Wellstar North Fulton Medical Center Receives Comprehensive Stroke Center Certification

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.”

Having or witnessing a seizure can be frightening. But clinicians have made remarkable advances in diagnosing the causes and preventing future seizures with medications and surgery.

“Seizures often seem scarier to bystanders than to patients,” said Dr. Thomas Holmes, a Wellstar neurologist. “Most patients don’t even remember them.”

Epilepsy is more common than many realize—about 1 in 26 people will be diagnosed in their lifetime. On WSB’s The Weekly Check-Up, Dr. Holmes explained how epilepsy is diagnosed, why not all seizures mean epilepsy and what treatments are available.

As director of neurodiagnostics at Wellstar, Dr. Holmes helped Wellstar Kennestone Regional Medical Center earn Level 3 Adult Epilepsy Center accreditation, recognizing its advanced care for patients with hard-to-treat seizures.

Diagnosing epilepsy

According to Dr. Holmes, a seizure happens when there's an “abnormal firing of neurons in the brain.” This electrical disturbance can cause a range of symptoms—some more visible than others. A person having a seizure may briefly lose consciousness, and other signs can include:

• Trouble breathing or temporarily stopping breathing
• Sudden falls without warning
• Jerking movements or a sudden loss of muscle control
• Loss of bladder or bowel control
• Not responding to sounds or voices for a few moments
• Staring spells, sometimes with rapid blinking

It’s important to know that not all seizures are caused by epilepsy. Other conditions like stroke, brain injuries, infections or tumors can also trigger them. That’s why gathering details from someone who witnessed the seizure—like a family member—can be helpful for doctors trying to make an accurate diagnosis.

When someone experiences a seizure, the first step is usually brain imaging. An MRI is often ordered to look for structural causes, and an EEG, which records the brain’s electrical activity, can help detect abnormal patterns. In some cases, patients may be asked to wear a portable EEG at home for several days to capture activity that doesn’t happen regularly. Both MRIs and EEGs are safe and painless.

For more advanced monitoring, Wellstar offers inpatient epilepsy monitoring units (EMUs) at Wellstar Kennestone, Wellstar MCG Health and Wellstar North Fulton Medical Centers. These specialized units provide around-the-clock observation and are among the few in Georgia offering this level of epilepsy care.

Medications and surgery for seizures and epilepsy

For most people with epilepsy, medication is the first and most effective treatment option. How long someone needs to stay on medication depends on several factors, including what’s causing the seizures and what clinicians find during ongoing monitoring.

Sometimes a seizure is triggered by a specific event, like a head injury. In those cases, Dr. Holmes explained, long-term medication may not be necessary. But if tests reveal a structural issue in the brain—like an area of damage—it usually means a higher risk of future seizures and longer-term treatment is often recommended.

“You don’t necessarily need to be on medication for life, even if you have epilepsy,” said Dr. Holmes. Patients are regularly monitored, treatment plans are highly personalized and care plans are revisited to ensure the best outcomes possible.

“If someone has been seizure-free for two to three years, has a normal EEG and no visible brain lesion, we’ll often discuss tapering off medication if the patient is open to it,” he said.

Some people may struggle with seizure control despite medication. About 10% of patients don’t respond well to drugs—but there are additional treatments available.

Wellstar’s EMUs can help determine where in the brain seizures are starting. In some cases, surgery to remove a small area of brain tissue can significantly reduce or even stop seizures. According to Dr. Holmes, this approach is successful in nearly 70% of cases.

Other advanced options include laser surgery or a responsive neurostimulation—when a small device is implanted in the brain to detect abnormal activity and deliver a pulse to stop a seizure before it starts.

Looking ahead, Dr. Holmes is optimistic. “There are going to be many options that are not drug-related,” he said. “Less invasive procedures are on the rise, and we’re learning more about the genetic causes of epilepsy—especially in children. Research and clinical trials may even lead us to gene therapies in the near future.”

Epilepsy care is evolving rapidly, and for many patients, that means more control, fewer side effects, and real hope for the future.

Epilepsy and Seizures Program at Wellstar

Our Epilepsy and Seizures Program is one of only a few such programs in Georgia. It provides comprehensive care to help children and adults manage seizures. The program also offers a streamlined pathway to determine if a patient is a candidate for advanced treatments, including minimally invasive surgery and deep brain stimulation.

Wellstar Children's Hospital of Georgia and Wellstar MCG Health in Augusta are Level 4 Comprehensive Epilepsy Centers, the highest designation by the National Association of Epilepsy Centers. Wellstar Kennestone is a Level 3 Adult Epilepsy Center.

Learn more about the Epilepsy and Seizures Program and Wellstar providers.

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.