You know, you said at the very beginning, I have a nodule, should I panic? And I have been working at the University of Chicago since 1998. Well, that's nice. It is covered by insurance. So-- Your lungs are going to be ultimately attached to your mouth. Patient survey responses are also used to make star ratings for each provider. Only clean air in the lungs, please. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? I mean, it's really amazing. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. That's always the question people want to know. It's usually about a half day's worth of time. Learn more about clinical trials and find a trial that might be right for you. University of Chicago hiring Fellowship Coordinator in Chicago It's either cancer or everything else. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Go ahead, Ajay. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Dr. Wagh is focused on using minimally invasive techniques for diagnosing and treating a wide range of lung and chest conditions, including stage lung cancer, chronic respiratory illness, complex airway disorders, pleural disease (pleurisy, pneumothorax, pleural tumors) and more. And basically work very hard to make sure that patients get the answers that they need to help decide what's the best next path when they find an abnormal CT scan. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. The probability, if it's low enough, we don't want to do invasive things to you. Absolutely. Karen says, your pulmonary department is the best. Phone: (773) 702-9660, Mailing Address: As an Interventional Radiology Technologist you will perform diagnostic imaging studies as assigned, assist with minimally invasive image-guided vascular procedures, apply principles of radiation protection, exercise professional judgement in . And let's go through your CAT scan and let's have this discussion about what our next step is. These are not questions. Nicole Greenlee. It was pretty fascinating to see what you could do inside of a person's lung with a very, very minor, very minor invasive procedure. The fear always is that cancers are going to grow. AABIP/AIPPD Interventional Pulmonology Accredidation We're giving you the least amount of radiation, even for what's called a diagnostic scan. It's got to be terrible. Now, these are complicated discussions. Star ratings and comments come from a number of survey questions. And it is, would my annual low dose CT lung cancer screening show nodules? That's always the question people want to know. You know what, I always tell people is there is a long list of things that the nodule could be. Loyola University Medical Center, Chicago IL: 2020: Ikuyo Imayama, MD: University of Illinois at Chicago, Chicago, IL: 2021: Mariam Anis, MBBS Northwestern Lake forest Hospital: 2021: Yu Maw Htwe, MBBS NYU Interventional Pulmonology Fellowship: 2021 Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? Schedule your appointment online for primary care and many specialties. We can talk about imaging modalities. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . The University of Chicago Fellowship Coordinator Job in Chicago, IL Interventional Pulmonology | UI Health - University of Illinois So appreciate that. And we keep spacing that interval of scan out if nothing has changed. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. We could get you a plaque or something. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . Report Job. Yeah. We will overbook you. But one of the other things we were talking about, the patient journey. Pulmonary & Critical Care Medicine. And that would be annually until they kind of exit out after that 15 years. And you say, well, wait. We don't want that to happen. You know, you mentioned that being covered by insurance. . Star ratings and comments come from a number of survey questions. No, for sure. What you're never going to hear from us is to say, now there's nothing to do, leave. Well, I think that there's several possibilities. So I want to get back to biopsies for just a moment. And I was fortunate enough, I think, gosh, it's been over a year ago. And we get the tissue that we need. Patient survey responses are also used to make star ratings for each provider. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. No, it will show the nodules. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Karen says, your pulmonary department is the best. Because an abnormal CT scan is terrifying. Lung Health Program | UI Health - University of Illinois Hospital And we get the tissue that we need. And so that becomes one procedure, as opposed to multiple procedures. We want to remind people, very important, do not forego medical care during COVID. And that's a very important part for a cancer evaluation. No, it's a great question. Compare hospital ratings for pulmonology and lung surgery. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. Oh, less than 5%, OK, let's slow down a little bit. But we're also going to work with you. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. Pulmonary and Critical Care Fellows I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Interventional Pulmonary But in reality, if you're a patient, there's only two things. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. And prior to that, I was a private practice pulmonary critical care doctor for six years. Really, really good questions today. Well, I think that there's several possibilities. But one of the other things we were talking about, the patient journey. Another question from a viewer, and this is Carla. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Referring . . The responses are used to improve patient experience and recognize staff members for the care they provide. Yes, sir. What's that chance? Now, a question. Fellows - Chest Center And it's important here. Or is this something that happens and you just need to get it checked out? Well, gentlemen, we're out of time. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Go ahead, Ajay. So I have two from viewers that I have to pass along. You will get seen within a week every time here. There's large databases that have been built off of the experience of radiology to be able to essentially plug-in and give a number. Oh, let me reinforce that. But there's many other tests. [MUSIC PLAYING] My name is Ajay Wagh. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn And I have been working at the University of Chicago since 1998. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Schedule your appointment online for primary care and many specialties. So follow-up scans could also be low dose as well. Fellows | Chicago Medicine We even use-- in order to evaluate a patient's risk-- we use calculators to help evaluate that too based on a patient's history and imaging findings. Northwestern Medicine Canning Thoracic Institute Is that-- should you be frightened? Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . Yeah. Open for more information. So Dr. Wagh and I have our partner, Dr. Mergue. Oh, let me reinforce that. And then afterwards, once we settle on a date, the patient comes in. I love math and science, and I love to problem solve, so I started out in engineering. 11234 Anderson St, Loma Linda, CA 92354. . Just to echo what Dr. Wagh said. Dr. Hogarth, do you want to start on that one? And then they just go home. No, it's a great question. We are taking questions from viewers. And if someone ever by mistake says to you, yeah, they can see you in three months. And these procedures all have their own benefits, but also their own complications. 20 on the Best Hospitals Honor Roll. And good nutrition and exercise is important, and we can help you get on the right track. So that's nice. And so as Dr. Wagh just pointed out, in the same procedure, after we've just proved that is a cancer, we're going to then go sample your lymph nodes. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. So-- Funding for Educational Activities I'm in the studio all by myself, as you can see here. Obviously, if things change, then that's a discussion towards biopsy. Yeah, and I want to tell people-- this is a very, very safe place. Learn more about clinical trials and find a trial that might be right for you. Getting an expert opinion about what could this nodule actually be. It's either cancer or everything else. Absolutely, yeah. And I think that's the first key step. We are extremely cautious about everything here. They come into the sky lobby here at UChicago. And smoking is certainly a problem, a historical problem that we're working to deal with every day. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. That's not hard to convince someone. The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. And I do also think it's worth mentioning that by doing the bronchoscopy, as opposed to choosing an alternative technique, such as a needle biopsy, we're also able to evaluate the lymph nodes in the chest. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Right? Dr. Hogarth was the first physician in Illinois to perform Bronchoscopic Lung Volume Reduction (bLVR) for severe emphysemausing both the Zephyr valve and the Spiration valve. And it's something solid. We just talked a moment ago, and you're pretty new here. Can you talk to us a little bit about what the patient experiences in this procedure? MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. You will not know we're doing this to you. Because it's interesting how you do them in the lung. A star rating is not given if a provider only has a small number of survey responses. Learn more about clinical trials and find a trial that might be right for you. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Maybe Dr. Hogarth, you can start. When there are no changes from scan to scan. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. But Dr. Wagh, can you talk to us a little bit about just-- I think as Dr. Hogarth just mentioned, if somebody comes in and sees a physician. About Us. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . It's usually about a half day's worth of time. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. We're not going to just say, you must do this. He also performs laser-assisted mechanical dilation of airway strictures, airway stenting and bronchoscopic treatments for benign and malignant airway lesions using photodynamic therapy, cryotherapy and electrosurgery techniques. Star ratings and comments come from a number of survey questions. This is from Therese. And one of the reasons we do this yearly image, because it is so slow growing, if it's not changing year after year, then the probability that it's going to do anything to you becomes so low that we actually leave you alone. They're still cutting in you. That's why I'm not moving a lot, not that I move a lot anyway. Chinh Phan, D.O. - Interventional Pulmonology - UC Davis Health System Dr. Wagh is focused on using minimally invasive techniques for diagnosing and treating a wide range of lung and chest conditions, including stage lung cancer, chronic respiratory illness, complex airway disorders, pleural disease (pleurisy, pneumothorax, pleural tumors) and more. Interesting. We're going to do our work. A star rating is not given if a provider only has a small number of survey responses. In some cases, they are a precancerous lesion. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. I'm an interventional pulmonologist here at the University of Chicago. Phone: (773) 702-1856 His work as been published in several peer-reviewed journals, including the Journal of Thoracic Disease, Respiratory Medicine and American Journal of Physiology, Lung, Cell, Molecular Physiology. But also don't ignore it, and don't delay it. We are extremely cautious about everything here. What Dr. Wagh and I do is a procedure called bronchoscopy. You know what, I always tell people is there is a long list of things that the nodule could be. So if the risk of cancer is low, but the risk of a complication is the same, I don't want to harm you, right? Like, I'm not worried about spreading disease. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . Current Fellows - University of Chicago - Department of Medicine Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. Panicking, obviously, is never helpful. Salary and Benefits. And we also try to figure out, is it a lesion that requires biopsy? And hopefully, go home if nothing happens. It was designed to provide the subspecialty trainees with extensive training and experience in advanced diagnostic and therapeutic procedures that are essential to the practice of Interventional Pulmonology. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care And I think that's the first key step. So my name is Kyle Hogarth. So if you have an x-ray or a CAT scan, there is a chance that the word module or mass is going to show up in the report. But we also want to explain to you what we're going to do to actively follow you. CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. MC 6092 Our Lung Disease Physician Team - UChicago Medicine His contributions to the field of procedure-related training has been recognized by his peers and professional societies. And how urgently must patients act? We want to remind people, very important, do not forego medical care during COVID. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. Sleep clinic patients are seen here during the day . Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. So we'll wake you up. Dr. Hogarth was the first doctor in the Midwest to use the Monarch by Auris a robotic bronchoscopy navigation system with 3-D imaging technology built into a robotic scope that allows him to reach deeper into the lung than ever before to detect and/or biopsy nodules and masses. We have been providing exceptional and compassionate . You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. We get thousands of survey responses each year. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Consultations and second opinions are also available on request for patients that have . Interesting. But what I can also tell you is it's cancer, here's what stage it is. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. And this is a little bit inside baseball. Yeah, sure. So that's nice. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. If you think about it, the lung is mostly air. I can meet with you virtually. Go ahead, Ajay. And this is a little bit inside baseball. We get thousands of survey responses each year. So typically we'll have a clinic evaluation. And without a doubt, the possibility of cancer is what scares everybody. The Interventional Pulmonology Center at Barnes-Jewish Hospital and Washington University School of Medicine, in conjunction with the Siteman Cancer Center, uses the following specialized technology to offer patients advanced diagnoses and expert care: . And that's very important. And so that becomes one procedure, as opposed to multiple procedures. 847-498-5864. It's a wonderful, wonderful place. So Dr. Wagh, it was interesting because this is almost like a video game. Email: ipscheduling@jhmi.edu. Additionally, Dr. Hogarth is able to offer his patients unparalleled diagnostic accuracy by being the first in the United States to use the LungVision system with the robot to maximize precision. And the individual tumor biology is changing. Yes, sir. But of course, there's an 80% chance it's not cancer. But we can. This is a safe place. So-- But you come in, we have a pre-procedural area where the patients get kind of their IV. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Quick Apply. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Yeah, there's several possibilities in that regard to evaluate these. Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary I am a Professor of Medicine here. And you know, it is extremely valuable. Patients should bring recent X-rays, CT scans and PET scans either as a 'hard copy' or on CD to their appointment or make them available prior to the appointment. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Open for more information. In other cases, they are actually a cancer. And we're very serious about that. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And then at that point, we would bring the patient back to the our laboratory. Well, my name is Ajay Wagh. It offers a comprehensive program of quality patient care, research and education. All rights reserved. And at that point, they'll meet the anesthesiologist, the nursing staff. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Although residents and fellows are paid by the University, the salaries and benefits are essentially the same for all trainees within a given postgraduate year of training. There's also what's called a needle biopsy. UK Pulmonary, Critical Care and Sleep Medicine offers the full scope of inpatient and outpatient services involving the diagnostic evaluation and clinical management of respiratory disorders. So if we think you're at early stage cancer, that's great. Instead, you might have a little sore throat for a day or two. You will still be the same stage. 13 in the nation for Pulmonary and Lung Surgery. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Yeah, sure. First, do no harm. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. And remember, you can schedule your video visit by also going to the website. Another question from a viewer, and this is Carla. October 29, 2020 . This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . The Emory Sleep Medicine . See, this just shows how important it is that we do these programs here. Academic Interventional Pulmonary/Critical Care (3-309-1142) - The Division of Pulmonary and Critical Care Medicine at the University of Maryland School of Medicine seeks a pulmonary and critical care physician for our expanding Academic Interventional Pulmonology program. I recently completed an interventional pulmonary fellowship, which brought me here. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. And that's very important. Well, we're very happy to have you. River East Location . Thanks again for being with us today. But also cat scanning. But we do have avenues to help with that. But of course, there's biopsies. So we want to-- I mean, we want to do this for everybody. You know, you mentioned that being covered by insurance. Website. But you know, I think that there's so many different possibilities when it comes to management that we're quickly learning how to utilize technology, even in telehealth, to help patients get what they need. If we keep scanning you, we're never going to see change. Communicate with your doctor, view test results, schedule appointments and more. What are some of the options to evaluate lung nodules and lung masses? I should point out, the amount of radiation you get from a CAT scan at a center like ours-- so it has everything to do with the quality of the scanners. Why aren't we just following the pathway down? Is following a nodule ground glass opacity with yearly CT standard? What you're never going to hear from us is to say, now there's nothing to do, leave. Or should we offer something else? But that's part of what you do. Or does it have to be a higher dose CT screening? And I hope you have a great week. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima It's so important. We also have literally the world's greatest nurse practitioner, Kimberly. Pulmonologists D. Kyle Hogarth, MD, and Ajay Wagh, MD, talk about different ways physicians can detect and diagnose lung nodules and masses, including advanced bronchoscopy techniques that do not require incisions or surgery. And it also has a lot of great COVID information. Director, Interventional Pulmonary - Clinical Faculty Rush University I mean, we do have telemedicine options. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. But what I can also tell you is it's cancer, here's what stage it is. Exactly. We also have literally the world's greatest nurse practitioner, Kimberly. So first is just a discussion with you of what is the probability that this could be a malignancy for you. We evaluate whether or not it's a target that we can reach. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Procedures performed include diagnostic bronchoscopy, linear array and radial endobronchial ultrasound (EBUS) guided fine needle aspiration, navigational bronchoscopy, bronchoscopic fiducial marker placement for radiation therapy, rigid . Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? And then they come to our lab. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. You know, and I was only being partially facetious when I said panic is kind of the natural-- because I think for a lot of people that's just the natural reaction. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu.
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