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Article Category: PeopleCare

AshleyCare

Compassionate nurses help bride celebrate her second chance

Published on February 01, 2023

Last updated 09:29 AM January 18, 2024

Ashley was able to recover from cardiac arrest and walk down the aisle.

In March of 2021, Ashley Martin suffered cardiac arrest, which kills about 90% of people when it happens outside of a hospital. Thankfully, she was already at Wellstar Kennestone Regional Medical Center receiving the compassionate care she’d been seeking to address a long list of symptoms.

Everything began at a hectic time in Ashley’s life. She was 30 and had just gotten engaged. Wedding planning had started with the help of her fiancé and their two young boys. The hope had been to have the wedding toward the end of 2021. But the unexpected happened.

“I was always healthy,” she said. “I grew up playing sports. I was a runner. I used to get headaches, but that was the extent of my medical history.”

Finding the right care when there is more than one symptom

Symptoms of what would ultimately be diagnosed as Guillain-Barré syndrome began in February of 2021. This rare neurological disorder causes the body’s immune system to attack the nerves. 

Ashley started experiencing tingling in the tips of her hands and feet, which moved up her legs and arms as days passed. When intermittent numbness became a symptom, Ashley went to a hospital near her Peachtree City home. A clean CT and MRI meant she went home with plans to see a rheumatologist.

As she waited for her first appointment, she started feeling numbness in her feet.

“At one point, I took a step down the stairs and went tumbling down to the concrete floor,” Ashley said. 

On another trip to the hospital near her home, Ashley was diagnosed with Guillain-Barré syndrome, but treatment was unsuccessful. The numbness continued, spreading to her face. She began using a walker and, soon after, a wheelchair.

“The paralysis had moved to my abdomen,” Ashley said. “I went to sleep one night and woke up abruptly gasping for air.”

Compassionate medical care at a pivotal point

Later that night, an ambulance brought Ashley to Wellstar Kennestone, where she would finally get the specialized neuro care she desperately needed. She was admitted to the Neurocritical Care unit, staffed by physicians, nurses and a medical team with specialized training in neurological conditions.

Upon arrival, she underwent respiratory failure due to paralysis spreading to her diaphragm. She was stabilized, but shortly after that, she experienced sudden cardiac arrest—the abrupt loss of heart function that stops blood flow to the body.

After a critical care nurse administered CPR, Ashley’s heart started beating again. Life support medications were given to keep her heart pumping.

“The neuro ICU nurses and doctors saved my life,” she said.

Later, her attending neurologist explained that the stress of her nervous system and immune system fighting, paired with respiratory failure, caused such high stress that she had a cardiac arrest.

Thankfully, the doctors and nurses at Wellstar are why I’m here. To have two of the ladies who saved my life be at my wedding was the most amazing experience.

- Ashley Martin

Nurses who go above and beyond

Ashley was placed in a coma for two days but has no memories of the next 10 days. But today, she remembers that, even while unconscious, several nurses made a huge, lasting impact throughout her stay.

“Every nurse who walked into that room was just amazing, caring and kind,” Ashley remembered.

The first she remembered was Neuro ICU nurse Emily Haytas.

“Emily’s was one of the first faces I remember when waking up,” said Ashley. “I always knew she was smiling even though she had a mask over her mouth.”

The cheerful nurse had cared for her much of the time she was unconscious. Ashley will never forget the kindness of Emily, who bought one of her first meals once she was off the ventilator—it was Zaxby’s and it was a big deal to be able to eat again.

“I treat all of my patients as if they were my mom or dad and how I would want them to be treated and cared for,” Emily said.

Tayla Lee, another compassionate nurse, often played Taylor Swift music to lift her spirits. She even painted her nails once when Ashley still didn’t have use of her hands.

“I wanted Ashley to get the best care so that she could have her fairytale wedding and get back home to her beautiful sons,” Tayla said. “While some of the patients in ICU may not be here long, they can be in the most vulnerable state of health. It is important to me to make a difference, even a small one, in their process of healing.”

Quick and positive results—and a wedding day

While there’s no cure for Guillain-Barré, the right treatment can put the disease into a dormant state. That happened when Ashley began plasmapheresis treatments that separated the plasma from the blood and replaced it. Ashley’s ability to move her body was restored, and she began to recover faster than expected.

“The day I went home, I was able to walk to the toilet without a walker, change my clothes and brush my teeth,” Ashley said. “I had to show the doctors I could care for myself.”

