Test-3 Patient with Rare Connective Tissue Disorder Grateful to Hoag
It can be difficult to visual what Hoag’s “multidisciplinary approach” to patient care really means.
But when Lauren Wiepking hears the term, a crystal-clear picture comes to mind: Ten specialists – some of the top medical experts in their fields – working closely together to ensure she receives the finest care for her condition – Vascular Ehlers Danlos (vEDS), an inherited connective tissue condition. Connective tissue is found throughout the body and is responsible for helping the body grow properly. vEDS patients have compromised connective tissue and are at an increased risk of arterial ruptures; in addition, they are at risk for ruptures of internal organs such as the uterus and colon.
Lauren was born with vEDS and was so grateful to have found Hoag to manage her care. “Not all hospitals have the kind of expertise like Hoag does to care for me. I have numerous specialists, including Dr. Liang and Dr. Caffarelli tracking my health,” said Lauren.
Hoag offers a comprehensive center for patients with connective tissue disorders, like Lauren, through the Elaine & Robert Matranga Aortic Center, led by Anthony Caffarelli, M.D., the Newkirk Family Endowed Chair in Aortic Care and Director of Cardiac Surgery, and the Hoag Marfan Syndrome & Related Conditions Program, led by connective tissue condition specialist and program director David Liang, M.D. Lauren said she never experienced such well-rounded care and support from such a comprehensive, skilled team.
This extensive team support was especially needed when Lauren became pregnant.
“Pregnancy in vEDS patients is extremely risky. vEDS patients can experience ruptures or aneurysms anytime throughout pregnancy, and most especially during delivery,” said Dr. Liang. “Lauren and her husband received prenatal counseling at Hoag to set expectations of the how Hoag could support her through the pregnancy and delivery. Once the team learned of Lauren’s pregnancy they pulled together a multidisciplinary team of experts, across a spectrum of specialties, to account for every possibility.”
“There were 10 surgeons and specialists who knew my case to a great extent and were there to support me no matter what. I felt so confident in Hoag and in this incredible team,” Lauren said of the recent delivery of her daughter, Avery.
Dr. Caffarelli is a board-certified cardiothoracic surgeon who performs a high-volume of complex aortic surgeries that are deemed too complicated for most surgeons. Though Lauren was familiar with the unparalleled expertise of the Elaine & Robert Matranga Aortic Center, it wasn’t until her pregnancy that she fully appreciated Hoag’s rich roster of world-class the physician leaders.
Marlin Mills, M.D. captained the delivery, bringing on board perinatologist Michael Haydon, M.D., who specializes in high-risk deliveries; cardiologist Jeffrey Bruss, M.D.; anesthesiologist Aaron Yezbick, M.D., who has extensive experience with high-risk cardiac patients; several surgeons, including vascular surgeon Stephen Lindsay, M.D. and gynecologic surgeon Alberto Mendivil, M.D., was also on-hand for the delivery, in case of arterial rupture or in case Lauren required an emergency hysterectomy.
“Drs. Liang and Caffarelli referred me to multiple specialists,” she said. “And they had the doctors’ offices call me directly to schedule my appointments, so I didn't have to worry about researching and finding all the different specialists and surgeons I needed.”
The stakes were high, but Hoag’s expertise gave Lauren confidence.
“Knowing I have this hospital nearby with these amazing doctors who can provide this level of care and this depth of knowledge about my case, is incredible,” she said. “It’s a relatively rare disease. To have people who take that time to get to know me and my care, it’s so comforting.”
To Lauren, Hoag went so above and beyond in her care, that now many of her family members who also have vEDS are getting their care from Hoag, too.
Recognizing the symptoms of a stroke can help save lives. Use the FAST acronym to identify the warning signs:
B – Balance: Sudden loss of balance or dizziness
E – Eyes: Sudden blurred vision or loss of vision
F – Face: Sudden facial droop or uneven smile
A – Arm: Sudden arm weakness or arm numbness
S – Speech: Sudden slurred, sudden difficulty speaking or understanding
T – Time: If you notice these signs, call 911 and get to the hospital immediately.
Other stroke symptoms include sudden confusion, difficulty walking, loss of balance, severe headaches, and vision problems.
Hoag Hospital Newport Beach was certified as a Comprehensive Stroke Center. Hoag Hospital Irvine was certified as a Primary Stroke Center.
Stroke Hybrid Support Group
This group offers support for stroke survivors, caregivers, family members, and friends. Virtual meetings are held via Zoom on the 4th Thursday of every month from 2 – 3:30 p.m. For more information call 949-764-3623
To register and get a link to the meetings visit: Stroke Virtual Support Group Registration
Brain Aneurysm & AVM Virtual Support Group
This group is for Brain Aneurysm & AVM Survivors, those diagnosed but not yet ready for treatment, and immediate family members or caregivers.
Virtual meetings are held via Zoom on the 2nd Wednesday of every month from 6 – 7:30 p.m. For more information call 949-764-3628
To register and get a link to the meetings visit: Brain Aneurysm & AVM Virtual Support Group RegistrationClick To View Stroke Workbook Here
OB Hospitalists are skilled in a variety of different delivery techniques which may help spare a patient an unnecessary C-section. OB Hospitalists are expertly trained in difficult deliveries including twin deliveries, preterm deliveries, face presentations and breech deliveries. The three key advantages to having an OB Hospitalist are:
Availability: The OB Hospitalist is immediately available throughout the day and night to examine patients, evaluate the progress of the labor, react to laboratory abnormalities, and provide a safe delivery. If an emergency occurs, the OB Hospitalist is already on the scene, ready to respond with lifesaving intervention. The presence of a doctor full-time in Labor and Delivery improves patient safety.
Highly Skilled: OB Hospitalists provide medical expertise and optimal patient care. A skilled hospital-based Obstetrician is skilled in a variety of different delivery techniques which may help spare a patient an unnecessary C-section.
Communication: The OB Hospitalist will be familiar with all of the key players in the hospital including medical and surgical consultants, discharge planners, social workers, clergy, and others. They can expedite car for patients.
Patient Satisfaction: Patient surveys have shown high levels of satisfaction for OB Hospitalist care. Patients are willing to trade familiarity for availability and expertise. The OB Hospitalist will make sure that a complete report comes to your doctor about everything that has happened in the hospital.
For more information, call 888-662-0026.
