Restored: Muscle Cars and Torn Muscles

Submitted by emily.griffin on

Taking a worn-down, broken muscle car and transforming it into a flashy fresh ride takes time, skills and finances, but John Rusinko and his wife Haddi say it’s worth it. They spend retirement side by side, saving vintage vehicles from rusty fates by restoring them into gorgeous, roaring rides. 

Last year, John’s attention broadened from restoring muscle cars to restoring muscle when he was thrown from his lawn mower after sliding down a steep hill on his property.  

“I believe that’s when I hurt my hamstring,” he said. “A month later, I went hunting and fell.” 

For the next several months, John lived with a sharp, stabbing pain. An MRI revealed a partially torn hamstring muscle. Despite steroid injections and physical therapy, the pain remained. Then he met Brenton Bohlig, M.D., a Fellowship-trained and Board-certified Physical Medicine and Rehabilitation Specialist at Genesis Orthopedic Sports Medicine, who recommended a platelet-rich plasma (PRP) injection. 

Brenton Bohlig, M.D.

Brenton Bohlig, M.D.
Fellowship-trained and Board-certified
Physical Medicine and Rehabilitation Specialist
Genesis Orthopedic Sports Medicine

Accelerate healing by fueling up  

PRP treatments use the patient’s blood cells to accelerate healing. To create the platelet-rich plasma, a sample of whole blood is usually drawn from the arm and then placed into a device called a centrifuge. The centrifuge spins until the platelets separate and become concentrated within the blood’s plasma. This platelet-dense precious plasma can fuel and accelerate healing when injected directly into an injured area.  

“Using platelet-rich plasma harnesses the body’s natural healing ability,” said Dr. Bohlig. The injection utilizes the patient’s blood as the activating agent, so patients sidestep adverse reactions that may come with medications or foreign substances. 

“It’s a more natural way. Harnessing the proteins and growth factors that promote healing lets your body do what it’s meant to do. We simply direct where the healing takes place. It’s wonderful to see how this treatment benefits people with partially torn tendons and ligaments,” Dr. Bohlig said. 

PRP injections deliver results 

On the day of the injection, Dr. Bohlig told John not to anticipate results for about six weeks. John waited patiently, and relief came right on cue. 

“Within the seventh week, I was walking fine. Before, it felt like someone had stuck a knife in me and never pulled it out, but after those six weeks, I had no pain. All because of my blood,” he said. “No medications, no therapy, just my blood.” 

Guiding patients on the road to recovery 

With his hamstring healed, John returned to living his best life. He remains pain-free more than a year after the PRP injection. He hunts, chops wood and cares for his land. On most days, John uses his restored hamstring to twist and turn around the vehicles he and his wife enjoy restoring.  

For Dr. Bohlig, success stories like John’s fuel his desire to restore people to their best quality of life. “It’s great to see people return after treatment,” he said. “Where there was a grimace on their face from pain with certain movements, there’s now a smile as they show off what they can do. I’m thrilled that we can provide the care they need on the road to recovery.” 

Restored: Muscle Cars and Torn Muscles

Taking a worn-down, broken muscle car and transforming it into a flashy fresh ride takes time, skills and finances, but John Rusinko and his wife Haddi say it’s worth it.

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Portion Control and Power Walking

Submitted by emily.griffin on

A few years ago, Tim Lewis of Coshocton, Ohio, had trouble doing most things. He was morbidly obese, suffered from emphysema and had trouble sleeping. He was constantly out of breath and could barely walk from room to room in his house.  

Tim knew he had to do something about his health because he is a single father to a preteen daughter.  “It was hard for me to go to school and athletic events and fun things she enjoys, like shopping,” he said. “I had to find a way to take better care of myself, so I could take care of her.”  

A Transformation Takes Root

Unfortunately, his health was so poor that Tim suffered two heart attacks in the summer of 2021. After the second heart attack, he had stents put in at Genesis Hospital, which he said helped with his breathing. After his discharge, Tim was worried about recovery. “I knew I needed to eat better and exercise to get back on track, but I didn’t feel like I had the energy to do anything. I felt so fragile,” he said.  

