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Article Category: PeopleCare

ZacCare

Published on August 16, 2020

Last updated 04:35 PM August 21, 2020

Zac standing outside the front of his home

Zac standing in front of his parents' home.

Looking at Zac DiGiorgio today, you wouldn't know he almost lost his life — twice.

Like any typical guy in his early 20’s, Zac was always on the move. He liked to keep himself busy and lead an active lifestyle.

So naturally, when his parents needed their shutters replaced, Zac was the first to volunteer. With a drill in hand, he climbed up the ladder to replace the old hardware and change out the shutters.

Moments later, everything changed in the blink of an eye.

A terrifying crash sounded from outside the home. Zac’s father, Chris DiGiorgio, rushed out the front door to see a parent’s worst nightmare: his 23-year-old son face down in the driveway, having a seizure.

After shouting to his wife to call 911, Chris was at his son’s side. He cradled Zac on the concrete driveway, trying to steady his body from the convulsions.

“I really didn't know what was happening,” Chris recalled. “I knew he was having a seizure, but I didn't know if he had any other injuries or anything else going on.”

But one thing was clear: Zac had plummeted to the ground from the top of the ladder, smacking the right side of his head hard on the concrete.

The severity of the fall triggered a seizure, often characterized by body spasms or unconsciousness. However, these episodes can also have cognitive and emotional effects, such as fear or anxiety.

In Zac’s case, he became extremely agitated. After waking from the initial seizure, he argued with his dad and fought against his hold. Even when the first responders arrived, he refused to get on the stretcher and instead walked himself to the ambulance.

With lights flashing and sirens blaring, the ambulance raced towards Wellstar Kennestone Hospital. On the way, Zac complained of pain in his shoulder from a broken collar bone. But after experiencing another seizure on the short eight-minute drive, it was clear much more was going on inside his body.

After being admitted, it would be weeks before Zac awoke again in the hospital — with no memory of the accident.

Performing brain operations on people like Zac is very humbling. Each patient is part of someone’s family, whether they’re a father or mother, son or daughter. At Wellstar, we never lose sight of what really matters.

- Dr. William Benedict

Wellstar Neurosurgeon

Listen to Zac's Story

Brainpower at work

Upon arrival at Wellstar Kennestone Hospital, the DiGiorgios were escorted to a private room, waiting for word on their son’s condition. A short time later, the couple got news, but it wasn’t what they were expecting at all: although Zac had survived the fall, he had suffered a traumatic brain injury (TBI) as a result.

The DiGiorgios were blown away. “Since Zac had gotten into the ambulance himself, we thought he would just be treated for a concussion and released in no time,” Chris explained, recalling how he almost vomited when he heard about the extent of his son’s injuries.

Despite their unrest, the DiGiorgios jumped into action. Zac’s mother, Betsy DiGiorgio, started rallying a support team around her son. She made several calls to out-of-state friends and family with medical backgrounds, and they assured her that Zac was in good hands at Kennestone.

“They all said, ‘He’s in a great place. Don’t move him,’” Betsy remembers.

But despite their initial hopes, getting Zac back to better health wasn’t going to be easy due to the severity of his head injury.

Behind the scenes in the emergency room, the Wellstar team performed a CT scan, which revealed life-threatening bleeding in Zac’s brain. It quickly became clear that he was suffering from a severe TBI. With a network of experts seamlessly working together, Zac was swiftly transferred to the Wellstar Kennestone Neuro ICU for specialized brain care.

Once Zac was transferred to the Neuro ICU, Dr. Christopher Horn — a Wellstar neurologist who specializes in neurocritical care — inspected Zac’s injuries.

“When I first evaluated Zac, his imaging, labs and brain testing were not uncommon for a young trauma patient,” Dr. Horn explained. “However, he had sustained a severe lung injury likely during his seizure and it was throwing us a curveball.”

“Due to the injury, Zac was having trouble oxygenating his body. Unfortunately, that only made his intracranial pressures worse and could cause more harm to the traumatic brain injury,” Dr. Horn said, remembering the grave situation.

To control the pressures in his brain and aid in his lung function, Zac was placed in a medically-induced coma. According to Dr. Horn, the team then closely monitored Zac’s body and brain while treating him with broad-spectrum antibiotics.

