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 Hospital.
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 10:40 AM September 14, 2021
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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When COVID forced everyone to spend more time at home, Tom Murphy decided he wouldn’t sit around idle. At 62, he upped his regular activity to work out with his son, daughter and daughter’s fiancé — college athletes who kept him in top shape.
Tom’s go-to workout was a long walk in a hilly East Cobb neighborhood. He and the kids also played a lot of pickleball.
About a year in, Tom noticed a physical change.
“I was playing fewer games of pickleball at a time and making it only halfway through my walks,” he said.
Tom turned to his cardiologist, who, with the help of specialized imaging offered at Wellstar Kennestone Regional Medical Center, created a personalized action plan.
Getting answers with the help of HeartFlow
During Tom’s annual appointment with his Wellstar Dr. George Kramer, he shared his concerns about his symptoms.
“I do sports with my kids, and I’m short of breath,” Tom said.
The physician requested a cardiac CT (CCTA), the new standard for detecting heart disease, according to the American Heart Association. It can be more accurate than treadmill stress tests and is less invasive than cardiac catheterization.
“Results of the initial CT showed two blockages,” Dr. Kramer said. “One blockage was 67%, one was 75%, and we decided to follow up with further analysis using the HeartFlow test.”
Because Wellstar was the first HeartFlow Platinum site in Georgia, the cardiology staff were able to create a personalized, 3D model of Tom’s coronary arteries to check on blood flow. HeartFlow is a fractional reserve assessment that looks at how each blockage impacts the heart. Previously, this in-depth view of the heart could only happen with a more invasive procedure.
According to Dr. Kramer, the test itself has been “a godsend” since it makes it possible for patients to avoid invasive tests while still getting important — and potentially lifesaving — information about their hearts.
HeartFlow revealed the blood flow to Tom’s heart was significantly compromised.
Tom and his 91-year-old mother stand together for heart health.
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In March of 2021, Ashley Martin suffered cardiac arrest, which kills about 90% of people when it happens outside of a hospital. Thankfully, she was already at Wellstar Kennestone Regional Medical Center receiving the compassionate care she’d been seeking to address a long list of symptoms.
Everything began at a hectic time in Ashley’s life. She was 30 and had just gotten engaged. Wedding planning had started with the help of her fiancé and their two young boys. The hope had been to have the wedding toward the end of 2021. But the unexpected happened.
“I was always healthy,” she said. “I grew up playing sports. I was a runner. I used to get headaches, but that was the extent of my medical history.”
Finding the right care when there is more than one symptom
Symptoms of what would ultimately be diagnosed as Guillain-Barré syndrome began in February of 2021. This rare neurological disorder causes the body’s immune system to attack the nerves.
Ashley started experiencing tingling in the tips of her hands and feet, which moved up her legs and arms as days passed. When intermittent numbness became a symptom, Ashley went to a hospital near her Peachtree City home. A clean CT and MRI meant she went home with plans to see a rheumatologist.
As she waited for her first appointment, she started feeling numbness in her feet.
“At one point, I took a step down the stairs and went tumbling down to the concrete floor,” Ashley said.
On another trip to the hospital near her home, Ashley was diagnosed with Guillain-Barré syndrome, but treatment was unsuccessful. The numbness continued, spreading to her face. She began using a walker and, soon after, a wheelchair.
“The paralysis had moved to my abdomen,” Ashley said. “I went to sleep one night and woke up abruptly gasping for air.”
Compassionate medical care at a pivotal point
Later that night, an ambulance brought Ashley to Wellstar Kennestone, where she would finally get the specialized neuro care she desperately needed. She was admitted to the Neurocritical Care unit, staffed by physicians, nurses and a medical team with specialized training in neurological conditions.
Upon arrival, she underwent respiratory failure due to paralysis spreading to her diaphragm. She was stabilized, but shortly after that, she experienced sudden cardiac arrest — the abrupt loss of heart function that stops blood flow to the body.
After a critical care nurse administered CPR, Ashley’s heart started beating again. Life support medications were given to keep her heart pumping.
“The neuro ICU nurses and doctors saved my life,” she said.
Later, her attending neurologist explained that the stress of her nervous system and immune system fighting, paired with respiratory failure, caused such high stress that she had a cardiac arrest.
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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 a.m. 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 Regional Medical Center for highly specialized heart care.
When Kevin arrived at 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.