Rescued From Pain

Genesis Provides Minimally Invasive Spine Surgery

Mary Louise Cox stood in the church parking lot on one foot, or at least it felt like one foot. Numbness crept up her right foot, leg and hip, all the way to her pain-stricken lower back. At 88 years old, she knew the importance of staying upright on asphalt, yet she felt herself losing balance. Thankfully, friends rushed to her rescue in the nick of time.

“You brush off the pain for a long time, and then you can’t do that any longer,” Mary Louise said. “My pain had been going on for years and slowly growing worse. I decided I had better do something about it.”

The Right Physician and Team

Before scheduling an appointment with a doctor, Mary Louise watched videos of physicians at Genesis – that’s how she came to schedule an appointment with Yasuaki Harasaki, M.D., a neurosurgeon with specialized training and experience with the spine.

“Dr. Harasaki greeted me calmly, confidently and friendly,” Mary Louise remembers. “He showed me the MRI and explained all about it in a language I could understand.” Dr. Harasaki explained that Mary Louise’s pain originated in her lower back, where herniated discs compressed and pinched surrounding nerves.

“If you live long enough, your discs and spine will show evidence of wear. With degenerative changes, discs collapse and bulge – it happens to everyone,” Dr. Harasaki said. “Looking at Mary Louise’s MRI, we could see nerve-pinching on multiple levels. These changes happened silently over years, building up until Mary Louise’s body couldn’t put up with it anymore, and she became symptomatic.”

To eradicate the pain, Dr. Harasaki recommended a minimally invasive surgical procedure, called a multi-level lumbar laminectomy, to relieve pressure on the affected nerves.

Minimally Invasive, Major Benefits

By performing minimally invasive spinal surgery, patients experience major benefits, including:

  • Decreased tissue damage and disruption

  • Less pain

  • Shorter time in surgery

  • Smaller incision sites

  • Less risk of infection

  • Quicker recovery

“Minimally invasive surgery accomplishes the same goals as traditional surgery, but we do it through less disruptive means. With Mary Louise, we did a four-level decompression, because nerves were pinched at four disc levels. Traditional surgery would have been difficult to recover from at her age,” Dr. Harasaki said.

That said, even minimally invasive surgery was a big deal to Mary Louise.

“When you’re the patient, it’s major even if it might be minor,” she said. “What helped was Dr. Harasaki being keenly interested in how surgery would help my lifestyle. I told him I wanted to weed my garden after surgery because I missed doing that. Dr. Harasaki said he was also working on a garden with his two children. I knew he was a winner – you have to have patience to be a gardener – or a parent or a physician for that matter.”

As a board-certified neurosurgeon with additional, specialized training in minimally invasive spinal techniques, Dr. Harasaki brings leading-edge knowledge and vast experience to our community. With all this in mind, Mary Louise felt confident Dr. Harasaki would perform the four-hour surgery proficiently – and he did. After the procedure, Mary Louise spent one night in Genesis Hospital before returning home.

Back to Life Without Pain

“I cannot tell you how wonderful it feels to suddenly not have pain in your back,” Mary Louise rejoiced. “I noticed an immediate difference, and my recovery has been wonderful.”

Since surgery, Mary Louise completed physical therapy to help regain strength. She’s gone from using a walker post-surgery to moving about her garden with ease and walker-free.

“I’m back to doing things,” Mary Louise said. “Of course, I have my normal 88-year-old aches and pains, but now I can garden and quilt, and do things I love. My husband calls me a human dynamo.”

To those suffering from back pain, Mary Louise expressed sage advice: “Don’t wait. It’s silly to stay in pain. Go find out what you can do.” Dr. Harasaki agrees.

“It’s worth it to come in and discuss ways to feel better that don’t involve a huge surgery. I’m not here to push any treatment, but I can teach you about multiple options available,” he said.

To schedule a consultation with Dr. Harasaki or one of the expert neurosurgeons at Genesis, call (740) 586-6828.

