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Smoking Does More than Cause Lung Cancer

Submitted by emily.griffin on

We all know smoking causes lung cancer and that alone should be enough to encourage you to not start or quit smoking. However, do you know how else smoking impacts your health? 

 

The good news is that even if you have smoked before, quitting can stop further damage and even allow your body to heal certain things that have been harmed by cigarettes. If you are ready to quit, don’t think you have to do it alone. There are numerous resources in most communities. And there is no reason today can’t be the day you start improving your health by quitting smoking. The Genesis Tobacco Treatment Program offers tailored treatment plans and goal setting to help you quit successfully. Click here to listen to a 10-minute episode from the "Sounds of Good Health with Genesis" podcast on best practices for giving up tobacco. 

 

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.

Smoking Does More than Cause Lung Cancer

Do you know how smoking impacts your health? Take our quiz to learn more. 

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Got (Dairy-Free) Milk?

Submitted by emily.griffin on

The question, “Got milk?” now comes with a follow-up question: “What kind of milk?” Due to dietary allergies, intolerances, diet preferences and environmental concerns, many people are turning from cow’s milk and drinking plant- and nut-based milk alternatives. The number of people with dairy-related digestive issues continues climbing. Experts estimate that 68% of the world’s population struggles with lactose absorption. 

Thankfully, in recent years, a plethora of milk replacements have become available and accessible. Dairy-free milk products span from soy, coconut, almond, oat, rice, pea, hemp and quinoa bases. These diverse dairy-free products come in various brands, product types and flavors, which also means a variety in nutritional value. 

Dairy-free milk alternatives are not equal in nutritional value 

In April 2022, McGill University published a new study comparing the nutrition in cow’s milk to the four most common milk alternatives: almond, rice, soy and coconut milks. While cow’s milk came out with the highest nutritional value, researchers recognized unsweetened soy milk as the most nutritious dairy-free milk option. 

In the McGill University study, researchers found that pea- based drinks contained the most phosphorus (which helps create, maintain and repair tissues and cells), selenium (which helps make DNA and protects against infections) and zinc (which helps create DNA, builds proteins and supports a healthy immune system). 

The study also showed that soy milk contained the most magnesium (which supports our muscle and nerve functions) and protein. 

Pick your milk options carefully 

Nutritional value varies from brand to brand amongst dairy-free milks. Even within the same alternative milk base and the same brand, there are differences. That’s why it’s important to read labels carefully. While manufacturers may fortify some dairy- free milks with vitamins and minerals, others come with added sugars or artificial sweeteners. For example, many almond and hemp milks contain 13 g of sugar per cup. Paying close attention to labels will help you milk the most nutrition out of your milk alternative. 

Discover the healthiest milk alternative.

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Growing Through the Years for You

Submitted by emily.griffin on

Orthopedic and neuroscience care has transformed to a higher level of quality care in the 25 years Genesis has been in existence. Through the years, these two types of healthcare services evolved to be comprehensive programs with physicians and staff dedicated to ensuring you and your family have the best care available, right here at Genesis. 

As the new Genesis Hospital was planned, we met with patients and families to learn what you needed, and the same was true for what was to become the Genesis Neuroscience & Orthopedic Center. The two programs were housed in the same space in the Physician Pavilion. Patients could see their orthopedic, neurology or neurosurgery physicians without needing to enter the main hospital. The continuum of care, from diagnosis to treatment and rehabilitation if needed, became a seamless path, making the experience a smoother one for patients and their families. 

In the seven years since the Neuroscience & Orthopedic Center opened, the Orthopedic and Neuroscience programs have grown immensely. More physicians and advanced practice providers (certified nurse practitioners and physician assistants) joined the teams. This growth enabled us to care for more people from our community. 

We soon realized our growth was only limited by physical space. The answer? Build a new facility for Orthopedics, enabling both programs to continue to grow and provide high-quality healthcare for you. 

New Genesis Orthopedic Center 

The Orthopedic program moved into a new facility of its own in December 2021 at 2904 Bell St., Zanesville. Now all orthopedic providers – surgeons, advanced practice providers and sports medicine surgeons, physicians and athletic trainers – are in one modern, convenient location. Imaging tests can be performed in the center as well as some treatments. A dedicated rehabilitation gym for physical and occupational therapy is in the center, as well as an Orthopedic Walk-in Clinic for those minor injuries and problems. 

