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Article Category: PeopleCare

MichaelCare

Diagnosis of rare head & neck cancer leads to unique patient-doctor bond

Published on May 20, 2024

Last updated 09:31 AM April 11, 2025

A head and neck cancer specialist examines a patient's neck.

Presiding over weddings is one way that the Reverend Michael Teston, ThM, gives back to his community after retiring as a full-time pastor.

On the left: Michael Teston headshot. On the right: Reverend Michael Teston performs weddings, including the wedding of his Wellstar doctor.

One recent wedding was quite different than the rest. It was with heartfelt pride that the pastor looked on as the groom—the man Michael credits with saving his life—said his vows.

“Fiyin, do you take Courtnee to be your lawfully wedded wife?” Michael asked his head and neck cancer specialist.

“I do,” Dr. Fiyin Sokoya replied, standing happily as his former patient—now friend, spiritual advisor and premarital counselor—joined him with his wife in holy matrimony.


Compassionate expertise follows an unexpected diagnosis

A few years earlier, an unexpected diagnosis brought the two men together as they formed a bond that exceeded the typical doctor-patient relationship.

It began when Michael noticed a knot in his left cheek. He thought he had an infected lymph node so he went to an ear, nose and throat (ENT) doctor to get it checked out. The prognosis was that the knot was likely non-cancerous, but worth getting removed because it was growing rapidly and increased the risk for cancer. The clergyman was referred to Dr. Fiyin Sokoya, a head and neck cancer specialist and facial plastic surgeon at Wellstar North Fulton Medical Center.


Specialized head & neck cancer care

Dr. Sokoya surgically removed the tumor using techniques similar to a facelift. This helped the scars heal well and meant minimal downtime during the healing process.

“If you look at my face now, you couldn’t tell,” Michael shared. “Dr. Sokoya did a phenomenal job.”

As a precaution and part of standard practice at Wellstar, the tumor taken from his face went to specialized head and neck pathologists for testing.

“I went into the doctor’s office for a follow-up visit,” Michael remembered. “The doctor said, ‘Unfortunately, it’s cancer.’”

The tumor was a rare type of chronic lymphocytic leukemia and small lymphocytic lymphoma.

“Well, that’s not what I was expecting!” Michael remembered thinking at the time. “I thought it was just a benign tumor. But Dr. Sokoya kept his manner calm, kind and never rushed. He explained things in a non-technical way to make sure I understood.”

Along with Dr. Sokoya’s demeanor, the reverend’s belief that no matter what happens, a higher power is watching out for him helped. Michael said, “My heart rate didn’t go up one bit. I never had a moment of panic.”

Fortunately, Michael was already in the right place for his care.

“We’ve become the destination center for advanced head and neck cancer care,” Dr. Sokoya said. “We can take care of him whatever his needs may be with top-notch physicians who empathize and display emotional intelligence while connecting on a human level throughout treatment.”

Aside from the surgery, Michael did not need further treatment, other than regular monitoring and bloodwork.

“Michael ended up not needing chemo because we caught it early and his medical oncologist is able to watch it closely in case any symptoms develop again,” Dr. Sokoya said. 

More than healthcare, PeopleCare. I didn’t come up with that phrase, but that’s really what I model my practice after. We’re humans first and foremost and we need to take care of people as humans. We take care of the cancer and walk you through your hospital stay, but at the end of the day, we need to make sure that empathy and emotional connection are always emphasized.

- Dr. Fiyin Sokoya

Head and neck cancer specialist and facial plastic surgeon

A deeper doctor-patient bond

The experience with Dr. Sokoya was significant for Michael who believes they were put into each other’s lives for a reason that went beyond his health.

“During what I thought was my last appointment, I said, ‘Hold on a moment, you’ve been so good to me as a doctor. I just appreciate how you’ve treated me, and I need to share my faith with you.’ This conversation opened up a new vista in our relationship,” Michael said.

At future appointments, the two talked about family and life in general in addition to Michael’s health. 

“Dr. Sokoya and I have become good friends since then,” Michael said.

The relationship led to Michael performing pre-marital counseling for Dr. Sokoya and his bride-to-be, and ultimately, the wedding ceremony.

“Michael officiated our wedding because we developed that bond and that trust. He had a lot of wisdom and life lessons to share with us, which we very much appreciated,” Dr. Sokoya said.

Life as a spiritual guide continues

Today, Michael lives with a sense of peace because of his faith and the medical team behind him, helmed by his friend Dr. Sokoya. 

“More than healthcare, PeopleCare,” Dr. Sokoya said, intoning Wellstar’s slogan. “I didn’t come up with that phrase, but that’s really what I model my practice after. We’re humans first and foremost and we need to take care of people as humans. We take care of the cancer and walk you through your hospital stay, but at the end of the day, we need to make sure that empathy and emotional connection are always emphasized.”

Thanks to that high level of expertise and care, Michael continues to enjoy his retirement, perform weddings, inspire others at leadership conferences and act as a spiritual source of strength for many, including his doctor.

Learn more about expert care for people with head and neck cancers at Wellstar. 
 

Tags

North Fulton Medical Center ENT - 1360 Upper Hembree Road Suite 201B Fiyin Sokoya
PeopleCare
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Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

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Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

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At 26, Maria receives chemotherapy as part of her breast cancer treatment plan, determined to complete her interior design degree on time.

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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.”

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A healthcare provider holds the hand of her patient to encourage and comfort her

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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.

KatieCare
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