Communicate with your doctor, view test results, schedule appointments and more. Well, the blood test actually showed that it's less than 5%. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? And it also has a lot of great COVID information. Sue Hammerschmidt. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. I apologize. Well, I think that there's several possibilities. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. And we keep spacing that interval of scan out if nothing has changed. Chronic cough. Is that-- should you be frightened? We're not going to just say, you must do this. So if we think you're at early stage cancer, that's great. The immediate reaction is you're probably frightened. 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. The responses are used to improve patient experience and recognize staff members for the care they provide. Or should we offer something else? 617-632-8036. Today there are better insights into cancer and other lung diseases. When we-- and I'll also say it depends. I remember when Dr. Hogarth showed this to me. So we need to get going and do something about it. We'll get you a speech card. The immediate reaction is you're probably frightened. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. You're out. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. I'm new here to the University of Chicago, and very thankful to be here. We're going to do our work. No, it will show the nodules. Amit, I hope I'm pronouncing this correctly. But of course, there's an 80% chance it's not cancer. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . We are taking questions from viewers. For more information about the Interventional Pulmonology Center or to request a referral . 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're going to get to a little bit more detail of that one here in just a moment. You shared really some good information with our audience. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Or does it have to be a higher dose CT screening? 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. And you can speak with your physician about that. Getting an expert opinion about what could this nodule actually be. And between the four of us, we're all in clinic at any given moment. But what I can also tell you is it's cancer, here's what stage it is. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Sure. So Dr. Wagh, you touched on this a little bit before. So-- The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. That ground glass, if it gets larger or denser, then it's changing. Today there are better insights into cancer and other lung diseases. And you know, COVID makes it harder for patients to see doctors. Can you talk to us a little bit about what the patient experiences in this procedure? His contributions to the field of procedure-related training has been recognized by his peers and professional societies. And they hear, oh my gosh, I've got a nodule. I work here, I go home, I kiss my children. And then we go in with our scopes. So first is just a discussion with you of what is the probability that this could be a malignancy for you. 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. Emphysema and advanced emphysema. But I love these. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. The University of Michigan as a . We do have one that I want to get to. But also cat scanning. We want to minimize radiation. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. And that's sort of when we take a look at the CAT scan very closely. We get thousands of survey responses each year. 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 . That's good to know. Because I know this is a very complex situation. I can meet with you virtually. And you can speak with your physician about that. But we can. 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. And we're also going to just keep radiating you. So this is an actual question. Star ratings and comments come from a number of survey questions. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Really, really good questions today. Well, gentlemen, we're out of time. That's going to be number one on the list. This is from Therese. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. [MUSIC PLAYING]. Conditions & Services; Is that-- should you be frightened? Interventional Pulmonary. 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 talk to us a little bit more about the lymph nodes. Make sure everything looks right, that it would be safe to proceed. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. Yes, sir. But there's many other tests. We'll try to get to as many as we can over the next half hour. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. And we will kind of shepherd the patient along the way. Sunit Singla, MD. Oh, less than 5%, OK, let's slow down a little bit. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And either one of you can jump on this one. You were fantastic. But one of the other things we were talking about, the patient journey. We get thousands of survey responses each year. [MUSIC PLAYING] So you're going to get way more bang for your buck literally as a scan by coming here. Program Director. And that's kind of comforting, I think, for most patients. So Dr. Wagh and I have our partner, Dr. Mergue. You know, in fact, just to even further hammer home that point. Some of them are blood based tests. Stopping smoking can help you just across the board. It's a wonderful, wonderful place. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. And we get the tissue that we need. Get a Second Opinion. And I have been working at the University of Chicago since 1998. And we have a high success rate to get you an answer. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. But we can. I mean, the first thing is first, is we do have lung cancer screening, which we offer patients CAT scans if they're eligible and have a smoking history. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . 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. But we're also going to work with you. You can't eat after midnight. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. So I'm going to have you answer the question, but also kind of explain what she's asking here. It's a wonderful, wonderful place. I'm not happy that I have to tell you it's cancer. I mean, the first thing is first, is we do have lung cancer screening, which we offer patients CAT scans if they're eligible and have a smoking history. 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. 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. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Communication is important with the patients. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? And that would be another area, I would imagine. Our interventional pulmonologists and their teams can diagnose and treat many types of lung disease, such as: Airway conditions, including airway fistulas and airway stenosis (narrowing) Asthma. So I'm excited to be here in the city, and part of this program. And you know, COVID makes it harder for patients to see doctors. 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. It's got to be terrible. 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. . Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Yes, sir. Can you talk to us a little bit about what the patient experiences in this procedure? You will not know we're doing this to you. There's all kinds of different tests. Along with his strides with bLVR, Dr. Hogarth was the first physician in Illinois to perform bronchial thermoplasty, a FDA-approved technique to treat severe asthma. The hospital is safe, the hospital is clean. So we want to-- I mean, we want to do this for everybody. It sounds like you're in a busy, busy place. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. They're still cutting in you. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. And you don't want to. It should be a CAT scan if you are eligible. That's not hard to convince someone. These are not questions. I'm not happy that I have to tell you it's cancer. There's a surgeon, who's going to go in and cut part of it out. It's OK. Because why would I put you-- why would I cure you of something that's never going to harm you? Our list of accepted insurance providers is subject to change at any time. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. He also serves as an assistant professor of internal medicine at the UK College of Medicine. The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. Panicking, obviously, is never helpful. And remember, you can schedule your video visit by also going to the website. Another question from a viewer, and this is Carla. Or does it have to be a higher dose CT screening? Because initially when you're faced with something like that, everything kind of just goes over your head. Because I know this is a very complex situation. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . We have been providing exceptional and compassionate . We don't even have any camera people in here. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. And without a doubt, the possibility of cancer is what scares everybody. He has done the most cases in the United States and has authored numerous publications on this topic. Yes, sir. And we also try to figure out, is it a lesion that requires biopsy? When there are no changes from scan to scan. 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. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. Hogarth DK. And I do also think it's worth mentioning that by doing the bronchoscopy, as opposed to choosing an alternative technique, such as a needle biopsy, we're also able to evaluate the lymph nodes in the chest. 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. I love math and science, and I love to problem solve, so I started out in engineering. They come into the sky lobby here at UChicago. 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 if someone ever by mistake says to you, yeah, they can see you in three months. And so those are our mainstays of imaging. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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. Communicate with your doctor, view test results, schedule appointments and more. So ground glass nodules are a different biology. But to delay any amount of care. And I was fortunate enough, I think, gosh, it's been over a year ago. We just talked a moment ago, and you're pretty new here. 2023 The University of Chicago Medical Center. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. You will get seen three to four weeks from now. And remember, you can schedule your video visit by also going to the website. But of course, there's an 80% chance it's not cancer. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . We're in very separate areas. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. It is covered by insurance. I work here, I go home, I kiss my children. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu Salary and Benefits. 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. Well, the blood test actually showed that it's less than 5%. 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. You know, it's not just like, yeah, you do this. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. First, do no harm. And we're very serious about that. Like, I'm not worried about spreading disease. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. Because it's a difficult time in people's lives when they have something like this done. Associate Professor of Medicine, Co-director of Bronchoscopy. Our list of accepted insurance providers is subject to change at any time. That's always the question people want to know. If we keep scanning you, we're never going to see change. That's why I'm not moving a lot, not that I move a lot anyway. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. And usually we discuss medications, if the patient is on a blood thinner. A star rating is not given if a provider only has a small number of survey responses. Instead, you might have a little sore throat for a day or two. 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. Can you kind of talk to us a little bit about that, and walk us through that? Obviously, if things change, then that's a discussion towards biopsy. The Interventional Pulmonology Fellowship began in July 1, 2000. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . . Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. And that's very important. 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. It could be cancer. And as always, we'll take your questions during our 30 minute program. And then they wait to be brought to the pre-procedural area. I apologize. And of course, you came here at kind of an odd time, during a pandemic. 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. Some of the blood tests we have, have the ability to change that number. 840 S. Wood Street MC719 Chicago, IL 60612. And that could be in person. I'm new here to the University of Chicago, and very thankful to be here. And without a doubt, the possibility of cancer is what scares everybody. Some of the blood tests we have, have the ability to change that number. And good nutrition and exercise is important, and we can help you get on the right track. And we do it through your mouth. And at that point, they'll meet the anesthesiologist, the nursing staff. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. And they hear, oh my gosh, I've got a nodule. [MUSIC PLAYING] That's going to be number one on the list. That's right. And Dr. Hogarth, we'll start with you. 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. Compare hospital ratings for pulmonology and lung surgery. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Communication is important with the patients. 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. And using some of the tools that we have. So we'll wake you up. Follow @uw_APCC. We want to find patients who have a history of smoking, quit within the past 15 years. St. Peters Health Partners Medical Associates, P.C. I'm an interventional pulmonologist here at the University of Chicago. And this is important. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. In other cases, they are actually a cancer. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . I mean, we do have telemedicine options. And Janet wants to know how invasive is a lung biopsy? It's usually about a half day's worth of time. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. We also have literally the world's greatest nurse practitioner, Kimberly. So that you get an answer as to what this nodule actually is. See, this just shows how important it is that we do these programs here. And then they wait to be brought to the pre-procedural area. 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) Interventional Pulmonology Fellowship; Post-Doctoral; . Well, that's nice. Pulmonologists D. Kyle Hogarth, MD, and Ajay Wagh, MD, talk about different ways physicians can detect and diagnose lung nodules and masses, including advanced bronchoscopy techniques that do not require incisions or surgery. Now, a question. It should be a CAT scan if you are eligible. So when we're done, you go home. And I have been working at the University of Chicago since 1998. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Well, we're very happy to have you. This isn't that twilight. It's an oath both of us took. But in reality, if you're a patient, there's only two things. And we do it through your mouth. That is not acceptable to make you wait. So I'm going to have you answer the question, but also kind of explain what she's asking here. That's why I'm not moving a lot, not that I move a lot anyway. What are some of the options to evaluate lung nodules and lung masses? We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Interventional Pulmonology Fellowship Program Director. 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 . Physician Recruitment McHenry, IL. It's a wonderful website. UChicago Faculty Physicians We want to remind people, very important, do not forego medical care during COVID. But for many people are extremely, extremely slow growing cancer. 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. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. After initially working as a hospitalist, he pursued a pulmonary and critical care fellowship at OHSU followed by an interventional pulmonary fellowship at the University of Texas MD Anderson Cancer Center.
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