Mary Louise Cox Patient Story

Mary Loise Cox stood in the church parking lot on one foot, or at least it felt like one foot. Numbness crept up her right foot, leg and hip, all the way to her pain-stricken lower back.

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Lung Care

Genesis Lung Care

Lung Care

If you’re having difficulty breathing, you want relief. At Genesis HealthCare System, you’ll get advanced care and treatment for a wide range of lung conditions and disorders.

At Genesis, you benefit from a team including board-certified pulmonologists who’ll provide you an exceptional healthcare experience.

View: Lung Information You Need to Know (Infographic)

Conditions We Treat

Don’t let breathing problems get in the way of your active life. Genesis Lung Services is here to provide care for a variety of lung conditions, including:

  • Asthma
  • Black lung disease
  • Bronchiectasis
  • COPD, including chronic bronchitis and emphysema
  • Collapsed lung
  • Empyema
  • Hemoptysis (coughing up blood)
  • Interstitial lung diseases
  • Lung cancer
  • Pleural effusions
  • Pulmonary nodules or masses
  • Pneumonia
  • Other pleural diseases including sepsis and respiratory failure

 

Better Breathing Club

Find support for breathing problems with the Better Breathing Club. A respiratory therapist provides this group with topics and tips for managing breathing problems, such as better breathing techniques, nutrition recommendations and more.

Abstract

Genesis Lung Services provides lung care for a variety of lung conditions, including asthma, COPD, lung cancer, and more.

Services
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Baby Photos

We know as soon as you baby is born he/she will be getting more photographs taken in a 24-hour period than some movie stars. You will be visited by a photographer to schedule your baby's first professional photographs.

These photographs will be added to our website for all your family and friends to see and adore.

Newborn at Genesis

View your newborn photos online now

For security purposes, you will need to provide information to those who would like to view your baby's photographs. 

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Mom's Bed and Breakfast

Mom's Bed and Breakfast

Mom's Bed and Breakfast

We know how important it is for you to stay close to your baby. Therefore, if you are discharged, but your baby needs to stay longer, our Mom’s Bed and Breakfast Program allows you to stay an extra day as a visitor, and the program is free.

Frequently Asked Questions

Read some frequently asked questions about the Mom’s Bed and Breakfast Program.

    You are actually discharged from the hospital when you enter into the bed and breakfast program. According to state law, we cannot provide you nursing care since you are no longer a patient, but we can let you stay here, close to your newborn.

    Remember you are a visitor, not a patient, so your doctor will not visit you.

    Yes, your baby is still a patient and will receive full medical attention.

    You will stay in your same room or another room on the maternity unit, if there is enough space. If the unit is full, you will stay in a room off the unit (if available).

    If the room you stay in while taking part in the bed and breakfast program is on the maternity unit, your baby may stay in your room if he or she is well. If your room is off the unit, you may visit your baby in the nursery or another visiting area.

    You are no longer a patient, so you may come and go as you wish. For safety, you must always return your baby to the nursery if you leave your room. Also, please let the nursing staff know if you leave.

    As a courtesy, you will receive a free daily breakfast. For other meals, dial 5800 to order a guest tray for $6, and it will be delivered.

    Generally, you may participate in the program for one day. If additional time is needed, check with a nurse for availability.

    Yes, you may have visitors during regular visiting hours. Your children over the age of 12 are also welcome during visiting hours.

    A support person over the age of 18 may stay overnight in your room to assist you in caring for your newborn baby. Additional restrictions may apply.

    Patients are cared for first, so in this rare instance you will not be able to stay at the hospital. However, you may visit as often and as long as you wish.

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    Stroke Support Group Helps Survivor

    Genesis offers a stroke support group to help stroke survivors, family members and caregivers share ideas and learn from others. John Gelardo rarely misses the support group and started attending soon after he heard about it.

