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Rago Cardiopulmonary

Medical Director: Thomas Craig, MD, DABIM

Program Manager: Bob Kimbrell


The Rago Cardiopulmonary Department at Geary Community Hospital offers many services for both in- and outpatient heart and lung patients. While inpatients receive their respiratory treatments in their hospital rooms, outpatients are able to access services by coming to the department. Located on the lower level of Geary Community Hospital, The Rago Cardiopulmonary Department is able to provide EKGís, EEGís, Holter Monitors, Cardiac Rehab, and Pulmonary Function. Stress Tests are also provided, but done in a specially designated room on the hospitalís first floor. Patients can also purchase Oxygen and Nebulizer services through GCH's Home Medical Equipment Store at 1310 W. Ash, across the street from the hospital.

Once an outpatient has received a doctorís order, he/she should register for services with a registrar on the first floor of the hospital. Please ask the registrar to schedule an appointment for you or call the department at 762-5140, extension 4229.

The following are services provided by Geary Community Hospital's Cardiopulmonary Department:

Asthma Education for Patients
Smoking Cessation Classes
Upon receipt of a physicianís order, the cardiopulmonary staff will educate patients of all ages and their families about asthma and how to manage it. For more information, call 785-762-5140, ext. 4229.

This American Lung Association program is a six-week, seven-session program that incorporates a group setting and a behavior modification approach to quitting smoking. A professionally trained instructor offers smokerís support as well as coping strategies that help them remain smoke free.

Electroencephalography is the process of recording brain wave activity. Electrodes are attached to various areas of the patientsí head. During the procedure, the patient remains quiet, with eyes closed, and refrains from talking or moving. In certain cases, prescribed activities may be requested.

The EEG is used to diagnose seizure disorders, brain stem disorders, focal lesions, and impaired consciousness. 
Sleep Studies 
Cardiac Rehabilitation 
Stress Testing
Nearly 12 million Americans between the ages of 30-60 suffer from Obstructive Sleep Apnea (OSA), the most common sleep disorder. Symptoms can include snoring, breathing cessation, severe sleep fragmentation, poor concentration, memory loss, irritability, restless leg movement, periodic limb movement, and excessive daytime sleepiness.

The Sleep Lab at Geary Community Hospital is accredited by the American Academy of Sleep Medicine. Accreditation is granted after a rigorous on-site survey as well as the development of policies, procedures, and evaluation.

The Sleep Lab consists of three rooms outside the entrance to the Senior Health Center on the hospitalís second floor. One room houses the technician and the monitoring equipment. The others are sleep rooms for the patients.

Sleep studies are performed at night by a trained technician and evaluated by a physician soon afterwards. The standard test, which measures both physiological responses and body movements, requires that the patient sleep for at least six hours in the Sleep Lab. Other studies for disorders such as Narcolepsy might be performed during the day.  
The goal of the Cardiac Rehabilitation Program is to restore the individual who suffers from heart disease to their fullest physical potential.

After suffering a Myocardial Infarction (heart attack) and benefiting from heart surgery, angioplasty, or stints, patients may receive rehabilitation in Junction City.
Patients typically complete Phase I of Cardiac Rehab while still a patient in the hospital. Then, as an outpatient, the patient enrolls in a 12-week Phase II rehabilitation course at Geary Community Hospital. The patient participates in Cardiac Rehab for one hour, three-times per week. Phase II sessions cover evaluation, education, demonstration of and participation in exercises, equipment, nutrition, and drug consultation, to name a few.

The Stress Test (exercise tolerance) is a means of indirectly measuring the heartís work capacity through either exercise or chemical stimulants. Specifically, it is a way to gauge the heartís ability to deliver oxygen-rich blood to the muscles as they work progressively harder. The test results also help the physician estimate the ability of the blood vessels surrounding the heart (coronary arteries) to supply blood to the working heart muscle.

The Stress Test consists of monitoring the heartís rhythm, pulse rate, and blood pressure while an individual performs a series of increasingly demanding physical exercise. These usually involve walking on a treadmill or pedaling a stationary bicycle. In addition to measuring cardiovascular fitness, the test helps diagnose possible cardiac abnormalities that are not present while resting or engaging in normal activities.

Holter Monitor 
Pulmonary Function
Electrocardiography graphically records electrical current (electrical potential) generated by the heart.

A resting EKG helps identify primary conduction abnormalities, cardiac dysrhythmias, cardiac hypertrophy, pericarditis, electrolyte imbalance, myocardial ischemia, and the site and extent of AMI (Acute Myocardial Infarction). Resting EKGís also help monitor recovery from AMI and evaluate pacemaker performance.

The Holter Monitor analyzes each heartbeat for 24-hours of continuous daily activity. The system then prints a series of clear concise tables, graphs, and EKG tracings that can be used to make a diagnosis or define a treatment program.

Electrodes are adhered to the patientís chest and then connected by a cable to an ambulatory cardiac monitor or patient monitor. The patient wears the monitor on a belt or shoulder harness. When the patient returns, the monitor is connected to the workstation to process the stored data.  
A Pulmonary Function Test is used to help diagnose many types of pulmonary disease. It is used to screen patients before surgery to decrease the chance of complications during operative procedures. The many different measurements help diagnose disease in two basic categories: restrictive lung disease (anything that makes it difficult to breathe air in) and obstructive lung disease (anything that makes it difficult to breathe out). The results are also used to evaluate the effectiveness of therapies or medications.


Our Benefactors


John, the late Louis, Josephine, and Ruth Rago gave funds for the construction and consolidation of the Rago Cardiopulmonary Department. The Ragos also donated a holter scanner, a treadmill, and a stress machine system. The cardiopulmonary staff wishes to thank the Ragos for their generosity.