university of chicago interventional pulmonology university of chicago interventional pulmonology

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. The University of Illinois at Chicago/Chicago Chest Center offers a 12 month Interventional Pulmonology fellowship is spread across a spectrum of hospitals to allow for exposure to a wide variety of patients, diagnoses, interventions and multiple mentors. Well, we're very happy to have you. 840 S. Wood Street MC719 Chicago, IL 60612. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. So we need to get going and do something about it. Our list of accepted insurance providers is subject to change at any time. Really, really good questions today. They come into the sky lobby here at UChicago. Some of them are blood based tests. Sunit Singla, MD. We will overbook you. UChicago Faculty Physicians American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . And was fortunate enough to start the bronchoscopy program here, and the Nodule program. We will overbook you. And you know, COVID makes it harder for patients to see doctors. Well, we're very happy to have you. It's an oath both of us took. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. He has done the most cases in the United States and has authored numerous publications on this topic. Phone: (773) 702-9660. You will still be the same stage. Interventional Pulmonology Secondary Specialty. And every patient is different. Right? And Dr. Wagh, maybe you can take this next one. Or it could be a telemedicine visit. We also have literally the world's greatest nurse practitioner, Kimberly. We're going to get to a little bit more detail of that one here in just a moment. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And it is, would my annual low dose CT lung cancer screening show nodules? And the city of Chicago is a great place and a lot of fun. And smoking is certainly a problem, a historical problem that we're working to deal with every day. 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. Get a Second Opinion. So I think first step is don't panic. . UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. What happens? the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . This is from Therese. 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. And so Dr. Hogarth, we have another question from a viewer. And either one of you can do that. Yeah. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . We get thousands of survey responses each year. But you come in, we have a pre-procedural area where the patients get kind of their IV. Sure. And how minimal it actually is? You know, in fact, just to even further hammer home that point. 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. That's right. Open for more information. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. You're out. But we can. And as always, we'll take your questions during our 30 minute program. Because why would I put you-- why would I cure you of something that's never going to harm you? It could be cancer. 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. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. So I want to get back to biopsies for just a moment. Associate Professor of Medicine, Co-director of Bronchoscopy. And we're very serious about that. And then they come to our lab. And Dr. Hogarth, I want to start with you. Chicago Chest Center was the first dedicated IP fellowship program in the Chicago area and the oldest established full service Interventional Pulmonology program in the state. So you're going to get way more bang for your buck literally as a scan by coming here. Stopping smoking can help you just across the board. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . 2018 Apr 17 . So we'll wake you up. And the individual tumor biology is changing. 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 it's important here. 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. Get an online second opinion from one of our experts without having to leave your home. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. 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. Can you talk to us a little bit about what the patient experiences in this procedure? Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. You're out. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Interventional Pulmonary. Sure. You shared really some good information with our audience. What Dr. Wagh and I do is a procedure called bronchoscopy. We don't want that to happen. And then they come to our lab. 5841 South Maryland Avenue, I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. In 2007 and 2011, he received the Department of Medicines Outstanding Junior Faculty Clinical Service Award and in 2013 and 2014 the Department of Medicines Outstanding Clinical Service Award. So we go through your mouth. But you come in, we have a pre-procedural area where the patients get kind of their IV. And you two, and your teams, are really good at helping people through that situation. That ground glass, if it gets larger or denser, then it's changing. 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. And every patient is different. And Janet wants to know how invasive is a lung biopsy? But that's part of what you do. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. But of course, there's an 80% chance it's not cancer. This isn't that twilight. So I'm excited to be here in the city, and part of this program. And without a doubt, the possibility of cancer is what scares everybody. Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . Well, that's nice. When there are no changes from scan to scan. Why aren't we just following the pathway down? Learn more about clinical trials and find a trial that might be right for you. So when we're done, you go home. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. And they'll double check everything. That's coming up right now on At The Forefront Live. First, if you smoke, please quit. And it's something solid. And we also try to figure out, is it a lesion that requires biopsy? We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. You don't have to go get another procedure that's going to take time to then figure out what stage you are. You know what, I always tell people is there is a long list of things that the nodule could be. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. That's always the question people want to know. And Janet wants to know how invasive is a lung biopsy? Interventional Pulmonology. 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. And so now you're going to go to the surgeon to be cured. And so think of it like a sponge. But also don't ignore it, and don't delay it. We are taking questions from viewers. You know, we go, oh, it's a 20% chance. All rights reserved. Interventional Pulmonology Fellowship; Post-Doctoral; . But we're also going to work with you. 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. Yes, sir. And the national standard is roughly five weeks. Is following a nodule ground glass opacity with yearly CT standard? We have been providing exceptional and compassionate . 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. So talk to us a little bit more about the lymph nodes. I am a Professor of Medicine here. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. We want to minimize radiation. It sounds like you're in a busy, busy place. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. And between the four of us, we're all in clinic at any given moment. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. You need to raise a fit. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima Yes, sir. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Star ratings and comments come from a number of survey questions. Absolutely. 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 Yeah, and I want to tell people-- this is a very, very safe place. This is a safe place. Well, gentlemen, we're out of time. Phone: (773) 702-1856 We are extremely cautious about everything here. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. Yes, so a patient typically comes in basically just for a few hours during the day. No, for sure. But there's many things it could be. And thank you to our viewers for your great questions. So typically we'll have a clinic evaluation. And usually we discuss medications, if the patient is on a blood thinner. 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. Interventional Pulmonology Fellowship Program Director. Or it could be a telemedicine visit. 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. . About Us. 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 . So we'll wake you up. Let's have each of you start off by introducing yourselves to our audience, and tell us a little bit about what you do here at UChicago Medicine. Just to echo what Dr. Wagh said. But I love these. There's a surgeon, who's going to go in and cut part of it out. And I think that's the first key step. We're open for business. Bronchoscopic procedures are also offered to manage patients with asthma, emphysema, massive hemoptysis, foreign body aspiration, mediastinal disorders, post lung transplant complications, interstitial and infectious lung disorders. And then second step is find the right people to help take care of you. And Dr. Hogarth, we'll start with you. 5841 S Maryland Ave, MC 6076. Go ahead, Ajay. But a doctor may see something on a chest x-ray. So I always have to do this. He also serves as an assistant professor of internal medicine at the UK College of Medicine. 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. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Our commitment is to outstanding clinical care, to mentoring and . We just talked a moment ago, and you're pretty new here. So ground glass nodules are a different biology. Some of them are blood based tests. . And then second step is find the right people to help take care of you. 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. It's got to be terrible. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. But I love these. There's also what's called a needle biopsy. And our complication rate is the lowest amongst the three. So that you get an answer as to what this nodule actually is. What's that chance? And so those are our mainstays of imaging. I'm not happy that I have to tell you it's cancer. I mean, I think we are living in a strange time. So I mean, we do have a regular process of lung cancer screening. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. It's either cancer or everything else. The responses are used to improve patient experience and recognize staff members for the care they provide. And you two, and your teams, are really good at helping people through that situation. Yeah, sure. But there's many other tests. Even the show that we're doing right now, you two are remote. And we keep spacing that interval of scan out if nothing has changed. 2023 The University of Chicago Medical Center. Absolutely, yeah. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? You know, you said at the very beginning, I have a nodule, should I panic? I remember when Dr. Hogarth showed this to me. Well, it certainly can. Yes, sir. And so now you're going to go to the surgeon to be cured. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . And so think of it like a sponge. If we keep scanning you, we're never going to see change. No, it's a great question. It's a wonderful website. [MUSIC PLAYING]. But we do have avenues to help with that. That's why I'm not moving a lot, not that I move a lot anyway. Absolutely. Thanks again for being with us today. Meet the Doctor. And teasing out what's what is what Ajay and I do. 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. These are not questions. First, do no harm. 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. It's usually about a half day's worth of time. 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. And then at that point, we would bring the patient back to the our laboratory. And teasing out what's what is what Ajay and I do. Dr. Hogarth, do you want to start on that one? Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. I kiss my spouse. We are proud to have an interventional pulmonary laboratory with full-time dedicated . Panicking, obviously, is never helpful. And you don't want to. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. We're going to do our work. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Well, the blood test actually showed that it's less than 5%. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. University of Chicago, Interventional Pulmonology; Board Certifications. Phone: (773) 702-9660, Mailing Address: Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. 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. This is from Therese. It's OK. So Dr. Wagh, it was interesting because this is almost like a video game. But what I can also tell you is it's cancer, here's what stage it is. It is covered by insurance. That's coming up right now on At The Forefront Live. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. River East Location . So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? So look, there's three ways to sample inside the lung. . The University of Michigan as a . It's a wonderful website. So if you need an appointment, give us a call at 888-824-0200. We evaluate whether or not it's a target that we can reach. And we have a high success rate to get you an answer. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Chicago Chest Center/ The University of Illinois Chicago. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. 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. And Dr. Wagh, maybe you can take this next one. (Or create a 1/6 column and add a text field, modify the class so And either one of you can jump on this one. 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 . 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. Because initially when you're faced with something like that, everything kind of just goes over your head. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Can you talk to us a little bit about what the patient experiences in this procedure? It's an oath both of us took. I am a Professor of Medicine here. 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. And Dr. Hogarth mentioned blood tests even, a few moments ago. 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. I'm an interventional pulmonologist here at the University of Chicago. So let's start off with our questions. And then if we do need to do a biopsy, making sure the correct biopsy gets done. I mean, I think we are living in a strange time. So follow-up scans could also be low dose as well. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Every tumor, of course, has its own biology speed at which it grows. So I have two from viewers that I have to pass along. But of course, there's biopsies. of Colorado Health Sciences Ctr. And either one of you can jump on this one. They're still cutting in you. I'm in the studio all by myself, as you can see here. Loma Linda University Children's Hospital. If you think about it, the lung is mostly air. And that would be another area, I would imagine. Get an online second opinion from one of our experts without having to leave your home. Yeah, sure. I mean, we do have telemedicine options. And I don't know. Or is this something that happens and you just need to get it checked out? Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. . It offers a comprehensive program of quality patient care, research and education. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Or does it have to be a higher dose CT screening? So you're going to get way more bang for your buck literally as a scan by coming here. Now, a question. Learn more about clinical trials and find a trial that might be right for you. If you think about it, the lung is mostly air. 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. Dr. Wagh, let's hear a little bit about you. Today there are better insights into cancer and other lung diseases. Schedule your appointment online for primary care and many specialties. That's another thing that you probably want to caution people about. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. The Interventional Pulmonology Fellowship began in July 1, 2000. 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. When you or a loved one has a lung disease, you want to see the best lung doctors available. Program Overview. We also have literally the world's greatest nurse practitioner, Kimberly. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. So-- Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. Yes, sir. I follow the philosophy of following the three A's-- affable, available, and able. 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. Star ratings and comments come from a number of survey questions. Yeah, there's several possibilities in that regard to evaluate these. But one of the other things we were talking about, the patient journey. But we're very careful about that. Our pulmonary and allergy physicians see clinic patients in the Center for Lung Health, located in room 3C in the UI Health Outpatient Care Center (OCC), which is at 1801 W Taylor. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. So we need to get going and do something about it. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And we have a series of other tests we can do. 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. And you don't want to. Our list of accepted insurance providers is subject to change at any time. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: It sounds like you're in a busy, busy place. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . Nicole Greenlee. But one of the other things we were talking about, the patient journey. 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. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And that would be annually until they kind of exit out after that 15 years. 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. So if the risk of cancer is low, but the risk of a complication is the same, I don't want to harm you, right? Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. [MUSIC PLAYING] That's why we do it. Chicago, IL 60637 And that is how biopsies work. And I hope you have a great week. And the patient goes afterwards to a post-procedural area, where they recover. These are not questions. So typically we'll have a clinic evaluation. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. 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. So Dr. Wagh, you touched on this a little bit before. We want to find patients who have a history of smoking, quit within the past 15 years. Why aren't we just following the pathway down? And then we go in with our scopes. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic .