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Better balance, better you

emily.griffin
Submitted by emily.griffin on

Struggling to stay steady? Whether it’s catching your balance on a rocky trail or mastering yoga poses without toppling, balance is a skill worth mastering. According to Harvard Health, good balance requires the coordination of several body parts, including the central nervous system, inner ear, eyes, muscles, bones and joints. There is more to than staying upright. It’s about building strength, coordination and confidence. Let’s dive into simple, effective ways to improve your balance and have a blast while doing it. 

1. Embrace the power of play 

Remember hopscotch? It’s for adults, too. Jumping, skipping and even hula hooping can strengthen your muscles and improve coordination. Who said fitness can’t be nostalgic? 

2. Bring balance into your chores 

Turn everyday tasks into balance workouts. Fold laundry while standing on one leg or squat to unload the dishwasher. You’ll tone muscles and improve balance without adding extra time to your day. 

3. Try functional fitness 

Functional movements like lunges, step-ups and single-leg deadlifts mimic real-life activities improving balance while boosting strength. Make it fun by timing yourself or adding light weights. 

4. Turn technology into your trainer 

Apps and YouTube channels offer quick, engaging balance routines. You can even gamify your workouts with virtual reality fitness games that challenge your stability in exciting, immersive ways. 

5. Set a micro-challenge 

Commit to small daily challenges like balancing on one foot while waiting for your coffee or brushing your teeth. These quick bursts of effort build your skills over time. 

6. Bring in nature’s challenge 

Head outdoors and walk along uneven terrain like sandy beaches or forest trails. Nature’s unpredictability is the perfect training ground for better balance. 

Balance isn’t just a physical skill. It’s a life enhancer. According to Harvard Health, improved balance can help you with conditions like arthritis, stroke, Parkinson's disease or multiple sclerosis. With these hacks, you’ll feel more stable, agile and ready to take on the world (or at least a tricky flight of stairs). Go ahead and give it a try. Your newfound steadiness awaits. 

 

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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.

Better balance, better you

Struggling to stay steady? Whether it’s catching your balance on a rocky trail or mastering yoga poses without toppling, balance is a skill worth mastering.

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Pacemaker Implants: What you need to know

emily.griffin
Submitted by emily.griffin on

Pacemakers are implantable devices that treat slow heart rates. They can greatly improve the quality of life for individuals by preventing symptoms from slow heart rate conditions, such as sick sinus syndrome, or atrioventricular (AV) block.

What is a pacemaker?  

A pacemaker is a small device implanted under the skin near your collarbone to help regulate your heartbeat. A standard pacemaker consists of a pulse generator and wires (leads) secured in the heart. The pulse generator contains a battery and a tiny computer that sends electrical signals (heartbeat commands) to your heart when your heart rate is too slow.

Why might you need a pacemaker?  

Your doctor may recommend a pacemaker if you have a heart condition that causes your heart to beat too slowly.

According to current guidelines, a pacemaker is offered if you experience symptoms such as shortness of breath, fatigue, dizziness or passing out due to a heart rate of less than 50 beats per minute while awake, which is not due to a reversible cause. While asleep, heart rates less than 50 beats per minute can be normal.

A pacemaker can help ensure that your heart beats normally, improving your quality of life and reducing your risk of serious complications. In people whose heart rates are too slow, it can help improve energy levels and exercise tolerance.

How should you prepare?  

1. Medical evaluation:

  • Your doctor will review your medical history and perform a physical exam.

  • Diagnostic tests, such as an electrocardiogram (EKG or ECG), echocardiogram or Holter monitor, may be conducted to assess your heart rhythm. 

  • Discuss any medications you are taking. You may need to adjust them before the procedure. 

2. Fasting: 

  • Your doctor will provide specific instructions on fasting. Typically, you should not eat or drink anything after midnight on the day of the procedure. 