    John suffered a stroke in November 2011, spent about four weeks in the hospital and had inpatient and outpatient therapy. He has limited use of his left arm and a drop foot. “There was a lot of stuff I didn’t know how to do,” John said. “I was excited about going to the group because I wanted to learn from other stroke survivors how to do everyday things – like getting dressed or tying your shoes with the use of one arm,” he said.

    Learning From Others

    John learned about shoes with fabric fasteners, drawstring pants and peeling potatoes with one hand, and now he inspires others. He makes and sells crafts, drives a car and bakes. “There are a lot of things I used to do before that I can still do. I just do it differently,” John said.

    John appreciates learning and sharing practical ideas with other stroke survivors and also enjoys the hands-on activities. During a meeting the group learned how to garden in raised beds. “I didn’t think I would be able to garden ever again, but I was glad I could learn to grow plants in raised beds.” Another meeting featured art therapy. “We did drawings of where we were in life before our stroke and where we are in life now,” he said.

    Practical Pointers

    He has been able to improve his life thanks to the practical pointers from group members. “I love going to the group and talking to people who can share ideas – like where to buy things locally that help me do my daily activities,” John said. “I appreciate sharing ideas with others who understand. You don’t feel different in this group. We all have similar challenges.” Sharing those challenges helps stroke survivors and their family members learn how to live each day to its fullest.

    John Geraldo Patient Story

    Genesis offers a stroke support group to help stroke survivors, family members and caregivers share ideas and learn from others.

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    Visitor Guidelines

    Visitor Guidelines

    For the health, safety and privacy of our new moms and babies, we ask your cooperation in following these visitation guidelines.

    Labor and delivery

    • Up to two support persons are welcome in the labor room based on mother’s wishes and patient safety is not compromised.
    • Siblings must have an adult (other than the patient) with them at all times and be symptom-free of contagious infections. 
    • We ask that there be no more than three family members and friends in the room after the physician has been called for delivery. 
    • Only one support person is allowed in the recovery room after a C-section. 
    • After delivery and when mom is ready, other family and friends may visit.
    • Please help us keep patient room doors and curtains closed at all times for patient privacy. 
    • If you are not visiting with a patient in her room, or if a patient goes to surgery, please help us keep our hallways clear by remaining in the waiting room.

    After delivery

    • Children under 18 (unless they are the siblings of the newborn) are asked to visit the newborn at home.
    • One adult support person of the mother's choice is welcome to stay overnight.
    • Newborns can easily catch an infection, so please thoroughly wash your hands before touching baby. If you might have a cold, upset stomach or any condition that could make the new baby sick, please wait to visit when you are symptom-free.

    Photo and video guidelines

    • You may videotape and take photos after the doctor says it’s okay, which is usually following a normal delivery.
    • If you are videotaping or taking photos after the delivery, you must have the patient’s consent and ensure no other patients are included in the photo or video.
    • If asked to stop recording or to not take a photo, please cooperate; it is important for the safety and security of 
    • our patients and other visitors. 
    • Recording devices may not be used in other areas of the hospital. Please keep this in mind if you leave the maternity care area. 

    For patient information call 740-454-4225. For additional information visit our Patients or Visitors sections.

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    Level II Special Care Nursery

    Level II Special Care Nursery

    Welcoming your newborn into the world is an exciting time, but sometimes newborns need a little extra special care.

    At Genesis we want you to know your newborn will have the highest level of care in southeastern Ohio with our Level II Special Care Nursery. Our unit is certified by the Ohio Department of Health.

     

    The Level II Special Care Nursery at Genesis Hospital cares for babies born as early as 32 weeks gestation. In addition, the Special Care Nursery cares for full-term babies with special needs. We offer a neonatal and high-risk maternal transfer program for expectant mothers whose babies might benefit from care in the Special Care Nursery when delivered.

    Breathe Easier

    In addition to premature infants, the Genesis Special Care Nursery cares for full-term babies born with special needs. As a Level II Special Care Nursery, a number of special services and treatments are offered. These include surfactant therapy, which helps to prevent infant’s lungs from collapsing, total parenteral nutrition (TPN), which gets essential nutrients to growing babies through an IV, and echocardiograms, which enable us to detect heart problems in infants.

