And one that has a very low invasive potential. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. And thank you to our viewers for your great questions. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Advanced technology and minimally invasive options are available. And then second step is find the right people to help take care of you. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. We can talk about imaging modalities. You were fantastic. We'll try to get to as many as we can over the next half hour. Randomly selected patients are sent patient satisfaction surveys after their visits. Associate Professor of Medicine, Co-director of Bronchoscopy. That's good to know. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . Where it's basically put right through your chest into the lung nodule done through the radiology department. Well, my name is Ajay Wagh. They're still cutting in you. 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. That's going to be number one on the list. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. We also have literally the world's greatest nurse practitioner, Kimberly. Fellows. And using some of the tools that we have. . So-- go ahead, Dr. Hogarth, did you have something you wanted in? Well, my name is Ajay Wagh. And without a doubt, the possibility of cancer is what scares everybody. Follow @uw_APCC. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. What happens? It is covered by insurance. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . 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. Yes, sir. Get a Second Opinion. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Getting an expert opinion about what could this nodule actually be. So-- All rights reserved. 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) 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. Now, these are complicated discussions. Obviously, if things change, then that's a discussion towards biopsy. Make sure everything looks right, that it would be safe to proceed. You know, in fact, just to even further hammer home that point. The University of Chicago Medicine. Interventional Pulmonology. So I want to get back to biopsies for just a moment. Thoracic Imaging. 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. And prior to that, I was a private practice pulmonary critical care doctor for six years. They come into the sky lobby here at UChicago. And we have a series of other tests we can do. 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. Show more Show less And you know, it is extremely valuable. 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. That is not acceptable to make you wait. So I'm going to have you answer the question, but also kind of explain what she's asking here. Like, I'm not worried about spreading disease. 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. So typically we'll have a clinic evaluation. So if you need an appointment, give us a call at 888-824-0200. And I don't know. You know what, I always tell people is there is a long list of things that the nodule could be. If you think about it, the lung is mostly air. Patient survey responses are also used to make star ratings for each provider. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. You're going to go home. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. So Dr. Wagh, it was interesting because this is almost like a video game. 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 . And either one of you can jump on this one. But you come in, we have a pre-procedural area where the patients get kind of their IV. We'll try to get to as many as we can over the next half hour. So a little bit of a fan club going here, but that's awesome. And every patient is different. Randomly selected patients are sent patient satisfaction surveys after their visits. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Chicago, IL 60637 Well, that's nice. Well, I think that there's several possibilities. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. We are taking questions from viewers. No, it will show the nodules. And Dr. Hogarth, I want to start with you. 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. So look, there's three ways to sample inside the lung. So we do want to remind our viewers, we'll take your questions for our experts. Sleep clinic patients are seen here during the day . So you're going to get way more bang for your buck literally as a scan by coming here. Exactly. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. In some cases, they are a precancerous lesion. Go ahead, Ajay. of Colorado Health Sciences Ctr. And it's important here. And they hear, oh my gosh, I've got a nodule. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. Learn more about clinical trials and find a trial that might be right for you. And so Dr. Hogarth, we have another question from a viewer. 5841 S Maryland Ave, MC 6076. 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. And we can help you do that, too. We have been providing exceptional and compassionate . But to delay any amount of care. St. Peters Health Partners Medical Associates, P.C. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. 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. And how urgently must patients act? Can you kind of talk to us a little bit about that, and walk us through that? UChicago Faculty Physicians Because why would I put you-- why would I cure you of something that's never going to harm you? Just type them in the comments section. And good nutrition and exercise is important, and we can help you get on the right track. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. But we also want to explain to you what we're going to do to actively follow you. So I mean, we do have a regular process of lung cancer screening. 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're not going to just say, you must do this. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. But of course, there's biopsies. It's a wonderful, wonderful place. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? . Medical school: St. James School of Medicine Anguilla, Park Ridge, IL Residency: University of Illinois College of Medicine, Peoria, IL Professional interests: ARDS, sepsis and infectious lung diseases. And so Dr. Hogarth, we have another question from a viewer. 