3. Arrangements for after the procedure: 

  • Arrange for someone to drive you home after the procedure, as you will not be able to drive. 

  • Plan for someone to stay with you for at least 24 hours after the procedure to help with daily activities as needed. 

What happens during the procedure?  

The pacemaker procedure is done in the hospital and requires local anesthesia. Sedation medication is also used to maintain patient comfort. Implantation involves making a small incision near your collarbone and inserting the leads into a vein that leads to your heart. The leads are then guided to the correct position in your heart, and the pulse generator is placed under the skin near the incision. The incision is closed with absorbable sutures. A standard pacemaker implant procedure will take about one hour to complete.

What is recovery like?  

Most people who receive pacemakers choose to go home about four hours after the procedure is completed. Your doctor will provide instructions on caring for the incision and what activities to avoid while you recover. Most people can resume normal activities (including lifting, pushing, and pulling) after four weeks. 

Are there risks?  

While pacemaker implantation is generally safe, there are risks and potential complications. These include possible infection, bleeding, bruising, allergic reactions, pain and swelling. However, following your doctor’s instructions will usually enable you to avoid these potential side effects. 

What is life like with a pacemaker? 

A pacemaker can be life-changing for individuals with symptoms due to a slow heart rate.  Most patients will experience improvement in physical activity and a reduction in symptom burden.

Make an appointment 

By understanding what a pacemaker is, how it works, how to prepare for the procedure and what to expect during and after it, you can make an informed decision about whether a pacemaker is right for you. If you have any questions, discuss them with your heart doctor.

 

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.

Do you have a family history of heart disease?

By understanding what a pacemaker is, how it works, how to prepare for the procedure and what to expect during and after it, you can make an informed decision about whether a pacemaker is right for you.

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Stress and your heart

emily.griffin
Submitted by emily.griffin on

The heart-stress connection

We’ve all had those days. Deadlines piling up, traffic jams stretching endlessly and your coffee deciding today’s the day it’ll spill all over your shirt. Stress is an unavoidable guest in life, but did you know it’s not just your mood that takes a hit? Your heart feels it, too. 

When stress strikes, your body’s “fight or flight” response kicks in. According to Harvard Health, this triggers a surge of adrenaline, raising your heart rate and blood pressure. While helpful in short bursts, chronic stress can strain your heart over time, increasing the risk of hypertension, irregular heartbeats and heart disease. 

 

The domino effect of stress 

Stress doesn’t just affect your heart directly. It sneaks in through the backdoor, too. An example is reaching for comfort in unhealthy habits like junk food, smoking or skipping your evening walk after a bad day at work. These coping mechanisms can pile on cardiovascular risks, creating a dangerous cycle. 

 

Stress less, protect more 

The good news? You can fight back. Simple stress-management techniques can protect your heart and improve your overall well-being. As the Mayo Clinic states, try deep breathing exercises, mindfulness or yoga to calm your system. Even a good laugh can do wonders. It’s like a mini workout for your heart.  

Make time for loved ones, get consistent sleep and incorporate regular physical activity. Each small step toward reducing stress builds a stronger, healthier heart. 

 

Take heart 

Stress is inevitable, but how you handle it makes the difference. So, when life gets chaotic, pause, breathe and think of your heart. A calmer mind leads to a healthier heart and a better day. 

 

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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.

Stress and your heart

Stress is an unavoidable guest in life, but did you know it’s not just your mood that takes a hit? Your heart feels it, too. 

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Helping Genesis Hospice Care Patients - Numerous Volunteer Opportunities Available

Kyle.Norton
Submitted by Kyle.Norton on

Compassionate volunteers are needed at Genesis Hospice Care to help support patients nearing the end of life and their families. There are a variety of volunteer opportunities, including in patients’ homes, in Morrison House, which is Genesis’ inpatient facility, and in nursing facilities.

