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Article Category: Highlights

Advancements in orthopedic care

Table of experts

Republished Content: Atlanta Business Chronicle

Published on April 12, 2024

Last updated 11:04 AM April 15, 2024

Wellstar and the Atlanta Business Chronicle discuss the changing landscape of orthopedic care.

This article was originally published on Atlanta Business Chronicle on April 12, 2024.

Orthopedic care has evolved from injury treatment and corrective surgery into a critical component of modern healthcare. As primary care remains foundational in managing overall health, the demand for orthopedic services has surged, reflecting changing lifestyles, demographics and expectations. In any given year, 12% to 14% of the adult population will visit their physician for back pain, according to the United States Bone and Joint Initiative (USBJI).

Against this backdrop of widespread musculoskeletal issues, Wellstar recently convened with the Atlanta Business Chronicle for a panel discussion to delve into the changing landscape of orthopedic care. This insightful forum explored key trends, challenges and innovations shaping the field, with leading healthcare professionals offering valuable perspectives. These discussions unraveled the complexities of orthopedic care, ranging from preventive strategies to cutting-edge treatments. Among the panelists was Steve Quehl, a former college football player for Notre Dame, who started as a tight end before transitioning to a center. Other panelists were Dr. Hodari Brooks, orthopedic surgeon, Wellstar Health System; Dr. Joseph Burns, chief musculoskeletal officer, Wellstar Health System; Dr. Timothy Oswald, pediatric orthopedic surgeon, Wellstar Pediatric Orthopedics. Moderator was David Rubinger, market president and publisher, Atlanta Business Chronicle.

 


Panelist photo: Steve Quehl, a former college football player for Notre Dame; Dr. Hodari Brooks, orthopedic surgeon, Wellstar Health System; Dr. Joseph Burns, chief musculoskeletal officer, Wellstar Health System; Dr. Timothy Oswald, pediatric orthopedic surgeon, Wellstar Pediatric Orthopedics; David Rubinger, moderator, market president and publisher, Atlanta Business Chronicle

 

The rise of orthopedics and interventions

David Rubinger:  There’s an uptick in the demand for orthopedic services and these specialists have become increasingly essential to healthcare. What societal changes drive this heightened need for specialized ortho care?

Dr. Joseph Burns: We’re facing an aging population alongside a growing desire for an active, pain-free lifestyle. In the past, individuals had to endure their limitations and pain for life. Today, people have more options. Technology, techniques and training advancements now provide surgical alternatives that significantly enhance quality of life well beyond middle age. 

Wellstar conducts numerous community campaigns through various channels, including community events, the media and in our offices and hospitals, highlighting the value of maintaining health and establishing a relationship with a primary care physician.

Dr. Hodari Brooks: Societal changes for both our youth as well as adults have resulted in the increased need for orthopedic care. Physical activity has decreased, with fewer kids participating in physical education. This leads to more injuries related to obesity and lack of activity. The need for joint replacements is soaring, driven by both baby boomers aging and younger individuals seeking treatment earlier. Half of my practice is caring for patients under 55, a shift from when people would wait years for treatment. Now, we prioritize improving quality of life sooner rather than later.

Patients, including those seeking joint replacements, are opting for earlier interventions. They are less inclined to wait for treatment, indicating a shift within the healthcare system towards promptly addressing patient needs.

Rubinger: What new injury trends are emerging in sports due to changing physical activity patterns, especially with the rise of extreme sports and diverse workout routines?

Dr. Burns: The rise in overuse injuries among our younger population is disheartening. Young athletes don’t diversify their sports as they once did, leading to year-round specialization and an increased risk of injury. This relentless pursuit of success often comes at the cost of rest and diversity in physical activities.

We’re also encountering complex medical issues that require specialized treatment, reflecting both advancements in medical care and the aging population’s evolving healthcare needs. Conditions once considered untreatable are now within our reach, marking a significant shift in the scope of orthopedic care over the years.

Rubinger: Dr. Oswald, as a pediatric orthopedic specialist, have you frequently observed the concept of subspecialization and the decline in diversification among young athletes?

