Make sure everything looks right, that it would be safe to proceed. . Every tumor, of course, has its own biology speed at which it grows. We get thousands of survey responses each year. And if someone ever by mistake says to you, yeah, they can see you in three months. And I think that's the first key step. Salary and Benefits. And then we go in with our scopes. We're open for business. I apologize. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. 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. So we want to-- I mean, we want to do this for everybody. That's not hard to convince someone. No, for sure. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 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. Academic Interventional Pulmonary/Critical Care Physician Faculty Profiles - University of Chicago Medicine Faculty Profiles So I want to get back to biopsies for just a moment. So Dr. Wagh, you touched on this a little bit before. Or it could be a telemedicine visit. And every patient is different. Or suggest that the pre-test probability is lower. You know, you mentioned that being covered by insurance. Fellows. So Dr. Wagh, it was interesting because this is almost like a video game. Website. Interventional Pulmonary; Hospitals. This is from Therese. Or should we offer something else? So you're going to get way more bang for your buck literally as a scan by coming here. Only clean air in the lungs, please. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Today there are better insights into cancer and other lung diseases. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. But that's part of what you do. 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. 2023 The University of Chicago Medical Center. But we're also going to work with you. Our doctors will actually even join us from the places where they're doing the work. Exactly. Interventional Pulmonology Fellowship; Post-Doctoral; . Occupational lung disease. 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. 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. We're not going to just say, you must do this. Fellowship Programs | Emory School of Medicine Well, that's nice. 840 S. Wood Street MC719 Chicago, IL 60612. Obviously, if things change, then that's a discussion towards biopsy. 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. So-- Well, that's nice. Phone: (773) 702-9660. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Where it's basically put right through your chest into the lung nodule done through the radiology department. And it also has a lot of great COVID information. But when it's time to get a follow-up scan, the reason, ultimately, for these ground glasses, why they settle into yearly, is precisely because they're slow growing. Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn UChicago Faculty Physicians Along with his clinical practice, Dr. Wagh is an active researcher. This is a safe place. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . Yes, sir. And so that becomes one procedure, as opposed to multiple procedures. The immediate reaction is you're probably frightened. Some of them are blood based tests. Stopping smoking can help you just across the board. 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. 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 . Well, gentlemen, we're out of time. Pulmonary & Critical Care Medicine - Loyola University Chicago Right? But we do have avenues to help with that. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Some of them are just re-evaluating the CAT scan you have. 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? Star ratings and comments come from a number of survey questions. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. 5841 South Maryland Ave., MC 6076 Communication is important with the patients. Yes, sir. Get a Second Opinion. And then at that point, we would bring the patient back to the our laboratory. And we get the tissue that we need. But one of the other things we were talking about, the patient journey. That's going to be number one on the list. So first is just a discussion with you of what is the probability that this could be a malignancy for you. We want to minimize radiation. So that you get an answer as to what this nodule actually is. And smoking is certainly a problem, a historical problem that we're working to deal with every day. He has done the most cases in the United States and has authored numerous publications on this topic. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. 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 if the risk of cancer is low, but the risk of a complication is the same, I don't want to harm you, right? And that would be annually until they kind of exit out after that 15 years. And we will kind of shepherd the patient along the way. 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. Sure. But a doctor may see something on a chest x-ray. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . If we keep scanning you, we're never going to see change. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu [MUSIC PLAYING] Interventional Pulmonary Our interventional pulmonologists and their teams can diagnose and treat many types of lung disease, such as: Airway conditions, including airway fistulas and airway stenosis (narrowing) Asthma. No, it's a great question. 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. Or should we offer something else? Just type them in the comments section. We want to remind people, very important, do not forego medical care during COVID. Yes, sir. He and I, and our other partner, Dr. Mergue, work very hard to make sure that if you need a procedure, it's the right procedure. A star rating is not given if a provider only has a small number of survey responses. All kinds of fantastic information there. That's another thing that you probably want to caution people about. It's a wonderful, wonderful place. Interventional Radiology - Integrated - University of Chicago Open for more information. 2023 The University of Chicago Medical Center. We're going to give you some strong recommendations. But we're very careful about that. Interventional Pulmonology | Pulmonary & Critical Care Medicine UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. And the patient goes afterwards to a post-procedural area, where they recover. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. So if you need an appointment, give us a call at 888-824-0200. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And these procedures all have their own benefits, but also their own complications. You know, and I want to talk a little bit more about biopsies here in just a minute. And so part of our discussion is, what's the probability that this nodule that you have on your CAT scan-- is it actually cancer or not? And that's a very important part for a cancer evaluation. When we-- and I'll also say it depends. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . The Section of Pulmonary and Critical Care Medicine has been a model of exemplary patient care, research, and post-doctoral training for more than 20 years. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And that would be annually until they kind of exit out after that 15 years. And using some of the tools that we have. You want to be calm and cool. 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 . What happens? And then at that point, we would bring the patient back to the our laboratory. Northwestern Medicine Canning Thoracic Institute Our 5-year integrated IR/DR training program consists of a subspecialty track system with 4-week-long rotations in the following sections: Abdominal computed tomography. 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. So we need to get going and do something about it. All rights reserved. A star rating is not given if a provider only has a small number of survey responses. Nicole Greenlee. So this is an actual question. These are not questions. So I have two from viewers that I have to pass along. Loyola University Medical Center, Chicago IL: 2020: Ikuyo Imayama, MD: University of Illinois at Chicago, Chicago, IL: 2021: Mariam Anis, MBBS Northwestern Lake forest Hospital: 2021: Yu Maw Htwe, MBBS NYU Interventional Pulmonology Fellowship: 2021 Communicate with your doctor, view test results, schedule appointments and more. What's that chance? So we do want to remind our viewers, we'll take your questions for our experts. Age is usually 55 to 80. 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 are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. So talk to us a little bit more about the lymph nodes. And I hope you have a great week. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. For help with MyChart, call us at 1-844-442-4278. Our list of accepted insurance providers is subject to change at any time. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And I think we like to take things one step at a time. And this is important. He sees patients in clinic on Fridays. Chicago, IL 60637, Referring Physician Access Line: So we'll wake you up. Instead, you might have a little sore throat for a day or two. But we also want to explain to you what we're going to do to actively follow you. We are taking questions from viewers. Really, really good questions today. Yes, so a patient typically comes in basically just for a few hours during the day. And I have been working at the University of Chicago since 1998. Chicago Chest Center Our doctors will actually even join us from the places where they're doing the work. There's nobody else here. Faculty Directory - University of Chicago - Department of Medicine So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And then they come to our lab. But can you kind of walk us through what people can expect before, during, and after one of these procedures. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Get an online second opinion from one of our experts without having to leave your home. (Or create a 1/6 column and add a text field, modify the class so 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. Pulmonary Critical Care Fellowship | Peoria Medicine Patients have both benign and malignant non-cardiac diseases of the chest. The Interventional Pulmonary Fellowship is a one-year intense training program designed to expose the trainee to all the advanced diagnostic and therapeutic procedures necessary for practice. Just to echo what Dr. Wagh said. Benjamin J. Seides, MD | Northwestern Medicine And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Yeah, and I want to tell people-- this is a very, very safe place. The fear always is that cancers are going to grow. And there are potential treatments to help patients quit smoking as well. If you think about it, the lung is mostly air. Kumar Gaurav, MD | Interventional Pulmonologist & Critical Care These are not questions. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Now, these are complicated discussions. So I mean, we do have a regular process of lung cancer screening. And Janet wants to know how invasive is a lung biopsy? But in reality, if you're a patient, there's only two things. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Can you talk to us a little bit about what the patient experiences in this procedure? I recently completed an interventional pulmonary fellowship, which brought me here. Yeah, sure. Really, really good questions today. . I'm in the studio all by myself, as you can see here. Sunit Singla, MD. When you or a loved one has a lung disease, you want to see the best lung doctors available. We're giving you the least amount of radiation, even for what's called a diagnostic scan. Consultations and second opinions are also available on request for patients that have . And so those are our mainstays of imaging. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Yeah, there's several possibilities in that regard to evaluate these. That's good to know. Amit, I hope I'm pronouncing this correctly. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. And we also try to figure out, is it a lesion that requires biopsy? But we're very careful about that. And remember, you can schedule your video visit by also going to the website. We're going to do our work. 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. University Pulmonary & Critical Care | UT Medical Center The University of Michigan as a . Patient survey responses are also used to make star ratings for each provider. So this is an actual question. And you don't want to. D. Kyle Hogarth, MD, is an expert in pulmonary diseases.He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancer through bronchoscopy.Dr. I mean, I think we are living in a strange time. And Dr. Hogarth, we'll start with you. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. So Dr. Wagh, it was interesting because this is almost like a video game. And I don't know. Because initially when you're faced with something like that, everything kind of just goes over your head. Can you kind of talk to us a little bit about that, and walk us through that? See, this just shows how important it is that we do these programs here. We get thousands of survey responses each year. 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. All rights reserved. . The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. 13 in the nation for Pulmonary and Lung Surgery. When there are no changes from scan to scan. And the individual tumor biology is changing. Interesting. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy.
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