It seems "defeat" just isn't in John Cashen's vocabulary. A survivor in more ways than one, John has overcome not only a catastrophic natural disaster, but also fought cancer with unyielding resilience.
In 2005, as flood waters from Hurricane Katrina rose and threatened his New Orleans home, John took an axe to his attic's ceiling, climbed atop his roof and tied himself to his chimney so he wouldn't be swept away. Days later, no help had arrived, so John untied himself and swam to an overpass where he was rescued by a helicopter. He joined the rest of his family in Georgia.
Since then, John has become a proud citizen of LaGrange. A master of everything Mardi Gras, John runs a local krewe and is a natural at building parade floats from the foundation up. But when he was diagnosed with lung cancer in 2019, he summoned his fighting spirit, squared his shoulders, and faced his cancer journey head on.
JohnCare
Published on October 14, 2020
Last updated 03:18 PM October 14, 2020
A master of everything Mardi Gras, John runs a local krewe and is a natural at building parade floats from the foundation up.
For patients like John, there’s a lot of different aspects we take into consideration when creating a treatment plan. We pull all factors together—like general health, medicines, personal preferences and family concerns—to create the best care plan possible.
- Dr. Robert Taylor
Wellstar Radiation Oncologist
Listen to John's story
A troubling diagnosis
It all began with lung discomfort and tiredness that he just couldn't shake, no matter how much sleep he had each night. Concerned, he visited his primary care provider to get to the bottom of the issue.
After John's vital signs revealed low blood pressure, the doctor sensed something bigger might be happening behind the scenes. John underwent diagnostic testing, including bloodwork and X-rays, to find the cause of his fatigue.
"When the X-rays came back, my doctor noticed a spot in the upper left lobe of my lungs," John said, remembering the fuzzy dot on the X-ray screen. "I had been feeling tired and run down, but overall, I didn't feel that bad."
The troubling results pointed to a clear answer: lung cancer. Even though John didn't notice many red flags when it came to his health, his body was battling a disease he couldn't see.
According to Mayo Clinic, many patients may not experience any symptoms in the early stages of lung cancer. Once the warning signs — such as coughing, shortness of breath, chest pain and hoarseness — set in, the disease may already be at an advanced stage.
After a round of CT and PET scans, the concerning lung spot appeared to be growing in size, even after just a short few days.
Without delay, John was on a mission to find the right health partner to treat his lung cancer before it had the chance to spread.
Cutting-edge cancer care
Soon after the concerning X-ray results, John sought out the medical opinions of several different doctors. All of the professionals recommended a biopsy and other surgical means to treat his cancer.
However, John was firmly against any invasive treatments. That's when he crossed paths with Wellstar Radiation Oncologist Dr. Robert Taylor, who suggested a solution.
"When John first came into the office, he was very worried about the prospect of surgery," Dr. Taylor said, recalling their first meeting at Wellstar West Georgia Medical Center. "He knew about many cancer treatments and was seeking the least invasive option possible."
After discussing John's concerns about surgery, the physician suggested an innovative cancer treatment called stereotactic ablative radiotherapy (SABR).
"SABR is like virtual surgery. Using X-ray technology, you can "reach" inside of a patient and virtually cut out the tumor," Dr. Taylor explained. "When the patient leaves a treatment session, they feel the same as when they entered. There is no surgery or downtime."
For John, this was the perfect, non-invasive option to take care of his cancer, quickly and effectively. He also left the consultation feeling like an equal partner in the process.
"Dr. Taylor explained everything to me clearly," John said. "He knew I wasn't a physician, so he spoke to me in a way that I could understand and laid out all my treatment options."
When building a custom care plan for any patient, Wellstar always takes a personalized approach.
"For patients like John, there's a lot of different aspects we take into consideration when creating a treatment plan," Dr. Taylor shared. "We pull all factors together—like general health, medicines, personal preferences and family concerns—to create the best care plan possible."
With a clear path forward and renewed hope, John felt confident trusting Wellstar with his lung cancer care.