“Even with treatment, his intracranial pressure would briefly respond, but still showed a worrying trend,” the neurologist recalled. “To relieve the pressure, we needed to make some space for his brain to swell.”

That’s when Wellstar Neurosurgeon Dr. William Benedict joined the team. He remembered the struggle to control Zac’s building brain pressure.

“When Zac came into the Neuro ICU, he had seizures almost immediately. We monitored his brain pressure and it kept going up,” Dr. Benedict recalled. “Ultimately, it became unresponsive to medication.”

At that point, Dr. Horn, Dr. Benedict and the Neuro ICU team knew Zac would require surgery to save his life. Together, they decided to perform an emergency craniectomy, a surgical removal of part of the skull to expose the brain and allow it to swell.

With Zac’s condition worsening, Dr. Benedict raced to the DiGiorgios to get their permission to perform the surgery. With their son in a comatose state, his parents had to call the shots when it came to his care.

“At that point, I had my game face on,” Betsy said about staying strong throughout the process and signing the surgical consent form. “I thought, ‘Let’s go. We've got to do it.’”

Zac was rushed into emergency surgery to save his life.

With great precision, Dr. Benedict removed part of Zac’s skull to help relieve pressure in his brain. This procedure allowed his brain to swell as needed.

The piece of skull, called a skull flap, was taken off and implanted in his abdomen between the muscle and fat. By storing it in his own body, the skull flap remains viable for reattachment in the future.

The surgery was a success. Through it all, the gravity of the situation was not lost on Dr. Benedict. He and the entire Neuro ICU team take their responsibility for patients seriously.

“Performing brain operations on people like Zac is very humbling,” Dr. Benedict said. “Each patient is part of someone’s family, whether they’re a father or mother, son or daughter. At Wellstar, we never lose sight of what really matters.”

With the help of Wellstar’s Neuro ICU team, Zac narrowly avoided death. But his path to wellness would be a long road, with many ups and downs along the way.


Continued care

Even after the craniectomy, Zac’s long road to recovery was just beginning.

Throughout the aftermath of the accident, Chris and Betsy were at the hospital day in and day out, yet throughout the process, Wellstar made the DiGiorgios feel at home.

“We really felt like we were part of the team,” Betsy said about the Wellstar physicians and nurses in charge of her son’s care.

“One of us was there 24-hours a day and they always welcomed us,” Chris added. “We could be there for him all the time.”

The Neuro ICU team kept close watch on Zac all day and all night. Leading the charge, Dr. Horn became a fixture in Zac’s room. He often would evaluate Zac, studying the beeps, whirs and readings coming from the six or seven machines keeping him alive.

After surveying the room and assessing Zac’s condition, Dr. Horn would come up with the day’s game plan, briefing with the DiGiorgios and the nurses on their next course of action.

“It was incredible to watch Dr. Horn’s mind work,” Chris remembered. “You could see the gears turning.”

“I do whatever I can to help my patients,” Dr. Horn said, sharing his philosophy on patient care. “My patients typically have a tragic or life-altering illness, and I know their life and wishes are now in my hands. The person lying in the hospital bed is counting on me to help them survive.”

Dr. Benedict also visited Zac daily to check progress, monitoring his brain closely.

“There’s a whole other world behind those closed doors,” Betsy added about the Neuro ICU and their team. “We got to experience it on a daily basis. It’s amazing what they do every day.”

Since their son was still in an induced coma, the DiGiorgios were making all the care decisions for him. Quickly, the parents learned to rely on the Wellstar care team for advice along the way.

“It’s scary at first because you don’t know what’s going on with your son,” Chris said. “But once I met with Zac’s doctors and nurses, I trusted them to do what they needed to do and if they recommended a treatment, we did it.”

“We knew we were in good hands at Wellstar,” Chris continued. “We asked a lot of questions about our son’s condition, but we never questioned what they were doing. I felt like Kennestone was the place my son could receive the best care for his injuries.”

A little over a week after his craniectomy, Zac’s brain was slowly getting better. But his respiratory system began to deteriorate. His lungs were failing because of heavy medication and relying on a ventilator to breathe.


50/50

“All the pressure from Zac’s brain had been released after the surgery, but his lungs were failing,” Betsy said, recounting the scary situation. “He was on the ventilator 100% of the time which made his lungs like plastic.”

