Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. And there are potential treatments to help patients quit smoking as well. Go ahead, Ajay. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. Another question from a viewer, and this is Carla. You're going to go home. Yes, sir. UChicago Faculty Physicians . And we want to remind our viewers that today's program is not designed to take the place of a visit with your 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. Exactly. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. And so those are our mainstays of imaging. I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. So appreciate that. In some cases, they are a precancerous lesion. 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 . Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Thoracic Imaging. We can talk about imaging modalities. That's why I'm not moving a lot, not that I move a lot anyway. And these procedures all have their own benefits, but also their own complications. First, if you smoke, please quit. Interventional Pulmonary. It's either cancer or everything else. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. So a little bit of a fan club going here, but that's awesome. D. Kyle Hogarth, MD, is an expert in pulmonary diseases.He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancer through bronchoscopy.Dr. Our doctors will actually even join us from the places where they're doing the work. Yeah, sure. No, don't panic. Can you talk to us a little bit about what the patient experiences in this procedure? And so that becomes one procedure, as opposed to multiple procedures. We are extremely cautious about everything here. But we're very careful about that. 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. But that's part of what you do. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. A star rating is not given if a provider only has a small number of survey responses. 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. And then they wait to be brought to the pre-procedural area. Or you're going to go to radiation or whatever. He also serves as an assistant professor of internal medicine at the UK College of Medicine. Chicago, IL 60637 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. Or it could be a telemedicine visit. And we will kind of shepherd the patient along the way. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. And so the lymph nodes are where cancer would spread to first. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. St. Peters Health Partners Medical Associates, P.C. So I want to get back to biopsies for just a moment. We're not going to just say, you must do this. 5841 S Maryland Ave, MC 6076. But for many people are extremely, extremely slow growing cancer. And either one of you can do that. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. 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. Some of them are blood based tests. 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. Well, gentlemen, we're out of time. Star ratings and comments come from a number of survey questions. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Well, I think that there's several possibilities. 2018 Apr 17 . We're giving you the least amount of radiation, even for what's called a diagnostic scan. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. 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 And it's important here. Or you're going to go to radiation or whatever. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. See, this just shows how important it is that we do these programs here. It's either cancer or everything else. It's a wonderful website. And between the four of us, we're all in clinic at any given moment. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Chicago Chest Center - 2015. And you say, well, wait. It's got to be terrible. But one of the other things we were talking about, the patient journey. But we're also going to work with you. 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. We have been providing exceptional and compassionate . We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Karen says, your pulmonary department is the best. It should be a CAT scan if you are eligible. All rights reserved. Or come and visit a lung physician. But to delay any amount of care. You need to raise a fit. 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. We're going to get to a little bit more detail of that one here in just a moment. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . We're going to get to a little bit more detail of that one here in just a moment. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . But I love these. And the patient goes afterwards to a post-procedural area, where they recover. And then if we do need to do a biopsy, making sure the correct biopsy gets done. And there we perform our procedures. [MUSIC PLAYING] And how urgently must patients act? Yes, so a patient typically comes in basically just for a few hours during the day. Critical Care Medicine; Pulmonology; Meet the Doctor . But we do have avenues to help with that. Or should we offer something else? But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. There's a surgeon, who's going to go in and cut part of it out. 2023 The University of Chicago Medical Center. So I always have to do this. And I have been working at the University of Chicago since 1998. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. 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. That's good to know. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Communicate with your doctor, view test results, schedule appointments and more. And then they come to our lab. Conditions & Services; It sounds like you're in a busy, busy place. protected veterans, and individuals with disabilities. But we can. Northwestern Memorial Hospital; Univ. So follow-up scans could also be low dose as well. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. So I want to get back to biopsies for just a moment. I mean, we do have telemedicine options. And if someone ever by mistake says to you, yeah, they can see you in three months. And how minimal it actually is? Meet the Doctor. So we'll wake you up. You were fantastic. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. . So let's start off with our questions. 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 . [MUSIC PLAYING] And that is how biopsies work. Dr. Hogarth kind of briefly said something about the blood tests. 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. Phone: (773) 702-9660. It's so important. It's an oath both of us took. 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. We have a great team here, and I'm excited to be part of it. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. There's nobody else here. You know, it's not just like, yeah, you do this. So there's no cutting. If you think about it, the lung is mostly air. So, I really believe in great communication and teamwork. I apologize. Interventional Pulmonology Fellowship; Post-Doctoral; . 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. I remember when Dr. Hogarth showed this to me. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. Why aren't we just following the pathway down? When there are no changes from scan to scan. 2023 The University of Chicago Medical Center. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. We do have one that I want to get to. Can you kind of walk us through that? Future Oncol. Karen says, your pulmonary department is the best. So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? So follow-up scans could also be low dose as well. Obviously, if things change, then that's a discussion towards biopsy. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. [MUSIC PLAYING]. No, for sure. The Interventional Pulmonology Fellowship began in July 1, 2000. Our doctors will actually even join us from the places where they're doing the work. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . Yeah. And you know, it is extremely valuable. And you don't want to. But you come in, we have a pre-procedural area where the patients get kind of their IV. Can you talk to us a little bit about what the patient experiences in this procedure? Along with his clinical practice, Dr. Wagh is an active researcher. Just type them in the comments section. I recently completed an interventional pulmonary fellowship, which brought me here. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care What's that chance? 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. Interesting. 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. Because it has everything to do with the quality of the machine for the radiation that goes through. Sue Hammerschmidt. We evaluate whether or not it's a target that we can reach. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. 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. Interventional Pulmonology Fellowship Program Director. And that could be in person. I love math and science, and I love to problem solve, so I started out in engineering. Our list of accepted insurance providers is subject to change at any time. 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. You know, we go, oh, it's a 20% chance. Referring . And I hope you have a great week. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . And so those are our mainstays of imaging. The immediate reaction is you're probably frightened. 1-877-DOM-2730, Department of Medicine Now, these are complicated discussions. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Program Coordinator. Even the show that we're doing right now, you two are remote. Yes, sir. Well, my name is Ajay Wagh. We want to find patients who have a history of smoking, quit within the past 15 years. . You need to raise a fit. Amit, I hope I'm pronouncing this correctly. And the city of Chicago is a great place and a lot of fun. And you know, COVID makes it harder for patients to see doctors. It's a wonderful website. Interesting. Learn more about clinical trials and find a trial that might be right for you. Make sure everything looks right, that it would be safe to proceed. And there are potential treatments to help patients quit smoking as well. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. No, don't panic. Randomly selected patients are sent patient satisfaction surveys after their visits. 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? 2023 The University of Chicago Medical Center. And I think that's the first key step. And we're also going to just keep radiating you. So talk to us a little bit more about the lymph nodes. I mean, we do have telemedicine options. We will overbook you. It's a wonderful, wonderful place. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. You know, we go, oh, it's a 20% chance. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. We could get you a plaque or something. Some of the blood tests we have, have the ability to change that number. That's good to know. Interventional Pulmonology. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. Chronic cough. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. And at that point, they'll meet the anesthesiologist, the nursing staff. Sunit Singla, MD. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. And either one of you can do that. Instead, you might have a little sore throat for a day or two. Go ahead, Ajay. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. Or should we offer something else? The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. We're in very separate areas. About. So if we think you're at early stage cancer, that's great. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. And then second step is find the right people to help take care of you. And I think we like to take things one step at a time. And we also try to figure out, is it a lesion that requires biopsy? And they hear, oh my gosh, I've got a nodule. Get a Second Opinion. 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 then at that point, we would bring the patient back to the our laboratory. The ranking is a reflection of the leading-edge lung and . 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. No, it will show the nodules. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And then based on that discussion, we would set a patient up for a procedure. Amit, I hope I'm pronouncing this correctly. And we have a series of other tests we can do. So we go through your mouth. Well, we're very happy to have you. No, for sure. There's all kinds of different tests. And using some of the tools that we have. Phone: (773) 702-9660. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. And this is important. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Funding for Educational Activities And you want to have something reliable in what to do next. 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 CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. And without a doubt, the possibility of cancer is what scares everybody. But for many people are extremely, extremely slow growing cancer. And we're very serious about that. Is that-- should you be frightened? 11234 Anderson St, Loma Linda, CA 92354. . So we go through your mouth. And we will kind of shepherd the patient along the way. [MUSIC PLAYING] My name is Ajay Wagh. And so the lymph nodes are where cancer would spread to first. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. You don't have to go get another procedure that's going to take time to then figure out what stage you are. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. But of course, there's an 80% chance it's not cancer. And you say, well, wait. That is not acceptable to make you wait. Well, I think that there's several possibilities. We're going to do our work. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . But that's part of what you do. And one that has a very low invasive potential. 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. And you know, those patients typically are eligible for low dose lung cancer screening. 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. Panicking, obviously, is never helpful. Well, we're very happy to have you. You will still be the same stage. And hopefully, go home if nothing happens. So my name is Kyle Hogarth. And that's a very important part for a cancer evaluation. 5841 South Maryland Ave., MC 6076 And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. 5841 South Maryland Avenue, So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Referring Physician Access Line: . And sign a few papers. Nicole Greenlee. Dr. Hogarth, do you want to start on that one? That ground glass, if it gets larger or denser, then it's changing. 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? University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. You are comfortable. Because it's a difficult time in people's lives when they have something like this done. But to delay any amount of care. Thanks again for being with us today. And then we go in with our scopes. 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. The hospital is safe, the hospital is clean. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. These are not questions. Like, I'm not worried about spreading disease. Some of them are blood based tests. We want to remind people, very important, do not forego medical care during COVID. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. We just talked a moment ago, and you're pretty new here. That's going to be number one on the list. Or is this something that happens and you just need to get it checked out? For more information about the Interventional Pulmonology Center or to request a referral . You will get seen three to four weeks from now. So ground glass nodules are a different biology. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. And then they wait to be brought to the pre-procedural area. And we also try to figure out, is it a lesion that requires biopsy? 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. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima Schedule your appointment online for primary care and many specialties. No, it will show the nodules. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. (Or create a 1/6 column and add a text field, modify the class so Pulmonary & Critical Care Medicine. Interventional Pulmonology Secondary Specialty. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. And that's kind of comforting, I think, for most patients. [LAUGHTER] 13 in the nation for Pulmonary and Lung Surgery. Program Overview. And the patient goes afterwards to a post-procedural area, where they recover. 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. And how urgently must patients act? Yes, sir. 840 S. Wood Street MC719 Chicago, IL 60612. So when we're done, you go home. It's so important. And you know, COVID makes it harder for patients to see doctors. What happens? 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. Yes, sir. In some cases, they are a precancerous lesion. We don't want that to happen. The responses are used to improve patient experience and recognize staff members for the care they provide. So-- And every patient is different. There's also what's called a needle biopsy. And that's very important. And Dr. Hogarth mentioned blood tests even, a few moments ago. Because I know this is a very complex situation. 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 open for business. And we're also going to just keep radiating you. of Colorado Health Sciences Ctr. No, it's a great question. But we also want to explain to you what we're going to do to actively follow you. And we're, of course, happy and eager to help.
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