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. 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. But for many people are extremely, extremely slow growing cancer. And then afterwards, once we settle on a date, the patient comes in. Because it's interesting how you do them in the lung. No, don't panic. Another question from a viewer, and this is Carla. Or is this something that happens and you just need to get it checked out? And you want to have something reliable in what to do next. Some of them are just re-evaluating the CAT scan you have. It's so important. And it is, would my annual low dose CT lung cancer screening show nodules? [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 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. Or come and visit a lung physician. UChicago Faculty Physicians 847-498-5864. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. So we go through your mouth. So I think first step is don't panic. You need to raise a fit. And that's a very important part for a cancer evaluation. So that's nice. 2023 The University of Chicago Medical Center. And then they just go home. Yeah, sure. Phone: (773) 702-9660. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Panicking, obviously, is never helpful. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Phone: (773) 702-1856 His contributions to the field of procedure-related training has been recognized by his peers and professional societies. No, don't panic. And then at that point, we would bring the patient back to the our laboratory. Associate Professor of Medicine, Co-director of Bronchoscopy. So we need to get going and do something about it. We're going to get to a little bit more detail of that one here in just a moment. See, this just shows how important it is that we do these programs here. 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. These are not questions. And as Dr. Wagh just said, we are able to do video visits and televisits. Communication is important with the patients. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. And let's go through your CAT scan and let's have this discussion about what our next step is. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. And I don't know. Future Oncol. And our complication rate is the lowest amongst the three. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. That's why I'm not moving a lot, not that I move a lot anyway. And then I'll have Ajay go at it as well. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. We're giving you the least amount of radiation, even for what's called a diagnostic scan. Interventional Pulmonology Fellowship Program Director. 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. That's going to be number one on the list. And that's very important. We also have literally the world's greatest nurse practitioner, Kimberly. So appreciate that. That's a great question. 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. And if someone ever by mistake says to you, yeah, they can see you in three months. Another question from a viewer, and this is Carla. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. The University of Chicago Medicine. 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. What are some of the options to evaluate lung nodules and lung masses? So Dr. Wagh and I have our partner, Dr. Mergue. MC 6092 I'm an interventional pulmonologist here at the University of Chicago. Absolutely. It could be cancer. And as always, we'll take your questions during our 30 minute program. No, it's a great question. I mean, I think we are living in a strange time. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. It's a wonderful, wonderful place. We are extremely cautious about everything here. You know, it's not just like, yeah, you do this. Sleep clinic patients are seen here during the day . Open for more information. So talk to us a little bit more about the lymph nodes. If you think about it, the lung is mostly air. A star rating is not given if a provider only has a small number of survey responses. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. There's nobody else here. And the city of Chicago is a great place and a lot of fun. 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). If we keep scanning you, we're never going to see change. Interesting. And then I'll have Ajay go at it as well. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Program Overview. When we-- and I'll also say it depends. And you don't want to. Chronic cough. 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. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And Dr. Wagh, maybe you can take this next one. Well, it certainly can. I work here, I go home, I kiss my children. However, not everyone who receives an abnormal CT scan should be rushed into surgery. That's not hard to convince someone. And you don't want to. We're in very separate areas. 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 we also try to figure out, is it a lesion that requires biopsy? 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. The Department of Pulmonary, Critical Care, Sleep, and Allergy at UI Health provides the highest level of care and treatment for lung disorders and diseases. So we'll wake you up. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. And we can help you do that, too. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Dr. Wagh, let's hear a little bit about you. The responses are used to improve patient experience and recognize staff members for the care they provide. And remember, you can schedule your video visit by also going to the website. And that's sort of when we take a look at the CAT scan very closely. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? 11 millimeters is rather small. 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 without a doubt, the possibility of cancer is what scares everybody. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Open for more information. No, for sure. Phone: (773) 702-9660, Mailing Address: 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 . But one of the other things we were talking about, the patient journey. And the city of Chicago is a great place and a lot of fun. We just talked a moment ago, and you're pretty new here. Stopping smoking can help you just across the board. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. Get a Second Opinion. That ground glass, if it gets larger or denser, then it's changing. Some of them are just re-evaluating the CAT scan you have. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. So I mean, we do have a regular process of lung cancer screening. And it's very professionally satisfying. We'll try to get to as many as we can over the next half hour. I recently completed an interventional pulmonary fellowship, which brought me here. But you come in, we have a pre-procedural area where the patients get kind of their IV. Oh, less than 5%, OK, let's slow down a little bit. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi Or it could be a telemedicine visit. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. 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? You will still be the same stage. Yeah. The hospital is safe, the hospital is clean. And then we go in with our scopes. Salary and Benefits. Chicago, IL 60637 There's also what's called a needle biopsy. 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. 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. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . Emphysema and advanced emphysema. And this is important. So-- And so that becomes one procedure, as opposed to multiple procedures. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Interventional Pulmonary. And you know, it is extremely valuable. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. So typically we'll have a clinic evaluation. Referring Physician Access Line: . For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. We evaluate whether or not it's a target that we can reach. However, not everyone who receives an abnormal CT scan should be rushed into surgery. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. But we're also going to work with you. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. 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. We have a great team here, and I'm excited to be part of it. And so now you're going to go to the surgeon to be cured. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And that is how biopsies work. Now, a question. Get a Second Opinion. And teasing out what's what is what Ajay and I do. Dr. Hogarth, do you want to start on that one? It's got to be terrible. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. That's why we do it. And the national standard is roughly five weeks. But we do have avenues to help with that. Well, we're very happy to have you. Open for more information. It's either cancer or everything else. About Us. You were fantastic. We evaluate whether or not it's a target that we can reach. And thank you to our viewers for your great questions. Or suggest that the pre-test probability is lower. Rush University Medical Center in Chicago, IL is ranked No. 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. Yes, sir. Chicago, IL 60637, Referring Physician Access Line: The responses are used to improve patient experience and recognize staff members for the care they provide. Follow @uw_APCC. Patient survey responses are also used to make star ratings for each provider. Well, we're very happy to have you. We're not going to just say, you must do this. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. And we have a series of other tests we can do. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . 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. The ranking is a reflection of the leading-edge lung and . It's a wonderful website. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. 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. . Meaning, it's technically a cancer, but it's never going to necessarily bother you. So we need to get going and do something about it. But there's many other tests. We do have one that I want to get to. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. Yes, sir. You know, we go, oh, it's a 20% chance. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. And we do it through your mouth. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. We're not going to just say, you must do this. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. So we want to-- I mean, we want to do this for everybody. Stopping smoking can help you just across the board. Interventional Pulmonary; Hospitals. We're still operating. We're going to get to a little bit more detail of that one here in just a moment. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Along with his clinical practice, Dr. Wagh is an active researcher. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. So I want to get back to biopsies for just a moment. It's usually about a half day's worth of time. We get thousands of survey responses each year. This isn't that twilight. Even the show that we're doing right now, you two are remote. We want to remind people, very important, do not forego medical care during COVID. I'm new here to the University of Chicago, and very thankful to be here. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Report Job. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. And Dr. Hogarth mentioned blood tests even, a few moments ago. We can talk about imaging modalities. But generally speaking, a lung cancer-- when someone says to you, hey, we want to get a follow-up CAT scan, the reason they're suggesting that is that the nodule you have is so small or has characteristics that are so convincing that it's benign, that that two or three month interval that they've suggested-- if I'm wrong and it's actually a cancer, the amount that it's going to grow in that time period is so small that we've not lost anything. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. I am a Professor of Medicine here. So a little bit of a fan club going here, but that's awesome. We are proud to have an interventional pulmonary laboratory with full-time dedicated . A star rating is not given if a provider only has a small number of survey responses. You can't eat after midnight. 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) And so now you're going to go to the surgeon to be cured. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. You know, it's not just like, yeah, you do this. Dr. Murgus specialty extends to a wide range of central airway disorders, including tracheal stenosis, tracheobronchomalacia, excessive dynamic airway collapse and airway obstruction from cancer. And the national standard is roughly five weeks. For more information about the Interventional Pulmonology Center or to request a referral . I'm new here to the University of Chicago, and very thankful to be here. Can you kind of walk us through that? Well, I think that there's several possibilities. Or is that the moment of panic at that point? Get an online second opinion from one of our experts without having to leave your home. Where it's basically put right through your chest into the lung nodule done through the radiology department. And I hope you have a great week. Sure. So a little bit of a fan club going here, but that's awesome. You are comfortable. Critical Care Medicine; Pulmonology; Meet the Doctor . And every patient is different. Getting an expert opinion about what could this nodule actually be. 5841 South Maryland Ave., MC 6076 And so that becomes one procedure, as opposed to multiple procedures. We're going to give you some strong recommendations. That's another thing that you probably want to caution people about. And we also try to figure out, is it a lesion that requires biopsy? You know, you mentioned that being covered by insurance. Because it has everything to do with the quality of the machine for the radiation that goes through. And one that has a very low invasive potential. And we're also going to just keep radiating you. Yeah, there's several possibilities in that regard to evaluate these. Because I know this is a very complex situation. 2023 The University of Chicago Medical Center. Email: ipscheduling@jhmi.edu. I love math and science, and I love to problem solve, so I started out in engineering. Why aren't we just following the pathway down? . You know, we go, oh, it's a 20% chance. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. And how urgently must patients act? If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And either one of you can jump on this one. Section of Pulmonary/Critical Care Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. So-- Because it has everything to do with the quality of the machine for the radiation that goes through. 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 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. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. 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. I'm in the studio all by myself, as you can see here. They're still cutting in you. Communicate with your doctor, view test results, schedule appointments and more. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. But a doctor may see something on a chest x-ray. Because an abnormal CT scan is terrifying. So that's nice. Conditions & Services; And of course, you came here at kind of an odd time, during a pandemic. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool.

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