College of Surgeons

The center was one of only two accredited cancer programs in Oregon — and one of 24 in the country — to receive this honor, out of more than 500 cancer surveys performed in 2018, placing it in the top 5 percent of all U.S. cancer programs. 

“This award recognizes the comprehensiveness and excellence of our cancer treatments and programs, which span the entire continuum of care,” said Dr. Linyee Chang, a radiation oncologist and medical director of the cancer center. “From prevention and early detection, through diagnosis and active cancer treatment and extending into survivorship and wellness, our patients can be assured they are receiving the best cancer care close to home.” 

The purpose of the award is to encourage cancer programs to raise the bar on quality cancer care, with the ultimate goal of increasing awareness about high quality, patient-centered care. In addition, the award is intended to:

  • Recognize those cancer programs that achieve excellence meeting the Commission on Cancer's standards
  • Motivate other cancer programs to work toward improving their level of quality cancer care
  • Facilitate dialogue between award recipients and health care professionals at other cancer facilities for the purpose of sharing best practices
  • Encourage honorees to serve as quality care resources to other cancer programs

St. Charles Cancer Center was evaluated on 34 program standards categorized within five cancer program activity areas: program management, clinical services, continuum of care services, patient outcomes and data quality. The cancer program was further evaluated on seven commendation standards. To be eligible, all award recipients must have received commendation ratings in all seven commendation standards, in addition to receiving a compliance rating for each of the 27 other standards.

For a list of all cancer programs in the U.S. that received the award during 2018, visit the ACS website.

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A message from our president and CEO, Joe Sluka

At St. Charles, something new is happening every day.

In Bend, we’ve opened our new tower and moved patients into our new Intensive Care Unit and Progressive Care Unit. These big and beautiful spaces with state-of-the-art technology will increase capacity to care for patients, shorten patient stays, improve patient safety and allow us to treat more people closer to home.

At St. Charles Prineville, construction has started on an expansion that will provide more room for same-day access to primary care appointments, space for visiting specialists and a larger rehabilitation facility.

St. Charles Redmond has a new ranking to be proud of: #1 in the state of Oregon for quality outcomes according to HealthInsight, an organization dedicated to improving health care across the West. We are also excited to launch our first robotic surgeries in Redmond next week, which will give patients access to less invasive procedures with a quicker recovery time.

And in Madras, we are working closely with community partners to ensure consistent, quality care for patients throughout all stages of life. We are working on donating computers and supplies to the Warm Springs Reservation and recently provided Stop the Bleed training to employees at Madras Farms.

Here are a few other things happening at St. Charles:

Taking care of our community involves a lot of moving parts, but the important thing to remember is that each and every one of them is part of our commitment to creating America’s healthiest community, together – right here in Central Oregon.

Thanks for partnering with us.

Joe Sluka
President and CEO

St. Charles Health System

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