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. Interesting. So we want to-- I mean, we want to do this for everybody. But many times, you might notice something on an x-ray that's not part of the screening pathway. What are some of the options to evaluate lung nodules and lung masses? And the individual tumor biology is changing. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? So, I really believe in great communication and teamwork. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. We want to minimize radiation. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. They're still cutting in you. 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. 11234 Anderson St, Loma Linda, CA 92354. . That ground glass, if it gets larger or denser, then it's changing. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. I mean, it's really amazing. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. However, not everyone who receives an abnormal CT scan should be rushed into surgery. I am a Professor of Medicine here. And that would be annually until they kind of exit out after that 15 years. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. That's right. Yeah. Yes, so a patient typically comes in basically just for a few hours during the day. Because it's a difficult time in people's lives when they have something like this done. Just type them in the comments section. I want to know you're an early stage cancer. I love math and science, and I love to problem solve, so I started out in engineering. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. See, this just shows how important it is that we do these programs here. And we keep spacing that interval of scan out if nothing has changed. And our complication rate is the lowest amongst the three. Or you're going to go to radiation or whatever. 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. We have a great team here, and I'm excited to be part of it. We're giving you the least amount of radiation, even for what's called a diagnostic scan. Well, gentlemen, we're out of time. I remember when Dr. Hogarth showed this to me. And how minimal it actually is? So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. Well, if you have a cancer, the next question is, what stage is it? We're still operating. So that's nice. That's always the question people want to know. Because an abnormal CT scan is terrifying. First, if you smoke, please quit. They come into the sky lobby here at UChicago. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? Schedule your appointment online for primary care and many specialties. Nicole Greenlee. The probability, if it's low enough, we don't want to do invasive things to you. And we do it through your mouth. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Learn more about clinical trials and find a trial that might be right for you. Interventional Pulmonology Secondary Specialty. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And you know, COVID makes it harder for patients to see doctors. I follow the philosophy of following the three A's-- affable, available, and able. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. 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. That is not acceptable to make you wait. Because why would I put you-- why would I cure you of something that's never going to harm you? He sees patients in clinic on Fridays. So I always have to do this. So this is an actual question. Phone: (773) 702-9660, Mailing Address: And we also try to figure out, is it a lesion that requires biopsy? What Dr. Wagh and I do is a procedure called bronchoscopy. Why aren't we just following the pathway down? 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 as always, we'll take your questions during our 30 minute program. We will overbook you. 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. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. You shared really some good information with our audience. We can talk about imaging modalities. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. Our doctors will actually even join us from the places where they're doing the work. And you know, those patients typically are eligible for low dose lung cancer screening. But of course, there's biopsies. 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. And it also has a lot of great COVID information. We're going to give you some strong recommendations. This is a safe place. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. Thanks again for being with us today. 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. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. 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. But we're very careful about that. No, don't panic. All rights reserved. And we have a high success rate to get you an answer. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. The Department of Pulmonary, Critical Care, Sleep, and Allergy at UI Health provides the highest level of care and treatment for lung disorders and diseases. But also cat scanning. That's not hard to convince someone. It's OK. No, it's a great question. We get thousands of survey responses each year. And so now you're going to go to the surgeon to be cured. Or is that the moment of panic at that point? Go ahead, Ajay. 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. I mean, it's really amazing. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And it is, would my annual low dose CT lung cancer screening show nodules? Communicate with your doctor, view test results, schedule appointments and more. Patients have both benign and malignant non-cardiac diseases of the chest. And you don't want to. 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 . What happens? But I love these. University of Chicago, Interventional Pulmonology; Board Certifications. And these procedures all have their own benefits, but also their own complications. And at that point, they'll meet the anesthesiologist, the nursing staff. And between the four of us, we're all in clinic at any given moment. 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. We don't want that to happen. 