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Article Category: PeopleCare

CindyCare

Published on March 26, 2021

Last updated 09:40 AM March 26, 2021

Cindy cutting vegetables in her home kitchen

Cindy at home in her kitchen

To say Cindy Mejia is “busy” is an understatement. 

She’s constantly crunching numbers as an accounting manager for a large research institute, trying out new recipes in her kitchen at her Roswell home, or trying to keep up with her little granddaughter (who just discovered how much fun it is to run).

But one Wednesday in September, Cindy woke up and reached for her computer, trying to get an early start to her workday. She felt a little groggy and couldn’t remember her password but didn’t immediately realize something was wrong.

Then she stood up. Her right arm and leg weren’t functioning, and that’s when Cindy knew what was happening — she was having a stroke.

“The first thing I thought was, ‘I need to get to Wellstar North Fulton right away,’” Cindy said. “I knew the hospital was nearby and has a good reputation.”

That decision ultimately saved her brain and life.

For Cindy, the critical care she needed was close to home, too — she lives four miles from Wellstar North Fulton Medical Center. There, her care team sprang into action, bringing her the treatment and peace of mind in a moment of crisis.

“From then on, I felt well taken care of,” Cindy said. “I was relieved, and I knew I was going to be OK.”

 

Cindy's close-to-home 'pit crew'

When a patient has a stroke, every second matters. Each minute that ticks by could be the difference between a permanent stroke and a return to routine. So at North Fulton, Cindy’s care team assembled quickly to save her brainpower.

“We’re like the pit crew on a NASCAR team,” said Dr. Ed Malcom, a Wellstar emergency medicine physician. “We have our emergency stroke care response down to a science. Everyone knows their role and works together to act quickly.”

Cindy was one of the first patients at North Fulton to benefit from the hospital’s newest addition to its stroke program. While North Fulton has been a primary stroke center for years, the introduction of thrombectomies at the hospital gives patients a close-to-home, life-saving option for stroke care — saving them both time and brainpower.

A thrombectomy is a minimally invasive procedure used to unclog an artery, restoring blood flow to the brain and preventing further damage. It does not involve cutting of the brain but instead starts with the insertion of a catheter through the patient’s groin.

“Recently, we’ve developed our own capability right here in the North Fulton area to pull the clot out of the brain. That’s a giant leap forward,” Dr. Malcom explained. “It's good for the whole state because there's only a handful of hospitals that do that, and it's good for the residents that live in that North Fulton area to have a hospital so close. They don't have to take a helicopter ride somewhere to get that procedure done. It saves time.”

For Cindy, having that procedure just a few miles from her home, right when she needed it, helped save her brain function.

“If Cindy would have gone to a different hospital that didn't provide this care, then it would have been a long time before she was able to have blood flow restored to the brain,” Wellstar Neurosurgeon Dr. Benjamin Zussman said, explaining how critical each section was when it came to Cindy’s care. “The delay could have been 30 minutes or even an hour, and it's possible that she would have had permanent stroke, permanent damage to her brain instead of making the recovery she did.”

Offering thrombectomies at North Fulton has brought long-needed stroke services to the area north of Atlanta, so patients like Cindy don’t have to travel into the city through busy traffic to get the treatment they need.

“In a city like Chicago or New York, there are almost eight or nine stroke centers that provide thrombectomy in a city,” said Dr. Rishi Gupta, director of the stroke and neurocritical care program at Wellstar. “Here in metro Atlanta, we have only had three for a long, long time. So, being able to provide care for patients in the northeast corner of our city is crucial because almost 2 million people live in that quadrant.”

Proximity to care is especially important for critical situations like strokes, Dr. Gupta said.

“Any disease that is time-sensitive where patients need to get to the hospital quickly, get treated quickly — the geography is everything, particularly in bad weather when helicopters cannot fly,” he said, explaining how logistics can impact life-saving stroke care. “We need to be able to provide services in the communities the patients reside and the North Fulton program is uniquely positioned to do that.”

Signs of a stroke can include a loss of balance, dizziness, blurry vision or sudden vision loss, drooping in the face, arm or leg weakness, and difficulty speaking. Patients who experience any of those symptoms should call 911 and seek medical care right away. 

Cindy said she is glad she got to the hospital as soon as she could — “I am so thankful that I took quick action and that I had Wellstar so close.” At North Fulton, she not only received the highest level of stroke care. Wellstar takes a multidisciplinary approach to stroke care, including specialists such as critical care specialists, neurologists, neurointerventionalists and physical therapists on the care team. 

“When you're feeling pretty healthy, you don't think a stroke can happen to you. It happens so quickly. You don't necessarily get a warning,” Cindy said, sharing the importance of listening to your body’s signals when it comes to health. “You can feel one way one day or one minute, and the next minute, it changes.”

If Cindy would have gone to a different hospital that didn't provide this care, then it would have been a long time before she was able to have blood flow restored to the brain. The delay could have been 30 minutes or even an hour, and it's possible that she would have had permanent stroke, permanent damage to her brain instead of making the recovery she did.

- Dr. Benjamin Zussman

Wellstar Neurosurgeon

Listen to Cindy's Story

'You saved my brain'

From the second Cindy arrived at Wellstar North Fulton Medical Center, her care team saw her as more than a stroke patient. She is a mother, a grandmother and a Roswell community member who loves her job.

“We know it’s important to have a good quality of life, to be able to do what you need to do to do for your family and career,” Wellstar Neurologist Dr. Michael Mendoza said. “And I think that's what makes recovery from a stroke very special, is that it's not only a physical thing. You are trying to recover that potential quality of life.”

Cindy said that personal touch in her care brought her comfort during her treatment.

“Not only did I get the best medical care, but while I was getting the care, the people were absolutely amazing. I was totally cared for, and they took my worries away,” Cindy shared. “Every nurse and doctor was compassionate, and they looked at me as a person and really had that empathy and caring that you look for when you’re in the hospital. It was top-notch.”

The treatment recovered 99% of Cindy’s brain, helping her get back to her routine. For someone who works with numbers day in and day out, Cindy knows just how remarkable those odds are.

“I attribute my stay at Wellstar with saving my brain and my career, because I'm in a fast-paced, working with detailed numbers, working with probably 20 project directors of research, highly intelligent men and women,” she said. “I literally have to think on my feet the whole time I'm at work. And I wouldn't have been able to come back, or at least not in the capacity that I was in.”

These days, Cindy revels in what makes her happiest — her career and time with her family, which includes her young granddaughter.

“I could have lost that ability to be able to be left alone with her, or to not do those things with my grandchildren,” Cindy said. “It's not that I couldn't have done anything, but that would have been a big loss, so I'm so thankful.”

Now, Cindy can get back to her busy, fulfilling life, with a boost from Wellstar. 

 

Tags

North Fulton Medical Center Benjamin M Zussman Michael Santotome Mendoza
George Edward Malcom III Rishi Gupta PeopleCare Neuro Care
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Lown Institute Recognizes Wellstar Among Most Charitable in the Country

A report by the Lown Institute ranking the value of nonprofit hospitals’ community investment found that Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center are among the top 25 hospitals in the nation providing significantly more community benefit than they are receiving in tax exemption. 

Wellstar Kennestone ranked No. 1 in Georgia, while Wellstar Cobb was No. 2. Wellstar is the only health system with two hospitals included on the national top 25 list.

As the top provider of charity care in the state and one of the top 10 providers nationwide, Wellstar is committed to bringing expert, compassionate health services to those who need them. Last year alone, uncompensated and charity care at Wellstar exceeded $1.2 billion, providing care for at-risk and underserved communities across Georgia.

In addition to Wellstar Kennestone and Wellstar Cobb, Wellstar Douglas Medical Center, Wellstar West Georgia Medical Center, Wellstar North Fulton Medical Center, Wellstar Paulding Medical Center and Wellstar Spalding Medical Center were recognized for spending more on financial assistance and community investment than the estimated value of their tax exemptions.

Read the full report from the Lown Institute. 

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Wellstar North Fulton Medical Center Completes 250 Procedures Treating Venous Thromboembolism

The peripheral vascular care team at Wellstar North Fulton Medical Center, a leading facility in the treatment of venous thromboembolism (VTE), has completed its 250th venous thromboembolism (VTE) procedure.

According to the American Heart Association, VTE is the third most common vascular diagnosis after heart attacks and strokes, and affects between 300,000 and 600,000 Americans each year. There are two types of VTE: 

  • Deep vein thrombosis is a clot in a deep vein. It usually occurs in the leg, but it can also appear in the arms.
  • A pulmonary embolism occurs when a clot breaks off the vein and travels to the lungs, blocking the blood supply.

VTE can be fatal and can cause lifelong disability. Early intervention is crucial. At Wellstar North Fulton, the heart care team was an early adopter of a groundbreaking treatment for VTE, which uses a catheter to remove the clot. The healthcare provider inserts the catheter through the groin and navigates it to the clot for treatment. 

“This has been a game changer in the treatment of this disease,” said Wellstar Cardiologist Dr. Ahsan Achtchi. “We’re seeing a lot less long-term disability and a lot less deaths in patients who come to the hospital with a blood clot.”

