Board of Regents Meeting Summary

May 6, 2022

 

The Concordia University, St. Paul Board of Regents held its quarterly meeting on May 6. Meeting highlights included:

 

  • Quarterly reports of the President and Executive Leadership Team
  • An update on progress toward Strategic Plan 2024
  • A board in-service session with Seth O’Dell, including a presentation and conversation, on the Kanahoma Project. The presentation focused on charting the next phases of enrollment growth, program development, and operational enhancement for CSP as we work to achieve an enrollment of 10,000.
  • A report from the Board Chair on various board activities including the status of the LCMS Convention 7-03 Task Force.
  • Lunch with several members of the undergraduate science faculty and students who presented poster sessions on their research projects.
  • An update on CSP’s successful fundraising efforts
  • Reports from the Board’s Executive, Academic, Advancement, and Finance committees
  • Approved, via consent agenda, the following actions:
    • The proposed FY23 budget of $88,604,000, with a projected surplus of $1,467,000 (1.88%)
    • An endowment investment and spending policy
    • Faculty actions
      • Advancement in rank to associate professor for:

Dr. Jerrod Brown

Dr. Kimberly Craig

Rev. Dr. Michael Dorner

Dr. Matthew Jensen

Rev. Dr. Mark Koschmann

  • Advancement in rank to full professor for:
    Dr. Sue Starks
  • Advancement to Emeritus status:
    Dr. Phyllis Burger (effective June 30, 2022)
    Dr. Frederic (Ric) Dressen (effective December 31, 2022)
  • The Service of Sending, Honorary Awards Dinner, and Commencement ceremonies

What Is a Cartilage Injury, and What Can I Do About It?

Summit sports medicine surgeon Brian Walters, M.D., discusses cartilage injury, its causes, and treatment options.

Broken bones, torn ligaments, muscle tears, and joint sprains — orthopedic problems can come in many forms. One you may not have heard of is cartilage injury.

What is cartilage injury?

First, let’s make clear what it is not. “Cartilage injury is different from osteoarthritis,” said Summit sports medicine surgeon Brian Walters, M.D. “Arthritis is damaged cartilage, but it’s diffuse and affects a large portion of, if not the entire, joint. Cartilage injury, in contrast, is most often confined to a very small, focused area of the joint.”

Whereas arthritis is a generalized disease that progresses over time and can affect many joints, a focal cartilage injury has a specific location, cause, and treatment. Often, the injury to the cartilage is the result of a traumatic injury, like an impact from a blow to the joint, a fall, or landing improperly. You can also get cartilage injury because of your anatomy. “Some people have anatomy that predisposes their joints to cartilage injury,” Dr. Walters said.

The symptoms of a cartilage injury are typically pain, swelling, and sometimes a “catching” sensation in the joint. Usually, the pain is focused in the area of the joint where the injury to the cartilage is.

“Despite being confined to a small area of the joint, cartilage injuries are often in a critical area from a functional standpoint,” Dr. Walters said. “And because they are confined to a small area, they can often be treated.”

The most common joint for cartilage injury is the knee. “Because of the mechanical forces that the knee is subjected to during normal activity, a focal defect in the cartilage is very poorly tolerated. Localized cartilage injury in the knee tends to come with a significant loss of function,” Dr. Walters said.

To diagnose cartilage injury, a sports medicine specialist will talk with you about your symptoms. Your provider will also conduct an examination and confirm the findings with an MRI scan.

How is cartilage injury treated?

The good news is, there are many treatment options for cartilage injuries. Traditional treatments include physical therapy, activity modification, and minimally invasive surgery to remove the unstable or unhealthy portion of cartilage.

But today, we have innovative new treatment options that were not available before. “We can now restore and regenerate cartilage, allowing us to achieve far superior outcomes when it comes to return to sports or pain-free functional activity levels,” Dr. Walters said. “Innovations that we couldn’t dream of having 10 years ago have now significantly changed the face of how we treat and manage cartilage injury.”

Biologics are an important new area of treatment for cartilage injury. “Biologics” is an umbrella term that covers a group of treatments that are performed with naturally derived products, either from patients’ own bodies or from a donor, that can be used to achieve cartilage restoration.

For example, platelet-rich plasma or stem cell injections help to promote healing. Dr. Walters performs these procedures in the office or during surgery.

Another option is to harvest, or “borrow,” a patient’s own cartilage, which can then be minimally manipulated and subsequently applied to the area of cartilage damage. For larger areas of damage, cartilage can be transplanted from a donor into a patient’s joint.