Dr. Timothy Oswald: It’s a significant area of concern for us, and we’re conducting more research. Recent studies have highlighted the insufficient breaks and rest periods given to children, as well as the trend of starting high-level athletics too young, which aligns with the issue of subspecialization. Kids are not miniature adults. Their orthopedic stresses differ due to growth plates and differing stress responses.

We’re educating the community, including coaches and parents, about the importance of rest periods during training through channels like social media. We aim to implement better training methods so young athletes can continue playing into their college years, as we’re noticing a concerning trend where many high-level athletes quit sports as early as eighth grade.

Rubinger: Steve, as a former college athlete yourself, what’s your observation of the sports world’s changes regarding how injuries are approached, especially compared to when we were younger?

Steve Quehl:
 I view this issue through the lens of my grandchildren and their friends, and I agree with the insights shared by these doctors. Their perspectives must influence parents’ decisions, particularly regarding the early specialization trend. Parents often have unrealistic expectations of their children becoming professional athletes, which can lead to overtraining and injuries. Kids should have a balanced approach to sports. I’m grateful my daughters chose activities like swimming over contact sports for their children, considering the risks to growing bones and muscles.

Prior to my enrollment at Notre Dame, I appreciated the joy of playing multiple sports during each season for fun, without the pressure of turning it into a professional pursuit.

 

Efficient outpatient care benefits

Rubinger: I’ve noticed remarkable changes in my lifetime regarding the duration of procedures and the efficiency of hospital stays or visits to outpatient surgery centers. I’m curious about your perspective on this shift away from extended hospital stays. Do you believe it’s ultimately beneficial or detrimental to patients? What are your thoughts on this evolution of the time spent in hospitals or surgery centers?

Dr. Brooks: There’s been a significant shift in the duration of hospital stays, especially concerning joint procedures. In the past, patients would typically spend several days in the hospital before and after surgery. In my practice, around 90% of primary joint patients can return home the same day, which is remarkable. This change is not only due to patient preferences for quicker recovery but also has medical benefits, such as reducing the risk of infection. Outpatient joint replacement is not done everywhere, however, and it is important to discuss this option with your individual surgeon.

Insurance companies have started incentivizing shorter hospital stays. While this trend has clear advantages, it also comes with challenges, such as pressure to discharge patients quickly. The ability to expedite recovery and minimize specific complications is a positive development I believe will continue.

Rubinger: Do we have data showing a decrease in complications due to the trend of shorter hospital stays, particularly for joint procedures?

Dr. Burns: Evidence indicates improved outcomes for outpatient procedures, with data supporting this trend. The shift involves a comprehensive approach beyond simply performing the surgery and discharging the patient. It requires a multidisciplinary effort, with investments in establishing preoperative optimization programs, patient education classes and a coordinated team approach on the day of surgery.

Patients undergo physical therapy before returning home, but the care doesn’t stop there. We must ensure effective pain management, minimize infection risks and create a safe home environment to support their recovery. This process goes beyond safely discharging patients. It’s about ensuring their complete and safe recovery. I’m proud of the extensive teamwork and complex processes that Wellstar has implemented to support these programs.

Quehl: When it was time to correct my right shoulder this past year, I went in the morning and came back home in the evening. Dr. Burns assured me that I’d be home the same day, and it was a wonderful experience. I didn’t want any overnight stays. It was well-planned and executed, with proper anticipation and expectations set. The follow-up was excellent, too.

Dr. Brooks: Patients are shocked or hesitant when I inform them that they’ll go home the same day. It’s about managing expectations and explaining the benefits, especially as it relates to improved outcomes. Involvement in these programs gives physicians more control over the process. It’s a serious undertaking but rewarding because we can provide more input, especially in an outpatient setting. Collaboration with anesthesia colleagues has improved, particularly with techniques like regional blocks, as patients need to be up and about after surgery. Almost universally in my experience, patients prefer their outpatient surgical experience to any previous hospital stays.

Multimodal pain management success

Rubinger: This leads me to my next question regarding opioids and pharmacology. Has pharmacology evolved over the last decade to improve patient treatment?

Dr. Burns: Most of us are employing what we refer to as multimodal pain control, which involves a process aimed at sparing, if not entirely eliminating, the need for opioids as a primary method of pain management. By utilizing different medications that target distinct pain receptors, we can effectively manage pain while minimizing potential side effects that may arise from relying solely on opioids or multiple doses of the same medication. Advancements in regional blocks, administered by anesthesiologists, allow injections that can provide numbing effects in the affected areas for several days, alleviating initial post-operative pain and reducing patients’ overall need for pain medication over time.