Then he noticed something that turned out to be the key to a complete transformation in his health and life. “I got home and saw that I’d lost 20 pounds during my hospital stay. I was happy about it but couldn’t figure out how it happened.”   

At his first check-up with Christy Zigo, APRN-CNP, Nurse Practitioner at the Genesis Heart & Vascular Group in Coshocton, Tim told her about his fear of not being able to recover fully.  

Zigo took the time to discuss his treatment, recovery plan and the future at length. Reassured about many of his concerns, Tim asked how he could have dropped 20 pounds so quickly.  

“When Tim came to the office, he was motivated to improve his health and unsure how he had made such progress while in the hospital,” said Zigo. “I explained that while in the hospital, Genesis dietitians planned his meals to follow the portion, caloric and nutritional guidelines for his illness. In a nutshell, portion control.” 

Christy Zigo APRN-CNP

Christy Zigo, APRN-CNP
Nurse Practitioner
Genesis Heart & Vascular Group

Half his size and completely whole  

At home, Tim adopted the hospital menu. “Portion control and encouragement from the Genesis nurses and specialists worked wonders for me,” said Tim. He also started walking daily. He was so dedicated to following both regimens that he lost 190 pounds in 13 months. “Walking is my number one hobby now,” he said. He leaves his house every day before noon and walks a few different routes he’s created throughout the city of Coshocton.   

Since he started working with the Genesis Heart and Vascular team, Tim said that everything has improved for himself and his daughter. He feels better, and she is happy to have a more active dad. “I want to tell my story to everyone,” he said. “I am so grateful to Genesis for getting the ball rolling for me.”   

Portion Control and Power Walking

A few years ago, Tim Lewis of Coshocton, Ohio, had trouble doing most things. He was morbidly obese, suffered from emphysema and had trouble sleeping. He was constantly out of breath and could barely walk from room to room in his house.  

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Spotlight on Edmund Kassis, M.D.

Submitted by emily.griffin on

Edmund Kassis, M.D., a Fellowship-trained and Board-certified Thoracic Surgeon, brings both clinical experience and leadership skills to his new position with Genesis HealthCare System.  

In addition to performing surgeries at Genesis Hospital, Dr. Kassis serves as medical director of cardiothoracic surgery within the Genesis Heart & Vascular Group.   

Dr. Kassis specializes in the surgical removal of lung cancer, esophageal cancer and mediastinal tumors. He performs a full range of traditional and minimally invasive procedures, and optimizes patient benefits by frequently utilizing innovative robotic-assisted technologies in the treatment of thoracic cancers.    

“Robotic-assisted technology allows outstanding visualization of the chest,” he said. “The instrumentation is like working with your hands but doesn’t require spreading a patient’s ribs and uses much smaller incisions. Patients who are candidates benefit from shorter hospital stays, less pain and the ability to return to work and normal activities faster.”    

Initially inspired to pursue medicine by family members who passed away from lung cancer, Dr. Kassis aims to help others facing similar diagnoses. He takes a direct approach to educating patients and strives to provide top-quality surgical care. “I always have my patients’ best interests in mind and want them to understand their treatment,” he said.  

When asked about his most rewarding professional moments, Dr. Kassis said they include the satisfaction of an operation well done, seeing patients thriving in the hospital post-surgery and congratulating patients at the five-year mark when they are declared cancer-free.

Outside of work, Dr. Kassis enjoys taking his body to the extreme. Always moving, he has completed multiple Ironman competitions and is training for a 36-hour endurance hike. He also golfs and scuba dives.

Doctor of Medicine:    
University of Pittsburgh, Pittsburgh, Pennsylvania

General Surgery Residency:    
The Johns Hopkins University,
Baltimore, Maryland 
Chief Resident   

Fellowships:    
Surgical Oncology, National Cancer Institute, Bethesda, Maryland 
Cardiothoracic Surgery, The University of Texas, Houston, Texas   

Board-certified:    
American Board of Surgery, American Board of Thoracic Surgery

 

Edmund Kasis, M.D. LiveWell

Edmund Kassis, M.D., a Fellowship-trained and Board-certified Thoracic Surgeon, brings both clinical experience and leadership skills to his new position with Genesis HealthCare System.  