“We can even separate out a patient’s individual cartilage cells, grow them in the lab, and then surgically implant them back into the knee,” Dr. Walters said. “These new treatment options have greatly improved outcomes for people with cartilage injuries.”

Treat the cause, not just the result

Dr. Walters notes that in addition to recognizing and treating cartilage damage, it’s crucial for patients to work with their doctors to identify and treat the underlying cause of the cartilage injury. “Not addressing the underlying cause is the number one reason for recurring damage or failed treatment,” he said. By correcting an underlying anatomic or mechanical problem, patients can maximize their recovery and get the best long-term outcome.

 

How Do You Recognize Hand and Wrist Tendinitis?

Summit hand and upper extremity surgeon J.P. Delaney, M.D., discusses how you can recognize hand and wrist tendinitis.

Pain and stiffness in the hand and wrist can make so many everyday activities, from washing dishes to getting dressed to opening the mail difficult. Knowing what is causing these symptoms is a key first step in feeling better. So how can you recognize hand and wrist tendinitis?

Tendinitis happens when a tendon — in this case, one of the many tendons in the hands or wrists — gets irritated and inflamed. Tendons go through narrow spaces, and if a tendon gets inflamed in that narrow space, it can develop irritation as it moves.

How do you recognize hand and wrist tendinitis?

The good news is, it can be a short-term problem. “Tendinitis is an acute problem. Something causes the irritation, and if you can treat it, you can reverse it and be pain-free for a lifetime,” said Summit hand and upper extremity surgeon J.P. Delaney, M.D.

Tendinitis symptoms often mimic those of another common hand and wrist problem: arthritis.  But there is a key difference, according to Dr. Delaney. “Arthritis is a chronic problem. There is no way to reverse arthritis once someone has it. Treatment focuses on figuring out how to manage arthritis symptoms prior to doing something surgical,” he said.

There are many tendons in the hand, all of which can have tendinitis. Tendinitis also can happen at the wrist. One of the most common forms of tendinitis is De Quervain’s tenosynovitis, which affects the two tendons that connect to the thumb. “The most common symptom is pain at the wrist, especially when you are grabbing things or reaching out to lift things up. For example, if you grab a gallon of milk out of the refrigerator and feel pain at the wrist,” that’s a classic sign of De Quervain’s,” Dr. Delaney said.

How do you treat hand and wrist tendinitis?

Treatment is typically nonsurgical and conservative. Options include a wrist brace, with or without a steroid injection. “The steroid injection goes right inside the tunnel that the tendon is trying to move through, to reduce inflammation,” Dr. Delaney said. Other treatments include rest and oral anti-inflammatory medications.

If your tendinitis pain keeps coming back, and you’ve had multiple rounds of injections without long-term relief, a surgical release may be the right way to go. Talk with your Summit hand and upper extremity surgeon about your options.

Summit Orthopedics provides personalized hand and wrist expertise

The function of our hands connects through our wrists and arms to our shoulders; a problem anywhere along our arm may have a significant impact on hand function and quality of life. If you experience an injury or uncomfortable symptoms, our fellowship-trained hand and wrist surgeons are here to help. Summit physicians receive the highest levels of training and exclusively provide individualized care for conditions of the hand, wrist, and elbow.

Start your journey to better function and less pain. Find your hand expert, schedule an appointment online, or call us at (651) 968–5201 to schedule a consultation.

Tips to Safely Enjoy Cross‐Country Skiing

Summit back, neck, and spine specialist Erik Ekstrom, M.D., shares tips for enjoying one of his favorite wintertime activities: cross‐country skiing.

When the weather gets cold and the days get shorter, Summit Orthopedics back, neck, and spine specialist Erik Ekstrom, M.D., looks forward to strapping on his skis. Dr. Ekstrom is a cross‐country skiing enthusiast who for the past 20 years has been involved with the Loppet Foundation, a nonprofit organization dedicated to introducing youth and families to year-round outdoor adventures.

“Cross‐country skiing is a super fun sport with a lot of benefits. It’s a low‐risk sport, it’s great for all ages, it can be done for fun or for more of a workout, it’s a great aerobic activity, it’s a very balanced workout that involves both upper and lower body, and it has a low risk of traumatic injury,” Dr. Ekstrom said.

