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Article Category: Highlights

Fighting Lung Cancer with Wellstar’s Multidisciplinary Experts

Published on November 23, 2021

Last updated 12:42 PM November 10, 2022

Illustration of a lung x-ray.

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

Wellstar is 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 with 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 provider 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 most Wellstar imaging centers.

The United States Preventive Services Task Force recently 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. The Center for Medicare & Medicaid Services is considering enacting these recommendations.

“Lung screening improves a person’s chances of detecting a lung cancer at an early stage and being cured of that cancer,” said Wellstar Thoracic Surgeon Dr. William Mayfield.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in the 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 the 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 found.

“People that come to the hospital for other problems may also be walking around with a lung cancer they didn’t know about,” Dr. Mayfield said.

The program, which started in fall 2020, has identified 66 cases of lung cancer and eight other types of cancer, as of Nov. 1, 2022.

“Now those people are getting care, and it’s quite likely those cancers would have been missed,” Dr. Mayfield said.

Wellstar is developing another incidental nodule program for the abdominal area, which could lead to the discovery of several cancers including ovarian, kidney, bladder and liver cancers.

The program aligns with Wellstar’s goals of enhancing the health and well-being of everyone we serve.

“It was the right thing to do for the community. If we miss these cancers, it is a broken promise to the patient,” Dr. Mayfield said.

Then, if cancer is found, Wellstar “closes the loop” by initiating treatment and connecting the patient with resources, Dr. Mayfield said.


Expert care and support at every step

From the very beginning, Wellstar’s lung cancer patients 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 providers in one place.

The Wellstar Lung Cancer STAT Clinic gives patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

“No other health system does multidisciplinary care the way Wellstar does,” Dr. Mayfield said.

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 95 days, Dr. Mayfield said. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in lung cancer patients, Dr. Mayfield said — a six-week delay can reduce five-year survival by up to 13%, according to research from the Cleveland Clinic.

“Time really does matter in the treatment and diagnosis of lung cancer,” Dr. Mayfield said.


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.

Dr. Mayfield said more than 90% of Wellstar’s lung cancer surgeries 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.

To prevent lung cancer and keep your lungs healthy, talk to your primary care provider and follow a few tips, such as avoiding smoking and getting your exercise. Learn more about treatments on our cancer care page.

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Doing good CPR is critical to save someone from cardiac arrest.

PeopleCare

KevinCare

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin Miskewicz can.

According to the American Heart Association, more than 90% of people who experience an out-of-hospital cardiac arrest die. Those who survive often have permanent neurological disabilities. But Kevin’s story has an incredibly fortunate ending, thanks to the highly coordinated work of his medical experts at Wellstar.

Recovering from cardiac arrest is something Kevin will never forget. It lives forever as a piece of his health history — one that includes a dedicated healthcare team — and his wife, who was the first to save his life.

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin can.

CPR to the rescue

Kevin woke up on Labor Day 2017 at 5:30 a.m. to take the dog out. Pausing to adjust the thermostat as he came in, he fell, knocking over a lamp.

He was in cardiac arrest.

With no symptoms and no known pre-existing condition, this was unexpected, but that didn’t stop his wife, Andrea, from jumping into action.

“If it weren’t for me knocking over a lamp when I passed out,” said Kevin, “she would have never woken up and saved my life.”

In addition to calling 911 and unlocking the door for the paramedics, Andrea performed CPR for 10 minutes.

“Kevin’s wife doing good CPR was critical,” said Dr. Arthur Reitman, the interventional cardiologist who was a vital part of Kevin’s treatment team at Wellstar Kennestone Regional Medical Center. “More than five minutes of poor blood flow to the brain can result in permanent irreparable injury from which a patient is unable to recover.”

Coordinating multidisciplinary care to save a life

When paramedics arrived at Kevin’s home, he had no pulse and was not breathing. As the paramedics performed their lifesaving work, he technically died two times.

The ambulance took him to Wellstar North Fulton Medical Center, where he was initially assessed and treated by Dr. David Jacoboff. The interventional cardiologist implanted an intra-aortic balloon pump to stabilize him. Then, he transferred Kevin to Wellstar Kennestone Regional Medical Center for highly specialized heart care.

When Kevin arrived at Kennestone by helicopter, his heart function wasn’t strong enough to support his body. Dr. Reitman and a team of doctors including a cardiologist, a pulmonologist and critical care doctors worked in tandem to put Kevin on an advanced life support system called veno-arterial extracorporeal membrane oxygenation. Better known as VA-ECMO, it took the heart “offline” so it could heal. The technology removed unoxygenated blood from his body, oxygenated it and pumped it back in for the next three days.

“Very few places in the state — only four or five hospitals — have the technology and specialized training to put a patient on ECMO,” Dr. Reitman explained.

Keep reading
If you can’t stop gaining weight or simply aren’t seeing the pounds come off no matter what you do, it’s time to consult a primary care doctor or advanced practice professional (APP).

Highlights

Overcome Obesity with the Help of a Primary Care Provider

You’re considered obese when your body mass index (BMI) reaches 30.0 or higher. Sometimes that means you gain 15 pounds, and nobody notices you’ve gotten much bigger. Sometimes it means you have a visible weight problem.

