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Article Category: PeopleCare

CindyCare

Published on May 07, 2025

Last updated 03:42 PM May 07, 2025

Cindy cutting vegetables in her home kitchen

Cindy at home in her kitchen

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. 

“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.”

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. 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.

- Dr. Benjamin Zussman

Wellstar Neurosurgeon

Listen to Cindy's Story

'You saved my brain'

From the second Cindy arrived at Wellstar North Fulton Medical Center, her care team saw her as more than a stroke patient. She is a mother, a grandmother and a Roswell community member who loves her job.

“We know it’s important to have a good quality of life, to be able to do what you need to do to do for your family and career,” Wellstar Neurocritical Care Specialist Dr. Michael Mendoza said. “And I think that's what makes recovery from a stroke very special, is that it's not only a physical thing. You are trying to recover that potential quality of life.”

Cindy said that personal touch in her care brought her comfort during her treatment.

“Not only did I get the best medical care, but while I was getting the care, the people were absolutely amazing. I was totally cared for, and they took my worries away,” Cindy shared. “Every nurse and doctor was compassionate, and they looked at me as a person and really had that empathy and caring that you look for when you’re in the hospital. It was top-notch.”

The treatment recovered 99% of Cindy’s brain, helping her get back to her routine. For someone who works with numbers day in and day out, Cindy knows just how remarkable those odds are.

“I attribute my stay at Wellstar with saving my brain and my career, because I'm in a fast-paced, working with detailed numbers, working with probably 20 project directors of research, highly intelligent men and women,” she said. “I literally have to think on my feet the whole time I'm at work. And I wouldn't have been able to come back, or at least not in the capacity that I was in.”

These days, Cindy revels in what makes her happiest—her career and time with her family, which includes her young granddaughter.

“I could have lost that ability to be able to be left alone with her, or to not do those things with my grandchildren,” Cindy said. “It's not that I couldn't have done anything, but that would have been a big loss, so I'm so thankful.”

Now, Cindy can get back to her busy, fulfilling life, with a boost from Wellstar. 

 

Tags

North Fulton Medical Center Benjamin M Zussman Michael Santotome Mendoza
George Edward Malcom III Rishi Gupta PeopleCare Neuro Care Stroke Care
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Highlights

Personalized Breast Care Close to Home at Wellstar North Fulton

By Wellstar Breast Surgeon Dr. Laura Pearson

I have never met a woman who enjoyed getting mammograms, including myself. They can be uncomfortable, awkward and anxiety-provoking—especially if you have had scares in the past or are at high risk for getting breast cancer.

There are so many additional resources for risk reduction and surveillance available that go hand-in-hand with mammograms. At Wellstar, reducing your risk and screening for cancer starts with a physical from your primary care doctor.

If you are at average risk of developing breast cancer, you should begin annual screening mammograms at age 40. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening. If something is detected on a mammogram, the Wellstar Comprehensive Breast Health Program has nurse navigators who will help arrange diagnostic imaging, biopsy procedures and referrals to breast specialists. If you are diagnosed with cancer, the compassionate and oncology-trained nurse navigators with Wellstar Cancer Care walk patients through diagnosis, evaluation, treatment and beyond.

If you’re diagnosed with breast cancer, your treatment and care will transition from our Comprehensive Breast Health Program to the Wellstar Cancer Care team. In Wellstar STAT Clinics, which stands for Specialty Teams and Treatment, we put you at the center of your care plan. In our STAT Clinic for Breast Cancer, the care team, including breast oncology nurse navigators, surgeons, medical and radiation oncologists, nutritionists and genetic counselors, will meet with you and your support system on the same day to formulate a treatment plan personalized to your specific cancer, as well as your personal and cultural needs. Patients are able to ask questions, make decisions and start treatment sooner, improving outcomes.

Many times, surgical intervention can be done as an outpatient procedure. We can also offer some people intraoperative radiation therapy, or IORT—the option of doing their radiation treatment in the operating room at the same time as their lumpectomy, meaning they are able to avoid four to six weeks of radiation treatments. Any other interventions, such as chemotherapy or radiation, including our CyberKnife for treatments like targeted partial breast radiation therapy, are found in the cancer center on Wellstar North Fulton’s medical campus. We have physical therapists, social workers and palliative care specialists who are there for you if the need arises.

