Because an abnormal CT scan is terrifying. 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. No, for sure. And remember, you can schedule your video visit by also going to the website. Report Job. You will get seen three to four weeks from now. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care Funding for Educational Activities So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. It offers a comprehensive program of quality patient care, research and education. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. So Dr. Wagh, it was interesting because this is almost like a video game. We are taking questions from viewers. You're out. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. For more information about the Interventional Pulmonology Center or to request a referral . Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . And there we perform our procedures. Can you talk to us a little bit about what the patient experiences in this procedure? 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. You're out. And then we go in with our scopes. I mean, I think we are living in a strange time. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Yeah, sure. Interesting. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Ultimately, I just want to help people feel better and breathe better. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi So Dr. Wagh and I have our partner, Dr. Mergue. We are extremely cautious about everything here. So this is an actual question. Age is usually 55 to 80. Future Oncol. Instead, you might have a little sore throat for a day or two. 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. Some of them are just re-evaluating the CAT scan you have. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Email: ipscheduling@jhmi.edu. All rights reserved. And you don't want to. But in reality, if you're a patient, there's only two things. So if you need an appointment, give us a call at 888-824-0200. Critical Care Medicine; Pulmonology; Meet the Doctor . But what I can also tell you is it's cancer, here's what stage it is. It's an oath both of us took. 2018 Apr 17 . And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Interventional Pulmonary; Hospitals. We're giving you the least amount of radiation, even for what's called a diagnostic scan. Another question from a viewer, and this is Carla. University Pulmonary and Critical Care (UPCC) physicians and nurse practitioners specialize in the diagnosis and treatment of inpatient critical care patients who are typically hospitalized as well as diagnosis and treatment of pulmonary (lung) conditions in an outpatient setting. The responses are used to improve patient experience and recognize staff members for the care they provide. I follow the philosophy of following the three A's-- affable, available, and able. If you think about it, the lung is mostly air. Program Director. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. 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 . But we can. 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. And that's kind of comforting, I think, for most patients. UChicago Faculty Physicians Because initially when you're faced with something like that, everything kind of just goes over your head. Physician Recruitment McHenry, IL. I'm not happy that I have to tell you it's cancer. That's why I'm not moving a lot, not that I move a lot anyway. 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 know, we go, oh, it's a 20% chance. Or is that the moment of panic at that point? We're fortunate enough here at UChicago Medicine to have a robotic endoscope that lets us get to parts of the lung we've never been able to get to before. I want to know you're an early stage cancer. And so those are our mainstays of imaging. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. . That's right. 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. MC 6092 Some of them are blood based tests. I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. Some of the blood tests we have, have the ability to change that number. 11234 Anderson St, Loma Linda, CA 92354. . The immediate reaction is you're probably frightened. Absolutely, yeah. If it bothers you to come near the Medical Center, fine, let's do it via the computer. We will overbook you. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. So appreciate that. Patient survey responses are also used to make star ratings for each provider. And I hope you have a great week. And without a doubt, the possibility of cancer is what scares everybody. 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 obviously, you know, even with minimally invasive surgery, it's still a surgery. And that's very important. And I try to reliably perform that every day when I come to work. Sleep Medicine. We're open for business. And teasing out what's what is what Ajay and I do. What Dr. Wagh and I do is a procedure called bronchoscopy. Communication is important with the patients. Advanced technology and minimally invasive options are available. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Communicate with your doctor, view test results, schedule appointments and more. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. For help with MyChart, call us at 1-844-442-4278. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And that's a very important part for a cancer evaluation. A star rating is not given if a provider only has a small number of survey responses. 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. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Well, it certainly can. When we-- and I'll also say it depends. [MUSIC PLAYING] My name is Ajay Wagh. Sure. And between the four of us, we're all in clinic at any given moment. Maybe Dr. Hogarth, you can start. You can't eat after midnight. And it's important here. 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. St. Peters Health Partners Medical Associates, P.C. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. That's going to be number one on the list. No, it will show the nodules. That's not hard to convince someone. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu Why aren't we just following the pathway down? Patient survey responses are also used to make star ratings for each provider. And we keep spacing that interval of scan out if nothing has changed. Or you're going to go to radiation or whatever. Interesting. And that's kind of comforting, I think, for most patients. The Fellowship Coordinator will be responsible for coordination and administrative support for fellowship programs in Pulmonary and Critical Care Medicine, Sleep Medicine, and Interventional Pulmonology. And Janet wants to know how invasive is a lung biopsy? The probability, if it's low enough, we don't want to do invasive things to you. We do have one that I want to get to. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Or it could be a telemedicine visit. Randomly selected patients are sent patient satisfaction surveys after their visits. I recently completed an interventional pulmonary fellowship, which brought me here. So I'm going to have you answer the question, but also kind of explain what she's asking here. You will get seen within a week every time here. 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 . After initially working as a hospitalist, he pursued a pulmonary and critical care fellowship at OHSU followed by an interventional pulmonary fellowship at the University of Texas MD Anderson Cancer Center. We just talked a moment ago, and you're pretty new here. 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. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. There's nobody else here. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And then they come to our lab. So I always have to do this. For help with MyChart, call us at 1-844-442-4278. There's nobody else here. And I don't know. Or it could be a telemedicine visit. But for many people are extremely, extremely slow growing cancer. And they'll double check everything. Well, if you have a cancer, the next question is, what stage is it? The ranking is a reflection of the leading-edge lung and . And you say, well, wait. Patients have both benign and malignant non-cardiac diseases of the chest. Yes, sir. October 29, 2020 . Conditions & Services; We also have literally the world's greatest nurse practitioner, Kimberly. 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. And it is, would my annual low dose CT lung cancer screening show nodules? But we also want to explain to you what we're going to do to actively follow you. And you two, and your teams, are really good at helping people through that situation. So we go through your mouth. So we need to get going and do something about it. 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. Interventional Pulmonology Secondary Specialty. And thank you to our viewers for your great questions. Some of them are blood based tests. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And if someone ever by mistake says to you, yeah, they can see you in three months. 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. Maybe Dr. Hogarth, you can start. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. A lung mass can be a frightening discovery. And the city of Chicago is a great place and a lot of fun. Dr. Hogarth, do you want to start on that one? As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Because an abnormal CT scan is terrifying. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. It sounds like you're in a busy, busy place. But can you kind of walk us through what people can expect before, during, and after one of these procedures. It's a wonderful, wonderful place. It could be cancer. 3 University of Rochester Medical Center, Rochester New York. Chicago Chest Center/ The University of Illinois Chicago. Yes, sir. Even the show that we're doing right now, you two are remote. And we will kind of shepherd the patient along the way. Yeah, sure. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And the patient goes afterwards to a post-procedural area, where they recover. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. Is following a nodule ground glass opacity with yearly CT standard? This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . We're in very separate areas. I work here, I go home, I kiss my children. The fear always is that cancers are going to grow. Chicago Chest Center - 2015. 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. And Dr. Hogarth, we'll start with you. Obviously, if things change, then that's a discussion towards biopsy. Well, that's nice. Our commitment is to outstanding clinical care, to mentoring and . In other cases, they are actually a cancer. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y .

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