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A letter from our President and CEO | LiveWell Spring 2023

Submitted by emily.griffin on

Off to a Great Start

In the past month, Fortune Magazine/PINC AI, a healthcare improvement technology company, ranked Genesis as one of America’s top 50 heart hospitals. We also opened the Genesis Coshocton Medical Center. Wow, what a month.  

These milestones are the result of many years of recruiting and supporting the best people,  implementing innovative technology and, most importantly, the support we received from you. You trusted us to care for you when you were in need. Your faith in us made these achievements possible.  

We thank you and applaud the efforts of everyone at Genesis. Their work has and will continue to save lives. According to Fortune Magazine/PINC AI, if all hospitals performed at the top 50 heart hospital level, an additional 7,600 lives could be saved each year nationally.  

With the Genesis Coshocton Medical Center providing local access to high-quality care, more families and neighbors can live longer, healthier and more enjoyable lives.  

New to Genesis Heart & Vascular Group 

We continually invest in technology and recruitment of physicians with the skills, experience and knowledge to advance the care we provide. In this issue, you can learn about our new medical director of thoracic surgery.  

Power restored   

Some patients do not return to life as it was. They improve. In this issue, a Coshocton native tells us how the support of his medical team after he suffered two heart attacks helped him change his life.   

You’ll also meet a patient who benefited from a therapy using platelet-rich plasma. He is pain-free and enjoying his lifelong hobby, restoring vintage cars.  

Community Benefit Report 

Genesis HealthCare System annually provides no- and low-cost services, screenings, classes and events to help our communities get and stay well. These programs, investments and outcomes are reported in the Community Benefit Report, which is included in this special edition of LiveWell. These services are just some of many ways Genesis gives back to our communities every year. 

In good health, 

Matthew Perry signature

 

 

Matthew J. Perry  

President & CEO 

In the past month, Fortune Magazine/PINC AI, a healthcare improvement technology company, ranked Genesis as one of America’s top 50 heart hospitals. We also opened the Genesis Coshocton Medical Center. Wow, what a month.  

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The Pickle Quandary: Good or bad for you?

Submitted by emily.griffin on

Pickles – a lot of us love them all of the time, and some may crave them some of the time (with ice cream even). Peter certainly liked pickles when he picked a peck of them! But are they good or bad for you? The answer isn’t a simple one – hence, the pickle quandary. Let’s take a deeper dive into the pickle jar and look at the pros and cons of eating this briny vegetable. 

Pros

    You probably know that pickles start as cucumbers, so they have few to no calories and a high-water content. Plus, they are fat-free. If you’re trying to lose weight, pickles make a crunchy snack that can help you feel satisfied without adding a lot of calories or fat to your diet. 

    People need vitamin K for strong bones, improved blood clotting properties and other health benefits, like preventing calcium buildup in arteries. One dill pickle spear can provide nearly 20% of recommended daily dose of vitamin K. 

    When pickles are made using fermentation, they contain probiotics that can help to maintain a healthy digestive system, just like yogurt and sauerkraut. How do you know if the pickles at the grocery store are fermented? It’s easy – you’ll find them in the refrigerated section, where they need to be kept to maintain fermentation. Pickles in the condiment aisle are made using other pickling methods. 

    Cons

      Pickles are extremely high in sodium, due to the brining process of pickling cucumbers. According to the United States Department of Agriculture (USDA), one medium pickle contains 750 mg of sodium. To put that in perspective, the recommended sodium an adult should have daily is less than 2,300 mg. One medium pickle can be 33% of your sodium intake. You are also getting sodium in many other ways, as it is prevalent in processed foods you consume each day. 

      Why is a lot of sodium bad for you? It can raise your blood pressure, and for those who already have high blood pressure, this can be a significant concern. High blood pressure can contribute to heart attacks and stroke. High levels of sodium intake may also lead to development of kidney stones.  