Wellstar North Fulton continues to receive referrals from around the region for this procedure and is one of the highest volume hospitals for VTE care in metro Atlanta. 

Previous treatment options included open chest surgery, blood thinners and clot-busting medications. These methods posed a higher risk of complications, especially for patients who have recently undergone another surgical procedure. Because a recent surgery can put a patient at higher risk for VTE, using a catheter to remove the clot is safer for many patients. This new treatment method has reduced patients’ hospital stays for VTE from an average of five to seven days to only one or two days, according to Dr. Achtchi.

“Typically with this procedure, patients feel better almost immediately, and their recovery outside the hospital is a lot more complete and brisk,” he said.

Recognizing and preventing VTE

If you or someone else is showing signs of VTE, seek emergency care as soon as possible.

Symptoms of VTE include:

  • Swelling of the legs
  • Lightheadedness or fainting
  • Shortness of breath
  • Chest pain

Risk factors for VTE include not moving for a longer period of time—such as when someone is on bed rest following surgery—as well as some medical conditions, including diabetes, high blood pressure, blood clotting disorders or kidney disease. Your Wellstar provider can help you evaluate your risk of VTE and manage your risk factors.

Learn more about cardiovascular care at Wellstar North Fulton Medical Center. 

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Reducing Your Risk of a Stroke

While strokes have become relatively common—more than 795,000 people in the United States have a stroke each year, according to the Centers for Disease Control and Prevention—many risk factors for stroke can be managed in partnership with your healthcare provider.

Managing your risk factors

Factors that can increase your risk of experiencing a stroke include:

High blood pressure

Hypertension, or elevated blood pressure, increases the risk of a stroke. Stay up to date on your annual physicals to know your blood pressure levels, and if you have hypertension, talk to your provider about managing it. “High blood pressure is the most modifiable risk factor, meaning it’s the one that is most treatable and has the most impact on one’s risk,” said Wellstar Neurologist Dr. Ashis Tayal. “It is vastly underdiagnosed and when it is treated, it’s often undertreated.”

High cholesterol

Elevated cholesterol can lead to plaque buildup in the blood vessel and clotting in the blood, which can cause a stroke if the clot travels and blocks blood flow to the brain. Your primary care provider can help you monitor your cholesterol with a blood test and manage levels with medications or lifestyle changes.

Diabetes

People with diabetes are at increased risk of experiencing a stroke. Talk to your provider about diabetes screenings. If you are diabetic, discuss managing the condition in partnership with your provider.

Smoking 

“Cigarettes accelerate atherosclerosis, or clogging in the arteries, and cause inflammation in blood vessels that then increases people’s risk of stroke and heart attack,” Dr. Tayal said. 

Atrial fibrillation

Atrial fibrillation, a heart arrhythmia, can cause clots that then travel to the brain, leading to a stroke, according to Dr. Tayal.

While many of these risk factors can be controlled through medication or lifestyle changes in partnership with a healthcare provider, other risk factors for stroke are out of a person’s control. People of any age can experience a stroke, but stroke risk increases with age.

The risk of having a first stroke is nearly twice as high for Black adults as for white adults, and Black adults and Pacific Islander adults have the highest rates of death from stroke, according to the CDC. Hypertension is more common in Black patients, Dr. Tayal noted. People in rural communities may also experience higher rates of stroke due to limited access to healthcare and nutritious foods, he added.

To help lower stroke rates in our communities, Wellstar Community Health will distribute around 100 blood pressure cuffs in 2023 and educate community members about stroke risk and blood pressure monitoring at Wellstar Mobile Markets. The blood pressure cuffs can be used to monitor blood pressure at home so patients can work with their providers to take action against hypertension.

Recognizing a stroke

Learn the warning signs of a stroke, and if you notice any of these in yourself or someone else, be fast and call 911 right away. 

Balance

Look for a sudden loss of balance or coordination. This can also appear as a sudden, severe headache or dizziness.

Eyes

Blurred vision, double vision or loss of vision can be signs of a stroke. If you think someone else may be having a stroke, ask if they are having trouble seeing out of one or both eyes.

Face

One side of the face may be feeling numb or appear to be drooping. Ask the person to smile and see if it appears uneven.

Arms

Check for sudden arm weakness or numbness. See if the person can lift both arms without one drifting downward.

Speech

Watch out for slurred speech or difficulty speaking. Ask the person to repeat a simple sentence to find out if they are having trouble talking.

Time

The more treatment is delayed, the more the brain is damaged. Don’t wait to seek care. If you notice any of these symptoms, call 911 immediately.

Learn more about stroke care at Wellstar.

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