    Telemedicine

    A key technological advancement we offer you and your infant is telemedicine. This technology links Genesis to experts at Nationwide Children's Hospital. Using a special camera and monitors, neonatologists at Children's can zoom in on the baby and see what's happening in real time rather than depending solely on verbal descriptions over the phone. Then the neonatologists can help Genesis physicians care for infants, ideally avoiding a transfer to Columbus.

    A Delicate Touch

    Of course, it takes more than high-tech equipment to care for a precious new life — it takes people. That’s why our nurses, respiratory therapists, dietitians, pharmacists, occupational therapist and other staff work closely together to ensure high quality care. In addition, special care nurse practitioners and high-risk pediatricians oversee all day-to-day operations in the Special Care Nursery and are available in emergency situations.

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    Breastfeeding Support

    Helping Babies and Breastfeeding Moms

    From pregnancy to birth and breastfeeding, our professional staff are here to help guide you. Our goal is to provide education, guidance and support to breastfeeding mothers. We know that breastfeeding benefits everyone including babies, moms and the community.

    Our Services

    We offer breastfeeding classes before and after your baby is born to provide you with as much support as possible. Breastfeeding classes provide useful information for breastfeeding moms. You can register for classes online.

    Inpatient Consultation

    Daily consultations are provided to breastfeeding mothers while an inpatient; providing education and the opportunity to ask questions about breastfeeding. Inpatient lactation support services are offered 24 hours a day.

    Genesis Help Line

    Breastfeeding moms are encouraged to call the Warm Line at 740-450-MILK (6455) or 800-225-7957, ext. 6455 with any questions or concerns after discharge.

    Community Breastfeeding Assistance

    Ohio Statewide Breastfeeding Hotline 
    Certified and trained lactation specialists are available by phone 24 hours a day/7 days a week
    888-588-3423  

    WIC (Women, Infants & Children Program)
    WIC offers various services including support groups and feeding classes for all breastfeeding mothers, regardless of qualifying for the WIC program.

    • Muskingum County 740-454-5040 
    • Perry County 740-342-4938 
    • Coshocton County 740-622-2929
    • Guernsey County 740-439-3577 ext. 7230

     

    Breastfeeding Classes

    We have many date options for you to attend a breastfeeding class. Follow the link to see the options.

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    Epidural Anesthesia

    Epidural Anesthesia

    Genesis HealthCare System is pleased to offer expectant mothers the choice of epidural anesthesia – 24 hours a day, seven days a week.

    Epidural is a method of administering pain medication to dull the sensations women feel during childbirth labor and delivery. When combined with breathing and relaxation techniques, epidurals provide increased comfort while enabling women to fully participate in the delivery. Anesthesiologists, medical doctors specializing in anesthesia and certified registered nurse anesthetists (CRNAs), nurses with special training in the administration of anesthesia, work together to provide this popular service.

    Preparing you for epidural anesthesia

    When you arrive at Genesis for delivery, an anesthetist will do a brief pre-anesthesia assessment. This assessment is completed whether or not you have chosen epidural anesthesia. It helps the anesthesia personnel get to know you and be aware of any health factors that will influence the type of analgesia/anesthesia you may receive if the need arises. The anesthetist will also discuss your anesthesia options and answer any questions you may have.

    If you decide you want an epidural, an intravenous (IV) line will be started. Various monitoring equipment will be set up to ensure the safety of you and your baby. You will be asked to sit up or curl up like a ball on your side. Your lower back will be washed with an antiseptic solution and numbed with a local anesthetic. A special needle will be used to locate the epidural space and a very small tubing threaded through this needle into the epidural space. The needle will then be removed and the tubing taped in place.

