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JohnCare

Published on February 20, 2021

Last updated 09:08 AM January 18, 2024

John Petrick standing by his dock.

John Petrick loves the simple things in life. He revels in time spent with family, reeling in a big catch and feeling the crisp wind in his face during a morning bike ride.

However, for a man that enjoys such simple pleasures, John’s heart health is quite complicated. For a long time, his well-being felt like a puzzle that no one could quite figure out.

John’s complex heart issues first began over two decades ago, when he nearly died after his heart suddenly went into an abnormal rhythm.

After the life-threatening heart episode, specialists in California diagnosed him with ventricular tachycardia (VT), a severe heart condition in which abnormal electrical signals cause the heart to beat faster. Then later, he was also diagnosed with atrial fibrillation (AFib), an irregular and rapid heart rhythm that can cause heart palpitations and shortness of breath.

From defibrillators to heart surgeries, John and his Californian care team worked hard to manage the ups and downs of his heart conditions. But after spending years in the Golden State, John was ready to take on a new adventure: moving over 2,000 miles away to Georgia.

“The decision to move to Georgia was difficult because of my heart conditions,” John shared. “I needed a doctor who would really take the time to sort everything out.”

Luckily, it wasn’t long before John was connected with an entire team of Wellstar heart experts delivering comprehensive care all within the same health system.

Finding the right rhythm

Before being referred for specialty care by his Wellstar primary care provider, John briefly received heart care from another health system in Georgia. However, he had some reservations about his treatment.

“Honestly, it wasn’t the level of care—especially in terms of empathy—that I was used to,” he admitted. “And that’s a scary situation when you have a condition like mine.”

That was never a problem at Wellstar. As soon as he met with Wellstar Health System Director of Cardiac Electrophysiology Dr. Narendra Kanuru, John knew the physician was in his corner.

“I could tell Dr. Kanuru really took the time to study my case,” John said, remembering his first visit with the specialist. “He recited my medical history from the last 20 years, without having to look at any papers.”

Since then, they have developed a great healthcare partnership, always keeping an open line of communication.

“I feel so comfortable expressing any fears or apprehensions about my conditions or treatment with Dr. Kanuru. He’s always very receptive,” John shared. “His level of empathy, professional expertise and ability to communicate and understand me is just as valuable as his technical, medical skills.”

Along with Dr. Kanuru’s expertise, Wellstar Cardiologist Dr. David Caras provides an essential complement to John’s cardiovascular care. While a cardiac electrophysiologist hones in on the functional and rhythmic areas of the heart, a cardiologist offers a broad spectrum of heart care.

While each focusing on their areas of expertise, the two heart specialists collaborate to create the best treatment plan for John, and adjust it along the way.

“Dr. Kanuru and Dr. Caras work together as a team,” John said. “It’s truly remarkable and beautiful. Often, I’ll go to see one of the doctors and they’ll mention a conversation they had about me with the other recently.”

I feel like I am an important person to Wellstar. When I make requests, I am heard. My thoughts and feelings are considered, and I’m always in agreement with the treatments my doctors choose. My life is much better because of the collaboration between experts and the overall empathy of my care team.

- John Petrick

Wellstar Heart Care Patient

Coordinated cardiac care

However, John’s most recent diagnosis of congestive heart failure—caused when the heart muscle doesn’t pump blood as efficiently as it should—and the development of a new arrhythmic pattern required reinforcements.

That’s when Wellstar Cardiac Electrophysiologist Dr. Jacob Blatt entered the picture. Dr. Blatt performed a VT ablation, a procedure that can help restore a regular heart rhythm by eliminating certain spots causing erratic signals.

John has benefited from the close collaboration of all of his Wellstar heart care specialists, a goal that the entire system strives for with each and every person.

Focused on the future

As John continues to navigate congestive heart failure, he keeps a positive outlook about his health. With world-class heart care and dedicated specialists on his team, John can live life to the fullest instead of worrying about his wellness.

“I feel like I am an important person to Wellstar. When I make requests, I am heard. My thoughts and feelings are considered, and I’m always in agreement with the treatments my doctors choose. My life is much better because of the collaboration between experts and the overall empathy of my care team,” John said, sharing his experience with the health system.

“With everything I have been through, I am surprised that my quality of life is as high as it is, and I think that my doctors take pride in that,” he continued.

Now, John can focus on being there for his entire family for many years to come. Through his experience, he has learned how each heart expert holds a unique piece of the puzzle to his health, providing comprehensive cardiac care for all of his diagnoses.

Moving forward, the Wellstar team will always be there to help manage the complexities of John’s conditions, so he can get back to what really matters: living simply and staying heart healthy.

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Narendra Kumar Kanuru David Sarandos Caras Jacob Nathan Blatt
PeopleCare Heart Care
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Back to school after receiving highly coordinated stroke care at Wellstar, Assistant Principal De'sa Fuller, enters her office to start a new school year.

PeopleCare

De'saCare

De'sa Fuller, an assistant principal in West Georgia, greeted teachers in the hallway like every other morning. But her day turned upside down when she lost her balance and couldn’t rise from the floor. Thanks to the immediate actions of those around her—from the teacher who called 911 to emergency medical services and her Wellstar team—De’sa recovered and is back to school. Her story is a powerful testament to how recognizing symptoms of a stroke, calling for help right away and having highly coordinated care can lead to remarkable outcomes.

Getting help when things go wrong

At 34, De'sa Fuller was living a vibrant life. She was a 6th grade assistant principal at Gardner Middle School in LaGrange. She loved her job, enjoyed traveling and was saving up to buy her first home. April 15 started out like any other day. Smoothie in hand, she greeted teachers in the hallway as she made her way to her office.

“I felt a little off,” De'sa recalled. “I just thought I was going too fast—I didn’t put much thought into it.” Then she fell. A concerned teacher asked if she was okay. De'sa, thinking she had simply tripped, said “Yes.” Her vision blurred as she tried to get up and she fell again. “I said, ‘I am not okay.’”

What began as a typical morning turned into a race against time. One teacher's quick thinking to call 911 activated a rapid chain of events that would save De’sa from permanent disability.

The critical first minutes

“The ambulance got there quickly. It was like they were around the corner,” De'sa remembered. 

“We got a call that EMS was bringing in a female who had been found on the floor at work, experiencing right-sided weakness,” explained Ginger Truitt, stroke coordinator at Wellstar West Georgia Medical Center, a Primary Stroke Center. The EMS professionals also reported confusion, headache and vomiting. “Those symptoms suggest stroke. We activated quickly.”

As a result, Dr. Reginald “Ashley” Orr, an emergency medicine physician, was ready for her arrival. 

“I was worried about an acute stroke by their description of her symptoms,” he remembered. “I evaluated her on the stretcher when she came through the door.”

A Code FAST was called with the goal of speeding up the time to start treatment to improve De’sa’s chances for better outcomes. They skipped the emergency department and took her for a CT scan. Then she was seen by the onsite neurologist, and the team quickly administered tenectoplase—or TNK—a clot-busting drug.

“Her symptoms were markedly improved,” Dr. Orr noted. “She was more awake.”

However, the CT angiogram showed an MCA M1 occlusion—a blockage in a major blood vessel in the brain. While she had shown some improvement, it wasn’t enough. De'sa needed a thrombectomy, a procedure to remove the clot and restore vital blood flow to the brain.

 

A seamless transfer

De’sa needed an immediate transfer to a thrombectomy center, and there are only a few in the state of Georgia. After a quick virtual consult with Dr. Ovais Inamullah, a telestroke neurologist at Wellstar Kennestone Regional Medical Center—a Comprehensive Stroke Center—she was accepted for transfer. The Marietta-based Neuro Care program performs one of the highest volumes of thrombectomy and aneurysm treatments in the country.

Because time is of the essence with successful stroke treatment, transport by air is preferred. However, weather conditions threatened the flight’s safety. The ground EMS crew dutifully stood by in case they needed to drive De’sa. 

Mercifully, the clouds lifted after a few tense moments and she began her trip to Wellstar Kennestone via helicopter.

“When we have this type of emergency, our goal is to get patients out the door for a thrombectomy in 90 minutes,” Ginger said. “In De’sa’s case, we did it in 102 minutes, which was still impressive because there was cloud cover and we weren’t sure at first if she would be able to fly.”

Upon arrival, De'sa was taken directly to the angio suite where Dr. Ahmad Khaldi, a Wellstar neurosurgeon, and his team were waiting. “Every minute counts,” he emphasized.

A thrombectomy is a procedure that treats a stroke without open brain surgery. A tiny catheter is threaded through a blood vessel in the arm or leg to the brain to remove a clot, restoring blood flow to help prevent permanent disability or even death.

“We finished surgery by 11:25 AM,” Dr. Khaldi said—just 20 minutes after the procedure began.

