American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . Full-Time. It's a wonderful website. I can meet with you virtually. Communicate with your doctor, view test results, schedule appointments and more. They come into the sky lobby here at UChicago. Obviously, if things change, then that's a discussion towards biopsy. And I was fortunate enough, I think, gosh, it's been over a year ago. Some of them are blood based tests. You will not know we're doing this to you. We don't want that to happen. So we need to get going and do something about it. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Interventional Pulmonology. I don't know who wants to take that one. So we do want to remind our viewers, we'll take your questions for our experts. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . You will not know we're doing this to you. 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. Is that-- should you be frightened? Additionally, he authored a best-selling textbook on bronchoscopy as well as written numerous book chapters and clinical guidelines pertinent to the management of patients with lung cancer. 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. 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. So you're going to get way more bang for your buck literally as a scan by coming here. And they'll double check everything. Maybe Dr. Hogarth, you can start. No, for sure. What Dr. Wagh and I do is a procedure called bronchoscopy. So that you get an answer as to what this nodule actually is. Who we treat. I don't know who wants to take that one. And I think we like to take things one step at a time. As faculty members of the University of Cincinnati [] This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . Yes, sir. 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 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. 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 kiss my spouse. And of course, you came here at kind of an odd time, during a pandemic. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . So talk to us a little bit more about the lymph nodes. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. And that would be annually until they kind of exit out after that 15 years. It's OK. And we get the tissue that we need. We could get you a plaque or something. We do have one that I want to get to. MC 6092 If we keep scanning you, we're never going to see change. The responses are used to improve patient experience and recognize staff members for the care they provide. So Dr. Wagh, it was interesting because this is almost like a video game. And you can speak with your physician about that. 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. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. And usually we discuss medications, if the patient is on a blood thinner. I love taking care of people, and I love to see them breathe better and feel better. When we-- and I'll also say it depends. Dr. Hogarth kind of briefly said something about the blood tests. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. And that's kind of comforting, I think, for most patients. 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. 2023 The University of Chicago Medical Center. A star rating is not given if a provider only has a small number of survey responses. And there we perform our procedures. And let's go through your CAT scan and let's have this discussion about what our next step is. Interventional Pulmonary. So follow-up scans could also be low dose as well. I kiss my spouse. 13 in the nation for Pulmonary and Lung Surgery. Well, the blood test actually showed that it's less than 5%. Northwestern Memorial Hospital; Univ. You want to be calm and cool. Or is that the moment of panic at that point? Oh, less than 5%, OK, let's slow down a little bit. Yes, sir. Star ratings and comments come from a number of survey questions. Interventional pulmonology is a new field within pulmonary medicine focused on the use of advanced diagnostic and therapeutic techniques for patients with lung cancer, airway disorders, and pleural diseases. We're going to do our work. Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Well, my name is Ajay Wagh. We get thousands of survey responses each year. And I have been working at the University of Chicago since 1998. So there's no cutting. of Colorado Health Sciences Ctr. 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. Our list of accepted insurance providers is subject to change at any time. 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. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. What you're never going to hear from us is to say, now there's nothing to do, leave. You are comfortable. So let's start off with our questions. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . Or come and visit a lung physician. And Dr. Wagh, maybe you can take this next one. Because it's a difficult time in people's lives when they have something like this done. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. We want to minimize radiation. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. Interventional Pulmonology Fellowship; Post-Doctoral; . By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. No, for sure. And then I'll have Ajay go at it as well. This isn't that twilight. You were fantastic. 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. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Funding for Educational Activities Because an abnormal CT scan is terrifying. First, do no harm. And then second step is find the right people to help take care of you. And we're also going to just keep radiating you. But also don't ignore it, and don't delay it. It's a wonderful website. Star ratings and comments come from a number of survey questions. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . And we're very serious about that. You know what, I always tell people is there is a long list of things that the nodule could be. See, this just shows how important it is that we do these programs here. 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. Get a Second Opinion. Or is that the moment of panic at that point? So we do want to remind our viewers, we'll take your questions for our experts. Because I know this is a very complex situation. What happens? Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. Sunit Singla, MD. And without a doubt, the possibility of cancer is what scares everybody. I recently completed an interventional pulmonary fellowship, which brought me here. We have a great team here, and I'm excited to be part of it. 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. And either one of you can jump on this one. So this is an actual question. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Really, really good questions today. Dr. Hogarth kind of briefly said something about the blood tests. Our list of accepted insurance providers is subject to change at any time. We're still operating. I mean, we do have telemedicine options. That's always the question people want to know. Chicago Chest Center/ The University of Illinois Chicago. So I'm going to have you answer the question, but also kind of explain what she's asking here. But there's many other tests. Oh, let me reinforce that. Yes, so a patient typically comes in basically just for a few hours during the day. 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 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 talk to us a little bit more about the lymph nodes. You know, in fact, just to even further hammer home that point. That's a great question. And how minimal it actually 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. UChicago Faculty Physicians BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. 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. And it also has a lot of great COVID information. We evaluate whether or not it's a target that we can reach. That's going to be number one on the list. No, it will show the nodules. 2023 The University of Chicago Medical Center. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. We can talk about imaging modalities. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. There's all kinds of different tests. Critical Care Medicine; Pulmonology; Meet the Doctor . Today there are better insights into cancer and other lung diseases. Get an online second opinion from one of our experts without having to leave your home. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. We evaluate whether or not it's a target that we can reach. And then they just go home. Stopping smoking can help you just across the board. And we can help you do that, too. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Salary and Benefits. [MUSIC PLAYING]. . Instead, you might have a little sore throat for a day or two. You know, it's not just like, yeah, you do this. We get thousands of survey responses each year. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. There's nobody else here. But there's many things it could be. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . But in reality, if you're a patient, there's only two things. 617-632-8036. Dr. Murgus specialty extends to a wide range of central airway disorders, including tracheal stenosis, tracheobronchomalacia, excessive dynamic airway collapse and airway obstruction from cancer. Fellows. October 29, 2020 . And we have a series of other tests we can do. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. We're going to give you some strong recommendations. 11 millimeters is rather small. And then they wait to be brought to the pre-procedural area. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? 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. No, it's a great question. Communication is important with the patients. And so now you're going to go to the surgeon to be cured. This isn't that twilight. It's either cancer or everything else. 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. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Pulmonary & Critical Care Medicine. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. But to delay any amount of care. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. 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. It's so important. And then at that point, we would bring the patient back to the our laboratory. The responses are used to improve patient experience and recognize staff members for the care they provide. Getting an expert opinion about what could this nodule actually be. 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. And you know, COVID makes it harder for patients to see doctors. Interesting. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. But of course, there's an 80% chance it's not cancer. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . And you say, well, wait. We do have one that I want to get to. This is from Therese. The University of Cincinnati Interventional Pulmonology (IP) Service is one of the 34 fellowship programs recognized by the American Association for Bronchology and Interventional Pulmonology (AABIP). (Or create a 1/6 column and add a text field, modify the class so Phone: (773) 702-9660, Mailing Address: Some of the blood tests we have, have the ability to change that number. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Program Director. Rush University Medical Center, a nationally recognized clinical and academic institution, and the teaching hospital for Rush Medical and Nursing Colleges, located in downtown Chicago, is expanding its Interventional Pulmonary (IP) program.To support the continued growth of the IP program, the Division of Pulmonary, Critical Care and Sleep Medicine is seeking to hire a board-certified . For more information about the Interventional Pulmonology Center or to request a referral . And so think of it like a sponge. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Yes, sir. Age is usually 55 to 80. But for many people are extremely, extremely slow growing cancer. The Emory Sleep Medicine . Our doctors will actually even join us from the places where they're doing the work. In some cases, they are a precancerous lesion. It's got to be terrible. He and I, and our other partner, Dr. Mergue, work very hard to make sure that if you need a procedure, it's the right procedure. I love math and science, and I love to problem solve, so I started out in engineering. Referring Physician Access Line: . Some of them are blood based tests. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. It's OK. Physician Recruitment McHenry, IL. And the city of Chicago is a great place and a lot of fun. 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. 20 on the Best Hospitals Honor Roll. That's another thing that you probably want to caution people about. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. 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. Now, these are complicated discussions. Well, we're very happy to have you. Some of them are just re-evaluating the CAT scan you have. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. First, if you smoke, please quit. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. So typically we'll have a clinic evaluation. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . [MUSIC PLAYING]. It's a wonderful, wonderful place. Panicking, obviously, is never helpful. 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. But I'm sure you'll enjoy UChicago Medicine. Patient survey responses are also used to make star ratings for each provider. Get an online second opinion from one of our experts without having to leave your home. It's an oath both of us took. And that is how biopsies work. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. You will still be the same stage. There's a surgeon, who's going to go in and cut part of it out. [LAUGHTER] Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima Or suggest that the pre-test probability is lower. I'm in the studio all by myself, as you can see here. Email: ipscheduling@jhmi.edu. Phone: 410-502-2533. 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. 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. 2018 Apr 17 . That is not acceptable to make you wait. Or you're going to go to radiation or whatever. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And let's go through your CAT scan and let's have this discussion about what our next step is. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. We're going to get to a little bit more detail of that one here in just a moment. So Dr. Wagh and I have our partner, Dr. Mergue. Learn more about clinical trials and find a trial that might be right for you. I mean, I think we are living in a strange time. So-- Or come and visit a lung physician. And how urgently must patients act? The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Communicate with your doctor, view test results, schedule appointments and more. We'll try to get to as many as we can over the next half hour. It is covered by insurance. So we want to-- I mean, we want to do this for everybody. Because we will always see you. Can you kind of walk us through that? And either one of you can do that. But we can. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. Advanced technology and minimally invasive options are available. And it also has a lot of great COVID information. Like, I'm not worried about spreading disease. Or suggest that the pre-test probability is lower. So I always have to do this. You don't have to go get another procedure that's going to take time to then figure out what stage you are. And if someone ever by mistake says to you, yeah, they can see you in three months. protected veterans, and individuals with disabilities. And prior to that, I was a private practice pulmonary critical care doctor for six years. You know, you said at the very beginning, I have a nodule, should I panic? Along with his clinical practice, Dr. Wagh is an active researcher. . It offers a comprehensive program of quality patient care, research and education. We're in very separate areas. The probability, if it's low enough, we don't want to do invasive things to you. Or does it have to be a higher dose CT screening? I work here, I go home, I kiss my children. Get an online second opinion from one of our experts without having to leave your home. I apologize. These are not questions. But you come in, we have a pre-procedural area where the patients get kind of their IV. Meet the Doctor. And at that point, they'll meet the anesthesiologist, the nursing staff. 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. We are extremely cautious about everything here. I remember when Dr. Hogarth showed this to me. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. This is a safe place. And I have been working at the University of Chicago since 1998. He has done the most cases in the United States and has authored numerous publications on this topic. The responses are used to improve patient experience and recognize staff members for the care they provide. And how minimal it actually is? I mean, it's really amazing. 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. The Section of Thoracic Imaging provides state-of-the-art imaging and interpretation of pulmonary and cardiac diseases in close collaboration with internists, pulmonologists and thoracic surgeons at the University of Chicago Medical Center. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Report Job. I mean, the first thing is first, is we do have lung cancer screening, which we offer patients CAT scans if they're eligible and have a smoking history. You shared really some good information with our audience. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. 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 . 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 we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. But I'm sure you'll enjoy UChicago Medicine. All kinds of fantastic information there. Chicago Chest Center - 2015. River East Location . Yeah, sure. And Janet wants to know how invasive is a lung biopsy? Why aren't we just following the pathway down? And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Today there are better insights into cancer and other lung diseases. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Ultimately, I just want to help people feel better and breathe better. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. Really, really good questions today. And we're, of course, happy and eager to help. You need to raise a fit. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 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. And this is a little bit inside baseball. 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. And I think that's the first key step. That's a great question. But we're also going to work with you. And thank you to our viewers for your great questions. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. And you don't want to. This is from Therese. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. That's always the question people want to know. Well, if you have a cancer, the next question is, what stage is it? All rights reserved. It's an oath both of us took. And so Dr. Hogarth, we have another question from a viewer. But we can. But can you kind of walk us through what people can expect before, during, and after one of these procedures. But of course, there's biopsies. So look, there's three ways to sample inside the lung. So appreciate that. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Now, these are complicated discussions. Getting an expert opinion about what could this nodule actually be. And every patient is different. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. The hospital is safe, the hospital is clean. 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. It could be cancer. University of Cincinnati Department of Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine 231 Albert Sabin Way, ML 0564 Cincinnati, OH 45267-0564. Because we will always see you. Occupational lung disease. No, it's a great question. Just to echo what Dr. Wagh said. It's either cancer or everything else. 1:25 . And it's important here. These are not questions. It could be cancer. Instead, you might have a little sore throat for a day or two. And we also try to figure out, is it a lesion that requires biopsy?