Dr. Oswald: The opioid crisis in the greater Atlanta area is a significant concern for both children and adults, and it’s something we’re all acutely aware of. We’ve initiated extensive research efforts at Wellstar to address this issue and lead advancements in pain management that don’t rely on narcotics. Similar to the approach described in the total joint experience, we’ve been observing this trend for some time now, even in pediatric cases.

When I trained for pediatric spine surgery 20 years ago, patients stayed in the hospital for at least a week post-surgery. By implementing multimodal approaches, we’ve managed to reduce narcotic use by nearly 90% while also transitioning from a week-long hospital stay to just a 23-hour observation period for certain procedures.

Patient satisfaction is higher with these approaches, directly correlating with their overall experience. Are we expediting discharge solely for the sake of pushing people out? Actually, no. It’s about ensuring patients feel empowered in their recovery process, with their pain managed effectively, and their ability to return to the quality of life they desire. These patient-centered care programs optimize outcomes and enhance the overall healthcare experience.

As regenerative medicine techniques continue to evolve, integrating them seamlessly into our practice holds great potential for improving patient outcomes.

- Dr. Hodari Brooks, Orthopedic Surgeon, Wellstar Orthopedics & Sports Medicine

Innovations shaping the future

Rubinger: What advancements are coming down the pipe in orthopedics? What discussions are medical professionals having about upcoming technologies and innovations? Which aspects of these developments do you believe will enhance the success and satisfaction of your patients?

Dr. Brooks: Regarding joint-related advancements, we’re striving for implants that can withstand the test of time, ideally lasting a patient’s entire lifetime, especially for younger individuals facing conditions like juvenile rheumatoid arthritis. We’re not quite there yet due to the wear and tear on joints, but ongoing improvements in implant technology offer hope for achieving this goal.

The emergence of devices and substitutes to enhance surgical procedures is promising, particularly for challenging cases where additional support is needed for healing. As regenerative medicine techniques continue to evolve, integrating them seamlessly into our practice holds great potential for improving patient outcomes. Advancements in surgical techniques are crucial for minimizing procedure duration and ensuring efficient and effective treatments for patients.

Dr. Burns: The future of orthopedic surgery is very exciting and promising. We have minimally invasive techniques that are constantly being developed to reduce trauma and scarring. An exciting technological advancement is 3D printing, and we continue to utilize it to create customized implants, braces and prosthetics for our patients. Last week, we used a 3D-printed shoulder implant for a patient with a severe deformity, and it fit perfectly.

We have robotics and navigation systems that help us enhance our precision during surgeries and improve the accuracy of implant placement. There’s also biologics and regenerative medicine. We are doing a significant amount of research on stem cells to advance the ability of physicians to use the patient’s own bodies to help improve their situations.

We use virtual and augmented reality in the operating room, which is helpful for pre-surgical planning or intraoperative guidance. Artificial intelligence (AI) is everywhere, and orthopedics is no exception. We now use AI-powered algorithms to improve our research and decision-making, removing a lot of the bias that we know can negatively affect our decisions.

In the future, our success hinges on embracing new technologies, advancing surgical training and education, prioritizing safety and ensuring cost-effectiveness. Many of us find the blend of expertise and technological innovation exciting.

 

Workforce and wellness

Rubinger: A big industry issue is finding enough healthcare professionals, technicians and staff. How does that impact the orthopedic field specifically? Is there less of a supply issue, or are you facing the same problems?

Dr. Oswald: The data shows that there will be a shortage of orthopedic surgeons nationally by 2026, affecting more rural communities first and then metro areas. When you break it down into subspecialty areas, even within pediatric orthopedics, there is going to be a huge shortage of pediatric orthopedists within the next five years. Wellstar is investing in education for the next generation.

With the Wellstar Kennestone orthopedic residency and the recent affiliation with the Medical College of Georgia, we are training over 40 orthopedic residents annually, an important pipeline for the future of Georgia and the training programs. How they communicate and integrate future technology will be critical to managing operative and nonoperative patients.

