university of chicago interventional pulmonology university of chicago interventional pulmonology

And without a doubt, the possibility of cancer is what scares everybody. You don't have to go get another procedure that's going to take time to then figure out what stage you are. 20 on the Best Hospitals Honor Roll. There's nobody else here. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. We can talk about imaging modalities. I kiss my spouse. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. 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. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. If we keep scanning you, we're never going to see change. You need to raise a fit. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Interventional Pulmonology. Another question from a viewer, and this is Carla. We will overbook you. Yes, sir. What you're never going to hear from us is to say, now there's nothing to do, leave. What you're never going to hear from us is to say, now there's nothing to do, leave. Or come and visit a lung physician. And Dr. Hogarth, we'll start with you. And so that becomes one procedure, as opposed to multiple procedures. So-- Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And at that point, they'll meet the anesthesiologist, the nursing staff. And you can speak with your physician about that. And sign a few papers. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And you know, those patients typically are eligible for low dose lung cancer screening. I mean, it's really amazing. 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. Faculty and fellows conduct research in a wide range of topics such as devices in sleep medicine and interventional pulmonary, laboratory studies in IPF fibroblast pathology or building new lungs for transplantation. So we want to-- I mean, we want to do this for everybody. But there's many things it could be. 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 know, and I was only being partially facetious when I said panic is kind of the natural-- because I think for a lot of people that's just the natural reaction. We're going to get to a little bit more detail of that one here in just a moment. 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. It could be cancer. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. 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 ground glass nodules are a different biology. Interesting. And the city of Chicago is a great place and a lot of fun. 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. We want to find patients who have a history of smoking, quit within the past 15 years. And I try to reliably perform that every day when I come to work. Well, my name is Ajay Wagh. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. You are comfortable. About. All rights reserved. So you're going to get way more bang for your buck literally as a scan by coming here. Or is that the moment of panic at that point? Rush University Medical Center in Chicago, IL is ranked No. It is covered by insurance. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. But to delay any amount of care. Our list of accepted insurance providers is subject to change at any time. If you think about it, the lung is mostly air. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Open for more information. So we do want to remind our viewers, we'll take your questions for our experts. Really, really good questions today. Karen says, your pulmonary department is the best. . And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. So we need to get going and do something about it. We just talked a moment ago, and you're pretty new here. Conditions & Services; 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. He also serves as an assistant professor of internal medicine at the UK College of Medicine. So first is just a discussion with you of what is the probability that this could be a malignancy for you. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. Because initially when you're faced with something like that, everything kind of just goes over your head. And we can help you do that, too. You will not know we're doing this to you. So Dr. Wagh and I have our partner, Dr. Mergue. Can you kind of talk to us a little bit about that, and walk us through that? So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. So-- Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . It's a wonderful website. Yes, so a patient typically comes in basically just for a few hours during the day. Getting an expert opinion about what could this nodule actually be. And Janet wants to know how invasive is a lung biopsy? 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. And I have been working at the University of Chicago since 1998. The responses are used to improve patient experience and recognize staff members for the care they provide. I mean, we do have telemedicine options. Only clean air in the lungs, please. You're out. And you don't want to. These are not questions. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. And we're, of course, happy and eager to help. . I want to know you're an early stage cancer. Just type them in the comments section. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. You will not know we're doing this to you. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. I mean, we do have telemedicine options. . Program Director. 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. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Just type them in the comments section. That's a great question. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? And Dr. Hogarth, we'll start with you. Funding for Educational Activities If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Now, a question. Absolutely, yeah. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Hogarth DK. And you know, those patients typically are eligible for low dose lung cancer screening. Program Overview. You know, and I want to talk a little bit more about biopsies here in just a minute. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. And the patient goes afterwards to a post-procedural area, where they recover. And then I'll have Ajay go at it as well. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Why aren't we just following the pathway down? We do have one that I want to get to. So that's nice. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And the individual tumor biology is changing. Or come and visit a lung physician. That's not hard to convince someone. We have a great team here, and I'm excited to be part of it. You were fantastic. This is from Therese. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And there we perform our procedures. That's good to know. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. In other cases, they are actually a cancer. That ground glass, if it gets larger or denser, then it's changing. And it is, would my annual low dose CT lung cancer screening show nodules? 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 . And then based on that discussion, we would set a patient up for a procedure. There's a surgeon, who's going to go in and cut part of it out. And as Dr. Wagh just said, we are able to do video visits and televisits. 