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Article Category: PeopleCare

BillyCare

The ultimate restoration: Lungs roar to life with BLVR

Published on October 31, 2025

Last updated 12:23 PM October 31, 2025

Close up of man’s hands working on vehicle engine.

William “Billy” Gerace, a retired man in Mableton, found himself progressively restricted by severe emphysema. Dependent on oxygen, it was tough to find the breath and the energy to work in his garage. Then he found out about BLVR, a procedure that would change his lungs—and his life—for the better. Now he spends his days breathing new life into classic cars. Billy’s story highlights the power of expert care and leading-edge treatments at Wellstar, and our commitment to help people get back to doing what they love.

 

Slowed down by an oxygen tank

For Billy, the simplest of movements became Herculean tasks. The man who loved tinkering in his garage found himself slowed down by an oxygen tank and dependent on his wife, Patty, to help him move it from room to room. 

“I couldn’t walk 20 feet without the hose on my nose,” Billy said. “I couldn’t go from the living room to the kitchen without oxygen. That’s how bad it was.” 

Billy suffered from emphysema, a severe type of chronic obstructive pulmonary disease (COPD). The inability to work in his garage on his collection of vehicles—including a '69 Corvette convertible—was heartbreaking. 

“I’d have to do five minutes’ worth of work—then catch my breath,” he remembered. “It took me a very long time to do anything. A project that would normally take an hour took two days. I had to sit dormant most of the time.”

Billy had managed this condition for years with prescription medication and pulmonary rehabilitation, but in the final months leading to his procedure, he had the impression that his life was fading with every gasp of air.

 

It's unbelievable what a difference it is. I went from drowning without air to having a normal life.

- Billy Gerace

Grateful Patient

BLVR, an emphysema game-changer

Billy's primary pulmonologist, Dr. Rana Hasan with Wellstar Pulmonary Medicine at Wellstar Vinings Health Park, saw his condition worsening. She referred him to her colleague, Dr. Hiren V. Patel, an interventional pulmonologist, in hopes that Billy qualified for a minimally invasive treatment.

The non-surgical treatment is called bronchoscopic lung volume reduction—or BLVR—and is a key intervention for people with emphysema, a condition where damaged lung tissue loses its elasticity.

“From the damage over time, the lungs get so expanded there is no room in the chest to take another breath,” Dr. Patel explained.

The BLVR procedure uses a bronchoscope—a thin, flexible tube—to place tiny, one-way valves into the airways. These half centimeter-wide valves deploy like stents and allow trapped air to escape from the diseased portions of the lung, which then shrink down, allowing the healthier areas of the lung to function better.

“People who have BLVR end up recovering the reserve they didn’t have anymore, ultimately giving them back their breath,” said Dr. Patel.

He said the treatment is available at just a few locations in Georgia. Wellstar Kennestone Regional Medical Center was designated a Premier Practice by PulmonX, the medical device manufacturer. This means Wellstar has achieved a high level of experience and commitment to best practices.

An unstoppable recovery, a restored life

Billy went through a rigorous eligibility process to see if he qualified to have the procedure. Most of the tests were done in Dr. Patel’s office, including a pulmonary function test and a six-minute walk test that helps doctors determine how much air reserve a patient has and whether they can handle surgery.

“I could do six minutes on the lowest setting and then I was done,” Billy remembered. “I had to stop.”

With a high-resolution CT scan, Dr. Patel made a map of Billy’s lungs to identify where to place the valves and redirect air flow to healthier lobes.

With the all-clear, Billy underwent BLVR. As with any significant medical intervention, the procedure carried risks, including a potential lung collapse. Unfortunately, Billy experienced exactly that. An extended stay in the hospital and attentive care by Dr. Patel allowed his lungs to recover and he went home breathing easier than ever. Despite the setback, Billy said his life is restored.

 

Gratitude for his blessings

At the beginning of his recovery, he quickly worked himself up to 30 minutes walking on the treadmill from just six minutes prior to having BLVR.


“It's unbelievable what a difference it is,” Billy said. “I went from drowning without air to having a normal life.”

Billy enters his shed where he stores tools for his projects.
Grateful to be able to walk freely and work on his cars again, Billy enters his shed to find the right tool for his next project.

Today, Billy ascends and descends stairs without difficulty. He’s back in his garage, often working for up to eight hours a day. He was pleased to be able to quickly replace an emergency brake cable in his classic Pleasure-Way van recently.

Dr. Patel noted that it typically takes a year or two for patients to feel the full effects of the procedure. He’s thrilled Billy recovered ahead of schedule.

“He’s back to working in his garage and he’s unstoppable,” Dr. Patel smiled.

As for Billy, his gratitude to his doctor is from the heart: “Dr. Patel, you helped me to enjoy my blessings so much more. I can't thank you enough. God bless you sir!”


