Or does it have to be a higher dose CT screening? 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. All kinds of fantastic information there. So if you need an appointment, give us a call at 888-824-0200. The immediate reaction is you're probably frightened. Patient survey responses are also used to make star ratings for each provider. And you want to have something reliable in what to do next. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. That's why we do it. Fax: (773) 702-6500, Outpatient Practice: University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. But in reality, if you're a patient, there's only two things. Open for more information. of Colorado Health Sciences Ctr. The mission of Duke Interventional Pulmonary Fellowship is to train the leaders in the field by exposure to high volume of complex cases, multi-disciplinary and thoughtful approach, and cutting edge research. Patients have both benign and malignant non-cardiac diseases of the chest. Why aren't we just following the pathway down? UK Pulmonary, Critical Care and Sleep Medicine offers the full scope of inpatient and outpatient services involving the diagnostic evaluation and clinical management of respiratory disorders. UChicago Faculty Physicians Phone: (773) 702-9660, Mailing Address: . It sounds like you're in a busy, busy place. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Sunit Singla, MD. But what I can also tell you is it's cancer, here's what stage it is. 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). No, it's a great question. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. Well, that's nice. And then they just go home. Thanks again for being with us today. We even use-- in order to evaluate a patient's risk-- we use calculators to help evaluate that too based on a patient's history and imaging findings. And then based on that discussion, we would set a patient up for a procedure. And that's very important. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And we have a series of other tests we can do. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. And either one of you can do that. Critical Care Medicine; Pulmonology; Meet the Doctor . Can you talk to us a little bit about what the patient experiences in this procedure? You're out. What happens? What Dr. Wagh and I do is a procedure called bronchoscopy. So Dr. Wagh and I have our partner, Dr. Mergue. If we keep scanning you, we're never going to see change. It's a wonderful website. But we're very careful about that. Well, I think that there's several possibilities. Your lungs are going to be ultimately attached to your mouth. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And we're, of course, happy and eager to help. That's good to know. And we're very serious about that. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . Our list of accepted insurance providers is subject to change at any time. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. But also don't ignore it, and don't delay it. What are some of the options to evaluate lung nodules and lung masses? And Janet wants to know how invasive is a lung biopsy? Obviously, if things change, then that's a discussion towards biopsy. But we also want to explain to you what we're going to do to actively follow you. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. Right? I want to know you're an early stage cancer. What exactly goes on there, and why is that so critical? And prior to that, I was a private practice pulmonary critical care doctor for six years. And you two, and your teams, are really good at helping people through that situation. And these procedures all have their own benefits, but also their own complications. 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. 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 an abnormal CT scan is terrifying. And this is important. 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. I am a Professor of Medicine here. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. 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 one of the other things we were talking about, the patient journey. And they'll double check everything. And sign a few papers. It is covered by insurance. 1-877-DOM-2730, Department of Medicine We're still operating. So ground glass nodules are a different biology. And that could be in person. He has done the most cases in the United States and has authored numerous publications on this topic. Chronic cough. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, Advanced Diagnostic and Therapeutic Bronchoscopy, University of Tennessee College of Medicine. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Hogarth DK. So-- And that would be another area, I would imagine. You can't eat after midnight. And you don't want to. [MUSIC PLAYING] My name is Ajay Wagh. And that's sort of when we take a look at the CAT scan very closely. Some of the blood tests we have, have the ability to change that number. And at that point, they'll meet the anesthesiologist, the nursing staff. There's a surgeon, who's going to go in and cut part of it out. Or is this something that happens and you just need to get it checked out? In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. (312) 996-8039. Open for more information. And our complication rate is the lowest amongst the three. That's why I'm not moving a lot, not that I move a lot anyway. [LAUGHTER] And then they just go home. And they hear, oh my gosh, I've got a nodule. So look, there's three ways to sample inside the lung. You don't have to go get another procedure that's going to take time to then figure out what stage you are. And so think of it like a sponge. Or should we offer something else? It sounds like you're in a busy, busy place. Because we will always see you. This isn't that twilight. Salary and Benefits. But I'm sure you'll enjoy UChicago Medicine. So I think first step is don't panic. Interventional Pulmonology Fellowship; Post-Doctoral; . It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . University of Chicago, Interventional Pulmonology; Board Certifications. Get a Second Opinion. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Conditions & Services; So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And we have a series of other tests we can do. Can you kind of talk to us a little bit about that, and walk us through that? In some cases, they are a precancerous lesion. Absolutely, yeah. 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. 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. Dr. Hogarth, do you want to start on that one? And you two, and your teams, are really good at helping people through that situation. So follow-up scans could also be low dose as well. And you can speak with your physician about that. No, don't panic. 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. Interventional Pulmonology, Northwestern University, Feinberg School of Medicine, Chicago IL 2015-2016 Pulmonary and Critical Medicine, UC Davis Medical Center, Sacramento CA 2012-2015 Professional Memberships Phone: (773) 702-9660. 5841 South Maryland Ave., MC 6076 Or is this something that happens and you just need to get it checked out? 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. This is from Therese. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . But that's part of what you do. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. When there are no changes from scan to scan. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: But for many people are extremely, extremely slow growing cancer. You shared really some good information with our audience. 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. 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. 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? If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Our list of accepted insurance providers is subject to change at any time. And then they wait to be brought to the pre-procedural area. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. . I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Academic Interventional Pulmonary/Critical Care (3-309-1142) - The Division of Pulmonary and Critical Care Medicine at the University of Maryland School of Medicine seeks a pulmonary and critical care physician for our expanding Academic Interventional Pulmonology program. 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 And Dr. Hogarth mentioned blood tests even, a few moments ago. So first is just a discussion with you of what is the probability that this could be a malignancy for you. We're in very separate areas. And of course, you came here at kind of an odd time, during a pandemic. Advanced technology and minimally invasive options are available. We want to remind people, very important, do not forego medical care during COVID. Because we will always see you. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. Compare hospital ratings for pulmonology and lung surgery. That's going to be number one on the list. So-- go ahead, Dr. Hogarth, did you have something you wanted in? 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? Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. And then we go in with our scopes. I can meet with you virtually. And between the four of us, we're all in clinic at any given moment. You were fantastic. And I think that's the first key step. There's also what's called a needle biopsy. And Dr. Wagh, maybe you can take this next one. But of course, there's an 80% chance it's not cancer. There's nobody else here. And they'll double check everything. Sure. 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. Program Overview. 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. We're going to get to a little bit more detail of that one here in just a moment. We are taking questions from viewers. And the city of Chicago is a great place and a lot of fun. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Really, really good questions today. Communicate with your doctor, view test results, schedule appointments and more. Because it's a difficult time in people's lives when they have something like this done. So Dr. Wagh and I have our partner, Dr. Mergue. But to delay any amount of care. And we do it through your mouth. Well, if you have a cancer, the next question is, what stage is it? [MUSIC PLAYING] 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 want to know you're an early stage cancer. We don't want that to happen. And at that point, they'll meet the anesthesiologist, the nursing staff. And you know, COVID makes it harder for patients to see doctors. It's an oath both of us took. University of Cincinnati Department of Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine 231 Albert Sabin Way, ML 0564 Cincinnati, OH 45267-0564. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. [MUSIC PLAYING] But you come in, we have a pre-procedural area where the patients get kind of their IV. But we also want to explain to you what we're going to do to actively follow you. And that is how biopsies work. I'm not happy that I have to tell you it's cancer. 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. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . We look at the airways and other parts of our computer modeling to see if that's something that we can get to. And that's kind of comforting, I think, for most patients. Oh, less than 5%, OK, let's slow down a little bit. 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. That's good to know. Because initially when you're faced with something like that, everything kind of just goes over your head. Meet the Doctor. You know, it's not just like, yeah, you do this. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. 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. First, do no harm. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . 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. We want to find patients who have a history of smoking, quit within the past 15 years. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. And you say, well, wait. 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. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . And hopefully, go home if nothing happens. And this is a little bit inside baseball. And the patient goes afterwards to a post-procedural area, where they recover. Report Job. Go ahead, Ajay. And then they wait to be brought to the pre-procedural area. I'm actually in the endoscopy suites. Every tumor, of course, has its own biology speed at which it grows. What you're never going to hear from us is to say, now there's nothing to do, leave. 