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Article Category: PeopleCare

ScottCare

Published on March 03, 2022

Last updated 01:10 PM March 04, 2024

Photo of Scott Hullihen.

Every day, Scott Hullihen’s gaze falls on a very unique piece of art hanging in his home.

To the untrained eye, the spiraling streaks across the canvas could be mistaken for an abstract painting in a museum. But for Scott, it holds a much deeper, personal meaning: hope for a cancer-free future.

A closer look reveals a puzzling QR code in the corner of the print and, when scanned, it plays the very voicemail from his Wellstar radiation oncologist that got him through the most difficult days in his cancer journey.

“The picture is his voice in soundwaves. I get to see it every day,” said Scott. “It’s the most thoughtful thing I’ve ever seen in my entire life.”

The ebbs and flows of the piece show how he conquered the highs and lows of his difficult rectal cancer diagnosis, with support from Wellstar as the constant through it all.

Just like the highly personalized art print, his expert team of physicians formed a tailored care plan for Scott, right down to his DNA.

Together with his Wellstar team, Scott beat cancer and is back to living life to the fullest.

A surprising diagnosis

Scott was a typical guy in his 30s, working in technology and spending time with friends and family.

“Everything was normal,” he said. “I’d go to sporting events or concerts.”

But his diagnosis of colorectal cancer at just 35 years old was anything but typical.

“That was shocking,” he said.

In 2020, Scott’s stomach started hurting—and it didn’t stop. He started eating better and cut certain ingredients from his diet. He regularly rode his bike for 15 miles.

“I was getting in good shape!” he said.

But the pain continued, with an urgency to use the bathroom, constipation and blood. His doctor referred him to a gastroenterologist for a colonoscopy in August. Immediately after the procedure, he learned there was a tumor in his colon.

“It was a quiet car ride,” Scott remembered sitting silently next to his mother, who had driven him there.

That Friday, a biopsy confirmed it was cancer. Scott was immediately referred to the Wellstar Rectal Cancer Multidisciplinary Program, the first and only treatment center in metro Atlanta accredited by the National Accreditation Program for Rectal Cancer (NAPRC), a quality program by the Commission on Cancer.

Getting the highest level of rectal cancer care

After the weekend, Scott met with Dr. Sahir Shroff, a cancer surgeon.

“People raved about how good a surgeon Dr. Shroff is—I learned he was one of the best in the state,” Scott said. “He saved my life.”

The board-certified and fellowship-trained surgical oncologist reassured Scott.

“This is one of the most subspecialized rectal cancer programs in metro Atlanta,” he said. “Every person with rectal cancer is reviewed at our multidisciplinary meeting to provide the highest level of care.”

Select doctors are designated to stage and treat rectal cancer patients following evidence-based guidelines. The team includes colorectal surgeons, medical oncologists, radiation oncologists, gastroenterologists, pathologists and radiologists. Higher experience in treating rectal cancer leads to better outcomes for patients.

Scott also had a nurse navigator coordinate his cancer staging and treatment. Nancy Page answered questions and scheduled important appointments, such as CT scans and MRIs as well as meetings with various specialists.

A licensed Wellstar genetic counselor was also on Scott’s team. Amy Ekwurtzel found that Scott had two genetic abnormalities that make him slightly more susceptible to colorectal cancer. This information gave the team additional clues about the best way to care for Scott.

Don’t be afraid. Make an appointment. It’s uncomfortable to get a colonoscopy, and hopefully, they don’t find anything bad. But get it checked.

- Scott Hullihen

Wellstar Colorectal Cancer Survivor

Listen to Scott's Story

A compassionate call

That Friday, Scott consulted with Dr. Olusola Obayomi-Davies, a radiation oncologist. He also had an MRI of the rectum and CT scans of his chest, abdomen and pelvis at Wellstar East Cobb Health Park to see if the cancer had spread.

Dr. Davies knew stress and anxiety are common for people waiting for test results.

“It was a holiday weekend, and I wanted to tell him as soon as possible so he could enjoy his weekend,” Dr. Davies said.

Before he could drive his truck out of the parking lot, Scott received a voicemail from Dr. Davies who said the cancer didn’t appear to be in other parts of the body—excellent news. “It was the best voicemail I ever got!” Scott remembered. “It was a relief. I could have filled up a bucket I cried so much.”

Chemotherapy, a challenging game-changer

After the team reviewed Scott’s imaging, pathology and colonoscopy results, they staged his cancer and created a personalized treatment plan. A new evidence-based treatment called Total Neoadjuvant Therapy (TNT) was recommended, calling for chemotherapy followed by radiation combined with chemotherapy before surgery.

“The benefit of having chemotherapy first is that it shrinks the primary cancer in the rectum and addresses microscopic cancer that we can’t see in the body,” explained Dr. Michael Andrews, Scott’s medical oncologist and chief cancer officer at Wellstar.

Scott received chemotherapy through IV infusion treatments every other week plus continuous infusion. Extreme fatigue, nausea and weight loss made him want to quit. Dr. Andrews was sympathetic but encouraged him to keep going with the goal of a cure. He added IV fluid and steroids to Scott’s infusion treatments to ease the nausea.