Genesis Outpatient Rehabilitation 

Another area that has been growing through the years is Genesis Rehabilitation Services. To meet the increased need for physical, occupational and speech therapy, we opened Genesis Outpatient Rehabilitation in 2020. Located at 3297 Maple Ave., Zanesville, the new facility features welcoming spaces for therapies and programs like Parkinson’s disease, women’s health, sports therapies and more. There are now five locations for outpatient rehabilitation in our service area, with a sixth opening in the Coshocton Medical Center in the spring of 2023. 

Genesis Neuroscience Center 

When the Orthopedic program moved, the Neuroscience program remained in the same location, now called the Genesis Neuroscience Center. The team of neurosurgeons, neurologists, advanced practice providers and support staff remain dedicated to providing the best neurological care possible to you and your family. An example of this dedication and commitment is the purchase of ORBEYE, a 4k-3D video microscope system that shows high resolution images on large video screens during surgery. Neurosurgical patients benefit from the use of this technology. 

Looking to the future 

Our Orthopedic and Neuroscience programs have come a long way in improving the quality of care we give you and your family. We appreciate that you and your family rely on us for high-quality care. We will continue to build on our promise – our mission – to you and our communities for the next 25 years and beyond. 

Providing high-quality orthopedic and neuroscience care.

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The Latest Technology for the Best Treatment

Submitted by emily.griffin on

Twenty-five years ago, returning home on the same day following a major surgery was a fantasy. Today, thanks to minimally invasive robotic technology, in many cases, it is a reality. “During the decade plus that Genesis has offered robotic-assisted surgery, we’ve gone through several upgrades in robotic-assisted surgical technology,” said Stuart Chow, D.O., Fellowship-trained and Board-certified Trauma Surgeon specializing in robotic-assisted surgery. “As our surgeons increase their expertise in robotic-assisted surgery, we’re performing complex procedures offered in larger medical centers.” 

Dr. Chow said Genesis offers the most advanced robotic-assisted instrumentation system available, which provides three-dimensional visualization of anatomy and technological integration with other equipment to improve efficiency and safety. 

Advanced robotic-assisted instrumentation allows surgeons to perform minimally invasive surgery or more complex surgeries that in the past required a large incision or several small incisions. “The ability to perform surgeries using small incisions benefits the patients with less postoperative pain and shorter stays in the hospital,” Dr. Chow said. “Most of the procedures performed robotically allow patients to go home on the day of surgery.” 

Robotic-assisted surgery continues to gain in popularity as it becomes more common, and patients learn of its advantages. “Patients are choosing minimally invasive surgery when it’s available as an option, and the volume of robotic-assisted procedures has risen significantly,” Dr. Chow said. Genesis has performed almost 3,000 robotic-assisted surgeries. However, even with all the technological advancements, there’s still a fine line between fact and science fiction. 

The facts about robotic-assisted surgery 

“A common misunderstanding related to robotic- assisted surgery is that the robot performs the procedure,” Dr. Chow said. “Robotic instrumentation is an extension of the surgeon’s hands who controls the robot’s every movement.” In addition, the robot has built-in safety features the surgeon uses to help perform surgery safely and efficiently. 

“Another misunderstanding is that every surgical procedure can be done utilizing a robot. Although many procedures can be performed with the robot, some procedures are best done through a larger incision by hand,” Dr. Chow said. 

Higher standards 

Genesis’ primary focus has always been patient safety and quality surgical care. “Close surveillance of patient surgical outcomes are monitored daily through our process and patient safety programs,” Dr. Chow said. “Outcomes falling outside our expectations are scrutinized, investigated and acted upon if necessary.” Genesis uses national surgical registries and benchmark outcome targets to compare its surgical outcomes and assure the standard of quality care is optimized. “However, at Genesis, we set our targets, so we perform better than the national cohort of hospitals,” he said. 

Dr. Chow said many of Genesis’ surgical specialties are credentialed to perform robotic-assisted surgery. General surgeons, urologists and cardiothoracic and gynecological surgeons perform most of the robotic- assisted surgeries at Genesis. 

