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Article Category: PeopleCare

RichardCare

How an active retiree beat colon cancer with screening and the support of his Wellstar care team

Published on March 27, 2025

Last updated 01:55 PM March 27, 2025

Man hits a ball on a golf course. Text reads "RichardCare."

Richard Knox isn’t afraid to trust his gut. When the Hiram resident began experiencing abnormal bowel habits, he instantly knew something was off. What happened next involved advocating for his health, finding the right team of specialists to meet his needs and understanding the lifesaving role of a colonoscopy in catching colon cancer early.

Photo of Richard Knox, colon cancer survivor


Becoming an advocate

Born and raised in Smyrna, Richard spent a fulfilling career with AT&T and called many different cities “home” before his retirement in 1998. He moved back to Georgia and settled in a house by the golf course at Creekside Golf & Country Club.

Richard enjoyed an active lifestyle and managed to stay healthy; in fact, the only time he could remember staying in the hospital was in 1952 when he had his tonsils removed. However, his maternal grandfather died of colon cancer at age 65, so Richard wanted to stay proactive about his colon health, knowing his family history. He had his first routine colonoscopy in his 50s, per his physician’s recommendations—“just trying to be preventative,” he said. (Updated guidelines from the American Cancer Society now recommend that individuals at average risk for colorectal cancer start screening at age 45.)

His third colonoscopy, in 2018, showed no major cause for concern—though a blood test at the time revealed anemia. A few years later, Richard noticed some changes in his bowel habits, including persistent constipation, that made him question his health. He consulted a gastroenterologist, who instructed him to stop taking Tylenol at night to help alleviate his symptoms.

But everything wasn’t fine. “It went on for several months. It wasn’t changing, and it wasn’t getting any better,” said Richard. That’s when he knew it was time to seek a fresh perspective.

Right care, right time

Richard turned to his Wellstar primary care physician, Dr. Roderick Rhyant, whom he and his wife had seen regularly since moving to Hiram. Dr. Rhyant helped coordinate care by referring Richard to a Wellstar specialist, board-certified gastroenterologist Dr. Benjamin Renelus.

During his first appointment with Dr. Renelus, Richard shared the results of his previous colonoscopies and recounted the recent gastrointestinal issues he’d been having. He described Dr. Renelus as someone who “lights up the whole atmosphere” and made him feel at ease discussing what can be a sensitive or difficult topic for many people.

“Richard was by and large very healthy for his age,” Dr. Renelus explained. But something wasn’t quite adding up: “What I saw in his labs was that his hemoglobin started to trend down, [indicating] there may be a GI bleed going on… but he’s not complaining of any abdominal pain. I thought, ‘This may be a tumor.’”

Like Richard, Dr. Renelus trusted his instincts—and when he didn’t feel confident with his patient’s prior colonoscopy report, he recommended a diagnostic colonoscopy. This screening test would allow him to directly examine the inside of the colon and rectum, and take a biopsy of any abnormal colon tissue.

“[Dr. Renelus] just looked at me and said, ‘You know what I’m going to say,’” Richard recalled with a laugh. “And I said, ‘That’s fine, doc. Whatever we’ve got to do. I’ve got to figure out what’s causing this.”

Knowing Richard was fit and healthy enough to undergo the procedure, Dr. Renelus scheduled the colonoscopy at the Outpatient Surgery Center at Wellstar Vinings Health Park. As it turned out, those gut feelings were right: The screening detected obstructive colon cancer.

Collaborative approach

Dr. Renelus shared the diagnosis with Richard, explaining that he had a malignant tumor originating from his colon.

“Breaking bad news, unfortunately, is something that’s not foreign to us as gastroenterologists,” he said. “But the good news is we have all the people in place at Wellstar.”

The physician promptly referred Richard to two of his Wellstar colleagues: Colorectal Surgeon Dr. Anushka Arumugasaamy, who would remove the tumor; and Hematologist/Oncologist Dr. William Forehand, who would oversee Richard’s colon cancer treatment and management.