Your Wellstar care team can also help you reduce your risk of developing breast cancer. Being overweight or obese or being a smoker can increase your risk. Patients at Wellstar have access to our Center for Best Health to assist in weight management. We also have smoking cessation programs and dietitians waiting to help you make healthier choices that can positively impact your health.

Wellstar provides more than healthcare, PeopleCare—working relentlessly to exceed national standards and our patients’ expectations while remembering the humanity of every patient. We are here for all the situations and stages of our patients’ lives by offering the tools and resources to be healthy and thrive. Wellstar clinicians live in the communities we serve. We must get physicals, mammograms and biopsies. We need help being our healthiest selves. We get sick and have family members who need compassionate care. PeopleCare means offering our patients world-class healthcare in the communities where they live and work.

Your care team can put your mammogram order in Wellstar MyChart to book online, or you can schedule by calling (678) 581-5900.

Visit wellstar.org/northfultoncancercare to learn more about cancer care at Wellstar North Fulton.

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Person looking at heart rate on smart watch. Text reads "Mario Care"

PeopleCare

MarioCare

Being proactive with his heart health proved lifesaving for Marion “Mario” Stokes—and paved the way for a minimally invasive artery replacement procedure that has given him renewed energy to do what he loves.

Catching a heart concern 

Mario enjoyed a busy career as an attorney practicing commercial litigation. He also stayed active throughout his life, serving as a Navy Judge Advocate General Corps officer, becoming a certified scuba divemaster, and enjoying photography and studying history. When he noticed he was out of breath frequently—and his smart watch notified him of an irregular heartbeat—he discussed his symptoms with his primary care physician. 

An electrocardiogram detected a leaky aortic valve, and after discussion with his care team at Wellstar Center for Cardiovascular Care, Mario decided to proceed with a transcatheter aortic valve replacement (TAVR).

Advanced, minimally invasive surgery

Aortic stenosis occurs when the aortic valve narrows, preventing normal flow of blood from the left ventricle, also known as the pumping chamber of the heart, to the aorta and the rest of the body. Over time, this narrowing causes the heart’s left ventricle to pump harder to push blood through the stenotic aortic valve.

“TAVR is an amazing technology offering a minimally invasive alternative to open-heart surgery,” said Wellstar Cardiologist Dr. Nabil Sabbak, who performed Mario’s procedure at Wellstar Kennestone Regional Medical Center. “The valve is delivered through a small catheter via a tiny incision in the groin, eliminating the need to open the chest or stop the heart. This approach is lower-risk for many patients and allows for a quicker recovery with less pain.”

Most patients are walking within hours of the procedure and leave the hospital within 24 hours, according to Dr. Sabbak. Many people return to daily activities within a week.

“I’m very sensitive to pain, but nothing ever hurt,” Mario said about his procedure.

‘It’s like a new heart’

Mario said his valve replacement has given him more energy than he had before, allowing him to enjoy his retirement and time with family. The improvement is evident in his regular walks around his neighborhood and exercise at Wellstar Health Place.

“There's a steep hill that's near our house. Before the procedure, I couldn't walk up the hill without stopping at least once or twice to pause and get my breath,” he said. “Now I can just walk right up—no problem. It's made a huge difference in my life."

He stays busy with his fiancée and their three-year-old granddaughter—taking her on trips to the zoo, botanical gardens and nature center—as well as visiting his two children in Las Vegas and Philadelphia.

“It's like a new heart. It's unbelievable really,” Mario said. “I slept twice as much before. Sometimes I'd sleep 10 or 12 hours a night and then maybe take a nap. I was really out of energy.”

He is also building strength at cardiac rehabilitation three times a week at Wellstar Vinings Health Park, as well as continuing treatment with his Wellstar heart care team.

“I have been super pleased with Wellstar,” Mario said. “The folks there are very professional, and they have a wonderful combination of intelligence, education and caring, from the receptionists to the nurses, physician assistants and doctors.”

Learn more about heart care at Wellstar.

