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Article Category: PeopleCare

MichaelCare

Diagnosis of rare head & neck cancer leads to unique patient-doctor bond

Published on May 20, 2024

Last updated 09:31 AM April 11, 2025

A head and neck cancer specialist examines a patient's neck.

Presiding over weddings is one way that the Reverend Michael Teston, ThM, gives back to his community after retiring as a full-time pastor.

On the left: Michael Teston headshot. On the right: Reverend Michael Teston performs weddings, including the wedding of his Wellstar doctor.

One recent wedding was quite different than the rest. It was with heartfelt pride that the pastor looked on as the groom—the man Michael credits with saving his life—said his vows.

“Fiyin, do you take Courtnee to be your lawfully wedded wife?” Michael asked his head and neck cancer specialist.

“I do,” Dr. Fiyin Sokoya replied, standing happily as his former patient—now friend, spiritual advisor and premarital counselor—joined him with his wife in holy matrimony.


Compassionate expertise follows an unexpected diagnosis

A few years earlier, an unexpected diagnosis brought the two men together as they formed a bond that exceeded the typical doctor-patient relationship.

It began when Michael noticed a knot in his left cheek. He thought he had an infected lymph node so he went to an ear, nose and throat (ENT) doctor to get it checked out. The prognosis was that the knot was likely non-cancerous, but worth getting removed because it was growing rapidly and increased the risk for cancer. The clergyman was referred to Dr. Fiyin Sokoya, a head and neck cancer specialist and facial plastic surgeon at Wellstar North Fulton Medical Center.


Specialized head & neck cancer care

Dr. Sokoya surgically removed the tumor using techniques similar to a facelift. This helped the scars heal well and meant minimal downtime during the healing process.

“If you look at my face now, you couldn’t tell,” Michael shared. “Dr. Sokoya did a phenomenal job.”

As a precaution and part of standard practice at Wellstar, the tumor taken from his face went to specialized head and neck pathologists for testing.

“I went into the doctor’s office for a follow-up visit,” Michael remembered. “The doctor said, ‘Unfortunately, it’s cancer.’”

The tumor was a rare type of chronic lymphocytic leukemia and small lymphocytic lymphoma.

“Well, that’s not what I was expecting!” Michael remembered thinking at the time. “I thought it was just a benign tumor. But Dr. Sokoya kept his manner calm, kind and never rushed. He explained things in a non-technical way to make sure I understood.”

Along with Dr. Sokoya’s demeanor, the reverend’s belief that no matter what happens, a higher power is watching out for him helped. Michael said, “My heart rate didn’t go up one bit. I never had a moment of panic.”

Fortunately, Michael was already in the right place for his care.

“We’ve become the destination center for advanced head and neck cancer care,” Dr. Sokoya said. “We can take care of him whatever his needs may be with top-notch physicians who empathize and display emotional intelligence while connecting on a human level throughout treatment.”

Aside from the surgery, Michael did not need further treatment, other than regular monitoring and bloodwork.

“Michael ended up not needing chemo because we caught it early and his medical oncologist is able to watch it closely in case any symptoms develop again,” Dr. Sokoya said. 

More than healthcare, PeopleCare. I didn’t come up with that phrase, but that’s really what I model my practice after. We’re humans first and foremost and we need to take care of people as humans. We take care of the cancer and walk you through your hospital stay, but at the end of the day, we need to make sure that empathy and emotional connection are always emphasized.

- Dr. Fiyin Sokoya

Head and neck cancer specialist and facial plastic surgeon

A deeper doctor-patient bond

The experience with Dr. Sokoya was significant for Michael who believes they were put into each other’s lives for a reason that went beyond his health.

“During what I thought was my last appointment, I said, ‘Hold on a moment, you’ve been so good to me as a doctor. I just appreciate how you’ve treated me, and I need to share my faith with you.’ This conversation opened up a new vista in our relationship,” Michael said.

At future appointments, the two talked about family and life in general in addition to Michael’s health. 

“Dr. Sokoya and I have become good friends since then,” Michael said.

The relationship led to Michael performing pre-marital counseling for Dr. Sokoya and his bride-to-be, and ultimately, the wedding ceremony.

“Michael officiated our wedding because we developed that bond and that trust. He had a lot of wisdom and life lessons to share with us, which we very much appreciated,” Dr. Sokoya said.

Life as a spiritual guide continues

Today, Michael lives with a sense of peace because of his faith and the medical team behind him, helmed by his friend Dr. Sokoya. 

“More than healthcare, PeopleCare,” Dr. Sokoya said, intoning Wellstar’s slogan. “I didn’t come up with that phrase, but that’s really what I model my practice after. We’re humans first and foremost and we need to take care of people as humans. We take care of the cancer and walk you through your hospital stay, but at the end of the day, we need to make sure that empathy and emotional connection are always emphasized.”

Thanks to that high level of expertise and care, Michael continues to enjoy his retirement, perform weddings, inspire others at leadership conferences and act as a spiritual source of strength for many, including his doctor.

Learn more about expert care for people with head and neck cancers at Wellstar. 
 

Tags

North Fulton Medical Center ENT - 1360 Upper Hembree Road Suite 201B Fiyin Sokoya
PeopleCare
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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.