1:25 . It's so important. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. So we'll wake you up. We're going to do our work. And I have been working at the University of Chicago since 1998. Yeah, there's several possibilities in that regard to evaluate these. And it is, would my annual low dose CT lung cancer screening show nodules? We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. And so Dr. Hogarth, we have another question from a viewer. 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. The immediate reaction is you're probably frightened. But we can. Star ratings and comments come from a number of survey questions. Loma Linda University Children's Hospital. And then if we do need to do a biopsy, making sure the correct biopsy gets done. And then we go in with our scopes. I am a Professor of Medicine here. In some cases, they are a precancerous lesion. And as always, we'll take your questions during our 30 minute program. After initially working as a hospitalist, he pursued a pulmonary and critical care fellowship at OHSU followed by an interventional pulmonary fellowship at the University of Texas MD Anderson Cancer Center. And Dr. Hogarth, I want to start with you. Meaning, it's technically a cancer, but it's never going to necessarily bother you. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. So I have two from viewers that I have to pass along. And that is how biopsies work. Chicago Chest Center/ The University of Illinois Chicago. We're still operating. So I have two from viewers that I have to pass along. Getting an expert opinion about what could this nodule actually be. So-- This isn't that twilight. And we do it through your mouth. But there's many things it could be. So talk to us a little bit more about the lymph nodes. 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. Interesting. It's got to be terrible. That's always the question people want to know. I love taking care of people, and I love to see them breathe better and feel better. Yeah, there's several possibilities in that regard to evaluate these. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. You need to raise a fit. So Dr. Wagh, it was interesting because this is almost like a video game. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. 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. We get thousands of survey responses each year. So I always have to do this. They're still cutting in you. We'll try to get to as many as we can over the next half hour. We're open for business. And you know, it is extremely valuable. It's OK. And that's very important. I'm new here to the University of Chicago, and very thankful to be here. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. 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? But we're also going to work with you. And how minimal it actually is? (Or create a 1/6 column and add a text field, modify the class so 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. 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. So we do want to remind our viewers, we'll take your questions for our experts. You will get seen three to four weeks from now. If it bothers you to come near the Medical Center, fine, let's do it via the computer. What are some of the options to evaluate lung nodules and lung masses? Show more Show less It's OK. And that could be in person. He and I, and our other partner, Dr. Mergue, work very hard to make sure that if you need a procedure, it's the right procedure. And you know, COVID makes it harder for patients to see doctors. 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. 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. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. You will still be the same stage. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . We get thousands of survey responses each year. It is covered by insurance. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. And how urgently must patients act? I apologize. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. All kinds of fantastic information there. 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 . It should be a CAT scan if you are eligible. So we need to get going and do something about it. Because why would I put you-- why would I cure you of something that's never going to harm you? Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. 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. . And then at that point, we would bring the patient back to the our laboratory. We are taking questions from viewers. Within the Department of Medicine, the Division of Pulmonary and Critical Care Medicine provides services at Loyola University Medical Center, Edward Hines, Jr. VA Hospital and RML Specialty Hospital. 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. Like, I'm not worried about spreading disease. This type of training is beyond what is typically available in a standard . Comments that do not apply, risk patient privacy, or are not appropriate are not posted. These are not questions. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? The responses are used to improve patient experience and recognize staff members for the care they provide. Is that-- should you be frightened? We just talked a moment ago, and you're pretty new here. That's going to be number one on the list. But can you kind of walk us through what people can expect before, during, and after one of these procedures. We'll get you a speech card. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. That's coming up right now on At The Forefront Live. And I think that's the first key step. 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. Today there are better insights into cancer and other lung diseases. 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. Communicate with your doctor, view test results, schedule appointments and more. Yeah. 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. Because I know this is a very complex situation. You are comfortable. . 617-632-8036. And prior to that, I was a private practice pulmonary critical care doctor for six years. 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.