Types of cross‐country skiing

There are two main types of cross‐country skiing:

  • Classic cross‐country skiing, featuring a traditional kick and glide movement, which can be done on groomed trails or ungroomed back country. It’s easy to get started — once you learn to shift your weight and coordinate your arms and legs, you’re ready to go.
  • Skate skiing, a Nordic innovation that uses a technique similar to speed skating for a more intense workout. Dr. Ekstrom recommends that anyone who wants to look into skate skiing should take some lessons. “Lessons will help you learn how to do it properly, so that it’s more fun for you,” he said.

Tips for fun and safe cross‐country skiing

  1. Figure out what kind of cross‐country skiing style you want to do, and get the right equipment (skis, boots, poles) for the job.
  2. Make sure your equipment fits and is in good condition. Generally, your weight determines ski size, and your height determines pole size. You also want to make sure your boots are not too tight. “The risk of injury goes up if your gear doesn’t fit properly,” Dr. Ekstrom said.
  3. Consider using glasses or goggles to enable you to better assess terrain, prevent falls, and avoid getting scratched by branches in the face.
  4. Wear the right clothing: noncotton layers (synthetic or wool) that will wick away sweat and allow you to move easily. “You want to stay warm but avoid getting overheated,” Dr. Ekstrom said. Don’t forget hats and gloves — many skiers like balaclavas for extra cold protection for ears, cheeks, chin, and neck.
  5. Pay attention to the weather. “Heavy, wet snow is not fun to ski in and can increase injury risk,” Dr. Ekstrom said. Also, be mindful of cold weather fronts and increasing windchill.
  6. Wear sunscreen.
  7. Pay attention to the trail — always start in a flat, safe location, and pay attention to the trail’s technical rating. Use a GPS or trail map, and make sure you know what direction the trail is going. “Also, it’s nice to remember that if you fall, you should fill in the divot that you left,” Dr. Ekstrom said.
  8. Take breaks so you don’t get exhausted — and don’t forget to stay hydrated!

IMPORTANT COVID-19 POLICY CHANGES COMING TO CSP (St. Paul and Portland Campuses)

The New Year has started with a flurry of national, regional and local news surrounding COVID-19, and campus administration has quickly adapted its policies to match the new federal, state and city guidelines.

With the increased spread of the Omicron variant combined with the guidance regarding vaccinations, Concordia is encouraging students and employees to get a booster shot if already vaccinated and eligible; and for those who have yet to complete the first vaccination series to do so. 

MDH VACCINE LOCATOR | MDH BOOSTER LOCATOR

Please review this email carefully for how policies will be adapted on the St. Paul campus for students and employees:

  • Required mask usage to start spring 2022 term, effective Friday, January 7 in accordance with the City of St. Paul mask requirement for licensed businesses.
  • Classes will continue to meet face-to-face without further alteration or disruption.
  • Seating charts and classroom close contacts will not be reported due to little-to-no classroom spread in the previous 18 month of inclass education.
  • Close contacts will continue to be determined through athletic participation, dorm & residence life settings, choir, theater and unique circumstances in academics (such as labs).
  • CSP will continue to follow CDC & MDH guidance, adopting the latest CDC approach to COVID-19 positive isolation and close contact quarantine. More important information is below on the impacts of vaccinations, booster shots and how close contact quarantines are impacted.
  • Symptoms continue to be the leading indicator of COVID-19. If you are sick, please stay home and notify your professors. If symptoms are COVID-19 related, pursue a COVID-19 test and complete the COVID-19 reporting form.
  • Follow COMET’S COMMITMENT by continuing frequent and thorough handwashing, wearing a mask when in common public areas on campus, and monitoring your health.
  • If you have been sick with COVID-19, are currently waiting for test results, experiencing symptoms and plan to take a COVID-19 test, or have been instructed to quarantine as a close contact, please complete the COVID-19 Reporting Form with as much information as possible.

UPDATED CDC ISOLATION & QUARANTINE GUIDANCE – FULLY VACCINATED DEFINITIONS (effective January 10, 2022)

The Center for Disease Control (CDC) adjusted its quarantine and isolation guidance in January of 2022, including adjusted definitions for what constitutes a “fully vaccinated” individual against COVID-19. Below is information about quarantine & isolation guidance. Questions can be directed to CSP Contact Tracing via email at contacttracing@csp.edu.

The CDC now considers an individual “fully vaccinated” if they have received the booster shot and the full series of initial vaccinations (2 shots of Moderna/Pfizer; 1 shot of Johnson & Johnson) or are within 6 months of receiving the initial series of Moderna (2 shots), 5 months of Pfizer (2 shots) or 2 months of Johnson & Johnson (1 shot). Once an individual is eligible for a booster and has not had the additional dose, they are no longer considered “fully vaccinated.”

