Genesis Cancer Care Center Earns Mastectomy Certification

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The Genesis Women’s Boutique at the Genesis Cancer Care Center received a 3-year mastectomy certification from the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC). The program recognizes patient care facilities that provide a high level of care for mastectomy fitting services. 

“We are pleased to earn the ABC certification in mastectomy care,” said Pebbles Thornton, Director of Cancer, Palliative Medicine and Hospice Services at Genesis HealthCare System. “This demonstrates our commitment and dedication to providing high-quality, compassionate care to our patients.”

Genesis met ABC’s high standard of criteria and completed extensive reviews, including an on-site survey. Staff members were required to be certified or licensed to provide the highest organizational and clinical care standards. This is the third consecutive mastectomy certification the Genesis Women’s Boutique has earned.

For more information about Genesis Cancer Services, click HERE.

Make an appointment today

Call Genesis Central Scheduling at (740) 454-4242 to schedule a mammogram. To make an appointment with a provider at the Genesis Breast Care Center, call (740) 454-5221.

The Genesis Women’s Boutique at the Genesis Cancer Care Center received a 3-year mastectomy certification from the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC).

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Shah, Kunal

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Doctor ID
5137
Client ID
4499
Kunal Shah, MD
First Name
Kunal
Last Name
Shah
Professional Titles
MD
Year Joined Staff
2021
Year Began Practicing
2010
Gender
Office Phone
Cardiology
Invasive Cardiology
Nuclear Cardiology

955 Bethesda Drive
1st Floor
Zanesville, OH 43701
United States

61353 Southgate Parkway
Ste 3
Cambridge, OH 43725-6607
United States

NPI
1730504150
Fellowship

2015 - 2017 Beth Israel Medical Center

Medical Education

2004 - 2010 N.K.P. Salve Institute Of Medical Sciences

Internship

2011 - 2012 Brooklyn Hospital Center

Residency

2012 - 2014 Brooklyn Hospital Center

Board Certifications

Cardiovascular Disease,Internal Medicine

Accepting New Patients
FALSE
Is Referral Required
FALSE
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Nuclear Cardiology

Genesis Recognized for Efforts in Supporting Breastfeeding

Submitted by Kyle.Norton on

Genesis Recognized for Efforts in Supporting Breastfeeding

Earned 5 Stars from Ohio First Steps for Healthy Babies

 

Zanesville, Ohio (June 24, 2021) Genesis HealthCare System has been recognized with a 5-star rating for its promotion and support of successful breastfeeding by the Ohio First Steps for Healthy Babies program. The program is a joint effort of the Ohio Hospital Association and the Ohio Department of Health. Genesis earned this recognition by achieving the Ten Steps to Successful Breastfeeding as defined by the World Health Organization and Baby-Friendly USA.

“Our team is honored to receive this recognition of our efforts to ensure babies have a healthy start to life through successful breastfeeding,” said Carolyn Blenis, Director of Genesis Women’s Services. “We understand the support a new mother receives from our staff can impact her decision to breastfeed. Increasing the number of breastfed newborns can lead to a decrease in future health conditions such as asthma, diabetes and obesity.”

The Ohio First Steps for Healthy Babies is a voluntary breastfeeding designation program that recognizes maternity centers in Ohio that promote, protect and support breastfeeding. A star is awarded for every two steps achieved in the program, with five stars being the highest level of achievement.

To learn more about maternity services at Genesis, visit genesishcs.org and select “Women’s Care under “Services.” To see where other Ohio hospitals rank in the program, visit ohiohospitals.org/ohiofirststeps.

Donate to the Genesis HealthCare Foundation

Make a gift online or call 740-454-5052 to learn how to contribute to our Genesis HealthCare Foundation.

Zanesville, Ohio (June 24, 2021) Genesis HealthCare System has been recognized with a 5-star rating for its promotion and support of successful breastfeeding by the Ohio First Steps for Healthy Babies program.

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Community Involvement

Submitted by Kyle.Norton on
Abstract

Genesis HealthCare System is dedicated to supporting a strong community. We are committed to helping other local nonprofit community organizations through active community participation, volunteerism and financial contributions. Below are some of the ways Genesis and its employees support our community.

Genesis vascular surgeons save lives through stroke prevention with TCAR procedure

Submitted by Kyle.Norton on

Did you know stroke is the fifth leading cause of death and a leading cause of disability in the U.S.? Just as these facts may be surprising, the reality is even more shocking for those told they’re at high risk of the disease. Known as a “brain attack,” symptoms of a stroke are often silent until it causes devastating temporary or permanent disabilities, or worse, is fatal.