For U.S. adults aged 20 and over, there’s a 41.9% prevalence of obesity according to the Centers for Disease Control and Prevention. That most likely makes it more common than you suspected. And, even if you don’t feel like you’re severely overweight, being obese — according to the numbers — means opening the door to a long list of potential health risks.

So, if you can’t stop gaining weight or simply aren’t seeing the pounds come off no matter what you do, it’s time to consult a primary care doctor or advanced practice professional (APP).


Understanding what causes chronic weight gain


“Physicians previously thought obesity was only due to overeating and less exercise,” said Dr. Alicia Shelly, a Wellstar primary care provider. “The advice was always to move more and eat less, but it never guaranteed they would lose significant weight.”

In recent years, there’s been a shift in understanding weight gain, where it can stem from and how broad the range of categories really is. You can be obese because of:

  • Medical conditions
  • Depression or anxiety
  • Thyroid issues
  • Genetics
  • Immune conditions
  • Environmental issues


The factors that impact your weight gain drastically affect your options for treatment and what lifestyle changes you need to make to see a difference.


The one constant of obesity

Even with so many factors potentially causing obesity, the one constant is its negative impact on your health.

“There are more than 200 complications that accompany obesity,” Dr. Shelly said. 

These include more serious issues like heart disease, liver disease, hypertension and diabetes, but also other risks like reproductive disorders, sleep apnea, joint pain and mood disorders.

“Losing only 5-10% of your current weight can prove beneficial at reducing the risk of many of these obesity-related complications,” Dr. Shelly shared.

Reducing your weight by just 2.5% percent can help lower your risk of diabetes, and losing just 5% percent of your weight can improve your overall quality of life.


Having the weight conversation with your provider

Being overweight — and talking about it — can sometimes be difficult. You may feel embarrassed or that your weight gain reflects poorly on you. However, seeing that so many factors can cause weight gain that may be out of your control, there’s no reason to fear this type of conversation. What’s important though, is having a doctor or APP you trust and who supports you.

Tips for discussing weight with your doctor

  1. Be ready to talk about your weight. This conversation may include answering questions that feel uncomfortable to you but will help your doctor provide the right level of care.
  2. Listen carefully to the health risks associated with your weight and be open to creating a strategy for even a modest weight loss, like 5-10 pounds.
  3. Participate in the creation of your treatment plan. Consider your doctor's recommendations, and speak up about what will or won’t work for you.
  4. Be open to losing weight at a realistic rate.


Your expectations for what weight loss should look like may be different than your health provider. However, it’s sometimes necessary to put your assumptions about weight loss aside. Use the information your doctor gives you to make an educated choice as to what’s best for your overall health.

There’s no rush to lose weight. What’s important is making positive changes that you can commit to indefinitely that will take weight off and allow you to keep it off.


What a weight loss plan may look like

Many weight loss plans begin with lifestyle changes. These can include changing how you handle stress, keeping a food journal or focusing on portion control. You may even have to add or remove certain foods or beverages from your diet.

With these changes should also come a plan for staying vigilant even when life throws a curveball to your routine.

“It is common for people to get overwhelmed with the challenges during their weight loss journey and quit,” Dr. Shelly said. “This is why a piece of your weight loss plan will include addressing potential challenges and mapping out ways to overcome them.”

Appetite suppressants may also assist with an effective weight loss plan. New weight management options have come on the market in recent years. Your doctor may prescribe an FDA-approved medication, but it’s good to know that most offer an average weight loss of anywhere between 6-15%, and all carry the possibility of side effects that range from insomnia to nausea to constipation.

Work closely with your doctor before taking any medication, and only use what they prescribe.


Beginning your weight loss journey

Once you’re motivated to start losing weight, the first step on your journey is to create a road map with a qualified medical professional as your guide. Schedule an appointment with your primary care physician or search for a primary care provider near you.

Keep reading
Provider speaking with patient. Text reads "make health your habit"

Highlights

Make Health Your Habit

With the holiday season now behind us, people look forward to the fresh start of the New Year and all the possibilities it brings. For many of us, that means setting resolutions to live a healthy, full life.

Without the proper planning and support, however, these ambitions can quickly be put off or even forgotten. This year, it’s time to break the cycle and make progress toward your goals.

By following tips from Wellstar health experts, you can create realistic resolutions and better your health — making healthy choices a lifelong habit rather than a short-term goal.

Partner with a Wellstar provider

When it comes to your wellness goals, staying healthy starts with a visit to your Wellstar primary care provider.

Wellstar Primary Care Physician Dr. Nitasha Burney-Fleming shared why regular appointments are vital for your well-being.

“Primary care providers partner with patients to help them meet their wellness goals — in a realistic, healthy way that is tailored to their individual needs and lifestyles,” Dr. Burney-Fleming said. “Your provider can help you keep up-to-date on screenings and vaccines so you can stay ahead of health issues and illnesses.”