      Are sweet pickles your jam? These can have some of the same pros as dill pickles. However, the obvious con to a sweet pickle is the amount of sugar, which varies among the different types of sweet pickles. If you have diabetes, sweet pickles are typically not a good option for you, unless you are careful to include them in your carbohydrate count for the day.  

      “While there may be health benefits to eating pickles, there can also be reasons to avoid them in your daily diet,” said Sarah Brauning, registered dietitian at Genesis HealthCare System. “If you love pickles, it’s best to check with your doctor or a registered dietitian to see what he or she recommends for you.” 

       

      Sources: USDA.gov; CDC.gov 

       

      Genesis HealthCare System’s Health and Wellness content conveniently provides accurate and helpful information. Your health history and current health may impact suggestions provided through our Health and Wellness content. Although we hope this information is helpful, it is not a substitute for your doctor's medical advice. Before making any significant changes, please consult your doctor.

      The pickle quandary: Good or bad for you?

      Pickles – a lot of us love them all of the time, and some may crave them some of the time (with ice cream even). Let’s take a deeper dive into the pickle jar and look at the pros and cons of eating this briny vegetable. 

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      Questions About Arthritis? We have the answers.

      The CDC reports that 58.5 million, or 24%, American adults suffer from arthritis. The same study shows that 1 in 10 adults limit their activity due to pain associated with arthritis.  

      To help us navigate some basic information about arthritis, we caught up with Nina Couette, D.O., a rheumatologist with the Genesis Medical Group. 

      What is arthritis? 

      There are many types of arthritis, but the two main types of arthritis include osteoarthritis and inflammatory arthritis. Osteoarthritis, which Dr. Couette describes as degenerative and wear-and-tear arthritis, is the most common. Other kinds of inflammatory arthritis includes rheumatoid arthritis, psoriatic arthritis and gout.  

      In osteoarthritis, people experience pain and achiness in joints more toward the end of the day or with a lot of use. With inflammatory arthritis, the pain usually is more severe in the morning with prolonged stiffness lasting hours. People may experience stiffness and soreness in the joints as well, but it tends to get better with activity.  

      Since it’s the most common, we will primarily focus on osteoarthritis in this article. Please note that people diagnosed with rheumatoid arthritis early have a better quality of life. So, if you think you may be experiencing rheumatoid arthritis symptoms, schedule a visit with your doctor as soon as possible.  

      Underlying causes of osteoarthritis 

      There are many causes of osteoarthritis. Some include: 

      • Age  

      • Genetics  

      • Joint Injury or overuse related to work or sports 

      • Obesity 

      • Weak Muscles 

      “Arthritis can impact everyone differently,” said Dr. Couette. “Unfortunately, there’s not an easy way to predict who will have severe versus mild osteoarthritis.” 

      Managing osteoarthritis symptoms 

      The first step to treating your arthritis symptoms is talking with your primary care physician. They may do some testing to determine which kind of arthritis you’re suffering from. Depending on the severity of your arthritis, your doctor may refer you to an arthritis specialist or a rheumatologist like Dr. Couette.   

      Although there is no cure for osteoarthritis, there are ways to manage your pain. Your doctor can share both medicated and non-medicated treatment options.  

      Non-medicated options: 

      • Exercising 

      • Weight loss 

      • Controlling high blood sugar and high blood pressure 

      • Following a healthy diet  

      “We’ve found that osteoarthritis is a disease of the whole joint,” said Dr. Couette. “That includes the bone, the cartilage, the ligaments and the tissues surrounding the joint. It’s important to keep those muscles and ligaments strong. That’s where exercise comes in.” 

      As strange as it may sound, moving your body more will help ease your osteoarthritis pain. Added physical activity can eventually lead to weight loss, which also helps alleviate arthritis pain. The Arthritis Foundation found that if you lose 10% of your body weight, arthritis pain decreases by 50%.  

      Experts suggest 150 minutes of physical activity per week. Dr. Couette recommends low-impact exercise for patients with arthritis.  

      “Things like swimming, cycling or yoga tend to be the best because you’re putting less pressure on your joints,” said Dr. Couette.  