Zac had developed Acute Respiratory Distress Syndrome (ARDS), a life-threatening condition that causes dangerously low oxygen levels in the bloodstream. Because of ARDS, the tiny sacs in his lungs — called alveoli — filled with fluid, making it more difficult for his lungs to remove carbon dioxide from his bloodstream.

That’s when Wellstar Pulmonologist Dr. Asif Saberi approached the parents about an intense treatment called extracorporeal membrane oxygenation (ECMO).

“ECMO is a way to provide air to the body when the lungs fail completely,” Dr. Saberi explained.

If the lungs are in peril, ECMO can help remove carbon dioxide from the bloodstream using a machine. Once a patient is on ECMO, blood is diverted out of the body using tubes and cleaned of carbon dioxide. It is then re-oxygenated and recirculated through the system again.

Since Zac had just had brain surgery, he was considered a high-risk patient for the treatment, but his odds weren’t looking good either way.

“Dr. Saberi told us our son had about a 50/50 shot of surviving ECMO,” Chris recounted the terrifying moment. “But if we didn’t do anything, I felt like he would die. When it’s your son, you just move forward with whatever might save him.”

“We didn’t have much time. We had to take a shot to save his life,” Betsy added.

But before moving forward, Dr. Saberi met with Dr. Horn and Dr. Benedict — the care team from the Neuro ICU — to make sure it was the right treatment for him.

“At Wellstar, ECMO is a multidisciplinary decision,” Wellstar Neurosurgeon Dr. Benedict said about his involvement in the decision. “We all came together and decided ECMO was the best option, despite the risks.”

During the procedure, a special catheter, called a cannula, was inserted in Zac’s major blood vessels to divert the blood out of his body. The cannula had dual channels: one to move blood out of the body and one to bring the reoxygenated blood back into the system.

“It really hit me after I saw the blood moving in and out of his body through the tubes,” Chris remembered seeing his son after he was placed on ECMO. “The machine was doing the work of his lungs for him.”

“At Wellstar, the medical staff is constantly growing together,” Dr. Benedict said. “With state-of-the-art programs like ECMO coming in, we all learn from each other and push each other to provide next-level care.”

Zac was placed on ECMO for over two weeks to allow his body to rest. His stiff, inflamed lungs began to recover slowly.

Finally, his family could breathe a sigh of relief.


Moving forward

After what seemed like an eternity, Zac opened his eyes.

“I felt anxious at first,” Zac remembered waking up in a hospital bed, hooked up to machines with tubes coming out of his body. “Because of all the tubes, I felt tied down and it was overwhelming. I didn’t know where I was or what had happened.”

He immediately wanted to ask his parents rapid-fire questions about the situation, but he couldn’t even say a word because of a tracheotomy.

“I couldn’t speak. I couldn’t even remember anything from the accident,” he explained. “I honestly thought I had gotten in a car crash or something.”

Pieces started coming back to Zac. It happened in flashes: the beep of a ventilator or the distant memories of visitors.

“The whole time I was in a coma, it almost felt like I was dreaming,” he recalled. “Being in the hospital, hooked up to machines and being wheeled from room to room… I thought it was a dream, but it was real life.”

From physicians to family to friends, Zac had a constant stream of visitors checking in on him after he woke up. It was a lot to take in at once. While learning about the accident, Zac had to keep all of the doctors and their specialties straight, too.

“As time passed and I got to know the doctors and nurses, I felt more comfortable,” he said. “Getting to know everyone by name and learning the hospital routines helped me feel at ease.”

The entire care team — including Dr. Horn, Dr. Benedict and Dr. Saberi — made regular visits to his room. Even after regaining consciousness and working on his rehabilitation, Zac had a lot of work to do to get back to his life.

“One of the first things that crossed my mind was my weight,” Zac said. “I dropped almost 80 pounds when I was in the hospital. One of my biggest goals was just to go back to normalcy and do everything I could do before the accident.”

That’s been one of the toughest lessons he and his family have learned throughout his recovery: it’s not always a fairy tale ending. Recovery looks different for everyone.

“In the movies, people who are given a second lease on life always go off and save the world,” Chris explained. “Zac just wanted to go back to his normal life and routine. In real life, the best part of recovering is getting your life back.”

