So follow-up scans could also be low dose as well. 2018 Apr 17 . Emphysema and advanced emphysema. Interventional Pulmonology | Conditions & Treatments | UT Southwestern We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. You want to be calm and cool. [MUSIC PLAYING] In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . First, if you smoke, please quit. 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. And it is, would my annual low dose CT lung cancer screening show nodules? And you say, well, wait. You will still be the same stage. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. 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. Get a Second Opinion. 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. So you're going to get way more bang for your buck literally as a scan by coming here. I'm actually in the endoscopy suites. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. You know, we go, oh, it's a 20% chance. We could get you a plaque or something. Fax: (773) 702-6500, Outpatient Practice: And then I'll have Ajay go at it as well. If you're concerned about cancer and there's an intermediate pre-test probability, based on a calculated evaluation, then we can potentially offer a blood test or something else that may potentially reduce the risk. Currently, there are six board certified Interventional Pulmonologists and a wide range of . So talk to us a little bit more about the lymph nodes. However, not everyone who receives an abnormal CT scan should be rushed into surgery. 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. Yeah, and I want to tell people-- this is a very, very safe place. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. 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. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. Pulmonary & Critical Care Medicine. 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 it's important here. Well, gentlemen, we're out of time. So this is an actual question. Interventional Pulmonology Fellowship | Chicago Medicine Fellows. And I don't know. You know, you said at the very beginning, I have a nodule, should I panic? That's a great question. So you're going to get way more bang for your buck literally as a scan by coming here. Ashish P. Maskey, MD | UK Healthcare We could get you a plaque or something. So talk to us a little bit more about the lymph nodes. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Interventional Pulmonology Fellowship Program Director. Chronic cough. The probability, if it's low enough, we don't want to do invasive things to you. Bronchoscopic procedures are also offered to manage patients with asthma, emphysema, massive hemoptysis, foreign body aspiration, mediastinal disorders, post lung transplant complications, interstitial and infectious lung disorders. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And you know, COVID makes it harder for patients to see doctors. It's OK. You know, in fact, just to even further hammer home that point. And without a doubt, the possibility of cancer is what scares everybody. And between the four of us, we're all in clinic at any given moment. The responses are used to improve patient experience and recognize staff members for the care they provide. And prior to that, I was a private practice pulmonary critical care doctor for six years. Oh, less than 5%, OK, let's slow down a little bit. And we're, of course, happy and eager to help. Patient survey responses are also used to make star ratings for each provider. And these procedures all have their own benefits, but also their own complications. Like, I'm not worried about spreading disease. Absolutely. So I'm excited to be here in the city, and part of this program. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. We're giving you the least amount of radiation, even for what's called a diagnostic scan. This isn't that twilight. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. . 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 so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. The immediate reaction is you're probably frightened. And that is how biopsies work. So we need to get going and do something about it. And I hope you have a great week. When there are no changes from scan to scan. Or is that the moment of panic at that point? But of course, there's biopsies. As faculty members of the University of Cincinnati [] And the national standard is roughly five weeks. You know, and I want to talk a little bit more about biopsies here in just a minute. What happens? Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi Age is usually 55 to 80. But we're also going to work with you. And so Dr. Hogarth, we have another question from a viewer. For help with MyChart, call us at 1-844-442-4278. Compare hospital ratings for pulmonology and lung surgery. So if we think you're at early stage cancer, that's great. So-- Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn I mean, we do have telemedicine options. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. 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. And it also has a lot of great COVID information. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Well, I think that there's several possibilities. Dr. Wagh is focused on using minimally invasive techniques for diagnosing and treating a wide range of lung and chest conditions, including stage lung cancer, chronic respiratory illness, complex airway disorders, pleural disease (pleurisy, pneumothorax, pleural tumors) and more. . 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. I work here, I go home, I kiss my children. Open for more information. But we can. University of Wisconsin Interventional Pulmonology Fellowship And then they wait to be brought to the pre-procedural area. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections We want to remind people, very important, do not forego medical care during COVID. You know, it's not just like, yeah, you do this. 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 offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Really, really good questions today. 