And I hope you have a great week. Yes, sir. 1:25 . (Or create a 1/6 column and add a text field, modify the class so I should point out, the amount of radiation you get from a CAT scan at a center like ours-- so it has everything to do with the quality of the scanners. 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. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . And you say, well, wait. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. I am a Professor of Medicine here. Absolutely. And we also try to figure out, is it a lesion that requires biopsy? So-- And we're very serious about that. 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. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And this is important. It's either cancer or everything else. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . Learn more about clinical trials and find a trial that might be right for you. And either one of you can do that. I apologize. Chicago Chest Center - 2015. Can you kind of talk to us a little bit about that, and walk us through that? When there are no changes from scan to scan. Because it's interesting how you do them in the lung. Just to echo what Dr. Wagh said. 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 usually we discuss medications, if the patient is on a blood thinner. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. UChicago Faculty Physicians Currently, there are six board certified Interventional Pulmonologists and a wide range of . So I have two from viewers that I have to pass along. 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. And the individual tumor biology is changing. Maybe Dr. Hogarth, you can start. We're going to give you some strong recommendations. Today there are better insights into cancer and other lung diseases. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. And you don't want to. 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? You know, and I want to talk a little bit more about biopsies here in just a minute. Or come and visit a lung physician. But I'm sure you'll enjoy UChicago Medicine. You will get seen three to four weeks from now. Well, my name is Ajay Wagh. You will get seen three to four weeks from now. That ground glass, if it gets larger or denser, then it's changing. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. Just type them in the comments section. I am a Professor of Medicine here. Yeah. 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. Exactly. Just type them in the comments section. And so think of it like a sponge. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. About. So follow-up scans could also be low dose as well. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. It is covered by insurance. We evaluate whether or not it's a target that we can reach. Dr. Hogarth, do you want to start on that one? 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 . Meaning, it's technically a cancer, but it's never going to necessarily bother you. That's another thing that you probably want to caution people about. And I think that's the first key step. That's another thing that you probably want to caution people about. So look, there's three ways to sample inside the lung. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Patient survey responses are also used to make star ratings for each provider. And smoking is certainly a problem, a historical problem that we're working to deal with every day. All kinds of fantastic information there. And so those are our mainstays of imaging. 3 University of Rochester Medical Center, Rochester New York. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. You know what, I always tell people is there is a long list of things that the nodule could be. So appreciate that. Because it's interesting how you do them in the lung. We don't want that to happen. I should point out, the amount of radiation you get from a CAT scan at a center like ours-- so it has everything to do with the quality of the scanners. . We want to remind people, very important, do not forego medical care during COVID. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. Or come and visit a lung physician. Every tumor, of course, has its own biology speed at which it grows. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And that could be in person. The Interventional Pulmonology Fellowship began in July 1, 2000. But I love these. Or is this something that happens and you just need to get it checked out? And so now you're going to go to the surgeon to be cured. But to delay any amount of care. It's usually about a half day's worth of time. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Our world-renowned physicians are known for their superior expertise in pulmonary diseases and critical care medicine and many have been recognized by Best Doctors in America and Top Doctors in Cincinnati. But we do have avenues to help with that. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. Is that-- should you be frightened? In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Get an online second opinion from one of our experts without having to leave your home. And I try to reliably perform that every day when I come to work. The University of Michigan as a . You know, you mentioned that being covered by insurance. But we're very careful about that. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: We're still operating. There's all kinds of different tests. We're going to get to a little bit more detail of that one here in just a moment. No, for sure. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And I have been working at the University of Chicago since 1998. Dr. Wagh, let's hear a little bit about you. This is from Therese. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Oh, less than 5%, OK, let's slow down a little bit. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Communicate with your doctor, view test results, schedule appointments and more. Fellows. And there are potential treatments to help patients quit smoking as well. Phone: (773) 702-9660, Mailing Address: Where it's basically put right through your chest into the lung nodule done through the radiology department. And I hope you have a great week. Thanks again for being with us today. Oh, less than 5%, OK, let's slow down a little bit. You're out. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Phone: (773) 702-9660. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. 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. You can't eat after midnight. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. Interesting. We're going to do our work. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. Interventional Pulmonary; Hospitals. This type of training is beyond what is typically available in a standard . He has done the most cases in the United States and has authored numerous publications on this topic. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. And the patient goes afterwards to a post-procedural area, where they recover. Phone: (773) 702-1856 And it also has a lot of great COVID information. What Dr. Wagh and I do is a procedure called bronchoscopy. It sounds like you're in a busy, busy place. And that's a very important part for a cancer evaluation. Absolutely, yeah. And then we go in with our scopes. You were fantastic. But if it shows anything of any concern, especially if it's your first one, that may require a follow-up scan in a shorter interval or one with slightly higher radiation. So Dr. Wagh and I have our partner, Dr. Mergue. 2023 The University of Chicago Medical Center. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. I want to know you're an early stage cancer. You were fantastic. Now, these are complicated discussions. But there's many things it could be. You're out. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. You will get seen within a week every time here. He also serves as an assistant professor of internal medicine at the UK College of Medicine. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. I work here, I go home, I kiss my children. And then at that point, we would bring the patient back to the our laboratory. The probability, if it's low enough, we don't want to do invasive things to you. The Section of Thoracic Imaging provides state-of-the-art imaging and interpretation of pulmonary and cardiac diseases in close collaboration with internists, pulmonologists and thoracic surgeons at the University of Chicago Medical Center. 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 immediate reaction is you're probably frightened. Even the show that we're doing right now, you two are remote. And the patient goes afterwards to a post-procedural area, where they recover. What's that chance? He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. And you know, those patients typically are eligible for low dose lung cancer screening. We are extremely cautious about everything here. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 5841 South Maryland Avenue, Now, a question. . And that could be in person. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections [LAUGHTER] We don't want that to happen. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. Yes, sir. 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. And either one of you can jump on this one. And our complication rate is the lowest amongst the three. 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. So my name is Kyle Hogarth. So we'll wake you up. Funding for Educational Activities Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. We're going to do our work. 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. No, it will show the nodules. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. It's usually about a half day's worth of time. Get a Second Opinion. We are taking questions from viewers. It's an oath both of us took. Chicago, IL 60637 Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And how urgently must patients act? This isn't that twilight. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. of Colorado Health Sciences Ctr. 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. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Media. The 30 faculty, clinical associates and research associates along with a staff of more than 72, have devoted themselves to the pursuit of excellence in each of these important activities. It's OK. And as always, we'll take your questions during our 30 minute program. And I do also think it's worth mentioning that by doing the bronchoscopy, as opposed to choosing an alternative technique, such as a needle biopsy, we're also able to evaluate the lymph nodes in the chest. And so those are our mainstays of imaging. Yes, sir. We don't even have any camera people in here. But we can. So first is just a discussion with you of what is the probability that this could be a malignancy for you. 840 S. Wood Street MC719 Chicago, IL 60612. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. The fear always is that cancers are going to grow. So I'm excited to be here in the city, and part of this program. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. And you want to have something reliable in what to do next. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. And teasing out what's what is what Ajay and I do. And this is a little bit inside baseball. Yes, sir. If you think about it, the lung is mostly air. No, it's a great question. Dr. Hogarth kind of briefly said something about the blood tests. And that is how biopsies work. Go ahead, Ajay. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. Dr. Hogarth kind of briefly said something about the blood tests. You know, we go, oh, it's a 20% chance. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. That's good to know. Dr. Hogarth, do you want to start on that one? Sue Hammerschmidt. 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. 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. 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. So Dr. Wagh and I have our partner, Dr. Mergue. And every patient is different. Karen says, your pulmonary department is the best. [MUSIC PLAYING]. You are comfortable. And we will kind of shepherd the patient along the way. The immediate reaction is you're probably frightened. And you know, COVID makes it harder for patients to see doctors. They're still cutting in you. Where it's basically put right through your chest into the lung nodule done through the radiology department. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? We will overbook you. This isn't that twilight.