 

“We are grateful for caring people in our community who give of their time to help our patients and their families,” said Pebbles Kieber, Director of Cancer, Palliative Medicine and Hospice Services at Genesis HealthCare System.

 

Volunteers are needed for companionship with patients, assisting with mealtimes, pet or music therapy, deliveries to homes for birthdays and anniversaries, beautician and barber services, fundraising, and greeting, wayfinding and keeping the family kitchen stocked at Morrison House, among others.

 

Training is provided, and shifts are flexible to meet volunteers’ needs. To learn more about becoming a hospice volunteer and making a difference for patients near the end of life, call Genesis Hospice Care at 740-454-5364, or visit genesishcs.org/hospice, click on “Volunteer.”

 

Hospice 5 Star CMS 2024

Compassionate volunteers are needed at Genesis Hospice Care to help support patients nearing the end of life and their families.

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Sulehri, Muhammad Shahan

Kyle.Norton
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Doctor ID
5871
Muhammad Shahan Sulehri, MD
First Name
Muhammad Shahan
Last Name
Sulehri
Professional Titles
MD
Year Joined Staff
2025
Year Began Practicing
2015
Gender
Office Phone
Endocrinology

860 Bethesda Drive
Unit 1 & 4
Zanesville, OH 43701
United States

61353 Southgate Road
Suite 5
Cambridge, OH 43725
United States

NPI
1942760491
About

M. Shahan Sulehri, M.D., specializes in endocrinology. Dr. Sulehri earned his doctor of medicine degree from the Latin American School of Medicine in Cuba where he graduated as a gold medalist and with distinctions in internal medicine. He completed his internship at the same institution before pursuing a residency in internal medicine at JFK University Medical Center/Raritan Bay Medical Center Program in New Jersey. Dr. Sulehri completed a fellowship in endocrinology at the University at Buffalo, Buffalo, New York, and is board-certified in both internal medicine and endocrinology by the American Board of Internal Medicine.

Dr. Sulehri began his practice as an endocrinologist at Advocare North Brunswick Medical Associates in New Jersey, where he specialized in diagnosing and managing a wide array of endocrine disorders. Dr. Sulehri is deeply dedicated to advancing patient health through innovative treatments and compassionate care

Fellowship

Endocrinology

2022 - 2024 University at Buffalo School of Medicine

Medical Education

2008 - 2015 Latin American School of Medicine

Havana, Cuba

Internship

2014 - 2015 Hospital Provincial Camilo Cienfuegos

Residency

Internal Medicine

2019 - 2022 JFK Medical University, Raritan Bay Medical Center

Board Certifications

Endocrinology

Internal Medicine

Accepting New Patients
FALSE
Is Referral Required
FALSE
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M. Shahan Sulehri, M.D., specializes in endocrinology. Dr. Sulehri earned his doctor of medicine degree from the Latin American School of Medicine in Cuba where he graduated as a gold medalist and with distinctions in internal medicine.

860 Bethesda Drive
Unit 1 & 4
Zanesville, OH 43701
United States

5871
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Can you overbrush your teeth?

emily.griffin
Submitted by emily.griffin on

We learn at a young age that regular teeth brushing keeps the dental work away. But can you brush your teeth too much? 

 

The American Dental Association recommends brushing your teeth twice daily for two minutes at a time with a soft-bristled toothbrush. Your brush should be replaced every three to four months or when the bristles become worn. 

 

Maintaining your pearly whites 

The Mayo Clinic explains that brushing our teeth removes the “sticky white film” known as plaque.  

  • Inside that plaque is bacteria. Eating sugary foods results in bacteria, creating acids that attach to enamel, or the outer coating of the teeth.  

  • Plaque that isn’t removed turns into tartar, making teeth harder to maintain. 

  • Acid buildup breaks down the enamel, causing tartar and even cavities. 

  • If left untreated, tartar can accumulate on our gum line and result in gum disease. 

