Herath, Nicole M.
2017 - 2018 Gannon University,2018 - 2019 Riverside Methodist Hospital
Physician Assistant
2017 - 2018 Gannon University,2018 - 2019 Riverside Methodist Hospital
Physician Assistant
2016 - 2020 Edward Via college of osteopathic medicine
2020 - 2023 Kettering Medical Center
If your child is a member of the class of 2024, full speed ahead is the only speed they go. They’re with their friends at every party, movie, game, concert and more. And even though you’d love to spend some time with them, you’re not fighting them on this because they’re “never going to see these friends again after senior year.”
Since when do you hesitate to say no?
Chances are you’re in the early stages of Empty Nest Syndrome, the adjustment period parents go through when their last child leaves the nest. It affects both men and women. Some parents try to adjust early while others hope for business as usual all year. Some don’t feel the full brunt until after the child has moved out. Most people report feeling sad. Some are angry. Others are thrilled. It’s complicated.
Here are some common symptoms of empty nest syndrome:
Loss of purpose. You miss the structure and the timetable of parenting. What are you going to do with all this free time?
Loss of control. You’re wondering if your child is safe and taking care of themself. It can be hard to let them figure it out.
Loneliness. You miss your child’s companionship.
Emotional distress. You might find yourself sobbing in your vehicle after the final goodbye. It’s a common reaction. Pat yourself on the back for reaching your vehicle.
How you feel when the child that qualifies you to join the empty nest club leaves depends on many factors. If you’re married, is your marriage stable? Were you a stay-at-home parent? How are your finances? Are you employed, and is it fulfilling work? Decide what you want in life. The more balance you can create in your life before your nest empties, the more successful the transition.
Stay connected. Keep in touch. Say “you’ve got this” often. Send texts or cards to let them know you’re thinking of them. Don’t expect to hear from them daily, or even weekly. Trust that absence really does make the heart grow fonder.
Most importantly, if you find yourself struggling with this transition, you’re not the only one. Reach out to a counselor for support and strategies to manage this new phase of life.
P.S. You’ve got this.
Go to genesishcs.org/yourhealth for more Wellness Resources.
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If your child is a member of the class of 2024, full speed ahead is the only speed they go. They’re with their friends at every party, movie, game, concert and more.
Close your eyes. Feel the warmth of the sun on your face. Listen to the sound of the wind softly whooshing through the trees. Take a deep breath and inhale the smell of honeysuckle. Delightful imagery like this is real when you spend time walking or hiking outdoors.
Ohio is home to 75 state parks with trails that span more than 7,680 miles. With thousands of miles to explore, you can start a new hobby. Pretty soon, you’ll begin to experience all the benefits of trail walking.
No matter your age or fitness level, staying active is important to your overall health. Walking comes with a long list of positive side effects. According to the National Institute on Aging, staying active helps:
•Reduce your risk of heart disease.
•Improve arthritis.
•Increase energy levels.
A Stanford University study found that people who walked for 90 minutes in a natural area showed decreased signs of depression. Through this study, researchers show a link between nature and improved mental health. Walking can:
•Reduce anxiety and depression.
•Regulate your sleep.
•Improve your memory.
Before you hit the trail, there are a few things you should keep in mind. Most importantly, you need to stay hydrated. Bring water to sip on throughout your walk.
Protect your skin and eyes from the sun. Apply sunscreen before you head out. For extra protection, consider wearing a hat and sunglasses.
A good pair of shoes will make a big difference in your ability to hit the trail and stay on it. Find a pair that provides comfort and stability. This will help you tackle hills and uneven sections with ease.
While you’re on the trail, keep an eye out for native plants and wildlife. Taking in the sights and sounds of the outdoors can help keep you motivated.
Finally, go at your own pace. Any amount of movement is good for you. If you need to, start slow. Once you feel comfortable, you can add distance to your walks. Find your local state park or nature preserve and enjoy your time outdoors.
Before you begin a new exercise routine, be sure to talk it over with your primary care provider.
Prevent exposure to the infected ticks that transmit Lyme Disease. Listen to Jignesh J. Modi, M.D., a Board-certified and Fellowship-trained Infectious Disease Specialist at Genesis HealthCare System’s Infectious Disease Clinic, discuss symptoms, treatment and prevention of Lyme Disease in our podcast, “Avoid getting ticked off by Lyme Disease.”
Sign up for our digital newsletter to receive health tips, recipes, success stories for inspiration and information about new doctors to help you on your journey to better health.
Ohio is home to 75 state parks with trails that span more than 7,680 miles. With thousands of miles to explore, you can start a new hobby. Pretty soon, you’ll begin to experience all the benefits of trail walking.
In the spring, Fortune Magazine/PINC AI, a healthcare improvement technology company, announced Genesis was one of America’s top 50 heart hospitals.
