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? You know, we go, oh, it's a 20% chance. And then I'll have Ajay go at it as well. And it's something solid. So-- You're going to go home. And it is, would my annual low dose CT lung cancer screening show nodules? 5841 South Maryland Ave., MC 6076 Get a Second Opinion. Is following a nodule ground glass opacity with yearly CT standard? 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. Show more Show less BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. So Dr. Wagh, you touched on this a little bit before. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. For help with MyChart, call us at 1-844-442-4278. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Interventional Pulmonology Fellowship | Chicago Medicine Now, these are complicated discussions. Fax: (773) 702-6500, Outpatient Practice: And one that has a very low invasive potential. 2023 The University of Chicago Medical Center. It's got to be terrible. And so think of it like a sponge. . We're in very separate areas. So Dr. Wagh, it was interesting because this is almost like a video game. All kinds of fantastic information there. It's an oath both of us took. Phone: 410-502-2533. And if someone ever by mistake says to you, yeah, they can see you in three months. 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. Is that-- should you be frightened? A star rating is not given if a provider only has a small number of survey responses. Dr. Hogarth, do you want to start on that one? 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). And without a doubt, the possibility of cancer is what scares everybody. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Stopping smoking can help you just across the board. I kiss my spouse. And how minimal it actually is? Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) And I hope you have a great week. Pulmonary & Critical Care Fellowship | GME | Loyola Medicine And then they just go home. And it also has a lot of great COVID information. But we do have avenues to help with that. What exactly goes on there, and why is that so critical? Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. And good nutrition and exercise is important, and we can help you get on the right track. But that's part of what you do. I apologize. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Get a Second Opinion. You will not know we're doing this to you. And how urgently must patients act? Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections That's coming up right now on At The Forefront Live. 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. Just type them in the comments section. Website. So we want to-- I mean, we want to do this for everybody. Schedule your appointment online for primary care and many specialties. For more information about the Interventional Pulmonology Center or to request a referral . That's a great question. Program Coordinator. We just talked a moment ago, and you're pretty new here. We're giving you the least amount of radiation, even for what's called a diagnostic scan. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And then second step is find the right people to help take care of you. Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . And that's very important. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. We could get you a plaque or something. 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? And I hope you have a great week. Our world-renowned physicians are known for their superior expertise in pulmonary diseases and critical care medicine and many have been recognized by Best Doctors in America and Top Doctors in Cincinnati. That is not acceptable to make you wait. University of Wisconsin Interventional Pulmonology Fellowship Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. The responses are used to improve patient experience and recognize staff members for the care they provide. We're not going to just say, you must do this. 847-498-5864. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. So that you get an answer as to what this nodule actually is. We just talked a moment ago, and you're pretty new here. 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. 1-877-DOM-2730, Department of Medicine Interesting. Because it's a difficult time in people's lives when they have something like this done. 5841 S Maryland Ave, MC 6076. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. But you come in, we have a pre-procedural area where the patients get kind of their IV. You're out. Really, really good questions today. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. So we do want to remind our viewers, we'll take your questions for our experts. And this is a little bit inside baseball. We don't want that to happen. And either one of you can do that. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. I'm not happy that I have to tell you it's cancer. I follow the philosophy of following the three A's-- affable, available, and able. But we can. And it also has a lot of great COVID information. And we will kind of shepherd the patient along the way. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Getting an expert opinion about what could this nodule actually be. I'm new here to the University of Chicago, and very thankful to be here. 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. 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. Thanks again for being with us today. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. 2023 The University of Chicago Medical Center. Schedule your appointment online for primary care and many specialties. 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. Yes, sir. We're going to give you some strong recommendations. And they'll double check everything. 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. Yes, so a patient typically comes in basically just for a few hours during the day. And this is a little bit inside baseball. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. 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. Communication is important with the patients. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . 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 the national standard is roughly five weeks. Our 5-year integrated IR/DR training program consists of a subspecialty track system with 4-week-long rotations in the following sections: Abdominal computed tomography. Because it's interesting how you do them in the lung. Conditions & Services; Absolutely. So-- go ahead, Dr. Hogarth, did you have something you wanted in? And as Dr. Wagh just said, we are able to do video visits and televisits. And I think that's the first key step. But what I can also tell you is it's cancer, here's what stage it is. And there we perform our procedures. Now, a question. There's all kinds of different tests. And the city of Chicago is a great place and a lot of fun. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Curriculum | Chicago Medicine [LAUGHTER] When there are no changes from scan to scan. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And our complication rate is the lowest amongst the three. You will not know we're doing this to you. . And was fortunate enough to start the bronchoscopy program here, and the Nodule program. But in reality, if you're a patient, there's only two things. Today there are better insights into cancer and other lung diseases. It's OK. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. We want to minimize radiation. So ground glass nodules are a different biology. 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. Or it could be a telemedicine visit. So I'm going to have you answer the question, but also kind of explain what she's asking here. And Dr. Hogarth, we'll start with you. And sign a few papers. We're open for business. Because we will always see you. And that would be another area, I would imagine. And so the lymph nodes are where cancer would spread to first. Stopping smoking can help you just across the board. Only clean air in the lungs, please. Dr. Wagh, let's hear a little bit about you. But to delay any amount of care. Obviously, if things change, then that's a discussion towards biopsy. 617-632-8036. He also serves as an assistant professor of internal medicine at the UK College of Medicine. 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 . Duke Interventional Pulmonology Fellowship Program Because the chance it's cancer is so low, and every invasive procedure always carries a risk. So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? And you know, those patients typically are eligible for low dose lung cancer screening. [MUSIC PLAYING]. Kumar Gaurav, MD | Interventional Pulmonologist & Critical Care Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. And you don't want to. Get an online second opinion from one of our experts without having to leave your home. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And we keep spacing that interval of scan out if nothing has changed. And we're very serious about that. Academic Interventional Pulmonary/Critical Care Physician It sounds like you're in a busy, busy place. 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. 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. We have been providing exceptional and compassionate . There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn I can meet with you virtually. Make sure everything looks right, that it would be safe to proceed. Current Fellows - University of Chicago - Department of Medicine And then second step is find the right people to help take care of you. And they hear, oh my gosh, I've got a nodule. I kiss my spouse. And if you can, just kind of set the stage for us and tell us a little bit about nodules and masses, and what are they and how do people even know that they have such a thing in their lungs. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Now, these are complicated discussions. And I was fortunate enough, I think, gosh, it's been over a year ago. But of course, there's an 80% chance it's not cancer. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . It's a wonderful, wonderful place. It's OK. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: So-- Make sure everything looks right, that it would be safe to proceed. Septimiu Murgu, MD - UChicago Medicine And then if we do need to do a biopsy, making sure the correct biopsy gets done. For help with MyChart, call us at 1-844-442-4278. So we talked a little bit about just screening for lung cancer in general, and what people need to know, because I know there are some folks that will go through a regular process of screening. So-- And that's kind of comforting, I think, for most patients. And you two, and your teams, are really good at helping people through that situation. We're going to do our work. And how urgently must patients act? So Dr. Wagh, it was interesting because this is almost like a video game. So that's nice. Interesting. And we also try to figure out, is it a lesion that requires biopsy? So appreciate that. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu So you're going to get way more bang for your buck literally as a scan by coming here. Interventional Pulmonology | Conditions & Treatments | UT Southwestern So if we think you're at early stage cancer, that's great. The Section of Thoracic Imaging provides state-of-the-art imaging and interpretation of pulmonary and cardiac diseases in close collaboration with internists, pulmonologists and thoracic surgeons at the University of Chicago Medical Center. Because it's interesting how you do them in the lung. So let's start off with our questions. Lung Diseases (Pulmonology) - UChicago Medicine You know, we go, oh, it's a 20% chance. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. 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. What are some of the options to evaluate lung nodules and lung masses? And that is how biopsies work. And we keep spacing that interval of scan out if nothing has changed. 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 hopefully, go home if nothing happens. So you're going to get way more bang for your buck literally as a scan by coming here. Getting an expert opinion about what could this nodule actually be. In some cases, they are a precancerous lesion. That's coming up right now on At The Forefront Live. Randomly selected patients are sent patient satisfaction surveys after their visits. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. You can't eat after midnight. That's right. And that's kind of comforting, I think, for most patients. So first is just a discussion with you of what is the probability that this could be a malignancy 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) So, I really believe in great communication and teamwork. 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. And either one of you can jump on this one. 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. There's nobody else here. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. 11 millimeters is rather small. 1:25 . Future Oncol. MC 6092 the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . See, this just shows how important it is that we do these programs here. And I don't know. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. So we go through your mouth. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. So typically we'll have a clinic evaluation. The University of Chicago Fellowship Coordinator Job in Chicago, IL And as always, we'll take your questions during our 30 minute program. It's a wonderful, wonderful place. But we're very careful about that. Or is this something that happens and you just need to get it checked out? Yeah. So my name is Kyle Hogarth. Well, the blood test actually showed that it's less than 5%. Current Fellows in the Pulmonary and Critical Care Fellowship Faculty Directory - University of Chicago - Department of Medicine 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. They're still cutting in you. 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. Media. Just type them in the comments section. 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 mean, it's really amazing. I'm in the studio all by myself, as you can see here. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. 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. Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary 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. Obviously, if things change, then that's a discussion towards biopsy. And we have a series of other tests we can do. What you're never going to hear from us is to say, now there's nothing to do, leave. Interventional Pulmonology Fellowship; Post-Doctoral; . 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. We're not going to just say, you must do this. A star rating is not given if a provider only has a small number of survey responses. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. You want to be calm and cool. Hogarth DK. And they hear, oh my gosh, I've got a nodule. Because it has everything to do with the quality of the machine for the radiation that goes through. I mean, we do have telemedicine options. Communication is important with the patients. But one of the other things we were talking about, the patient journey. So there's no cutting. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. I'm actually in the endoscopy suites. Northwestern Medicine Canning Thoracic Institute Go ahead, Ajay. 11 millimeters is rather small. 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. And so now you're going to go to the surgeon to be cured. So talk to us a little bit more about the lymph nodes. Absolutely, yeah. Well, my name is Ajay Wagh. Patient survey responses are also used to make star ratings for each provider. Panicking, obviously, is never helpful. He has done the most cases in the United States and has authored numerous publications on this topic. Well, my name is Ajay Wagh. We do have one that I want to get to. So I always have to do this. 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 we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Can you talk to us a little bit about what the patient experiences in this procedure? And Dr. Hogarth, I want to start with you. So Dr. Wagh and I have our partner, Dr. Mergue. Because an abnormal CT scan is terrifying. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. So we need to get going and do something about it. All rights reserved. But we're also going to work with you. Thanks again for being with us today. Yes, sir. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. What's that chance? There's a surgeon, who's going to go in and cut part of it out. 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. Even the show that we're doing right now, you two are remote. 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. And that could be in person. Go ahead, Ajay. Or is this something that happens and you just need to get it checked out? And you know, it is extremely valuable. 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. And so Dr. Hogarth, we have another question from a viewer. We are taking questions from viewers. But you come in, we have a pre-procedural area where the patients get kind of their IV. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat?
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