 

Don’t rush the brush 

With brushing and flossing, we should spend around 30 hours a year caring for our teeth. Follow these ADA daily recommendations to make the time count: 

  • Angle your brush 45 degrees against the gumline. 

  • Move the brush back and forth in small, light strokes. 

  • Brush all surfaces, including behind the front teeth. 

  • Floss daily to remove plaque and food that your brush can’t reach. 

 

The Mayo Clinic recommends avoiding brushing after consuming acidic foods or drinks, such as soda, candy, citric juices and fruits. The acid makes the enamel soft, which can cause it to come off your teeth. Waiting 60 minutes before brushing allows the enamel to reharden.  

 

The root of the problem 

So, can you overbrush? The answer is yes. Referred to as “dental abrasion” or “toothbrush abrasion,” the Herman Ostrow School of Dentistry of USC explains it as the result of when you brush your teeth too forcefully.  

 

Using harder toothbrushes, usually in brisk horizontal strokes, contributes to abrasion. The canine and premolar teeth are commonly affected. Sensitivity to food and drinks is an easy way to detect possible abrasion. A V-shaped groove is often seen with a shiny area on the tooth. If you’re experiencing these symptoms, it’s best to see your dentist. 

 

While regularly brushing your teeth is important, be sure you don’t overbrush. Using these tips to maintain a healthy smile will help you ace your next checkup. 

 

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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.

Can you overbrush your teeth

We learn at a young age that regular teeth brushing keeps the dental work away. But can you brush your teeth too much? 

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Long-term strategies for managing panic attacks

emily.griffin
Submitted by emily.griffin on

Panic attacks are stressful, and nobody wants to experience one. To help reduce them, try these tips. 

1. Practice regular meditation and mindfulness 

  • Daily mindfulness exercises can help you become more aware of your thoughts and feelings, making it easier to manage anxiety when it arises. 

2. Engage in regular physical activity 

  • Exercise can significantly reduce anxiety levels. Aim for at least 30 minutes of moderate activity five days a week or more. Physical activity helps release endorphins, which naturally boost your mood. 

3. Learn about your triggers 

  • Identify patterns or situations that trigger panic attacks. Understanding these can help you anticipate and prepare for challenging moments. 

4. Consider Cognitive Behavioral Therapy (CBT) 

  • According to the Mayo Clinic, Cognitive Behavioral Therapy (CBT) is a type of talk therapy where you work with a mental health counselor. CBT is highly effective for anxiety and panic disorders. It can help you reframe negative thoughts and develop coping strategies. 

5. Focus on sleep and nutrition 

  • A well-balanced diet and sufficient sleep are foundational for managing anxiety. Limit caffeine, sugar and alcohol, which can contribute to anxiety. 

6. Build a support system 

  • Having a network of friends, family or a support group can make a big difference. Talking with others who understand can offer comfort and practical advice. 

 

short-term strategies for dealing with panic attacks

For strategies to deal with a panic attack in the moment, read our blog for helpful short-term tips.

Learn more

Panic attacks can be challenging, but by using short-term techniques and building long-term habits, you can gain more control over your anxiety. Remember, you’re not alone, and with the right tools, panic attacks can become more manageable. 

 

You should also talk to your doctor about what you are experiencing.  

 

Ready to get healthy?

Sign up for our digital newsletters to receive health tips, recipes, success stories for inspiration and information about new doctors to help you on your journey to better health.

 

 

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.

Long-term strategies for managing panic attacks

Panic attacks are stressful, and nobody wants to experience one. To help reduce them, try these tips. 

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Short-term strategies to deal with a panic attack

emily.griffin
Submitted by emily.griffin on

Panic attacks can be overwhelming and frightening. They often come with symptoms like a racing heart, shortness of breath, sweating and a sense of impending doom. However, there are immediate steps you can take to manage a panic attack and long-term strategies to help reduce their frequency. Let’s start with short-term strategies. 

