You will get seen three to four weeks from now. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. And these procedures all have their own benefits, but also their own complications. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . All rights reserved. And it's important here. And you can speak with your physician about that. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Can you kind of talk to us a little bit about that, and walk us through that? Chicago, IL 60637, Referring Physician Access Line: And at that point, they'll meet the anesthesiologist, the nursing staff. And you can speak with your physician about that. Rush University Medical Center in Chicago, IL is ranked No. 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. Today there are better insights into cancer and other lung diseases. And you don't want to. No, for sure. You know, it's not just like, yeah, you do this. 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 Dr. Wagh, maybe you can take this next one. So we do want to remind our viewers, we'll take your questions for our experts. And we will kind of shepherd the patient along the way. And so the lymph nodes are where cancer would spread to first. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. And then at that point, we would bring the patient back to the our laboratory. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. 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. That is not acceptable to make you wait. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Why aren't we just following the pathway down? That's a great question. 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. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And I think that's the first key step. And teasing out what's what is what Ajay and I do. We will overbook you. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. So-- And prior to that, I was a private practice pulmonary critical care doctor for six years. So follow-up scans could also be low dose as well. And there are potential treatments to help patients quit smoking as well. And let's go through your CAT scan and let's have this discussion about what our next step is. So talk to us a little bit more about the lymph nodes. I love math and science, and I love to problem solve, so I started out in engineering. Future Oncol. If you think about it, the lung is mostly air. And I have been working at the University of Chicago since 1998. When you or a loved one has a lung disease, you want to see the best lung doctors available. Show more Show less We want to minimize radiation. And the patient goes afterwards to a post-procedural area, where they recover. And if someone ever by mistake says to you, yeah, they can see you in three months. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. This is a safe place. So look, there's three ways to sample inside the lung. Sleep Medicine. Meet the Doctor. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. We don't want that to happen. You will not know we're doing this to you. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. So let's start off with our questions. And it is, would my annual low dose CT lung cancer screening show nodules? We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . We are extremely cautious about everything here. You're out. That's going to be number one on the list. And I think that's the first key step. I work here, I go home, I kiss my children. Full-Time. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment.
And I hope you have a great week. 1-877-DOM-2730, Department of Medicine 5841 South Maryland Ave., MC 6076 But we can. Interesting. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Because we will always see you. The Interventional Pulmonary Fellowship is a one-year intense training program designed to expose the trainee to all the advanced diagnostic and therapeutic procedures necessary for practice. Absolutely. Today there are better insights into cancer and other lung diseases. What are some of the options to evaluate lung nodules and lung masses? 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. We get thousands of survey responses each year. Can you kind of talk to us a little bit about that, and walk us through that? If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. MC 6092 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. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. 13 in the nation for Pulmonary and Lung Surgery. You will still be the same stage. You can't eat after midnight. We don't want that to happen. Along with his clinical practice, Dr. Wagh is an active researcher. 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. You're out. 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. So we go through your mouth. 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. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. So that you get an answer as to what this nodule actually is. Yes, so a patient typically comes in basically just for a few hours during the day. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. And sign a few papers. 11 millimeters is rather small. I'm not happy that I have to tell you it's cancer. What's that chance? And we're also going to just keep radiating you. And I don't know. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. I'm new here to the University of Chicago, and very thankful to be here. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. 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 And remember, you can schedule your video visit by also going to the website. We get thousands of survey responses each year. And they'll double check everything. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. You don't have to go get another procedure that's going to take time to then figure out what stage you are. We also have literally the world's greatest nurse practitioner, Kimberly. And we're, of course, happy and eager to help. It's usually about a half day's worth of time. Yeah, there's several possibilities in that regard to evaluate these. We'll get you a speech card. We have a great team here, and I'm excited to be part of it. Some of them are just re-evaluating the CAT scan you have. Amit, I hope I'm pronouncing this correctly. . Maybe Dr. Hogarth, you can start. When we-- and I'll also say it depends. A lung mass can be a frightening discovery. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. And you say, well, wait. 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 . So we go through your mouth. 5841 South Maryland Avenue, And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. I'm actually in the endoscopy suites. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. 2018 Apr 17 . So, I really believe in great communication and teamwork. 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. And at that point, they'll meet the anesthesiologist, the nursing staff. St. Peters Health Partners Medical Associates, P.C. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. So I'm going to have you answer the question, but also kind of explain what she's asking here. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. So there's no cutting. And of course, you came here at kind of an odd time, during a pandemic. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . 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. I don't know who wants to take that one. And we're also going to just keep radiating you. Randomly selected patients are sent patient satisfaction surveys after their visits. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. And we also try to figure out, is it a lesion that requires biopsy? In other cases, they are actually a cancer. You want to be calm and cool. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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. Consultations and second opinions are also available on request for patients that have . Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Interesting. Maybe Dr. Hogarth, you can start. The probability, if it's low enough, we don't want to do invasive things to you. Get a Second Opinion. What exactly goes on there, and why is that so critical? Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. I recently completed an interventional pulmonary fellowship, which brought me here. It sounds like you're in a busy, busy place. Dr. Hogarth was the first physician in Illinois to perform Bronchoscopic Lung Volume Reduction (bLVR) for severe emphysemausing both the Zephyr valve and the Spiration valve. And how urgently must patients act? I mean, it's really amazing. 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 question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Communicate with your doctor, view test results, schedule appointments and more. 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. See, this just shows how important it is that we do these programs here. And using some of the tools that we have. So if you need an appointment, give us a call at 888-824-0200. Website. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Or come and visit a lung physician. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Go ahead, Ajay. Is that-- should you be frightened? We just talked a moment ago, and you're pretty new here. I apologize. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. Panicking, obviously, is never helpful. Funding for Educational Activities And that's sort of when we take a look at the CAT scan very closely. 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. Get a Second Opinion. 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. Hogarth DK. And hopefully, go home if nothing happens. But that's part of what you do. Absolutely. The responses are used to improve patient experience and recognize staff members for the care they provide. The immediate reaction is you're probably frightened. 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. Program Director. 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. A star rating is not given if a provider only has a small number of survey responses. But of course, there's an 80% chance it's not cancer. So a little bit of a fan club going here, but that's awesome. Quick Apply. Now, these are complicated discussions. 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. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. If you think about it, the lung is mostly air. 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. Northwestern Memorial Hospital; Univ. And I try to reliably perform that every day when I come to work. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. But what I can also tell you is it's cancer, here's what stage it is. So I always have to do this. In some cases, they are a precancerous lesion. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. In other cases, they are actually a cancer. 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. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. 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. I want to know you're an early stage cancer. That's coming up right now on At The Forefront Live. Or should we offer something else? I can meet with you virtually. Well, we're very happy to have you. Yeah, sure. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Interesting. Yes, sir. . Why aren't we just following the pathway down? So-- 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. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. So I'm going to have you answer the question, but also kind of explain what she's asking here. 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. But I'm sure you'll enjoy UChicago Medicine. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. [MUSIC PLAYING]. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. That's always the question people want to know. Job Description Northwestern Medicine is currently seeking Physicians, board-certified or eligible in Interventional Pulmonology for our McHenry, IL and Lake Forest, IL hospital locations. And you know, those patients typically are eligible for low dose lung cancer screening. And how urgently must patients act? These are not questions. UChicago Faculty Physicians
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. Yeah. And the national standard is roughly five weeks. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And then I'll have Ajay go at it as well. And then we go in with our scopes. And then I'll have Ajay go at it as well. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. 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 .