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Casey, Kelsey L.

Kyle.Norton
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Doctor ID
5494
Client ID
4945
Kelsey L. Casey, APRN-CNP
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Kelsey
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L.
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Casey
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APRN-CNP
Year Joined Staff
2022
Year Began Practicing
2022
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Urology
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1467171165
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2019 - 2022 Mount Carmel College of Nursing

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Kelsey L. Casey, APRN-CNP
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751 Forest Avenue
Ste 301
Zanesville, OH 43701
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5494
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Britvec, Anna M.

Kyle.Norton
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Doctor ID
5423
Client ID
4852
Anna M. Britvec, APRN-CRNA
First Name
Anna
Middle Name
M.
Last Name
Britvec
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APRN-CRNA
Year Joined Staff
2022
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CRNA
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1619547643
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2019 - 2021 Youngstown State University

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Anna M. Britvec, APRN-CRNA
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Barr, Patrick J.

Kyle.Norton
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Doctor ID
4893
Client ID
4103
Patrick J. Barr, MD
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Patrick
Middle Name
J.
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Barr
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MD
Year Joined Staff
2020
Year Began Practicing
2011
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Hospitalist
Hospitalist- Telemedicine
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1154611317
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2007 - 2011 Northeastern Ohio Medical University

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2011 - 2014 Mayo Clinic

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Internal Medicine

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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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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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Got (Dairy-Free) Milk?

emily.griffin
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

emily.griffin
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

emily.griffin
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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