 

Short-term strategies to handle a panic attack 

When a panic attack hits, it can feel like it will never end. Here are some quick techniques to help you through the moment: 

1. Deep breathing 

  • Focus on taking slow, deep breaths. Inhale for four seconds, hold for four and exhale for four. This can help regulate your heart rate and reduce anxiety. 

2. Ground yourself 

  • According to the Headington Institution, use the 5-4-3-2-1 technique. Name five things you can see, four you can touch, three you can hear, two you can smell and one you can taste. Grounding yourself in the present moment can help distract your mind from panic. 

3. Repeat a calming phrase 

  • Remind yourself that you are safe and that this will pass. Phrases like “This feeling is temporary” or “I am in control” can be soothing. 

4. Use visualization 

  • Imagine a peaceful place where you feel safe and calm. Visualizing yourself there can help shift your focus away from panic. 

5. Stay where you are 

  • If you feel the urge to flee, try to stay put. Removing yourself from the situation can sometimes reinforce panic, so work on calming yourself where you are. 

 

If you have had a panic attack, please contact your doctor for thorough care.  

 

long-term strategies for managing panic attacks

For long-term tips on dealing with a panic attack, read our blog for helpful strategies.

Learn more

 

Ready to get healthy?

Sign up for our digital newsletters to receive health tips, recipes, success stories for inspiration and information about new doctors to help you on your journey to better health.

 

 

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.

Short-term strategies to deal with a panic attack

There are immediate steps you can take to manage a panic attack and long-term strategies to help reduce their frequency. Let’s start with short-term strategies.

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How often should you wash bathroom towels?

emily.griffin
Submitted by emily.griffin on

The answer might surprise you. 

Let’s talk towels. They’re the unsung heroes of your bathroom routine, drying you off day after day and giving you that cozy post-shower hug. But the big question is how often should you wash them? 

If you’ve been riding the "I’ll wash it when it starts to smell" train, we’ve got news for you. There’s a recommended towel-washing schedule that’ll keep you and your towels fresh and clean. Spoiler, it’s more frequent than you figure.  

Why it matters 

You might think, "I’m clean when I use my towel, so why wash it so often?" Good question. Even though towels dry you off after a shower, they still collect dead skin cells, natural oils and moisture. And guess what loves moisture? Bacteria and mildew. The longer your towel stays damp, the more it becomes a breeding ground for the not-so-great stuff, like: 

  • Methicillin-resistant Staphylococcus Aureus (MRSA): According to the Centers for Disease Control, sharing personal items, such as a bath towel, may increase someone’s risk of contracting MRSA.  

  • Escherichia Coli (E. Coli): Washing a towel every few uses may decrease the risk of getting sick with E. Coli.  

  • Mold: A towel may retain mold if it doesn’t fully dry between uses.  

According to the Cleaning Institute, experts suggest washing towels after every three to five uses. That means if you shower daily, your towel should hit the laundry every three to four days. This frequency helps prevent bacterial buildup and keeps things feeling and smelling fresh. Plus, it keeps that soft, fluffy feeling intact.  

What about hand towels? 

Hand towels get a lot more action than your bath towels. They’re used multiple times a day by multiple people, which means they’re prone to bacteria even quicker. Ideally, swap out your hand towels every one to two days. If you have guests over or kids who seem to forget how to use a towel properly, you might want to change them even more often. 

Best practices for washing 

Now that you know when to wash, let’s talk about how. First, don’t overload the washer. Towels need space to get thoroughly clean and cramming them in won’t do the trick. Wash them in warm water with a regular detergent and skip the fabric softener. While softener might sound like a good idea, it can make towels less absorbent over time. For that extra fluffiness, toss in a couple of dryer balls or clean tennis balls with your towels. 

Special towels, special care 

Do you have fancy towels you use for décor more than drying? Sure, you don’t have to wash those as often, but make sure they still get some regular love. Dust and moisture in the air can still collect on them, even if they’re just there to look pretty. 

