Occupational lung disease. And then based on that discussion, we would set a patient up for a procedure. And it's something solid. I'm actually in the endoscopy suites. And then they wait to be brought to the pre-procedural area. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And between the four of us, we're all in clinic at any given moment. Why aren't we just following the pathway down? It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And the national standard is roughly five weeks. Critical Care Medicine; Pulmonology; Meet the Doctor . I work here, I go home, I kiss my children. 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're open for business. That's not hard to convince someone. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. And you know, it is extremely valuable. And of course, you came here at kind of an odd time, during a pandemic. . Obviously, if things change, then that's a discussion towards biopsy. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. You can't eat after midnight. 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). The fear always is that cancers are going to grow. Email: ipscheduling@jhmi.edu. And that would be annually until they kind of exit out after that 15 years. We're open for business. And then second step is find the right people to help take care of you. Phone: (773) 702-9660. That's another thing that you probably want to caution people about. A star rating is not given if a provider only has a small number of survey responses. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. 1-877-DOM-2730, Department of Medicine So Dr. Wagh, it was interesting because this is almost like a video game. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. UChicago Faculty Physicians But that's part of what you do. 847-498-5864. Our commitment is to outstanding clinical care, to mentoring and . Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. 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. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. We're going to give you some strong recommendations. Schedule your appointment online for primary care and many specialties. This is from Therese. But I'm sure you'll enjoy UChicago Medicine. And our complication rate is the lowest amongst the three. (312) 996-8039. The responses are used to improve patient experience and recognize staff members for the care they provide. So appreciate that. Yeah, sure. 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. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. It sounds like you're in a busy, busy place. 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. Stopping smoking can help you just across the board. Maybe Dr. Hogarth, you can start. These are not questions. I don't know who wants to take that one. When there are no changes from scan to scan. 5841 South Maryland Ave., MC 6076 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. Because it's a difficult time in people's lives when they have something like this done. We get thousands of survey responses each year. We want to minimize radiation. Referring Physician Access Line: . But of course, there's an 80% chance it's not cancer. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . Make sure everything looks right, that it would be safe to proceed. The hospital is safe, the hospital is clean. It's so important. And either one of you can do that. So we go through your mouth. Yes, sir. The University of Chicago Medicine. So Dr. Wagh and I have our partner, Dr. Mergue. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Sleep Medicine. Our doctors will actually even join us from the places where they're doing the work. 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. 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. 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. Randomly selected patients are sent patient satisfaction surveys after their visits. Because an abnormal CT scan is terrifying. It should be a CAT scan if you are eligible. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Go ahead, Ajay. And then I'll have Ajay go at it as well. Like, I'm not worried about spreading disease. This type of training is beyond what is typically available in a standard . Interesting. And we're also going to just keep radiating you. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? But one of the other things we were talking about, the patient journey. 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. And that would be another area, I would imagine. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . We could get you a plaque or something. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. 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. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. There's all kinds of different tests. We don't even have any camera people in here. And that is how biopsies work. Well, if you have a cancer, the next question is, what stage is it? It's a wonderful, wonderful place. And hopefully, go home if nothing happens. Absolutely, yeah. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. We could get you a plaque or something. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. And Dr. Wagh, maybe you can take this next one. Really, really good questions today. Obviously, if things change, then that's a discussion towards biopsy. So follow-up scans could also be low dose as well. Interventional Pulmonary. Open for more information. Is following a nodule ground glass opacity with yearly CT standard? That's why we do it. There's nobody else 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. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . What's that chance? So you're going to get way more bang for your buck literally as a scan by coming here. And I think we like to take things one step at a time. Randomly selected patients are sent patient satisfaction surveys after their visits. It's either cancer or everything else. Is following a nodule ground glass opacity with yearly CT standard? 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. 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. Full-Time. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. You're out. When we-- and I'll also say it depends. That's why I'm not moving a lot, not that I move a lot anyway. Absolutely. Well, it certainly can. Yes, sir. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Well, gentlemen, we're out of time. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. It's OK. But what I can also tell you is it's cancer, here's what stage it is. It could be cancer. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. And we have a high success rate to get you an answer. And that's kind of comforting, I think, for most patients. We're going to do our work. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Just to echo what Dr. Wagh said. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. Conditions & Services; Interventional Pulmonology Fellowship Program Director. 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 are taking questions from viewers. And hopefully, go home if nothing happens. And you two, and your teams, are really good at helping people through that situation. All rights reserved. That ground glass, if it gets larger or denser, then it's changing. So you're going to get way more bang for your buck literally as a scan by coming here. It's a wonderful, wonderful place. 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. This is a safe place. No, it will show the nodules. Physician Recruitment McHenry, IL. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. And then at that point, we would bring the patient back to the our laboratory. We are taking questions from viewers. Referring . So I mean, we do have a regular process of lung cancer screening. Absolutely. All rights reserved. And every patient is different. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. 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. Thoracic Imaging. You're out. Star ratings and comments come from a number of survey questions. 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 . So this is an actual question. Interventional Pulmonology Secondary Specialty. And I hope you have a great week. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. And then they wait to be brought to the pre-procedural area. But also don't ignore it, and don't delay it. Because an abnormal CT scan is terrifying. But also cat scanning. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima We will overbook you. 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. I apologize. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. So typically we'll have a clinic evaluation. Well, that's nice. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . But I'm sure you'll enjoy UChicago Medicine. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. So I always have to do this. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. There's nobody else here. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. So when we're done, you go home. We don't want that to happen. But in reality, if you're a patient, there's only two things. Interventional Pulmonology. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Because we will always see you. That's good to know. Or suggest that the pre-test probability is lower. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Media. Fax: (773) 702-6500, Outpatient Practice: Because it has everything to do with the quality of the machine for the radiation that goes through. 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. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. And either one of you can jump on this one. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Or is that the moment of panic at that point? He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. It's usually about a half day's worth of time. But to delay any amount of care. We do have one that I want to get to. If it bothers you to come near the Medical Center, fine, let's do it via the computer. And then based on that discussion, we would set a patient up for a procedure. Consultations and second opinions are also available on request for patients that have . That's good to know. It's so important. And there are potential treatments to help patients quit smoking as well. And prior to that, I was a private practice pulmonary critical care doctor for six years. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. 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. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. And I was fortunate enough, I think, gosh, it's been over a year ago. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. And so that becomes one procedure, as opposed to multiple procedures. And we're very serious about that. So we want to-- I mean, we want to do this for everybody. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. But you come in, we have a pre-procedural area where the patients get kind of their IV. Dr. Wagh, let's hear a little bit about you. So we go through your mouth. You are comfortable. So if we think you're at early stage cancer, that's great. Or is this something that happens and you just need to get it checked out? So Dr. Wagh, it was interesting because this is almost like a video game. And you want to have something reliable in what to do next. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . I can meet with you virtually. 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. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . And that's kind of comforting, I think, for most patients. But you come in, we have a pre-procedural area where the patients get kind of their IV. What are some of the options to evaluate lung nodules and lung masses? And you know, it is extremely valuable. And I hope you have a great week. And using some of the tools that we have. We are proud to have an interventional pulmonary laboratory with full-time dedicated . And let's go through your CAT scan and let's have this discussion about what our next step is. I mean, I think we are living in a strange time. And this is important. Conditions & Services; Exactly. It should be a CAT scan if you are eligible. Report Job. And you know, COVID makes it harder for patients to see doctors. And that is how biopsies work. Chicago, IL 60637, Referring Physician Access Line: Associate Professor of Medicine, Co-director of Bronchoscopy. And it's important here. [MUSIC PLAYING]. These are not questions. So a little bit of a fan club going here, but that's awesome. They're still cutting in you. It sounds like you're in a busy, busy place. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And obviously, you know, even with minimally invasive surgery, it's still a surgery. And I think we like to take things one step at a time. And so the lymph nodes are where cancer would spread to first. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . And the individual tumor biology is changing. What you're never going to hear from us is to say, now there's nothing to do, leave. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. So we need to get going and do something about it. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. St. Peters Health Partners Medical Associates, P.C. So we want to-- I mean, we want to do this for everybody. Sleep clinic patients are seen here during the day . Who we treat. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Exactly. 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. Yeah. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. I follow the philosophy of following the three A's-- affable, available, and able. 617-632-8036. First, do no harm. Sunit Singla, MD. I don't know who wants to take that one. 11234 Anderson St, Loma Linda, CA 92354. . And then they come to our lab. Or does it have to be a higher dose CT screening? In other cases, they are actually a cancer. Get an online second opinion from one of our experts without having to leave your home. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. 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. Well, we're very happy to have you. [MUSIC PLAYING] My name is Ajay Wagh. He has done the most cases in the United States and has authored numerous publications on this topic. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. [MUSIC PLAYING]. Can you kind of walk us through that? We're giving you the least amount of radiation, even for what's called a diagnostic scan. No, for sure. I love taking care of people, and I love to see them breathe better and feel better. I mean, we do have telemedicine options. And then if we do need to do a biopsy, making sure the correct biopsy gets done. You know what, I always tell people is there is a long list of things that the nodule could be. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. First, do no harm. So if we think you're at early stage cancer, that's great. But a doctor may see something on a chest x-ray. 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. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Just to echo what Dr. Wagh said. The responses are used to improve patient experience and recognize staff members for the care they provide. But we do have avenues to help with that. This isn't that twilight. 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. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. Get an online second opinion from one of our experts without having to leave your home. 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 All kinds of fantastic information there. Interventional Pulmonology. But for many people are extremely, extremely slow growing cancer. Yes, sir. Just type them in the comments section. For help with MyChart, call us at 1-844-442-4278. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. That's going to be number one on the list. MC 6092 So I think first step is don't panic. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . If it bothers you to come near the Medical Center, fine, let's do it via the computer. 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. But we do have avenues to help with that. In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. 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. And these procedures all have their own benefits, but also their own complications. Learn more about clinical trials and find a trial that might be right for you.
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