And the patient goes afterwards to a post-procedural area, where they recover. 11 millimeters is rather small. We're going to do our work. And every patient is different. Rush University Medical Center in Chicago, IL is ranked No. You were fantastic. That's not hard to convince someone. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Interesting. We also have literally the world's greatest nurse practitioner, Kimberly. We will overbook you. Interesting. Communicate with your doctor, view test results, schedule appointments and more. If you think about it, the lung is mostly air. It's so important. Dr. Hogarth, do you want to start on that one? 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. Chicago Chest Center/ The University of Illinois Chicago. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. The immediate reaction is you're probably frightened. American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection . So let's start off with our questions. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And these procedures all have their own benefits, but also their own complications. And this is important. Today there are better insights into cancer and other lung diseases. And then second step is find the right people to help take care of you. But what I can also tell you is it's cancer, here's what stage it is. 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. And then they come to our lab. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Exactly. 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. And it's important here. In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. For help with MyChart, call us at 1-844-442-4278. Yes, sir. But also cat scanning. Sure. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. They're still cutting in you. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . We're still operating. Our program's strength lies in the large and varied patient base . Panicking, obviously, is never helpful. 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. Karen says, your pulmonary department is the best. Physician Recruitment McHenry, IL. We don't even have any camera people in here. The Interventional Pulmonology Fellowship began in July 1, 2000. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. And then they just go home. We want to find patients who have a history of smoking, quit within the past 15 years. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. You can't eat after midnight. The hospital is safe, the hospital is clean. And I think that's the first key step. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . And you know, those patients typically are eligible for low dose lung cancer screening. So Dr. Wagh, you touched on this a little bit before. However, not everyone who receives an abnormal CT scan should be rushed into surgery. So I think first step is don't panic. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. The fear always is that cancers are going to grow. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. I'm in the studio all by myself, as you can see here. These are not questions. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . Or is that the moment of panic at that point? And sign a few papers. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. 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. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. But many times, you might notice something on an x-ray that's not part of the screening pathway. So we talked a little bit about just screening for lung cancer in general, and what people need to know, because I know there are some folks that will go through a regular process of screening. That's going to be number one on the list. We don't want that to happen. Or suggest that the pre-test probability is lower. And Dr. Hogarth, I want to start with you. Thanks again for being with us today. What you're never going to hear from us is to say, now there's nothing to do, leave. 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. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. 617-632-8036. . 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. And good nutrition and exercise is important, and we can help you get on the right track. Our 5-year integrated IR/DR training program consists of a subspecialty track system with 4-week-long rotations in the following sections: Abdominal computed tomography. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. But generally speaking, a lung cancer-- when someone says to you, hey, we want to get a follow-up CAT scan, the reason they're suggesting that is that the nodule you have is so small or has characteristics that are so convincing that it's benign, that that two or three month interval that they've suggested-- if I'm wrong and it's actually a cancer, the amount that it's going to grow in that time period is so small that we've not lost anything. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . It's a wonderful, wonderful place. Future Oncol. You know, we go, oh, it's a 20% chance. Randomly selected patients are sent patient satisfaction surveys after their visits. What exactly goes on there, and why is that so critical? Within the Department of Medicine, the Division of Pulmonary and Critical Care Medicine provides services at Loyola University Medical Center, Edward Hines, Jr. VA Hospital and RML Specialty Hospital. But we're also going to work with you. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. And of course, you came here at kind of an odd time, during a pandemic. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. It is covered by insurance. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. No, for sure. Stopping smoking can help you just across the board. And if someone ever by mistake says to you, yeah, they can see you in three months. And I have been working at the University of Chicago since 1998. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . protected veterans, and individuals with disabilities. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. And we keep spacing that interval of scan out if nothing has changed. Panicking, obviously, is never helpful. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. [MUSIC PLAYING]. You will get seen three to four weeks from now. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. 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. It's a wonderful website. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. A star rating is not given if a provider only has a small number of survey responses. Communicate with your doctor, view test results, schedule appointments and more. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. And one that has a very low invasive potential. And that could be in person. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. 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. The Fellowship Coordinator will be responsible for coordination and administrative support for fellowship programs in Pulmonary and Critical Care Medicine, Sleep Medicine, and Interventional Pulmonology. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. So that's nice. So-- For help with MyChart, call us at 1-844-442-4278. We'll get you a speech card. 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. And that would be annually until they kind of exit out after that 15 years. Schedule your appointment online for primary care and many specialties. And that's a very important part for a cancer evaluation. And that could be in person. So we go through your mouth. Compare hospital ratings for pulmonology and lung surgery. Report Job. You will still be the same stage. That's coming up right now on At The Forefront Live. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. We want to remind people, very important, do not forego medical care during COVID. But we're also going to work with you. This is from Therese. And how minimal it actually is? So-- You know, you said at the very beginning, I have a nodule, should I panic? Just to echo what Dr. Wagh said. And it's very professionally satisfying. 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. So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? Or you're going to go to radiation or whatever. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? We're going to give you some strong recommendations. I'm not happy that I have to tell you it's cancer. So appreciate that. Like, I'm not worried about spreading disease. Section of Pulmonary/Critical Care Interesting. Well, if you have a cancer, the next question is, what stage is it? of Colorado Health Sciences Ctr. The probability, if it's low enough, we don't want to do invasive things to you. We also have literally the world's greatest nurse practitioner, Kimberly. And we're also going to just keep radiating you. Chicago Chest Center was the first dedicated IP fellowship program in the Chicago area and the oldest established full service Interventional Pulmonology program in the state. Our pulmonary and allergy physicians see clinic patients in the Center for Lung Health, located in room 3C in the UI Health Outpatient Care Center (OCC), which is at 1801 W Taylor. We're going to do our work. Meet the Doctor. Yes, sir. And Dr. Hogarth, I want to start with you. No, for sure. All rights reserved. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? When we-- and I'll also say it depends. It could be cancer. Oh, less than 5%, OK, let's slow down a little bit. Communication is important with the patients. 840 S. Wood Street MC719 Chicago, IL 60612. So a little bit of a fan club going here, but that's awesome. [MUSIC PLAYING] And smoking is certainly a problem, a historical problem that we're working to deal with every day. And you know, COVID makes it harder for patients to see doctors. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And so part of our discussion is, what's the probability that this nodule that you have on your CAT scan-- is it actually cancer or not? 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 . Can you kind of talk to us a little bit about that, and walk us through that? So I mean, we do have a regular process of lung cancer screening. Dr. Hogarth kind of briefly said something about the blood tests. We're open for business. Randomly selected patients are sent patient satisfaction surveys after their visits. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Interventional Pulmonology Secondary Specialty. 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. So typically we'll have a clinic evaluation. So look, there's three ways to sample inside the lung. I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. Go ahead, Ajay. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And that's sort of when we take a look at the CAT scan very closely. And usually we discuss medications, if the patient is on a blood thinner. Every tumor, of course, has its own biology speed at which it grows. You want to be calm and cool. So we'll wake you up. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Absolutely. You will get seen within a week every time here. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. Quick Apply. That's going to be number one on the list. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. This type of training is beyond what is typically available in a standard . With Dr. Murgus extensive knowledge of airflow dynamics, nomenclature and classification systems of tracheal stenosis, tracheobronchomalacia (the weakening of the trachea and bronchi) and excessive dynamic airway collapse, he has the experience, knowledge and skill to deliver long-term success for his patients. We do have one that I want to get to. It sounds like you're in a busy, busy place. Learn more about clinical trials and find a trial that might be right for you. But there's many other tests. But we also want to explain to you what we're going to do to actively follow you. And I try to reliably perform that every day when I come to work. Schedule your appointment online for primary care and many specialties. Because it has everything to do with the quality of the machine for the radiation that goes through. And as Dr. Wagh just said, we are able to do video visits and televisits. Or is that the moment of panic at that point? Absolutely. 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? And then afterwards, once we settle on a date, the patient comes in. Faculty and fellows conduct research in a wide range of topics such as devices in sleep medicine and interventional pulmonary, laboratory studies in IPF fibroblast pathology or building new lungs for transplantation. Or is this something that happens and you just need to get it checked out? An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. But you come in, we have a pre-procedural area where the patients get kind of their IV. The immediate reaction is you're probably frightened. We're not going to just say, you must do this. Interesting. That's not hard to convince someone. Because why would I put you-- why would I cure you of something that's never going to harm you? The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. I apologize. If it bothers you to come near the Medical Center, fine, let's do it via the computer. An Interventional Pulmonology (IP) Advanced Practice Provider works in collaboration with Board Certified Physicians in the Department of Internal Medicine on the Pulmonology Service who specialize in the management of complex airway and pleural diseases. You shared really some good information with our audience. That is not acceptable to make you wait. Phone: (773) 702-9660, Mailing Address: You want to be calm and cool. Consultations and second opinions are also available on request for patients that have . That's another thing that you probably want to caution people about. 2023 The University of Chicago Medical Center. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? You can't eat after midnight. Interesting. Because it's a difficult time in people's lives when they have something like this done. We could get you a plaque or something. And it is, would my annual low dose CT lung cancer screening show nodules? And I hope you have a great week. So I want to get back to biopsies for just a moment. So ground glass nodules are a different biology. And as always, we'll take your questions during our 30 minute program. So before we go and suddenly just remove a whole portion of your lung, let's slow down for a second and do things right. There's a surgeon, who's going to go in and cut part of it out. River East Location . If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. And I don't know. Advanced technology and minimally invasive options are available. Where it's basically put right through your chest into the lung nodule done through the radiology department. And you don't want to. Or does it have to be a higher dose CT screening? And sign a few papers. You're out. 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. And we get the tissue that we need. But I love these. Your lungs are going to be ultimately attached to your mouth. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. Can you talk to us a little bit about what the patient experiences in this procedure? Get a Second Opinion. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Along with his clinical practice, Dr. Wagh is an active researcher. And this is a little bit inside baseball. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. Chicago, IL 60637, Referring Physician Access Line: Chicago Chest Center - 2015. I want to know you're an early stage cancer. The responses are used to improve patient experience and recognize staff members for the care they provide. You will get seen within a week every time here. So typically we'll have a clinic evaluation. Patient survey responses are also used to make star ratings for each provider. Or should we offer something else? We're still operating. UChicago Faculty Physicians The fear always is that cancers are going to grow. Well, if you have a cancer, the next question is, what stage is it? You don't have to go get another procedure that's going to take time to then figure out what stage you are. Getting an expert opinion about what could this nodule actually be. And if you can, just kind of set the stage for us and tell us a little bit about nodules and masses, and what are they and how do people even know that they have such a thing in their lungs. So-- If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. A star rating is not given if a provider only has a small number of survey responses. What's that chance? Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. So I'm excited to be here in the city, and part of this program. Well, it certainly can. Critical Care Medicine; Pulmonology; Meet the Doctor . The University of Michigan as a . Why aren't we just following the pathway down? . We just talked a moment ago, and you're pretty new here. But of course, there's biopsies. That's why we do it. No, don't panic. And so think of it like a sponge. Now, a question. For help with MyChart, call us at 1-844-442-4278. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. The Emory Sleep Medicine . And the patient goes afterwards to a post-procedural area, where they recover. That's why we do it. And Dr. Hogarth, we'll start with you. Well, gentlemen, we're out of time. Open for more information. And of course, you came here at kind of an odd time, during a pandemic. He sees patients in clinic on Fridays. That's good to know. And our complication rate is the lowest amongst the three. We have been providing exceptional and compassionate . Or come and visit a lung physician. And you say, well, wait. I don't know who wants to take that one. Dr. Wagh, let's hear a little bit about you. They come into the sky lobby here at UChicago. And the individual tumor biology is changing. So we want to-- I mean, we want to do this for everybody. So my name is Kyle Hogarth. Interventional Pulmonology. I kiss my spouse. So I have two from viewers that I have to pass along. But a doctor may see something on a chest x-ray. And there are potential treatments to help patients quit smoking as well. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. St. Peters Health Partners Medical Associates, P.C. Conditions & Services; And you two, and your teams, are really good at helping people through that situation. Or come and visit a lung physician. So a little bit of a fan club going here, but that's awesome. And hopefully, go home if nothing happens. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. They're still cutting in you. We're giving you the least amount of radiation, even for what's called a diagnostic scan. So if we think you're at early stage cancer, that's great. And the city of Chicago is a great place and a lot of fun. And so now you're going to go to the surgeon to be cured. And thank you to our viewers for your great questions. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. After initially working as a hospitalist, he pursued a pulmonary and critical care fellowship at OHSU followed by an interventional pulmonary fellowship at the University of Texas MD Anderson Cancer Center. The University of Illinois at Chicago/Chicago Chest Center offers a 12 month Interventional Pulmonology fellowship is spread across a spectrum of hospitals to allow for exposure to a wide variety of patients, diagnoses, interventions and multiple mentors. We want to find patients who have a history of smoking, quit within the past 15 years. And you can speak with your physician about that. You know, it's not just like, yeah, you do this. 5841 South Maryland Avenue, You know, you mentioned that being covered by insurance. Our doctors will actually even join us from the places where they're doing the work. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. I apologize. And we also try to figure out, is it a lesion that requires biopsy? Some of them are just re-evaluating the CAT scan you have. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. And if you can, just kind of set the stage for us and tell us a little bit about nodules and masses, and what are they and how do people even know that they have such a thing in their lungs. [MUSIC PLAYING] My name is Ajay Wagh. So we need to get going and do something about it. The 30 faculty, clinical associates and research associates along with a staff of more than 72, have devoted themselves to the pursuit of excellence in each of these important activities. We don't even have any camera people in here. The ranking is a reflection of the leading-edge lung and . What exactly goes on there, and why is that so critical? And we do it through your mouth. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. But in reality, if you're a patient, there's only two things. But what I can also tell you is it's cancer, here's what stage it is. Even the show that we're doing right now, you two are remote. Advanced technology and minimally invasive options are available. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. Yeah, sure. Well, it certainly can. I recently completed an interventional pulmonary fellowship, which brought me here. Because it's a difficult time in people's lives when they have something like this done. Chicago, IL 60637 And we're very serious about that. 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. (312) 996-8039. And we also try to figure out, is it a lesion that requires biopsy? . And if someone ever by mistake says to you, yeah, they can see you in three months. That's good to know. And I would imagine in this-- I've got to word COVID of in here, because you know, it's what we're talking about everywhere. Because we will always see you. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . And you know, it is extremely valuable. Currently, there are six board certified Interventional Pulmonologists and a wide range of . . Like, I'm not worried about spreading disease. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. There's also what's called a needle biopsy. So when we're done, you go home. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. It is covered by insurance. Sleep Medicine. Where it's basically put right through your chest into the lung nodule done through the radiology department. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. You need to raise a fit. And that's very important. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Phone: (773) 702-9660. 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.
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