JudyCare

Maria Fernanda Ortiz was a college junior, pursuing a degree in interior design. But at just 26 years old, her life took an unexpected turn. She discovered a lump in her breast, which led to a cancer diagnosis and expert, multidisciplinary care at Wellstar that would shape her professional aspirations in the future. Maria feels her hopeful attitude and compassionate care team at Wellstar helped her come through treatment with positive outcomes.

Feeling heard in healthcare

After Maria discovered a lump, she initially saw a doctor who went through the motions but didn’t seem to take her concerns seriously. 

“He was so sure it was nothing because I am so young,” she remembered. “I didn’t think it was cancer, but I wanted someone who would get to the bottom of it.”

She then saw her OB/GYN who referred her to Dr. Laura Pearson, a Wellstar breast surgeon at Wellstar North Fulton Cancer Center, for a second opinion. 

Maria got what she was looking for: a doctor who listened and would help her find answers. 

“Maria is the perfect example of a patient advocating for themselves,” Dr. Pearson said. “She did exactly what she was supposed to do for someone her age who finds a lump. When it didn’t go away, she got it looked at. When she didn’t feel like she was being heard, she didn’t let it go.”

A surprising cancer diagnosis

Dr. Pearson immediately performed an ultrasound in the office, followed quickly by a biopsy, which came back positive for cancer. 

"The diagnosis was scary," Maria said. “Dr. Pearson made it as simple as possible to understand by making sketches. She took the time to answer my questions—and she gave me hugs.”

Dr. Pearson added, “I try hard to be methodical and build a story: ‘This is what this means. This is how it applies to you.’ It’s important for patients to understand their plan and how it’s based very specifically on their situation.”

Maria was diagnosed with stage 2A breast cancer, meaning it was a small tumor but had spread to a nearby lymph node. 

“The stage helps us understand how the patient is going to do with standard treatment,” Dr. Pearson explained. “At stage 2A, we’re looking at a 90% survival rate.”

When Katie Fox walked into Wellstar North Fulton Medical Center nearly a year after her devastating car crash, she felt the weight of the full-circle moment.

Across the atrium stood the people who had helped save her life—doctors, nurses and first responders who had seen her at her most critical and were now seeing her fully herself.

Katie had no memory of the three weeks she spent at Wellstar North Fulton—but her family remembered everything. So did her care team, who had been there through emergency surgery, intensive care, multiple procedures and round-the-clock support.

Now, just 10 months later, Katie was back—walking, smiling and thriving—thanks to her own resilience, an unwavering support system and the highly skilled trauma team at Wellstar North Fulton.

The crash that changed everything

Katie was involved in a car accident on Georgia State Route 400 that sent her to Wellstar North Fulton in critical condition. She had suffered a traumatic brain injury, a lacerated spleen and multiple fractures—including to her ribs, left ankle and pelvis.

Wellstar North Fulton is specially equipped to care for patients like Katie. Designated a Level II Trauma Center by the Georgia Department of Public Health and American College of Surgeons, the hospital serves the Northeast Atlanta community with immediate surgical intervention, 24/7 trauma coverage and seamless coordination across specialties.

“When they first brought her in, she was obviously severely injured in multiple areas,” said Dr. Stephen McBride, a trauma and general surgeon at Wellstar. “She had a large scalp laceration that was bleeding. We also noticed significant internal bleeding from her spleen and multiple pelvic fractures.”

A CT scan revealed a buildup of fluid in Katie’s abdomen, likely blood. She was taken straight to the operating room for what Dr. McBride called a “damage control operation.”

“We opened her abdomen and took her spleen out, which was very severely injured,” he said. “Then it was a matter of getting her stable.”

The surgery was a success—but it was only the beginning. Katie spent the next 10 days on a ventilator in the ICU. During her 19-day stay, she underwent multiple procedures and received care from a collaborative, multidisciplinary team: trauma surgery, neurosurgery, orthopedics, therapy and nursing.

Finding clarity and compassion

Katie’s parents, Mary Lou and Jeff Fox, flew in from Virginia as soon as they learned about the accident—first alerted by a message from Katie’s smart watch.

Jeff recalls speaking with Dr. McBride before takeoff and again after landing. “He was keeping us updated with what was going on with Katie from the start,” he said.

At Wellstar North Fulton, the couple were met with empathy and reassurance under unthinkable circumstances.

