Just to echo what Dr. Wagh said. Rush University Medical Center in Chicago, IL is ranked No. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Star ratings and comments come from a number of survey questions. Northwestern Memorial Hospital; Univ. Oh, let me reinforce that. And let's go through your CAT scan and let's have this discussion about what our next step is. And I hope you have a great week. 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. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. And we do it through your mouth. I kiss my spouse. Now, these are complicated discussions. So talk to us a little bit more about the lymph nodes. Amit, I hope I'm pronouncing this correctly. St. Peters Health Partners Medical Associates, P.C. Along with his clinical practice, Dr. Wagh is an active researcher. 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. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. Open for more information. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . No, for sure. Or is that the moment of panic at that point? Our doctors will actually even join us from the places where they're doing the work. Well, I think that there's several possibilities. And using some of the tools that we have. So first is just a discussion with you of what is the probability that this could be a malignancy for you. We're going to get to a little bit more detail of that one here in just a moment. And thank you to our viewers for your great questions. 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 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. It's a wonderful website. 1:25 . I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Because it's interesting how you do them in the lung. 3 University of Rochester Medical Center, Rochester New York. And remember, you can schedule your video visit by also going to the website. And it's something solid. But of course, there's biopsies. And there we perform our procedures. The Department of Pulmonary, Critical Care, Sleep, and Allergy at UI Health provides the highest level of care and treatment for lung disorders and diseases. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Patients should bring recent X-rays, CT scans and PET scans either as a 'hard copy' or on CD to their appointment or make them available prior to the appointment. Show more Show less In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . So-- And either one of you can jump on this one. So I'm excited to be here in the city, and part of this program. But we do have avenues to help with that. It's got to be terrible. Or it could be a telemedicine visit. Phone: 410-502-2533. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. I remember when Dr. Hogarth showed this to me. The probability, if it's low enough, we don't want to do invasive things to you. I can meet with you virtually. You will still be the same stage. What happens? Star ratings and comments come from a number of survey questions. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. 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. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. And we will kind of shepherd the patient along the way. And we can help you do that, too. But we can. And they'll double check everything. See, this just shows how important it is that we do these programs here. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Some of them are blood based tests. Dr. Hogarth kind of briefly said something about the blood tests. The Fellowship Coordinator will be responsible for coordination and administrative support for fellowship programs in Pulmonary and Critical Care Medicine, Sleep Medicine, and Interventional Pulmonology. We get thousands of survey responses each year. I mean, I think we are living in a strange time. 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? It should be a CAT scan if you are eligible. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. You shared really some good information with our audience. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Get a Second Opinion. So we need to get going and do something about it. But also don't ignore it, and don't delay it. And that's a very important part for a cancer evaluation. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . I love taking care of people, and I love to see them breathe better and feel better. 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. 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. 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 you don't want to. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . Because we will always see you. And we're very serious about that. Interventional Pulmonology Secondary Specialty. Interesting. And obviously, you know, even with minimally invasive surgery, it's still a surgery. For help with MyChart, call us at 1-844-442-4278. Because I know this is a very complex situation. Just to echo what Dr. Wagh said. We could get you a plaque or something. Now, a question. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. This is from Therese. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. No, don't panic. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. You know, you said at the very beginning, I have a nodule, should I panic? Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection . Sure. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. We could get you a plaque or something. CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. I'm actually in the endoscopy suites. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. And Dr. Hogarth, I want to start with you. Is that-- should you be frightened? Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And you don't want to. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And then they come to our lab. And how minimal it actually is? And there we perform our procedures. Just type them in the comments section. This isn't that twilight. And this is a little bit inside baseball. So this is an actual question. And prior to that, I was a private practice pulmonary critical care doctor for six years. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? That's a great question. Conditions & Services; Referring . But of course, there's biopsies. And of course, you came here at kind of an odd time, during a pandemic. So that's nice. Patient survey responses are also used to make star ratings for each provider. And you know, COVID makes it harder for patients to see doctors. So we need to get going and do something about it. So I want to get back to biopsies for just a moment. Schedule your appointment online for primary care and many specialties. Program Director. So we go through your mouth. Instead, you might have a little sore throat for a day or two. Dr. Murgus specialty extends to a wide range of central airway disorders, including tracheal stenosis, tracheobronchomalacia, excessive dynamic airway collapse and airway obstruction from cancer. Oh, less than 5%, OK, let's slow down a little bit. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. 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. And either one of you can do that. 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. . 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 But a doctor may see something on a chest x-ray. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. University of Chicago, Interventional Pulmonology; Board Certifications. It's got to be terrible. There's nobody else here. Randomly selected patients are sent patient satisfaction surveys after their visits. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care 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. Patients have both benign and malignant non-cardiac diseases of the chest. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Loma Linda University Children's Hospital. 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. But in reality, if you're a patient, there's only two things. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. It's so important. 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. Well, we're very happy to have you. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. But we can. And we have a high success rate to get you an answer. The hospital is safe, the hospital is clean. 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. Section of Pulmonary/Critical Care So appreciate that. And let's go through your CAT scan and let's have this discussion about what our next step is. That's good to know. In other cases, they are actually a cancer. Because an abnormal CT scan is terrifying. Hogarth DK. So Dr. Wagh, it was interesting because this is almost like a video game. And I try to reliably perform that every day when I come to work. 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. Karen says, your pulmonary department is the best. You want to be calm and cool. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. The responses are used to improve patient experience and recognize staff members for the care they provide. Interventional Pulmonology Fellowship; Post-Doctoral; . Dr. Hogarth, do you want to start on that one? We have a great team here, and I'm excited to be part of it. 2023 The University of Chicago Medical Center. Interesting. We will overbook you. I mean, we do have telemedicine options. And hopefully, go home if nothing happens. And it's important 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. Interesting. You know, it's not just like, yeah, you do this. We get thousands of survey responses each year. Pulmonary & Critical Care Medicine. This is a safe place. They come into the sky lobby here at UChicago. So there's no cutting. So I think first step is don't panic. And so now you're going to go to the surgeon to be cured. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. Chicago Chest Center/ The University of Illinois Chicago. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. No, it will show the nodules. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. However, not everyone who receives an abnormal CT scan should be rushed into surgery. We evaluate whether or not it's a target that we can reach. We want to minimize radiation. And then afterwards, once we settle on a date, the patient comes in. We do have one that I want to get to. So let's start off with our questions. And if someone ever by mistake says to you, yeah, they can see you in three months. Yeah, sure. Our 5-year integrated IR/DR training program consists of a subspecialty track system with 4-week-long rotations in the following sections: Abdominal computed tomography. Learn more about clinical trials and find a trial that might be right for you. So we want to-- I mean, we want to do this for everybody. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. A star rating is not given if a provider only has a small number of survey responses. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. [LAUGHTER] But I'm sure you'll enjoy UChicago Medicine. And this is important. Follow @uw_APCC. Get an online second opinion from one of our experts without having to leave your home. But we're also going to work with you. And then at that point, we would bring the patient back to the our laboratory. There's nobody else here. 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? Yes, sir. I'm not happy that I have to tell you it's cancer. And we keep spacing that interval of scan out if nothing has changed. 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. And Dr. Hogarth, we'll start with you. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Yeah, and I want to tell people-- this is a very, very safe place. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. 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 . Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. His work as been published in several peer-reviewed journals, including the Journal of Thoracic Disease, Respiratory Medicine and American Journal of Physiology, Lung, Cell, Molecular Physiology. It's a wonderful, wonderful place. And we get the tissue that we need. Thanks again for being with us today. That's why I'm not moving a lot, not that I move a lot anyway. So look, there's three ways to sample inside the lung. 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.
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