Scott felt better and completed his chemotherapy course on December 16, 2020.

“I rang the bell—everyone clapped,” he remembered.

Best of all, a CT scan showed the tumor had shrunk by 80%.

“I couldn’t believe the difference!” he said. “I could go to the bathroom. There was no more pain.”

Did radiation make the tumor disappear?

Scott began external beam radiation therapy, paired with a low-dose chemotherapy pill to optimize the effectiveness of radiation. Dr. Davies used volumetric modulated arc therapy (VMAT) to precisely contour radiation targets into unusual shapes while minimizing toxicity.

“Dr. Davies kept it real,” Scott said. “He was cool in the way that he talked to me—not like a doctor, like a friend.”

This time, the CT scan showed that the tumor had disappeared. However, Scott still needed surgery.

“When we finish someone’s treatment, it looks like all the cancer is gone,” Dr. Davies explained. “But there can still be microscopic cancer that doesn’t show up on the scan. Surgery is important.”

Robotic surgery for a long, cancer-free life

In April, it was time for Scott to have complex rectal cancer surgery at Wellstar Kennestone Regional Medical Center. Dr. Shroff guided a da Vinci Surgical System robot to make five small incisions and peer into Scott’s abdomen with magnified cameras. The minimally invasive technology allowed Dr. Shroff to remove part of Scott’s rectum with precision. Two months later, Scott returned to the hospital so Dr. Shroff could reconnect his healed colon.

After surgery, Scott’s pathology found no evidence of cancer anywhere in the colon, rectum or lymph nodes.

“That’s about the best news you can ever give,” said Dr. Davies.

Scott said he couldn’t have gotten this far without his healthcare team—and the overwhelming support of his family.

“After my surgery, I was in the hospital for eight days and my mother was there everyday,” Scott said. “She is a saint and I couldn’t have done it without her. My dad, sister and my brother-in-law would visit often. Without their continued positive support during the entire process, it would have been so much more difficult.”

Advocating for good health

Scott sometimes advises and comforts acquaintances who are newly diagnosed.

“I say trust the process. The doctors and nurses at Wellstar are absolutely amazing—I can’t say enough good things about them,” he said.

He also jokes that he’s “lucky” to have annual colonoscopies. He encourages friends with symptoms to talk to their doctors about symptoms without delay.

“Don’t be afraid,” Scott said. “Make an appointment. It’s uncomfortable to get a colonoscopy, and hopefully, they don’t find anything bad. But get it checked!”

Scott and his girlfriend standing in front of the canvas art piece featuring the call from Dr. Davies.

The gift of a second chance

Today, Scott works in the telecommunications field, is active and spends time with friends and his girlfriend.

On his first chemotherapy completion anniversary, Scott’s girlfriend surprised him with a blue-ribbon cake (the colorectal cancer awareness color) and his unique, personalized piece of artwork.

He unwrapped three canvas art pieces displaying a zig zag and a QR code, which he scanned with his phone. His favorite voicemail—the one from Dr. Davies telling him his cancer was contained—played back.

As for what’s next? Scott’s healthcare team at Wellstar will continue to monitor his health so he can live his longest, fullest life.

“For some reason, I got a second chance, and I’m going to make the best of it,” he promised.

Learn more about the Wellstar Multidisipinary Program for Rectal Cancer—the first and only center in metro Atlanta to have the NAPRC accreditation.

Tags

Sahir Girish Shroff Sachin Goel Olusola Obayomi-Davies
East Cobb Health Park Kennestone Regional Medical Center PeopleCare Cancer Care Digestive Care
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A woman holds both hands to her stomach in pain

Highlights

What You May Not Realize About Gut and Digestive Health

The Weekly Check-up Atlanta


We’ve all done it—taken an over-the-counter pain reliever for a headache, popped an antacid after a heavy meal or ignored bloating because it “comes and goes.” But some of these everyday habits can quietly damage the digestive system over time.

The gut is more connected to overall health than most people realize. “The digestive system reflects what’s happening in the rest of the body,” said Wellstar Gastroenterologist  Dr. Manjusha Das. “When something feels off, it’s often your body’s first warning sign.” Scientists now know that the gut and brain communicate through a complex network of nerves and hormones—meaning stress, mood and even sleep can influence how well your digestive system works.

Here, we share key ways to protect your gut and overall digestive health, as well as insights from Dr. Das’ experience in treating and preventing gastrointestinal disease.

1. Can common medications harm your stomach and gut?

Over-the-counter doesn’t always mean risk-free. Pain relievers such as ibuprofen, naproxen, aspirin or Goody Powder can irritate the stomach lining and lead to ulcers or internal bleeding when taken too often or on an empty stomach.

“Most people have no idea that ibuprofen causes peptic ulcer disease,” said Dr. Das. “All of these things we call non-steroidal, they help my headache, they help my back pain, but they are extremely caustic to the intestinal lining,” she said. “Even small doses taken regularly can cause problems over time. If you rely on these medications often, talk with your provider about safer long-term options.”