Fortunately, vascular surgeons at Genesis HealthCare System proactively monitor patients at high risk of stroke and provide cutting-edge preventative management with the minimally invasive procedure Transcarotid Artery Revascularization (TCAR).

“TCAR is a very welcome treatment for patients in the high-risk category,” explained Michael J. Kunstmann, D.O., fellowship-trained and board-certified vascular surgeon, Genesis Heart & Vascular Institute. “The recovery time is less, the incision is smaller and the stroke rate is less than the standard treatment of carotid endarterectomy (CEA).”

Michael J. Kunstmann, D.O.

TCAR: Expanding stroke prevention care

For many, the risk of stroke increases due to blockage of a carotid artery. As the two main arteries that carry oxygen-rich blood from the heart to the brain, a blocked carotid artery often goes undetected until symptoms surprise a stroke victim, including:

- Sudden loss of vision, blurred vision or difficulty seeing out of one or both eyes

- Weakness, tingling and numbness on one side of the face, one side of the body or in one arm or leg

- Sudden difficulty in walking, loss of balance or lack of coordination

For some, a blocked carotid artery may be discovered during treatments for other chronic conditions. Regardless of how it’s found, treatment decisions are an immediate concern.

“The TCAR procedure is particularly well-suited for patients with other current or previous health issues,” Dr. Kunstmann noted. “We look at people who have had previous neck surgery or radiation, or those who have had previous endarterectomies as good candidates for the procedure. We also look at patients who are older and won’t necessarily tolerate carotid endarterectomy due to it being a longer procedure using a longer incision.”

A surgical procedure performed under local or general anesthesia, TCAR is completed through a small incision at the neckline just above the clavicle. After placing a tube directly into your carotid artery, the surgeon connects it to a system that directs blood flow away from your brain to prevent any loose plaque from reaching the brain. After being filtered, your blood will return through a second tube. A carotid stent is then placed to stabilize the plaque in your carotid arteries, and blood flow resumes its normal direction.

Take advantage of preserving life’s precious time

TCAR is a preventive treatment to avoid a stroke. Several factors are considered before recommending the procedure. “One factor we consider is if you have an 80% blockage, then your risk of stroke is approaching 10% a year,” said Lane Lee, D.O., fellowship-trained and board-certified vascular surgeon. “Your risk of a stroke with TCAR is generally much less than 2%.”

Dr. Lee stressed the importance and benefits of stroke prevention. “If you’ve had a stroke, there’s not much I can do to help. However, the TCAR procedure can prevent a stroke.”

The Food and Drug Administration (FDA) approved the TCAR procedure in 2015. At that time, fewer than 20 institutions were using the procedure; by 2019, the number had grown to over 200 institutions. The expansion of the use of TCAR is fueled by the extensive data on procedure outcomes being recorded by the Vascular Quality Initiative. All physicians in the U.S. performing TCAR have to be enrolled in the databank and record the outcomes of every procedure.

“All TCAR data is in the databank, from beginners to experts,” said Dr. Lee. “It’s not just the 10 best guys who know how to do this, it’s everybody. When you look at the overall databank, the stroke rate is less than 2% for this procedure.”

Genesis HealthCare System continues to have great success performing TCAR, and offering this innovative procedure is an important addition to patient care. “It definitely aids us by being able to provide our patients the best vascular care locally,” said Dr. Kunstmann.

Lane Lee, D.O.

 

Contact the Genesis Heart & Vascular Institute

If you or someone you are caring for have been recently diagnosed with carotid artery blockage, contact the Genesis Heart & Vascular Institute to learn more and to see if the TCAR procedure is appropriate.

How & Why Stroke Occurs

A stroke is caused when a blood vessel carrying oxygen and nutrients to the brain is either blocked by a clot (an ischemic stroke), or bursts or ruptures, preventing blood flow to the brain (known as a hemorrhagic stroke). A “mini-stroke,” or TIA (transient ischemic attack), is caused by a temporary clot. All three types of stroke cause brain cells to begin dying within minutes.

Some risk factors of stroke can’t be controlled, including:

· Age

· Heredity (family history) and race

· Gender

· Prior stroke or heart attack

Risk factors you can control to reduce your risk of stroke include:

· High blood pressure

· Cigarette smoking

· Diabetes

· Carotid or other artery disease

· Atrial fibrillation

· Other heart disease

· Sickle cell disease (also called sickle cell anemia)

· High blood cholesterol

· Poor diet

· Physical inactivity and obesity

Supporting HealthCare in Our Communities

The Genesis HealthCare Foundation is here to promote charitable support for Genesis HealthCare System. Find more ways you can help.

