And then second step is find the right people to help take care of you. And thank you to our viewers for your great questions. protected veterans, and individuals with disabilities. Associate Professor of Medicine, Co-director of Bronchoscopy. That is not acceptable to make you wait. Can you kind of talk to us a little bit about that, and walk us through that? Yeah, sure. Because it has everything to do with the quality of the machine for the radiation that goes through. You want to be calm and cool. 1:25 . So we do want to remind our viewers, we'll take your questions for our experts. And our complication rate is the lowest amongst the three. Yeah. The responses are used to improve patient experience and recognize staff members for the care they provide. And either one of you can do that. Academic Interventional Pulmonary/Critical Care (3-309-1142) - The Division of Pulmonary and Critical Care Medicine at the University of Maryland School of Medicine seeks a pulmonary and critical care physician for our expanding Academic Interventional Pulmonology program. Currently, there are six board certified Interventional Pulmonologists and a wide range of . And if someone ever by mistake says to you, yeah, they can see you in three months. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. 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. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. Now, a question. Thoracic Imaging. Learn more about clinical trials and find a trial that might be right for you. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Website. And these procedures all have their own benefits, but also their own complications. And the national standard is roughly five weeks. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And so those are our mainstays of imaging. Well, gentlemen, we're out of time. But we're very careful about that. But to delay any amount of care. 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. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. So-- Our list of accepted insurance providers is subject to change at any time. Our list of accepted insurance providers is subject to change at any time. But many times, you might notice something on an x-ray that's not part of the screening pathway. 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. So appreciate that. 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. It could be cancer. And you don't want to. And we will kind of shepherd the patient along the way. So follow-up scans could also be low dose as well. And at that point, they'll meet the anesthesiologist, the nursing staff. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. So there's no cutting. He also performs laser-assisted mechanical dilation of airway strictures, airway stenting and bronchoscopic treatments for benign and malignant airway lesions using photodynamic therapy, cryotherapy and electrosurgery techniques. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. [LAUGHTER] What are some of the options to evaluate lung nodules and lung masses? And then at that point, we would bring the patient back to the our laboratory. You will still be the same stage. Star ratings and comments come from a number of survey questions. 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? However, not everyone who receives an abnormal CT scan should be rushed into surgery. It is covered by insurance. Yeah, and I want to tell people-- this is a very, very safe place. 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 one that has a very low invasive potential. That's not hard to convince someone. Because it has everything to do with the quality of the machine for the radiation that goes through. So I have two from viewers that I have to pass along. And that is how biopsies work. And we will kind of shepherd the patient along the way. Well, my name is Ajay Wagh. It's an oath both of us took. Because it's a difficult time in people's lives when they have something like this done. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Today there are better insights into cancer and other lung diseases. Dr. Hogarth kind of briefly said something about the blood tests. That's good to know. So Dr. Wagh and I have our partner, Dr. Mergue. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. No, it will show the nodules. This is from Therese. Full-Time. 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. Can you kind of walk us through that? Get a Second Opinion. Randomly selected patients are sent patient satisfaction surveys after their visits. And then they just go home. Why aren't we just following the pathway down? 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. Procedures performed include diagnostic bronchoscopy, linear array and radial endobronchial ultrasound (EBUS) guided fine needle aspiration, navigational bronchoscopy, bronchoscopic fiducial marker placement for radiation therapy, rigid . This is from Therese. So let's start off with our questions. Yes, sir. So you're going to get way more bang for your buck literally as a scan by coming here. And that would be another area, I would imagine. As faculty members of the University of Cincinnati [] And Dr. Hogarth, we'll start with you. Yeah. First, do no harm. Patient survey responses are also used to make star ratings for each provider. Dr. Hogarth, do you want to start on that one? Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Some of the blood tests we have, have the ability to change that number. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. And without a doubt, the possibility of cancer is what scares everybody. 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. 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. It sounds like you're in a busy, busy place. We are proud to have an interventional pulmonary laboratory with full-time dedicated . 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. And as always, we'll take your questions during our 30 minute program. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Yes, sir. So Dr. Wagh, you touched on this a little bit before. Really, really good questions today. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Just type them in the comments section. Getting an expert opinion about what could this nodule actually be. Some of them are just re-evaluating the CAT scan you have. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. There's a surgeon, who's going to go in and cut part of it out. You know, and I want to talk a little bit more about biopsies here in just a minute. I work here, I go home, I kiss my children. [MUSIC PLAYING]. 