“Robotic-assisted surgery benefits the surgeon and the patient,” Dr. Chow said. “It allows surgeons to visualize the patient’s anatomy in greater depth and clarity.” Surgeons can access areas that could only be done through large incisions in the past. Robotic- assisted surgery benefits the patient greatly by having less postoperative pain, quicker recovery, fewer complications from large incisions, and return to a normal lifestyle, including work, at a faster rate. 

“Genesis continues to invest in and focus on providing the best surgical care with new robotic technology, state-of-the-art operating rooms and integrated systems,” Dr. Chow said. “We continue to engage surgeons in multiple surgical specialties and surgical outcome analytics to provide the best surgical care for patients. I am grateful to be able to do this to help our patients.” 

Learn more at genesishcs.org/roboticsurgery.

latest technology

Genesis recently doubled the number of robotic-assisted machines to offer more patients the benefits of robotic-assisted surgery.

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Going Beyond Healthcare to Keep the Community Healthy

Submitted by emily.griffin on

Living healthy lives is hard for patients when they have personal obstacles that can prevent them from seeking healthcare. Therefore, Genesis’ Chief Population Health Officer Linda Supplee is dedicated to creating programs that remove barriers outside of Genesis to enable everyone to receive the care they need. 

Genesis has a 25-year history of supporting community health. Several years ago, the campus went tobacco-free and the health system often collaborates with the local health department on projects. “Most recently, Genesis supported the community by establishing COVID-19 testing and vaccination clinics. We also quickly launched virtual visits during the pandemic as part of our digital health services, making it easier for patients to obtain care in a safe and effective way,” Supplee said. 

Removing obstacles 

“We examine factors that make it difficult for people to seek healthcare, like finances, food security and transportation issues,” Supplee said. “It’s a broader view to include overall wellness and the issues that impact health, including the ones outside healthcare’s control.” 

Genesis collaborates with the community to provide resources that address obstacles. As healthcare reimbursement changes, Genesis shares responsibility for individuals and how they seek care, how well they are and the cost of care. “That’s us addressing social determinants or obstacles in their lives,” Supplee said. 

In the last couple of years, while Genesis simultaneously dealt with COVID-19, it developed a community health needs assessment in collaboration with five local county health departments. 

“We are working with various government agencies, local providers and health departments,” Supplee said. 

“In addition, Genesis facilitates a Social Determinants of Health Steering committee for the community where we review data to determine why people do not seek healthcare in our community.” 

The committee regularly meets and includes representation from area transportation, the health department, food banks, the United Way and the housing community. “Bringing attention to the problems is the first step to overcoming them,” Supplee said.   

Healthcare for everyone 

“We examine all populations in our community that might need support. Right now, we’re closely monitoring the aging and substance abuse disorder populations. In addition, we focus on assisting local employers. During COVID-19, we launched several new services for employers to keep their employees safe and healthy and to keep production moving. Our services were available to a wide range of employers, including education, food services and manufacturing,” Supplee said. 

For the aging population, Genesis has also developed a post-acute care network with town hall meetings every other month. “Our health partners include skilled nursing, long-term care and assisted living. We are committed to ensuring our aging population can receive care as their needs change,” Supplee said. 

Genesis Population Health is committed to ensuring an excellent patient experience through routine screenings, care, hospitalization and chronic condition management. 

“All aspects of care are considered and addressed. In the last two and a half years, we built a system-wide care management team consisting of nurses and social workers,” Supplee said. “We have a group of care managers on the in-patient side and transitional care managers to help patients transition from hospitals to other levels of care. We also have chronic disease care managers and procedure care managers. We have someone to help individuals at every stage of receiving care.” 

“We’re focused on achieving the Genesis mission. We are keeping healthcare affordable, making sure it’s exceptional and that we treat patients with compassion,” Supplee said. 

Chief Population Health Officer Linda Supplee describes how Genesis is addressing factors outside of healthcare to improve our community’s health.

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Positioning Providers to Provide the Best Care

Submitted by emily.griffin on

Being a physician is demanding, but the Genesis Medical Group makes it easier. “Sometimes called the Physician Network, we’re essentially a group of nearly 200 physicians and almost 200 advanced practice providers (APPs) led by Genesis HealthCare System,” said Genesis Chief Medical Officer Scott Wegner, M.D., Fellowship-trained and Board-certified Oncologist. “We’re committed to the Genesis mission, to provide compassionate, exceptional and affordable healthcare.” 