It is important to emphasize the importance of the symptoms-based reporting. CSP aims to keep students in the classroom and to minimize the spread of COVID-19. Honest, accurate reporting of symptoms is vital to this process, and students are expected to monitor their health.

COVID-19 POSITIVE ISOLATION GUIDANCE

  • Five full days of isolation from the start of symptoms. If symptoms develop after the positive test is reported, please notify Contact Tracing (contacttracing@csp.edu) via email so we can adjust your timeline.
  • Symptom onset date is considered “Day 0”
  • On the sixth day at 10 a.m., a student will receive a brief symptom health assessment (3 questions)
  • Must remain fever-free for 24 hours without the use of fever-reducing medication
  • If symptoms persist, the student should communicate with Contact Tracing (contacttracing@csp.edu) on an updated return to campus timeline
  • Upon completing the symptom form, a member of Contact Tracing will submit an official clearance notification announcing it is ok to return to class, their dorm room and general campus activity
  • Required to wear a well-fitting mask for 5 days around others and in public after clearance, up to 10 days following symptom onset. The date will be communicated on the clearance notification that will also be sent to faculty and key campus officials
  • Individuals unable or unwilling to wear a mask will need to continue isolation for 10 full days
  • Do not go places you are unable to wear a mask around others in the 10-day recovery period (such as restaurants, gyms unless you can mask and avoid eating/drinking around others)
  • Individuals are encouraged but not required to take an antigen test on the 5th day of isolation, please communicate with Contact Tracing if you decide to pursue an antigen test. This should only be done if asymptomatic and 24 hours fever-free without fever reducing medications.
  • Vaccination status has no impact on COVID-19 positive recovery. Individuals will be expected to accurately and honestly report their symptoms to Contact Tracing.
  • Students needing additional accommodations beyond the 10 day time frame may work with Student Accessibility Services (SAS@csp.edu).
  • Employees needing additional accommodations beyond 10 day time frame may work with Human Resources.

UPDATED CDC CLOSE CONTACT QUARANTINE GUIDANCE

WHO DOES NOT NEED TO QUARANTINE FOLLOWING CLOSE CONTACT EXPOSURE?

  • Less than 2 months since single dose of Johnson & Johnson vaccine
  • Less than 6 months since second shot of Moderna or Pfizer vaccines
  • Vaccination dose(s) plus a booster shot
  • Had confirmed COVID-19 positive case within the last 90 days
  • Vaccinated close contacts are required to wear a well-fitting mask for 10 days from the most recent date of close contact with a COVID-19 positive individual
  • Taking a COVID-19 test is recommended on or after the 5th day since exposure
  • If symptoms develop, stay home, notify CSP Contact Tracing (contacttracing@csp.edu) and pursue a COVID-19 test

WHO DOES NEED TO QUARANTINE FOLLOWING CLOSE CONTACT EXPOSURE?

  • individuals who have not received any vaccination doses
  • individuals who had Johnson & Johnson single dose vaccination over 2 months ago and have not had a booster shot
  • individuals who had Moderna/Pfizer second shot vaccination over 6 months ago and have not had a booster shot

WHAT IS THE QUARANTINE PROCESS?

  • individuals should quarantine for 5 days following date of exposure (Exposure Date = Day 0)
  • may return if asymptomatic following a short health assessment (3 questions) emailed from Contact Tracing Team on Return to Campus date at 10 a.m.
  • must wait for official clearance notice following health assessment submission to leave quarantine space and return to campus
  • must wear a well-fitting mask, required through 10 days since exposure date per CDC guidelines (date will be provided in communications from Contact Tracing)
  • individuals who are unable or unwilling to wear a well-fitting mask following an asymptomatic 5-day quarantine should quarantine for the full 10 days
  • Do not go places you are unable to wear a mask around others in the 10-day recovery period (such as restaurants, gyms unless you can mask and avoid eating/drinking around others)
  • continue to monitor symptoms through 10 days post-exposure
  • if you develop symptoms, please stay home, pursue a COVID-19 test and notify Contact Tracing by email (contacttracing@csp.edu)
  • testing is recommended on the 5th day of quarantine, but not required

SOURCE: https://www.cdc.gov/coronavirus/2019-ncov/your-health/quarantine-isolation.html (updated Jan. 4, 2022)