“He was able to be seen so quickly,” Dr. Renelus said. “And I saw him in the office in between everything that was going on. He was always in good spirits. He trusted the process; he trusted me. There has to be trust on both sides. He did everything that we laid out for him.”

Richard first met with Dr. Arumugasaamy to assess the tumor. She ordered several imaging tests, including a lower abdominal CT scan and an MRI, to help stage Richard’s colon cancer and determine the most effective surgical approach. She then performed surgery to remove the tumor at Wellstar Cobb Medical Center.

The surgery was a success, and Richard experienced minimal pain afterward. Several months later, he saw Dr. Forehand to discuss next steps. Thankfully, Richard’s cancer levels looked good, so Dr. Forehand said they would continue to monitor for any signs of cancer recurrence.

When he returned to Dr. Forehand’s office six months later, the CT scan was “perfectly clear,” said Richard. As a final step, Dr. Renelus performed a post-surgery colonoscopy, where he removed one polyp and confirmed all cancer had been removed.

Richard will continue to see Dr. Forehand annually to ensure he remains cancer-free. “People who develop colon cancer have a 3% risk of developing another cancer within 10 years, so that’s a sizable number considering what they’ve already been through,” explained Dr. Renelus. “Ongoing surveillance is very important.”

Throughout his colon cancer treatment, Richard said he was treated with respect and compassion by every member of his Wellstar care team.

He especially appreciated Dr. Renelus’ expertise and guidance at every step. “He was great,” Richard shared. “The colonoscopy experience with him and the folks at Wellstar Vinings Health Park was fantastic.”

Screening saves lives

As colon cancer continues to rise—it is now the third most common cancer worldwide and ranks second in cancer-related death—regular screenings have become even more important.

“Colonoscopy is unique in the sense that it can prevent colon cancer by removing cancerous polyps,” explained Dr. Renelus. “And if you are diagnosed with colon cancer and we’re able to catch it at an earlier stage, your chance of survival exponentially increases.”

“I want people to trust themselves and if something feels off, go to the doctor,” he continued. “The reality is early detection is best.”

It’s also essential that patients feel comfortable bringing up any concerns with their healthcare providers, as open communication can make a big difference in treatment outcomes. In Richard’s case, Dr. Renelus said that “had he not trusted his gut or not mentioned some of these cue words with me, I don’t know if the colonoscopy would have even been explored with someone like him.”

In sharing his story, Richard hopes he can encourage others to let go of their fears and go get screened.

“If you start noticing something is different—[that] a normal process of your body changes—you need to understand why,” he shared. “That’s what happened to me, and I was fortunate to get my appointment with Dr. Renelus.”

“And if it is colon cancer, don’t give up,” he continued. “It’s very treatable when caught early. The doctors and the facilities are well equipped to do it. So get it taken care of before it gets worse.”

Learn more about colon cancer care at Wellstar and how colorectal cancer screening saves lives.

If you start noticing something is different—[that] a normal process of your body changes—you need to understand why. That’s what happened to me, and I was fortunate to get my appointment with Dr. Renelus.

- Richard Knox

Colon Cancer Survivor

Tags

Vinings Health Park Cobb Medical Center Roderick Harding Rhyant
Benjamin Dwight Renelus Anushka Vavitra Arumugasaamy William Lee Forehand III PeopleCare
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Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

PeopleCare

RobertCare

Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

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At 26, Maria receives chemotherapy as part of her breast cancer treatment plan, determined to complete her interior design degree on time.

PeopleCare

MariaCare

Maria Fernanda Ortiz was a college junior, pursuing a degree in interior design. But at just 26 years old, her life took an unexpected turn. She discovered a lump in her breast, which led to a cancer diagnosis and expert, multidisciplinary care at Wellstar that would shape her professional aspirations in the future. Maria feels her hopeful attitude and compassionate care team at Wellstar helped her come through treatment with positive outcomes.

Feeling heard in healthcare

After Maria discovered a lump, she initially saw a doctor who went through the motions but didn’t seem to take her concerns seriously. 

“He was so sure it was nothing because I am so young,” she remembered. “I didn’t think it was cancer, but I wanted someone who would get to the bottom of it.”

