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About. Thoracic Imaging. Interventional Pulmonary. That's always the question people want to know. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. And so think of it like a sponge. 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. Because I know this is a very complex situation. Can you talk to us a little bit about what the patient experiences in this procedure? You need to raise a fit. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. 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. Pulmonary & Critical Care Medicine. The immediate reaction is you're probably frightened. I'm an interventional pulmonologist here at the University of Chicago. Pulmonary/Critical Care - University of Chicago We get thousands of survey responses each year. No, for sure. Patient survey responses are also used to make star ratings for each provider. And then second step is find the right people to help take care of you. There's a surgeon, who's going to go in and cut part of it out. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Email: ipscheduling@jhmi.edu. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Or should we offer something else? the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . That's coming up right now on At The Forefront Live. . And at that point, they'll meet the anesthesiologist, the nursing staff. And I have been working at the University of Chicago since 1998. Conditions & Services; And let's go through your CAT scan and let's have this discussion about what our next step is. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care And teasing out what's what is what Ajay and I do. And we can help you do that, too. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. 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. Because an abnormal CT scan is terrifying. Can you kind of talk to us a little bit about that, and walk us through that? You know, and I want to talk a little bit more about biopsies here in just a minute. And without a doubt, the possibility of cancer is what scares everybody. You know, in fact, just to even further hammer home that point. But you come in, we have a pre-procedural area where the patients get kind of their IV. 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. Fellows | Chicago Medicine We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Or is that the moment of panic at that point? Just to echo what Dr. Wagh said. And prior to that, I was a private practice pulmonary critical care doctor for six years. We want to minimize radiation. See, this just shows how important it is that we do these programs here. So follow-up scans could also be low dose as well. Obviously, if things change, then that's a discussion towards biopsy. And using some of the tools that we have. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Now, these are complicated discussions. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. These are not questions. So a little bit of a fan club going here, but that's awesome. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. And Dr. Hogarth, we'll start with you. I love taking care of people, and I love to see them breathe better and feel better. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. That's good to know. 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. 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 . It's a wonderful website. We're going to do our work. But we also want to explain to you what we're going to do to actively follow you. Interesting. Pulmonary Critical Care Fellowship | Peoria Medicine This type of training is beyond what is typically available in a standard . Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. It's a wonderful website. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . We are taking questions from viewers. Quick Apply. But in reality, if you're a patient, there's only two things. Fellows - Chest Center We are taking questions from viewers. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. James Katsis, MD - Rush University Medical Center And the individual tumor biology is changing. 840 S. Wood Street MC719 Chicago, IL 60612. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Why aren't we just following the pathway down? But there's many things it could be. But I'm sure you'll enjoy UChicago Medicine. And there are potential treatments to help patients quit smoking as well. Interventional Radiology Technologist, Days Job in Chicago, IL at The And then they come to our lab. And that is how biopsies work. And I don't know. And these procedures all have their own benefits, but also their own complications. But you come in, we have a pre-procedural area where the patients get kind of their IV. No, it will show the nodules. Schedule your appointment online for primary care and many specialties. Well, it certainly can. Pulmonary and Critical Care Fellowship | Chicago Medicine 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. It's either cancer or everything else. Or is this something that happens and you just need to get it checked out? Current Fellows - University of Chicago - Department of Medicine And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. 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. Faculty Directory - University of Chicago - Department of Medicine Dr. Hogarths expertise has been recognized by both patients and colleagues alike. Section of Pulmonary/Critical Care I'm new here to the University of Chicago, and very thankful to be here. Because why would I put you-- why would I cure you of something that's never going to harm you? But also don't ignore it, and don't delay it. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Absolutely. 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 within a week every time here. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . So-- Interventional Pulmonology Fellowship Program Director. Instead, you might have a little sore throat for a day or two. . Your lungs are going to be ultimately attached to your mouth. Well, I think that there's several possibilities. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? So when we're done, you go home. And you know, it is extremely valuable. Advanced technology and minimally invasive options are available. And I think we like to take things one step at a time. Interventional Radiology - Integrated - University of Chicago 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. And it's very professionally satisfying. No, it's a great question. That's going to be number one on the list. But for many people are extremely, extremely slow growing cancer. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Occupational lung disease. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Can you kind of walk us through that? And you know, it is extremely valuable. You will still be the same stage. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. St. Peters Health Partners Medical Associates, P.C. It's so important. First, do no harm. Getting an expert opinion about what could this nodule actually be. Communicate with your doctor, view test results, schedule appointments and more. So appreciate that. What you're never going to hear from us is to say, now there's nothing to do, leave. And it's important here. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi And the city of Chicago is a great place and a lot of fun. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. So we do want to remind our viewers, we'll take your questions for our experts. So first is just a discussion with you of what is the probability that this could be a malignancy for you. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Division of Pulmonary, Allergy, Critical Care and Sleep Medicine But in reality, if you're a patient, there's only two things. University of Wisconsin Interventional Pulmonology Fellowship Randomly selected patients are sent patient satisfaction surveys after their visits. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. So if we think you're at early stage cancer, that's great. And then at that point, we would bring the patient back to the our laboratory. Pulmonary and Critical Care Fellows Phone: (773) 702-9660, Mailing Address: In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. And Janet wants to know how invasive is a lung biopsy? Communicate with your doctor, view test results, schedule appointments and more. 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. And obviously, you know, even with minimally invasive surgery, it's still a surgery. So I mean, we do have a regular process of lung cancer screening. 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 published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. And you don't want to. Where it's basically put right through your chest into the lung nodule done through the radiology department. But there's many other tests. And so think of it like a sponge. So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? Interventional Pulmonology | Pulmonary & Critical Care Medicine The hospital is safe, the hospital is clean. 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. Obviously, if things change, then that's a discussion towards biopsy. A star rating is not given if a provider only has a small number of survey responses. Patient survey responses are also used to make star ratings for each provider. Get a Second Opinion. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. 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. Fellows. And we get the tissue that we need. Faculty Profiles - University of Chicago Medicine Faculty Profiles You need to raise a fit. I mean, it's really amazing. And so those are our mainstays of imaging. Can you talk to us a little bit about what the patient experiences in this procedure? 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. I remember when Dr. Hogarth showed this to me. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. So, I really believe in great communication and teamwork. We just talked a moment ago, and you're pretty new here. So Dr. Wagh, it was interesting because this is almost like a video game. Maybe Dr. Hogarth, you can start. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . 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. Interventional Pulmonology Fellowship | Chicago Medicine Pulmonary, Critical Care & Sleep Medicine. And then they wait to be brought to the pre-procedural area. Program Coordinator. So-- go ahead, Dr. Hogarth, did you have something you wanted in? And there we perform our procedures. Ashish P. Maskey, MD | UK Healthcare So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. But we can. You were fantastic. And that would be another area, I would imagine. Chicago Chest Center/ The University of Illinois Chicago. And if someone ever by mistake says to you, yeah, they can see you in three months. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. For more information about the Interventional Pulmonology Center or to request a referral . And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. We get thousands of survey responses each year. But of course, there's an 80% chance it's not cancer. In some cases, they are a precancerous lesion. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. And we're, of course, happy and eager to help. protected veterans, and individuals with disabilities. We don't even have any camera people in here. Well, my name is Ajay Wagh. So let's start off with our questions. And so the lymph nodes are where cancer would spread to first. Well, the blood test actually showed that it's less than 5%. What happens? . (312) 996-8039. So-- There's a surgeon, who's going to go in and cut part of it out. He sees patients in clinic on Fridays. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. No, don't panic. Because it's interesting how you do them in the lung. They're still cutting in you. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? But that's part of what you do. 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. 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. And thank you to our viewers for your great questions. And I was fortunate enough, I think, gosh, it's been over a year ago. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Exactly. Randomly selected patients are sent patient satisfaction surveys after their visits. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. University Pulmonary & Critical Care | UT Medical Center We're going to tell you a outlined plan that is backed up with data as to why we're doing this. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Yes, sir. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. AABIP/AIPPD Interventional Pulmonology Accredidation We could get you a plaque or something. I'm actually in the endoscopy suites. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Some of them are blood based tests. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. American Association for Bronchology and Interventional Pulmonology Absolutely. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima This is a safe place. And so that becomes one procedure, as opposed to multiple procedures. About Us. We are extremely cautious about everything here. . So this is an actual question. And we will kind of shepherd the patient along the way. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. That's why I'm not moving a lot, not that I move a lot anyway. Yeah, and I want to tell people-- this is a very, very safe place. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. That's right. Or come and visit a lung physician. 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. So Dr. Wagh, it was interesting because this is almost like a video game. You shared really some good information with our audience. Get an online second opinion from one of our experts without having to leave your home. That's not hard to convince someone. Because we will always see you. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Instead, you might have a little sore throat for a day or two. We want to find patients who have a history of smoking, quit within the past 15 years. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. We will overbook you. We'll try to get to as many as we can over the next half hour. But a doctor may see something on a chest x-ray. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? So there's no cutting. If we keep scanning you, we're never going to see change.

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