Grantham, John T.

Submitted by Kyle.Norton on
Doctor ID
4781
Client ID
3893
John T. Grantham, MD
First Name
John
Middle Name
T.
Last Name
Grantham
Professional Titles
MD
Year Joined Staff
2022
Year Began Practicing
2016
Gender
Office Phone
Emergency Medicine
NPI
1760832455
Medical Education

2011 - 2016 West Virginia University School of Medicine

Residency

2016 - 2019 The Ohio State University College of Medicine

Board Certifications

Emergency Medicine

Accepting New Patients
FALSE
Is Referral Required
FALSE
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Genesis Emergency Physicians
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Genesis Medical Group
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4781
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Emergency Medicine

Casey, Kelsey L.

Submitted by Kyle.Norton on
Doctor ID
5494
Client ID
4945
Kelsey L. Casey, APRN-CNP
First Name
Kelsey
Middle Name
L.
Last Name
Casey
Professional Titles
APRN-CNP
Year Joined Staff
2022
Year Began Practicing
2022
Gender
Office Phone
Nurse Practitioner
Urology
NPI
1467171165
Medical Education

2019 - 2022 Mount Carmel College of Nursing

Board Certifications

Nurse Practitioner

Accepting New Patients
FALSE
Is Referral Required
FALSE
Kelsey L. Casey, APRN-CNP
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Genesis Medical Group
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751 Forest Avenue
Ste 301
Zanesville, OH 43701
United States

5494
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Urology

Britvec, Anna M.

Submitted by Kyle.Norton on
Doctor ID
5423
Client ID
4852
Anna M. Britvec, APRN-CRNA
First Name
Anna
Middle Name
M.
Last Name
Britvec
Professional Titles
APRN-CRNA
Year Joined Staff
2022
Gender
Office Phone
CRNA
NPI
1619547643
Medical Education

2019 - 2021 Youngstown State University

Board Certifications

CRNA

Accepting New Patients
FALSE
Is Referral Required
FALSE
Anna M. Britvec, APRN-CRNA
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Barr, Patrick J.

Submitted by Kyle.Norton on
Doctor ID
4893
Client ID
4103
Patrick J. Barr, MD
First Name
Patrick
Middle Name
J.
Last Name
Barr
Professional Titles
MD
Year Joined Staff
2020
Year Began Practicing
2011
Gender
Office Phone
Hospitalist
Hospitalist- Telemedicine
NPI
1154611317
Medical Education

2007 - 2011 Northeastern Ohio Medical University

Residency

2011 - 2014 Mayo Clinic

Board Certifications

Internal Medicine

Accepting New Patients
FALSE
Is Referral Required
FALSE
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MedOne Contract
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86714
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Hospitalist- Telemedicine

Moving Forward Without Knee Pain

With both knees gnarled by arthritis, Nancy Walsh knew that if she wanted to lead an active life, she’d need two total knee replacement surgeries. She also wanted the procedures done at Genesis HealthCare System. The one thing she wasn’t sure about centered on timing. How could she overcome the pain and get back to life in the least amount of time possible? 

“The pain just kept getting worse, and I knew it wasn’t going to get better. I had put off surgery for years, and it got so that I couldn’t walk down the hall without crippling pain – and that’s even with my high pain tolerance,” Nancy said. “So, I decided it was time to put my best foot forward. Once I made that decision, I wanted to act quickly.” 

Nancy scheduled an appointment with Corey Jackson, D.O., Board-certified Orthopedic Surgeon at the Genesis Orthopedic Center. Not only had she heard positive reviews about him, but he had removed fluid from her knee months earlier. During that initial interaction, Nancy appreciated how Dr. Jackson answered her questions and thoroughly explained her knees’ deterioration. 

Now that Nancy felt ready for surgery, she hoped for a speedy path to healing. She asked Dr. Jackson about operating on both knees the same day, but for safety precautions, he suggested scheduling her surgeries at least two weeks apart. 

“Typically, if someone needs both knees replaced, we schedule them three months apart. That said, I listen to and work with our patients to best meet their desires and provide optimal results. So, as long as Nancy’s first knee healed smoothly, I felt good about performing the second total knee replacement surgery on a tighter-than-normal schedule,” Dr. Jackson said. 