Minimally invasive procedure takes advantage of every second to reduce and proactively manage stroke risk.

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Genesis sheds light on patient’s blackout

82-year-old Charles Dean and his wife of 59 years, Katherine, live on a small farm in the northeast part of Licking County, Ohio, about 15 miles from Zanesville.

In the spring of 2017, Charles found himself taking naps frequently, but something didn’t feel quite right.

“I soon realized I wasn’t actually napping, but instead was having blackouts,” explained Charles.

A “blackout” is a temporary loss of consciousness, also called fainting, passing out, or in the medical world, syncope.

In some cases, low blood pressure causes these episodes. However, they can also be a symptom of an abnormal heart rhythm, which can result in a heart rate that is too fast or too slow to provide adequate blood flow to the brain. In these situations, blackouts may be a sign of a life-threatening problem.

Electrophysiology at Genesis

Once Charles realized he was blacking out, he contacted Genesis HealthCare for help and received an appointment to see Grant V. Chow, M.D., a fellowship-trained, board-certified cardiac electrophysiologist at the Genesis Heart & Vascular Institute.

Cardiac electrophysiology is an area of medicine that studies the electrical rhythm of the heart. Physicians specializing in cardiac electrophysiology evaluate, monitor and treat patients with irregular heartbeats or abnormal rhythms.

“Often, when a patient first comes for an evaluation, we perform an electrocardiogram (ECG). This is a quick, simple and painless test that involves attaching small electrodes to the skin,” explained Dr. Chow. “These electrodes connect to a machine that monitors the heart. We have a wide range of other cardiac tests and technologies we can use when we need to gather more information about a patient’s condition.”

Gathering more data

Charles’ evaluation suggested that an abnormal rhythm might be causing his blackouts.

However, Dr. Chow needed more information to better understand what was happening and provide the best care.

So, when Charles went home, he was given a cardiac monitor to wear 24/7 for 30 days. This would allow Dr. Chow to monitor his heart rhythm and look for a correlation with symptoms.

This also reduced the need for Charles and Katherine to drive into Zanesville for multiple follow-up appointments.

Everything was fine—until it wasn’t

“I thought I was doing fine. Then on day 28, I had another blackout,” explained Charles. On his monitor, his episode correlated with an abnormal heart rhythm where his heart rate dropped to less than 40 beats per minute.

That afternoon, June 17, 2017, Charles was admitted to the hospital and shortly afterward, Dr. Chow surgically implanted a pacemaker. This device signals the heart to beat when the heartbeat is too slow.

The surgery was a success, and after just one night in the hospital, Charles went home. His pacemaker now ensures that his heart rate never drops below a normal 60 beats per minute. In addition, the pacemaker can monitor his heart rhythm for any other issues to provide an additional layer of security.

“After the procedure, I had a lot of energy. Everything came back. My appetite even returned,” said Charles. “After a few weeks, I was able to return to work part-time.”

A temporary setback

Charles experienced no blackouts or heart issues for almost two years. But then, in April 2019, episodes of severe fatigue occurred. He was admitted to the hospital and was found to have a decrease in heart-squeezing power – a form of heart failure.

“If a patient is suffering from a serious heart condition such as heart failure, they are at a much higher risk of having recurring blackouts or feeling poorly,” explained Dr. Chow. “Unfortunately, this was the case with Mr. Dean.”

When Charles received the new diagnosis of heart failure, an upgraded pacemaker was offered to improve his heart function. The upgrade involved implanting an additional “lead,” a thin wire that connects to the device’s generator on one end and the heart on the other. In a standard pacemaker, which is what Charles initially needed in 2017, there are two leads. In contrast, in a biventricular pacemaker, the type of device that could help with his new heart failure diagnosis, there are three.

Thankful and appreciative

Since his biventricular pacemaker upgrade, Charles has not had blackouts, and his energy levels have improved. His follow-up echo in 2020 showed improvement in his heart squeezing power. He goes in for check-ups several times each year and has a cardiac monitor at home he can use to check in with Dr. Chow if he has concerns.

“Everything was so efficient at Genesis,” said Charles. “In your older years especially, it’s important to have a medical system you trust. Dr. Chow saved my life and his team keeps good track of me. I’m so thankful and appreciative.”

Genesis Heart & Vascular Care

Learn more about Electrophysiology and other life saving treatments at Genesis

Supporting HealthCare in Our Communities

The Genesis HealthCare Foundation is here to promote charitable support for Genesis HealthCare System. Find more ways you can help.

In the spring of 2017, Charles found himself taking naps frequently, but something didn’t feel quite right. “I soon realized I wasn’t actually napping, but instead was having blackouts,” explained Charles.

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