Rubinger: What is your perspective on workplace trends and what businesses should do to prevent their employees from needing orthopedic care regularly?

Dr. Brooks: We’re observing a positive trend where many employers are beginning to offer financial incentives to their employees. They say, “If you quit smoking or participate in our wellness program, we’ll lower your insurance premiums.” This approach has tangible effects because a decrease in premiums is significant for individuals.

Employers are increasingly providing workplace exercise opportunities and addressing concerns like ergonomics. Carpal tunnel, a common workplace issue, has decreased with the introduction of appropriate desks and keyboards, impacting employee health.

We serve as the gateway for patients returning to work. Employees who are our patients interact with us, wanting to return to work within a few weeks post-surgery. We consider not only the surgery but also the work environment. Employers offering light-duty options or sedentary tasks facilitate quicker returns to work for patients. The recovery process may take longer if the only option is full-time work.

Dr. Burns: If employers proactively work to prevent orthopedic injuries or detect them early by offering resources and support, they’ll be more successful in maintaining a healthy and productive workforce. Playing catch-up when injuries become more complicated due to a lack of ergonomic assessments, education, breaks or a safety culture is detrimental. The culture within a company plays a significant role. There will be consequences if it promotes pushing employees to exhaustion or injury. Business owners need to be proactive.

Rubinger: Has working from home been both positive and negative? Have you seen this either help or hurt in terms of your patients?

Dr. Brooks: There’s not enough research in this area to give a definitive assessment, but I’ve observed younger individuals feel the need to work from home several days a week. The concern arises from whether this trend will lead to a sedentary lifestyle, as physical activity tends to decrease when you’re not commuting to work or engaging in office tasks. This shift will likely increase soft tissue injuries like quadriceps, patellar and Achilles tendon sprains and tears among the weekend warrior types who become less active during the week.

Dr. Oswald: We’re witnessing a surge in overuse injuries linked to technology and social media. This issue isn’t directly tied to the workplace but to where our children receive their education. They spend hours sitting in school, then continue to sit at home using their laptops and iPhones, leading to forward-leaning posture and subsequent back pain. Back pain associated with technology has become the most frequent complaint in our clinics. It’s a genuine concern and presents an opportunity for us to tackle it head-on.

Rubinger: Steve, what advice do you give your family members from someone who’s had to go through full shoulder replacement? And what kind of advice do you give them regarding their physical health?

Quehl: Physical and mental well-being are intertwined as the doctors have highlighted. It comes down to instilling discipline in our daily routines. Start with simple tasks like making your bed, then engage in physical activities like going to the gym or pool. Limiting screen time, especially for children, is crucial, and parents should monitor this closely. Nothing can replace the benefits of stimulating brain activity through physical play outdoors. How often do kids climb trees, play in the yard, or enjoy games like tag compared to spending time glued to their screens? Sometimes, it might be necessary to take away the phones and allow them to rediscover the joys of being kids.

Rubinger: What are the best strategies for individuals regarding engaging with an orthopedic practice and caring for their bodies? You mentioned physical therapy and preventive measures. What other advice do you have for people to avoid needing to visit your office as much as possible?

Dr. Burns: Like many areas, our greater Atlanta population has a mix of individuals who are bright, educated and very health conscious as well as a group that, for various unfortunate reasons, has given up on their health.

For both of these groups, moderation is the key. Everyone should invest in maintaining a healthy lifestyle, but that can mean something different to different people. In order to stay healthy, extremely active people may need to moderate their activities down as they age, whereas inactive people may need to safely ramp up their activities.

Regular exercise, proper nutrition and adequate rest can keep your bones and joints strong and healthy. Periodic checkups with a physical therapist to evaluate flexibility, muscle strength and balance can be helpful to assess musculoskeletal health and detect potential issues early on. In addition, taking preventive measures such as wearing appropriate footwear (newer shoes are better than expensive shoes), using proper techniques learned from a certified trainer or physical therapist and avoiding overexertion can all help people stay out of the surgeon’s office.

It’s always important for people to listen to the cues their bodies are giving them as ignoring pain can lead to further damage. Lastly, be your own best advocate. Follow treatment plans laid out by your physician, communicate effectively with your healthcare providers to be sure they understand your condition and concerns clearly and seek second opinions from specialists if you have any doubts.