XanderCare collage
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A healthcare provider consults with her patient

Highlights

Personalized Breast Care Close to Home at Wellstar North Fulton

By Wellstar Breast Surgeon Dr. Laura Pearson

I have never met a woman who enjoyed getting mammograms, including myself. They can be uncomfortable, awkward and anxiety-provoking—especially if you have had scares in the past or are at high risk for getting breast cancer.

There are so many additional resources for risk reduction and surveillance available that go hand-in-hand with mammograms. At Wellstar, reducing your risk and screening for cancer starts with a physical from your primary care doctor.

If you are at average risk of developing breast cancer, you should begin annual screening mammograms at age 40. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening. If something is detected on a mammogram, the Wellstar Comprehensive Breast Health Program has nurse navigators who will help arrange diagnostic imaging, biopsy procedures and referrals to breast specialists. If you are diagnosed with cancer, the compassionate and oncology-trained nurse navigators with Wellstar Cancer Care walk patients through diagnosis, evaluation, treatment and beyond.

If you’re diagnosed with breast cancer, your treatment and care will transition from our Comprehensive Breast Health Program to the Wellstar Cancer Care team. In Wellstar STAT Clinics, which stands for Specialty Teams and Treatment, we put you at the center of your care plan. In our STAT Clinic for Breast Cancer, the care team, including breast oncology nurse navigators, surgeons, medical and radiation oncologists, nutritionists and genetic counselors, will meet with you and your support system on the same day to formulate a treatment plan personalized to your specific cancer, as well as your personal and cultural needs. Patients are able to ask questions, make decisions and start treatment sooner, improving outcomes.

Many times, surgical intervention can be done as an outpatient procedure. We can also offer some people intraoperative radiation therapy, or IORT—the option of doing their radiation treatment in the operating room at the same time as their lumpectomy, meaning they are able to avoid four to six weeks of radiation treatments. Any other interventions, such as chemotherapy or radiation, including our CyberKnife for treatments like targeted partial breast radiation therapy, are found in the cancer center on Wellstar North Fulton’s medical campus. We have physical therapists, social workers and palliative care specialists who are there for you if the need arises.

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.

Your care team can put your mammogram order in Wellstar MyChart to book online, or you can schedule by calling (678) 581-5900.

Visit wellstar.org/northfultoncancercare to learn more about cancer care at Wellstar North Fulton.

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Person looking at heart rate on smart watch. Text reads "Mario Care"

PeopleCare

MarioCare

Being proactive with his heart health proved lifesaving for Marion “Mario” Stokes—and paved the way for a minimally invasive artery replacement procedure that has given him renewed energy to do what he loves.

Catching a heart concern 

Mario enjoyed a busy career as an attorney practicing commercial litigation. He also stayed active throughout his life, serving as a Navy Judge Advocate General Corps officer, becoming a certified scuba divemaster, and enjoying photography and studying history. When he noticed he was out of breath frequently—and his smart watch notified him of an irregular heartbeat—he discussed his symptoms with his primary care physician. 

An electrocardiogram detected a leaky aortic valve, and after discussion with his care team at Wellstar Center for Cardiovascular Care, Mario decided to proceed with a transcatheter aortic valve replacement (TAVR).

Advanced, minimally invasive surgery

Aortic stenosis occurs when the aortic valve narrows, preventing normal flow of blood from the left ventricle, also known as the pumping chamber of the heart, to the aorta and the rest of the body. Over time, this narrowing causes the heart’s left ventricle to pump harder to push blood through the stenotic aortic valve.

“TAVR is an amazing technology offering a minimally invasive alternative to open-heart surgery,” said Wellstar Cardiologist Dr. Nabil Sabbak, who performed Mario’s procedure at Wellstar Kennestone Regional Medical Center. “The valve is delivered through a small catheter via a tiny incision in the groin, eliminating the need to open the chest or stop the heart. This approach is lower-risk for many patients and allows for a quicker recovery with less pain.”

Most patients are walking within hours of the procedure and leave the hospital within 24 hours, according to Dr. Sabbak. Many people return to daily activities within a week.

“I’m very sensitive to pain, but nothing ever hurt,” Mario said about his procedure.

‘It’s like a new heart’

Mario said his valve replacement has given him more energy than he had before, allowing him to enjoy his retirement and time with family. The improvement is evident in his regular walks around his neighborhood and exercise at Wellstar Health Place.

“There's a steep hill that's near our house. Before the procedure, I couldn't walk up the hill without stopping at least once or twice to pause and get my breath,” he said. “Now I can just walk right up—no problem. It's made a huge difference in my life."

He stays busy with his fiancée and their three-year-old granddaughter—taking her on trips to the zoo, botanical gardens and nature center—as well as visiting his two children in Las Vegas and Philadelphia.

“It's like a new heart. It's unbelievable really,” Mario said. “I slept twice as much before. Sometimes I'd sleep 10 or 12 hours a night and then maybe take a nap. I was really out of energy.”

He is also building strength at cardiac rehabilitation three times a week at Wellstar Vinings Health Park, as well as continuing treatment with his Wellstar heart care team.

“I have been super pleased with Wellstar,” Mario said. “The folks there are very professional, and they have a wonderful combination of intelligence, education and caring, from the receptionists to the nurses, physician assistants and doctors.”

Learn more about heart care at Wellstar.

Photo of Mario Stokes

Mario Stokes

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