That ground glass, if it gets larger or denser, then it's changing. And so those are our mainstays of imaging. Some of the blood tests we have, have the ability to change that number. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. What you're never going to hear from us is to say, now there's nothing to do, leave. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And the individual tumor biology is changing. 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 either one of you can do that. These are not questions. 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. Star ratings and comments come from a number of survey questions. Ultimately, I just want to help people feel better and breathe better. And it is, would my annual low dose CT lung cancer screening show nodules? Why aren't we just following the pathway down? Program Coordinator. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Oh, less than 5%, OK, let's slow down a little bit. And we can help you do that, too. So there's no cutting. Open for more information. 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. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . Amit, I hope I'm pronouncing this correctly. 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. The hospital is safe, the hospital is clean. We'll get you a speech card. 2018 Apr 17 . 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. Well, my name is Ajay Wagh. This isn't that twilight. Get an online second opinion from one of our experts without having to leave your home. And so think of it like a sponge. Full-Time. [LAUGHTER] Yes, sir. Yeah, there's several possibilities in that regard to evaluate these. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. If we keep scanning you, we're never going to see change. I am a Professor of Medicine here. Star ratings and comments come from a number of survey questions. And between the four of us, we're all in clinic at any given moment. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima Referring Physician Access Line: . Or does it have to be a higher dose CT screening? So I have two from viewers that I have to pass along. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. But a doctor may see something on a chest x-ray. Our doctors will actually even join us from the places where they're doing the work. Yes, sir. And usually we discuss medications, if the patient is on a blood thinner. You will get seen three to four weeks from now. Conditions & Services; And that could be in person. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. Today there are better insights into cancer and other lung diseases. Oh, less than 5%, OK, let's slow down a little bit. Because it's interesting how you do them in the lung. But also cat scanning. Now, these are complicated discussions. And that's sort of when we take a look at the CAT scan very closely. And I have been working at the University of Chicago since 1998. Yes, sir. Compare hospital ratings for pulmonology and lung surgery. The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. We're going to get to a little bit more detail of that one here in just a moment. So if you need an appointment, give us a call at 888-824-0200. That's right. 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 . 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. And these procedures all have their own benefits, but also their own complications. Interesting. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. It sounds like you're in a busy, busy place. 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. Well, we're very happy to have you. 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. What happens? Go ahead, Ajay. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. I recently completed an interventional pulmonary fellowship, which brought me here. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. And I was fortunate enough, I think, gosh, it's been over a year ago. Who we treat. It's got to be terrible. 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. We just talked a moment ago, and you're pretty new here. As an Interventional Radiology Technologist you will perform diagnostic imaging studies as assigned, assist with minimally invasive image-guided vascular procedures, apply principles of radiation protection, exercise professional judgement in . Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. It's usually about a half day's worth of time. Even the show that we're doing right now, you two are remote. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. 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. . Go ahead, Ajay. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . That's a great question. So typically we'll have a clinic evaluation. There's all kinds of different tests. Schedule your appointment online for primary care and many specialties. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 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. Meaning, it's technically a cancer, but it's never going to necessarily bother you. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. Can you kind of walk us through that? In other cases, they are actually a cancer. And of course, you came here at kind of an odd time, during a pandemic. 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 Just to echo what Dr. Wagh said. Our commitment is to outstanding clinical care, to mentoring and . Interventional Pulmonology Fellowship; Post-Doctoral; . His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. So Dr. Wagh, you touched on this a little bit before. You shared really some good information with our audience. Because initially when you're faced with something like that, everything kind of just goes over your head. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. It's OK. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. You're going to go home. Our list of accepted insurance providers is subject to change at any time. 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. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. What's that chance? I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. But in reality, if you're a patient, there's only two things. And this is important. We have a great team here, and I'm excited to be part of it. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. And then second step is find the right people to help take care of you. Every tumor, of course, has its own biology speed at which it grows. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. 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. Because it's interesting how you do them in the lung. Why aren't we just following the pathway down? But many times, you might notice something on an x-ray that's not part of the screening pathway. And I try to reliably perform that every day when I come to work. 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. For help with MyChart, call us at 1-844-442-4278. No, don't panic. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. The University of Chicago Medicine. But a doctor may see something on a chest x-ray. 