Unlike private practice groups, medical groups have no individual economic incentives. The Genesis Medical Group’s sole focus is to provide the best medical care. “We’re a cooperative group that works well with each other to help our patients. It’s a great organization,” Dr. Wegner said. 

“As opposed to a lot of hospitals that interact with privately employed physician groups, we have alignment with our physician group, and that is critical,” said Physician Network Chief Operating Officer Chris Schoelles, R.N. “It allows us to do things other systems can’t do.” 

Providers only focus on patients 

“At Genesis, physicians can focus on their patients while the administrators take care of the staff, the building and everything else,” said Schoelles. “That’s a huge difference because it allows our physicians to do what they do best -- care for patients.” 

Dr. Wegner said physicians in private practice see their patients and then do the payroll, work with insurance companies, code and bill and ensure the staff is happy. 

“Due to our model and success, we only recruit and retain the highest quality physicians and APPs.” – Scott Wegner M.D. 

“All I have to do when I’m a Genesis-employed physician is take care of patients because the Genesis administrative team takes care of the rest,” he said. 

Dr. Wegner said it’s a nationally evolving trend that many physicians want the opportunity to care for patients without distractions. “When I came here 12 years ago, there was only a handful of employed physicians,” he said. “We made a commitment to grow the group to become a patient-focused, mission-driven medical group.” 

The Genesis Medical Group is an attractive place to work. “Due to our model and success, we only recruit and retain the highest quality physicians and APPs,” Dr. Wegner said. 

The key to a medical group’s success is the dyad partnership, whereby physicians assume primary responsibility for the organization’s clinical vision, and administrators support that vision. “In all phases of our group, in all specialties, we have partnerships between physicians and talented administrators,” Dr. Wegner said. 

 Leading the way is the Medical Group Leadership Team, composed of physicians from all specialties. It charts the course for the medical group’s operations. 

“We provide high quality, technically advanced care to the highest degree in Zanesville. That’s a huge accomplishment,” Schoelles said. 

“No matter where Dr. Wegner and I go together, we’ll run into one of his grateful patients. It’s always heart-warming to see that level of engagement in a community hospital,” Schoelles said. “I’ve worked other places, and that’s not always what happens.” 

Providing accessible care to rural communities 

The Genesis Medical Group is growing because the health system is expanding into Perry County, Coshocton and Cambridge. 

“Our expansion into rural areas that need care the most is a challenge for most medical groups,” Schoelles said. “We’ve done extremely well recruiting, retaining and allowing physicians to go to those areas in need and establish successful practices.” 

Schoelles said by moving into rural areas, Genesis is able to provide care to families that previously did not have easy access to healthcare and may not have seen a doctor in years. “That’s a big step forward,” he said. “We can help so many more people.” 

Chief Medical Officer Scott Wegner, M.D., and Chief Operating Officer Chris Schoelles, R.N., share why the Genesis Medical Group is best for patients.

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Providing the Highest Quality Care

Submitted by emily.griffin on

“Running a hospital and practicing medicine is one of the most extraordinarily complex undertakings in the world,” said Genesis Chief Medical Officer Scott Wegner, M.D. “Human beings are complicated, and human beings with illnesses are even more complicated. Maintaining a safe and high-quality environment is a never-ending job.” 

Learning from the best 

Over the last several years, the top health systems in the world moved to adopt a more standardized approach to treating patients. The idea is to reduce inconsistencies in care and ensure every patient receives the best care every time. The philosophy came from the aviation industry, which pioneered this process-focused approach to ensure safety. Through exhaustive research, airlines determined the best ways to do everything that impacted safety and made it standardized to do each one of those things the same way every time. They also recognized the importance of empowering every employee to identify and call out safety issues. The result was safer flights. 

Incorporating this method into medicine means that teams of healthcare employees, from doctors to nurses to technicians and beyond, work together to identify and implement best practices to treat serious conditions like heart attacks, strokes, cancer and more. The goal is to remove any risk of deviation from the best treatment plan and utilize the experience and knowledge of all team members to benefit the patient. 