“When we got in, they took us straight to Katie,” Jeff said. “I didn’t know what to expect. It was probably the hardest moment of my life—seeing my baby there.”

Katie was unconscious and on a ventilator, but her care team made space for both expert treatment and emotional support. Jeff remembers nurses and even the front desk team checking on them constantly—offering updates, comfort and prayer.

One quiet act of compassion stood out. “The night of Katie’s accident, we stayed in the room with her,” said Mary Lou. “But her boyfriend, her roommate and a friend stayed in the waiting room. We don’t know who it was, but one of the caregivers placed blankets over each of them while they slept.”

That moment—and so many others—confirmed they were in the right place. “I’ll never forget the love and care we received,” Mary Lou said.

Milestones that mattered

Amid the uncertainty of Katie’s condition, small moments brought glimmers of hope. From the way her vital signs responded to blood transfusions to the subtle movements that followed, each step forward reminded her care team and loved ones that she was still fighting.

One emotional turning point came when her boyfriend, Will Henley, sat with her for the first time since the accident.

“I started talking to her about my day, and she opened her eyes,” he said. “I immediately asked her nurse if she had done that for anyone else and she said no. It wasn't much, but it was all I needed to keep my faith.”

Even while unconscious, Katie’s team spoke to her directly. “That was very special,” Mary Lou said. “Her doctors always included her in conversations about her care.”

Wellstar Neurosurgeon Dr. Benjamin Zussman became one of her biggest cheerleaders, celebrating every sign of progress.

“We were exhausted and reality was beginning to set in,” Mary Lou said. “His enthusiasm helped us so much.”

Slowly, Katie began following motion with her eyes. At one point, she mouthed lyrics to Taylor Swift songs when Will played them at her bedside.

Throughout her time in the ICU, Katie’s care extended far beyond medicine. Nurses Sarah Kozarcanin and Sydney Dawson spent hours gently washing Katie’s hair to carefully clean around her head wound.

“That was an act of love that was above and beyond to me,” Jeff recalled.

Care united by purpose

As Katie came off the ventilator and slowly regained strength, the therapy team stepped in to help her sit up and begin basic movements. Her parents saw how seamlessly everyone worked together.

Dr. McBride credits the hospital’s collaborative approach. “Our hospital does a great job having the appropriate consultants available—neurosurgeons for severe brain injury, orthopedic surgeons for severe musculoskeletal injury and, of course, trauma surgeons, physician assistants (PA) and nurse practitioners who care for our patients from start to finish,” he said. “And then there are the therapists, social workers and case managers—all of whom play a key role in recovery.”

Jeff especially appreciated how the team included him and Mary Lou in the process. “Every morning, all the departments involved in Katie’s care would meet,” he said. “They’d always ask, ‘Do you want to join us?’ They valued our input.”

Looking ahead with hope

Katie was discharged and transferred to inpatient rehabilitation, where her memory gradually returned. She and her family celebrated every milestone—especially the day she no longer needed a wheelchair.

“Walking again felt like I gained a lot of freedom back,” Katie said.

Just over four months later, she was back to work, driving and living independently. She credits her recovery to her care team, family and Will—now her fiancé.

“His unwavering support and love during those months showed me that he would be the perfect husband,” Katie said. “If he could be my anchor and love me through that, I knew he would love me through anything.”

Katie also discovered a new sense of purpose. “This confirmed every desire I had to become a PA,” she said. “I think it will give me a different connection to patients.”

In the months after her discharge, Katie returned to the ICU several times to meet the people she had heard so much about—but hadn’t been able to remember.

“Each time we visited, they’d say, ’You can go in the back way—you’re like family now,’” Mary Lou said with a smile.

For Katie’s family, the hospital’s trauma survivor reception brought closure and gratitude. “We had always wanted to meet the first responders who got her out of the car and to the hospital,” said Jeff. "It was awesome that we finally had that opportunity.”

“Seeing good outcomes is the best part of my job, without a doubt,” said Dr. McBride, who attended the event. “For someone like Katie—young, healthy and just in the wrong place at the wrong time—it’s rewarding to see her get her life back.”

Katie’s story is a testament to the power of expert trauma care, teamwork and hope.

“I will forever be grateful for the care, kindness and love the people at Wellstar North Fulton gave my family and me,” Katie said. “We will never forget any of them.”

Learn more about trauma services at Wellstar.

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

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.