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. Just to echo what Dr. Wagh said. 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. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Can you talk to us a little bit about what the patient experiences in this procedure? Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. Is that-- should you be frightened? And using some of the tools that we have. The Interventional Pulmonology Fellowship began in July 1, 2000. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. We're fortunate enough here at UChicago Medicine to have a robotic endoscope that lets us get to parts of the lung we've never been able to get to before. So I'm excited to be here in the city, and part of this program. But of course, there's an 80% chance it's not cancer. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . And prior to that, I was a private practice pulmonary critical care doctor for six years. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 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. And so those are our mainstays of imaging. Meaning, it's technically a cancer, but it's never going to necessarily bother you. 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. And I hope you have a great week. Is following a nodule ground glass opacity with yearly CT standard? That's why I'm not moving a lot, not that I move a lot anyway. And that is how biopsies work. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. There's nobody else here. We want to find patients who have a history of smoking, quit within the past 15 years. And then they just go home. So I'm going to have you answer the question, but also kind of explain what she's asking here. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. You know, it's not just like, yeah, you do this. [MUSIC PLAYING] And you know, COVID makes it harder for patients to see doctors. That's not hard to convince someone. That's why we do it. You know, we go, oh, it's a 20% chance. You know, we go, oh, it's a 20% chance. It is covered by insurance. So if we think you're at early stage cancer, that's great. What you're never going to hear from us is to say, now there's nothing to do, leave. And every patient is different. 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. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. That's why we do it. 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 of course, you came here at kind of an odd time, during a pandemic. Well, I think that there's several possibilities. About Us. That's another thing that you probably want to caution people about. And obviously, you know, even with minimally invasive surgery, it's still a surgery. 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. And teasing out what's what is what Ajay and I do. They come into the sky lobby here at UChicago. However, not everyone who receives an abnormal CT scan should be rushed into surgery. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. 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. I mean, we do have telemedicine options. I kiss my spouse. Critical Care Medicine; Pulmonology; Meet the Doctor . And then we go in with our scopes. And so part of our discussion is, what's the probability that this nodule that you have on your CAT scan-- is it actually cancer or not? For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. It's got to be terrible. We're not going to just say, you must do this. And hopefully, go home if nothing happens. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. If you think about it, the lung is mostly air. And how minimal it actually is? We're giving you the least amount of radiation, even for what's called a diagnostic scan. And that's very important. And good nutrition and exercise is important, and we can help you get on the right track. And I have been working at the University of Chicago since 1998. So Dr. Wagh, it was interesting because this is almost like a video game. A lung mass can be a frightening discovery. 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. You can't eat after midnight. Only clean air in the lungs, please. They're still cutting in you. 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. Fax: (773) 702-6500, Outpatient Practice: We're in very separate areas. So we do want to remind our viewers, we'll take your questions for our experts. You don't have to go get another procedure that's going to take time to then figure out what stage you are. And it is, would my annual low dose CT lung cancer screening show nodules? We can talk about imaging modalities. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And of course, you came here at kind of an odd time, during a pandemic. And usually we discuss medications, if the patient is on a blood thinner. What happens? 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. It's a wonderful website. And then if we do need to do a biopsy, making sure the correct biopsy gets done. And hopefully, go home if nothing happens. Phone: (773) 702-9660. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And that's a very important part for a cancer evaluation. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Oh, less than 5%, OK, let's slow down a little bit. Interventional Pulmonology. Because I know this is a very complex situation. Make sure everything looks right, that it would be safe to proceed. 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 I am a Professor of Medicine here. But we also want to explain to you what we're going to do to actively follow you. [LAUGHTER] But you come in, we have a pre-procedural area where the patients get kind of their IV. So appreciate that. But many times, you might notice something on an x-ray that's not part of the screening pathway. First, do no harm. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Northwestern Memorial Hospital; Univ. We do have one that I want to get to. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. And then at that point, we would bring the patient back to the our laboratory. 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. You know, and I want to talk a little bit more about biopsies here in just a minute. Well, it certainly can. 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? So-- Amit, I hope I'm pronouncing this correctly. We have been providing exceptional and compassionate . UChicago Faculty Physicians Compare hospital ratings for pulmonology and lung surgery. Emphysema and advanced emphysema. And I think that's the first key step. Interventional Pulmonology Secondary Specialty. We can talk about imaging modalities. Interventional Pulmonology, Northwestern University, Feinberg School of Medicine, Chicago IL 2015-2016 Pulmonary and Critical Medicine, UC Davis Medical Center, Sacramento CA 2012-2015 Professional Memberships Maybe Dr. Hogarth, you can start. This is from Therese. Or is this something that happens and you just need to get it checked out? We'll get you a speech card. And we have a high success rate to get you an answer. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Communicate with your doctor, view test results, schedule appointments and more. 