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. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. That's another thing that you probably want to caution people about. Interesting. It's a wonderful website. Phone: (773) 702-9660. Yeah, there's several possibilities in that regard to evaluate these. And Dr. Wagh, maybe you can take this next one. If we keep scanning you, we're never going to see change. 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. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Our commitment is to outstanding clinical care, to mentoring and . Stopping smoking can help you just across the board. And so that becomes one procedure, as opposed to multiple procedures. We want to minimize radiation. Oh, less than 5%, OK, let's slow down a little bit. And the city of Chicago is a great place and a lot of fun. Loma Linda University Children's Hospital. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . Interesting. We're going to do our work. 5841 South Maryland Avenue, And how urgently must patients act? I am a Professor of Medicine here. You shared really some good information with our audience. 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. I'm not happy that I have to tell you it's cancer. We work collaboratively with pulmonary medicine, critical care, allergy, thoracic surgery, medical oncology, radiation oncology, otorhinolaryngology and transplant specialists to provide you with a seamless care experience. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . For help with MyChart, call us at 1-844-442-4278. But a doctor may see something on a chest x-ray. And so the lymph nodes are where cancer would spread to first. It's so important. And there we perform our procedures. Or does it have to be a higher dose CT screening? Thanks again for being with us today. You know, you said at the very beginning, I have a nodule, should I panic? You will get seen three to four weeks from now. Phone: (773) 702-1856 Yeah, and I want to tell people-- this is a very, very safe place. So my name is Kyle Hogarth. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Email: ipscheduling@jhmi.edu. Open for more information. So I have two from viewers that I have to pass along. I mean, we do have telemedicine options. We are extremely cautious about everything here. And I have been working at the University of Chicago since 1998. What's that chance? And I think that's the first key step. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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. But we can. 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. We are extremely cautious about everything here. University Pulmonary and Critical Care (UPCC) physicians and nurse practitioners specialize in the diagnosis and treatment of inpatient critical care patients who are typically hospitalized as well as diagnosis and treatment of pulmonary (lung) conditions in an outpatient setting. So when we're done, you go home. And as Dr. Wagh just said, we are able to do video visits and televisits. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. And it is, would my annual low dose CT lung cancer screening show nodules? And Janet wants to know how invasive is a lung biopsy? [LAUGHTER] Because the chance it's cancer is so low, and every invasive procedure always carries a risk. That's coming up right now on At The Forefront Live. So that's nice. 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. 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. Interventional Pulmonary; Hospitals. All kinds of fantastic information there. And we get the tissue that we need. Loyola Medicine has a fully accredited and highly competitive three-year combined Pulmonary and Critical Care Fellowship program with a total complement of 13 clinical fellows. So first is just a discussion with you of what is the probability that this could be a malignancy for you. 3 University of Rochester Medical Center, Rochester New York. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And that's sort of when we take a look at the CAT scan very closely. Communication is important with the patients. I remember when Dr. Hogarth showed this to me. Interventional Pulmonary. Pulmonary & Critical Care Medicine. Maybe Dr. Hogarth, you can start. I'm in the studio all by myself, as you can see here. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. It should be a CAT scan if you are eligible. It's got to be terrible. I want to know you're an early stage cancer. But also cat scanning. It could be cancer. Because it's a difficult time in people's lives when they have something like this done. And it's something solid. You know, it's not just like, yeah, you do this. And they'll double check everything. Some of them are blood based tests. But I love these. So I always have to do this. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. But in reality, if you're a patient, there's only two things. 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. Communicate with your doctor, view test results, schedule appointments and more. So talk to us a little bit more about the lymph nodes. So follow-up scans could also be low dose as well. That's a great question. 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. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 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. 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. We have a great team here, and I'm excited to be part of it. And they hear, oh my gosh, I've got a nodule. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Now, these are complicated discussions. Well, we're very happy to have you. We'll get you a speech card. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, Advanced Diagnostic and Therapeutic Bronchoscopy, University of Tennessee College of Medicine. And Janet wants to know how invasive is a lung biopsy? the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . That's good to know. (312) 996-8039. There's nobody else here. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. But a doctor may see something on a chest x-ray. Instead, you might have a little sore throat for a day or two.
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