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Article Category: Highlights

SteveCare

Retired Principal Chooses Robotic Surgery to Treat Prostate Cancer

Published on September 14, 2021

Last updated 12:46 PM September 01, 2023

Steve Shelton with two horses.

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.

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.

 

Tags

Justin Michael Watson Scott David Miller Thomas Edward Emerson
Kennestone Regional Medical Center Cancer Care PeopleCare Mens Health
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John Elliot smiles after getting control of Parkinson’s symptoms with the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS).

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JohnElliottCare

John Elliot was a builder who enjoyed meeting with clients and planning their future homes. But the effects of Parkinson’s disease made it hard for him to meet with clients and live his life. Then he found a new sense of hope thanks to the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS). His experience is a powerful testament to the value of comprehensive care and how his neurologists, functional neurosurgeon and nurse navigator helped him rebuild his life. 

Symptoms that were hard to shake

 

John has been building custom homes in Marietta for 45 years—a career defined by personal relationships with his clients. He loves spending time with his family, hunting, fishing and bushhogging the multi-generational family farm.

But in 2015, John’s hands began to shake. A former client and friend who was a retired neurologist recommended he see Dr. Thomas Holmes, a Wellstar neurologist. 

A DaTscan, a type of nuclear imaging test that takes images of the brain, helped Dr. Holmes see a loss in John’s dopamine-producing neurons, which indicates Parkinson’s disease. The progressive neurological disorder affects a person’s motor functions and movements. 

At first, medication helped. But years after his diagnosis, John’s medications were barely effective.

“A big part of custom home building is your interaction with your client,” John said. “Meeting with the customer became somewhat of a problem.”

His tremors and involuntary mouth movements left him feeling embarrassed.

“I kind of went into a shell and didn't want to see people because they would make comments, particularly about the mouth movement,” he said. “You want to hide.”

Keep reading
Person speaking with doctor

Highlights

Out of Sight, Still a Threat

Five years ago, you probably had hand sanitizer in your car, a thermometer in your bag and a mental checklist for every sniffle. That was life during COVID. But these days? It’s easy to forget what once felt urgent.

The same thing happens with men’s health—especially prostate cancer. For a brief moment, maybe after a friend was diagnosed or during a Movember campaign, it’s top-of-mind. But if nothing seems wrong, it quickly slips to the back burner.

That’s a problem—because prostate cancer doesn’t wait until you’re ready.

At Wellstar, we see too many men surprised by late diagnoses. Why? Because they felt fine. Because they had no symptoms. Because they believed some version of the same three myths:

“Prostate cancer doesn’t kill men.”

Actually, it’s the second leading cause of cancer death in men. When caught early, it’s highly treatable. But when ignored, it’s dangerous.

“I don’t have symptoms, so I’m good.”

Most early-stage prostate cancers are completely silent. No pain, no urinary issues, no warning. That’s why screening matters.

“Testing leads to side effects.”

Screening doesn’t mean treatment. A prostate-specific antigen (PSA) blood test is a simple tool that helps guide the next steps. Many men with slow-growing cancers don’t need surgery—just monitoring. For those who do need treatment, options are far more precise and less invasive than they used to be.

Still, fear or discomfort around the prostate keeps many men from checking in until it’s too late. We get it. It’s not the most glamorous part of the body—but it’s vital.

Think of it this way: you’d never ignore a lump on your neck or blood in your stool. Why ignore the most common cancer in men (besides skin cancer) just because it’s not visible?

Our team at Wellstar makes prostate cancer screening simple, discreet and personalized. We’re here to talk through your family history, explain your risks and offer guidance without pressure. Whether it’s time for a PSA test, a digital exam or just a conversation, we meet you where you are.

Remember: ignoring prostate cancer doesn’t make it go away. It just makes it harder to treat. Learn more about prostate cancer care at Wellstar.

Ready to take action?

Find a urologist near you and book your appointment online. What’s out of sight shouldn’t be out of mind.

Keep reading
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.

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