As Wellstar specialists in 2024, we believe we should offer subspecialized care tailored to our communities’ needs. This approach begins with prevention and extends to helping patients regain the highest possible quality of life. Achieving this requires collaboration among numerous experts to create a culture prioritizing patient care and delivering a world-class experience from start to finish.

Learn more about ortho care at Wellstar or find a specialist near you.

 

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Self Care Senior Health KidCare Bone and Joint Care
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Aging Gracefully: Knowing When It’s Time for a Joint Replacement

For many of us, the golden years are a time to look forward to—an opportunity to travel, spend time in the garden, play with grandchildren or finally perfect our golf swing. However, chronic joint pain can quickly turn these anticipated moments into daily struggles. When a stiff hip makes getting out of the car an ordeal or a throbbing knee turns a simple walk around the neighborhood into a painful chore, it significantly impacts your quality of life.

It’s a common misconception that severe joint pain is an inevitable part of getting older that must be endured. While wear-and-tear on our bodies is natural, living in constant discomfort is not. Fortunately, modern orthopedic advancements offer powerful solutions, including total hip and knee replacements, to help you reclaim your mobility and independence. But how do you know when it is time to move past temporary fixes and consider a joint replacement?

Recognizing the warning signs

In the early stages of joint degradation—often caused by osteoarthritis—minor lifestyle adjustments, over-the-counter pain relievers or occasional ice packs might keep the discomfort at bay. However, as the cartilage that cushions your joints wears away, the bone-on-bone friction can worsen.

It may be time to consult an orthopedic specialist if you experience any of the following:

  • Severe pain during everyday activities: If walking, bending down or climbing stairs causes significant distress, your joint health is actively limiting your daily life.
  • Pain that disrupts your sleep: Waking up in the night due to a throbbing hip or knee is a strong indicator that the inflammation has become severe.
  • Rest and medication no longer offer relief: If physical therapy, cortisone injections and anti-inflammatory medications are no longer moving the needle, the joint may be structurally compromised.
  • A noticeable loss of mobility or chronic stiffness: Finding it difficult to put on your shoes, cross your legs or fully straighten your knee suggests advanced joint deterioration.

Modern approach to care

Deciding to undergo a joint replacement is a significant milestone, but it is important to know that the procedure has evolved dramatically over the last decade. Today, hip and knee replacements are among the most reliable and successful surgeries performed in medicine.

Thanks to advancements in surgical techniques, specialized instrumentation and personalized digital planning, modern joint replacements are highly precise. Surgeons can precisely match the implant to your unique anatomy. For patients, this translates to less tissue disruption, reduced post-operative pain and a much smoother rehabilitation process.

The philosophy surrounding recovery has also shifted. We no longer expect patients to spend weeks confined to a hospital bed. In fact, most patients are up and walking with the assistance of physical therapy the very same day as their surgery. Many joint replacements are now performed on an outpatient basis, allowing patients to recover in the comfort of their own homes.

Reclaiming your active lifestyle

The ultimate goal of a hip or knee replacement is not just to alleviate pain, but to restore your freedom. Within a few months of dedicated physical therapy, the vast majority of patients find themselves doing things they haven’t been able to do comfortably in years. Whether that means returning to low-impact sports, traveling without worrying about the walk through the airport or simply playing on the floor with family, the transformation can be profound.

If chronic knee or hip pain is forcing you to sit on the sidelines of your own life, remember that you have options. Surgery is rarely the first step, but when conservative treatments fall short, a joint replacement can be the key to turning back the clock on your mobility.

You don't have to manage severe pain alone. Take the first step by speaking with an orthopedic specialist to evaluate your joints, discuss your goals and design a personalized treatment plan that helps you age gracefully, actively and on your own terms.

Find an orthopedic surgeon in your community.

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Summer Safety for Kids: What Parents Need to Know

Summer is a time for bike rides, pool days, sports camps, family vacations and long afternoons spent outdoors. A few simple precautions can help keep children safe and healthy.

From water safety and injury prevention to hydration, healthy screen time habits and knowing when to seek care, Wellstar Children’s of Georgia experts share practical tips to help your family make the most of summer.