Keep reading
Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

PeopleCare

RobertCare

Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

Keep reading
Doctor listening to patient's heart with stethoscope

Newsroom

Top Marks for Heart Care at Wellstar Kennestone Regional Medical Center

Wellstar Kennestone Regional Medical Center has received several major commendations highlighting the high level of heart care continuously provided to patients—putting Wellstar’s cardiothoracic surgery program among the top in the nation. The Marietta-based heart care program received:

  • The coveted three-star rating in the following key areas from the Society of Thoracic Surgeons (STS): isolated coronary artery bypass grafting (CABG, or open-heart surgery), aortic valve replacement (AVR), AVR + CABG, and multiprocedural cardiothoracic surgeries. This is the highest category of quality, placing Wellstar Kennestone among the best programs for heart surgery in the U.S. and Canada. 
  • The prestigious Comprehensive Cardiac Care Certification—the highest distinction awarded by The Joint Commission and the American Heart Association. Wellstar Kennestone was the first in Georgia to receive this certification.

These recognitions demonstrate Wellstar’s commitment to keeping advanced heart care close to home.

“These accomplishments speak volumes about the skill, precision and teamwork of our cardiothoracic team,” said Dr. Richard Myung, medical director of cardiothoracic surgery at Wellstar Kennestone. “We’re proud to deliver exceptional outcomes for patients from across the Southeast who have some of the most complex heart conditions.”

Three-star STS rating

STS ratings reflect not only surgical excellence, but also the quality of care patients receive in the critical 30-day period following surgery. 

“This extraordinary recognition reflects the world-class quality of care offered by Wellstar,” said Lorrie Liang, president of Wellstar Kennestone and Wellstar Windy Hill. “To achieve this gold standard, a health system must demonstrate both clinical excellence and rigorous standards for follow-up care. At Wellstar, we provide all of this, along with a warm, people-centered experience. It’s what we call ‘PeopleCare.’”

These results highlight the importance of a multidisciplinary approach—one that includes surgeons, anesthesiologists, perfusionists, nurses, cardiologists, respiratory therapists, rehabilitation specialists, critical care specialists, hospitalists, advanced practice providers and many others.

“This achievement is a testament to the entire care continuum,” said Steve Cermak, executive director of cardiovascular service line and hospital operations at Wellstar Kennestone. “From the operating room to recovery and rehabilitation, every team member plays a vital role in delivering outstanding outcomes.”

Among the three-star rankings is CABG. This procedure is commonly performed to treat people having a heart attack or other conditions including coronary heart disease with chest pain, multiple blocked coronary arteries or serious heart failure. The procedure is performed by cardiovascular surgeons at Wellstar Kennestone—Dr. Theresa Luu, Dr. James Burke and Dr. Richard Myung—who work as part of a large multidisciplinary team to give every patient the highest quality care at every step of the process, from diagnosis through surgery and recovery.

“This amazing recognition is about the great lengths we go to care for our patients, and why people travel from across the region to receive their care at Wellstar Kennestone,” added Director of Wellstar Cardiothoracic Surgery Services and the Structural Heart and Valve Program Karrie Davis. “We care for every patient like they’re a family member or close friend. That’s why we hold ourselves to the highest standards.”

Wellstar Center for Cardiovascular Care offers patients care close to home across Georgia communities at more than 25 cardiovascular locations, with more than 110 cardiologists and cardiothoracic surgeons standing ready to provide heart care for both routine and complex heart conditions. Wellstar also has one of the largest cardiovascular rehabilitation programs in Georgia, which helps patients improve their long-term outcomes.

Certification by The Joint Commission

The Joint Commission has also awarded Wellstar Kennestone with a Gold Seal of Approval in conjunction with the American Heart Association’s Heart-Check mark and certification as a Comprehensive Cardiac Center for the third consecutive time.

For the certification, Wellstar Kennestone underwent a rigorous, unannounced onsite review. During the visit, a team of Joint Commission reviewers evaluated compliance with related certification standards including evaluating the care of the cardiac patient at every touch point in the cardiac care continuum with ongoing process improvement and health promotion for patients, as well as the community. Joint Commission standards are developed in consultation with healthcare experts and providers, measurement experts and patients. The reviewers also conducted onsite observations and interviews. 

The hospital first received the two-year certification in 2019. This recertification makes the third cycle—or sixth year—it has remained in place. Wellstar Kennestone was the first hospital in Georgia and remains the only one in the state to hold the comprehensive certification.

From prevention to post-cardiac event recovery, our well-connected and collaborative heart care team is dedicated to empowering you to regain your strength and independence. We offer top-quality cardiovascular care including diagnostics, treatment, psychological support and ongoing monitoring all focused on your well-being. Learn more about award-winning heart care at Wellstar.

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