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Article Category: Highlights

Lifesaving Wound Care Treatment in a Family Atmosphere

Wellstar North Fulton Hospital Team Helps Roswell Resident Make Complete Recovery

Published on January 27, 2020

Last updated 05:46 PM August 10, 2020

Heidi Bohlmann (front center) stands with her husband and care team at a medical office.

Heidi Bohlmann (front center), with her husband Steve (back center), and Wound Care Center caregivers, from left, Karen Johnstone, RN, CWON; Melissa Conrad, RN; Debra Gonzalez, RN; and Ricardo Duran, MD.

Two-time breast cancer survivor Heidi Bohlmann was accustomed to successfully facing health challenges. But when stomach pain brought the Roswell resident to Wellstar North Fulton Hospital’s Emergency Department (ED), she faced her ultimate challenge: a torn small intestine, which led to a life-threatening infection.

“I remember being in the ED, then waking up in a hospital room 11 days later with machines all around me,” said Bohlmann, 58. “My family from Wisconsin was there. No one was sure I would pull through.”

Bohlmann underwent surgery to repair her perforated bowel, which included creating a hole in her abdomen so the contents of her small intestine could empty into an external pouch. Called an ileostomy, the procedure allows the intestine to heal.


We were impressed with the care and collaboration. The nurses and doctors worked together to coordinate my care plan, and always took the time to provide thorough explanations.

- Heidi Bohlmann

Patient

The Wound Care & Hyperbaric Center brings lifesaving procedures close to home

Because of her serious infection, surgeons did not close her large stomach wound to eliminate the risk that it would become a breeding ground for more bacteria. Unfortunately, an incision related to a recent breast surgery also became infected. The wounds fused into one large wound, which was treated with negative-pressure therapy, a therapeutic technique that suctions fluid and promotes healing.

“Heidi’s negative pressure therapy wound dressing change took up to two hours, three times a week,” explained Debra Gonzalez, program director for Wellstar North Fulton Hospital’s Wound Care & Hyperbaric Center, and one of Heidi’s caregivers.

“Heidi spent 48 days at North Fulton, first in the Intensive Care Unit, then in a regular room, then in rehabilitation,” said Gonzalez. “For a while, she was on a breathing machine and dialysis because her kidneys shut down, and she needed multiple infusions to treat the infection. Then she began outpatient therapy. When her wounds healed, she underwent an ileostomy reversal. Her body was so weak, she had to learn to walk again. Today, a year later, she’s a walking miracle. She was a model patient.”

Bohlmann said she did everything her clinicians recommended so that she could fully recover. “I followed the advice given by Debra and wound care specialists Melissa, Karen and Angela,” she said. “I did not shower for a year so I could keep my wound dry. I ate plenty of protein and took the recommended supplements.”

Though Bohlmann acknowledges she was an active participant in her care, she and her husband Steve, who was constantly by her side, credit North Fulton’s multidisciplinary team with her recovery.

“So many clinicians were involved in my care, including general surgeon Mark Middleton, MD, infectious disease specialist Manuel Castro-Borobio, MD, assistant director of rehabilitation Brent Clower, DO, Phillip Byrd, MD, interventional radiologist, and cardiologist David Jacoboff, MD,” said Bohlmann. “We were impressed with the care and collaboration. The nurses and doctors worked together to coordinate my care plan, and always took the time to provide thorough explanations.”

“In fact, everyone at North Fulton went above and beyond, from the technicians to the cafeteria staff. Vicky, a cafeteria team member, was impressed with Steve’s dedication to my wellbeing, so she came by to meet me. We felt so cared for, like we were part of the North Fulton family.”

The Bohlmann’s recently brought lunch to the Wound Care & Hyperbaric Center staff and the inpatient rehab team to show their appreciation. “I’m very thankful for the care I received at North Fulton,” said Heidi, who plans to volunteer at the hospital.

“Heidi’s case was very complicated,” said Ricardo Duran, MD, the Wound Care & Hyperbaric Center’s medical director. “Successful wound care involves a multidisciplinary team guided by a board-certified physician and nurses with extensive training and experience in wound management.”

North Fulton Hospital’s nationally accredited Wound Care & Hyperbaric Center offers comprehensive care and management for chronic, non-healing wounds and sores due to diabetes, pressure ulcers, circulatory problems, and open surgical site wounds, such as Heidi’s. Dr. Duran is a board-certified wound care physician, and the Center’s nurses include certified wound specialists.


For more information, contact the Wellstar North Fulton Hospital’s Wound Care & Hyperbaric Center.

 

Tags

North Fulton Medical Center NF - Wound Care Wound Care
Ricardo Mauricio Duran Manuel Eduardo Castro-Borobio David Jacoboff Emergency Care
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Surgeon using robotic system

Highlights

The Robotic Alliance: Three Specialists, One Purpose

At Wellstar North Fulton Medical Center, something unique is happening in the world of minimally invasive surgery. Nestled right here in Roswell, a multidisciplinary team of robotic surgeons has quietly become one of the most experienced collaborative groups in Metro Atlanta—and across the state of Georgia.

The three surgeons—Dr. Scott Miller (robotic urologic surgery), Dr. Nathan Mordel (robotic gynecologic surgery) and Dr. Jay Singh (robotic colorectal surgery)—have collectively performed close to 9,000 robotic procedures over their careers. While that number is impressive, what it represents matters even more: thousands of patients who have benefited from smaller incisions, faster recoveries and precision that simply wasn’t possible a generation ago.

Although each of the specialties typically addresses distinct conditions, the team often cares for patients whose needs overlap two or even all three areas. These are the moments when a truly coordinated approach matters most. Rather than sending patients to multiple locations or staging separate procedures, the surgeons’ combined expertise allows them to tackle complex, concurrent issues together—efficiently, safely and in one place.

Severe (frozen pelvis) endometriosis is a perfect example of the need for a cooperative surgical approach. This condition affects millions of reproductive age women, invading the genital organs, as well as bladder, ureters, colon and rectum, thus deteriorating their quality of life. Concurrent robotic intervention by urological, colorectal and gynecological surgeons simultaneously treats all three organ systems—and on a mostly outpatient basis.

This collaborative model has become a defining strength of robotic surgery at Wellstar North Fulton. When specialists operate side-by-side, the conversation doesn’t just happen in the clinic—it continues in the operating room, where careful planning and shared experience translate into smoother procedures and better outcomes. Patients may not witness the teamwork directly, but they absolutely feel its benefits during their recovery.

Equally important, Wellstar has invested years in refining our techniques with next-generation robotic systems, which offer enhanced visualization, improved dexterity and precise tissue handling. Whether treating prostate conditions, complex colorectal disease or gynecologic disorders, robotics allows us to deliver the best aspects of minimally invasive surgery while maintaininga high level of surgical control.

Roswell may not be the first place people imagine when they think of cutting-edge surgical innovation, but the reality is that our community has become a hub for it. With a concentrated depth of experience rarely found in a single hospital, Wellstar North Fulton is leading the way in advanced robotic procedures across Georgia.

For us, the mission is simple: three specialties, one purpose—to give every patient access to the highest level of surgical care, in their neighborhood.

Visit wellstar.org/northfulton to learn more about care at Wellstar North Fulton. Call (470) 956-4230 to schedule with Dr. Miller, (470) 956-4590 to schedule with Dr. Mordel and (470) 267-1930 to schedule with Dr. Singh.

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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 AM 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 for highly specialized heart care.

When Kevin arrived at Wellstar 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.

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