And you two, and your teams, are really good at helping people through that situation. Obviously, if things change, then that's a discussion towards biopsy. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And every patient is different. I remember when Dr. Hogarth showed this to me. 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. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. 840 S. Wood Street MC719 Chicago, IL 60612. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. 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. Exactly. We're going to give you some strong recommendations. And either one of you can do that. And you say, well, wait. We want to remind people, very important, do not forego medical care during COVID. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. So talk to us a little bit more about the lymph nodes. 2023 The University of Chicago Medical Center. Chicago Chest Center/ The University of Illinois Chicago. And we're very serious about that. But many times, you might notice something on an x-ray that's not part of the screening pathway. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Referring . Getting an expert opinion about what could this nodule actually be. Only clean air in the lungs, please. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. Well, if you have a cancer, the next question is, what stage is it? And prior to that, I was a private practice pulmonary critical care doctor for six years. 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. Panicking, obviously, is never helpful. You're out. We're still operating. Director, Interventional Pulmonary - Clinical Faculty Rush University And at that point, they'll meet the anesthesiologist, the nursing staff. So you're going to get way more bang for your buck literally as a scan by coming here. And the patient goes afterwards to a post-procedural area, where they recover. Star ratings and comments come from a number of survey questions. What's that chance? And so think of it like a sponge. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. And I was fortunate enough, I think, gosh, it's been over a year ago. But I'm sure you'll enjoy UChicago Medicine. 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. You were fantastic. And the city of Chicago is a great place and a lot of fun. The responses are used to improve patient experience and recognize staff members for the care they provide. 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. Open for more information. And that's sort of when we take a look at the CAT scan very closely. We're in very separate areas. He also serves as an assistant professor of internal medicine at the UK College of Medicine. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Yeah. But if it shows anything of any concern, especially if it's your first one, that may require a follow-up scan in a shorter interval or one with slightly higher radiation. All rights reserved. Chronic cough. It's so important. And we're also going to just keep radiating you. And Dr. Hogarth, I want to start with you. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. 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? We're going to get to a little bit more detail of that one here in just a moment. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Is that-- should you be frightened? No, it's a great question. And so those are our mainstays of imaging. Right? So I'm going to have you answer the question, but also kind of explain what she's asking here. You will still be the same stage. 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 many times, you might notice something on an x-ray that's not part of the screening pathway. Phone: 410-502-2533. And one that has a very low invasive potential. And as always, we'll take your questions during our 30 minute program. The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. What are some of the options to evaluate lung nodules and lung masses? But I love these. Yeah, and I want to tell people-- this is a very, very safe place. Because why would I put you-- why would I cure you of something that's never going to harm you? But there's many things it could be. Well, it certainly can. And so those are our mainstays of imaging. Because it's interesting how you do them in the lung. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . Yeah, sure. We want to remind people, very important, do not forego medical care during COVID. 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. A lung mass can be a frightening discovery. And we have a series of other tests we can do. Interesting. Learn more about clinical trials and find a trial that might be right for you. And our complication rate is the lowest amongst the three. There's all kinds of different tests. There's also what's called a needle biopsy. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. So we'll wake you up. But that's part of what you do. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections But also don't ignore it, and don't delay it. But also cat scanning. 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. Best Hospitals for Pulmonology & Lung Surgery | Rankings & Ratings | US And Janet wants to know how invasive is a lung biopsy? Interventional Pulmonology - Barnes-Jewish Hospital 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? If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. 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. So when we're done, you go home. And so Dr. Hogarth, we have another question from a viewer. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. Advanced technology and minimally invasive options are available. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. And as Dr. Wagh just said, we are able to do video visits and televisits. It's a wonderful, wonderful place. Open for more information. Yeah, sure. The immediate reaction is you're probably frightened. There's all kinds of different tests. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Our program's strength lies in the large and varied patient base . Patients will typically have primary or metastatic tumors of the chest, mediastinum or . 1:25 . 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. 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 was fortunate enough to start the bronchoscopy program here, and the Nodule program. And one that has a very low invasive potential. So-- go ahead, Dr. Hogarth, did you have something you wanted in? So I'm excited to be here in the city, and part of this program. Or you're going to go to radiation or whatever. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. That is not acceptable to make you wait. I'm not happy that I have to tell you it's cancer. I'm new here to the University of Chicago, and very thankful to be here. This is from Therese. And Dr. Wagh, maybe you can take this next one. 847-498-5864. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. And that could be in person. And you know, COVID makes it harder for patients to see doctors. Current Fellows in the Pulmonary and Critical Care Fellowship Interventional Pulmonology Fellowship Program - University of Chicago No, for sure. Compare hospital ratings for pulmonology and lung surgery. Get an online second opinion from one of our experts without having to leave your home. Pulmonary and Critical Care Fellows But to delay any amount of care. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Because it's a difficult time in people's lives when they have something like this done. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. MC 6092 If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Yeah, there's several possibilities in that regard to evaluate these. They come into the sky lobby here at UChicago. I recently completed an interventional pulmonary fellowship, which brought me here. And I try to reliably perform that every day when I come to work. University of Cincinnati Department of Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine 231 Albert Sabin Way, ML 0564 Cincinnati, OH 45267-0564. That's why I'm not moving a lot, not that I move a lot anyway. That's a great question. And how urgently must patients act? And this is important. And let's go through your CAT scan and let's have this discussion about what our next step is. Well, we're very happy to have you. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. There's also what's called a needle biopsy. When there are no changes from scan to scan. See, this just shows how important it is that we do these programs here. Chicago Chest Center - 2015. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. The fear always is that cancers are going to grow. 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. But there's many things it could be. Is following a nodule ground glass opacity with yearly CT standard? Meaning, it's technically a cancer, but it's never going to necessarily bother you. 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 follow-up scans could also be low dose as well. Can you kind of walk us through that? Interventional Pulmonology Fellowship - MD Anderson Cancer Center 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 Dr. Hogarth, we'll start with you. Section of Pulmonary/Critical Care It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Instead, you might have a little sore throat for a day or two. If it bothers you to come near the Medical Center, fine, let's do it via the computer. In other cases, they are actually a cancer. University Pulmonary & Critical Care | UT Medical Center Absolutely. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Pulmonary & Critical Care Medicine. Training Programs - University of Chicago - Department of Medicine You need to raise a fit. And every patient is different. We're giving you the least amount of radiation, even for what's called a diagnostic scan. Make sure everything looks right, that it would be safe to proceed. They're still cutting in you. Even the show that we're doing right now, you two are remote. But for many people are extremely, extremely slow growing cancer. We are extremely cautious about everything here. This is a safe place. I am a Professor of Medicine here. And good nutrition and exercise is important, and we can help you get on the right track. Age is usually 55 to 80. That's not hard to convince someone. And it's important here. Because it's interesting how you do them in the lung. [MUSIC PLAYING]. Or is this something that happens and you just need to get it checked out? I mean, I think we are living in a strange time. So ground glass nodules are a different biology. I don't know who wants to take that one. [LAUGHTER] Website. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? And if someone ever by mistake says to you, yeah, they can see you in three months. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Interventional Radiology Technologist, Days Job in Chicago, IL at The And without a doubt, the possibility of cancer is what scares everybody. And teasing out what's what is what Ajay and I do. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. But we're very careful about that. If we keep scanning you, we're never going to see change. Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) This isn't that twilight. I can meet with you virtually. Well, that's nice. Because an abnormal CT scan is terrifying. First, if you smoke, please quit. And they hear, oh my gosh, I've got a nodule. We will overbook you. 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? University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . We also have literally the world's greatest nurse practitioner, Kimberly. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. The hospital is safe, the hospital is clean. It's an oath both of us took. 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? Well, gentlemen, we're out of time. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. It sounds like you're in a busy, busy place. So follow-up scans could also be low dose as well. Can you talk to us a little bit about what the patient experiences in this procedure? And either one of you can do that. And then at that point, we would bring the patient back to the our laboratory. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . You will get seen three to four weeks from now. You shared really some good information with our audience. Schedule your appointment online for primary care and many specialties. Faculty Profiles - University of Chicago Medicine Faculty Profiles And they hear, oh my gosh, I've got a nodule. Interventional Pulmonary We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Yes, so a patient typically comes in basically just for a few hours during the day. Some of them are blood based tests. American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection . I love math and science, and I love to problem solve, so I started out in engineering. And we also try to figure out, is it a lesion that requires biopsy? Well, the blood test actually showed that it's less than 5%. Even the show that we're doing right now, you two are remote. Or does it have to be a higher dose CT screening? 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). We can talk about imaging modalities. I love taking care of people, and I love to see them breathe better and feel better. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. Faculty Profiles - University of Chicago Medicine Faculty Profiles It's a wonderful website. It's got to be terrible. Get a Second Opinion. What happens? And either one of you can jump on this one. That's why we do it. And I think we like to take things one step at a time. Some of them are blood based tests. I recently completed an interventional pulmonary fellowship, which brought me here. You want to be calm and cool. 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. 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. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Communication is important with the patients. And the individual tumor biology is changing. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Lung Health Program | UI Health - University of Illinois Hospital And this is a little bit inside baseball. 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. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 13 in the nation for Pulmonary and Lung Surgery. We get thousands of survey responses each year. And I think we like to take things one step at a time. What are some of the options to evaluate lung nodules and lung masses? 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Interventional Pulmonology - Hoag And our complication rate is the lowest amongst the three. Chicago, IL 60637 So we go through your mouth. We want to minimize radiation. Is following a nodule ground glass opacity with yearly CT standard? So I think first step is don't panic. 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. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . The University of Michigan as a . There's a surgeon, who's going to go in and cut part of it out. Oh, less than 5%, OK, let's slow down a little bit. Interventional Pulmonology | Conditions & Treatments | UT Southwestern Fellows - Chest Center So-- This type of training is beyond what is typically available in a standard . Well, my name is Ajay Wagh. 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: . . The Emory Sleep Medicine . And it is, would my annual low dose CT lung cancer screening show nodules? In other cases, they are actually a cancer. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: 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 Or you're going to go to radiation or whatever. 20 on the Best Hospitals Honor Roll. Just to echo what Dr. Wagh said. It's OK. 11 millimeters is rather small. Kumar Gaurav, MD | Interventional Pulmonologist & Critical Care University of Chicago, Interventional Pulmonology; Board Certifications. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. Rush University Medical Center in Chicago, IL - Rankings, Ratings Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? So we need to get going and do something about it. So Dr. Wagh, you touched on this a little bit before. 617-632-8036. And you two, and your teams, are really good at helping people through that situation. 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. Some of them are just re-evaluating the CAT scan you have.