    Frequently Asked Questions

      Generally, your obstetrician likes you to be in active labor with your cervix dilated three to five centimeters and contractions every two minutes before epidural medication is given. Once the epidural has been started, you will need to remain in bed until your baby is delivered.

      Normally, you will be given only enough medication to ease the pain of contractions. Although your legs will feel a little heavy, you will still be able to move them. You will feel pressure with each contraction and will be able to “push” as instructed by your physician.

      The epidural medication will be given continuously by means of a small pump attached to the side of your bed or IV pole. When the pump is turned off, there will be a gradual return of normal sensation during the next hour or so.

      The local anesthetics used to produce the epidural differ from most pain medications and do not make your baby sleepy or depress his or her breathing. Healthy babies are born every day to mothers choosing epidural anesthesia.

      The same precautions and safety measures are taken with epidural anesthesia as with any services provided at Genesis HealthCare System. Our anesthesiologists and CRNAs are well trained and experienced in providing this service. However, while being a remarkably safe anesthesia technique used on thousands of mothers every day, as with any procedure, there are some well-known potential complications:

      Lowered blood pressure

      A certain percentage of mothers will experience a drop in blood pressure after the start of the epidural. Increased rate of delivery of the IV solution along with proper positioning usually takes care of this problem. Occasionally, medications are given through the IV to help bring the blood pressure back to normal.

      Needle or catheter enters blood vessel

      This rare occurrence requires re-insertion of the epidural catheter into a different place.

      Accidental dural puncture

      The dura is the covering, or sleeve, that surrounds the spinal cord and contains the spinal fluid. If the epidural needle or catheter should puncture this covering and enter the spinal fluid, the catheter will have to be re-inserted in another location.

      Approximately one in five mothers gives birth by Cesarean operation. Most mothers are awake during a Cesarean but have been given either an epidural or spinal anesthetic to numb them completely for the surgery. If you have been in labor, have an epidural catheter in place, and should require a Cesarean, additional medication will be given through your epidural to completely numb you for the operation. In a true emergency where either you or your baby is in danger, it will be necessary to use a general anesthetic to put you to sleep.

      Additional Information

      Any expectant mother interested in anesthesia should discuss it with her obstetrician. Information is also available during childbirth preparation classes at Genesis.

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      Signs and Symptoms of Labor

      This is a guide for you about the signs of true labor. If you have any of these signs before 36 weeks of pregnancy (nine months), please call your physician. If you do not have a private physician, call the Genesis NurseLine right away at (740) 455-4949 or 1-800-948-4949.

        The uterus (womb), which is holding your baby, is a large muscle and when it tightens you may feel your tummy getting very hard. This hardening is called a contraction.

        • Contractions occur at regular intervals lasting 60 seconds or longer.
        • Contractions get gradually closer together and stronger.
          There is increasing discomfort or pain.
        • Your cervix (the opening of the uterus) softens, shortens and dilates.
        • Contractions are usually irregular.
        • Contractions do not get closer together. They may stop after an hour or so.
        • Discomfort or pain does not increase.
        • Your cervix does not change.
        • Rest if possible on your left side.
        • Time your contractions with a watch. If one starts at 9:10 and the next one starts at 9:16, they are six minutes apart.
        • Do not eat. Clear liquids are permissible.
        • Call according to your doctor’s instructions.
        • Possible Complications in Pregnancy

        When I should Call

        • You have chills and fever with a temperature above 100 degrees F.
        • You experience prolonged nausea and vomiting.
        • You have a severe headache with blurred vision.
        • You have pain or burning during urination and/or more frequent urination.
        • You notice any sudden swelling of your face, hands or feet.
        • You plan to go to the hospital.

        When to Go to the Hospital

        • There is any leakage of water from the vagina.
        • You have severe persistent pain in the abdomen or back.
        • You experience spotting or bleeding from the vagina.
        • Fainting
        • Any leakage of fluid (any color).
        • Bleeding (if you need to wear a pad or mini pad).
        • Contractions or persistent back pain.
        • Decreased fetal movement (use kick count).
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