She then saw her OB/GYN who referred her to Dr. Laura Pearson, a Wellstar breast surgeon at Wellstar North Fulton Cancer Center, for a second opinion. 

Maria got what she was looking for: a doctor who listened and would help her find answers. 

“Maria is the perfect example of a patient advocating for themselves,” Dr. Pearson said. “She did exactly what she was supposed to do for someone her age who finds a lump. When it didn’t go away, she got it looked at. When she didn’t feel like she was being heard, she didn’t let it go.”

 

A surprising cancer diagnosis

Dr. Pearson immediately performed an ultrasound in the office, followed quickly by a biopsy, which came back positive for cancer. 

"The diagnosis was scary," Maria said. “Dr. Pearson made it as simple as possible to understand by making sketches. She took the time to answer my questions—and she gave me hugs.”

Dr. Pearson added, “I try hard to be methodical and build a story: ‘This is what this means. This is how it applies to you.’ It’s important for patients to understand their plan and how it’s based very specifically on their situation.”

Maria was diagnosed with stage 2A breast cancer, meaning it was a small tumor but had spread to a nearby lymph node. 

“The stage helps us understand how the patient is going to do with standard treatment,” Dr. Pearson explained. “At stage 2A, we’re looking at a 90% survival rate.”

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A healthcare provider holds the hand of her patient to encourage and comfort her

PeopleCare

KatieCare

When Katie Fox walked into Wellstar North Fulton Medical Center nearly a year after her devastating car crash, she felt the weight of the full-circle moment.

Across the atrium stood the people who had helped save her life—doctors, nurses and first responders who had seen her at her most critical and were now seeing her fully herself.

Katie had no memory of the three weeks she spent at Wellstar North Fulton—but her family remembered everything. So did her care team, who had been there through emergency surgery, intensive care, multiple procedures and round-the-clock support.

Now, just 10 months later, Katie was back—walking, smiling and thriving—thanks to her own resilience, an unwavering support system and the highly skilled trauma team at Wellstar North Fulton.

The crash that changed everything

Katie was involved in a car accident on Georgia State Route 400 that sent her to Wellstar North Fulton in critical condition. She had suffered a traumatic brain injury, a lacerated spleen and multiple fractures—including to her ribs, left ankle and pelvis.

Wellstar North Fulton is specially equipped to care for patients like Katie. Designated a Level II Trauma Center by the Georgia Department of Public Health and American College of Surgeons, the hospital serves the Northeast Atlanta community with immediate surgical intervention, 24/7 trauma coverage and seamless coordination across specialties.

“When they first brought her in, she was obviously severely injured in multiple areas,” said Dr. Stephen McBride, a trauma and general surgeon at Wellstar. “She had a large scalp laceration that was bleeding. We also noticed significant internal bleeding from her spleen and multiple pelvic fractures.”

A CT scan revealed a buildup of fluid in Katie’s abdomen, likely blood. She was taken straight to the operating room for what Dr. McBride called a “damage control operation.”

“We opened her abdomen and took her spleen out, which was very severely injured,” he said. “Then it was a matter of getting her stable.”

The surgery was a success—but it was only the beginning. Katie spent the next 10 days on a ventilator in the ICU. During her 19-day stay, she underwent multiple procedures and received care from a collaborative, multidisciplinary team: trauma surgery, neurosurgery, orthopedics, therapy and nursing.

Finding clarity and compassion

Katie’s parents, Mary Lou and Jeff Fox, flew in from Virginia as soon as they learned about the accident—first alerted by a message from Katie’s smart watch.

Jeff recalls speaking with Dr. McBride before takeoff and again after landing. “He was keeping us updated with what was going on with Katie from the start,” he said.

At Wellstar North Fulton, the couple were met with empathy and reassurance under unthinkable circumstances.

“When we got in, they took us straight to Katie,” Jeff said. “I didn’t know what to expect. It was probably the hardest moment of my life—seeing my baby there.”

Katie was unconscious and on a ventilator, but her care team made space for both expert treatment and emotional support. Jeff remembers nurses and even the front desk team checking on them constantly—offering updates, comfort and prayer.

One quiet act of compassion stood out. “The night of Katie’s accident, we stayed in the room with her,” said Mary Lou. “But her boyfriend, her roommate and a friend stayed in the waiting room. We don’t know who it was, but one of the caregivers placed blankets over each of them while they slept.”

That moment—and so many others—confirmed they were in the right place. “I’ll never forget the love and care we received,” Mary Lou said.

Milestones that mattered

Amid the uncertainty of Katie’s condition, small moments brought glimmers of hope. From the way her vital signs responded to blood transfusions to the subtle movements that followed, each step forward reminded her care team and loved ones that she was still fighting.

One emotional turning point came when her boyfriend, Will Henley, sat with her for the first time since the accident.

“I started talking to her about my day, and she opened her eyes,” he said. “I immediately asked her nurse if she had done that for anyone else and she said no. It wasn't much, but it was all I needed to keep my faith.”

Even while unconscious, Katie’s team spoke to her directly. “That was very special,” Mary Lou said. “Her doctors always included her in conversations about her care.”

Wellstar Neurosurgeon Dr. Benjamin Zussman became one of her biggest cheerleaders, celebrating every sign of progress.

“We were exhausted and reality was beginning to set in,” Mary Lou said. “His enthusiasm helped us so much.”

Slowly, Katie began following motion with her eyes. At one point, she mouthed lyrics to Taylor Swift songs when Will played them at her bedside.

Throughout her time in the ICU, Katie’s care extended far beyond medicine. Nurses Sarah Kozarcanin and Sydney Dawson spent hours gently washing Katie’s hair to carefully clean around her head wound.

“That was an act of love that was above and beyond to me,” Jeff recalled.

Care united by purpose

As Katie came off the ventilator and slowly regained strength, the therapy team stepped in to help her sit up and begin basic movements. Her parents saw how seamlessly everyone worked together.

Dr. McBride credits the hospital’s collaborative approach. “Our hospital does a great job having the appropriate consultants available—neurosurgeons for severe brain injury, orthopedic surgeons for severe musculoskeletal injury and, of course, trauma surgeons, physician assistants (PA) and nurse practitioners who care for our patients from start to finish,” he said. “And then there are the therapists, social workers and case managers—all of whom play a key role in recovery.”

Jeff especially appreciated how the team included him and Mary Lou in the process. “Every morning, all the departments involved in Katie’s care would meet,” he said. “They’d always ask, ‘Do you want to join us?’ They valued our input.”

Looking ahead with hope

Katie was discharged and transferred to inpatient rehabilitation, where her memory gradually returned. She and her family celebrated every milestone—especially the day she no longer needed a wheelchair.

“Walking again felt like I gained a lot of freedom back,” Katie said.

Just over four months later, she was back to work, driving and living independently. She credits her recovery to her care team, family and Will—now her fiancé.

“His unwavering support and love during those months showed me that he would be the perfect husband,” Katie said. “If he could be my anchor and love me through that, I knew he would love me through anything.”

Katie also discovered a new sense of purpose. “This confirmed every desire I had to become a PA,” she said. “I think it will give me a different connection to patients.”

In the months after her discharge, Katie returned to the ICU several times to meet the people she had heard so much about—but hadn’t been able to remember.

“Each time we visited, they’d say, ’You can go in the back way—you’re like family now,’” Mary Lou said with a smile.

For Katie’s family, the hospital’s trauma survivor reception brought closure and gratitude. “We had always wanted to meet the first responders who got her out of the car and to the hospital,” said Jeff. "It was awesome that we finally had that opportunity.”

“Seeing good outcomes is the best part of my job, without a doubt,” said Dr. McBride, who attended the event. “For someone like Katie—young, healthy and just in the wrong place at the wrong time—it’s rewarding to see her get her life back.”

Katie’s story is a testament to the power of expert trauma care, teamwork and hope.

“I will forever be grateful for the care, kindness and love the people at Wellstar North Fulton gave my family and me,” Katie said. “We will never forget any of them.”

Learn more about trauma services at Wellstar.

KatieCare
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