      Remember, any amount of movement is helpful. You can learn to move your body through group classes at your community center or local gym. Overall, living a healthy lifestyle can both slow the beginning of your arthritis and help ease your pain.  

      Medicated options: 

      • Anti-inflammatories like acetaminophen or ibuprofen 

      • Topical medications 

      • Steroid injections 

      • Joint replacements 

      Over-the-counter anti-inflammatory medications and topical medications are options for those suffering from the typical aches and pains that come with an arthritis diagnosis. Steroid injections and joint replacements are for those who are no longer able to manage their pain. 

       Don't let arthritic pain hold you back from doing the things you love. Get in touch with your primary care provider to create a treatment plan that’s best for you. 

       

      Questions about arthritis? We have the answers.

      To help us navigate some basic information about arthritis, we caught up with Nina Couette, D.O., a rheumatologist with the Genesis Medical Group. 

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      Nailed It! A Brief Guide to Taking Care of Your Fingernails

      Submitted by emily.griffin on

      Some people see caring for their fingernails as an important part of looking and feeling their best. Others see their nails as their go-to tool when they find themselves in a pinch. Whether you see your nails as something beautiful, something functional or a little bit of both, you use your fingernails every day – usually without even thinking about it. Here are some tips for keeping your nails in tip-top shape this season. 

      Start a regular nailcare routine 

      A little bit of effort goes a long way to keep your nails strong and healthy. 

      • Trim your nails often. Using a sharp pair of nail scissors, cut straight across your nail. If you choose to shape your nails, file them in one direction instead of going back and forth. 
      • Avoid cutting your cuticle, the clear skin at the base of your nail. The cuticle acts as a barrier to germs and bacteria. 
      • Keep your nails moisturized. When applying lotion to your hands, make sure to give your nails some attention, too. 

      Avoid using your nails as tools 

      We know, you use your nails to rip open packages, scrape price stickers off new purchases and more. All that use can put them at risk of damage. Try to remember to give your nails a break and grab a letter opener or pair of scissors instead.  

      Stop biting your nails 

      It’s time to resist the temptation to bite off that hangnail. According to the Centers for Disease Control and Prevention (CDC), biting your nails can contribute to the spread of germs and infection. Next time you get one of those pesky hangnails, use some nail clippers or nail scissors to remove it safely.  

      Do you chew your nails out of stress? Grab a stress ball or fidget toy to keep your hands engaged without hurting your nails. Or, check out these tips on managing your stress to get to the source of your habit. 

      Keep your nail tools clean 

      When’s the last time you cleaned your nail clippers or scissors? If you had to pause to remember, it’s time to sanitize your nail tools. Wash your tools with soap and warm water. The American Academy of Dermatology Association recommends disinfecting your tools each month. First, scrub your nail tools with a brush soaked in 70 to 90% isopropyl alcohol. Then, rinse your tools in hot water, dry them completely and put them away for next time. 

       

       

      Genesis HealthCare System’s Health and Wellness content conveniently provides accurate and helpful information. Your health history and current health may impact suggestions provided through our Health and Wellness content. Although we hope this information is helpful, it is not a substitute for your doctor's medical advice. Before making any significant changes, please consult your doctor.

      Nailed It! A Brief Guide to Taking Care of Your Fingernails

      Whether you see your nails as something beautiful, something functional or a little bit of both, you use your fingernails every day – usually without even thinking about it. Here are some tips for keeping your nails in tip-top shape this season.

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      Genesis is one of America’s top 50 heart hospitals

      Submitted by Kyle.Norton on

      Awarded by Fortune/PINC AI

      For more than 70 years, heart disease has taken more American lives than any other illness or injury. That is why Genesis HealthCare System created the Genesis Heart & Vascular Institute. It is why we recruit the best heart doctors and invest in the most innovative technology to perform advanced heart procedures.

       

      “Achieving this national recognition as one of the top 50 heart hospitals in America is a huge honor for the entire team at Genesis,” said Matt Perry, President and CEO of Genesis HealthCare System. “This level of exceptional care our team provides each patient is the result of many years of building an exceptional team of physicians, nurses and technicians, and implementing the latest, innovative technologies. You trusted us to care for you when you were in need of heart care, and your faith in us made this achievement possible.”

