UF Health Lung Cancer Program: Interventional Pulmonology AABIP/AIPPD Interventional Pulmonology Accredidation Chicago, IL 60637 And the patient goes afterwards to a post-procedural area, where they recover. And one that has a very low invasive potential. And that's very important. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And we have a high success rate to get you an answer. And how urgently must patients act? Star ratings and comments come from a number of survey questions. 20 on the Best Hospitals Honor Roll. I love taking care of people, and I love to see them breathe better and feel better. 2018 Apr 17 . We're going to tell you a outlined plan that is backed up with data as to why we're doing this. We'll get you a speech card. Best Hospitals for Pulmonology & Lung Surgery | Rankings & Ratings | US We get thousands of survey responses each year. Can you kind of walk us through that? University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. You can't eat after midnight. Age is usually 55 to 80. And if someone ever by mistake says to you, yeah, they can see you in three months. Faculty Directory - University of Chicago - Department of Medicine So if we think you're at early stage cancer, that's great. Is that-- should you be frightened? Communication is important with the patients. What happens? 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. It's usually about a half day's worth of time. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. And so Dr. Hogarth, we have another question from a viewer. Just to echo what Dr. Wagh said. Although residents and fellows are paid by the University, the salaries and benefits are essentially the same for all trainees within a given postgraduate year of training. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . So you're going to get way more bang for your buck literally as a scan by coming here. And Dr. Hogarth mentioned blood tests even, a few moments ago. The University of Michigan Advanced Practice Professional (Physician Interstitial lung disease (pulmonary fibrosis) Mesothelioma. It's an oath both of us took. Future Oncol. But there's many things it could be. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. We'll get you a speech card. When you or a loved one has a lung disease, you want to see the best lung doctors available. So that's nice. About the Program So I'm going to have you answer the question, but also kind of explain what she's asking here. [LAUGHTER] All kinds of fantastic information there. I apologize. 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. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Go ahead, Ajay. And you know, it is extremely valuable. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Director, Interventional Pulmonary - Clinical Faculty Rush University But we're also going to work with you. 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. You're going to go home. (312) 996-8039. We're open for business. So we'll wake you up. And Dr. Hogarth, I want to start with you. 2023 The University of Chicago Medical Center. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . And that is how biopsies work. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And I have been working at the University of Chicago since 1998. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Is that-- should you be frightened? But can you kind of walk us through what people can expect before, during, and after one of these procedures. They come into the sky lobby here at UChicago. So-- go ahead, Dr. Hogarth, did you have something you wanted in? And then based on that discussion, we would set a patient up for a procedure. So Dr. Wagh and I have our partner, Dr. Mergue. 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. We get thousands of survey responses each year. And we also try to figure out, is it a lesion that requires biopsy? We'll try to get to as many as we can over the next half hour. Instead, you might have a little sore throat for a day or two. Phone: 410-502-2533. The University of Michigan as a . And hopefully, go home if nothing happens. So we do want to remind our viewers, we'll take your questions for our experts. 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. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And the patient goes afterwards to a post-procedural area, where they recover. You will still be the same stage. 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. 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. So I think first step is don't panic. So Dr. Wagh and I have our partner, Dr. Mergue. 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. Obviously, if things change, then that's a discussion towards biopsy. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. And that's kind of comforting, I think, for most patients. Our list of accepted insurance providers is subject to change at any time. And the individual tumor biology is changing. 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. Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) Faculty Profiles - University of Chicago Medicine Faculty Profiles Oh, let me reinforce that. IP Fellowship Program Contact Information And I was fortunate enough, I think, gosh, it's been over a year ago. And we can help you do that, too. When there are no changes from scan to scan. Get a Second Opinion. Or is this something that happens and you just need to get it checked out? Or suggest that the pre-test probability is lower. We just talked a moment ago, and you're pretty new here. You know, in fact, just to even further hammer home that point. I'm an interventional pulmonologist here at the University of Chicago. Faculty Profiles - University of Chicago Medicine Faculty Profiles We are proud to have an interventional pulmonary laboratory with full-time dedicated . Funding for Educational Activities Yes, sir. A star rating is not given if a provider only has a small number of survey responses. And Janet wants to know how invasive is a lung biopsy? So I mean, we do have a regular process of lung cancer screening. And you want to have something reliable in what to do next. And we will kind of shepherd the patient along the way. But one of the other things we were talking about, the patient journey. Interesting. And every patient is different. It's got to be terrible. 2023 The University of Chicago Medical Center. MC 6092 That's going to be number one on the list. And smoking is certainly a problem, a historical problem that we're working to deal with every day. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. And then if we do need to do a biopsy, making sure the correct biopsy gets done. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. D. Kyle Hogarth, MD - UChicago Medicine And it also has a lot of great COVID information. A star rating is not given if a provider only has a small number of survey responses. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Dr. Hogarth, do you want to start on that one? Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. And teasing out what's what is what Ajay and I do. Thanks again for being with us today. Right? I'm in the studio all by myself, as you can see here. 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. And without a doubt, the possibility of cancer is what scares everybody. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. 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. 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. That's another thing that you probably want to caution people about. So my name is Kyle Hogarth. The probability, if it's low enough, we don't want to do invasive things to you. Because it's a difficult time in people's lives when they have something like this done. So when we're done, you go home. Exactly. Yes, so a patient typically comes in basically just for a few hours during the day. Well, I think that there's several possibilities. And then I'll have Ajay go at it as well. But to delay any amount of care. Why aren't we just following the pathway down? And let's go through your CAT scan and let's have this discussion about what our next step is. And so now you're going to go to the surgeon to be cured. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Interventional Pulmonology Fellowship Program Director. Sunit Singla, MD. And you can speak with your physician about that. And that's a very important part for a cancer evaluation. I'm new here to the University of Chicago, and very thankful to be here. But many times, you might notice something on an x-ray that's not part of the screening pathway. Emphysema and advanced emphysema. And we have a series of other tests we can do. UChicago Faculty Physicians
And we keep spacing that interval of scan out if nothing has changed. We evaluate whether or not it's a target that we can reach. 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. I recently completed an interventional pulmonary fellowship, which brought me here. And these procedures all have their own benefits, but also their own complications. You want to be calm and cool. Oh, less than 5%, OK, let's slow down a little bit. And one that has a very low invasive potential. So I always have to do this. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And either one of you can do that. You need to raise a fit. You're out. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Karen says, your pulmonary department is the best. So we want to-- I mean, we want to do this for everybody. A star rating is not given if a provider only has a small number of survey responses. Make sure everything looks right, that it would be safe to proceed. 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. Our doctors will actually even join us from the places where they're doing the work. Advanced technology and minimally invasive options are available. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. We have been providing exceptional and compassionate . In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . 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. Now, a question. Or should we offer something else? 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. Absolutely, yeah. That ground glass, if it gets larger or denser, then it's changing. But that's part of what you do. 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. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. You know, we go, oh, it's a 20% chance. Pulmonary and Critical Care Medicine Fellowship But I love these. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Well, if you have a cancer, the next question is, what stage is it? And we keep spacing that interval of scan out if nothing has changed. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And remember, you can schedule your video visit by also going to the website. No, don't panic. Yeah. And prior to that, I was a private practice pulmonary critical care doctor for six years. Some of the blood tests we have, have the ability to change that number. Advanced technology and minimally invasive options are available. Critical Care Medicine; Pulmonology; Meet the Doctor . 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. University of Chicago, Interventional Pulmonology; Board Certifications. 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. Yeah, there's several possibilities in that regard to evaluate these. Well, that's nice. 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. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. What's that chance? But one of the other things we were talking about, the patient journey. And I think we like to take things one step at a time. So I'm excited to be here in the city, and part of this program. It sounds like you're in a busy, busy place. Your lungs are going to be ultimately attached to your mouth. There's all kinds of different tests. Dr. Hogarth, do you want to start on that one? Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections And then they come to our lab. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. Sure. It's an oath both of us took. Because it's interesting how you do them in the lung. So this is an actual question. Why aren't we just following the pathway down? You know what, I always tell people is there is a long list of things that the nodule could be. There's also what's called a needle biopsy. Well, my name is Ajay Wagh. And either one of you can do that. Pulmonologists D. Kyle Hogarth, MD, and Ajay Wagh, MD, talk about different ways physicians can detect and diagnose lung nodules and masses, including advanced bronchoscopy techniques that do not require incisions or surgery. 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. That's always the question people want to know. It's OK. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. 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. 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: . 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. [MUSIC PLAYING] My name is Ajay Wagh. What are some of the options to evaluate lung nodules and lung masses? So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. 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. But also don't ignore it, and don't delay it. And that's sort of when we take a look at the CAT scan very closely. Ajay Wagh, MD, MS - UChicago Medicine 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. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Really, really good questions today. But what I can also tell you is it's cancer, here's what stage it is.