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: . University of Chicago, Interventional Pulmonology; Board Certifications. Karen says, your pulmonary department is the best. He sees patients in clinic on Fridays. Our list of accepted insurance providers is subject to change at any time. Along with his clinical practice, Dr. Wagh is an active researcher. And you know, those patients typically are eligible for low dose lung cancer screening. That's a great question. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. And Dr. Hogarth, we'll start with you. I can meet with you virtually. 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. 1:25 . 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. 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 . However, not everyone who receives an abnormal CT scan should be rushed into surgery. This is a safe place. And you know, it is extremely valuable. Open for more information. Why aren't we just following the pathway down? Well, if you have a cancer, the next question is, what stage is it? And using some of the tools that we have. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. 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. All kinds of fantastic information there. So first is just a discussion with you of what is the probability that this could be a malignancy for you. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. We don't want that to happen. I'm new here to the University of Chicago, and very thankful to be here. Now, a question. 2023 The University of Chicago Medical Center. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Funding for Educational Activities 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 . And then afterwards, once we settle on a date, the patient comes in. Conditions & Services; He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . We want to find patients who have a history of smoking, quit within the past 15 years. Learn more about clinical trials and find a trial that might be right for you. Currently, there are six board certified Interventional Pulmonologists and a wide range of . I'm new here to the University of Chicago, and very thankful to be here. And the individual tumor biology is changing. 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. This is a safe place. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. That's coming up right now on At The Forefront Live. 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. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And remember, you can schedule your video visit by also going to the website. Occupational lung disease. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Chronic cough. You're going to go home. Sure. It's usually about a half day's worth of time. Where it's basically put right through your chest into the lung nodule done through the radiology department. Or does it have to be a higher dose CT screening? We are extremely cautious about everything here. And thank you to our viewers for your great questions. And Dr. Hogarth, I want to start with you. Referring . And as Dr. Wagh just said, we are able to do video visits and televisits. Dr. Hogarth kind of briefly said something about the blood tests. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. So that's nice. 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. It's OK. So we'll wake you up. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. 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 . 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. No, for sure. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Or should we offer something else? All rights reserved. Well, we're very happy to have you. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. So we need to get going and do something about it. But we do have avenues to help with that. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Or is that the moment of panic at that point? I work here, I go home, I kiss my children. So my name is Kyle Hogarth. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Well, if you have a cancer, the next question is, what stage is it? Absolutely, yeah. . So look, there's three ways to sample inside the lung. 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. I follow the philosophy of following the three A's-- affable, available, and able. 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. Communicate with your doctor, view test results, schedule appointments and more. That's another thing that you probably want to caution people about. I mean, it's really amazing. Our doctors will actually even join us from the places where they're doing the work. Another question from a viewer, and this is Carla. Or you're going to go to radiation or whatever. Your lungs are going to be ultimately attached to your mouth. And that would be annually until they kind of exit out after that 15 years. 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 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? But for many people are extremely, extremely slow growing cancer. Yeah, sure. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . And I hope you have a great week. 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. Interventional Pulmonology Fellowship; Post-Doctoral; . Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Maybe Dr. Hogarth, you can start. You will get seen within a week every time here. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. I work here, I go home, I kiss my children. Or come and visit a lung physician. Absolutely. So my name is Kyle Hogarth. [MUSIC PLAYING] 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. I recently completed an interventional pulmonary fellowship, which brought me here. Report Job. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . So there's no cutting. Thanks again for being with us today. Interesting. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. You know, you said at the very beginning, I have a nodule, should I panic? Why aren't we just following the pathway down? Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. 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. St. Peters Health Partners Medical Associates, P.C. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. We're fortunate enough here at UChicago Medicine to have a robotic endoscope that lets us get to parts of the lung we've never been able to get to before. And you two, and your teams, are really good at helping people through that situation. Like, I'm not worried about spreading disease. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. So we go through your mouth. Today there are better insights into cancer and other lung diseases. A star rating is not given if a provider only has a small number of survey responses. And we do it through your mouth. So let's start off with our questions. 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 we can help you do that, too. They come into the sky lobby here at UChicago. 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. 847-498-5864. That's right. So talk to us a little bit more about the lymph nodes. Just to echo what Dr. Wagh said. Because it has everything to do with the quality of the machine for the radiation that goes through.
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