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Article Category: PeopleCare

JohnElliottCare

Building a New Future: How DBS Gave a Builder a Second Chance

Published on September 17, 2025

Last updated 11:03 AM September 17, 2025

John Elliot smiles after getting control of Parkinson’s symptoms with the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS).

John Elliot was a builder who enjoyed meeting with clients and planning their future homes. But the effects of Parkinson’s disease made it hard for him to meet with clients and live his life. Then he found a new sense of hope thanks to the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS). His experience is a powerful testament to the value of comprehensive care and how his neurologists, functional neurosurgeon and nurse navigator helped him rebuild his life. 

Symptoms that were hard to shake

 

John has been building custom homes in Marietta for 45 years—a career defined by personal relationships with his clients. He loves spending time with his family, hunting, fishing and bushhogging the multi-generational family farm.

But in 2015, John’s hands began to shake. A former client and friend who was a retired neurologist recommended he see Dr. Thomas Holmes, a Wellstar neurologist. 

A DaTscan, a type of nuclear imaging test that takes images of the brain, helped Dr. Holmes see a loss in John’s dopamine-producing neurons, which indicates Parkinson’s disease. The progressive neurological disorder affects a person’s motor functions and movements. 

At first, medication helped. But years after his diagnosis, John’s medications were barely effective.

“A big part of custom home building is your interaction with your client,” John said. “Meeting with the customer became somewhat of a problem.”

His tremors and involuntary mouth movements left him feeling embarrassed.

“I kind of went into a shell and didn't want to see people because they would make comments, particularly about the mouth movement,” he said. “You want to hide.”

What they did for me is life-changing. I didn't want to go out anywhere. I didn't want to see anybody. Now, I walk into a room and people go, 'You look great! Tell me about this surgery.'

- John Elliott

Grateful Patient

Pursuing Parkinson’s surgery

As John’s symptoms became less responsive to medicine, his neurologist referred him to Dr. Jack Shen, a movement disorders specialist. Based out of Wellstar North Fulton Medical Center in Roswell, Dr. Shen is the medical director of the Metro Atlanta arm of Wellstar’s Parkinson's and Tremors Program. 

“In Mr. Elliott's case, we had controlled his symptoms pretty well for several years with medication, but we came to a point where medications weren't as effective,” Dr. Shen said. “We came to this decision together to enter him into our surgical pathway for DBS.”

A minimally invasive surgical procedure for people with movement disorders, DBS helps stop or lessen unintended movements by sending electrical pulses to specific areas of the brain.

Dr. Hilarie Tomasiewicz, the medical director of functional neurosurgery at Wellstar Kennestone Regional Medical Center, remembered, “John was extremely motivated to improve his motor symptom control and was very interested in undergoing DBS.”

John had initially considered having DBS at another hospital, but ultimately, he trusted his team at Wellstar. 

“I was really comfortable with Dr. Shen and Dr. Tomasiewicz,” John recalled. “They're just very attentive and caring. I couldn't have had a better experience.”
 
 

John’s steady guide

“A special aspect of the Wellstar program is we have the same medical and surgical team following the patients before, during and after surgery,” Dr. Shen said. 

One such team member is Nurse Navigator Carrey Lordemann. 

“Nurse navigators provide education and emotional support to patients,” she explained. “We educate them about their diagnosis and their treatment plan and act as the liaison between the patient and their treatment providers.”

Carrey helped streamline the steps required to undergo DBS for John, including:

  • Initial consultation with the movement disorders specialist
  • Neuropsychological evaluation
  • Pre-operative MRI brain scan
  • Video documentation of symptoms
  • Consultation and pre-surgery appointment with functional neurosurgeon

“I’m here for patients throughout the entire process,” Carrey said.

John added, “Carrey’s a lifesaver. You can get her through Wellstar MyChart or you can call her—she's going to answer the phone.”
 

How deep brain stimulation works

DBS involves a functional neurosurgeon placing stimulating electrodes in deep regions of the brain that control motor function. These electrodes are connected to pulse generators—or batteries—that are typically implanted in the chest. The battery sends electrical pulses to the electrodes, regulating abnormal brain activity and improving motor control. 

“DBS is not a cure, but because it improves motor symptoms, it can allow patients to rewind the clock a bit, if you will,” said Dr. Tomasiewicz. “They can return to doing the activities that they enjoy— things like writing, gardening, and drinking a cup of coffee without spilling.”

Patients stay awake during the procedure so doctors can test in real time for side effects.

“We've built a specialized team in the operating room (OR), all of whom are very familiar with the DBS procedure,” said Dr. Tomasiewicz. “Our patients report that there is a tremendous sense of comfort associated with knowing every OR team member's name as they undergo their awake procedure.”

While Dr. Tomasiewicz performs the surgery, Dr. Shen is also in the operating room. 

“I'm there face-to-face with patients so that we can listen to their brain wave activity, deliver test stimulation and monitor their symptoms in real time,” Dr. Shen said. “I'm just so happy to see their response when we can improve their tremor in the operating room.”