“With our standardized approach, we have been able to teach and perform the best method of treating illnesses to the point that the best approach is our only approach.” – Scott Wegner M.D. 

“At Genesis, our employees latched onto the idea of creating a culture of quality,” said Genesis Chief Nursing Officer Shon Bender, R.N. 

“They all realize the next patient in the door could be their neighbor or a loved one, and they want to make sure every patient receives the best care.” 

So, Genesis HealthCare System adopted this standardized approach to medicine and continues to practice and perfect it daily. One example is at the start of every shift, healthcare teams huddle together to discuss the patients in the hospital to ensure all employees are current on each patient’s conditions and care plans. This enables every doctor, nurse and everyone else to continue providing the proper care to get the patient well quickly. 

National recognition 

This standardized approach to quality improvement generated exceptional clinical outcomes for patients and resulted in Genesis being named a 100 Top Hospital by Fortune Magazine and Merative Health. Merative is an independent organization that evaluates how hospitals perform in many areas of quality and safety, such as the number of hospital-acquired infections, length of hospital stay and care-related complications. For details on the award, refer to the A community win for all article on page 8 of this publication. 

“As with anything in life, there are often many ways to accomplish your goal,” said Dr. Wegner. “With our standardized approach, we have been able to teach and perform the best method of treating illnesses to the point that the best approach is our only approach.” 

“I am so proud of our teams,” said Shon. “Over the last 25 years, they have transformed Genesis into a place that delivers the same level of care as the best hospitals in the nation. In fact, with the recognition of the 100 Top Hospital award, we have been designated as one of the best. It makes me happy to think we provide that level of care to our community.” 

Bender and Wegner

Chief Nursing Officer Shon Bender, R.N., and Chief Medical Officer Scott Wegner, M.D., describe how Genesis reached one of the highest levels of quality in the nation.

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Solutions for Common Foot Problems for Women

Submitted by emily.griffin on

Your feet do a lot of work. Whether walking, standing or exercising, your feet put in long hours. Here’s a look at some of the most common foot problems for women and ways to reduce foot pain. 

Possible pain points

1. Adult-onset flat feet 

  • When the posttrial tibial tendon, which helps hold up your arch, begins to break down, it can cause a painful flattening of the arch. Symptoms might include pain and swelling, often on the outside of the ankle. If not treated, the pain can intensify. 

2. Heel pain 

  • Heel pain tends to be caused by overuse, so the best treatment is prevention. Experts suggest replacing athletic shoes after they have about 300 miles on them, even if they still look new. 

3. Nerve problems 

  • Sometimes compressed nerves in other parts of the spine or legs can also cause foot symptoms. Be sure to tell your physician about any other problems you’re having when seeking help for foot problems. 

4. Bunions 

  • Bunions begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump. 

5. Plantar Fasciitis 

  • Heel pain is often caused by plantar fasciitis. Faulty foot structure is the most common cause of plantar fasciitis. In women, it may result from wearing nonsuppurative shoes, such as flip-flops and ballet flats. 

How to Avoid Foot Pain

1. Try a foot bath 

  • Warm water and Epsom salts may be just the ticket to alleviate foot pain and sore muscles. It can even reduce swelling in your feet. 

2. Stretch 

  • Try stretching exercises to help your sore feet. Stretching can prevent cramping and promote flexibility. 

3. Exercise 

  • Keeping your feet flexible and strong is key to avoiding foot pain. Walking regularly for exercise is the best way to keep your feet limber and healthy. 

4. Switch your shoes 

  • Your shoes could be the culprit of your foot pain. Wearing shoes beyond their life span, the wrong style or an incorrect shoe size can impact the health of your feet. 

5. Ice your feet 

  • Icing your feet can reduce inflammation that causes soreness. Apply ice to sore feet by filling a plastic bag with ice or rolling your feet on a frozen water bottle. Try to ice the affected area for 5 to 15 minutes a few times a day to help reduce inflammation. 

6. Contact your doctor 

  • Contact your doctor if you suspect a more severe foot condition or if you have severe foot pain. If you have diabetes and experience foot pain, call your doctor immediately. 

common foot problems

Here’s a look at some of the most common foot problems for women and ways to reduce foot pain.

