university of chicago interventional pulmonology

It could be cancer. I follow the philosophy of following the three A's-- affable, available, and able. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . Referring Physician Access Line: . Some of them are just re-evaluating the CAT scan you have. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And of course, you came here at kind of an odd time, during a pandemic. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. So we want to-- I mean, we want to do this for everybody. Medical school: St. James School of Medicine Anguilla, Park Ridge, IL Residency: University of Illinois College of Medicine, Peoria, IL Professional interests: ARDS, sepsis and infectious lung diseases. So I'm going to have you answer the question, but also kind of explain what she's asking here. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . These are not questions. Because initially when you're faced with something like that, everything kind of just goes over your head. 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. You will get seen three to four weeks from now. Get an online second opinion from one of our experts without having to leave your home. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. But what I can also tell you is it's cancer, here's what stage it is. That ground glass, if it gets larger or denser, then it's changing. 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. You know, and I want to talk a little bit more about biopsies here in just a minute. And that could be in person. And I have been working at the University of Chicago since 1998. You're out. And then if we do need to do a biopsy, making sure the correct biopsy gets done. The University of Michigan as a . Get an online second opinion from one of our experts without having to leave your home. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. 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. I remember when Dr. Hogarth showed this to me. Really, really good questions today. 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? So if you need an appointment, give us a call at 888-824-0200. That's why we do it. You know what, I always tell people is there is a long list of things that the nodule could be. As faculty members of the University of Cincinnati [] There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Star ratings and comments come from a number of survey questions. Well, gentlemen, we're out of time. They come into the sky lobby here at UChicago. And so now you're going to go to the surgeon to be cured. The fear always is that cancers are going to grow. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. I'm actually in the endoscopy suites. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Some of them are just re-evaluating the CAT scan you have. So look, there's three ways to sample inside the lung. Interesting. 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. Or does it have to be a higher dose CT screening? Or come and visit a lung physician. 5841 S Maryland Ave, MC 6076. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. And we're also going to just keep radiating you. There's also what's called a needle biopsy. That's going to be number one on the list. And Dr. Hogarth, we'll start with you. Yeah, and I want to tell people-- this is a very, very safe place. So this is an actual question. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. Bronchoscopic procedures are also offered to manage patients with asthma, emphysema, massive hemoptysis, foreign body aspiration, mediastinal disorders, post lung transplant complications, interstitial and infectious lung disorders. 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. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi And our complication rate is the lowest amongst the three. 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. Can you kind of talk to us a little bit about that, and walk us through that? And that's kind of comforting, I think, for most patients. It could be cancer. If we keep scanning you, we're never going to see change. Sure. And I would imagine in this-- I've got to word COVID of in here, because you know, it's what we're talking about everywhere. No, don't panic. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. 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. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. But we also want to explain to you what we're going to do to actively follow you. 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. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. 11 millimeters is rather small. 5841 South Maryland Avenue, You're out. This is a safe place. That's why I'm not moving a lot, not that I move a lot anyway. The responses are used to improve patient experience and recognize staff members for the care they provide. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. You were fantastic. But of course, there's biopsies. Because why would I put you-- why would I cure you of something that's never going to harm you? 2023 The University of Chicago Medical Center. And usually we discuss medications, if the patient is on a blood thinner. You know, we go, oh, it's a 20% chance. 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. Because it has everything to do with the quality of the machine for the radiation that goes through. Yeah. So you're going to get way more bang for your buck literally as a scan by coming here. 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) And that could be in person. 20 on the Best Hospitals Honor Roll. Well, it certainly can. About. You can't eat after midnight. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Even the show that we're doing right now, you two are remote. Can you kind of walk us through that? So I always have to do this. Is that-- should you be frightened? We're still operating. Our list of accepted insurance providers is subject to change at any time. Can you kind of talk to us a little bit about that, and walk us through that? As an Interventional Radiology Technologist you will perform diagnostic imaging studies as assigned, assist with minimally invasive image-guided vascular procedures, apply principles of radiation protection, exercise professional judgement in . But we do have avenues to help with that. But we're also going to work with you. And at that point, they'll meet the anesthesiologist, the nursing staff. And you want to have something reliable in what to do next. So this is an actual question. 