Three months after the accident, Zac hit a big milestone in his recovery when he went into surgery to have his partially-removed skull reattached by Dr. Benedict.

“It was like a jigsaw puzzle. It went back on perfectly,” Dr. Benedict recalled how the cranioplasty procedure went smoothly without a hitch.

Zac also began rehabilitation to rebuild his strength after the accident. At first, his body was so weak that he couldn’t even walk. But he quickly met the challenges before him with strength and determination.

From taking his first few steps to running a half-marathon just months later, Zac has been making steady progress towards his goals since his hospital release. After a year and a half, he is getting behind the wheel of his car after being seizure-free for several months.

All in all, his journey to recovery has been remarkable.

“When I meet people, they don’t know that I’ve ever been hurt. They don’t know I had a life-threatening brain injury unless I tell them,” Zac said.

“Actually, there is one person who can tell what happened,” he added with a smile, “My barber — he can see the scar whenever I get a fresh haircut.”

Zac’s family is overjoyed by his recovery. They can now cheer him on as he keeps moving forward in everyday life.

“It was divine intervention. We ended up in the right place at Wellstar and it couldn’t have turned out any better,” Chris beamed.

Zac has a lot to look forward to today and in the future. From the first responders to nurses to physicians, he credits his entire care team at Wellstar Kennestone Hospital for saving his life.

“Wellstar is the reason I’m still here today.”

Tags

Kennestone Regional Medical Center William John Benedict Jr Christopher M Horn
Asif Ali Saberi Neuro Care
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Commemorate Cancer Survivors Day with Wellstar

Wellstar supports people with cancer throughout their journeys, from early screenings to diagnosis to treatment. But our encouragement and dedication to delivering world-class, compassionate care doesn’t end in remission.

Across our system, Wellstar honors the bravery and strength of survivors every day, rejoicing in each milestone. This National Cancer Survivors Day, June 1, 2025, we are proud to pay tribute to the people who have conquered cancer and offer hope to those still fighting. This year’s Cancer Survivors Day theme—Strike Out Cancer—exemplifies our commitment to being a steadfast source of encouragement for cancer survivors and fighters across Georgia.

“On Cancer Survivors Day, we reflect on our patients’ journeys and cherish victories over cancer. We also offer compassion and support for people currently fighting cancer, so they and their loved ones know they’re not alone,” said Wellstar Director of Oncology Professional Practices Melissa Higdon.

Several Wellstar facilities will host events—and you can be a part of the celebration!

 

Northwest Georgia Oncology Centers in Cartersville
June 5, 2025
10 AM to 3 PM
100 Market Place Blvd., Cartersville
Contact Mary Ellen Smither at [email protected] or (678) 858-1146.

Wellstar Cobb Medical Center
May 30, 2025
12 to 2 PM     
4040 Hospital West Drive, Austell
Behind the building in the garden and parking lot area
Contact Ashley Dapremont at [email protected] or (470) 732-4523.

Wellstar Douglas Medical Center
June 7, 2025
11 AM to 2 PM
8954 Hospital Drive, Douglasville
Surgical services lobby
Contact Diane Harris at [email protected] or (470) 644-5411.

Wellstar Kennestone Regional Medical Center
June 7, 2025
11 AM to 2 PM
320 Kennestone Hospital Blvd., Marietta
First floor
Required RSVP, contact Nancy Page at [email protected] or (470) 793-7470.

Wellstar North Fulton Medical Center
June 1, 2025
2 to 4 PM
3000 Hospital Blvd., Roswell
Main lobby in hospital
Contact Sarah Bentley at [email protected] or (770) 751-2556.

Wellstar Paulding Medical Center
June 1, 2025
144 Bill Carruth Parkway, Hiram
Second floor auditorium
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Wellstar Spalding Medical Center
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Contact Sherry Connell at [email protected] or (470) 935-5526.

Wellstar West Georgia Medical Center
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Learn more about cancer care at Wellstar.

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Cindy cutting vegetables in her home kitchen

PeopleCare

CindyCare

To say Cindy Mejia is “busy” is an understatement. 

She’s constantly crunching numbers as an accounting manager for a large research institute, trying out new recipes in her kitchen at her Roswell home, or trying to keep up with her little granddaughter (who just discovered how much fun it is to run).