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Turkey Stuffed Peppers 

Submitted by emily.griffin on

Ingredients: 

  • 6 large bell peppers 
  • 1 cup low-sodium chicken broth, divided 
  • ¼ cup tomato sauce 
  • 1 ½ cups cooked brown rice 
  • 6 tablespoons low-fat, sharp cheddar cheese, shredded 
  • 1 lb. 93% lean ground turkey 
  • 2 garlic cloves, minced 
  • 1 medium onion, minced 
  • 1 teaspoon cumin powder 
  • ¼ teaspoon salt (optional) 
  • ¼ teaspoon pepper 

Instructions: 

  1. Heat oven to 400°F. 
  2. Lightly spray olive oil in a medium nonstick skillet on medium heat. 
  3. Add onion and garlic and sauté for 2 minutes. Add ground turkey, salt, pepper and cumin and cook for approximately 5 minutes until the meat is cooked. 
  4. Add ¼ cup of tomato sauce and ½ cup of chicken broth, mix well and simmer on low for about 5 minutes. 
  5. Turn off the heat and add cooked brown rice. 
  6. Cut the tops off the peppers. Remove all seeds. Spoon the meat mixture into each pepper evenly. Place peppers in a 9 x 13-inch baking dish. 
  7. Pour the remainder of the chicken broth on the bottom of the pan. Cover with aluminum foil and bake for about 35 to 40 minutes or until the internal temperature is 165 degrees Fahrenheit. 
  8. Remove from the oven, add a tablespoon of shredded cheese to the top of each pepper, and bake for 5 minutes or until the cheese is melted. 

 

Nutritional information: 

  • Calories: 499 calories 
  • Total Fat: 35 g 
  • Sodium: 946 mg 
  • Cholesterol: 131 mg 
  • Carbohydrates: 24 g 

 

Approved by: 

Maurine Maneely, 

Registered Dietitian 

Find more recipes at genesishcs.org/eatwell. 

Try this delicious fall recipe.

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Five Ways to Stay Active During Winter

Submitted by emily.griffin on

When it’s too cold, icy or cumbersome to take that walk around your block, consider this: One and a half hours of strength exercise a week in the comfort of your home can account for the walk you might be missing out on due to bad weather. A study at the University of Michigan showed that 95% of participants confirmed that adverse weather curtails their workout, which is why we suggest strength training indoors during the cold season. 

Many may have an at-home gym. For those who don’t, the weight training we refer to requires little to no equipment. It ranges from using your body weight and adding resistance bands to small dumbbells. The National Institute of Health suggests that weight training exercises performed intermittently will lessen the risk of cardiovascular disease. 

“Patients who perform aerobic exercises have a lower risk of developing heart disease compared to those who aren’t as active,” said Duane Pool, M.D., Board-certified in Cardiovascular Disease, at Genesis Heart Lung & Vascular Institute. 

Before you try out our top five indoor strength exercises, check with your doctor first for the regimen that’s right and safe for you. 

Deep squats 

Squats are a great way to build your quad muscle. When muscle mass increases, it encourages oxygen circulation and alleviates the load on the heart. Start by standing with your legs shoulder-width apart and dip both hips in a downward motion as if sitting on an invisible chair. Hold the position, raise and repeat. 

Wall pushups 

Wall pushups are a great way to tone the arms. Stand arm’s length away from a wall while facing it. Stretch your arms. Keep your palms against the wall, shoulder-width apart. Using your body weight, push yourself toward and away from the wall. 

Leg lifts 

Resistance bands are budget-friendly and easy to use. Best of all, it does not take up storage space. Wear a resistance band around your ankle. 

Lie on your right side with your legs straight. Lift your left leg up and down, keeping your left leg parallel to your right. Switch to the opposite side and repeat. 

This exercise will tighten the core and lower body. 

All Fours 

This is another great workout that tones the core and lower body. 

Place your hands and knees flat on the floor. Keep your back straight and lift one leg up as if you’re stomping the ceiling. 

Bicep Curl 

Our final pick is your traditional curl with a 5-10 lb. dumbbell. Stand with your back straight and pull your forearm in toward you and away from your body. 

Five Ways to Stay Active During Winter

The National Institute of Health suggests that weight training exercises performed intermittently will lessen the risk of cardiovascular disease. 

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