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  • New Clinic for Leptomeningeal Disease at Wellstar Georgia Cancer Center
Article Category: Newsroom

New Clinic for Leptomeningeal Disease at Wellstar Georgia Cancer Center

Published on August 03, 2023

Last updated 08:19 AM August 03, 2023

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When a family member receives a cancer diagnosis, you want the absolute best cancer care for them. Having multiple family members impacted by cancer and neurological conditions inspired Dr. Gerald Wallace to pursue neuro-oncology and to create the Leptomeningeal Disease Clinic at Wellstar Georgia Cancer Center. The goal of the clinic is to diagnose, treat and raise awareness of the life-threatening disease.

“Neurology and cancer have deeply impacted my life for as long as I can remember,” said Wallace, an assistant professor in the division of Hematology/Oncology at the Medical College of Georgia. “I love doing this job; everything about it is just fascinating to me.”

Leptomeningeal disease is a type of metastatic cancer. The leptomeninges are two layers of tissue within the meninges that cover the brain and spinal cord. They are the innermost layers, which line the surface of the brain, blood vessels and surround the cerebrospinal fluid. Researchers estimate that 5% to 8% of people with cancer will develop leptomeningeal disease. It is also estimated that of the nearly 54,000 Georgians diagnosed each year with invasive cancer, as many as 4,000 are at risk of developing leptomeningeal disease. While there is still much that is unknown about the disease, experts do know that it is life-threatening. Without treatment, most patients will only live another six to eight weeks. With treatment, people can live well for months and, in some cases, years.

“That six to 12 months is the next graduation, the next wedding, the next birth of a child… at the end of the day I think we are all just fighting for time to spend with our loved ones. So, we should do something. Treatment is not that bad; it is quite tolerable,” said Wallace.

Possible symptoms that are associated with leptomeningeal disease are visual changes, stiff neck, trouble walking, headache that worsens when lying down, urinary/bowel incontinence, and memory issues. Wallace is concerned when he sees a patient with neuropathies or new neurological symptoms that do not connect to a patient’s known disease. When he hears or sees these sorts of symptoms, he sends patients to get tested. He thinks leptomeningeal disease is easily missed because most patients will already have had cancer for months or years. For these patients, symptoms may be attributed to treatment rather than cancer in the leptomeningeal space.

“If you have problems with one nerve here and one nerve over there, and I cannot connect the two… that really makes me nervous. Something is going on in a more global space than would otherwise be indicated in, say, a tumor that was sitting in the visual cortex and you cannot see well,” he said.

There are treatment options for patients diagnosed with leptomeningeal disease. The first step is to confirm the diagnosis. Contrasted MRI of the brain and spinal cord is used to see if there is anything suspicious or out of the ordinary. MRI is followed by two lumbar punctures to see if there is cancer in the cerebrospinal fluid. Once the diagnosis is confirmed, the next step is radiation of the brain and possibly the spinal cord. Finally, patients meet with a neurosurgeon to discuss placement of an Ommaya reservoir. An Ommaya reservoir is a special port that allows access to the cerebrospinal fluid in the brain. It sits under the hairline on the scalp and is an easier way to give chemotherapy, evaluate spinal fluid and decrease intracranial pressure.

Wallace uses a variety of medications that are given through the Ommaya reservoir to treat leptomeningeal disease. The choice of medication depends on the type of cancer, specific mutations in the cancer and, most importantly, the ability of the patient to tolerate therapy. Patients start off going weekly for treatment for a few months. If they see good results, they can start going every other week, then monthly.

In recent years there have been major breakthroughs for drugs that may be able to treat leptomeningeal disease. Wallace is excited about their potential and is working to create clinical trials at the Wellstar Georgia Cancer Center to assess that potential. As people live longer with cancer, the likelihood of a cancer survivor being diagnosed with leptomeningeal disease also increases.

“I think there is great potential to make big strides in survival and quality of life for patients with leptomeningeal disease,” he said.

If you are concerned about leptomeningeal disease, you can schedule an appointment with Wallace and his team by calling (706) 721-2505.

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Newsroom

Wellstar Health System Completes Acquisition of Mountain Lakes Medical Center

CLAYTON, Ga. (August 10, 2026) — Wellstar Health System and Mountain Lakes Medical Center (MLMC) today announced that Wellstar has completed its acquisition of the northeast Georgia-based hospital, following the conclusion of regulatory requirements and customary closing conditions.

Mountain Lakes Medical Center is a 25-bed critical access hospital serving Rabun County and surrounding northeast Georgia communities. With the completed acquisition, MLMC is now Wellstar Mountain Lakes Medical Center and the 12th hospital in Wellstar’s integrated health system.

“From our earliest conversations, it was clear that Mountain Lakes Medical Center was a special organization with a talented team, deep community roots and tremendous potential,” said Wellstar President and CEO Ketul J. Patel. “Completing this acquisition marks an important milestone in our shared commitment to build on the hospital’s strong foundation and create new possibilities for patients, clinicians and communities in the region.”

Wellstar Mountain Lakes Medical Center is a full-service, 25-bed acute care hospital with a Level IV Trauma Center that is staffed by highly trained medical professionals who are passionate about improving healthcare and redefining how their community thinks about health and wellness.

Patel said the completed acquisition reflects Wellstar’s broader vision of enhancing patient care across Georgia and the Southeast.

“At Wellstar, we’re building a connected healthcare ecosystem that links community hospitals, physicians, specialists, advanced clinical programs and digital capabilities into a seamless experience for patients. The Mountain Lakes team has an important role to play in that future.”

Patients will continue to have access to the clinicians and care teams they know and trust as Wellstar takes a phased and thoughtful approach to integrating patients, clinicians and team members into the Wellstar system.

As part of Wellstar, patients in the region will gain access to broader clinical expertise, advanced clinical programs, technology resources and operational support. Over time, patients and clinicians will also benefit from Wellstar’s Digital Care Network, which connects local care teams with specialists and advanced clinical programs across the system in real time, helping accelerate diagnosis, treatment planning and coordinated care.

Additional information and updates will continue to be shared with team members, clinicians, patients and the community as integration progresses.

About Wellstar Health System

Wellstar Health System is one of the largest nonprofit health systems in the Southeast and a growing destination for care across Georgia and beyond. Guided by its PeopleCare culture, Wellstar is advancing a bold vision to deliver exceptional quality, safety and patient experience while expanding access to world-class medicine.

Today, 35,000 team members, one of the region’s largest physician networks and 12 hospitals serve communities through more than 400 care locations, including cancer centers, rehabilitation facilities, urgent care centers and a digital care network that extends specialty expertise to community and rural hospitals. Wellstar’s nationally recognized programs span cardiology, neuroscience, oncology, orthopedics, pediatrics and other specialties, bringing advanced treatment closer to the people who need it.

Through partnerships that include Augusta University’s Medical College of Georgia, Wellstar helps educate future clinicians, accelerate discovery and translate research into real-world impact. Recognized as one of Fortune’s 100 Best Companies to Work For, Wellstar combines clinical excellence, innovation and collaboration to improve the health and well-being of every person it serves.

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Newsroom

Wellstar Kennestone Medical Campus Expands Training for Future Physicians

Leaders from Augusta University and the Medical College of Georgia visited Wellstar Kennestone Regional Medical Center June 24 to highlight the continued growth of a metro Atlanta training program focused on preparing the next generation of physicians—and to hear directly from the students experiencing it.

The visit, part of Augusta University President Russell T. Keen’s Summer Tour, included conversations with third- and fourth-year medical students completing clinical training at the MCG Atlanta campus. Leaders checked in on student progress and gathered feedback on their day-to-day experiences working alongside physicians in one of the state’s busiest hospitals.

For Adrian Bozocea, a third-year medical student and a 2020 graduate of Wheeler High School, the experience carries special meaning. He was born at Wellstar Kennestone.

“It’s a crazy, full-circle moment, knowing that the culmination of my hard work has allowed me to serve in the community that’s built me up and made me who I am,” he said.

Bozocea said training in a familiar community adds a personal connection to patient care.

“It’s a nice feeling knowing you’re helping someone who has potentially served you at a restaurant or helped you find an item in a store,” he said.

Students at Wellstar Kennestone rotate through multiple specialties and locations as part of their training. Bozocea has already completed rotations in family medicine and obstetrics and is now in internal medicine, describing the experience as both rigorous and rewarding. He said what sets the Atlanta campus apart is its strong culture of learning.

“Every clinician is great at teaching. They’re passionate about what they do, and there’s a real culture of learning here,” he said.

Since opening in 2025, the Wellstar Kennestone campus has expanded its reach and capabilities. Dr. Louis Lovett, associate dean of the campus, said the program has strengthened its faculty by appointing Wellstar physicians to clinical teaching roles and adding new electives in surgical and medical subspecialties to complement six core rotations required of all students.

“We’re building a comprehensive training environment that prepares students to meet real-world healthcare needs,” Dr. Lovett said. “By combining strong core rotations with expanded electives and simulation-based learning, we’re giving them the skills and confidence to step into practice ready to care for patients.”

Dr. Lovett has also taken a hands-on approach with students, Bozocea said, frequently checking in and helping connect them with physicians in their areas of interest.

“He’s dedicated to students and passionate about his job,” Bozocea said.

Students gain experience across disciplines, including internal medicine, surgery, pediatrics, obstetrics and gynecology, neurology and psychiatry, while also training in simulation labs that allow them to practice procedures and patient interactions in a supervised setting.

Several students training at Wellstar Kennestone have ties to Cobb County and have expressed interest in returning to the area after graduation—an outcome leaders say reflects the value of training physicians in the communities they may one day serve.

For Bozocea, that path feels especially fitting: a future physician gaining hands-on experience in the same hospital where his own story began.

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Newsroom

Precision treatment advances cancer care with new non-invasive technology

Wellstar MCG Health Medical Center and Wellstar Georgia Cancer Center have begun treating patients using the new Gamma Knife Esprit, the latest state-of-the-art system for non-invasive treatment of neurological and oncologic conditions. The new technology provides patients with the gold standard for non-invasive brain tumor and cancer treatments, underscoring Wellstar and Wellstar Georgia Cancer Center’s dedication to innovation and patient-centered care.

The Gamma Knife Esprit delivers highly precise radiation therapy—to within 0.15 millimeter accuracy—which allows physicians to better treat complex or previously inoperable conditions while preserving surrounding healthy brain matter without the need for traditional surgery. This advanced technology minimizes risk, reduces recovery times and offers hope to patients who may not be candidates for more traditional procedures.

“Bringing the Gamma Knife Esprit to Augusta and the Central Savannah River Area represents a transformative leap in neurosurgical care for our region,” said Dr. Fernando Vale, chair of the Department of Neurosurgery at Wellstar MCG Health and the Medical College of Georgia (MCG) at Augusta University. “With its pinpoint accuracy, we can better treat complex brain conditions while further improving quality of life and reducing patient discomfort.”

Gamma Knife Esprit can target the smallest tumors and lesions with sub-millimeter precision— smaller than the size of a pencil tip—to treat brain lesions, tumors and vascular abnormalities without incisions or general anesthesia. This non-invasive approach results in shorter hospital stays, fewer side effects and faster recovery, making it a powerful resource for patients and their families.

Dr. John Barrett, chair of the Department of Radiation Oncology at MCG, added, “This technology allows us to provide effective, non-invasive treatment options for patients with brain tumors, vascular malformations and other neurological disorders. It’s a significant step forward for our patients and our clinical teams.”

“It is a privilege to serve our community by bringing leading-edge care to the CSRA,” said Ralph Turner, president of Wellstar MCG Health. “This cutting-edge technology strengthens our Neuroscience Center of Excellence and Wellstar Georgia Cancer Center, but most importantly, it ensures that patients from across the region have access to world-class, non-invasive treatment options close to home.”

The addition of the Gamma Knife Esprit further reinforces Wellstar MCG Health’s position as a leader in advanced neurological and cancer care. Through continued investment in technology and partnerships, Wellstar MCG Health remains committed to excellence, innovation and the well-being of every patient we serve.

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