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? What happens? Or you're going to go to radiation or whatever. Sure. But I love these. And as Dr. Wagh just said, we are able to do video visits and televisits. Or you're going to go to radiation or whatever. Pulmonary & Critical Care Medicine. Stopping smoking can help you just across the board. Yes, so a patient typically comes in basically just for a few hours during the day. A lung mass can be a frightening discovery. Full-Time. No, it will show the nodules. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Or is this something that happens and you just need to get it checked out? And they'll double check everything. And we have a high success rate to get you an answer. [MUSIC PLAYING]. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. We want to find patients who have a history of smoking, quit within the past 15 years. Because an abnormal CT scan is terrifying. We have a great team here, and I'm excited to be part of it. He also performs laser-assisted mechanical dilation of airway strictures, airway stenting and bronchoscopic treatments for benign and malignant airway lesions using photodynamic therapy, cryotherapy and electrosurgery techniques. Schedule your appointment online for primary care and many specialties. And we also try to figure out, is it a lesion that requires biopsy? And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Yes, sir. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. And we're, of course, happy and eager to help. Just to echo what Dr. Wagh said. Well, my name is Ajay Wagh. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. 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. Dr. Hogarth kind of briefly said something about the blood tests. It was designed to provide the subspecialty trainees with extensive training and experience in advanced diagnostic and therapeutic procedures that are essential to the practice of Interventional Pulmonology. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. But we're very careful about that. Dr. Wagh, let's hear a little bit about you. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Well, my name is Ajay Wagh. And the city of Chicago is a great place and a lot of fun. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . And so that becomes one procedure, as opposed to multiple procedures. This isn't that twilight. And the individual tumor biology is changing. You know, in fact, just to even further hammer home that point. Yes, sir. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. So Dr. Wagh, you touched on this a little bit before. And how urgently must patients act? Associate Professor of Medicine, Co-director of Bronchoscopy. And that would be another area, I would imagine. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. And you know, COVID makes it harder for patients to see doctors. What's that chance? We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. And then I'll have Ajay go at it as well. I recently completed an interventional pulmonary fellowship, which brought me here. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Where it's basically put right through your chest into the lung nodule done through the radiology department. 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. Because I know this is a very complex situation. So I think first step is don't panic. That's coming up right now on At The Forefront Live. Obviously, if things change, then that's a discussion towards biopsy. What you're never going to hear from us is to say, now there's nothing to do, leave. So if we think you're at early stage cancer, that's great. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . We're not going to just say, you must do this. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. And if you can, just kind of set the stage for us and tell us a little bit about nodules and masses, and what are they and how do people even know that they have such a thing in their lungs. Go ahead, Ajay. And between the four of us, we're all in clinic at any given moment. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And either one of you can do that. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. But of course, there's an 80% chance it's not cancer. And we get the tissue that we need. And you know, it is extremely valuable. 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. 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. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. But of course, there's an 80% chance it's not cancer. [LAUGHTER] And then at that point, we would bring the patient back to the our laboratory. Today there are better insights into cancer and other lung diseases. 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. And I think that's the first key step. You will still be the same stage. So appreciate that. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. Some of the blood tests we have, have the ability to change that number. We will overbook you. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. 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. No, it's a great question. And then I'll have Ajay go at it as well. So Dr. Wagh and I have our partner, Dr. Mergue. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Now, these are complicated discussions. But a doctor may see something on a chest x-ray. Phone: (773) 702-9660. And I hope you have a great week. And we do it through your mouth. Media. That's right. Exactly. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. 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 I love taking care of people, and I love to see them breathe better and feel better. 2018 Apr 17 . Absolutely. And good nutrition and exercise is important, and we can help you get on the right track. And so those are our mainstays of imaging. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. So I'm going to have you answer the question, but also kind of explain what she's asking here. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. 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. But there's many other tests. Is following a nodule ground glass opacity with yearly CT standard? 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 I don't know. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Now, these are complicated discussions. Communicate with your doctor, view test results, schedule appointments and more. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. And it's something solid. (312) 996-8039. But for many people are extremely, extremely slow growing cancer. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. First, do no harm. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. Consultations and second opinions are also available on request for patients that have . And you know, those patients typically are eligible for low dose lung cancer screening. And I try to reliably perform that every day when I come to work. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. So we do want to remind our viewers, we'll take your questions for our experts. Get a Second Opinion. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. So I always have to do this. 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. If we keep scanning you, we're never going to see change. Interesting. And as always, we'll take your questions during our 30 minute program. So first is just a discussion with you of what is the probability that this could be a malignancy for you. 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. Section of Pulmonary/Critical Care So when we're done, you go home. And we have a series of other tests we can do. This is from Therese. 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? Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections So ground glass nodules are a different biology. Stopping smoking can help you just across the board. Dr. Hogarth kind of briefly said something about the blood tests. So I have two from viewers that I have to pass along. But many times, you might notice something on an x-ray that's not part of the screening pathway. And Janet wants to know how invasive is a lung biopsy? 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 . I'm not happy that I have to tell you it's cancer. Interventional Pulmonary; Hospitals. And prior to that, I was a private practice pulmonary critical care doctor for six years. But in reality, if you're a patient, there's only two things. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? No, for sure. So we'll wake you up. Randomly selected patients are sent patient satisfaction surveys after their visits. But also don't ignore it, and don't delay it. Thoracic Imaging. It sounds like you're in a busy, busy place. That's good to know. Or does it have to be a higher dose CT screening? Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. So Dr. Wagh, you touched on this a little bit before. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Chicago, IL 60637, Referring Physician Access Line: So if we think you're at early stage cancer, that's great. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. It's usually about a half day's worth of time. And you can speak with your physician about that. So-- go ahead, Dr. Hogarth, did you have something you wanted in? If you think about it, the lung is mostly air. Star ratings and comments come from a number of survey questions. And how minimal it actually is? It should be a CAT scan if you are eligible. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. That is not acceptable to make you wait. So my name is Kyle Hogarth. Oh, let me reinforce that. That's going to be number one on the list. And using some of the tools that we have. Well, gentlemen, we're out of time. And I have been working at the University of Chicago since 1998. Physician Recruitment McHenry, IL. Schedule your appointment online for primary care and many specialties. And at that point, they'll meet the anesthesiologist, the nursing staff. And there are potential treatments to help patients quit smoking as well. And there we perform our procedures. That's another thing that you probably want to caution people about. And Dr. Wagh, maybe you can take this next one. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. We want to find patients who have a history of smoking, quit within the past 15 years. Hogarth DK. We want to remind people, very important, do not forego medical care during COVID. Oh, less than 5%, OK, let's slow down a little bit. 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. We don't even have any camera people in here. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? But there's many things it could be. It's OK. First, do no harm. So look, there's three ways to sample inside the lung. Some of the blood tests we have, have the ability to change that number. 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. Our program's strength lies in the large and varied patient base . So first is just a discussion with you of what is the probability that this could be a malignancy for you. Well, I think that there's several possibilities. So ground glass nodules are a different biology. 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. Dr. Hogarth, do you want to start on that one? It's a wonderful website. 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. We can talk about imaging modalities. 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. We're going to do our work. I apologize. Amit, I hope I'm pronouncing this correctly. In other cases, they are actually a cancer. 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. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. And that's a very important part for a cancer evaluation. Another question from a viewer, and this is Carla. 2023 The University of Chicago Medical Center. 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. UChicago Faculty Physicians The immediate reaction is you're probably frightened. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Or suggest that the pre-test probability is lower. Today there are better insights into cancer and other lung diseases. Because it's a difficult time in people's lives when they have something like this done. If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. But one of the other things we were talking about, the patient journey. So we'll wake you up. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . You know, in fact, just to even further hammer home that point. And you two, and your teams, are really good at helping people through that situation. Ultimately, I just want to help people feel better and breathe better. And we get the tissue that we need. Or is this something that happens and you just need to get it checked out? I don't know who wants to take that one. But there's many other tests. You are comfortable. Loma Linda University Children's Hospital. 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. Sleep clinic patients are seen here during the day . You know, you mentioned that being covered by insurance. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy.

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