Wellstar Neuro Care

While Wellstar’s expert cancer specialists are well-equipped to help their patients fight cancer, they’re also dedicated to stopping cancer before it starts.  

Part of preventing cancer is knowing your risk and taking action early. Wellstar’s Genetic Risk Assessment Program helps patients determine whether they may be at higher risk for some cancers.  

At Wellstar, our focus is PeopleCare: personalized healthcare tailored just for you. For cancer care, that means taking a close look at what makes you unique — your distinct genetic makeup that sets you apart. Genetic counselors use a compassionate approach to guide patients and their families so they can make informed healthcare decisions. 

“We are the busiest genetic counseling program in Georgia,” said Dr. Michael Andrews, Wellstar’s chief cancer officer. “Cancer care now is very genetically-based, and the specialists in our program can look for certain abnormalities and adapt treatments based on what they find.” 

Halting Hereditary Cancers

Genetic mutations play a major role in about 5 to 10% of cancers. A patient with a family history of cancer who learns they have specific genetic mutations can partner with their provider to be more proactive, whether that involves screening, lifestyle changes or medical treatments. Taking a few proactive steps could prevent cancer, even if the patient’s genetics may put them at a higher risk.  

Genetic testing can also benefit cancer patients and empower their whole families with important information. If a cancer patient learns they carry a mutation, it can help relatives decide if they could benefit from genetic testing. Also, people who have certain cancers and also have specific DNA sequences may benefit from targeted therapies. 

Some possible signs of hereditary cancer include: 

• Unusually early age of cancer onset
• Multiple primary cancers in a single patient
• Cancer in paired organs (such as in cancer in both breasts)
• Multi-generational cancers
• Rare tumors
• An unusual presentation, such as male breast cancer
• Belonging to an ethnic group known to be at high risk for hereditary cancers
• No environmental explanation for the cancer

Some gene mutations can increase your cancer risk, so if your provider finds that you are affected, they may recommend increased screenings and other precautions to monitor your health. 

• TP53: This gene produces a protein that slows down tumor growth. Mutations in this gene can cause Li-Fraumeni syndrome, which puts patients at an increased risk for developing some cancers. 
• BRCA1 and BRCA2: Mutations in these genes increase the risk of breast and ovarian cancer, as well as pancreatic cancer, prostate cancer and male breast cancer.
• PTEN: This gene also stops tumor growth. Mutations in this gene are associated with Cowden syndrome, a disorder that increases the risk of breast, thyroid, endometrial and other forms of cancer. 

Take charge of your health — and maybe help out a family member, too — by learning more about how your genetics could affect your cancer risk. Call (470) 793-7472 to book an appointment with a Wellstar genetic counselor. Both in-person and virtual visits are available. Learn more at wellstar.org/cancercare.

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 Hospital. 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, a Wellstar emergency medicine physician. “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 North Fulton to benefit from the hospital’s newest addition to its stroke program. While North Fulton 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 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.

“In a city like Chicago or New York, there are almost eight or nine stroke centers that provide thrombectomy in a city,” said Dr. Rishi Gupta, director of the stroke and neurocritical care program at Wellstar. “Here in metro Atlanta, we have only had three for a long, long time. So, being able to provide care for patients in the northeast corner of our city is crucial because almost 2 million people live in that quadrant.”

Proximity to care is especially important for critical situations like strokes, Dr. Gupta said.

“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 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. 

“When you're feeling pretty healthy, you don't think a stroke can happen to you. It happens so quickly. You don't necessarily get a warning,” Cindy said, sharing the importance of listening to your body’s signals when it comes to health. “You can feel one way one day or one minute, and the next minute, it changes.”