“I believe my knees are working so well because of Dr. Jackson’s skill in placing them and how the physical therapy team helped me push through recovery. I have no pain. I run around all day, and I’m ok! I returned to work just five weeks after my second surgery, and I’m fully enjoying life. It’s amazing,”

Things did go smoothly. With each procedure, Dr. Jackson utilized advanced navigation technology to ensure precise placement of Nancy’s knee replacement components. Then, during the recovery stages, Nancy fully committed herself to physical therapy. 

“I believe my knees are working so well because of Dr. Jackson’s skill in placing them and how the physical therapy team helped me push through recovery. I have no pain. I run around all day, and I’m ok! I returned to work just five weeks after my second surgery, and I’m fully enjoying life. It’s amazing,” Nancy said. Dr. Jackson agrees that Nancy’s results are fantastic.  

“She had terrible knees, riddled with severe arthritis. They were as bad as they could be. It’s incredibly rewarding to see Nancy now. She’s a prime example of why our Genesis Orthopedic Center exists – to help our community members overcome orthopedic challenges and get back to the things they love,” Dr. Jackson said. 

With her new knees and fresh future, Nancy is dreaming of travel adventures for her upcoming retirement years. She looks forward to walking and cruising around the world without knee pain.

With both knees gnarled by arthritis, Nancy Walsh knew that if she wanted to lead an active life, she’d need two total knee replacement surgeries.

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Heart Patient Advises Not to Wait if Something Seems Unusual

At first, it seemed like any other day. Karl Kirby, age 57, of Zanesville, had just finished doing laundry. And while he felt fine when he woke up that morning, as the day wore on, he began to feel worse.

“I had chest pain, and I was sweating profusely,” said Karl. “Then I realized I hadn’t eaten all day. I figured maybe I just needed some food.”

Karl ate a sandwich, but it didn’t help. So, he sat down to watch TV, thinking maybe he was tired and needed to relax. 
That didn’t help either. He was running out of options and finally went to the bedroom to lay down. When his wife saw him, she was worried and asked, “Are you okay?” Karl realized he wasn’t, so they drove to the hospital.

EKG detects a STEMI

When they got to the Emergency Department (ED) at Genesis HealthCare System, the care team immediately attached small electrodes to Karl’s arms, legs and chest to perform an electrocardiogram, also called an EKG or ECG, a device that monitors the heart.

“His EKG showed changes that suggested an acute heart attack,” said Alaa Gabi, M.D., Fellowship-trained Interventional Cardiologist at the Genesis Heart & Vascular Institute, who oversaw Karl’s care. “This is also called an ST elevation myocardial infarction or STEMI.”

Balloon and stent procedure

Next, the care team rushed Karl to the Genesis cardiac catheterization lab (cath lab). Heart specialists can perform a full range of minimally invasive tests and advanced heart procedures using the most current imaging technology in the cath lab. This allows the doctors to diagnose and treat blockages and other problems in the arteries without patients undergoing surgery.

In the cath lab, Dr. Gabi placed two stents in Karl’s arteries, which opened the blockages causing the heart attack. The procedure involves inserting a tiny balloon into the blocked artery and then inflating it. Next, a stent (small mesh tube) was inserted to keep the artery open. 

“As soon as the stents were placed, I felt normal again. There was no more chest pain.”

“Dr. Gabi called my condition a STEMI. At the time, I didn’t know what that meant. But now I know it’s the second most deadly heart attack,” said Karl. “As soon as the stents were placed, I felt normal again. There was no more chest pain.”

Don’t DIY your trip to the ED

When asked if he has any words of wisdom for others who might be experiencing chest pain or symptoms, Karl advises, “Do not drive yourself to the hospital. Call an ambulance. I learned after this happened to me – they have resources in the ambulances that can help until you reach the hospital.”

Top-notch and A #1

After Karl’s procedure, his care team recommended he go to the Genesis Heart & Vascular Cardiac Rehab Center to strengthen his heart. Karl began a program working on a treadmill and several other exercise machines. Karl explained he started using the machines for three minutes at a time, three times a week, then gradually worked up from there.