By the water

Some of the best summer memories are made by the water—whether at the pool, lake or beach. But drowning can happen quickly and silently, so active adult supervision should always come first.

“Supervision is more than just being nearby. You have to be watching—not on your phone, not reading a book, not having a side conversation,” said Dr. Joanna Dolgoff, Wellstar Children's of Georgia pediatrician and spokesperson for the American Academy of Pediatrics. “It's a good idea to designate one adult as the water watcher, and their only job is to keep eyes on the kids."

Swim lessons are an important part of water safety, but they never replace supervision. For boating and other water activities, children should also wear a properly fitted U.S. Coast Guard-approved life jacket.

After swimming, dry kids’ ears thoroughly and avoid cotton swabs to help prevent swimmer's ear—an infection of the outer ear canal caused by trapped moisture.

“Earwax helps protect against swimmer's ear. It fights bacteria,” said Dr. Eric Berg, medical director of pediatric surgical services and medical director of complex pediatric otolaryngology at Wellstar Children’s of Georgia. “Sometimes when people are overly aggressive with cleaning their ears, they make themselves more predisposed.”

On the move

Summer gives kids more opportunities to ride bikes, play sports and explore the playground. Pediatric specialists also see more orthopedic injuries this time of year, making a few simple safety habits crucial.

"Most importantly, helmets," said Dr. Berg. "If they're riding a scooter, bicycle or skateboard, a properly fitted helmet can dramatically reduce the risk of serious head injury. The other piece that’s critical is parents modeling the behavior.”

Trampolines, monkey bars and climbing equipment are common sources of fractures and sprains, particularly when kids become fatigued. Supervise your child closely and offer plenty of breaks during active play.

At the same time, remember that some risk is a natural part of growing up.

"Kids have to learn their boundaries and what they’re capable of,” Dr. Berg said. "However, if they’re doing something that seems to put them in extreme danger, obviously intervene and redirect.”

Under the sun

Georgia's summer heat doesn't have to slow kids down—but staying ahead of it can help keep them safe.

“We have to be vigilant about making sure our children are staying hydrated and giving them breaks from the sun, particularly during the peak hours of the early afternoon,” Dr. Berg said.

Apply sunscreen before going outside and offer water frequently—even before kids ask for it.

"You don't want to wait until your child says, 'I'm thirsty,' because at that point they may already be getting dehydrated," Dr. Dolgoff said.

Heat can also make playground equipment, pavement and parked cars dangerously hot. Check outdoor surfaces before play and never leave a child unattended in a vehicle.

Watch for signs of heat exhaustion, including heavy sweating, weakness, headache, nausea or dizziness. If your child develops signs of heatstroke, such as confusion, loss of consciousness or a temperature above 104 degrees, call 911 immediately.

At home

Summer break often means later bedtimes and more flexibility, but healthy routines still matter.

"It's not about banning screens altogether—it's about finding the right balance," Dr. Dolgoff said. "The key is making sure screen time doesn't crowd out the things kids really need, like sleep, physical activity, reading, family time and social connections.”

The American Academy of Pediatrics recommends creating a family media plan with age-appropriate expectations, including screen-free times during meals and for at least an hour before bedtime.

"Instead of focusing on cutting out screen time, focus on cutting in other activities," Dr. Dolgoff said.

Summer is also a great time to reinforce healthy eating habits. Make water the drink of choice, limit sugary beverages and keep washed, ready-to-eat fruits and vegetables within easy reach.

"One of the biggest reasons kids' diets suffer is because they don't have that routine, and summer is like a free-for-all," Dr. Dolgoff said. "Keeping a consistent schedule and sitting down together for meals is really important during the summer."

Around town

Backyard barbecues, concerts and community festivals are some of summer's favorite traditions. Knowing what to watch for can help keep the focus on making memories.

If you're preparing fish, remove bones carefully before serving children and use caution when cleaning grills with wire brushes.

"Bristles can dislodge and cause big problems if they get hidden in a hamburger and eaten," Dr. Berg said.

Use insect repellent, perform tick checks after outdoor play and practice good hand hygiene and safe food handling to help prevent other common summer illnesses.