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. And we're very serious about that. You know, we go, oh, it's a 20% chance. Get a Second Opinion. [MUSIC PLAYING] My name is Ajay Wagh. Get a Second Opinion. And we have a high success rate to get you an answer. Or suggest that the pre-test probability is lower. And we get the tissue that we need. And I was fortunate enough, I think, gosh, it's been over a year ago. And Dr. Hogarth, I want to start with you. Your lungs are going to be ultimately attached to your mouth. 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. 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. And it is, would my annual low dose CT lung cancer screening show nodules? It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. So a little bit of a fan club going here, but that's awesome. 5841 S Maryland Ave, MC 6076. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. It was pretty fascinating to see what you could do inside of a person's lung with a very, very minor, very minor invasive procedure. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . We are extremely cautious about everything here. 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. But we do have avenues to help with that. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Consultations and second opinions are also available on request for patients that have . Phone: (773) 702-9660, Mailing Address: But also cat scanning. Can you kind of talk to us a little bit about that, and walk us through that? 3 University of Rochester Medical Center, Rochester New York. It's OK. And as always, we'll take your questions during our 30 minute program. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. 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. But what I can also tell you is it's cancer, here's what stage it is. Future Oncol. And it's something solid. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. And how urgently must patients act? Learn more about clinical trials and find a trial that might be right for you. It's an oath both of us took. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. Some of them are just re-evaluating the CAT scan you have. We even use-- in order to evaluate a patient's risk-- we use calculators to help evaluate that too based on a patient's history and imaging findings. And we have a series of other tests we can do. Meet the Doctor. Chronic cough. 11234 Anderson St, Loma Linda, CA 92354. . Or it could be a telemedicine visit. Because it's a difficult time in people's lives when they have something like this done. And if someone ever by mistake says to you, yeah, they can see you in three months. It's so important. And sign a few papers. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. That's coming up right now on At The Forefront Live. And it also has a lot of great COVID information. We are taking questions from viewers. 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. MC 6092 Well, gentlemen, we're out of time. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. We evaluate whether or not it's a target that we can reach. 1:25 . And at that point, they'll meet the anesthesiologist, the nursing staff. I can meet with you virtually. 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? For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And this is a little bit inside baseball. 2023 The University of Chicago Medical Center. And teasing out what's what is what Ajay and I do. This is from Therese. You will still be the same stage. No, it will show the nodules. Schedule your appointment online for primary care and many specialties. So-- Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . Sleep Medicine. Interventional Pulmonology Fellowship Program Director. What's that chance? So look, there's three ways to sample inside the lung. When you or a loved one has a lung disease, you want to see the best lung doctors available. And I have been working at the University of Chicago since 1998. 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. I'm new here to the University of Chicago, and very thankful to be here. You will get seen three to four weeks from now. Another question from a viewer, and this is Carla. Some of the blood tests we have, have the ability to change that number. Every tumor, of course, has its own biology speed at which it grows. But we can. Stopping smoking can help you just across the board. Interventional Pulmonology Secondary Specialty. 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. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Age is usually 55 to 80. Because why would I put you-- why would I cure you of something that's never going to harm you? Is following a nodule ground glass opacity with yearly CT standard? But for many people are extremely, extremely slow growing cancer. Or should we offer something else? And then second step is find the right people to help take care of you. 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. Today there are better insights into cancer and other lung diseases. What happens? And Dr. Hogarth mentioned blood tests even, a few moments ago. And they'll double check everything. That is not acceptable to make you wait. And that's a very important part for a cancer evaluation. We're going to give you some strong recommendations. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. James Katsis, MD is affiliated with Rush University Medical Center and specializes in Pulmonology Services in Chicago, IL James Katsis, MD - Rush University Medical Center Call (888) 352-RUSH (7874) Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Interstitial lung disease (pulmonary fibrosis) Mesothelioma. But we're also going to work with you. And we will kind of shepherd the patient along the way. And then based on that discussion, we would set a patient up for a procedure. Because it's interesting how you do them in the lung. I'm not happy that I have to tell you it's cancer. But a doctor may see something on a chest x-ray. But can you kind of walk us through what people can expect before, during, and after one of these procedures. So I always have to do this. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. I'm in the studio all by myself, as you can see here. No, it's a great question. Make sure everything looks right, that it would be safe to proceed. Go ahead, Ajay. And so now you're going to go to the surgeon to be cured. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Salary and Benefits. And there are potential treatments to help patients quit smoking as well. 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. I don't know who wants to take that one. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Because we will always see you. These are not questions. And there we perform our procedures. Patient survey responses are also used to make star ratings for each provider. Chicago Chest Center was the first dedicated IP fellowship program in the Chicago area and the oldest established full service Interventional Pulmonology program in the state. But we're very careful about that. Now, these are complicated discussions. Well, it certainly can. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. We're not going to just say, you must do this. So appreciate that. So I always have to do this. This isn't that twilight. 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 was fortunate enough to start the bronchoscopy program here, and the Nodule program. 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.