Sue Hammerschmidt. Because it's a difficult time in people's lives when they have something like this done. That's why I'm not moving a lot, not that I move a lot anyway. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. Exactly. Interesting. They're still cutting in you. Karen says, your pulmonary department is the best. Get an online second opinion from one of our experts without having to leave your home. 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. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. 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. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. So there's no cutting. Communication is important with the patients. Well, it certainly can. So a little bit of a fan club going here, but that's awesome. But we can. 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. But one of the other things we were talking about, the patient journey. Associate Professor of Medicine, Co-director of Bronchoscopy. And we will kind of shepherd the patient along the way. That's always the question people want to know. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. So talk to us a little bit more about the lymph nodes. Along with his clinical practice, Dr. Wagh is an active researcher. In other cases, they are actually a cancer. That ground glass, if it gets larger or denser, then it's changing. Because we will always see you. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. Every tumor, of course, has its own biology speed at which it grows. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. of Colorado Health Sciences Ctr. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. But for many people are extremely, extremely slow growing cancer. We evaluate whether or not it's a target that we can reach. 11 millimeters is rather small. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. We're not going to just say, you must do this. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Star ratings and comments come from a number of survey questions. 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 Dr. Hogarth, we'll start with you. Maybe Dr. Hogarth, you can start. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? I am a Professor of Medicine here. Really, really good questions today. And I don't know. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. You know, you mentioned that being covered by insurance. And so now you're going to go to the surgeon to be cured. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. But there's many other tests. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And remember, you can schedule your video visit by also going to the website. And as Dr. Wagh just said, we are able to do video visits and televisits. But in reality, if you're a patient, there's only two things. Thoracic Imaging. Go ahead, Ajay. You were fantastic. You will get seen within a week every time here. And Dr. Hogarth mentioned blood tests even, a few moments ago. Communicate with your doctor, view test results, schedule appointments and more. So Dr. Wagh and I have our partner, Dr. Mergue. There's large databases that have been built off of the experience of radiology to be able to essentially plug-in and give a number. We'll try to get to as many as we can over the next half hour. Make sure everything looks right, that it would be safe to proceed. As faculty members of the University of Cincinnati [] But also don't ignore it, and don't delay it. And let's go through your CAT scan and let's have this discussion about what our next step is. Learn more about clinical trials and find a trial that might be right for you. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Because initially when you're faced with something like that, everything kind of just goes over your head. When there are no changes from scan to scan. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And every patient is different. Another question from a viewer, and this is Carla. It's got to be terrible. They're still cutting in you. 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. It could be cancer. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . And then second step is find the right people to help take care of you. Star ratings and comments come from a number of survey questions. It's OK. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Amit, I hope I'm pronouncing this correctly. A star rating is not given if a provider only has a small number of survey responses. We're going to do our work. And I hope you have a great week. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. It's an oath both of us took. And you don't want to. We get thousands of survey responses each year. And it's important here. We're open for business. 1-877-DOM-2730, Department of Medicine So you're going to get way more bang for your buck literally as a scan by coming here. But of course, there's biopsies. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. I should point out, the amount of radiation you get from a CAT scan at a center like ours-- so it has everything to do with the quality of the scanners. A lung mass can be a frightening discovery. Or it could be a telemedicine visit. Critical Care Medicine; Pulmonology; Meet the Doctor . 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. Where it's basically put right through your chest into the lung nodule done through the radiology department. Because I know this is a very complex situation.
And prior to that, I was a private practice pulmonary critical care doctor for six years. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And we're, of course, happy and eager to help. And the patient goes afterwards to a post-procedural area, where they recover. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. That's always the question people want to know. Salary and Benefits. Our list of accepted insurance providers is subject to change at any time. Dr. Hogarth, do you want to start on that one? 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. 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. Can you kind of talk to us a little bit about that, and walk us through that? Dr. Hogarth kind of briefly said something about the blood tests. It's OK. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And Dr. Hogarth mentioned blood tests even, a few moments ago. Rush University Medical Center in Chicago, IL is ranked No. 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. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. Randomly selected patients are sent patient satisfaction surveys after their visits. And thank you to our viewers for your great questions. Program Overview. And then I'll have Ajay go at it as well. And there we perform our procedures. But I love these. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. We want to find patients who have a history of smoking, quit within the past 15 years. You know, and I want to talk a little bit more about biopsies here in just a minute. No, for sure. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. And the national standard is roughly five weeks. 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. Schedule your appointment online for primary care and many specialties. Chicago Chest Center/ The University of Illinois Chicago. Because I know this is a very complex situation. And there are potential treatments to help patients quit smoking as well. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. See, this just shows how important it is that we do these programs here. See, this just shows how important it is that we do these programs here. He also serves as an assistant professor of internal medicine at the UK College of Medicine. And you can speak with your physician about that. And we get the tissue that we need. Well, if you have a cancer, the next question is, what stage is it? We will overbook you. Our doctors will actually even join us from the places where they're doing the work. 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. But that's part of what you do. Sure. Dr. Hogarth was the first physician in Illinois to perform Bronchoscopic Lung Volume Reduction (bLVR) for severe emphysemausing both the Zephyr valve and the Spiration valve. We are taking questions from viewers. So I think first step is don't panic. And we can help you do that, too. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . Yes, so a patient typically comes in basically just for a few hours during the day. You know, we go, oh, it's a 20% chance. Funding for Educational Activities [MUSIC PLAYING]. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. And I think that's the first key step. Pulmonary, Critical Care & Sleep Medicine. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. But of course, there's an 80% chance it's not cancer. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . And then based on that discussion, we would set a patient up for a procedure. Today there are better insights into cancer and other lung diseases. Hogarth DK. I'm not happy that I have to tell you it's cancer. And this is a little bit inside baseball. And that could be in person. There's nobody else here. And it also has a lot of great COVID information. And the individual tumor biology is changing. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. And that is how biopsies work. And we're also going to just keep radiating you. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. So-- 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. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu I mean, we do have telemedicine options. So I always have to do this. I'm in the studio all by myself, as you can see here. And I have been working at the University of Chicago since 1998. 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. I don't know who wants to take that one. 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 know, you said at the very beginning, I have a nodule, should I panic? But also cat scanning. And the patient goes afterwards to a post-procedural area, where they recover. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Occupational lung disease. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Quick Apply. But what I can also tell you is it's cancer, here's what stage it is. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Section of Pulmonary/Critical Care
And smoking is certainly a problem, a historical problem that we're working to deal with every day. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . 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. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Where it's basically put right through your chest into the lung nodule done through the radiology department. 2023 The University of Chicago Medical Center. And then they come to our lab. That's a great question. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Getting an expert opinion about what could this nodule actually be. So appreciate that. So we want to-- I mean, we want to do this for everybody. The hospital is safe, the hospital is clean. Just to echo what Dr. Wagh said. So Dr. Wagh, it was interesting because this is almost like a video game. It's a wonderful, wonderful place. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. This is a safe place. 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. And they'll double check everything. 5841 S Maryland Ave, MC 6076. You know what, I always tell people is there is a long list of things that the nodule could be. That's coming up right now on At The Forefront Live. It should be a CAT scan if you are eligible. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. There's large databases that have been built off of the experience of radiology to be able to essentially plug-in and give a number. 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. There's also what's called a needle biopsy. Panicking, obviously, is never helpful. It's usually about a half day's worth of time. (Or create a 1/6 column and add a text field, modify the class so 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. That is not acceptable to make you wait. But a doctor may see something on a chest x-ray. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . Advanced technology and minimally invasive options are available. About Us. So look, there's three ways to sample inside the lung. So follow-up scans could also be low dose as well. This isn't that twilight. No, for sure. We're in very separate areas. And that would be annually until they kind of exit out after that 15 years. 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. 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. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Because initially when you're faced with something like that, everything kind of just goes over your head. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. 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 don't want that to happen. But we're also going to work with you. And these procedures all have their own benefits, but also their own complications. And I try to reliably perform that every day when I come to work. Some of them are just re-evaluating the CAT scan you have. And that's very important. Website. 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.