Photo of Mario Stokes

Mario Stokes

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Back to school after receiving highly coordinated stroke care at Wellstar, Assistant Principal De'sa Fuller, enters her office to start a new school year.

PeopleCare

De'saCare

De'sa Fuller, an assistant principal in West Georgia, greeted teachers in the hallway like every other morning. But her day turned upside down when she lost her balance and couldn’t rise from the floor. Thanks to the immediate actions of those around her—from the teacher who called 911 to emergency medical services and her Wellstar team—De’sa recovered and is back to school. Her story is a powerful testament to how recognizing symptoms of a stroke, calling for help right away and having highly coordinated care can lead to remarkable outcomes.

Getting help when things go wrong

At 34, De'sa Fuller was living a vibrant life. She was a 6th grade assistant principal at Gardner Middle School in LaGrange. She loved her job, enjoyed traveling and was saving up to buy her first home. April 15 started out like any other day. Smoothie in hand, she greeted teachers in the hallway as she made her way to her office.

“I felt a little off,” De'sa recalled. “I just thought I was going too fast—I didn’t put much thought into it.” Then she fell. A concerned teacher asked if she was okay. De'sa, thinking she had simply tripped, said “Yes.” Her vision blurred as she tried to get up and she fell again. “I said, ‘I am not okay.’”

What began as a typical morning turned into a race against time. One teacher's quick thinking to call 911 activated a rapid chain of events that would save De’sa from permanent disability.

The critical first minutes

“The ambulance got there quickly. It was like they were around the corner,” De'sa remembered. 

“We got a call that EMS was bringing in a female who had been found on the floor at work, experiencing right-sided weakness,” explained Ginger Truitt, stroke coordinator at Wellstar West Georgia Medical Center, a Primary Stroke Center. The EMS professionals also reported confusion, headache and vomiting. “Those symptoms suggest stroke. We activated quickly.”

As a result, Dr. Reginald “Ashley” Orr, an emergency medicine physician, was ready for her arrival. 

“I was worried about an acute stroke by their description of her symptoms,” he remembered. “I evaluated her on the stretcher when she came through the door.”

A Code FAST was called with the goal of speeding up the time to start treatment to improve De’sa’s chances for better outcomes. They skipped the emergency department and took her for a CT scan. Then she was seen by the onsite neurologist, and the team quickly administered tenectoplase—or TNK—a clot-busting drug.

“Her symptoms were markedly improved,” Dr. Orr noted. “She was more awake.”

However, the CT angiogram showed an MCA M1 occlusion—a blockage in a major blood vessel in the brain. While she had shown some improvement, it wasn’t enough. De'sa needed a thrombectomy, a procedure to remove the clot and restore vital blood flow to the brain.

 

A seamless transfer

De’sa needed an immediate transfer to a thrombectomy center, and there are only a few in the state of Georgia. After a quick virtual consult with Dr. Ovais Inamullah, a telestroke neurologist at Wellstar Kennestone Regional Medical Center—a Comprehensive Stroke Center—she was accepted for transfer. The Marietta-based Neuro Care program performs one of the highest volumes of thrombectomy and aneurysm treatments in the country.

Because time is of the essence with successful stroke treatment, transport by air is preferred. However, weather conditions threatened the flight’s safety. The ground EMS crew dutifully stood by in case they needed to drive De’sa. 

Mercifully, the clouds lifted after a few tense moments and she began her trip to Wellstar Kennestone via helicopter.

“When we have this type of emergency, our goal is to get patients out the door for a thrombectomy in 90 minutes,” Ginger said. “In De’sa’s case, we did it in 102 minutes, which was still impressive because there was cloud cover and we weren’t sure at first if she would be able to fly.”

Upon arrival, De'sa was taken directly to the angio suite where Dr. Ahmad Khaldi, a Wellstar neurosurgeon, and his team were waiting. “Every minute counts,” he emphasized.

A thrombectomy is a procedure that treats a stroke without open brain surgery. A tiny catheter is threaded through a blood vessel in the arm or leg to the brain to remove a clot, restoring blood flow to help prevent permanent disability or even death.

“We finished surgery by 11:25 AM,” Dr. Khaldi said—just 20 minutes after the procedure began.

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