But one Wednesday in September, Cindy woke up and reached for her computer, trying to get an early start to her workday. She felt a little groggy and couldn’t remember her password but didn’t immediately realize something was wrong.

Then she stood up. Her right arm and leg weren’t functioning, and that’s when Cindy knew what was happening—she was having a stroke.

“The first thing I thought was, ‘I need to get to Wellstar North Fulton right away,’” Cindy said. “I knew the hospital was nearby and has a good reputation.”

That decision ultimately saved her brain and life.

For Cindy, the critical care she needed was close to home, too—she lives four miles from Wellstar North Fulton Medical Center. There, her care team sprang into action, bringing her the treatment and peace of mind in a moment of crisis.

“From then on, I felt well taken care of,” Cindy said. “I was relieved, and I knew I was going to be OK.”

 

Cindy's close-to-home 'pit crew'

When a patient has a stroke, every second matters. Each minute that ticks by could be the difference between a permanent stroke and a return to routine. So at North Fulton, Cindy’s care team assembled quickly to save her brainpower.

“We’re like the pit crew on a NASCAR team,” said Dr. Ed Malcom, an emergency medicine physician at Wellstar North Fulton. “We have our emergency stroke care response down to a science. Everyone knows their role and works together to act quickly.”

Cindy was one of the first patients at Wellstar North Fulton to benefit from the hospital’s new addition to its stroke program. While the hospital has been a primary stroke center for years, the introduction of thrombectomies at the hospital gives patients a close-to-home, life-saving option for stroke care—saving them both time and brainpower.

A thrombectomy is a minimally invasive procedure used to unclog an artery, restoring blood flow to the brain and preventing further damage. It does not involve cutting of the brain but instead starts with the insertion of a catheter through the patient’s groin.

“Recently, we’ve developed our own capability right here in the North Fulton area to pull the clot out of the brain. That’s a giant leap forward,” Dr. Malcom explained. “It's good for the whole state because there's only a handful of hospitals that do that, and it's good for the residents that live in that North Fulton area to have a hospital so close. They don't have to take a helicopter ride somewhere to get that procedure done. It saves time.”

For Cindy, having that procedure just a few miles from her home, right when she needed it, helped save her brain function.

“If Cindy would have gone to a different hospital that didn't provide this care, then it would have been a long time before she was able to have blood flow restored to the brain,” Wellstar Neurosurgeon Dr. Benjamin Zussman said, explaining how critical each section was when it came to Cindy’s care. “The delay could have been 30 minutes or even an hour, and it's possible that she would have had permanent stroke, permanent damage to her brain instead of making the recovery she did.”

Offering thrombectomies at Wellstar North Fulton has brought long-needed stroke services to the area north of Atlanta, so patients like Cindy don’t have to travel into the city through busy traffic to get the treatment they need. 

Proximity to care is especially important for critical situations like strokes, said Dr. Rishi Gupta, director of stroke care at Wellstar.

“Any disease that is time-sensitive where patients need to get to the hospital quickly, get treated quickly—the geography is everything, particularly in bad weather when helicopters cannot fly,” he said, explaining how logistics can impact life-saving stroke care. “We need to be able to provide services in the communities the patients reside and the North Fulton program is uniquely positioned to do that.”

Signs of a stroke can include a loss of balance, dizziness, blurry vision or sudden vision loss, drooping in the face, arm or leg weakness, and difficulty speaking. Patients who experience any of those symptoms should call 911 and seek medical care right away. 

Cindy said she is glad she got to the hospital as soon as she could—“I am so thankful that I took quick action and that I had Wellstar so close.” At Wellstar North Fulton, she not only received the highest level of stroke care. Wellstar takes a multidisciplinary approach to stroke care, including specialists such as critical care specialists, neurologists, neurointerventionalists and physical therapists on the care team. 

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Highlights

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 team.

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 clinician 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 team 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 clinician about diabetes screenings. If you are diabetic, discuss managing the condition in partnership with your care team.

Smoking 

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Atrial fibrillation

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While many of these risk factors can be controlled through medication or lifestyle changes in partnership with your care team, 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.

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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.

Learn more about stroke care at Wellstar.

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