It was a great day for our team and community.
It was a moment to reflect on the advancements our team has made in recent years. One milestone was the creation of the Genesis Heart & Vascular Institute.
This model formed a foundation for future success and increased collaboration among heart physicians and team members to discuss and implement the best solutions for heart patients.
In addition, our heart team introduced several innovative heart care techniques. Our doctors became experts in minimally invasive and robotic-assisted procedures to provide the best care, reduce healing time and minimize disruption to our patients’ lives.
As our community continued to trust us with their heart care and trust us with their lives, the results were noticed and acknowledged by Fortune Magazine/PINC AI.
In support of our mission to help each patient achieve optimal health, we continually improve our services. We recently moved our Coshocton Heart & Vascular care into our new Genesis Coshocton Medical Center so surrounding community members would have access to the best heart care in a modern facility.
We continue to recruit experienced doctors who were educated at the best universities in the world to our award-winning teams. Trevor Ellison, M.D., Ph.D., MBA, a Board-certified and Fellowship-trained Cardiothoracic Surgeon who trained at Johns Hopkins University and Hospital, joined the Genesis Heart & Vascular Institute as Medical Director of Cardiothoracic Surgery. Edmund Kassis, M.D., a Board-certified and Fellowship-trained Thoracic Surgeon who also studied at Johns Hopkins University, joined the Genesis Heart & Vascular Institute as Medical Director of Thoracic Surgery.
We will continue to add innovative services as they become available and ensure our doctors have the training to be experts. We believe it is vital that our communities have the best care, and the best doctors, close to their homes.
Most importantly, we thank our team for their desire to be the best and our community for their trust. Without you, this achievement would not be possible.
Visit genesishcs.org/heart to learn more.
In the spring, Fortune Magazine/PINC AI, a healthcare improvement technology company, announced Genesis was one of America’s top 50 heart hospitals.
The medical providers of the Genesis Medical Group in Coshocton provide expert care in their specialties. They are highly trained physicians and advanced practice providers using the latest technology and procedures. They are accepting new patients at their offices in Suite F of the Genesis Coshocton Medical Center, 48439 Genesis Drive, Coshocton, OH 43812.
Having a family doctor – one who can help you manage you and your family’s overall healthcare – is important. Genesis Primary Care now has two offices in Coshocton to support area residents.
To schedule your appointment, call 740-722-9555 or book online.
Highly trained physicians and advanced practice providers are accepting new patients at Genesis offices and the Genesis Coshocton Medical Center in Coshocton, Ohio.
Bob Froelich has been an elementary school teacher for almost 32 years, a part-time painter for 25, a regular fixture at the gym and a pretty active golfer.
All that movement screeched to a halt on an afternoon in 2022 when an event at the gym ended in incredible pain.
A call to a friend who worked at Genesis Orthopedics resulted in a referral to Thai Trinh, M.D., a Board-certified and Fellowship-trained Orthopedic Surgeon and Sports Medicine Physician with Genesis Orthopedic Sports Medicine.
“Bob came in with the classic symptoms of a rotator cuff tendon tear – progressive pain and weakness especially when performing overhead activities like lifting, pushing or pulling,” said Dr. Trinh. “Many patients also report difficulty sleeping.”
Dr. Trinh scheduled an MRI, after which he told Bob that he had torn three tendons and surgery was a requirement. ”Most rotator cuff repairs are performed arthroscopically using minimally invasive techniques,” he said. “The torn tendon is reattached to the bone using anchors, or less commonly through drill holes.”
As a teacher, Bob liked learning that the anchors were bio composite and would dissolve in the body naturally over time. “That’s the kind of information kids find interesting.”
When he woke up after surgery, Dr. Trinh told him it had been successful, but the damage was severe, and he would have to wait until he received clearance to start physical therapy.
Bob said he was eager to start physical therapy but soon discovered that despite his overall good health and activity level, it required effort. Every therapy session, he’d ask questions, and the therapists and their assistants would answer and explain their answers. “They encouraged my interest and that helped with my recovery,” he said.
”Safe lifting practices, shoulder-friendly exercises, rotator cuff strengthening programs and avoiding repeated steroid injections are the key to avoiding this type of surgery.” – Thai Trinh, M.D.
Bob vividly remembers each milestone of his recovery: the increase in range of motion, the first time he could golf again and when he was released from restrictions. Since the surgery, he’s learned to trust his body. “The shoulder is an amazing joint,” he said. “I even shoot a basketball a little better than before.” He works out in the gym three times a week and golfs as often as he can.
He’s been pleasantly surprised to realize that some of the limitations he attributed to aging, such as decreased range of motion, have lessened. That might be the best news of all. “I want to be able to hold and comfortably play with my future grandchildren,” Bob said. “I want to live my best life with my wife, Amy.”
