Article Category: PeopleCare

ValerieCare: Spine surgery success at Wellstar North Fulton Hospital

Published on March 08, 2021

Last updated 03:40 PM March 08, 2021

One of Valerie Orff's favorite things is walking and hiking with her dog.

Valerie Orff was done with excruciating pain.

After suffering with severe back aches for 30 years, the Roswell resident had tried everything. Massage therapy, chiropractic care and even dry needling. But nothing provided permanent relief — until she went to Wellstar.

When Valerie’s pain, which had been steadily worsening over the past eight years, got to the point where she couldn’t play soccer with her grandchild, dance or sit on a motorcycle (one of her favorite past times), she told her primary care physician she needed a true solution. That’s when Wellstar stepped in.

Personalized Spine Care

Dr. Basheer Shakir, a neurosurgeon at Wellstar North Fulton Hospital, carefully and thoroughly examined Valerie and discovered what had been bringing her discomfort and slowing her down — a disc in her back was degenerating, and one of her vertebrae was moving back and forth on another one, instead of staying in place.

“This was causing back and leg pain that affected her daily activities and quality of life,” Dr. Shakir said.

Dr. Shakir knew Valerie was hesitant about getting surgery. But after spending time getting to know Valerie, and learning about her busy, active lifestyle, the two decided on a minimally invasive surgery that could quickly get her back to her routine.

Minimal procedure. Maximum results.

Valerie’s Wellstar team was able to perform a fusion operation by accessing the disc through her side, without traumatizing the muscles in her back. This shortened her hospital stay, minimized her pain after surgery and accelerated her recovery.

Although she had initially been nervous about spine surgery, Valerie said Dr. Shakir listened to her concerns, presented all her options and explained everything in detail so she knew what to expect. In short, he treated her as much more than just a “neuro patient,” but as a person.

Now, 12 weeks after surgery, Valerie is pain-free for the first time in three decades.

“I put my faith and trust in him, and now I can’t even tell you how good it is to get up every day and go to bed with no back aches. I sleep through the night, go to the gym and lost 15 pounds,” she said.

If you are struggling with back pain, Wellstar’s expert neurosurgeons and orthopedic surgeons can help you decide if spine surgery is right for you.

Schedule an appointment with Dr. Shakir in North Fulton today.

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Basheer Ahmed Shakir North Fulton Medical Center Neuro Care
PeopleCare

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Lown Institute Recognizes Wellstar Among Most Charitable in the Country

A report by the Lown Institute ranking the value of nonprofit hospitals’ community investment found that Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center are among the top 25 hospitals in the nation providing significantly more community benefit than they are receiving in tax exemption.

Wellstar Kennestone ranked No. 1 in Georgia, while Wellstar Cobb was No. 2. Wellstar is the only health system with two hospitals included on the national top 25 list.

As the top provider of charity care in the state and one of the top 10 providers nationwide, Wellstar is committed to bringing expert, compassionate health services to those who need them. Last year alone, uncompensated and charity care at Wellstar exceeded $1.2 billion, providing care for at-risk and underserved communities across Georgia.

In addition to Wellstar Kennestone and Wellstar Cobb, Wellstar Douglas Medical Center, Wellstar West Georgia Medical Center, Wellstar North Fulton Medical Center, Wellstar Paulding Medical Center and Wellstar Spalding Medical Center were recognized for spending more on financial assistance and community investment than the estimated value of their tax exemptions.

Read the full report from the Lown Institute.

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Wellstar North Fulton Medical Center Completes 250 Procedures Treating Venous Thromboembolism

The peripheral vascular care team at Wellstar North Fulton Medical Center, a leading facility in the treatment of venous thromboembolism (VTE), has completed its 250th venous thromboembolism (VTE) procedure.

According to the American Heart Association, VTE is the third most common vascular diagnosis after heart attacks and strokes, and affects between 300,000 and 600,000 Americans each year. There are two types of VTE:

Deep vein thrombosis is a clot in a deep vein. It usually occurs in the leg, but it can also appear in the arms.
A pulmonary embolism occurs when a clot breaks off the vein and travels to the lungs, blocking the blood supply.

VTE can be fatal and can cause lifelong disability. Early intervention is crucial. At Wellstar North Fulton, the heart care team was an early adopter of a groundbreaking treatment for VTE, which uses a catheter to remove the clot. The healthcare provider inserts the catheter through the groin and navigates it to the clot for treatment.

“This has been a game changer in the treatment of this disease,” said Wellstar Cardiologist Dr. Ahsan Achtchi. “We’re seeing a lot less long-term disability and a lot less deaths in patients who come to the hospital with a blood clot.”