The bottom line 

When it comes to towel hygiene, err on the side of washing more often. After all, your towel does a lot of hard work. Stick to a schedule of every three to four uses for bath towels and one to two days for hand towels, and you’ll stay fresh, dry and free of any unwanted bacteria or musty smells. So, the next time you're doing laundry, give those trusty towels the care they deserve, and you’ll thank yourself later. 

 

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Sign up for our digital newsletters to receive health tips, recipes, success stories for inspiration and information about new doctors to help you on your journey to better health.

 

 

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.

How often should you wash bathroom towels

Let’s talk towels. They’re the unsung heroes of your bathroom routine. But the big question is how often should you wash them?

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Coshocton native values high-quality, local surgical care

Matt Colvin enjoys his active lifestyle, including spending time with his family, traveling to Cleveland Browns’ games and taking walks at Coshocton’s Lake Park.

When he became self-conscious about his umbilical hernia, he wanted to talk to a local physician who could help.

Matt called the Genesis Coshocton Medical Center. Following an appointment with David M. Barbara, M.D., a Fellowship-trained and Board-certified General Surgeon, Matt was relieved that his hernia procedure could be taken care of without leaving town.

“Everyone at Genesis was so welcoming and informative,” said Matt. “You can tell that they have careers they love.”

Hernia development

Umbilical hernias are caused by the thin layer of tissue surrounding the navel pushing through the weakened muscle opening near the bellybutton. When the umbilical cord opening closes after birth, sometimes the muscles in the abdomen don’t come together, leaving a small hole.

This opening often closes by the time a child is a few years old. But if it doesn’t close, the possibility of an umbilical hernia increases as we move and stretch our bodies throughout daily life.

Although common in young children, adults can develop umbilical hernias from frequent lifting and tightening of the abdominal muscles.

“Think of umbilical hernias as the result of the body’s way of remodeling,” said Dr. Barbara. “Every person has thinness in the umbilical region. The area is strong, but it gets more fragile over time.”

Timely care

As the superintendent of a local career center and an engaged member of the Coshocton community, it was important for Matt to receive effective and prompt treatment so he could return to his routine as soon as possible.

“I enjoyed meeting Dr. Barbara,” said Matt. “He took time to explain what he would do before, during and after the procedure.”

A small 1 ½ inch circular surgical mesh was used to repair Matt’s hernia.

Requiring only a 4-centimeter incision for placement, the abdominal wall grows into the outer side of the mesh material. The smooth silicone inner side easily bends without attaching to the intestine.

Speedy recovery

Dr. Barbara said the majority of umbilical hernia surgeries like Matt’s are completed as outpatient procedures

“Umbilical hernias are very fixable,” said Dr. Barbara. “Recovery is quick. Patients can return to their regular lives soon after surgery.”

Matt’s recovery included a few days of rest and a follow-up appointment with Dr. Barbara. He highly recommends the Genesis Coshocton Medical Center to his friends and family.

“I feel perfect. Having Genesis in Coshocton and what they have brought to the community has been great.” – Matt Colvin

David M. Barbara, MD

David M. Barbara, M.D.
Fellowship-trained and Board-certified General Surgeon
Genesis Coshocton Medical Center

Umbilical hernia symptoms

Not all hernias are visible and painful. While abdominal strain from lifting is a common sign of an umbilical hernia, watch for these symptoms and know when to talk to your doctor.

• Swelling near the bellybutton

• Redness or discoloration around the abdomen

• Chronic coughing

• Constipation or trouble urinating

• Fever

• Vomiting

Learn more at genesishcs.org/coshocton.

Genesis is a Top 100 Hospital in the nation for the third year in a row, as rated by Fortune Magazine and PINC AI.

Top 100 Hospital
Matt Colvin

“Everyone at Genesis was so welcoming and informative,” said Matt. “You can tell that they have careers they love.”

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