 

Find an interventional pulmonologist

BLVR is performed at these Wellstar locations:

  • Wellstar Kennestone Regional Medical Center in Marietta
  • Wellstar MCG Health Medical Center in Augusta

If you have emphysema, talk to your pulmonologist about whether BLVR may be right for you. Learn more about bronchoscopic lung volume reduction or find an interventional pulmonologist at Wellstar.

Tags

Rana Imam Hasan Hiren V Patel Pulmonary Medicine - 4441 Atlanta Road SE
Pulmonary Medicine - 400 Tower Road NE PeopleCare Pulmonary Care
Related Articles
A friendly image of Kathy

PeopleCare

KathyCare

Kathy DeJoseph delights in making and giving away thousands of soft and cheerful hats to Wellstar cancer patients through a nonprofit she founded called Happy Caps. It’s all in the name of bringing a little light and comfort to people during a hard time.

Where did the idea come from? It started with Kathy’s own lung cancer diagnosis.

A commitment to yearly lung cancer screening

A cancer survivor for more than a decade, Kathy said regular lung cancer screenings were the key to her survival. With a long history of smoking and growing up around relatives who smoked, she decided to join an early detection lung cancer study at Wellstar.

Even though she felt fine and had no symptoms, committing to the study meant having an annual low-dose CT scan every year. After several years of clean scans with no signs of lung cancer, Kathy told a nurse that she was going to quit. But the nurse persuaded her to come in for another screening.

“Thank goodness she did,” Kathy said. “I was diagnosed the very next day.”

Quick and efficient treatment at the STAT Clinic

Being a part of the study and getting screened early allowed Kathy to move immediately to Wellstar Lung Cancer STAT Clinic at Wellstar Kennestone Regional Medical Center.

STAT stands for Specialty Teams and Treatment, highlighting the collaboration of multiple cancer experts. Together, they come to a consensus on a treatment plan and meet with the patient on the same day. This puts the patients at the center of their care plan, allowing them and their families to get immediate answers to questions, make decisions and start treatment faster.

“The biggest benefit for me with the way the STAT Clinic works is that I didn’t have to worry about whether the doctors had actually talked to each other,” Kathy said. “They’d come in one after another and tell me what they thought from their expertise.”

Immediate communication and mutual agreement among medical experts mean treatment plans are established and started faster, which is proven to improve long-term survival. On average, it takes 60 to 90 days from the time of diagnosis to treatment in the U.S. With the STAT Clinic at Wellstar, patients go from diagnosis to treatment in 14 to 20 days.

Kathy’s treatment started quickly—she had a lung biopsy the day after her STAT Clinic appointment and started chemotherapy a week later.

“I wasn’t as terrified for as long as most people are because I had answers within a short period of time,” Kathy remembered.

She had surgery once she completed chemotherapy. Throughout the process, she had the support of an entire cancer team, including a medical oncologist, a lung cancer surgeon, a pulmonologist and a nurse navigator.

Keep reading
Illustration of a lung scan

Highlights

Wellstar Experts Collaborate to Help People Fight Lung Cancer

From catching cancer to following through with expert care, Wellstar ensures patients never have to fight lung cancer alone.

We are dedicated to early intervention in lung cancer, which improves outcomes for patients. After detection of an abnormality on a CT scan, patients are immediately surrounded by an interdisciplinary support team devoted to their well-being.

Identifying lung cancer early

If you are at increased risk for developing lung cancer, talk to your care team about screenings. With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. These screenings are offered at several Wellstar imaging centers.

The United States Preventive Services Task Force has revised lung screening guidelines. Patients may qualify for screening if they are 50 to 80 years old and smoked for 20 years. If they are a former smoker, they may qualify if they quit less than 15 years ago.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in one of the nation's largest lung screening programs and an incidental nodule program. When people come into a hospital seeking care for something else—whether that be a health condition like appendicitis or a traumatic event like a motorcycle accident—they might get a scan of the abdomen or chest that also shows portions of the lungs.

Using artificial intelligence, reports of those scans are fed to report coordinators, categorized based on their risk level and if a patient is higher-risk, forwarded to nurse navigators for review. Nurse navigators consult with physicians about the findings, and Wellstar can then initiate care if cancer is suspected.

The program, which started in fall 2020, has identified a total of 203 lung cancers and 22 other types of cancer, as of November 2025.

Expert care and support at every step

From the very beginning, people with lung cancer at Wellstar are surrounded by a team of experts. Rather than go through the time-consuming process of driving to multiple appointments with different specialists, patients meet with all these physicians in one place.

