That's why we do it. I can meet with you virtually. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. Report Job. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Because it has everything to do with the quality of the machine for the radiation that goes through. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Every tumor, of course, has its own biology speed at which it grows. And then I'll have Ajay go at it as well. But there's many other tests. Your lungs are going to be ultimately attached to your mouth. And that's very important. So first is just a discussion with you of what is the probability that this could be a malignancy for you. Conditions & Services; He has done the most cases in the United States and has authored numerous publications on this topic. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And then at that point, we would bring the patient back to the our laboratory. Or should we offer something else? [MUSIC PLAYING] 20 on the Best Hospitals Honor Roll. And one that has a very low invasive potential. And how minimal it actually is? And so those are our mainstays of imaging. And where this matters is, of course, if I go and prove that it's not a cancer, then rather than being cut open and proved it was not a cancer-- which is great it's not cancer, but you've been cut open. It's a wonderful, wonderful place. Or is that the moment of panic at that point? No, it will show the nodules. Age is usually 55 to 80. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Future Oncol. But if it shows anything of any concern, especially if it's your first one, that may require a follow-up scan in a shorter interval or one with slightly higher radiation. We get thousands of survey responses each year. And how urgently must patients act? And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. And we can help you do that, too. That's going to be number one on the list. Emphysema and advanced emphysema. Instead, you might have a little sore throat for a day or two. You know, you mentioned that being covered by insurance. This is from Therese. There's also what's called a needle biopsy. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. I recently completed an interventional pulmonary fellowship, which brought me here. So-- It's so important. We have been providing exceptional and compassionate . Getting an expert opinion about what could this nodule actually be. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. Absolutely. 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. 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. 11234 Anderson St, Loma Linda, CA 92354. . And if someone ever by mistake says to you, yeah, they can see you in three months. Get a Second Opinion. And teasing out what's what is what Ajay and I do. We are taking questions from viewers. Show more Show less But a doctor may see something on a chest x-ray. Get a Second Opinion. And prior to that, I was a private practice pulmonary critical care doctor for six years. Sue Hammerschmidt. So Dr. Wagh and I have our partner, Dr. Mergue. And this is a little bit inside baseball. And these procedures all have their own benefits, but also their own complications. Or does it have to be a higher dose CT screening? 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 Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. You will get seen within a week every time here. You know, it's not just like, yeah, you do this. We can talk about imaging modalities. I don't know who wants to take that one. October 29, 2020 . Yes, sir. Oh, less than 5%, OK, let's slow down a little bit. It's usually about a half day's worth of time. 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. And I try to reliably perform that every day when I come to work. And it's important here. 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. Rush University Medical Center in Chicago, IL is ranked No. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. But we're also going to work with you. And that would be another area, I would imagine. I want to know you're an early stage cancer. 11 millimeters is rather small. 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. Now, a question. And that's sort of when we take a look at the CAT scan very closely. I love math and science, and I love to problem solve, so I started out in engineering. So typically we'll have a clinic evaluation. And you know, COVID makes it harder for patients to see doctors. . So if we think you're at early stage cancer, that's great. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Pulmonary & Critical Care Medicine. Amit, I hope I'm pronouncing this correctly. Because it's a difficult time in people's lives when they have something like this done. And as always, we'll take your questions during our 30 minute program. And there are potential treatments to help patients quit smoking as well. 5841 South Maryland Ave., MC 6076 . 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. Chicago, IL 60637 Why aren't we just following the pathway down? And was fortunate enough to start the bronchoscopy program here, and the Nodule program. And Dr. Hogarth mentioned blood tests even, a few moments ago. If you're concerned about cancer and there's an intermediate pre-test probability, based on a calculated evaluation, then we can potentially offer a blood test or something else that may potentially reduce the risk. Well, that's nice. And I think we like to take things one step at a time. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. Is following a nodule ground glass opacity with yearly CT standard? Because an abnormal CT scan is terrifying. Because an abnormal CT scan is terrifying. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. 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. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. 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. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. And there we perform our procedures. Can you kind of talk to us a little bit about that, and walk us through that? 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. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. You're going to go home. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. Only clean air in the lungs, please. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Chicago Chest Center - 2015. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. I work here, I go home, I kiss my children. But when it's time to get a follow-up scan, the reason, ultimately, for these ground glasses, why they settle into yearly, is precisely because they're slow growing. And Dr. Hogarth, I want to start with you. And they'll double check everything. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. 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. 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. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. I'm new here to the University of Chicago, and very thankful to be here. 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. But to delay any amount of care. UChicago Faculty Physicians An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. Yes, so a patient typically comes in basically just for a few hours during the day. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. Because I know this is a very complex situation. Oh, less than 5%, OK, let's slow down a little bit. Yes, sir. 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. They're still cutting in you. D. Kyle Hogarth, MD, is an expert in pulmonary diseases.He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancer through bronchoscopy.Dr. And without a doubt, the possibility of cancer is what scares everybody. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. And I hope you have a great week. You know what, I always tell people is there is a long list of things that the nodule could 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. Can you kind of walk us through that? But of course, there's biopsies. I'm actually in the endoscopy suites. So there's no cutting. [LAUGHTER] Go ahead, Ajay. You want to be calm and cool. But we also want to explain to you what we're going to do to actively follow you. Can you talk to us a little bit about what the patient experiences in this procedure? What are some of the options to evaluate lung nodules and lung masses? We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . So ground glass nodules are a different biology. Chronic cough. Section of Pulmonary/Critical Care The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And sign a few papers. Just to echo what Dr. Wagh said. And I hope you have a great week. Referring . Interventional Pulmonary. Our doctors will actually even join us from the places where they're doing the work. 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. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. So-- Communication is important with the patients. And they hear, oh my gosh, I've got a nodule. Stopping smoking can help you just across the board. He sees patients in clinic on Fridays. And you know, it is extremely valuable. Dr. Wagh, let's hear a little bit about you. Advanced technology and minimally invasive options are available. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Star ratings and comments come from a number of survey questions. Sure. Critical Care Medicine; Pulmonology; Meet the Doctor . And so Dr. Hogarth, we have another question from a viewer. If we keep scanning you, we're never going to see change. 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 it bothers you to come near the Medical Center, fine, let's do it via the computer. You will still be the same stage. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Our list of accepted insurance providers is subject to change at any time. Full-Time. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Loma Linda University Children's Hospital. Yes, sir. No, don't panic. . But also don't ignore it, and don't delay it. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Make sure everything looks right, that it would be safe to proceed. But of course, there's an 80% chance it's not cancer. But a doctor may see something on a chest x-ray. Obviously, if things change, then that's a discussion towards biopsy. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Even the show that we're doing right now, you two are remote. With this new curriculum, physicians learn by using simulation technology, interactive step-by-step instructions and problem-based teaching which create an engaging and authentic learning environment. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And then they wait to be brought to the pre-procedural area. It is covered by insurance. Dr. Hogarth kind of briefly said something about the blood tests. Just type them in the comments section. We could get you a plaque or something. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. And it also has a lot of great COVID information. The probability, if it's low enough, we don't want to do invasive things to you. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. This isn't that twilight. So we want to-- I mean, we want to do this for everybody. I am a Professor of Medicine here. Panicking, obviously, is never helpful. Where it's basically put right through your chest into the lung nodule done through the radiology department. We get thousands of survey responses each year. And every patient is different. The Emory Sleep Medicine . For help with MyChart, call us at 1-844-442-4278. And how minimal it actually is? is seeking to recruit a Pulmonary and Critical Care Physician to join our robust team of highly experienced providers.This position requires coverage in the outpatient office located at 5 Palisades Drive, Albany NY and inpatient coverage at St Peter's Hospital Albany, NY including weekend call at Samaritan Hospital in Troy, NY. So if we think you're at early stage cancer, that's great. It's a wonderful website. And Dr. Hogarth, we'll start with you. Randomly selected patients are sent patient satisfaction surveys after their visits. If you're concerned about cancer and there's an intermediate pre-test probability, based on a calculated evaluation, then we can potentially offer a blood test or something else that may potentially reduce the risk. The Section of Pulmonary and Critical Care Medicine has been a model of exemplary patient care, research, and post-doctoral training for more than 20 years. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. You are comfortable. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Or suggest that the pre-test probability is lower. That's coming up right now on At The Forefront Live. [MUSIC PLAYING] My name is Ajay Wagh. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. James Katsis, MD is affiliated with Rush University Medical Center and specializes in Pulmonology Services in Chicago, IL James Katsis, MD - Rush University Medical Center Call (888) 352-RUSH (7874) And Dr. Wagh, maybe you can take this next one. And you don't want to. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . And you know, those patients typically are eligible for low dose lung cancer screening. So ground glass nodules are a different biology. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. Well, it certainly can. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. But we're also going to work with you. So I have two from viewers that I have to pass along. And that would be annually until they kind of exit out after that 15 years. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. So we do want to remind our viewers, we'll take your questions for our experts. When there are no changes from scan to scan. Well, my name is Ajay Wagh. And then based on that discussion, we would set a patient up for a procedure. So appreciate that. 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. 11 millimeters is rather small. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Associate Professor of Medicine, Co-director of Bronchoscopy. Learn more about clinical trials and find a trial that might be right for you. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And we're very serious about that. It's got to be terrible. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Interventional Pulmonology. Karen says, your pulmonary department is the best. You are comfortable. We're open for business. Media. We also have literally the world's greatest nurse practitioner, Kimberly. And these procedures all have their own benefits, but also their own complications. I apologize. I want to know you're an early stage cancer. But we're very careful about that. I apologize. And so Dr. Hogarth, we have another question from a viewer. But that's part of what you do. So this is an actual question. If you think about it, the lung is mostly air. In other cases, they are actually a cancer. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . So you're going to get way more bang for your buck literally as a scan by coming here. And I think that's the first key step. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. But you come in, we have a pre-procedural area where the patients get kind of their IV. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. 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. The responses are used to improve patient experience and recognize staff members for the care they provide. Or you're going to go to radiation or whatever. We're giving you the least amount of radiation, even for what's called a diagnostic scan. In some cases, they are a precancerous lesion. Age is usually 55 to 80. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. So that you get an answer as to what this nodule actually is. And how urgently must patients act? 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. Interesting. 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. It's an oath both of us took. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. 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. And we will kind of shepherd the patient along the way. So typically we'll have a clinic evaluation. The fear always is that cancers are going to grow. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. What you're never going to hear from us is to say, now there's nothing to do, leave.
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