Wellstar North Fulton continues to receive referrals from around the region for this procedure and is one of the highest volume hospitals for VTE care in metro Atlanta.

Previous treatment options included open chest surgery, blood thinners and clot-busting medications. These methods posed a higher risk of complications, especially for patients who have recently undergone another surgical procedure. Because a recent surgery can put a patient at higher risk for VTE, using a catheter to remove the clot is safer for many patients. This new treatment method has reduced patients’ hospital stays for VTE from an average of five to seven days to only one or two days, according to Dr. Achtchi.

“Typically with this procedure, patients feel better almost immediately, and their recovery outside the hospital is a lot more complete and brisk,” he said.

Recognizing and preventing VTE

If you or someone else is showing signs of VTE, seek emergency care as soon as possible.

Symptoms of VTE include:

Swelling of the legs
Lightheadedness or fainting
Shortness of breath
Chest pain

Risk factors for VTE include not moving for a longer period of time—such as when someone is on bed rest following surgery—as well as some medical conditions, including diabetes, high blood pressure, blood clotting disorders or kidney disease. Your Wellstar provider can help you evaluate your risk of VTE and manage your risk factors.

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Reducing Your Risk of a Stroke

While strokes have become relatively common—more than 795,000 people in the United States have a stroke each year, according to the Centers for Disease Control and Prevention—many risk factors for stroke can be managed in partnership with your healthcare provider.

Managing your risk factors

Factors that can increase your risk of experiencing a stroke include:

High blood pressure

Hypertension, or elevated blood pressure, increases the risk of a stroke. Stay up to date on your annual physicals to know your blood pressure levels, and if you have hypertension, talk to your provider about managing it. “High blood pressure is the most modifiable risk factor, meaning it’s the one that is most treatable and has the most impact on one’s risk,” said Wellstar Neurologist Dr. Ashis Tayal. “It is vastly underdiagnosed and when it is treated, it’s often undertreated.”

High cholesterol

Elevated cholesterol can lead to plaque buildup in the blood vessel and clotting in the blood, which can cause a stroke if the clot travels and blocks blood flow to the brain. Your primary care provider can help you monitor your cholesterol with a blood test and manage levels with medications or lifestyle changes.

Diabetes

People with diabetes are at increased risk of experiencing a stroke. Talk to your provider about diabetes screenings. If you are diabetic, discuss managing the condition in partnership with your provider.

Smoking

“Cigarettes accelerate atherosclerosis, or clogging in the arteries, and cause inflammation in blood vessels that then increases people’s risk of stroke and heart attack,” Dr. Tayal said.

Atrial fibrillation

Atrial fibrillation, a heart arrhythmia, can cause clots that then travel to the brain, leading to a stroke, according to Dr. Tayal.

While many of these risk factors can be controlled through medication or lifestyle changes in partnership with a healthcare provider, other risk factors for stroke are out of a person’s control. People of any age can experience a stroke, but stroke risk increases with age.

The risk of having a first stroke is nearly twice as high for Black adults as for white adults, and Black adults and Pacific Islander adults have the highest rates of death from stroke, according to the CDC. Hypertension is more common in Black patients, Dr. Tayal noted. People in rural communities may also experience higher rates of stroke due to limited access to healthcare and nutritious foods, he added.

To help lower stroke rates in our communities, Wellstar Community Health will distribute around 100 blood pressure cuffs in 2023 and educate community members about stroke risk and blood pressure monitoring at Wellstar Mobile Markets. The blood pressure cuffs can be used to monitor blood pressure at home so patients can work with their providers to take action against hypertension.

Recognizing a stroke

Learn the warning signs of a stroke, and if you notice any of these in yourself or someone else, be fast and call 911 right away.

Balance

Look for a sudden loss of balance or coordination. This can also appear as a sudden, severe headache or dizziness.

Eyes

Blurred vision, double vision or loss of vision can be signs of a stroke. If you think someone else may be having a stroke, ask if they are having trouble seeing out of one or both eyes.

Face

One side of the face may be feeling numb or appear to be drooping. Ask the person to smile and see if it appears uneven.

Arms

Check for sudden arm weakness or numbness. See if the person can lift both arms without one drifting downward.

Speech

Watch out for slurred speech or difficulty speaking. Ask the person to repeat a simple sentence to find out if they are having trouble talking.

Time

The more treatment is delayed, the more the brain is damaged. Don’t wait to seek care. If you notice any of these symptoms, call 911 immediately.

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