“It was awesome. The rehab group was top-notch, A #1. It really helped,” said Karl.

At first, it seemed like any other day. Karl Kirby, age 57, of Zanesville, had just finished doing laundry. And while he felt fine when he woke up that morning, as the day wore on, he began to feel worse.

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LiveWell Patient Story: Robotic Technology Makes Hard-to-Reach Lung Biopsies Possible

Doctors intended to use Shelly Grafton’s abdominal CT scan to discover the root of her stomach pain. While the results led to a hernia repair surgery and the removal of her gallbladder, the image also revealed something unexpected: a suspicious, small spot on the lower lobe of her left lung. 

“When I learned about that spot on my lung, I felt devastated. I wanted the best and quickest help I could get, and that’s what I received at Genesis,” Shelly said. 

Shelly’s tiny abnormality measured only 3 mm at the time of the CT scan (slightly wider than the tip of a crayon), which is too small to biopsy, but over a year, it grew to 10 mm (the size of a pea), the minimum size to biopsy. So, Emily Brawner, D.O., F.C.C.P., Pulmonary/Critical Care Medicine at Genesis HealthCare System, recommended gathering more information using the Monarch robotic-assisted bronchoscopy. This advanced technology allows physicians to access small lung nodules in hard-to-reach places. 

“The Monarch platform provides more stability and better visualization and precision. So, not only do we have a better chance of accessing hard-to-reach areas within the lung, we have a better chance of getting information and answers for our patients,” Dr. Brawner said. 

Lung cancer ranks as the deadliest cancer. The sooner and more accurate the diagnosis, the earlier treatment can begin, and the better prognosis for patients. With that in mind, Genesis invested in the innovative Monarch platform, becoming the second hospital system in Ohio to offer patients the technology. 

"Dr. Brawner held my hand and helped me feel safe like whatever happened, she would take care of it. She was very compassionate.”

Dr. Brawner used the Monarch technology in conjunction with another advanced bronchoscopy platform to perform two bronchoscopy techniques to assess Shelly’s lung. The Monarch electromagnetic navigational robotic-assisted bronchoscopy helped Dr. Brawner access and take nodule samples. At the same time, an endobronchial ultrasound (EBUS) allowed for lymph node samples from the chest. For Shelly, biopsies from this combined procedure revealed cancer. 

“I was nervous and upset when I learned the diagnosis. However, Dr. Brawner held my hand and helped me feel safe like whatever happened, she would take care of it. She was very compassionate,” Shelly said. “After the diagnosis, Dr. Brawner sent me to a medical oncologist and a radiation oncologist at the Genesis Cancer Care Center. Everyone is wonderful there. You don’t feel like you’re being treated for cancer. You feel like you’re there for an appointment.” 

At the Genesis Cancer Care Center, Shelly underwent chemotherapy five days a week for six weeks and then radiation therapy three times a week for another six weeks. For the next year, she’ll undergo a monthly immunotherapy session. Shelly says the treatments have shrunk and shriveled the tumor, and she feels grateful for such incredible close-to-home care. 

“For me, Genesis was the only place to go. It’s near enough to my home, the facilities feel light, bright and cheery and so are the nurses and everyone who works there. I had always heard the treatment was good there, and it is.” Shelly said. 

The Monarch robotic-assisted bronchoscopy technology allowed Dr. Brawner to perform a minimally invasive procedure to access small lung nodules in hard-to-reach places. This advanced technology helps patients like Shelly diagnose and treat their lung cancer.

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Robotic-Assisted Laparoscopic Hysterectomy Offers a Better Solution

Lisa Hillis had been a long-time patient at Genesis OB/GYN Group, and after years of heavy and abnormal bleeding, sought help from Kristina Loomis, M.D., a Board-certified OB/GYN with the Genesis OB/GYN Group, for a solution.

“I was worried every day and wondered, how am I going to deal with this if my period lasts much longer? I talked to Dr. Loomis frequently about the stress and anxiety I was feeling, and she listened, helped me feel comfortable and came up with a plan,” Lisa said.

