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The probability, if it's low enough, we don't want to do invasive things to you. Well, the blood test actually showed that it's less than 5%. That's a great question. It's a wonderful website. We will overbook you. Or come and visit a lung physician. 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. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . I can meet with you virtually. And Dr. Hogarth, we'll start with you. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Now, a question. Randomly selected patients are sent patient satisfaction surveys after their visits. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. Meet the Doctor. That's always the question people want to know. And we also try to figure out, is it a lesion that requires biopsy? And you can speak with your physician about that. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . And if someone ever by mistake says to you, yeah, they can see you in three months. We're going to get to a little bit more detail of that one here in just a moment. So I'm going to have you answer the question, but also kind of explain what she's asking here. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. That's not hard to convince someone. I mean, it's really amazing. And Janet wants to know how invasive is a lung biopsy? That's right. Your lungs are going to be ultimately attached to your mouth. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. And obviously, you know, even with minimally invasive surgery, it's still a surgery. But I love these. And let's go through your CAT scan and let's have this discussion about what our next step is. But one of the other things we were talking about, the patient journey. Medical school: St. James School of Medicine Anguilla, Park Ridge, IL Residency: University of Illinois College of Medicine, Peoria, IL Professional interests: ARDS, sepsis and infectious lung diseases. Yes, sir. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . We can talk about imaging modalities. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Dr. Hogarth, do you want to start on that one? The Interventional Pulmonology Fellowship began in July 1, 2000. Go ahead, Ajay. The Department of Pulmonary, Critical Care, Sleep, and Allergy at UI Health provides the highest level of care and treatment for lung disorders and diseases. But we're very careful about that. And our complication rate is the lowest amongst the three. And I hope you have a great week. Yeah, sure. And then at that point, we would bring the patient back to the our laboratory. Conditions & Services; And teasing out what's what is what Ajay and I do. I mean, I think we are living in a strange time. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. You know, in fact, just to even further hammer home that point. And one that has a very low invasive potential. 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. So we want to-- I mean, we want to do this for everybody. And it is, would my annual low dose CT lung cancer screening show nodules? 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 how minimal it actually is? And remember, you can schedule your video visit by also going to the website. Yes, sir. So if we think you're at early stage cancer, that's great. So ground glass nodules are a different biology. 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 good nutrition and exercise is important, and we can help you get on the right track. 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. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Chicago Chest Center/ The University of Illinois Chicago. And there we perform our procedures. And then they just go home. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. And smoking is certainly a problem, a historical problem that we're working to deal with every day. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, Advanced Diagnostic and Therapeutic Bronchoscopy, University of Tennessee College of Medicine. Get an online second opinion from one of our experts without having to leave your home. And I think that's the first key step. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. If we keep scanning you, we're never going to see change. I mean, it's really amazing. We want to remind people, very important, do not forego medical care during COVID. And that's a very important part for a cancer evaluation. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Maybe Dr. Hogarth, you can start. Well, we're very happy to have you. But what I can also tell you is it's cancer, here's what stage it is. 2023 The University of Chicago Medical Center. And that is how biopsies work. 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. I follow the philosophy of following the three A's-- affable, available, and able. Dr. Hogarth kind of briefly said something about the blood tests. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. And Dr. Wagh, maybe you can take this next one. And you know, COVID makes it harder for patients to see doctors. Or does it have to be a higher dose CT screening? It's OK. If you think about it, the lung is mostly air. Panicking, obviously, is never helpful. And they'll double check everything. I work here, I go home, I kiss my children. You will not know we're doing this to you. Yes, so a patient typically comes in basically just for a few hours during the day. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. 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? And smoking is certainly a problem, a historical problem that we're working to deal with every day. 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. 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 I want to get back to biopsies for just a moment. And Dr. Hogarth, I want to start with you. Get a Second Opinion. And we can help you do that, too. So ground glass nodules are a different biology. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. I'm an interventional pulmonologist here at the University of Chicago. That's another thing that you probably want to caution people about. Exactly. And that's sort of when we take a look at the CAT scan very closely. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. That ground glass, if it gets larger or denser, then it's changing. When there are no changes from scan to scan. Interesting. And the individual tumor biology is changing. But of course, there's an 80% chance it's not cancer. And I try to reliably perform that every day when I come to work. This is from Therese. 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. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi We can talk about imaging modalities. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. Oh, less than 5%, OK, let's slow down a little bit. So this is an actual question. Because we will always see you. But can you kind of walk us through what people can expect before, during, and after one of these procedures. 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. And that would be annually until they kind of exit out after that 15 years. But we're also going to work with you. He sees patients in clinic on Fridays. Is following a nodule ground glass opacity with yearly CT standard? And it's very professionally satisfying. Conditions & Services; We are taking questions from viewers. So you're going to get way more bang for your buck literally as a scan by coming here. We are taking questions from viewers. And this is important. Is following a nodule ground glass opacity with yearly CT standard? I'm actually in the endoscopy suites. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And it also has a lot of great COVID information. The immediate reaction is you're probably frightened. [MUSIC PLAYING] See, this just shows how important it is that we do these programs here. Interventional Pulmonology Fellowship; Post-Doctoral; . Well, my name is Ajay Wagh. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. 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 Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. It's either cancer or everything else. That ground glass, if it gets larger or denser, then it's changing. We are extremely cautious about everything here. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. Program Overview. And remember, you can schedule your video visit by also going to the website. (Or create a 1/6 column and add a text field, modify the class so So we'll wake you up. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . You can't eat after midnight. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. There's all kinds of different tests. And thank you to our viewers for your great questions. 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. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Well, gentlemen, we're out of time. You will get seen within a week every time here. 5841 South Maryland Ave., MC 6076 He also serves as an assistant professor of internal medicine at the UK College of Medicine. 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. Go ahead, Ajay. Instead, you might have a little sore throat for a day or two. Yeah. What you're never going to hear from us is to say, now there's nothing to do, leave. We do have one that I want to get to. What exactly goes on there, and why is that so critical? If we keep scanning you, we're never going to see change. 840 S. Wood Street MC719 Chicago, IL 60612. We're not going to just say, you must do this. And the patient goes afterwards to a post-procedural area, where they recover. Can you kind of walk us through that? We are extremely cautious about everything here. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Report Job. And you two, and your teams, are really good at helping people through that situation. We're giving you the least amount of radiation, even for what's called a diagnostic scan. We want to find patients who have a history of smoking, quit within the past 15 years. That's why we do it. 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. Interesting. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Because I know this is a very complex situation. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. . 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. So there's no cutting. You will get seen three to four weeks from now. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu The ranking is a reflection of the leading-edge lung and . And so those are our mainstays of imaging. Karen says, your pulmonary department is the best. They're still cutting in you. And the city of Chicago is a great place and a lot of fun. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. So we need to get going and do something about it. 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. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. 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? We look at the airways and other parts of our computer modeling to see if that's something that we can get to. 5841 S Maryland Ave, MC 6076. No, don't panic. 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. In other cases, they are actually a cancer. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Can you talk to us a little bit about what the patient experiences in this procedure? Absolutely. Get a Second Opinion. You know, you mentioned that being covered by insurance. You're going to go home. Dr. Hogarth was the first doctor in the Midwest to use the Monarch by Auris a robotic bronchoscopy navigation system with 3-D imaging technology built into a robotic scope that allows him to reach deeper into the lung than ever before to detect and/or biopsy nodules and masses. 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 . So that's nice. Sure. And you say, well, wait. Chicago, IL 60637, Referring Physician Access Line: Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. And the individual tumor biology is changing. Thanks again for being with us today. The University of Chicago Medicine. In some cases, they are a precancerous lesion. And Dr. Hogarth mentioned blood tests even, a few moments ago. And it is, would my annual low dose CT lung cancer screening show nodules? But for many people are extremely, extremely slow growing cancer. And there are potential treatments to help patients quit smoking as well. And hopefully, go home if nothing happens. We're still operating. Getting an expert opinion about what could this nodule actually be. protected veterans, and individuals with disabilities. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . Just type them in the comments section. 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. Stopping smoking can help you just across the board. Some of the blood tests we have, have the ability to change that number. And either one of you can do that. You know, we go, oh, it's a 20% chance. And that could be in person. It's usually about a half day's worth of time. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . Another question from a viewer, and this is Carla. But we can. So I'm excited to be here in the city, and part of this program. And at that point, they'll meet the anesthesiologist, the nursing staff. Along with his clinical practice, Dr. Wagh is an active researcher. So this is an actual question. 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 open for business. James Katsis, MD is affiliated with Rush University Medical Center and specializes in Pulmonology Services in Chicago, IL James Katsis, MD - Rush University Medical Center Call (888) 352-RUSH (7874) I love taking care of people, and I love to see them breathe better and feel better. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. 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. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. Our doctors will actually even join us from the places where they're doing the work. When there are no changes from scan to scan. Conditions & Services; Referring . And was fortunate enough to start the bronchoscopy program here, and the Nodule program. . 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. Currently, there are six board certified Interventional Pulmonologists and a wide range of . We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Well, if you have a cancer, the next question is, what stage is it? Phone: (773) 702-1856 Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. And so Dr. Hogarth, we have another question from a viewer. 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. Dr. Wagh, let's hear a little bit about you. Every tumor, of course, has its own biology speed at which it grows. 3 University of Rochester Medical Center, Rochester New York. So typically we'll have a clinic evaluation. Yes, sir. And then they just go home. So we'll wake you up. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Star ratings and comments come from a number of survey questions. Or you're going to go to radiation or whatever. (312) 996-8039. There's also what's called a needle biopsy. And how urgently must patients act? Compare hospital ratings for pulmonology and lung surgery. Really, really good questions today. So a little bit of a fan club going here, but that's awesome. You know what, I always tell people is there is a long list of things that the nodule could be.