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. In other cases, they are actually a cancer. Yeah, sure. And Dr. Hogarth mentioned blood tests even, a few moments ago. Absolutely, yeah. American Association for Bronchology and Interventional Pulmonology Karen says, your pulmonary department is the best. I kiss my spouse. Future Oncol. And I was fortunate enough, I think, gosh, it's been over a year ago. The responses are used to improve patient experience and recognize staff members for the care they provide. Pulmonary and Critical Care Fellowship | Chicago Medicine And these procedures all have their own benefits, but also their own complications. But there's many things it could be. And you know, it is extremely valuable. 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. You're out. Pulmonary, Critical Care, Sleep and Allergy | Chicago Medicine And one that has a very low invasive potential. Quick Apply. 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. Another question from a viewer, and this is Carla. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. You know, we go, oh, it's a 20% chance. Or suggest that the pre-test probability is lower. 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. 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 we also try to figure out, is it a lesion that requires biopsy? Report Job. You were fantastic. What are some of the options to evaluate lung nodules and lung masses? It offers a comprehensive program of quality patient care, research and education. I'm new here to the University of Chicago, and very thankful to be here. And that could be in person. Because why would I put you-- why would I cure you of something that's never going to harm you? 2023 The University of Chicago Medical Center. Referring . And smoking is certainly a problem, a historical problem that we're working to deal with every day. So we do want to remind our viewers, we'll take your questions for our experts. We're in very separate areas. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. And the individual tumor biology is changing. Your lungs are going to be ultimately attached to your mouth. A star rating is not given if a provider only has a small number of survey responses. You know, you mentioned that being covered by insurance. 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. And sign a few papers. Another question from a viewer, and this is Carla. Yeah, there's several possibilities in that regard to evaluate these. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Every tumor, of course, has its own biology speed at which it grows. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) Email: ipscheduling@jhmi.edu. Learn more about clinical trials and find a trial that might be right for you. And the patient goes afterwards to a post-procedural area, where they recover. Some of the blood tests we have, have the ability to change that number. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. And Dr. Hogarth, I want to start with you. Northwestern Medicine Canning Thoracic Institute Star ratings and comments come from a number of survey questions. 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? And then we go in with our scopes. And hopefully, go home if nothing happens. You know what, I always tell people is there is a long list of things that the nodule could be. And how minimal it actually is? Go ahead, Ajay. Associate Professor of Medicine, Co-director of Bronchoscopy. Yeah. Meaning, it's technically a cancer, but it's never going to necessarily bother you. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. I don't know who wants to take that one. And you don't want to. And so that becomes one procedure, as opposed to multiple procedures. Advanced technology and minimally invasive options are available. Oh, let me reinforce that. We want to find patients who have a history of smoking, quit within the past 15 years. 3 University of Rochester Medical Center, Rochester New York. But in reality, if you're a patient, there's only two things. And let's go through your CAT scan and let's have this discussion about what our next step is. That's why we do it. Is that-- should you be frightened? 5841 South Maryland Ave., MC 6076 Or it could be a telemedicine visit. But we're very careful about that. 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 think about it, the lung is mostly air. 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 you know, it is extremely valuable. Exactly. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Well, my name is Ajay Wagh. And at that point, they'll meet the anesthesiologist, the nursing staff. And I have been working at the University of Chicago since 1998. 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. The University of Michigan as a . And one that has a very low invasive potential. Yes, sir. [MUSIC PLAYING]. 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. Yes, sir. The Interventional Pulmonology Fellowship began in July 1, 2000. Our doctors will actually even join us from the places where they're doing the work. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: Because an abnormal CT scan is terrifying. [LAUGHTER] And of course, you came here at kind of an odd time, during a pandemic. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. It's either cancer or everything else. And we have a high success rate to get you an answer. There's all kinds of different tests. Interventional Pulmonology Fellowship Program - University of Chicago Hogarth DK. Sunit Singla, MD. 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. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. And then based on that discussion, we would set a patient up for a procedure. And as Dr. Wagh just said, we are able to do video visits and televisits. Pulmonary Medicine | UC Health So I'm going to have you answer the question, but also kind of explain what she's asking here. You know, you said at the very beginning, I have a nodule, should I panic? And this is a little bit inside baseball. And then at that point, we would bring the patient back to the our laboratory. Follow @uw_APCC. All kinds of fantastic information there. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. We don't even have any camera people in here. Medicine Fellowship Programs - Rosalind Franklin University I can meet with you virtually. Interesting. We just talked a moment ago, and you're pretty new here. 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. And remember, you can schedule your video visit by also going to the website. So let's start off with our questions. Chicago Chest Center/ The University of Illinois Chicago.