Board-certified and Fellowship-trained Orthopedic Surgeon and Sports Medicine Physician
Genesis Orthopedic Sports Medicine
Learn more about the Genesis Orthopedic Center at Genesishcs.org/orthopedic.
Orthopedics 101 is in session when a local teacher learns he needs surgery to repair three torn tendons.
Osteoporosis is a skeletal disorder that occurs when a body loses too much bone or doesn’t make enough bone. Bone tissue deteriorates, leading to an increased risk of fracture. The Bone Health and Osteoporosis Foundation states that 54 million Americans have osteoporosis, most of them elderly.
Osteoporosis is often called a “silent” disease since the first symptom is often a broken bone. However, if you experience any of the following, share your concerns with your primary provider. They may refer you to a orthopedic physician.
Osteoporosis is confirmed with a bone density test. The U.S. Preventive Services Task Force recommends that women aged 65 and older and postmenopausal women with an increased risk of osteoporosis have a bone density test. A conversation with your doctor will help you decide when to have the testing done.
Thankfully, the test is painless. It’s like having an X-ray. The test will measure your bone density and compare it to the bones of an average, healthy adult. Your result is called a T-score. The T-score will let your doctor know whether you have healthy bones, osteoporosis or osteopenia, which is low bone density, but not as severe as osteoporosis.
Based on your T-score, your doctor may propose a treatment plan.
The same things your doctor recommends for treatment are also ways to prevent osteoporosis.
Talk to your primary care physician about the best ways to avoid this disease.
Learn more about the Genesis Orthopedic Center at Genesishcs.org/orthopedic.
Sign up for our digital newsletter to receive health tips, recipes, success stories for inspiration and information about new doctors to help you on your journey to better health.
Information on the symptoms, treatment and prevention of osteoporosis.
I hope this message finds you in good health.
Recently, news nationwide has highlighted the increasingly complex landscape all healthcare systems are navigating. Genesis HealthCare System is not immune to these challenges, which include dramatically rising supply costs and significant labor shortages leading to much higher wage costs. Unlike most businesses, we cannot raise our prices to cover the higher costs.
These financial realities spurred us to make many changes. We quickly developed a comprehensive plan to streamline operations, reduce costs and maximize efficiency while safeguarding the quality and safety of patient care. At the same time, we opened the Genesis Coshocton County Medical Center to expand access to care and help us grow. To serve you faster, we launched several programs that reduced the time it takes to get appointments with our specialists. We are seeing progress in higher patient numbers and revenues.
I assure you that our long-term plan is to continue to innovate in ways that result in better care for patients and ensure the long-term stability of the Genesis HealthCare System. We are making good progress to grow and operate more efficiently.
We are committed to transparency and will continue to update you and our many community partners with announcements online and in the media.
We are grateful for the trust and support you place in us. The healthcare industry is facing an extremely difficult financial environment. However, we are made of strong stuff in Southeastern Ohio. I am proud of how we work together to give you what you deserve – local, top-rated medical care for you and your families.
Matt Perry
President & CEO
Recently, news nationwide has highlighted the increasingly complex landscape all healthcare systems are navigating. Genesis HealthCare System is not immune to these challenges, which include dramatically rising supply costs and significant labor shortages leading to much higher wage costs.
Preheat oven to 375° F. Line a baking sheet with parchment paper.
In a small saucepan on the stovetop, combine sugar and water. Bring to a boil, whisking to dissolve the sugar.
Remove from the heat, stir in the pecans and toss to coat. Spread the nuts on a single layer on the prepared baking sheet. Toast in the oven for about 8-10 minutes, or until toasty.
While still warm, sprinkle the nuts with a mixture of cinnamon and chili powder.
Set aside to cool completely. Once cool, you can store the candied nuts in an airtight container at room temperature for up to a month.
In a small bowl, whisk together the minced shallots, sugar, red wine vinegar and red wine.
Heat the saucepan to low heat and add the mixture. Cook for 5 minutes or until shallots are tender.
The minimum internal temperature should be 140 degrees F. or above.
Cool quickly to an internal temperature of 40 degrees F. or below.
Store in an airtight jar in the refrigerator at 40 degrees F. or below for up to 1 week.
Put the lettuce in a stainless-steel serving bowl.
Add the blue cheese, raspberries and blueberries.
Top with candied pecans and apricots.
Just before serving, drizzle the dressing over the salad, to taste.
Clay Simmons
Executive Chef
Genesis Food and Nutrition Services
Find more recipes at genesishcs.org/eatwell.
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This colorful and nutritious summer salad recipe features candied pecans, apricots, berries, and blue cheese on top of fresh lettuce. Pull it all together with a homemade dressing featuring fresh shallots and red wine vinegar.