With the support of outpatient rehabilitation, Ashley continued to improve. As soon as she could drive herself, she reached out to all the extraordinary nurses who provided such a high level of care for her and planned a coffee date.

“Seeing Ashley's recovery and getting to be a part of her continuing journey makes our hard job more than worth it,” Emily said. “When we all met up for coffee, we were waiting in line inside while Ashley was outside moving chairs for all of us to sit together. We were all almost moved to tears because the same Ashley who couldn't lift her head off the pillow a few months before was out moving chairs and tables—and would go home that day to ride bikes with her boys.”

The conversation eventually shifted to Ashley’s wedding and continued through texts. Emily and Tayla were able to join Ashley as wedding guests when, on October 8, 2022, she walked down the aisle to say, “I do.”

“Thankfully, the doctors and nurses at Wellstar are why I’m here,” Ashley said. “To have two of the ladies who saved my life be at my wedding was the most amazing experience.”

Ashley celebrates at her wedding with two Wellstar nurses.
Ashley celebrates at her wedding with two Wellstar nurses, Tayla Lee and Emily Haytas.

Today, Ashley continues to find beauty in the little things. Keeping a positive attitude, she looks back on her experience and knows that the expert care she received gave her a second chance at life.

 

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Kennestone Regional Medical Center PeopleCare Heart Care
Neuro Care
Related Articles
Back to school after receiving highly coordinated stroke care at Wellstar, Assistant Principal De'sa Fuller, enters her office to start a new school year.

PeopleCare

De'saCare

De'sa Fuller, an assistant principal in West Georgia, greeted teachers in the hallway like every other morning. But her day turned upside down when she lost her balance and couldn’t rise from the floor. Thanks to the immediate actions of those around her—from the teacher who called 911 to emergency medical services and her Wellstar team—De’sa recovered and is back to school. Her story is a powerful testament to how recognizing symptoms of a stroke, calling for help right away and having highly coordinated care can lead to remarkable outcomes.

Getting help when things go wrong

At 34, De'sa Fuller was living a vibrant life. She was a 6th grade assistant principal at Gardner Middle School in LaGrange. She loved her job, enjoyed traveling and was saving up to buy her first home. April 15 started out like any other day. Smoothie in hand, she greeted teachers in the hallway as she made her way to her office.

“I felt a little off,” De'sa recalled. “I just thought I was going too fast—I didn’t put much thought into it.” Then she fell. A concerned teacher asked if she was okay. De'sa, thinking she had simply tripped, said “Yes.” Her vision blurred as she tried to get up and she fell again. “I said, ‘I am not okay.’”

What began as a typical morning turned into a race against time. One teacher's quick thinking to call 911 activated a rapid chain of events that would save De’sa from permanent disability.

The critical first minutes

“The ambulance got there quickly. It was like they were around the corner,” De'sa remembered. 

“We got a call that EMS was bringing in a female who had been found on the floor at work, experiencing right-sided weakness,” explained Ginger Truitt, stroke coordinator at Wellstar West Georgia Medical Center, a Primary Stroke Center. The EMS professionals also reported confusion, headache and vomiting. “Those symptoms suggest stroke. We activated quickly.”

As a result, Dr. Reginald “Ashley” Orr, an emergency medicine physician, was ready for her arrival. 

“I was worried about an acute stroke by their description of her symptoms,” he remembered. “I evaluated her on the stretcher when she came through the door.”

A Code FAST was called with the goal of speeding up the time to start treatment to improve De’sa’s chances for better outcomes. They skipped the emergency department and took her for a CT scan. Then she was seen by the onsite neurologist, and the team quickly administered tenectoplase—or TNK—a clot-busting drug.

“Her symptoms were markedly improved,” Dr. Orr noted. “She was more awake.”

However, the CT angiogram showed an MCA M1 occlusion—a blockage in a major blood vessel in the brain. While she had shown some improvement, it wasn’t enough. De'sa needed a thrombectomy, a procedure to remove the clot and restore vital blood flow to the brain.

 

A seamless transfer

De’sa needed an immediate transfer to a thrombectomy center, and there are only a few in the state of Georgia. After a quick virtual consult with Dr. Ovais Inamullah, a telestroke neurologist at Wellstar Kennestone Regional Medical Center—a Comprehensive Stroke Center—she was accepted for transfer. The Marietta-based Neuro Care program performs one of the highest volumes of thrombectomy and aneurysm treatments in the country.

