Steve Shelton, a retired middle school principal who lives in Villa Rica, is living life to his fullest years after having a robotic prostatectomy in December of 2014. The procedure was performed by Dr. Justin Watson at Wellstar Kennestone Regional Medical Center.
Robotic prostate cancer surgery has several key advantages over the more traditional approach. It shortens the time spent in a facility following a surgery. It also reduces surgery site blood loss, scarring and pain, and speeds up recovery. This method also has the potential to preserve nerves.
Steve remembered he was in his fourteenth year serving as the principal of Mount Paran Christian School Middle School when his urologist, Dr. Thomas Emerson, broke the news that he had cancer.
“I had to lean up against the wall for a minute,” Steve said. “Dr. Emerson drew out diagrams and presented us with all of our options. My wife, Brenda, and I made the decision right then that I was going to do the robotic surgery. I wanted to be decisive and take action and I wanted the cancer gone.”
Robotic prostate cancer surgery reduces surgery site blood loss, scarring and pain, and speeds up recovery.
“The robot allows us to see the prostate better and spare the nerves, which can preserve sexual function,” said Dr. Watson.
SteveCare
Retired Principal Chooses Robotic Surgery to Treat Prostate Cancer
Published on September 14, 2021
Last updated 12:46 PM September 01, 2023
Prevention is the key to better health. It's very important to see your physician regularly so that we can screen for these abnormalities before they cause symptoms, let alone any type of health threat.
- Dr. Scott Miller
Wellstar Medical Director of Urologic Services & Robotic Surgical Services
Diagnosing prostate cancer
While Wellstar gives patients access to advanced medical technology to treat prostate cancer, early detection is the key to catching the disease in its early stages.Over the course of a few years before his diagnosis, Steve and his doctors had tracked his PSA rising slowly.
“Prevention is the key to better health,” said Dr. Scott Miller, Wellstar’s medical director of urologic services and robotic surgical services. “It's very important to see your physician regularly so that we can screen for these abnormalities before they cause symptoms, let alone any type of health threat.”
Primary care physicians and urologists typically use prostate-specific antigen (PSA) blood tests to screen men for prostate cancer. When prostate cancer is suspected, these same tests can help monitor a man’s health over time. Because interventions for prostate cancer can have side effects, treatment is typically recommended only when it becomes absolutely necessary. Steve’s physicians advocated for waiting until his PSA number reached a certain level.
“It was absolutely reassuring that these doctors were not going to jump right into treatment,” Steve said.
When his PSA numbers reached levels of concern, Dr. Emerson referred Steve to a colleague to perform a biopsy to confirm the suspicion of cancer. Steve remembers Dr. Emerson explaining that Dr. Justin Watson was a scholar in the field and had a high level of training and experience in robotic surgery.
“Justin was so warm and reassuring,” Steve remembered. “I knew God had provided a great doctor and I didn’t have worries.”
The biopsy confirmed that it was cancer and Steve moved forward with a robotic prostatectomy by Dr. Watson.
“The whole atmosphere in that surgical suite was one of caring, concern and competence,” Steve remembered. “It was like I placed my life in the hands of a loving family.”
Life after robotic surgery
After his prostatectomy, Steve returned to finish his last year at Mount Paran, and then retired from his 45-year career in education. He and his wife moved to Villa Rica to a 14-acre horse farm they share with Sophi, a Spotted Saddle Horse, and Jack, an American Quarter Horse.“We love being here,” said Steve, saying he spends a fair amount of time riding on their property’s pasture. “And I don’t take health for granted. I’m grateful for every single day.”
Now available as an outpatient or same-day procedure
Dr. Watson collaborated with Dr. Miller – who performed the first robotic prostatectomy in the state – to make the prostatectomy procedure available to patients as an outpatient procedure. In 2019, Wellstar became the first health system in metro Atlanta to offer outpatient prostatectomies. Since that time, only about 10% of patients who have their surgery performed in the morning choose to stay overnight.Learn more about the benefits of having an outpatient robotic prostatectomy at Wellstar.
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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.
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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Eric Janeau, a former All-American offensive tackle who once played football at Kansas State University and Western Illinois University and trained with the Detroit Lions, faced a host of serious health conditions—a rare form of bile duct cancer, obesity, heart failure, kidney disease and diabetes. With the support of his tight-knit network of doctors and the Wellstar Center for Best Health, Eric is overcoming these obstacles and inspiring others through his remarkable weight loss journey.
Life change kickoff: A rare cancer diagnosis
In 2021, Eric was diagnosed with a rare and aggressive bile duct cancer.
“I was in disbelief,” Eric remembered. “I didn’t eat all weekend.”
The only cure was surgery, but at 11 centimeters, the tumor was too large to be removed. Under the care of Medical Oncologist Dr. Carmen Klass, Eric began chemotherapy. At the time, he didn’t realize just how dismal his chances were for survival. At stage 4, the survival rate for this cancer type is 1%, with only four to six months to live if treatment isn’t successful.
Eric began chemotherapy accompanied by additional hydration to help with his heart failure and steroid shots that caused him to gain weight during treatment. After 12 rounds and six cycles of chemo, his body responded excellently—the mass shrunk by 40%. Surgical Oncologist Dr. Sahir Shroff re-evaluated him and cleared him for surgery to remove the tumor in early 2022.
Today, Eric is cancer free.
One team, one goal: Eric’s health comeback
Eric’s journey didn’t end with cancer treatment. He also faced severe obesity, putting him at risk for life-threatening conditions like heart disease and stroke. Dr. Klass was concerned and took the time to address Eric’s other health concerns.
“Dr. Klass and Dr. Shroff keep up with my health and they keep each other informed of what’s going on,” Eric said. “They're totally invested in my well-being.”
After chemotherapy and surgery to remove the tumor, Dr. Klass referred Eric to Dr. Mitzi Rubin at Wellstar Center for Best Health. It was time to lose weight and get his diabetes and high blood pressure in check.
Highlights
One-Stop Treatment Clinic for Patients with Thoracic Cancer
If you had to guess which cancer took the most lives in America, what would your guess be?
“Lung cancer is the No. 1 cancer killer in the U.S. for both women and men since 1986,” said Dr. Daniel Miller. Dr. Miller is the chief of thoracic surgery and the director of the Wellstar Georgia Cancer Center lung cancer screening program.
About 80% of lung cancer cases are associated with cigarette smoking, including secondhand smoke. Unfortunately, when symptoms begin showing, the cancer has already spread, making treatment very time-sensitive. When a patient is diagnosed, their care team typically includes not just one, but four doctors: a thoracic surgeon, an interventional pulmonologist, a medical oncologist and a radiation oncologist. There are many benefits to having a large care team, but a huge drawback can be the wait time between appointments with each doctor.
“When you have cancer, you want to be seen now and be treated now,” Dr. Miller said.
The speed of treatment time for patients is what inspired the creation of the Thoracic-Oncology NOW (New Oncology Workgroup) Clinic at Wellstar Georgia Cancer Center. The multidisciplinary clinic is staffed by specialized physicians in the treatment of thoracic malignancies.
The clinic treats not just lung cancer, but also esophageal cancer, metastatic disease to the lungs and malignant pleural effusions.
“You’re cutting back on treatment time, waiting time, travel time and, more importantly, you have a group of doctors, rather than a doctor, who are talking about your care,” said Hematologist and Oncologist Dr. Girinda Raval.
The clinic operates on Wednesdays and acts as a one-stop shop for patients, saving their time and the time of their loved ones who join them for treatments. Patients also have access to Wellstar Georgia Cancer Center’s registered dietitians and social workers, along with a scheduler, financial personnel and medical assistants, creating one large care team ready to help them on their treatment journey.
“There is a degree of reassurance for the patient that there is a team who are all engrossed in caring for that patient,” Dr. Raval said.
To learn more about the Thoracic-Oncology NOW Clinic or make an appointment, call (706) 721-6744 for more information.