At fireworks shows and concerts, consider using earplugs or noise-reducing headphones and keep a safe distance from speakers and fireworks. Remember that children should never handle fireworks, including sparklers, which can cause serious burns and eye injuries.

"Do not underestimate the danger of sparklers," Dr. Dolgoff said. "Sparklers burn at about 2,000 degrees Fahrenheit, which is hot enough to melt some metals.”

When something doesn't feel right

Even with the best preparation, bumps, bruises and illnesses happen. Knowing where to go for care can help your child get the right treatment quickly. Wellstar offers expert pediatric care through urgent care, emergency care and primary care locations across Georgia.

Most scrapes, cuts, sprains and minor fractures can be treated at an urgent care center. More serious injuries—including severe fractures, large cuts, eye injuries and head injuries involving loss of consciousness or confusion—should be evaluated in an emergency department.

“Concussions can sometimes take 24 to 72 hours to really start to show themselves,” said Dr. Berg. “If your child isn’t acting like themselves, it might be appropriate to check with your pediatrician.”

Fortunately, most children recover well from minor summer injuries and illnesses. But no one knows your child better than you do.

“Kids are remarkably able to heal themselves and recover,” Dr. Berg said. “But be conscious and aware—trust your mom or dad instincts that if something seems off, don't hesitate to get it checked out.”

Learn more about pediatric care at Wellstar Children’s of Georgia and find a pediatric expert near you.

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Holding the hand of an infant in the NICU

Highlights

Wellstar Kennestone Opens Next-Generation NICU Designed for Babies and Families

Few moments are more challenging for a parent than learning their newborn needs specialized medical care. In those early days, families need expert support, compassionate guidance and a calm space that helps them stay close to their baby.

That’s the vision behind the new neonatal intensive care unit (NICU) at Wellstar Kennestone Regional Medical Center, part of the hospital’s Yellow Tower expansion. The next-generation unit combines advanced care, thoughtful design and a strong focus on family connection.

“The new NICU at Wellstar Kennestone provides more than advanced technology,” said Dr. Carrie Stinson, Wellstar chief of pediatrics. “It allows us to deliver the highest level of neonatal care close to home, so parents can focus on what matters most—being present for their babies during the most critical moments of their lives.”

Family-centered design

The new 49-bed NICU uses advanced monitoring technology to support babies who need intensive care, including those born early or facing medical challenges. As a high-volume, high-acuity Level III NICU, the care team is experienced in caring for newborns with a range of needs.

Beyond clinical care, the unit was designed with families in mind. Spacious rooms, natural light and a calming color palette create a more peaceful environment for babies and parents.

“This new design helps transform the NICU experience from something that can feel overwhelming into one that is more supportive, more personal and more centered around the family,” said Dr. Amanda M. Evans, Wellstar neonatal medical director and NICU medical director at Wellstar Kennestone.

One of the most meaningful features is the unit’s six couplet care rooms, where mothers and babies can remain together after delivery when medically appropriate.

“It allows the care team to support both patients together, creating stronger bonds and better outcomes—which is truly at the heart of what we are trying to achieve,” Dr. Evans said.

Personalized nutrition for the smallest patients

The NICU also includes an innovative milk lab—a centralized pharmacy that prepares fortified human milk, donor milk and prescribed formulas. The dedicated space helps ensure precise nutrition for newborns who need tailored feeding plans.

“One of the most important advances is the ability to analyze breast milk for its nutritional content,” Dr. Evans said. “Every mother’s milk is unique. With this technology, we can better understand what every baby is receiving and make individualized adjustments when needed.”

For families, the milk lab offers confidence in every feeding. It gives the care team advanced tools to deliver personalized nutrition with the highest standards of safety.

Expanding access to advanced neonatal care

As one of Georgia’s most trusted hospitals for women’s and children’s services, Wellstar Kennestone continues to invest in pediatric care. The new NICU expands access to specialized neonatal services across Cobb County and Metro Atlanta—so parents can find exceptional care without traveling far.

“Every baby in the NICU deserves the most advanced care from the very first breath,” said Varma Rameswar, vice president of pediatric operations and service line at Wellstar. “We’re redefining what’s possible in neonatal care by providing leading-edge support for every baby and every family.”

Learn more about neonatology services at Wellstar.

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