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Article Category: PeopleCare

CindyCare

Published on May 07, 2025

Last updated 03:42 PM May 07, 2025

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, an emergency medicine physician at Wellstar North Fulton. “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 Wellstar North Fulton to benefit from the hospital’s new addition to its stroke program. While the hospital 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 Wellstar 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. 

Proximity to care is especially important for critical situations like strokes, said Dr. Rishi Gupta, director of stroke care at Wellstar.

“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 Wellstar 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 Neurocritical Care Specialist 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 Stroke Care
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An artistic representation of stroke experts inspecting a brain with a magnifying glass.

Highlights

Stroke prevention and the future of stroke care

This article was originally published on Atlanta Business Chronicle on May 19, 2023.

Stroke is the fifth leading cause of death in the United States. The Georgia Department of Public Health reports the state had the 12th highest stroke death rate in the country. Georgia is also part of the “stroke belt,” an area of the southeastern United States with stroke death rates 30% higher than the rest of the nation.

As the leading — but preventable — cause of disability, stroke can happen at any age.

Stroke is a medical emergency, meaning the blood flow to an area of the brain is cut off, depriving brain tissue of oxygen and nutrients. When this happens, brain cells start to die and abilities controlled by that area of the brain, such as speech or muscle control, are lost.

New drugs and new advanced treatments — such as the Tigertriever and Artemis — are helping reduce the death and disability impact of stroke, as well as comprehensive care programs and innovative hospital partnerships that expand stroke services into rural areas.

Physicians from Wellstar Health System and the CEO of a hospital in northeast Georgia joined Atlanta Business Chronicle to discuss stroke prevention and the future of stroke care.

Panelists & moderator

  • Dr. Rishi Gupta, Endovascular Neurologist and Co-Medical Director of Neuro Care
  • Dr. Ashis Tayal, Vascular Neurologist, Wellstar, Director of Neuro Care Network
  • Van Loskoski, CEO, Stephens County Hospital
  • David Rubinger, Market President & Publisher, Atlanta Business Chronicle; Moderator

Pictured: headshots of the panel of experts from Wellstar Health System and the CEO from a rural Georgia hospital discussing advances in stroke care.

What is stroke, screening and secondary prevention

David Rubinger: Dr. Tayal, set the stage for us about the definition of stroke.

Dr. Ashis Tayal: A stroke is a sudden injury of the brain due to blockage or rupture of an artery in the brain. Injuries to the brain and disability can vary significantly.

The most common, ischemic stroke injury, is due to obstruction of an artery that causes a loss of blood flow to a critical part of the brain which damages the brain rapidly.

The other type of stroke is hemorrhagic stroke, where there’s a rupture of an artery, bleeding into the brain, or the surfaces of the brain, and that is called an intracerebral hemorrhage or a subarachnoid hemorrhage.

Rubinger: I think Americans have become a little better educated as to who’s at risk for stroke, but why don’t you walk us through that. Who would be a potential stroke candidate?

Tayal: High blood pressure, or hypertension, is the most common risk factor for both ischemic and hemorrhagic strokes. High blood pressure is an extremely common but controllable condition. Almost 80% of people have hypertension as they’re getting older.

Other risk factors include diabetes associated with elevated blood sugars causing accelerated blockage of arteries and high cholesterol, which can be related to diet and genetics.

Atrial fibrillation, a common heart arrhythmia that occurs as people get older, also places people at risk for the most severe and disabling types of strokes. And plaque buildup in specific arteries of the neck and brain also leads to an increased risk of stroke.

Smoking is another risk factor. Many adults still smoke despite a lot of progress in stroke treatment, and smoking puts people at risk for different types of stroke.

Rubinger: What about atmospheric things like stress and other areas like that? How does that play into it? Or do those things manifest themselves because of the other underlying physical conditions?

Tayal: I don’t view stress, in and of itself, as a risk factor for stroke. I think that’s more related to people’s environments and their own personalities and how they respond to stress. I do think people who are under undue stress can have poor lifestyle habits, and those poor lifestyle habits, whether poor eating habits, smoking, weight gain or lack of exercise, can lead to conditions that increase the risk for stroke.

Rubinger: So how is the healthcare system doing treating strokes? Do you believe that what’s going on at the primary care provider’s office is helping or do we have a way to go?

Tayal: In the United States, preventive care has improved the treatment of risk factors that lead to stroke, but communities must maintain routine checkups as many of the risk factors are silent.

There are improved treatments for hypertension, more aggressive treatment for diabetes, and more efforts at smoking cessation. Just the fact that we treat hypertension better than we did a generation ago has had a great impact on lowering the prevalence of stroke.

That being said, some of the most exciting work on stroke has often been done in the area of acute treatment of stroke with clot-busting drugs, catheter-based treatments and medications to protect the brain during an acute injury.