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 get thousands of survey responses each year. Chronic cough. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . Right? Website. Some of them are just re-evaluating the CAT scan you have. When there are no changes from scan to scan. And that would be annually until they kind of exit out after that 15 years. 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. And using some of the tools that we have. In some cases, they are a precancerous lesion. 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. All rights reserved. And good nutrition and exercise is important, and we can help you get on the right track. You will not know we're doing this to you. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. And Dr. Wagh, maybe you can take this next one. 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. Yes, sir. Nicole Greenlee. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. 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. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. Randomly selected patients are sent patient satisfaction surveys after their visits. Sleep Medicine. It's so important. Can you kind of talk to us a little bit about that, and walk us through that? And that's very important. So-- Absolutely. And prior to that, I was a private practice pulmonary critical care doctor for six years. And that would be another area, I would imagine. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. So I think first step is don't panic. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And you know, it is extremely valuable. And I hope you have a great week. And so now you're going to go to the surgeon to be cured. That's going to be number one on the list. And then afterwards, once we settle on a date, the patient comes in. And you know, it is extremely valuable. Patients have both benign and malignant non-cardiac diseases of the chest. Today there are better insights into cancer and other lung diseases. Thoracic Imaging. Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. What exactly goes on there, and why is that so critical? Absolutely. We're going to get to a little bit more detail of that one here in just a moment. And there are potential treatments to help patients quit smoking as well. When we-- and I'll also say it depends. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And you two, and your teams, are really good at helping people through that situation. 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 this is important. Although residents and fellows are paid by the University, the salaries and benefits are essentially the same for all trainees within a given postgraduate year of training. We have been providing exceptional and compassionate . Yes, sir. Open for more information. And at that point, they'll meet the anesthesiologist, the nursing staff. 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. Communicate with your doctor, view test results, schedule appointments and more. 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. So we do want to remind our viewers, we'll take your questions for our experts. Occupational lung disease. And as Dr. Wagh just said, we are able to do video visits and televisits. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . Or is that the moment of panic at that point? And that's a very important part for a cancer evaluation. That's why I'm not moving a lot, not that I move a lot anyway. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. The question is, how quickly do cancerous lung nodules grow compared to other types of 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. I work here, I go home, I kiss my children. Learn more about clinical trials and find a trial that might be right for you. And then at that point, we would bring the patient back to the our laboratory. What Dr. Wagh and I do is a procedure called bronchoscopy. But I love these. I'm an interventional pulmonologist here at the University of Chicago. Yeah, and I want to tell people-- this is a very, very safe place. And we also try to figure out, is it a lesion that requires biopsy? Well, we're very happy to have you. But for many people are extremely, extremely slow growing cancer. You know, we go, oh, it's a 20% chance. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. You can't eat after midnight. So I think first step is don't panic. 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. Dr. 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 the lung than ever before to detect and/or biopsy nodules and masses. 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. And Janet wants to know how invasive is a lung biopsy? Like, I'm not worried about spreading disease. I love math and science, and I love to problem solve, so I started out in engineering. You shared really some good information with our audience. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. And we're very serious about that. What exactly goes on there, and why is that so critical? Yes, sir. So I want to get back to biopsies for just a moment. I'm not happy that I have to tell you it's cancer. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. River East Location . And I think what we want to do is offer a pathway here in our program for patients to get everything they need. No, it will show the nodules. Another question from a viewer, and this is Carla. 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 know, we go, oh, it's a 20% chance. I mean, we do have telemedicine options. And then I'll have Ajay go at it as well. Just to echo what Dr. Wagh said. Maybe Dr. Hogarth, you can start. And I think that's the first key step. October 29, 2020 . And the individual tumor biology is changing. This is a safe place. UChicago Faculty Physicians And there we perform our procedures. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. 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. Can you talk to us a little bit about what the patient experiences in this procedure? What Dr. Wagh and I do is a procedure called bronchoscopy. We're going to do our work. I mean, I think we are living in a strange time. The probability, if it's low enough, we don't want to do invasive things to you. Yes, so a patient typically comes in basically just for a few hours during the day. So we need to get going and do something about it. So that's nice. Follow @uw_APCC. The fear always is that cancers are going to grow. . But can you kind of walk us through what people can expect before, during, and after one of these procedures. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. So let's start off with our questions. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. So I'm excited to be here in the city, and part of this program. And how urgently must patients act? Every tumor, of course, has its own biology speed at which it grows. Dr. Hogarth kind of briefly said something about the blood tests. And then I'll have Ajay go at it as well.