2. What really builds a healthy gut?

A healthy gut depends more on daily habits than on any single capsule.

What really matters:

  • Eat more fiber from vegetables, fruits and whole grains.
  • Drink plenty of water each day.
  • Get enough good sleep and find ways to manage stress.
  • Limit processed foods, sugary drinks and alcohol.

Probiotics can play a role, but they’re not a cure-all. Persistent bloating, diarrhea or abdominal pain could signal  irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD)—conditions that require professional medical care. “If your symptoms last more than two weeks or keep returning, schedule a GI evaluation,” Dr. Das advised.

3. Can colon cancer screening wait?

Don’t wait to schedule your colorectal cancer screening, such as a colonoscopy. Colon cancer often grows quietly, which is why screening can save lives. Colon cancer is also showing up in younger patients, which is why national guidelines now recommend you start screening at age 45—and earlier for anyone with a family history or concerning symptoms. “A colonoscopy doesn’t just detect cancer—it prevents it,” Dr. Das said. “We remove pre-cancerous polyps before they become dangerous.”

4. How do you protect your liver before problems start?

Liver disease often develops silently, with no obvious symptoms until significant damage occurs. Dr. Das has seen a sharp increase in fatty liver disease —both alcohol-related and non-alcoholic—since the pandemic, often tied to higher stress, poor diet and inactivity.

The encouraging news: The liver can heal when damage is caught early.

To protect your liver:

  • Drink alcohol in moderation—or skip it altogether.
  • Stay active and maintain a healthy weight.
  • Choose fresh, whole foods instead of processed ones.
  • Ask your provider for a simple blood test to check your liver health, especially if you have diabetes, high cholesterol or obesity.

“Most liver conditions are preventable,” Dr. Das said. “Small lifestyle changes make a lasting difference.”

5. When should you listen to your gut—literally?

Your digestive system is a built-in feedback loop. Bloating, reflux or bowel changes are signals worth listening to—not ignoring or masking with over-the-counter remedies. Frequent self-treatment can hide underlying issues such as ulcers, celiac disease or inflammatory conditions that need targeted care. “When symptoms repeat, they’re trying to tell you something,” Dr. Das explained. “The earlier we investigate, the easier it is to treat.”

Prevention starts with awareness

Digestive health doesn’t require complicated cleanses or trendy supplements. What truly matters is awareness, balance and consistent preventive care—habits that support the gut, liver and entire body. “The best medicine is preventive medicine,” Dr. Das said. “When you know your risks and act early, you can avoid most GI complications.”

What can you do next?

  • Schedule your screening colonoscopy if you’re 45 or older.
  • Ask your primary care provider about your liver health.
  • Find a Wellstar gastroenterologist near you for guidance that fits your needs.
Keep reading
A friendly image of team

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.

Keep reading
A friendly image of Kathy

PeopleCare

KathyCare

Kathy DeJoseph delights in making and giving away thousands of soft and cheerful hats to Wellstar cancer patients through a nonprofit she founded called Happy Caps. It’s all in the name of bringing a little light and comfort to people during a hard time.

Where did the idea come from? It started with Kathy’s own lung cancer diagnosis.

A commitment to yearly lung cancer screening

A cancer survivor for more than a decade, Kathy said regular lung cancer screenings were the key to her survival. With a long history of smoking and growing up around relatives who smoked, she decided to join an early detection lung cancer study at Wellstar.

Even though she felt fine and had no symptoms, committing to the study meant having an annual low-dose CT scan every year. After several years of clean scans with no signs of lung cancer, Kathy told a nurse that she was going to quit. But the nurse persuaded her to come in for another screening.

“Thank goodness she did,” Kathy said. “I was diagnosed the very next day.”

Quick and efficient treatment at the STAT Clinic

Being a part of the study and getting screened early allowed Kathy to move immediately to Wellstar Lung Cancer STAT Clinic at Wellstar Kennestone Regional Medical Center.

STAT stands for Specialty Teams and Treatment, highlighting the collaboration of multiple cancer experts. Together, they come to a consensus on a treatment plan and meet with the patient on the same day. This puts the patients at the center of their care plan, allowing them and their families to get immediate answers to questions, make decisions and start treatment faster.

“The biggest benefit for me with the way the STAT Clinic works is that I didn’t have to worry about whether the doctors had actually talked to each other,” Kathy said. “They’d come in one after another and tell me what they thought from their expertise.”

Immediate communication and mutual agreement among medical experts mean treatment plans are established and started faster, which is proven to improve long-term survival. On average, it takes 60 to 90 days from the time of diagnosis to treatment in the U.S. With the STAT Clinic at Wellstar, patients go from diagnosis to treatment in 14 to 20 days.

Kathy’s treatment started quickly—she had a lung biopsy the day after her STAT Clinic appointment and started chemotherapy a week later.

“I wasn’t as terrified for as long as most people are because I had answers within a short period of time,” Kathy remembered.

She had surgery once she completed chemotherapy. Throughout the process, she had the support of an entire cancer team, including a medical oncologist, a lung cancer surgeon, a pulmonologist and a nurse navigator.

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