Rubinger: Has pharmacology gotten better in terms of the hypertension medicines that are out there? Have anti-cholesterol medicines improved in recent years?

Tayal: In the past, healthcare providers were often undertreating people with hyperlipidemia — high cholesterol — and not fully appreciating the benefits of significant reductions in cholesterol levels. For example, we’ve learned that driving cholesterol down into much lower ranges under 55 mg/dL can benefit our patients who have vascular disease as a cause for their stroke.

In the fight against high cholesterol, newer medications that prevent the absorption of cholesterol are now available. Recent developments have led to the discovery of a new underutilized class of drugs called PCSK-9 inhibitors that are highly effective.

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A healthcare provider checks the lungs of her patient using a stethoscope. Reads "PhyllisCare".

PeopleCare

PhyllisCare

For Phyllis Burgess, staying on top of her health made all the difference. When lung cancer showed up on a routine screening, she was ready—and so was her Wellstar care team.

Friendly photo of Phyllis Burgess


Proactive primary care

When Phyllis retired after nearly 50 years as a bookkeeper, she looked forward to a slower pace and more time for herself. A breast cancer survivor and former smoker, she also wanted to be proactive about her health.

Encouraged by her Wellstar primary care physician, Dr. David Gose, Phyllis committed to regular lung cancer screening at Wellstar Paulding Medical Center —staying one step ahead of a disease that usually goes unnoticed until it's too late. Wellstar’s lung cancer screening program is a national leader in early detection, offering low-dose CT scans that help detect early-stage lung cancer before clinical signs or symptoms become evident.

Her first three CT scans came back clear. But on her fourth screening, doctors spotted something suspicious.

Quick answers with the STAT Clinic

Phyllis was quickly referred to the Wellstar Specialty Teams and Treatments (STAT) Clinic for Lung Cancer at Wellstar Paulding. The program quickly moves patients through screening to diagnosis and treatment with a multidisciplinary team of experts. Patients with lung and other chest cancers meet with multiple specialists in one place, often on the same day, to reduce delays and improve outcomes.

"Most of the time you don’t get two or three or four or five people on your case from the get-go,” said Phyllis. "But knowing that I had this group of qualified professionals looking at my tests, discussing what we need to do, how best to do it, when to do it—it’s very comforting."

At the Wellstar STAT Clinic, Phyllis’ care team included a thoracic surgeon, medical and radiation oncologists, pulmonologist and nurse navigators, who bring a highly personalized level of guidance and support to each patient and their family members.

"The support staff was just fabulous,” Phyllis said. "They’re like best friends. They’re there for you."

Behind the scenes, her care team was already working in sync to coordinate fast care.

“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,” said Dr. Daniel Fortes, Wellstar chief of thoracic surgery. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

Dr. Fortes emphasized that timing matters when treating lung cancer. "We have data to show that if we delay treatment, even in early-stage cancers, we do decrease the chance of a cure,” he said. “The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

Expert diagnosis and advanced surgery

To diagnose her cancer, Phyllis underwent a robotic bronchoscopy at Wellstar Kennestone Regional Medical Center. The advanced procedure allowed the pulmonary team to examine her lungs and collect tissue samples.

The biopsy confirmed lung cancer. Having already caught one cancer early, Phyllis was grateful she had remained vigilant—keeping up with annual screenings and following through on care every step of the way.

"I am sort of a walking advertisement for early detection," she said. "My mammogram showed up with stage zero breast cancer. And I think they described the lung cancer as 1.1—very early, no metastasis. I’ve been very fortunate. These processes that are there for people to take advantage of saved my life.”

Phyllis returned to the STAT Clinic, where the same team who had evaluated her case before came together again to review her results and finalize her treatment plan.

"Every single patient who comes through our clinic is discussed collaboratively by a group of lung cancer specialists so we can make a fast, informed decision as a team," Dr. Fortes explained. "Because Phyllis had good overall health and an early-stage diagnosis, she was an excellent candidate for surgery.”

Soon after, Phyllis had a lobectomy at Wellstar Kennestone. Dr. Fortes performed the robotic-assisted surgery using the  da Vinci Surgical System to remove the affected part of her lung.

"They told me what they would do, what kind of incisions they’d be making and what I could expect in the way of healing," Phyllis said. “So, I went in feeling like this is not some strange, scary process.”

Dr. Fortes noted that complex cancer surgeries are best performed at major centers like Wellstar Kennestone. "Complex cancer care demands a comprehensive structure of care around the patient that includes more than just physicians and technology," he explained. "At the same time, we are continuing to expand our STAT Clinics to bring them closer to people's homes and with the aim of improving access for patients.”

Ongoing care, close to home

Phyllis’ lung cancer surgery took place the day before a snowstorm was forecasted to hit the metro Atlanta area. However, thanks to Dr. Fortes’ minimally invasive techniques—which resulted in less pain, less scarring and less blood loss—she was able to be discharged from the hospital that evening and avoid being stuck at the hospital for several days due to poor road conditions.

Phyllis described her recovery as “easy” and now feels great. She continues her follow-up care for both lung and breast cancer at the Wellstar Women’s Imaging Services at Wellstar Paulding, close to home.

“Wellstar Paulding feels like home, even when I’m dealing with someone who I haven’t met before,” she shared. “Whether it’s the receptionist or the admissions nurse—they’re always very, very friendly and helpful. There’s a family feel to it."

Hope, health and staying vigilant

As she settles into retirement, Phyllis is sharing her story to encourage others to set aside any fear or guilt and talk to their healthcare provider about lung cancer screening.

"Cancers are so insidious. You’re not going to just go, 'Gee, I don’t feel good; it must be cancer,'" she said. "There’s no big warning signs until it’s serious. Early detection is absolutely our best weapon. It’s our best defense.”

Dr. Fortes echoed the importance of early detection. "We can only cure lung cancers if we pick them up in an early stage. That’s why lung cancer is the No. 1 cancer killer in the world,” he said. “The only way we can change that is by diagnosing early. And then they are truly curable.”

Phyllis is thankful for Wellstar’s STAT Clinics that are designed to move quickly when it matters most.

Her advice to others considering treatment at a STAT Clinic? "Please do it. It’s the difference between life and death,” she urged. “At the same time, it’s in an environment where you don’t feel like you’re a sample in a petri dish. These are people, and they’re warm, and they care."

Learn more about who is eligible for lung cancer screening, find a location near you or schedule your lung cancer screening at Wellstar.

Learn more about STAT Clinics at Wellstar.

Keep reading
Illustration of baseball with ribbon and bats. Text reads "Strike out cancer"

Highlights

Commemorate Cancer Survivors Day with Wellstar

Wellstar supports people with cancer throughout their journeys, from early screenings to diagnosis to treatment. But our encouragement and dedication to delivering world-class, compassionate care doesn’t end in remission.

Across our system, Wellstar honors the bravery and strength of survivors every day, rejoicing in each milestone. This National Cancer Survivors Day, June 1, 2025, we are proud to pay tribute to the people who have conquered cancer and offer hope to those still fighting. This year’s Cancer Survivors Day theme—Strike Out Cancer—exemplifies our commitment to being a steadfast source of encouragement for cancer survivors and fighters across Georgia.

“On Cancer Survivors Day, we reflect on our patients’ journeys and cherish victories over cancer. We also offer compassion and support for people currently fighting cancer, so they and their loved ones know they’re not alone,” said Wellstar Director of Oncology Professional Practices Melissa Higdon.

Several Wellstar facilities will host events—and you can be a part of the celebration!

 

Northwest Georgia Oncology Centers in Cartersville
June 5, 2025
10 AM to 3 PM
100 Market Place Blvd., Cartersville
Contact Mary Ellen Smither at [email protected] or (678) 858-1146.

Wellstar Cobb Medical Center
May 30, 2025
12 to 2 PM     
4040 Hospital West Drive, Austell
Behind the building in the garden and parking lot area
Contact Ashley Dapremont at [email protected] or (470) 732-4523.

Wellstar Douglas Medical Center
June 7, 2025
11 AM to 2 PM
8954 Hospital Drive, Douglasville
Surgical services lobby
Contact Diane Harris at [email protected] or (470) 644-5411.

Wellstar Kennestone Regional Medical Center
June 7, 2025
11 AM to 2 PM
320 Kennestone Hospital Blvd., Marietta
First floor
Required RSVP, contact Nancy Page at [email protected] or (470) 793-7470.

Wellstar North Fulton Medical Center
June 1, 2025
2 to 4 PM
3000 Hospital Blvd., Roswell
Main lobby in hospital
Contact Sarah Bentley at [email protected] or (770) 751-2556.

Wellstar Paulding Medical Center
June 1, 2025
144 Bill Carruth Parkway, Hiram
Second floor auditorium
Contact Kellie Mitchell at [email protected] or (470) 644-8106.

Wellstar Spalding Medical Center
May 28, 2025
12 to 2 PM
Drive-thru event
608 South 8th St., Griffin
Women’s Center
Contact Sherry Connell at [email protected] or (470) 935-5526.

Wellstar West Georgia Medical Center
June 6, 2025
10 AM to 12 PM
111 Medical Drive, LaGrange
Enoch Callaway Cancer Center
Contact Stephanie Hand at [email protected].

Learn more about cancer care at Wellstar.

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