university of chicago interventional pulmonology

Along with his clinical practice, Dr. Wagh is an active researcher. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. A star rating is not given if a provider only has a small number of survey responses. Obviously, if things change, then that's a discussion towards biopsy. And then afterwards, once we settle on a date, the patient comes in. Our doctors will actually even join us from the places where they're doing the work. He also serves as an assistant professor of internal medicine at the UK College of Medicine. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Or is that the moment of panic at that point? And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. And as Dr. Wagh just said, we are able to do video visits and televisits. And that would be annually until they kind of exit out after that 15 years. There's nobody else here. Interesting. When there are no changes from scan to scan. So talk to us a little bit more about the lymph nodes. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. But of course, there's biopsies. Fax: (773) 702-6500, Outpatient Practice: Really, really good questions today. Go ahead, Ajay. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. It's usually about a half day's worth of time. About. And then if we do need to do a biopsy, making sure the correct biopsy gets done. [MUSIC PLAYING]. So when we're done, you go home. Full-Time. In other cases, they are actually a cancer. So-- We also have literally the world's greatest nurse practitioner, Kimberly. But we can. And that's sort of when we take a look at the CAT scan very closely. There's a surgeon, who's going to go in and cut part of it out. You don't have to go get another procedure that's going to take time to then figure out what stage you are. So I'm excited to be here in the city, and part of this program. So we do want to remind our viewers, we'll take your questions for our experts. But we're very careful about that. We don't even have any camera people in here. We just talked a moment ago, and you're pretty new here. 2018 Apr 17 . First, if you smoke, please quit. And using some of the tools that we have. You were fantastic. 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. Is following a nodule ground glass opacity with yearly CT standard? And you know, it is extremely valuable. 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. That's a great question. And our complication rate is the lowest amongst the three. 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. Medical school: St. James School of Medicine Anguilla, Park Ridge, IL Residency: University of Illinois College of Medicine, Peoria, IL Professional interests: ARDS, sepsis and infectious lung diseases. You know, in fact, just to even further hammer home that point. But in reality, if you're a patient, there's only two things. And using some of the tools that we have. So-- We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Because I know this is a very complex situation. We're giving you the least amount of radiation, even for what's called a diagnostic scan. It's got to be terrible. But I'm sure you'll enjoy UChicago Medicine. You want to be calm and cool. But there's many things it could be. What are some of the options to evaluate lung nodules and lung masses? So I want to get back to biopsies for just a moment. Well, we're very happy to have you. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Our commitment is to outstanding clinical care, to mentoring and . You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. These are not questions. For help with MyChart, call us at 1-844-442-4278. And then based on that discussion, we would set a patient up for a procedure. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. So my name is Kyle Hogarth. 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. And how minimal it actually is? So a little bit of a fan club going here, but that's awesome. Rush University Medical Center, a nationally recognized clinical and academic institution, and the teaching hospital for Rush Medical and Nursing Colleges, located in downtown Chicago, is expanding its Interventional Pulmonary (IP) program.To support the continued growth of the IP program, the Division of Pulmonary, Critical Care and Sleep Medicine is seeking to hire a board-certified . I mean, we do have telemedicine options. Like, I'm not worried about spreading disease. We're in very separate areas. And prior to that, I was a private practice pulmonary critical care doctor for six years. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And teasing out what's what is what Ajay and I do. 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. (312) 996-8039. Rush University Medical Center in Chicago, IL is ranked No. We don't want that to happen. And we will kind of shepherd the patient along the way. So I'm excited to be here in the city, and part of this program. Well, that's nice. Along with his strides with bLVR, Dr. Hogarth was the first physician in Illinois to perform bronchial thermoplasty, a FDA-approved technique to treat severe asthma. 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 Job Description Northwestern Medicine is currently seeking Physicians, board-certified or eligible in Interventional Pulmonology for our McHenry, IL and Lake Forest, IL hospital locations. So there's no cutting. That's not hard to convince someone. So ground glass nodules are a different biology. Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. And so part of our discussion is, what's the probability that this nodule that you have on your CAT scan-- is it actually cancer or not? The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. So my name is Kyle Hogarth. So typically we'll have a clinic evaluation. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Chicago, IL 60637 If we keep scanning you, we're never going to see change. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . That's why I'm not moving a lot, not that I move a lot anyway. I want to know you're an early stage cancer. And obviously, you know, even with minimally invasive surgery, it's still a surgery. But of course, there's an 80% chance it's not cancer. So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? Or suggest that the pre-test probability is lower. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. Make sure everything looks right, that it would be safe to proceed. 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. And I have been working at the University of Chicago since 1998. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. But of course, there's biopsies. So appreciate that. Interventional Pulmonary; Hospitals. You shared really some good information with our audience. 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. And smoking is certainly a problem, a historical problem that we're working to deal with every day. 617-632-8036. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. You can't eat after midnight. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. We're giving you the least amount of radiation, even for what's called a diagnostic scan. 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. Or should we offer something else? UChicago Faculty Physicians And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. All kinds of fantastic information there. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. We get thousands of survey responses each year. Get a Second Opinion. First, do no harm. Every tumor, of course, has its own biology speed at which it grows. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. And there we perform our procedures. Yes, sir. And we also try to figure out, is it a lesion that requires biopsy? You will still be the same stage. In other cases, they are actually a cancer. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . Get a Second Opinion. 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 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. So we want to-- I mean, we want to do this for everybody. And how urgently must patients act? Panicking, obviously, is never helpful. And I try to reliably perform that every day when I come to work. Associate Professor of Medicine, Co-director of Bronchoscopy. Because an abnormal CT scan is terrifying. And then we go in with our scopes. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. It's a wonderful, wonderful place. So appreciate that. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. And I don't know. Go ahead, Ajay. Or suggest that the pre-test probability is lower. 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 so those are our mainstays of imaging. 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. Learn more about clinical trials and find a trial that might be right for you. And you know, those patients typically are eligible for low dose lung cancer screening. And either one of you can jump on this one. What's that chance? Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. 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. There's also what's called a needle biopsy. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Program Director. 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. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. It's a wonderful website. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. That's always the question people want to know. It's OK. First, do no harm. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. And that's a very important part for a cancer evaluation. Yeah, there's several possibilities in that regard to evaluate these. River East Location . Phone: 410-502-2533. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And then based on that discussion, we would set a patient up for a procedure. And of course, you came here at kind of an odd time, during a pandemic. And one that has a very low invasive potential. And they'll double check everything. And it also has a lot of great COVID information. Is that-- should you be frightened? (Or create a 1/6 column and add a text field, modify the class so And the national standard is roughly five weeks. And then they come to our lab. So that you get an answer as to what this nodule actually is. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. Stopping smoking can help you just across the board. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. 847-498-5864. Advanced technology and minimally invasive options are available. For more information about the Interventional Pulmonology Center or to request a referral . Our list of accepted insurance providers is subject to change at any time. Only clean air in the lungs, please. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. It could be cancer. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Because I know this is a very complex situation. And then they come to our lab. When there are no changes from scan to scan. Interesting. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Another question from a viewer, and this is Carla. This type of training is beyond what is typically available in a standard . Interventional Pulmonology Fellowship Program Director. We're still operating. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . You need to raise a fit. It's OK. What happens? We're open for business. But there's many other tests. And we can help you do that, too. It's a wonderful website. So you're going to get way more bang for your buck literally as a scan by coming here. 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 we're very serious about that. But what I can also tell you is it's cancer, here's what stage it is. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. And you know, COVID makes it harder for patients to see doctors. Interventional Pulmonology Secondary Specialty. And there are potential treatments to help patients quit smoking as well. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? And I think we like to take things one step at a time. Star ratings and comments come from a number of survey questions. Or come and visit a lung physician. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. It's an oath both of us took. There's also what's called a needle biopsy. Some of them are blood based tests. Occupational lung disease. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And Dr. Wagh, maybe you can take this next one. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. We'll get you a speech card. And we also try to figure out, is it a lesion that requires biopsy? Quick Apply. . I recently completed an interventional pulmonary fellowship, which brought me here. This is a safe place. And then I'll have Ajay go at it as well. Well, gentlemen, we're out of time. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. Now, these are complicated discussions. And that would be another area, I would imagine. And the city of Chicago is a great place and a lot of fun. We want to remind people, very important, do not forego medical care during COVID. Because we will always see you. Maybe Dr. Hogarth, you can start. And we have a series of other tests we can do. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. And the national standard is roughly five weeks. Yeah, and I want to tell people-- this is a very, very safe place. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. You will get seen within a week every time here. I love taking care of people, and I love to see them breathe better and feel better. We don't even have any camera people in here. Age is usually 55 to 80. 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 evaluate whether or not it's a target that we can reach. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. And usually we discuss medications, if the patient is on a blood thinner. In some cases, they are a precancerous lesion. The fear always is that cancers are going to grow. Instead, you might have a little sore throat for a day or two. I apologize. Get a Second Opinion. 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. If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? That's another thing that you probably want to caution people about. I mean, it's really amazing. But there's many other tests. About Us. They come into the sky lobby here at UChicago. Future Oncol. We want to find patients who have a history of smoking, quit within the past 15 years. We have a great team here, and I'm excited to be part of it. And Dr. Hogarth, I want to start with you. Age is usually 55 to 80. Yes, sir. A star rating is not given if a provider only has a small number of survey responses. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. 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. And the patient goes afterwards to a post-procedural area, where they recover. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Some of the blood tests we have, have the ability to change that number. And I think we like to take things one step at a time. And it is, would my annual low dose CT lung cancer screening show nodules? So look, there's three ways to sample inside the lung. No, for sure. I mean, it's really amazing. It's got to be terrible. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. So I have two from viewers that I have to pass along. Where it's basically put right through your chest into the lung nodule done through the radiology department. You will still be the same stage. And then I'll have Ajay go at it as well. Absolutely. Some of them are just re-evaluating the CAT scan you have. And remember, you can schedule your video visit by also going to the website. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Program Coordinator. Interventional Pulmonology. And hopefully, go home if nothing happens. So talk to us a little bit more about the lymph nodes. The University of Chicago Medicine. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . That's a great question. And this is a little bit inside baseball. Communicate with your doctor, view test results, schedule appointments and more. And that could be in person. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Karen says, your pulmonary department is the best. And we're, of course, happy and eager to help. 13 in the nation for Pulmonary and Lung Surgery. Northwestern Memorial Hospital; Univ. And you don't want to. And you know, COVID makes it harder for patients to see doctors. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. And of course, you came here at kind of an odd time, during a pandemic. I love math and science, and I love to problem solve, so I started out in engineering. Salary and Benefits. Who we treat. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. 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. 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. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. What you're never going to hear from us is to say, now there's nothing to do, leave. But we're also going to work with you. Well, if you have a cancer, the next question is, what stage is it? We're still operating. 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. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. And you want to have something reliable in what to do next. Karen says, your pulmonary department is the best. No, it will show the nodules. And then if we do need to do a biopsy, making sure the correct biopsy gets done. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . We'll try to get to as many as we can over the next half hour. But we're also going to work with you. And that is how biopsies work. We want to find patients who have a history of smoking, quit within the past 15 years. And we keep spacing that interval of scan out if nothing has changed. Communication is important with the patients. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . Our program's strength lies in the large and varied patient base . Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. 2023 The University of Chicago Medical Center. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. You know, you mentioned that being covered by insurance. And so that becomes one procedure, as opposed to multiple procedures. And that's kind of comforting, I think, for most patients. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. But you come in, we have a pre-procedural area where the patients get kind of their IV. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners.