Patient survey responses are also used to make star ratings for each provider. Open for more information. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? And I have been working at the University of Chicago since 1998. So a little bit of a fan club going here, but that's awesome. Well, gentlemen, we're out of time. So I'm excited to be here in the city, and part of this program. If we keep scanning you, we're never going to see change. But in reality, if you're a patient, there's only two things. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. And there we perform our procedures. [MUSIC PLAYING]. But to delay any amount of care. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. There's also what's called a needle biopsy. And then they wait to be brought to the pre-procedural area. Obviously, if things change, then that's a discussion towards biopsy. We're open for business. 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. No, it will show the nodules. Oh, less than 5%, OK, let's slow down a little bit. When there are no changes from scan to scan. 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) But we're very careful about that. I am a Professor of Medicine here. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. A star rating is not given if a provider only has a small number of survey responses. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. It's got to be terrible. We have a great team here, and I'm excited to be part of it. Funding for Educational Activities Fellows. And we're, of course, happy and eager to help. That ground glass, if it gets larger or denser, then it's changing. 3 University of Rochester Medical Center, Rochester New York. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu First, do no harm. And that would be annually until they kind of exit out after that 15 years. Yes, sir. Oh, let me reinforce that. And we keep spacing that interval of scan out if nothing has changed. I apologize. 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. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? . It is covered by insurance. Your lungs are going to be ultimately attached to your mouth. And then we go in with our scopes. Or it could be a telemedicine visit. Instead, you might have a little sore throat for a day or two. 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. So I always have to do this. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. We also have literally the world's greatest nurse practitioner, Kimberly. So I'm excited to be here in the city, and part of this program. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. However, not everyone who receives an abnormal CT scan should be rushed into surgery. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. You are comfortable. Emphysema and advanced emphysema. St. Peters Health Partners Medical Associates, P.C. Chicago Chest Center/ The University of Illinois Chicago. And that would be annually until they kind of exit out after that 15 years. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. So I think first step is don't panic. And usually we discuss medications, if the patient is on a blood thinner. And so the lymph nodes are where cancer would spread to first. Some of them are blood based tests. And then at that point, we would bring the patient back to the our laboratory. Yes, so a patient typically comes in basically just for a few hours during the day. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Even the show that we're doing right now, you two are remote. So Dr. Wagh, you touched on this a little bit before. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. So first is just a discussion with you of what is the probability that this could be a malignancy for you. You're out. There's a surgeon, who's going to go in and cut part of it out. So appreciate that. And we also try to figure out, is it a lesion that requires biopsy? 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. 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 So we need to get going and do something about it. 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. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. But to delay any amount of care. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. That is not acceptable to make you wait. 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. We want to minimize radiation. You know, it's not just like, yeah, you do this. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . Age is usually 55 to 80. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. And I try to reliably perform that every day when I come to work. And I hope you have a great week. If we keep scanning you, we're never going to see change. That's good to know. Open for more information. It is covered by insurance. Right? But there's many other tests. And either one of you can jump on this one. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. Some of the blood tests we have, have the ability to change that number. Randomly selected patients are sent patient satisfaction surveys after their visits. In some cases, they are a precancerous lesion. We're in very separate areas. And remember, you can schedule your video visit by also going to the website. And they'll double check everything. Where it's basically put right through your chest into the lung nodule done through the radiology department. But we're also going to work with you. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. And it also has a lot of great COVID information. Or suggest that the pre-test probability is lower. 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. 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. River East Location . A lung mass can be a frightening discovery. And prior to that, I was a private practice pulmonary critical care doctor for six years. And thank you to our viewers for your great questions. 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. For help with MyChart, call us at 1-844-442-4278. You will get seen within a week every time here. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Make sure everything looks right, that it would be safe to proceed. So that you get an answer as to what this nodule actually is. Loma Linda University Children's Hospital. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. 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. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Yes, sir. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And the city of Chicago is a great place and a lot of fun. And if someone ever by mistake says to you, yeah, they can see you in three months. Well, that's nice. I want to know you're an early stage cancer. 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? Because it's interesting how you do them in the lung. And then second step is find the right people to help take care of you. The immediate reaction is you're probably frightened. 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. Make sure everything looks right, that it would be safe to proceed. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. So I mean, we do have a regular process of lung cancer screening. 