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. Star ratings and comments come from a number of survey questions. Well, if you have a cancer, the next question is, what stage is it? We can talk about imaging modalities. So if we think you're at early stage cancer, that's great. [MUSIC PLAYING]. And these procedures all have their own benefits, but also their own complications. Or is this something that happens and you just need to get it checked out? As faculty members of the University of Cincinnati [] Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. You will still be the same stage. We have been providing exceptional and compassionate . We are proud to have an interventional pulmonary laboratory with full-time dedicated . But can you kind of walk us through what people can expect before, during, and after one of these procedures. When we-- and I'll also say it depends. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. No, it's a great question. Or suggest that the pre-test probability is lower. And you can speak with your physician about that. But what I can also tell you is it's cancer, here's what stage it is. Or should we offer something else? Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. 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. University Pulmonary and Critical Care (UPCC) physicians and nurse practitioners specialize in the diagnosis and treatment of inpatient critical care patients who are typically hospitalized as well as diagnosis and treatment of pulmonary (lung) conditions in an outpatient setting. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. 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. They come into the sky lobby here at UChicago. Karen says, your pulmonary department is the best. And you don't want to. I don't know who wants to take that one. I mean, I think we are living in a strange time. What exactly goes on there, and why is that so critical? But of course, there's biopsies. But we're very careful about that. Follow @uw_APCC. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. So I want to get back to biopsies for just a moment. 13 in the nation for Pulmonary and Lung Surgery. You know, we go, oh, it's a 20% chance. Interventional Pulmonology Secondary Specialty. Patient survey responses are also used to make star ratings for each provider. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And it's something solid. Section of Pulmonary/Critical Care So typically we'll have a clinic evaluation. But also don't ignore it, and don't delay it. [MUSIC PLAYING] My name is Ajay Wagh. You will get seen within a week every time here. Our doctors will actually even join us from the places where they're doing the work. It could be cancer. But also cat scanning. And so now you're going to go to the surgeon to be cured. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. We are taking questions from viewers. 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. Patients have both benign and malignant non-cardiac diseases of the chest. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. We are taking questions from viewers. But we also want to explain to you what we're going to do to actively follow you. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. As an Interventional Radiology Technologist you will perform diagnostic imaging studies as assigned, assist with minimally invasive image-guided vascular procedures, apply principles of radiation protection, exercise professional judgement in . Your lungs are going to be ultimately attached to your mouth. I mean, we do have telemedicine options. 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. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. And there are potential treatments to help patients quit smoking as well. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Or you're going to go to radiation or whatever. Because initially when you're faced with something like that, everything kind of just goes over your head. 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. And that's very important. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . 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. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? We just talked a moment ago, and you're pretty new here. And then they come to our lab. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. 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. And that would be another area, I would imagine. Can you kind of talk to us a little bit about that, and walk us through that? 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. Interesting. And you want to have something reliable in what to do next. Yeah, there's several possibilities in that regard to evaluate these. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. You need to raise a fit. And Dr. Hogarth mentioned blood tests even, a few moments ago. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. And Dr. Hogarth, I want to start with you. And then they come to our lab. And then based on that discussion, we would set a patient up for a procedure. And I don't know. But you come in, we have a pre-procedural area where the patients get kind of their IV. Oh, let me reinforce that. And this is important. But that's part of what you do. Advanced technology and minimally invasive options are available. And hopefully, go home if nothing happens. We're in very separate areas. We're still operating. 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. Our list of accepted insurance providers is subject to change at any time. But that's part of what you do. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. This is a safe place. Oh, less than 5%, OK, let's slow down a little bit. The hospital is safe, the hospital is clean. And you know, it is extremely valuable. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And it is, would my annual low dose CT lung cancer screening show nodules? The probability, if it's low enough, we don't want to do invasive things to you. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. In some cases, they are a precancerous lesion. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. Star ratings and comments come from a number of survey questions. Communicate with your doctor, view test results, schedule appointments and more. There's all kinds of different tests. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Physician Recruitment McHenry, IL. And they hear, oh my gosh, I've got a nodule. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . We'll try to get to as many as we can over the next half hour. We get thousands of survey responses each year. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. You know, and I want to talk a little bit more about biopsies here in just a minute. UChicago Faculty Physicians
UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. It's OK. You're out. It's OK. And this is important. Get a Second Opinion. Some of them are blood based tests. . All rights reserved. And we're, of course, happy and eager to help. And you know, it is extremely valuable. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And how minimal it actually is? And you two, and your teams, are really good at helping people through that situation. And it is, would my annual low dose CT lung cancer screening show nodules? Communicate with your doctor, view test results, schedule appointments and more. You know, it's not just like, yeah, you do this. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. 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. But we do have avenues to help with that. And then they just go home. This is from Therese. Amit, I hope I'm pronouncing this correctly. Another question from a viewer, and this is Carla. And we will kind of shepherd the patient along the way. And so that becomes one procedure, as opposed to multiple procedures. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Just type them in the comments section. And at that point, they'll meet the anesthesiologist, the nursing staff. What exactly goes on there, and why is that so critical? Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. That is not acceptable to make you wait. What's that chance? We have a great team here, and I'm excited to be part of it. It offers a comprehensive program of quality patient care, research and education. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. That's why I'm not moving a lot, not that I move a lot anyway. The University of Chicago Medicine. And we also try to figure out, is it a lesion that requires biopsy? So follow-up scans could also be low dose as well. We could get you a plaque or something. And that's a very important part for a cancer evaluation. And our complication rate is the lowest amongst the three. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Age is usually 55 to 80. And without a doubt, the possibility of cancer is what scares everybody. And we're also going to just keep radiating you. First, do no harm. And we have a series of other tests we can do. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. You know, and I want to talk a little bit more about biopsies here in just a minute. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Schedule your appointment online for primary care and many specialties. 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. And prior to that, I was a private practice pulmonary critical care doctor for six years. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? So I'm excited to be here in the city, and part of this program. 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 . First, do no harm. 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. And that's a very important part for a cancer evaluation. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? You know what, I always tell people is there is a long list of things that the nodule could be. 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. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. We're not going to just say, you must do this. 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. Well, that's nice. We get thousands of survey responses each year. Referring Physician Access Line: . 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. 3 University of Rochester Medical Center, Rochester New York. Phone: (773) 702-1856 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. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Currently, there are six board certified Interventional Pulmonologists and a wide range of . 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. You know, you mentioned that being covered by insurance. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. 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. 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. You know, you said at the very beginning, I have a nodule, should I panic? Our list of accepted insurance providers is subject to change at any time. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. So we do want to remind our viewers, we'll take your questions for our experts. We're not going to just say, you must do this. So we need to get going and do something about it. Get an online second opinion from one of our experts without having to leave your home. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. If we keep scanning you, we're never going to see change. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? And then second step is find the right people to help take care of you. And one that has a very low invasive potential. The ranking is a reflection of the leading-edge lung and . For help with MyChart, call us at 1-844-442-4278. Additionally, Dr. Hogarth is able to offer his patients unparalleled diagnostic accuracy by being the first in the United States to use the LungVision system with the robot to maximize precision. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. It's so important. In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. Within the Department of Medicine, the Division of Pulmonary and Critical Care Medicine provides services at Loyola University Medical Center, Edward Hines, Jr. VA Hospital and RML Specialty Hospital. There's also what's called a needle biopsy. So this is an actual question. And of course, you came here at kind of an odd time, during a pandemic. It's got to be terrible. And I think we like to take things one step at a time. And that would be annually until they kind of exit out after that 15 years. Thoracic Imaging. And either one of you can do that. So my name is Kyle Hogarth. You don't have to go get another procedure that's going to take time to then figure out what stage you are. 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. Yes, sir. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Yes, sir. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? You were fantastic. Because why would I put you-- why would I cure you of something that's never going to harm you? We'll get you a speech card. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment.