Conquering Breast Cancer with a Wellstar Support Team

There aren’t many people out there who can say they survived cardiac arrest at 30. Kevin Miskewicz can.

According to the American Heart Association, more than 90% of people who experience an out-of-hospital cardiac arrest die. Those who survive often have permanent neurological disabilities. But Kevin’s story has an incredibly fortunate ending, thanks to the highly coordinated work of his medical experts at Wellstar.

Recovering from cardiac arrest is something Kevin will never forget. It lives forever as a piece of his health history—one that includes a dedicated healthcare team—and his wife, who was the first to save his life.

CPR to the rescue

Kevin woke up on Labor Day 2017 at 5:30 AM to take the dog out. Pausing to adjust the thermostat as he came in, he fell, knocking over a lamp.

He was in cardiac arrest.

With no symptoms and no known pre-existing condition, this was unexpected, but that didn’t stop his wife, Andrea, from jumping into action.

“If it weren’t for me knocking over a lamp when I passed out,” said Kevin, “she would have never woken up and saved my life.”

In addition to calling 911 and unlocking the door for the paramedics, Andrea performed CPR for 10 minutes.

“Kevin’s wife doing good CPR was critical,” said Dr. Arthur Reitman, the interventional cardiologist who was a vital part of Kevin’s treatment team at Wellstar Kennestone Regional Medical Center. “More than five minutes of poor blood flow to the brain can result in permanent irreparable injury from which a patient is unable to recover.”

Coordinating multidisciplinary care to save a life

When paramedics arrived at Kevin’s home, he had no pulse and was not breathing. As the paramedics performed their lifesaving work, he technically died two times.

The ambulance took him to Wellstar North Fulton Medical Center, where he was initially assessed and treated by Dr. David Jacoboff. The interventional cardiologist implanted an intra-aortic balloon pump to stabilize him. Then, he transferred Kevin to Wellstar Kennestone for highly specialized heart care.

When Kevin arrived at Wellstar Kennestone by helicopter, his heart function wasn’t strong enough to support his body. Dr. Reitman and a team of doctors including a cardiologist, a pulmonologist and critical care doctors worked in tandem to put Kevin on an advanced life support system called veno-arterial extracorporeal membrane oxygenation. Better known as VA-ECMO, it took the heart “offline” so it could heal. The technology removed unoxygenated blood from his body, oxygenated it and pumped it back in for the next three days.

“Very few places in the state—only four or five hospitals—have the technology and specialized training to put a patient on ECMO,” Dr. Reitman explained.

Hot flashes and night sweats are common during perimenopause and menopause. They can show up without warning—sudden waves of heat, flushing or sweating that can disrupt your day and leave you feeling uncomfortable.

Symptoms can vary widely in frequency and intensity. “The severity of menopausal symptoms varies among women due to a combination of lifestyle, genetic, psychological and socioeconomic factors,” said Wellstar Women’s Health Nurse Practitioner Karin Hulon.

Among those factors, nutrition plays a key role—and certain foods can influence how often symptoms happen. “Some foods trigger hot flashes,” Hulon said. “Pay attention to your body to see if you can make a connection.”

Helpful foods

A balanced, plant-rich plate can support your body’s natural regulation and may ease symptoms. “Soy is a phytoestrogen that mimics estrogen in our bodies and helps to reduce hot flashes,” Hulon said. “Foods high in antioxidants and omega-3 fatty acids, such as seafood and green leafy vegetables, are also beneficial.”

Options include:

• Mediterranean-style eating: plant-based foods, healthy fats
• Soy-based foods: tofu, edamame, soy milk, tempeh
• Phytoestrogen-rich foods: whole grains, seeds, legumes, berries
• Omega-3: salmon, chia seeds, avocados, flaxseeds
• Naturally cooling foods: apples, bananas, carrots, cucumbers, watermelon, pears, romaine lettuce

Mediterranean-style eating can be a practical place to start. “It encompasses plant-based foods and good fats such as avocado and olives, nuts, seeds, beans, legumes, tofu, fruits and fish,” Hulon said. “Even if you do not fully adopt this approach, making some substitutions and adjustments can be helpful.”

Foods to limit or avoid

Certain foods and drinks can trigger or worsen hot flashes, including:

• Caffeine: coffee, energy drinks
• Ultra-processed foods: baked goods, sugary drinks, fast food, fried foods
• Alcohol: wine (especially red wine), beer, liquor
• Spicy foods: hot peppers, jalapeños, cayenne pepper, hot sauces
• Nicotine: cigarettes, vaping, smokeless tobacco

“Women should avoid inflammatory foods—processed foods, fried foods, sugar, processed meats, canned foods and restaurant foods,” Hulon said. “Spicy foods, caffeine and alcohol also trigger hot flashes, so limit that intake as well.”

Supporting your well-being

Choosing nourishing foods, staying hydrated and noticing your personal triggers can help your body feel more balanced and comfortable.

Nutrition matters, but it is only one part of your overall health. “Lifestyle changes include smoking cessation, decreased alcohol consumption, exercise, dietary changes and weight loss,” Hulon said. “Decrease inflammation by eating a rainbow of fruits and vegetables, increasing sleep to seven to nine hours per night and reducing stress. Despite good lifestyle modifications, many women may still need menopause hormone therapy support.”

Wellstar offers resources to guide women through this transition. “At Wellstar, refer to the Center for Best Health, where practitioners are trained in helping patients achieve healthy goals and offer behavioral, exercise and nutrition counseling,” Hulon advised. “Additionally, a certified menopause practitioner can help patients navigate menopause hormone therapy.”

Our women’s health experts are here to support you with guidance, compassion and whole-person care. To learn more about menopause care at Wellstar, visit wellstar.org/menopause.