To check your health status and screen for potential medical issues, your provider will take your Foundational 4 numbers for:

  • Blood pressure. A blood pressure test helps diagnose hypertension (high blood pressure), hypotension (low blood pressure), heart disease and other conditions.
  • Blood glucose level. The amount of glucose (sugar) in your blood can indicate the onset of diabetes or risk of heart disease, heart attack or stroke.
  • Blood cholesterol. Low-density lipoprotein (LDL), often called “bad” cholesterol, can indicate clogged arteries, which may lead to heart disease, heart attack or stroke.
  • Body mass index (BMI). A higher level of body fat may indicate an increased risk for heart disease, hypertension (high blood pressure) and diabetes.

The screenings your provider recommends will vary based on your gender, age and other factors such as family history. 

Personalized OB/GYN care for women

“Gynecologists partner with women in their healthcare across the lifespan,” said Dr. LeThenia “Joy” Baker, a Wellstar obstetrician and gynecologist. “The first gynecologic visit is recommended between 13 and 15, and the first exam between 18 and 21.”

Gynecologists are uniquely positioned to care for women from adolescence through menopause and beyond. “We’ll make sure you are up-to-date on screenings like mammograms and Pap smears, help you make informed decisions about family planning and fertility, and provide medical and surgical treatment for a variety of conditions affecting the female reproductive system,” Dr. Baker said.

Primary care, anywhere

In addition to in-person primary care visits, Wellstar also offers virtual care options. Connect with your Wellstar provider over the phone or with video on a computer, smartphone or tablet. 

“While primary care physicians help patients meet long-term wellness goals, we’re also here for you when you’re sick,” said Wellstar Primary Care Physician Dr. Georgia Forrest. “Your primary care provider is already familiar with your background and health needs, so we can seamlessly continue that care and help you get back on track when you’re ill.”

If you need to see a specialist such as a cardiologist, pulmonologist or neurologist, your primary care provider will refer you for that specialized care while continuing to help you manage your overall wellness.

“Through Wellstar’s patient portal MyChart, specialists and primary care physicians can see test results and visit summaries and stay updated on how each of us is working with the patient,” Dr. Forrest said.

For more immediate healthcare needs that are not life-threatening, you can talk to a provider with WellstarON, our virtual urgent care. 

In an emergency, such as if you are having trouble breathing or experiencing chest pain, call 911.

Learn more about the different types of care Wellstar offers and where to go if you’re not feeling well.

Become your healthiest you in the New Year

Whether your resolution is to lose weight, better manage a chronic condition or be more active, your healthcare provider is a great source of support. They will work with you to create a personalized plan to help you succeed

Ready to tackle your wellness goals this year? Book an appointment with a Wellstar primary care provider today.

Get moving to stay well

If you’re focused on improving your fitness routine, put a plan in place to be more active. According to Dr. Burney-Fleming, consistency is key to success.

“Do something that raises your heart rate 45 minutes a day, at least five to six days a week,” Dr. Burney-Fleming said. “Find an activity you enjoy, like dancing, biking or swimming, and gradually work it into your routine so it becomes a regular habit.”

For those looking to slim down, your healthcare provider can help jumpstart your health journey with a tailored diet and exercise plan. That way, healthy habits become second nature.

Set a sleep routine

Having a bedtime routine is essential to catch more Zzzs over the year. When you wake up feeling rested, you often feel more productive and energized throughout the day.

Get started by setting a specific time to go to sleep — and sticking to it. Make sure you reserve at least seven to nine hours per night for sleep.

Limit your screen time before getting in bed. Bright screens from a phone, computer or TV can keep your brain awake and make it harder to fall asleep.

If you’re having trouble getting to sleep, have a decaffeinated cup of tea or take a warm bath to help you relax.

Eat a balanced diet

When it comes to losing weight, many people look for a “quick fix,” which can often create unhealthy ways of eating. Creating a healthy eating plan from the start can help avoid any fad diet pitfalls.

Nutrition plans that restrict or eliminate food groups and those with extreme calorie deficits are difficult to maintain and can often produce more weight gain or undesired results. Diet trends can also create a negative relationship with food, which can make it harder to achieve your goals. 

A healthy nutrition plan is balanced and emphasizes whole foods, such as fruits and vegetables, lean proteins, low-fat dairy, nuts and seeds, and whole grains.

Try not to overcomplicate healthy eating. Focus on starting with small changes like filling half your plate with vegetables or having fun trying new recipes.

Take care of your mental health

Self-care is an important aspect of your mental well-being and should be made a consistent part of each day.

“Just like exercising and a healthy diet strengthen your physical health, self-care enhances your mental well-being,” said Dr. Pooja Dave, a Wellstar psychologist. 

Take time for activities you enjoy, whether that means visiting with friends or family or a hobby like reading or cooking.

If you feel overwhelmed by stress or anxiety, Wellstar’s behavioral health specialists are here for you.

“Mental health professionals are trained to provide compassionate, expert care. We’ll take the time to get to know you and will work with you to identify some tools to help you feel your best,” Dr. Dave said. “Our psychologists can also help you manage more complex conditions with evidence-based therapies, such as cognitive behavioral therapy. We can also get you connected with a provider who can help you with medications, if necessary.”

Need support? Connect with a Wellstar behavioral health specialist.

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