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. That's not hard to convince someone. Karen says, your pulmonary department is the best. Schedule your appointment online for primary care and many specialties. 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. Open for more information. And that would be annually until they kind of exit out after that 15 years. 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 . So Dr. Wagh, you touched on this a little bit before. It's usually about a half day's worth of time. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Get an online second opinion from one of our experts without having to leave your home. We are extremely cautious about everything here. The University of Chicago Medicine. And then I'll have Ajay go at it as well. Interesting. UK Pulmonary, Critical Care and Sleep Medicine offers the full scope of inpatient and outpatient services involving the diagnostic evaluation and clinical management of respiratory disorders. We're going to do our work. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. And so now you're going to go to the surgeon to be cured. But we do have avenues to help with that. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. And hopefully, go home if nothing happens. And if someone ever by mistake says to you, yeah, they can see you in three months. And Dr. Wagh, maybe you can take this next one. 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. Even the show that we're doing right now, you two are remote. Well, the blood test actually showed that it's less than 5%. And then they wait to be brought to the pre-procedural area. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. We're still operating. Go ahead, Ajay. And that's very important. First, if you smoke, please quit. That's a great question. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Is following a nodule ground glass opacity with yearly CT standard? [MUSIC PLAYING]. You're going to go home. It's either cancer or everything else. There's all kinds of different tests. And that would be another area, I would imagine. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. Phone: 410-502-2533. And we do it through your mouth. So if you need an appointment, give us a call at 888-824-0200. Yeah, there's several possibilities in that regard to evaluate these. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. And you want to have something reliable in what to do next. We're open for business. Our pulmonary and allergy physicians see clinic patients in the Center for Lung Health, located in room 3C in the UI Health Outpatient Care Center (OCC), which is at 1801 W Taylor. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. I want to know you're an early stage cancer. For more information about the Interventional Pulmonology Center or to request a referral . We're going to tell you a outlined plan that is backed up with data as to why we're doing this. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? You know, you mentioned that being covered by insurance. It's so important. I'm an interventional pulmonologist here at the University of Chicago. So when we're done, you go home. Who we treat. And you two, and your teams, are really good at helping people through that situation. That's going to be number one on the list. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. No, don't panic. And as always, we'll take your questions during our 30 minute program. And so now you're going to go to the surgeon to be cured. And you say, well, wait. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. So if you need an appointment, give us a call at 888-824-0200. The mission of Duke Interventional Pulmonary Fellowship is to train the leaders in the field by exposure to high volume of complex cases, multi-disciplinary and thoughtful approach, and cutting edge research. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Patients have both benign and malignant non-cardiac diseases of the chest. When we-- and I'll also say it depends. Yes, sir. So I'm going to have you answer the question, but also kind of explain what she's asking here. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? Yes, sir. 20 on the Best Hospitals Honor Roll. Phone: (773) 702-9660. It's a wonderful, wonderful place. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. That's always the question people want to know. And we're very serious about that. You know, and I want to talk a little bit more about biopsies here in just a minute. But Dr. Wagh, can you talk to us a little bit about just-- I think as Dr. Hogarth just mentioned, if somebody comes in and sees a physician. He has done the most cases in the United States and has authored numerous publications on this topic. Yes, sir. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. When we-- and I'll also say it depends. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. But we can. So we do want to remind our viewers, we'll take your questions for our experts. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. So that you get an answer as to what this nodule actually is. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections 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. Rush University Medical Center, a nationally recognized clinical and academic institution, and the teaching hospital for Rush Medical and Nursing Colleges, located in downtown Chicago, is expanding its Interventional Pulmonary (IP) program.To support the continued growth of the IP program, the Division of Pulmonary, Critical Care and Sleep Medicine is seeking to hire a board-certified . And that would be annually until they kind of exit out after that 15 years. And that's kind of comforting, I think, for most patients. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. I'm new here to the University of Chicago, and very thankful to be here. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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. But for many people are extremely, extremely slow growing cancer. 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. Thanks again for being with us today. You know, we go, oh, it's a 20% chance. But there's many other tests. So first is just a discussion with you of what is the probability that this could be a malignancy for you. Every tumor, of course, has its own biology speed at which it grows. And then at that point, we would bring the patient back to the our laboratory. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. We are taking questions from viewers. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Getting an expert opinion about what could this nodule actually be. 2018 Apr 17 . This type of training is beyond what is typically available in a standard . Every tumor, of course, has its own biology speed at which it grows. And then we go in with our scopes. But you come in, we have a pre-procedural area where the patients get kind of their IV. Communication is important with the patients. 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. And the patient goes afterwards to a post-procedural area, where they recover. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Schedule your appointment online for primary care and many specialties. Is following a nodule ground glass opacity with yearly CT standard? The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Can you talk to us a little bit about what the patient experiences in this procedure? So I'm excited to be here in the city, and part of this program. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. What happens? 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. I love math and science, and I love to problem solve, so I started out in engineering. Nicole Greenlee. 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. And you can speak with your physician about that. Can you talk to us a little bit about what the patient experiences in this procedure? And we can help you do that, too. 840 S. Wood Street MC719 Chicago, IL 60612. Well, that's nice. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. If you think about it, the lung is mostly air. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. 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. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Get a Second Opinion. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Oh, less than 5%, OK, let's slow down a little bit. You know, you said at the very beginning, I have a nodule, should I panic? BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Conditions & Services; But I'm sure you'll enjoy UChicago Medicine. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. UChicago Faculty Physicians And Janet wants to know how invasive is a lung biopsy? And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Future Oncol. . So look, there's three ways to sample inside the lung. Well, it certainly can. You will get seen three to four weeks from now. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. But also cat scanning. University of Chicago, Interventional Pulmonology; Board Certifications. 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 what I can also tell you is it's cancer, here's what stage it is. 2023 The University of Chicago Medical Center. So I have two from viewers that I have to pass along. Well, I think that there's several possibilities. 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 . Dr. Hogarth, do you want to start on that one? The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? And it also has a lot of great COVID information. So we need to get going and do something about it. [MUSIC PLAYING] It's so important. The hospital is safe, the hospital is clean. Absolutely, yeah. 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. You will still be the same stage. And Dr. Hogarth, we'll start with you. 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. It's a wonderful, wonderful place. You were fantastic. If we keep scanning you, we're never going to see change. And then based on that discussion, we would set a patient up for a procedure. I kiss my spouse. And sign a few papers. Phone: (773) 702-1856 Thanks again for being with us today. So I mean, we do have a regular process of lung cancer screening. Chicago, IL 60637, Referring Physician Access Line: Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . What you're never going to hear from us is to say, now there's nothing to do, leave. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . We don't even have any camera people in here. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. So look, there's three ways to sample inside the lung. It sounds like you're in a busy, busy place. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. And you know, those patients typically are eligible for low dose lung cancer screening. It should be a CAT scan if you are eligible. And I think that's the first key step. 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. This isn't that twilight. It's OK. But of course, there's biopsies. So first is just a discussion with you of what is the probability that this could be a malignancy for you. Just to echo what Dr. Wagh said. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Instead, you might have a little sore throat for a day or two. Absolutely. Section of Pulmonary/Critical Care And this is a little bit inside baseball. 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. Interventional Pulmonology. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And we keep spacing that interval of scan out if nothing has changed. And I was fortunate enough, I think, gosh, it's been over a year ago. Yes, so a patient typically comes in basically just for a few hours during the day. All rights reserved. And it's something solid. But one of the other things we were talking about, the patient journey. So I'm going to have you answer the question, but also kind of explain what she's asking here. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . You were fantastic. I mean, it's really amazing. You know, it's not just like, yeah, you do this. And then second step is find the right people to help take care of you. Well, if you have a cancer, the next question is, what stage is it? It's a wonderful website. And so the lymph nodes are where cancer would spread to first. You can't eat after midnight. And obviously, you know, even with minimally invasive surgery, it's still a surgery. We're going to get to a little bit more detail of that one here in just a moment. 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. The probability, if it's low enough, we don't want to do invasive things to you. 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. Because we will always see you. We do have one that I want to get to. UChicago Faculty Physicians It's either cancer or everything else. About. 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. I mean, I think we are living in a strange time. Or is that the moment of panic at that point? 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. And so think of it like a sponge. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. We evaluate whether or not it's a target that we can reach. And how urgently must patients act?