 

John’s transformation

John had his first DBS procedure in 2024 to target the more severe symptoms on the left side of his body.

“What they did for me is life-changing,” John said, who still works part-time in the homebuilding business with his son. “I didn't want to go out anywhere. I didn't want to see anybody. Now, I walk into a room and people go, ‘You look great! Tell me about this surgery.’”

Three months after his deep brain stimulation (DBS) procedure at Wellstar, John grins and gives a thumbs up from the seat of his tractor as he gets ready to bushhog the family farm.
Three months after his deep brain stimulation (DBS) procedure at Wellstar, John grins and gives a thumbs up from the seat of his tractor as he gets ready to bushhog the family farm.

Because of the success he experienced on his left side, John opted to have a second DBS procedure in 2025, a decade after his diagnosis.

“Due to progression on the other side of his body, mainly increased tremor, we decided to treat that side of the body as well,” Dr. Shen said.

John went from taking 12 dopamine tablets to just one and half per day and his tremors are almost entirely gone.

“Being able to offer a treatment that brings patients their old life back and makes things so much easier for them—there's no greater feeling than that!” Carrey said. 

 

Post-DBS care

After surgery, there’s a process of fine-tuning the electrical pulses to maximize symptom control. Fine-tuning is done in-office, but John also has a device that he can adjust within set parameters himself at home. Dr. Shen, Carrey and John work together to find the right balance. 

In addition to DBS and minimal medication, neurological rehabilitation and physical activity play an important role in managing his symptoms. Together, these therapies and lifestyle choices make the release of dopamine in John’s brain as effective as possible.

DBS gave John a strong foundation to do the things he loves again. His experience is a powerful testament to the value of a comprehensive, collaborative approach to care for people with movement disorders.

“We as a team are delighted with John's outcome,” Dr. Tomasiewicz said with a smile. “His story is a beautiful example of why DBS is a life-changing intervention for Parkinson's disease.”

 


Movement disorder care at Wellstar

The Wellstar Parkinson’s and Tremors Program is based at Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Medical Center in Metro Atlanta as well as Wellstar MCG Health Medical Center in Augusta. 

When is it time to see a doctor?

It can be difficult to recognize the signs of movement disorders like Parkinson’s disease at first.

“A lot of patients notice walking differently, maybe taking longer to do things, noticing lack of coordination in a hand or arm and tremor as an obvious sign,” Dr. Shen said.

Symptoms of movement disorders 

 
  • Tremor (rhythmic shaking of body parts)
  • Involuntary muscle movements or jerking
  • Poor balance/coordination
  • Difficulty walking/shuffling gait
  • Speech difficulties
  • Limb or trunk stiffness
  • Bladder symptoms/constipation
  • Feelings of irritability, sadness or apathy
  • Reduced sense of smell

Find a movement disorders specialist at Wellstar.

 

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Neurology - 2500 Hospital Boulevard Suite 440 Jack Shen Jr Thomas M Holmes
Neurology - 780 Canton Road NE Suite 410 Neurology - 780 Canton Road NE Suite 400 Neurology - 3747 Roswell Road Suite 311 Neurology - 120 Stonebridge Parkway Suite 230 Hilarie Claire Tomasiewicz Neurosurgery - 61 Whitcher Street NE Kennestone Regional Medical Center North Fulton Medical Center PeopleCare Neuro Care
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Runners take their mark on the track. Text reads XanderCare.

PeopleCare

XanderCare

Xander Garanzuay, a long-distance runner, never imagined his high school track meet would end with him being airlifted to the hospital. But when a discus struck him in the head, he suffered a depressed skull fracture and needed emergency surgery.

Thanks to the quick action and collaboration of Wellstar Kennestone Regional Medical Center's trauma and neurosurgery teams, Xander is now back to running. His story highlights the resilience of the human body, the strength of family and the impact of expert care.

A sudden accident

After finishing the 2-mile race at a track meet in Cartersville, Xander stayed to support his Woodstock High School teammates. When he was ready to go home, he texted his parents.

A few moments later, everything changed. While tossing a ball with his friend, Xander ran to retrieve it—just as a discus struck him in the head.

The discus hit Xander on the left side of his head with such force that he fell unconscious. Xander began seizing—his condition was critical. While his friend raced to notify their coaches, Kelly, Xander’s mom, had arrived to pick him up.

“I’m sitting out front texting Xander, ‘I’m here,’ when emergency vehicles start pulling up,” Kelly said. “Then my husband called—‘Xander’s been hit.’”

Kelly stayed with Xander as EMS evaluated him. “He was awake but not coherent,” she noted. They determined he would need to be airlifted to Wellstar Kennestone, a Level I Trauma Center.

Life-saving surgery

Xander was swiftly transported to Wellstar Kennestone, where the trauma team was ready to act. Upon arrival, Wellstar Neurosurgeon Dr. Phillip Parry assessed the severity of Xander’s injury: a depressed skull fracture causing seizures.

“The discus is a large weight—picture a five-pound Frisbee—that is flung through the air,” said Dr. Parry. “Thankfully, Xander’s skull protected his brain, but he essentially sustained a ballistic injury to the skull.”

The impact to the left side of Xander’s skull left him with a fixed-focus neurologic deficit. His right arm—his dominant arm—had no muscle strength, and his right leg was weak.

Dr. Parry performed an emergency craniotomy to remove the bone pressing on Xander’s brain. The surgery was successful, but the road ahead was uncertain.

“The biggest challenge wasn’t the surgery itself—this is something we do every day,” he said. “It was telling a 16-year-old and his mother that we didn’t know whether he would regain function in his dominant arm.”

Kelly had to trust in the care Xander was receiving. “You don’t know what you’re going to do in that situation. Nothing prepares you,” she said. “I had to have faith that he was in the right hands—and he truly was.”

Steady progress

The day after Xander’s surgery, Wellstar Kennestone’s physical and occupational therapy teams began working at his bedside to restore movement in his non-functioning arm and leg.

“You want to do everything you can to optimize the body’s ability to heal,” said Dr. Parry. “It was important that we provided that environment for him.”

Xander’s positive attitude and determination played a crucial role in regaining function. His dad, Xavier, was amazed by his son’s resilience.

“He was so proactive and driven to get better,” Xavier said. “It was inspiring to watch.”

Still, sometimes the reality of what happened sank in. “He woke up one night and said, ‘I could have died,’” his mom remembered. “I told him, ‘Yes, but you didn’t.’ He said, ‘God must have something really special planned for me.’”

Xander applied the same fortitude from running to each step of his healing. “Sometimes you can be your own worst enemy, but you can also be your biggest supporter,” he said. “If you don’t believe in yourself, how can anyone else believe in you?”

Care that made a difference

Xander spent six days at Wellstar Kennestone before being transferred to inpatient rehabilitation. The support from Wellstar’s care team made a lasting impact.

They were there for whatever we needed—compassionate and always listening to Xander’s needs,” Kelly said.

One night during his stay, Xander woke needing help to get to the restroom. When a nurse arrived, he suddenly began seizing. “I’ve never seen eight nurses in a room so quickly,” his mom recalled. “Everyone knew exactly what to do.”

One poignant moment came when Xander’s family had the discus—now a symbol of victory over his injury—signed by his care team.

“It’s rewarding as a physician to know that I played a small part in restoring his ability to use his arm again,” Dr. Parry reflected. “As a parent, I know the anxiety that comes with the uncertainty of neurologic recovery. To see Xander move his arms and legs again, as if nothing happened, is a relief that’s indescribable.”

The power of community

Xander’s recovery was supported not only by his family and Wellstar care team, but also by his school and community. After the accident, his track team dedicated the next meet to him, with “Run for Xander” wristbands and signs. A teammate also started a GoFundMe campaign, which raised nearly $13,000 to help with the family’s medical expenses.

“People from all over came together for Xander,” Xavier said. “Posts on his team’s Facebook page were shared with running clubs from Canada to Miami. We were blown away.”

Xander was especially touched by the support. “This whole experience showed me how much my family loves me,” he said. “Seeing my friends, teachers and even family from Texas come to help—it meant so much.”

A bright future

After two and a half weeks of inpatient rehabilitation, Xander transitioned to outpatient rehab and continued regular follow-ups with Dr. Parry at the Wellstar Neurosurgery clinic. “At each phase, he received the best possible care,” explained Dr. Parry. “That’s why he had such a great outcome.”

Today, Xander is almost fully recovered and back doing what he loves most—running. “Physically and mentally, he’s doing phenomenal,” Kelly said. “He has his own training program. I am so proud of him.”

Xander’s progress wouldn’t have been possible without the trauma care network that supported him every step of the way. “The benefit of the trauma network can’t be overstated,” Dr. Parry said. “It ensures people get the best possible outcome even on their worst day.”

With expert care and determination, Xander is ready for whatever comes next.

Learn more about Trauma Services and Neuro Care at Wellstar.

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Your Wellstar care team can also help you reduce your risk of developing breast cancer. Being overweight or obese or being a smoker can increase your risk. Patients at Wellstar have access to our Center for Best Health to assist in weight management. We also have smoking cessation programs and dietitians waiting to help you make healthier choices that can positively impact your health.

Wellstar provides more than healthcare, PeopleCare—working relentlessly to exceed national standards and our patients’ expectations while remembering the humanity of every patient. We are here for all the situations and stages of our patients’ lives by offering the tools and resources to be healthy and thrive. Wellstar clinicians live in the communities we serve. We must get physicals, mammograms and biopsies. We need help being our healthiest selves. We get sick and have family members who need compassionate care. PeopleCare means offering our patients world-class healthcare in the communities where they live and work.

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A friendly image of Ray and Ellie

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