That's not hard to convince someone. Absolutely, yeah. See, this just shows how important it is that we do these programs here. Only clean air in the lungs, please. And I was fortunate enough, I think, gosh, it's been over a year ago. Northwestern Medicine Canning Thoracic Institute 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. We're giving you the least amount of radiation, even for what's called a diagnostic scan. But a doctor may see something on a chest x-ray. It's usually about a half day's worth of time. It's got to be terrible. And between the four of us, we're all in clinic at any given moment. 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. Because initially when you're faced with something like that, everything kind of just goes over your head. And then they come to our lab. Pulmonary & Critical Care Medicine. So we'll wake you up. And how minimal it actually is? And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Or should we offer something else? So you're going to get way more bang for your buck literally as a scan by coming here. So-- And that's a very important part for a cancer evaluation. [MUSIC PLAYING] Now, these are complicated discussions. Get a Second Opinion. For help with MyChart, call us at 1-844-442-4278. All rights reserved. Or you're going to go to radiation or whatever. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. I want to know you're an early stage cancer. And Dr. Hogarth mentioned blood tests even, a few moments ago. 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. We're going to do our work. Loma Linda University Children's Hospital. Communication is important with the patients. 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. What's that chance? Make sure everything looks right, that it would be safe to proceed. 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. Meet the Doctor. I mean, I think we are living in a strange time. So we want to-- I mean, we want to do this for everybody. And you want to have something reliable in what to do next. Dr. Wagh, let's hear a little bit about you. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. Because it has everything to do with the quality of the machine for the radiation that goes through. Thoracic Imaging. And sign a few papers. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Currently, there are six board certified Interventional Pulmonologists and a wide range of . What you're never going to hear from us is to say, now there's nothing to do, leave. Oh, let me reinforce that. 840 S. Wood Street MC719 Chicago, IL 60612. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. You know, we go, oh, it's a 20% chance. It should be a CAT scan if you are eligible. Interventional Pulmonology. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. Some of them are just re-evaluating the CAT scan you have. And every patient is different. And thank you to our viewers for your great questions. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Absolutely. But what I can also tell you is it's cancer, here's what stage it is. Right? Because why would I put you-- why would I cure you of something that's never going to harm you? . Schedule your appointment online for primary care and many specialties. 2023 The University of Chicago Medical Center. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. And then they wait to be brought to the pre-procedural area. 11 millimeters is rather small. Pulmonary Critical Care Fellowship | Peoria Medicine We're going to give you some strong recommendations. 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. When we-- and I'll also say it depends. Because it has everything to do with the quality of the machine for the radiation that goes through. Because an abnormal CT scan is terrifying. 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. . Randomly selected patients are sent patient satisfaction surveys after their visits. And this is a little bit inside baseball. 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. Why aren't we just following the pathway down? 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. Duke Interventional Pulmonology Fellowship Program And so those are our mainstays of imaging. Dr. Murgus specialty extends to a wide range of central airway disorders, including tracheal stenosis, tracheobronchomalacia, excessive dynamic airway collapse and airway obstruction from cancer. Job Description Northwestern Medicine is currently seeking Physicians, board-certified or eligible in Interventional Pulmonology for our McHenry, IL and Lake Forest, IL hospital locations. We'll try to get to as many as we can over the next half hour. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections It's usually about a half day's worth of time. The fear always is that cancers are going to grow. Fellowship Programs | Emory School of Medicine But can you kind of walk us through what people can expect before, during, and after one of these procedures. 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. I work here, I go home, I kiss my children. We are proud to have an interventional pulmonary laboratory with full-time dedicated . Medicine Fellowship Programs - Rosalind Franklin University So talk to us a little bit more about the lymph nodes. But we also want to explain to you what we're going to do to actively follow you. And we're very serious about that. Fax: (773) 702-6500, Outpatient Practice: Oh, let me reinforce that. That's always the question people want to know. I apologize. 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. Like, I'm not worried about spreading disease. And that's kind of comforting, I think, for most patients. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Go ahead, Ajay. We could get you a plaque or something. Karen says, your pulmonary department is the best. But we do have avenues to help with that. Star ratings and comments come from a number of survey questions. Where it's basically put right through your chest into the lung nodule done through the radiology department. And either one of you can do that. And Dr. Hogarth, we'll start with you. And the individual tumor biology is changing. Interesting. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And you can speak with your physician about that. But we do have avenues to help with that. Some of them are blood based tests. Right? Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. 11 millimeters is rather small. So if you have an x-ray or a CAT scan, there is a chance that the word module or mass is going to show up in the report. 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. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . And there are potential treatments to help patients quit smoking as well. And that would be annually until they kind of exit out after that 15 years. I recently completed an interventional pulmonary fellowship, which brought me here. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. 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. Or come and visit a lung physician. There's all kinds of different tests. And so the lymph nodes are where cancer would spread to first. It's a wonderful website. But there's many things it could be. As faculty members of the University of Cincinnati [] 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. Even the show that we're doing right now, you two are remote. Obviously, if things change, then that's a discussion towards biopsy. If you think about it, the lung is mostly air. Interventional Pulmonology | Pulmonary & Critical Care Medicine I'm in the studio all by myself, as you can see here. University of Chicago hiring Fellowship Coordinator in Chicago But many times, you might notice something on an x-ray that's not part of the screening pathway. 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 . Because we will always see you. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? So I always have to do this. And these procedures all have their own benefits, but also their own complications. You were fantastic. Yeah. And if someone ever by mistake says to you, yeah, they can see you in three months. You shared really some good information with our audience. And at that point, they'll meet the anesthesiologist, the nursing staff. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Phone: (773) 702-1856 Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. That's another thing that you probably want to caution people about. Dr. Hogarth kind of briefly said something about the blood tests. Full-Time. And we're also going to just keep radiating you. For help with MyChart, call us at 1-844-442-4278. And the national standard is roughly five weeks. Nicole Greenlee. Physician Recruitment McHenry, IL. Randomly selected patients are sent patient satisfaction surveys after their visits. We are taking questions from viewers. No, it will show the nodules. So Dr. Wagh and I have our partner, Dr. Mergue. So appreciate that. Lung Health Program | UI Health - University of Illinois Hospital 11234 Anderson St, Loma Linda, CA 92354. . It's an oath both of us took. It is covered by insurance. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. I want to know you're an early stage cancer. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Interventional Pulmonology Fellowship - MD Anderson Cancer Center Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. We evaluate whether or not it's a target that we can reach. Exactly. But we also want to explain to you what we're going to do to actively follow you. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. What happens? And then they wait to be brought to the pre-procedural area. MC 6092 Comments that do not apply, risk patient privacy, or are not appropriate are not posted. 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. We even use-- in order to evaluate a patient's risk-- we use calculators to help evaluate that too based on a patient's history and imaging findings. Well, gentlemen, we're out of time. Media. And that is how biopsies work. I love math and science, and I love to problem solve, so I started out in engineering. 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. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. You're going to go home. Is that-- should you be frightened? I can meet with you virtually. And remember, you can schedule your video visit by also going to the website. Stopping smoking can help you just across the board. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Hogarth DK. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . Well, my name is Ajay Wagh. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Karen says, your pulmonary department is the best. Is that-- should you be frightened? Or does it have to be a higher dose CT screening? No, for sure. Schedule your appointment online for primary care and many specialties. But for many people are extremely, extremely slow growing cancer. You need to raise a fit. Benjamin J. Seides, MD | Northwestern Medicine Because the chance it's cancer is so low, and every invasive procedure always carries a risk. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Dr. Hogarth, do you want to start on that one? Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu But also don't ignore it, and don't delay it. You will still be the same stage. And that could be in person. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: These are not questions. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. Go ahead, Ajay. Why aren't we just following the pathway down? For help with MyChart, call us at 1-844-442-4278. So if we think you're at early stage cancer, that's great. The responses are used to improve patient experience and recognize staff members for the care they provide. A lung mass can be a frightening discovery. Yes, sir. And I think that's the first key step. And we're very serious about that. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. We don't want that to happen. And without a doubt, the possibility of cancer is what scares everybody. You know, and I want to talk a little bit more about biopsies here in just a minute. And good nutrition and exercise is important, and we can help you get on the right track. Get an online second opinion from one of our experts without having to leave your home. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . And how urgently must patients act? In other cases, they are actually a cancer. We'll get you a speech card. I kiss my spouse. Just to echo what Dr. Wagh said. Curriculum | Chicago Medicine Instead, you might have a little sore throat for a day or two. UChicago Faculty Physicians 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. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Interventional Radiology Technologist, Days Job in Chicago, IL at The And it's very professionally satisfying. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. So if you need an appointment, give us a call at 888-824-0200. You need to raise a fit. We get thousands of survey responses each year. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. You're going to go home. And so that becomes one procedure, as opposed to multiple procedures. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. I mean, we do have telemedicine options. 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 our complication rate is the lowest amongst the three. We have a great team here, and I'm excited to be part of it. Well, it certainly can. Learn more about clinical trials and find a trial that might be right for you. 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) Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. So I want to get back to biopsies for just a moment. 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. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. But in reality, if you're a patient, there's only two things. You know, we go, oh, it's a 20% chance. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Phone: 410-502-2533. We want to minimize radiation. And you can speak with your physician about that. The Fellowship Coordinator will be responsible for coordination and administrative support for fellowship programs in Pulmonary and Critical Care Medicine, Sleep Medicine, and Interventional Pulmonology. So there's no cutting. Advanced technology and minimally invasive options are available. It should be a CAT scan if you are eligible. You want to be calm and cool. And then if we do need to do a biopsy, making sure the correct biopsy gets done. We want to find patients who have a history of smoking, quit within the past 15 years. We also have literally the world's greatest nurse practitioner, Kimberly. 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. You're out. That's always the question people want to know. Ajay Wagh, MD, MS - UChicago Medicine Sunit Singla, MD. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Maybe Dr. Hogarth, you can start. Pulmonary and Critical Care Medicine Fellowship I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And of course, you came here at kind of an odd time, during a pandemic. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. It's OK. 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. We want to remind people, very important, do not forego medical care during COVID. Some of them are just re-evaluating the CAT scan you have. American Association for Bronchology and Interventional Pulmonology When there are no changes from scan to scan. But we're also going to work with you. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Additionally, he authored a best-selling textbook on bronchoscopy as well as written numerous book chapters and clinical guidelines pertinent to the management of patients with lung cancer. Interventional Pulmonology Fellowship Program - University of Chicago And we have a series of other tests we can do. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. And that would be annually until they kind of exit out after that 15 years. See, this just shows how important it is that we do these programs here. Faculty Directory - University of Chicago - Department of Medicine [LAUGHTER] Interventional Pulmonary. Ultimately, I just want to help people feel better and breathe better. And Dr. Hogarth, I want to start with you. Yes, so a patient typically comes in basically just for a few hours during the day. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Stopping smoking can help you just across the board. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And then we go in with our scopes. So we'll wake you up. Patient survey responses are also used to make star ratings for each provider. We are extremely cautious about everything here. And you two, and your teams, are really good at helping people through that situation. Communicate with your doctor, view test results, schedule appointments and more. And prior to that, I was a private practice pulmonary critical care doctor for six years. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. And I hope you have a great week. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. There's all kinds of different tests. (312) 996-8039. It offers a comprehensive program of quality patient care, research and education. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And this is important. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And then second step is find the right people to help take care of you. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. Today there are better insights into cancer and other lung diseases.

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