Lisa’s consistent bleeding issue left her anemic, tired and with a low blood count. To bolster her body, she received a blood transfusion, along with several choices for treatment.

Finding the best, least invasive answer

“Modern medicine often provides several options,” said Dr. Loomis. “We aim to find the best, least invasive answer. Lisa was methodical, thoughtful and motivated to keep going through that process. She tried oral birth control medications and an IUD, and underwent biopsies and a dilation and curettage (D&C) procedure to remove tissue from inside the uterus. Even then, she still experienced pelvic pain and heavy bleeding, so ultimately, we proceeded with a hysterectomy.”

During a hysterectomy, surgeons remove the uterus and may also remove the cervix, ovaries and/or fallopian tubes. Though considered a major surgery, advanced robotic-assisted technology at Genesis allows surgeons to perform the procedure with minimally invasive techniques.

Advanced, minimally invasive benefits

By using robotic technology called the da Vinci Surgical System, OB/GYNs at Genesis can perform hysterectomies with pinpoint precision and small incisions. The system involves interactive robotic arms and instruments and a 3D vision system – but the surgeon still makes all the decisions.

“It’s not an automated surgery; that’s a misconception,” Dr. Loomis said. “The robotic equipment acts as my hands, but I control every tiny movement. Plus, the 3D viewfinder gives me more detail, and the minimally invasive technique reduces pain and improves healing.”

For Lisa, having robotic technology in the operating room felt intriguing and exciting.

“It was such an interesting experience as they wheeled me into the operating room. I was able to view all the robotic equipment and found myself asking a variety of questions. The surgical team reacted with professionalism and kindness as they gave me all the answers,” Lisa said.

Problem solved and happy days ahead

The robotic-assisted laparoscopic hysterectomy offered Lisa the solution she desperately needed, and she’s embracing life again. “I can finally do whatever I want, whenever I want, and I feel great. Everyone at Genesis is top-notch and gave me great care and peace of mind. I’m so thankful I had this experience with our local hospital and that I didn’t have to drive to Columbus. I only wish I would have done it sooner,” Lisa said.

Positively robotic

Robotic-assisted technology at Genesis offers patients multiple advantages, including:

  • Smaller incisions – For example, Lisa’s robotic-assisted laparoscopic hysterectomy resulted in just four half-inch incisions. Traditional abdominal hysterectomy incisionsrange from six to eight inches long.
  • Pinpoint precision – With 3D views and flexible, small robotic instruments, surgeons can navigate around sensitive organs, tissues and nerves. Plus, robotic instruments can move in ways human hands can’t.
  • Faster recoveries – With smaller incisions come lower infection rates, less blood loss and scarring.
  • Shorter hospital stays – Robotic-assisted hysterectomy patients usually return home from the hospital either the next day or the same day as surgery. Patients often return to work within two weeks for light work and six weeks for heavy-labor professions.

“Our robotic program at Genesis continues to grow. Patients might be surprised about what can be done with this advanced technology. Right now, general surgeons, urologists, cardiothoracic surgeons and OB/GYNs use it,” said Dr. Kristina Loomis. “It’s wonderful that at Genesis, we can maintain a community feel while offering all the benefits of advanced care and technology.”

Lisa Hillis had been a long-time patient at Genesis OB/GYN Group, and after years of heavy and abnormal bleeding, sought help from Kristina Loomis, M.D., a Board-certified OB/GYN with the Genesis OB/GYN Group, for a solution.

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Seven Ways to Prevent Childhood Obesity

Submitted by emily.griffin on

The U.S. childhood obesity rates have more than doubled during the past three decades, according to the Centers for Disease Control. The advantage of confronting obesity at an early age is that it’s still possible for your child to get things under control.  

Here are 7 tips for helping your kids maintain a healthy weight throughout their childhood. 

children enjoying apples at a picnic table

1. Empower your kids. Teach them about healthy food choices but emphasize the choice aspect of the process. Encourage them to pick out their own snacks, learn to change their behavior and make smart decisions.

2. Consider breastfeeding. Babies who are breast fed are less likely to be obese because they learn to stop eating when they’re full, rather than being guided by the number of ounces left in a bottle. Talk to your doctor about whether that’s an option for your infant.

Baby being held by mother

Kid eating from a plate

3. Give up on the clean plate. For many kids, the issue isn’t just what they eat but the amount. Encourage good portion control behavior by allowing kids to stop eating when they are full, rather than making them eat everything on the plate.

4. Model good behavior. Kids will want to eat junk if they see Mom and Dad eat junk. Kids will want to eat healthier if they see Mom and Dad eat healthier. 

family eating healthy together

kids playing on playground

5. Rethink rewards. Instead of praise with candy or treats offer a trip to the playground, swimming pool or an active outing as a reward. Not only does it curb the sweets, but it gets everyone doing something together.

6. Reduce screen time. The average U.S. child is in front of some type of screen as much as seven hours a day.

brothers watching tv together

girl drinking water bottle

7. Make small changes. Choose whole-wheat crust instead of white crust on your family’s pizza. Those kinds of small changes can add up over time. Water instead of juice or soda are another easy switch.

 

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.

family eating healthy together

Here are 7 tips for helping your kids maintain a healthy weight throughout their childhood. 

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Save Your Skin - Q&A

Submitted by emily.griffin on

Did you know that your skin is the largest organ in your body? It covers approximately 22 square feet. It also accounts for about 16% of your body weight. It’s understandable then, that when you have dry skin, you can feel miserable. 

How much do you know about dry skin and what you can do to prevent it? Follow these questions and answers to learn how to save your skin. 


 

Q: Does dry skin only happen to older people? 

A: Dry skin is a common problem that can occur at any age.  

 

Q: How do I know if I have dry skin? 

A: Your skin may be rough, scaly or flaky, and it may itch. 

 

Q: What causes dry skin? 

A: There are many causes. As you age, your skin produces less of the natural oil that helps your skin keep its moisture. Dry, indoor air can cause your skin to become dry, as well as living in climates with low humidity. Indoor heating or air conditioning can dry out the air inside your home. Bathing too often may also dry your skin, especially if you use hot water for your baths or showers. 

 

Q: How can I treat dry skin? 

A: There are several things you can do to treat dry skin: 

  • Moisturize – Look for a moisturizer that is a skin barrier repair moisturizer. 
  • Apply a thin layer of petroleum jelly at night and wear thin cotton gloves to bed. 
  • If dry, brittle nails are a problem, use lotion on your nails as well. 
  • Avoid scratching, which can damage the skin.  

 

Q: What can do I do about my skin itching? 

A: Try the following: 

  • Keep the itchy area well moisturized. Dry skin may make itching worse. 
  • Add a handful of oatmeal (ground to a powder) to your bath, or you can try an oatmeal bath product. 
  • Try a nonprescription 1% hydrocortisone cream for small, itchy areas. 
  • If itching is severe, your doctor may prescribe a stronger cream. 
  • Cut your nails short or wear gloves at night to prevent scratching. 
  • Wear loose and comfortable clothing. Avoid scratchy fabrics next to your skin. 

 

Q: How can I prevent dry skin? 

A: Practice good skin hygiene to keep your skin healthy. Here are some tips: 

  • Shower or bathe in lukewarm or warm water. 
  • Don't shower too often – just when you're dirty or sweaty, or no more than once a day. 
  • Wash your skin gently rather than scrubbing it. 
  • Use a mild skin cleanser instead of soap. 
  • Pat your skin dry after a bath or shower. 
  • Apply a moisturizer while your skin is still damp, as well as several times a day. 
  • Consider using a humidifier if the air inside your home is very dry. 
  • Protect your lips with a lip balm that contains petroleum jelly or mineral oil. 

 

Q: I’ve tried a lot of remedies for dry skin, and none have helped. What do I do now? 

A: Talk with your primary care physician or dermatologist for help with severe dry skin. 

 

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.

save your skin

How much do you know about dry skin and what you can do to prevent it? Follow these questions and answers to learn how to save your skin. 

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