And every patient is different. Fellowship Programs | Emory School of Medicine And Dr. Hogarth mentioned blood tests even, a few moments ago. Medicine Fellowship Programs - Rosalind Franklin University And then based on that discussion, we would set a patient up for a procedure. And we're very serious about that. Interventional Pulmonology | Pulmonary & Critical Care Medicine You were fantastic. And I think that's the first key step. 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. That's why I'm not moving a lot, not that I move a lot anyway. We're going to give you some strong recommendations. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. We are extremely cautious about everything here. That's why we do it. What you're never going to hear from us is to say, now there's nothing to do, leave. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. We're going to get to a little bit more detail of that one here in just a moment. Well, gentlemen, we're out of time. You know, it's not just like, yeah, you do this. And it's very professionally satisfying. But we can. First, do no harm. Yes, sir. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . So-- Full-Time. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. The University of Cincinnati Interventional Pulmonology (IP) Service is one of the 34 fellowship programs recognized by the American Association for Bronchology and Interventional Pulmonology (AABIP). Program Coordinator. We do have one that I want to get to. Or is this something that happens and you just need to get it checked out? St. Peters Health Partners Medical Associates, P.C. This is a safe place. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. And there are potential treatments to help patients quit smoking as well. And we can help you do that, too. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. You will still be the same stage. So I'm excited to be here in the city, and part of this program. Like, I'm not worried about spreading disease. Open for more information. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. Today there are better insights into cancer and other lung diseases. He also serves as an assistant professor of internal medicine at the UK College of Medicine. And it is, would my annual low dose CT lung cancer screening show nodules? We're going to do our work. Some of the blood tests we have, have the ability to change that number. When we-- and I'll also say it depends. So let's start off with our questions. And it's something solid. What are some of the options to evaluate lung nodules and lung masses? And as always, we'll take your questions during our 30 minute program. A lung mass can be a frightening discovery. But in reality, if you're a patient, there's only two things. So, I really believe in great communication and teamwork. 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. Amit, I hope I'm pronouncing this correctly. 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 . 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. And then they come to our lab. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . It's a wonderful, wonderful place. And sign a few papers. Meaning, it's technically a cancer, but it's never going to necessarily bother you. And that could be in person. So let's start off with our questions. Interventional Pulmonology - Barnes-Jewish Hospital So-- And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Age is usually 55 to 80. The Interventional Pulmonology Fellowship began in July 1, 2000. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. Rush University Medical Center in Chicago, IL - Rankings, Ratings So look, there's three ways to sample inside the lung. We don't even have any camera people in here. So I have two from viewers that I have to pass along. And we're very serious about that. 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. Procedures performed include diagnostic bronchoscopy, linear array and radial endobronchial ultrasound (EBUS) guided fine needle aspiration, navigational bronchoscopy, bronchoscopic fiducial marker placement for radiation therapy, rigid . Or come and visit a lung physician. We want to remind people, very important, do not forego medical care during COVID. And as Dr. Wagh just said, we are able to do video visits and televisits. Interesting. What exactly goes on there, and why is that so critical? We will overbook you. Yeah. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . Well, the blood test actually showed that it's less than 5%. Follow @uw_APCC. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. 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 without a doubt, the possibility of cancer is what scares everybody. I kiss my spouse. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Or does it have to be a higher dose CT screening? 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. So I'm going to have you answer the question, but also kind of explain what she's asking here. 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. Media. So if you need an appointment, give us a call at 888-824-0200. This isn't that twilight. 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. They're still cutting in you. And you don't want to. . And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Or it could be a telemedicine visit. Interventional Pulmonary; Hospitals. 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. You know, we go, oh, it's a 20% chance.
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