But we're also going to work with you. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. I am a Professor of Medicine here. When you or a loved one has a lung disease, you want to see the best lung doctors available. And it is, would my annual low dose CT lung cancer screening show nodules? Interesting. So if we think you're at early stage cancer, that's great. And it's important here. You can't eat after midnight. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. And you want to have something reliable in what to do next. And remember, you can schedule your video visit by also going to the website. Learn more about clinical trials and find a trial that might be right for you. Thoracic Imaging. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And every patient is different. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . And how urgently must patients act? UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. Yes, sir. I love taking care of people, and I love to see them breathe better and feel better. Yeah, and I want to tell people-- this is a very, very safe place. And then based on that discussion, we would set a patient up for a procedure. We're still operating. Interventional Pulmonology Secondary Specialty. And we're also going to just keep radiating you. American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection . We're not going to just say, you must do this. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. And it also has a lot of great COVID information. The probability, if it's low enough, we don't want to do invasive things to you. Sunit Singla, MD. Why aren't we just following the pathway down? 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. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. We want to remind people, very important, do not forego medical care during COVID. We are taking questions from viewers. It should be a CAT scan if you are eligible. You know, you said at the very beginning, I have a nodule, should I panic? And there are potential treatments to help patients quit smoking as well. And Dr. Hogarth mentioned blood tests even, a few moments ago. The Section of Thoracic Imaging provides state-of-the-art imaging and interpretation of pulmonary and cardiac diseases in close collaboration with internists, pulmonologists and thoracic surgeons at the University of Chicago Medical Center. Getting an expert opinion about what could this nodule actually be. So we go through your mouth. Every tumor, of course, has its own biology speed at which it grows. And Janet wants to know how invasive is a lung biopsy? A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . His contributions to the field of procedure-related training has been recognized by his peers and professional societies. It's a wonderful, wonderful place. 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. 5841 South Maryland Ave., MC 6076 Like, I'm not worried about spreading disease. And I was fortunate enough, I think, gosh, it's been over a year ago. And that is how biopsies work. Yes, so a patient typically comes in basically just for a few hours during the day. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Phone: (773) 702-9660, Mailing Address: You can't eat after midnight. And the patient goes afterwards to a post-procedural area, where they recover. For help with MyChart, call us at 1-844-442-4278. And then afterwards, once we settle on a date, the patient comes in. But we can. 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. No, don't panic. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Yeah, there's several possibilities in that regard to evaluate these. And I do also think it's worth mentioning that by doing the bronchoscopy, as opposed to choosing an alternative technique, such as a needle biopsy, we're also able to evaluate the lymph nodes in the chest. Patient survey responses are also used to make star ratings for each provider. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . 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 Dr. Hogarth, I want to start with you. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Right? And so that becomes one procedure, as opposed to multiple procedures. And we also try to figure out, is it a lesion that requires biopsy? The Interventional Pulmonology Center at Barnes-Jewish Hospital and Washington University School of Medicine, in conjunction with the Siteman Cancer Center, uses the following specialized technology to offer patients advanced diagnoses and expert care: . There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. It's got to be terrible. And Dr. Hogarth, I want to start with you. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . I recently completed an interventional pulmonary fellowship, which brought me here. You're out. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? 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. Phone: (773) 702-1856 of Colorado Health Sciences Ctr. You don't have to go get another procedure that's going to take time to then figure out what stage you are. 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. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. 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. Is that-- should you be frightened? And then they just go home. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Get a Second Opinion. 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. I'm actually in the endoscopy suites. 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 . [LAUGHTER] And Dr. Wagh, maybe you can take this next one. Our list of accepted insurance providers is subject to change at any time. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . I'm in the studio all by myself, as you can see here. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. And sign a few papers. Panicking, obviously, is never helpful. So look, there's three ways to sample inside the lung. Or you're going to go to radiation or whatever. You shared really some good information with our audience. 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. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. This is from Therese. And how minimal it actually is? Or should we offer something else? So talk to us a little bit more about the lymph nodes. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. 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 one of the other things we were talking about, the patient journey. There's nobody else here. Well, it certainly can. But there's many things it could be. What's that chance? I don't know who wants to take that one. So I'm excited to be here in the city, and part of this program. Thanks again for being with us today. 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. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. 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. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. But one of the other things we were talking about, the patient journey. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. 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. Phone: 410-502-2533. Emphysema and advanced emphysema. Interventional Pulmonology. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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 And you say, well, wait. So my name is Kyle Hogarth. So I have two from viewers that I have to pass along. I can meet with you virtually. And one that has a very low invasive potential. But we're very careful about that. 1:25 . Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. He has done the most cases in the United States and has authored numerous publications on this topic. He sees patients in clinic on Fridays. 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. So I think first step is don't panic. We'll get you a speech card. And you two, and your teams, are really good at helping people through that situation. You know, and I want to talk a little bit more about biopsies here in just a minute. And that's a very important part for a cancer evaluation. And the patient goes afterwards to a post-procedural area, where they recover. So-- go ahead, Dr. Hogarth, did you have something you wanted in? And this is a little bit inside baseball. And so that becomes one procedure, as opposed to multiple procedures. I'm in the studio all by myself, as you can see here. And hopefully, go home if nothing happens. First, do no harm. And Dr. Hogarth, we'll start with you. You know, in fact, just to even further hammer home that point. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. So typically we'll have a clinic evaluation. Because I know this is a very complex situation. 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. I kiss my spouse. Stopping smoking can help you just across the board. A lung mass can be a frightening discovery. Physician Recruitment McHenry, IL. So you're going to get way more bang for your buck literally as a scan by coming here. But we also want to explain to you what we're going to do to actively follow you. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. And our complication rate is the lowest amongst the three. What are some of the options to evaluate lung nodules and lung masses? Just type them in the comments section. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Occupational lung disease. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Or come and visit a lung physician. We work collaboratively with pulmonary medicine, critical care, allergy, thoracic surgery, medical oncology, radiation oncology, otorhinolaryngology and transplant specialists to provide you with a seamless care experience. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . 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. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. Oh, let me reinforce that. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. But also don't ignore it, and don't delay it. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. So Dr. Wagh and I have our partner, Dr. Mergue. I work here, I go home, I kiss my children. This type of training is beyond what is typically available in a standard . Because it's interesting how you do them in the lung. You will get seen within a week every time here. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. And remember, you can schedule your video visit by also going to the website. Media. The University of Illinois at Chicago/Chicago Chest Center offers a 12 month Interventional Pulmonology fellowship is spread across a spectrum of hospitals to allow for exposure to a wide variety of patients, diagnoses, interventions and multiple mentors. We can talk about imaging modalities. 11 millimeters is rather small. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Northwestern Memorial Hospital; Univ. And one that has a very low invasive potential. That's always the question people want to know. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. So that you get an answer as to what this nodule actually is. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. We evaluate whether or not it's a target that we can reach. Open for more information. And using some of the tools that we have. Follow @uw_APCC. So look, there's three ways to sample inside the lung. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. And there we perform our procedures. 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 . Randomly selected patients are sent patient satisfaction surveys after their visits. But also don't ignore it, and don't delay it. Really, really good questions today. We're not going to just say, you must do this. But many times, you might notice something on an x-ray that's not part of the screening pathway. 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. Because why would I put you-- why would I cure you of something that's never going to harm you? 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. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? 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. 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. 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. The hospital is safe, the hospital is clean. But I'm sure you'll enjoy UChicago Medicine. 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. 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. Where it's basically put right through your chest into the lung nodule done through the radiology department. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Yes, sir. We don't even have any camera people in here. I apologize. And that's sort of when we take a look at the CAT scan very closely. 11234 Anderson St, Loma Linda, CA 92354. . It could be cancer. Just type them in the comments section. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. 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. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. We want to minimize radiation. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. And we're also going to just keep radiating you. So I'm going to have you answer the question, but also kind of explain what she's asking here. You were fantastic. That's why I'm not moving a lot, not that I move a lot anyway. It's usually about a half day's worth of time. You need to raise a fit. For help with MyChart, call us at 1-844-442-4278. They come into the sky lobby here at UChicago. 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 it's something solid. Get an online second opinion from one of our experts without having to leave your home. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. Can you kind of walk us through that? Absolutely. What you're never going to hear from us is to say, now there's nothing to do, leave. Chicago, IL 60637, Referring Physician Access Line: And that's very important. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. We can talk about imaging modalities. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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 this is an actual question. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. That's right. In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. Chicago Chest Center/ The University of Illinois Chicago. Karen says, your pulmonary department is the best. Because it has everything to do with the quality of the machine for the radiation that goes through. Interventional Pulmonology, Northwestern University, Feinberg School of Medicine, Chicago IL 2015-2016 Pulmonary and Critical Medicine, UC Davis Medical Center, Sacramento CA 2012-2015 Professional Memberships It is covered by insurance. The University of Chicago Medicine. I'm an interventional pulmonologist here at the University of Chicago. And it's important here. You will get seen three to four weeks from now. And so those are our mainstays of imaging. That's coming up right now on At The Forefront Live. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . So typically we'll have a clinic evaluation. Yes, sir. Interesting. Schedule your appointment online for primary care and many specialties. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. About Us. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. 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. So I mean, we do have a regular process of lung cancer screening. Conditions & Services; If you think about it, the lung is mostly air. There's also what's called a needle biopsy. Our doctors will actually even join us from the places where they're doing the work. You will not know we're doing this to you. So ground glass nodules are a different biology. No, don't panic. So Dr. Wagh, you touched on this a little bit before. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. . Or it could be a telemedicine visit. So-- go ahead, Dr. Hogarth, did you have something you wanted in? But of course, there's biopsies. Loyola Medicine has a fully accredited and highly competitive three-year combined Pulmonary and Critical Care Fellowship program with a total complement of 13 clinical fellows. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. So I want to get back to biopsies for just a moment. Now, a question. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And I think that's the first key step. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. So appreciate that. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. And as always, we'll take your questions during our 30 minute program.
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