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Article Category: Highlights

Robotic Surgeries Get Patients Back to Their Lives Sooner

Quicker Recoveries

Published on July 01, 2019

Last updated 04:19 PM August 11, 2020

Dr. Scott Miller standing in a surgery room.

Robotic surgery specialties at Wellstar North Fulton Hospital include colorectal, general, gynecologic (oncologic and benign), thoracic, trauma and urologic. This type of surgery allows for less blood loss, less post-operative pain, less scarring, quicker recovery and a lower risk of complications.

No one wants surgery. But when it’s necessary, it makes sense to choose the least invasive, most highly advanced type, if possible. And for a wide variety of surgeries, it is possible. At Wellstar North Fulton Hospital, a team of highly skilled robotic surgeons is using the most advanced technology available to help patients get back to their lives sooner than ever.

“Our team of robotic physicians has collectively performed more than 6,000 surgeries,” said Scott Miller, MD, North Fulton Hospital’s medical director of robotic surgery. “And our specially trained anesthesia team has also provided care to thousands of patients. At North Fulton, we offer the highest level of robotic surgery expertise.”

Robotic surgery specialties at North Fulton Hospital include colorectal, general, gynecologic (oncologic and benign), thoracic, trauma and urologic. And the surgeries are performed by clinical leaders. Dr. Miller, a urologist, was the first surgeon in Georgia to robotically remove a prostate. Named to Atlanta Magazine’s list of Top Doctors for 10 consecutive years, he has also been recognized for the past decade as a “National Top Doctor” by established research firm Castle Connolly Medical Ltd. The list aims to identify the top one percent of specialists and sub-specialists in the US.

Dr. Miller explains that with robot-assisted surgery, the surgical system is operated by a physician sitting a few feet away from the patient. Using a high-powered camera, the surgeon guides the arms of the robot that holds surgical tools, which are inserted into the patient through small incisions. With robotic surgery, the surgeon’s movements are more precise, according to Dr. Miller.

“Robotics allow greater range of motion, and thanks to the magnified, three-dimensional image of the surgical field, we can see the patient’s anatomy in better detail,” he said. “It’s the difference between looking through a window and actually walking into a room.“

With the smaller incisions we make during robotic surgery, there’s less blood loss, less post-operative pain, less scarring, quicker recovery and a lower risk of complications,” adds Dr. Miller, who emphasizes another benefit unique to Wellstar North Fulton Hospital: personal, compassionate care.

“The surgeon you first meet with will be the physician who performs your surgery, and sees you postoperatively. We each personally care for our patients, from start to finish.”

Wellstar North Fulton Hospital's Robotic Surgeons

Gregory Coffman, MD General, Trauma and Colorectal
Shelley Dunson-Allen, MD Obstetrics & Gynecology
Caroline Gibbons, MD Gynecology
Scott Miller, MD Urology
Theolyn Price, MD Thoracic

Find out more about robotic surgery at Wellstar North Fulton Hospital

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North Fulton Medical Center Shelley Monique Dunson-Allen Gregory Justin Coffman
Scott David Miller Theolyn Nan Price Cancer Care Heart Care Emergency Care Respiratory Care
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Doing good CPR is critical to save someone from cardiac arrest.

PeopleCare

KevinCare

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.

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin can.

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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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.

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