The Wellstar Lung Cancer STAT Clinic—at Wellstar Cobb, Wellstar Douglas, Wellstar Kennestone, Wellstar North Fulton, Wellstar Paulding and Wellstar West Georgia Medical Centers, as well as Wellstar Cherokee Health Park and the Thoracic NOW Clinic at Wellstar MCG Health Medical Center—give patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

"We plan patients’ appointments ahead of time, ordering multiple tests that will be necessary for the treatment decision-making. These can include PET scans, CT scans, MRIs and/or a pulmonary function test," Dr. Fortes said. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

Getting multiple expert opinions from the start not only gives patients peace of mind, it speeds up treatment, too. In the United States, the average time between an abnormal scan and the beginning of treatment is 60 to 90 days. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in patients with lung cancer.

"We have data to show that if we delay treatment, even in early-stage cancers, we decrease the chance of a cure," Dr. Fortes said. "The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

High-tech surgery options

For many patients, surgery is a crucial part of lung cancer treatment. Wellstar offers several minimally invasive options, reducing recovery time for patients.

More than 90% of lung cancer surgeries at Wellstar are performed using either the Da Vinci Surgical System or Video Assisted Thoracic Surgery techniques (VATS).

Minimally invasive surgeries reduce pain, scarring, blood loss and infection, as well as time to recover—getting patients back to work and other routines quicker.

The Da Vinci system is equipped with 3D cameras and instruments that can make very intricate, precise movements, allowing for shorter incisions and more accurate surgery. Some patients can leave the hospital as early as the next day.

For biopsies, Wellstar has completed 500 procedures using the Ion system, a robotic-assisted platform.

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process, significantly improving diagnostic yield compared to other modalities.

"The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung," said Dr. Fortes.

To reduce your risk of lung cancer and keep your lungs healthy, talk to your primary care team and follow a few tips, such as exercising and avoiding smoking. Learn more about treatments on our lung cancer care page.

Keep reading
Patient getting CT scan

Highlights

Monitoring Your Lung Health with Cancer Screenings

Lung cancer screening can detect cancer earlier—even before symptoms show up. Earlier-stage cancers are more easily treatable. If you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Our team has built one of the country’s largest and most comprehensive screening programs. Wellstar has been designated as a Screening Center of Excellence and Care Continuum Center of Excellence by the GO2 Foundation, an organization that supports lung cancer patients and educates about screenings and care. We’re also a designated Lung Cancer Screening Center by the American College of Radiology.

Evaluating your lung cancer risk

The United States Preventive Services Task Force has revised lung screening guidelines. You may qualify for screening if you are 50 to 80 years old and smoked for 20 years. If you are a former smoker, you may qualify if you quit less than 15 years ago.

“Those who are current or past smokers of cigarettes are more likely to develop lung cancer,” Dr. Fortes said. “However, while smoking is the leading risk factor for lung cancer, a large number of lung cancer patients have never smoked—1 in 5 women and 1 in 10 men diagnosed with lung cancer were never smokers.”

You may also be at increased risk of developing lung cancer if you have been exposed to radon, asbestos or other agents such as uranium or arsenic, according to the American Cancer Society. Previous radiation therapy in the lung area, such as chest radiation for breast cancer treatment, can also increase risk. Additionally, be sure to discuss your family history with your provider—siblings and children of people who have had lung cancer may have a higher risk of developing it.

Screening for lung cancer is not a one-time test, but a process that involves a periodic evaluation of your lungs over time to look for newly emerging cancer. CT scans can detect nodules that are compared over time for changes in size. 

“For those who are at high risk for lung cancer, it is best to have nodules and lung health evaluated by a team of physicians specializing in lung cancer care so the appropriate decision can be made of continued observation versus the need for early intervention,” Dr. Fortes said. 

Depending on the findings, some patients may have more or fewer exams. If findings are suspicious for lung cancer, your care team will contact you to discuss your screening results.

How do I schedule a screening?

An order from your physician is required to get a screening. Contact your primary care team or a pulmonologist to talk about screening and when it may be right for you. Once an order has been obtained from your physician, call (470) 793-4AIR (4247) to schedule your appointment.

What if my scan shows a lung nodule?

Your care team will support you at every step of the screening process. If you have any questions about your results or your screening plan, contact your provider over the phone or using the secure messaging feature in MyChart. You can also call our cancer care team at (877) 366-6032 to learn about our care options.

All lung screenings are initially interpreted by a radiologist. A team of physicians who specialize in the diagnosis and treatment of lung cancer will review findings that are suspicious for cancer. Once the physicians complete their review of your images, your results are posted within three to five days to your MyChart account. Results will be communicated with you and your physician via MyChart or mail within one week.

If a lung cancer is suspected, our team will call you to answer your questions and arrange next steps. You will then meet with a physician specializing in lung cancer treatment.

Patients whose screening shows a lung nodule may feel concerned. However, you should not be overly concerned if your report indicates you have small lung nodules. Most people who meet eligibility for screening will have some. Nodules are very common—at least 50% of people have them by the time they are 50 years old.

Learn more at wellstar.org/lungcancer.

Keep reading
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