Care right around the corner
A short time later, John began SABR treatments at Wellstar West Georgia Medical Center. With the most advanced cancer technology right in LaGrange, he didn't have to travel out of his way for treatment.
For the hard-working father and grandfather, the access to quick and convenient cancer treatments fit right into his busy schedule.
"Typically, this type of radiotherapy is delivered in about five separate treatments, in 30-minute intervals," Dr. Taylor said, explaining how the specialized treatment works. "The sessions are often done just a few days apart."
Without any incisions or other invasive measures, SABR uses concentrated radiation beams to target tumors precisely. Because his lung cancer was localized, the focused doses could treat the affected areas without damaging the healthy tissues.
Dr. Taylor was pleased with John's health progress throughout the treatment, and his prognosis was quickly looking up.
"John had no side effects and responded very well to treatment," said Dr. Taylor. "One time, he even asked if the machine was turned on because he couldn't feel a thing."
From start to finish, John kept a positive attitude about his cancer care. "The treatments weren't painful. It was a half-hour long, so just long enough for a good nap."
Wellstar offered support every step of the way, addressing John's concerns and crafting an effective cancer treatment plan. But the care didn't end when he left the building.
"During my treatment, the Wellstar team helped me through everything. Afterward, they would call me often to see how I was feeling and ask if I was eating enough," John beamed. "Wellstar is full of caring people. It's not just for show."
The radiation sessions were successful. Just months after the initial diagnosis, John was pronounced cancer-free. His yearly scan and monthly check-ins have all shown no signs of the disease returning either.
Now, John can get back to life and what really matters: planning his annual Mardi Gras parade for family and friends. Moving forward, he will always consider Wellstar to be an essential part of his health krewe.
"My Wellstar care team made me feel like I was a person, not an object they were trying to fix. Nobody treats you like Wellstar."
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Highlights
Wellstar Midwives Support Women's Best Health
From welcoming a child to well woman’s exams and health education, women have a partner and advocate in Wellstar’s certified nurse midwives.
Midwives are registered nurses who have received additional education and training in comprehensive care for women. While they may be associated with childbirth — and do support patients through every aspect of labor and delivery — they also offer personalized care for women through every phase of life.
“Midwives do everything spanning from well women’s health, like annual exams, birth control, IUDs and Nexplanon insertions, to all of the prenatal care, so taking care of women from the time of conception throughout delivery and postpartum,” said Emily Goolsby, a certified nurse midwife at Wellstar.
Midwives collaborate with other members of a patient’s care team, including nurses and OB/GYNs, to provide comprehensive care during birth. Whether the patient has a natural childbirth or a medically-assisted birth, midwives provide personalized, expert care and advocate for the patient.
“We support all aspects of birth. We are there for the patients who are laboring naturally and want to be on the birthing ball or moving around, but sometimes the patient says their goal is to feel as little pain as possible,” Goolsby said. “Then, my goal is to advocate for those interventions as soon as possible. It’s all about making the birth experience what our patients want and supporting our patients in that environment.”
Numerous studies have shown the highest quality comprehensive birth experiences come from a multidisciplinary treatment team of midwives and OB/GYNs supporting and caring for a mom together.
“We’re championing for patients’ best outcomes and their babies, and it tends to decrease interventions overall that are unnecessary,” Goolsby said.
After the patient gives birth, midwives support patients through education on parenting topics such as breastfeeding and newborn care.
Midwives care for patients at these Wellstar locations — Wellstar Cobb, Douglas, Kennestone, North Fulton, West Georgia and Spalding medical centers. If you already have a Wellstar OB/GYN, ask your provider about working with a midwife. If you need a new provider, find a Wellstar OB/GYN location near you.
Highlights
Lung Biopsy Technology at Wellstar Reduces Complications, Speeds Up Treatment
Innovative technology at Wellstar is offering patients a new, minimally invasive option for lung biopsies, reducing complications and helping expedite lung cancer treatment.
The Ion system is a robotic-assisted platform for performing lung biopsies. If a lung cancer screening or any other CT scan shows a suspicious nodule, providers will need to perform a biopsy to determine if the patient has lung cancer and how to proceed with care.