Because time is of the essence with successful stroke treatment, transport by air is preferred. However, weather conditions threatened the flight’s safety. The ground EMS crew dutifully stood by in case they needed to drive De’sa. 

Mercifully, the clouds lifted after a few tense moments and she began her trip to Wellstar Kennestone via helicopter.

“When we have this type of emergency, our goal is to get patients out the door for a thrombectomy in 90 minutes,” Ginger said. “In De’sa’s case, we did it in 102 minutes, which was still impressive because there was cloud cover and we weren’t sure at first if she would be able to fly.”

Upon arrival, De'sa was taken directly to the angio suite where Dr. Ahmad Khaldi, a Wellstar neurosurgeon, and his team were waiting. “Every minute counts,” he emphasized.

A thrombectomy is a procedure that treats a stroke without open brain surgery. A tiny catheter is threaded through a blood vessel in the arm or leg to the brain to remove a clot, restoring blood flow to help prevent permanent disability or even death.

“We finished surgery by 11:25 AM,” Dr. Khaldi said—just 20 minutes after the procedure began.

Keep reading
A healthcare provider works with the Da Vinci 5 robot

Highlights

New Robotic Surgery System at Wellstar Kennestone Brings Next-Level Care to the Community

Touch-sensitive technology. More precision. Better surgical images. A new robotic surgery platform at Wellstar Kennestone Regional Medical Center features all this and more. What does that mean for people in our community facing a complex surgery? Everything.

The Da Vinci 5 (DV5) platform allows experienced surgeons at Wellstar Kennestone to be even more precise during delicate procedures. Patients bleed less, heal with smaller scars and usually go home sooner.

“At Wellstar Kennestone, we’re redefining what’s possible in surgical care,” said Lorrie Liang, senior vice president and president of Wellstar Kennestone and Wellstar Windy Hill. “The DV5 demonstrates that we’re not just adopting advanced technology—we are advancing the standard of care across the region.”

What is robotic surgery?

Robotic surgery is a type of minimally invasive surgery. The surgeon sits at a console and controls robotic arms equipped with tiny instruments. A 3D camera magnifies the surgical area. This allows the surgeon to see everything in high definition.

Wellstar Kennestone is one of the first hospitals in Georgia to offer the DV5. However, robotic surgery is not new at the hospital. Our surgeons began using Da Vinci Surgical System platforms in 2007. Today, we offer 17 state-of-the-art Da Vinci robotic surgical suites at several hospitals and two outpatient surgery centers. We use the system for many surgeries, including bariatric (weight loss), cancer and urology procedures.

A clear difference

Dr. Fritz Jean-Pierre has performed more than 2,500 bariatric surgeries in his career. And he’s excited about what the DV5 offers.

“The DV5 allows the surgeon to sense how much push-or-pull force they apply to delicate structures in the body,” said Dr. Jean-Pierre. “Essentially, the technology stops surgeons from putting too much strain on tissues as they maneuver the instruments. Less strain means less trauma and potential injury, leading to faster patient recovery.”

Dr. Jean-Pierre tailors surgery to each patient’s unique needs. The bariatric surgery he performs most often is the gastric sleeve. It involves removing a large portion of the stomach to limit food intake. Precision is essential, especially for patients who weigh more or have complex health conditions.

“After removing part of the stomach, the surgeon reconstructs the gastrointestinal tract. We use many sutures (stitches) to hold everything in place,” he said. “DV5 provides superior dexterity and control, leading to shorter, safer surgeries.”

Intuitive Surgical, the company that created the Da Vinci platform, designated Wellstar Kennestone as an “epicenter” for training in 2011. Surgeons from around the country come to Wellstar Kennestone to observe and learn robotic surgical techniques from Dr. Jean-Pierre and his colleagues.

The impact on outcomes

The DV5 allows surgeons to be more precise than ever, which affects patient outcomes. Dr. Scott Miller, a Wellstar urologist explained.

“The DV5 is ideal for many urologic procedures, such as prostate and kidney removal, bladder surgery and urinary tract reconstruction,” he said. “The improved range-of-motion and visualization features help us protect healthy tissues and nerves. As a result, we can lower the risk of serious side effects like infections and problems with bladder control and sexual function.”

Learn more about robotic surgery at Wellstar.

Keep reading
Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

PeopleCare

RobertCare

Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

Keep reading
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