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 . Our list of accepted insurance providers is subject to change at any time. We can talk about imaging modalities. And remember, you can schedule your video visit by also going to the website. Now, these are complicated discussions. And we're, of course, happy and eager to help. 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. (312) 996-8039. But there's many things it could be. But we're very careful about that. Report Job. So Dr. Wagh and I have our partner, Dr. Mergue. So we'll wake you up. I recently completed an interventional pulmonary fellowship, which brought me here. Karen says, your pulmonary department is the best. 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. We're going to do our work. You will get seen within a week every time here. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . So there's no cutting. Yeah. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. Exactly. 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. Dr. Wagh is focused on using minimally invasive techniques for diagnosing and treating a wide range of lung and chest conditions, including stage lung cancer, chronic respiratory illness, complex airway disorders, pleural disease (pleurisy, pneumothorax, pleural tumors) and more. With Dr. Murgus extensive knowledge of airflow dynamics, nomenclature and classification systems of tracheal stenosis, tracheobronchomalacia (the weakening of the trachea and bronchi) and excessive dynamic airway collapse, he has the experience, knowledge and skill to deliver long-term success for his patients. We're giving you the least amount of radiation, even for what's called a diagnostic scan. Or does it have to be a higher dose CT screening? No, for sure. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. Interventional Pulmonology Fellowship; Post-Doctoral; . You were fantastic. Get an online second opinion from one of our experts without having to leave your home. And as Dr. Wagh just said, we are able to do video visits and televisits. And how urgently must patients act? Go ahead, Ajay. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. Communication is important with the patients. And between the four of us, we're all in clinic at any given moment. So-- So you're going to get way more bang for your buck literally as a scan by coming here. And this is important. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. 847-498-5864. Interventional pulmonology is a new field within pulmonary medicine focused on the use of advanced diagnostic and therapeutic techniques for patients with lung cancer, airway disorders, and pleural diseases. Fax: (773) 702-6500, Outpatient Practice: Yes, sir. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. 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. We don't even have any camera people in here. So I think first step is don't panic. You know, we go, oh, it's a 20% chance. But that's part of what you do. Phone: 410-502-2533. Randomly selected patients are sent patient satisfaction surveys after their visits. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Sleep clinic patients are seen here during the day . And every patient is different. The responses are used to improve patient experience and recognize staff members for the care they provide. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi He sees patients in clinic on Fridays. 13 in the nation for Pulmonary and Lung Surgery. And we have a series of other tests we can do. So that you get an answer as to what this nodule actually is. So we'll wake you up. It should be a CAT scan if you are eligible. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. The hospital is safe, the hospital is clean. Yeah, there's several possibilities in that regard to evaluate these. He also serves as an assistant professor of internal medicine at the UK College of Medicine. Physician Recruitment McHenry, IL. The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. 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. Additionally, Dr. Hogarth is able to offer his patients unparalleled diagnostic accuracy by being the first in the United States to use the LungVision system with the robot to maximize precision. So when we're done, you go home. It's either cancer or everything else. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. And we're very serious about that. 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. For help with MyChart, call us at 1-844-442-4278. And there are potential treatments to help patients quit smoking as well. It sounds like you're in a busy, busy place. All kinds of fantastic information there. 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. We can talk about imaging modalities. Media. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? That's not hard to convince someone. This is a safe place. Full-Time. Absolutely, yeah. Oh, let me reinforce that. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. Communicate with your doctor, view test results, schedule appointments and more. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. 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. 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? Quick Apply. We are taking questions from viewers. And we will kind of shepherd the patient along the way. Interventional Pulmonology Secondary Specialty. And this is a little bit inside baseball. 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. The probability, if it's low enough, we don't want to do invasive things to you. 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. That is not acceptable to make you wait. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. 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. 5841 South Maryland Ave., MC 6076 Age is usually 55 to 80. I mean, it's really amazing. And you know, those patients typically are eligible for low dose lung cancer screening. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. I work here, I go home, I kiss my children. We want to minimize radiation. 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. Chronic cough. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. And the patient goes afterwards to a post-procedural area, where they recover. And without a doubt, the possibility of cancer is what scares everybody. 1-877-DOM-2730, Department of Medicine And so Dr. Hogarth, we have another question from a viewer. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. And Dr. Wagh, maybe you can take this next one. 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. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Panicking, obviously, is never helpful. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Just type them in the comments section. But also don't ignore it, and don't delay it. You're out. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. And that's very important. I'm actually in the endoscopy suites. Well, gentlemen, we're out of time. They come into the sky lobby here at UChicago. What you're never going to hear from us is to say, now there's nothing to do, leave.
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