“Those nodules may not be cancer, but in certain situations we still need to know what it is,” said Wellstar Pulmonologist Dr. Timothy Udoji. “The Ion technology helps us biopsy those nodules to get an answer so that additional workup can be done immediately. If it is cancer, we want to catch it at an early stage.”
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 Wellstar Thoracic Surgeon Dr. Daniel Fortes.
During the biopsy, providers can also use the Ion system to mark an area in the lung, making it easier to find later during surgery.
“If something is very small and hard to find in surgery, Ion can be used to mark that area with dye, or contrast, that allows us to find it in surgery,” Dr. Fortes said. “With this technology added to the surgical robotic system in the operating room, we can better identify those lesions and remove smaller portions of lung, also called segments.”
Technology to help provide peace of mind
The Ion system also has further reach than previous technologies and is able to more easily biopsy nodules in the peripheral areas of the lung. For many cancer patients, this will allow them to initiate care earlier and improve their outcomes, as well as give them peace of mind during the treatment process.
“Mental health impacts physical health. We are able to confidently biopsy and identify these nodules and that means a lot for our patients,” Dr. Udoji said. “Now, with this new technology we are able to get a biopsy done much earlier which has huge outcome implications for malignant nodules.”
At Wellstar, cancer care is tailored for each patient. In the Wellstar STAT Clinic for Lung Cancer, patients meet with multiple specialists at once to discuss their care options and create a personalized treatment plan. Specialists in the STAT Clinics, which are located at Wellstar Cobb, Kennestone, North Fulton and West Georgia medical centers, work with patients to determine the optimal course of treatment and will talk with patients and families about biopsy options, including the Ion system. The STAT Clinics give patients the opportunity to have their diagnoses managed right away, and literature shows that the clinics’ diagnostic and treatment model improves outcomes for patients.
The Ion system is currently in use at Wellstar Kennestone Regional Medical Center. Learn more about lung cancer care at wellstar.org/lungcancer.
Newsroom
Wellstar Paulding Medical Center Breaks Ground on New Radiation Technology
Wellstar Health System announced a multimillion-dollar investment to bring cutting-edge radiation therapy to Wellstar Paulding Medical Center in Hiram, Georgia on November 2, 2022.
“Our motto is ‘Neighbors Caring for Neighbors’ and these new technologies will enhance access to medical care for every neighbor in Paulding County,” said Ralph Turner, Wellstar senior vice president and president of Wellstar Paulding Medical Center. “Our team is focused on providing a patient-centric experience. Having a short drive and the comforts of home and family nearby helps the healing process.”
Breaking ground for groundbreaking radiation technology
The expansion will enhance the patient experience by adding a new radiation vault to house a second linear accelerator — the technology that delivers radiation therapy — and is slated for completion in early 2023.
In the last year, patients received nearly 8,000 radiation treatments. The radiation oncology team often extended hours from 7 a.m. until 7 or 8 p.m. to accommodate patients.
During a recent press conference, a group of patients, physicians, healthcare leaders, team members, government leaders and community partners ceremonially broke ground on the major expansion of Wellstar Radiation Oncology. The facility is located on the ground floor of Wellstar Paulding Medical Center’s Outpatient Pavilion at 148 Bill Carruth Parkway in Hiram, Georgia.
The new machine will also bring a leading-edge cancer treatment called stereotactic body radiation therapy (SBRT) to Paulding County for the first time. This radiation technology uses multiple X-ray beams to treat tumors with highly precise, high-dose radiation to any location in the body, preserving surrounding tissue, organs and nerves. The technology allows patients to have significantly fewer treatment sessions.
“This is a huge step forward for cancer care for the people of Paulding County,” said Dr. William Thoms, who has served as the radiation oncology medical director for Wellstar Paulding Medical Center since 2017. “This expansion will allow people to stay in our community for more advanced treatments with shorter wait times.”
The renovation will also modernize the dressing rooms and add more space to increase patient comfort.