       

      When Fortune Magazine/PINC AI, a healthcare improvement technology company, rated hospitals across the United States for 2023, Genesis ranked number seven in the community heart hospital category, the highest community ranking in Ohio.

       

      Rankings were based on results for treating patients with a wide range of heart conditions and the cost of that care. According to Fortune Magazine/PINC AI, the winning hospitals achieved the following successes compared to non-winning hospitals: 

      • Significantly higher inpatient survival rates (19.0 to 40.6% higher). 
      • Fewer patients with complications (13.2 to 15.4% fewer complications). 
      • Higher 30-day survival rates for acute myocardial infarction (AMI), heart failure (HF) and coronary artery bypass grafting (CABG) patients (0.4 to 0.9% points higher). 
      • Lower 30-day readmission rates for AMI, HF and CABG patients (0.5 to 1.0% points lower).
      • Average lengths of stay varied between patient groups from 0.6 (AMI, HF, PCI) to 0.8 (CABG) shorter length of stay. 
      • $860 to $5,076 less in total costs per patient case (the smallest dollar-amount difference was for HF, and the largest was for CABG). 
      • Lower average 30-day episode of care payments for AMI and HF ($1,493 and $781 less per episode, respectively). 
      • Patients had a better experience at benchmark hospitals compared to peer hospitals, with a top-box HCAHPS score of 75% versus 70%.

       “The recognition of being one of the top 50 heart hospitals is an outstanding accomplishment,” said Tabitha McKenzie, R.N., BSN, MBA, Director of Genesis Heart & Vascular Services. “The team continues to do a phenomenal job. They are dedicated to bringing the best heart care to our patients and community.”

       

      If all hospitals performed at top 50 heart hospital levels, each year there would be more than: 

      • 7,600 lives saved. 
      • 6,700 complication-free heart patients.
      • $1 billion saved. 

      According to Fortune Magazine/PINC AI.

       

       

      Genesis Heart and Vascular Care

      Through every aspect of Genesis Heart & Vascular Services, we are working to build a healthier future for our community. At Genesis, we put our heart into treating yours.

      Top 50 Heart Hospital 2022

      Awarded by Fortune/PINC AI

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      3 Ways to Reduce Eye Strain

      Submitted by emily.griffin on

      Eye wonder - do your eyes ever feel dry and sore from staring at your screen for too long? Digital eye strain is a common problem for people working 40 hours a week on computers. Thankfully, there are simple ways to reduce your eye strain. Check out these three tips to minimize your eye troubles.  

      20-20-20 rule  

      The American Optometric Association suggests trying the 20-20-20 rule. Every 20 minutes, take a 20-second break to look at something 20 feet away. This will help reduce eye strain while you’re working on your computer. This small reset encourages your eyes to blink more.  

      Blink more  

      According to the National Eye Institute, long periods of screen time can cause dry eyes. When staring at a screen, you tend to blink less often. When you don’t blink, your eyes become tired. Your vision gets blurry. You’re more sensitive to light. When you blink more, your eyes stay wet. Try to blink more to keep your eyes in eye-deal shape.   

      Blue light glasses  

      Blue light glasses have special lenses that block out the blue light from screens. There’s mixed research on whether blue light glasses really reduce eye strain. FL-41 tinted lenses are another option. They’re commonly used by people with light sensitivity and those who suffer from migraines. If you think they might help, give them a try. There is no harm in wearing them.  

      Next time your eyes start to get tired and dry while you’re using the computer, take a second look at these three tips. 

       

       

      Genesis HealthCare System’s Health and Wellness content conveniently provides accurate and helpful information. Your health history and current health may impact suggestions provided through our Health and Wellness content. Although we hope this information is helpful, it is not a substitute for your doctor's medical advice. Before making any significant changes, please consult your doctor.

      3 Ways to Reduce Eye Strain

      Eye wonder - do your eyes ever feel dry and sore from staring at your screen for too long? Digital eye strain is a common problem for people working 40 hours a week on computers.

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