SandyCare

By Wellstar Breast Surgeon Dr. Laura Pearson

I have never met a woman who enjoyed getting mammograms, including myself. They can be uncomfortable, awkward and anxiety-provoking—especially if you have had scares in the past or are at high risk for getting breast cancer.

There are so many additional resources for risk reduction and surveillance available that go hand-in-hand with mammograms. At Wellstar, reducing your risk and screening for cancer starts with a physical from your primary care doctor.

If you are at average risk of developing breast cancer, you should begin annual screening mammograms at age 40. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening. If something is detected on a mammogram, the Wellstar Comprehensive Breast Health Program has nurse navigators who will help arrange diagnostic imaging, biopsy procedures and referrals to breast specialists. If you are diagnosed with cancer, the compassionate and oncology-trained nurse navigators with Wellstar Cancer Care walk patients through diagnosis, evaluation, treatment and beyond.

If you’re diagnosed with breast cancer, your treatment and care will transition from our Comprehensive Breast Health Program to the Wellstar Cancer Care team. In Wellstar STAT Clinics, which stands for Specialty Teams and Treatment, we put you at the center of your care plan. In our STAT Clinic for Breast Cancer, the care team, including breast oncology nurse navigators, surgeons, medical and radiation oncologists, nutritionists and genetic counselors, will meet with you and your support system on the same day to formulate a treatment plan personalized to your specific cancer, as well as your personal and cultural needs. Patients are able to ask questions, make decisions and start treatment sooner, improving outcomes.

Many times, surgical intervention can be done as an outpatient procedure. We can also offer some people intraoperative radiation therapy, or IORT—the option of doing their radiation treatment in the operating room at the same time as their lumpectomy, meaning they are able to avoid four to six weeks of radiation treatments. Any other interventions, such as chemotherapy or radiation, including our CyberKnife for treatments like targeted partial breast radiation therapy, are found in the cancer center on Wellstar North Fulton’s medical campus. We have physical therapists, social workers and palliative care specialists who are there for you if the need arises.

Your Wellstar care team can also help you reduce your risk of developing breast cancer. Being overweight or obese or being a smoker can increase your risk. Patients at Wellstar have access to our Center for Best Health to assist in weight management. We also have smoking cessation programs and dietitians waiting to help you make healthier choices that can positively impact your health.

Wellstar provides more than healthcare, PeopleCare—working relentlessly to exceed national standards and our patients’ expectations while remembering the humanity of every patient. We are here for all the situations and stages of our patients’ lives by offering the tools and resources to be healthy and thrive. Wellstar clinicians live in the communities we serve. We must get physicals, mammograms and biopsies. We need help being our healthiest selves. We get sick and have family members who need compassionate care. PeopleCare means offering our patients world-class healthcare in the communities where they live and work.

Your care team can put your mammogram order in Wellstar MyChart to book online, or you can schedule by calling (678) 581-5900.

Visit wellstar.org/northfultoncancercare to learn more about cancer care at Wellstar North Fulton.

De'sa Fuller, an assistant principal in West Georgia, greeted teachers in the hallway like every other morning. But her day turned upside down when she lost her balance and couldn’t rise from the floor. Thanks to the immediate actions of those around her—from the teacher who called 911 to emergency medical services and her Wellstar team—De’sa recovered and is back to school. Her story is a powerful testament to how recognizing symptoms of a stroke, calling for help right away and having highly coordinated care can lead to remarkable outcomes.

Getting help when things go wrong

At 34, De'sa Fuller was living a vibrant life. She was a 6th grade assistant principal at Gardner Middle School in LaGrange. She loved her job, enjoyed traveling and was saving up to buy her first home. April 15 started out like any other day. Smoothie in hand, she greeted teachers in the hallway as she made her way to her office.

“I felt a little off,” De'sa recalled. “I just thought I was going too fast—I didn’t put much thought into it.” Then she fell. A concerned teacher asked if she was okay. De'sa, thinking she had simply tripped, said “Yes.” Her vision blurred as she tried to get up and she fell again. “I said, ‘I am not okay.’”

What began as a typical morning turned into a race against time. One teacher's quick thinking to call 911 activated a rapid chain of events that would save De’sa from permanent disability.

The critical first minutes

“The ambulance got there quickly. It was like they were around the corner,” De'sa remembered. 

“We got a call that EMS was bringing in a female who had been found on the floor at work, experiencing right-sided weakness,” explained Ginger Truitt, stroke coordinator at Wellstar West Georgia Medical Center, a Primary Stroke Center. The EMS professionals also reported confusion, headache and vomiting. “Those symptoms suggest stroke. We activated quickly.”

As a result, Dr. Reginald “Ashley” Orr, an emergency medicine physician, was ready for her arrival. 

“I was worried about an acute stroke by their description of her symptoms,” he remembered. “I evaluated her on the stretcher when she came through the door.”

A Code FAST was called with the goal of speeding up the time to start treatment to improve De’sa’s chances for better outcomes. They skipped the emergency department and took her for a CT scan. Then she was seen by the onsite neurologist, and the team quickly administered tenectoplase—or TNK—a clot-busting drug.

“Her symptoms were markedly improved,” Dr. Orr noted. “She was more awake.”

However, the CT angiogram showed an MCA M1 occlusion—a blockage in a major blood vessel in the brain. While she had shown some improvement, it wasn’t enough. De'sa needed a thrombectomy, a procedure to remove the clot and restore vital blood flow to the brain.

A seamless transfer

De’sa needed an immediate transfer to a thrombectomy center, and there are only a few in the state of Georgia. After a quick virtual consult with Dr. Ovais Inamullah, a telestroke neurologist at Wellstar Kennestone Regional Medical Center—a Comprehensive Stroke Center—she was accepted for transfer. The Marietta-based Neuro Care program performs one of the highest volumes of thrombectomy and aneurysm treatments in the country.

Because time is of the essence with successful stroke treatment, transport by air is preferred. However, weather conditions threatened the flight’s safety. The ground EMS crew dutifully stood by in case they needed to drive De’sa. 

Mercifully, the clouds lifted after a few tense moments and she began her trip to Wellstar Kennestone via helicopter.

“When we have this type of emergency, our goal is to get patients out the door for a thrombectomy in 90 minutes,” Ginger said. “In De’sa’s case, we did it in 102 minutes, which was still impressive because there was cloud cover and we weren’t sure at first if she would be able to fly.”

Upon arrival, De'sa was taken directly to the angio suite where Dr. Ahmad Khaldi, a Wellstar neurosurgeon, and his team were waiting. “Every minute counts,” he emphasized.

A thrombectomy is a procedure that treats a stroke without open brain surgery. A tiny catheter is threaded through a blood vessel in the arm or leg to the brain to remove a clot, restoring blood flow to help prevent permanent disability or even death.

“We finished surgery by 11:25 AM,” Dr. Khaldi said—just 20 minutes after the procedure began.