I mean, I think we are living in a strange time. This is a safe place. What are some of the options to evaluate lung nodules and lung masses? 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 . You know, and I want to talk a little bit more about biopsies here in just a minute. 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. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. Loyola Medicine has a fully accredited and highly competitive three-year combined Pulmonary and Critical Care Fellowship program with a total complement of 13 clinical fellows. And I think that's the first key step. Get a Second Opinion. Star ratings and comments come from a number of survey questions. You know what, I always tell people is there is a long list of things that the nodule could be. And between the four of us, we're all in clinic at any given moment. We're open for business. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Star ratings and comments come from a number of survey questions. 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. So I'm going to have you answer the question, but also kind of explain what she's asking here. What you're never going to hear from us is to say, now there's nothing to do, leave. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. You know, in fact, just to even further hammer home that point. I'm in the studio all by myself, as you can see here. Our commitment is to outstanding clinical care, to mentoring and . And at that point, they'll meet the anesthesiologist, the nursing staff. 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. Some of the blood tests we have, have the ability to change that number. But there's many things it could be. That's always the question people want to know. 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? 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. 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. And that's a very important part for a cancer evaluation. And hopefully, go home if nothing happens. You were fantastic. Communicate with your doctor, view test results, schedule appointments and more. But one of the other things we were talking about, the patient journey. Karen says, your pulmonary department is the best. You shared really some good information with our audience. Really, really good questions today. We're going to get to a little bit more detail of that one here in just a moment. Phone: (773) 702-9660. Quick Apply. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And it also has a lot of great COVID information. Phone: 410-502-2533. And that would be annually until they kind of exit out after that 15 years. Because why would I put you-- why would I cure you of something that's never going to harm you? The whole key thing, too, is that this is an ongoing dialogue between us and the patient. And without a doubt, the possibility of cancer is what scares everybody. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Just type them in the comments section. 1-877-DOM-2730, Department of Medicine Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. 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. Dr. Wagh, let's hear a little bit about you. 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 . And we also try to figure out, is it a lesion that requires biopsy? But I'm sure you'll enjoy UChicago Medicine. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. And if someone ever by mistake says to you, yeah, they can see you in three months. And you want to have something reliable in what to do next. I want to know you're an early stage cancer. And I don't know. But there's many other tests. You will get seen three to four weeks from now. And the individual tumor biology is changing. Because initially when you're faced with something like that, everything kind of just goes over your head. So we'll wake you up. And these procedures all have their own benefits, but also their own complications. But for many people are extremely, extremely slow growing cancer. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Really, really good questions today. Get a Second Opinion. Is that-- should you be frightened? But we're also going to work with you. We're going to give you some strong recommendations. We want to minimize radiation. 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. Because why would I put you-- why would I cure you of something that's never going to harm you? We'll get you a speech card. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Communication is important with the patients. 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. And we have a high success rate to get you an answer. D. Kyle Hogarth, MD, is an expert in pulmonary diseases.He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancer through bronchoscopy.Dr. And the patient goes afterwards to a post-procedural area, where they recover. Communication is important with the patients. No, don't panic. There's a surgeon, who's going to go in and cut part of it out. We want to find patients who have a history of smoking, quit within the past 15 years. But we also want to explain to you what we're going to do to actively follow you. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. That's coming up right now on At The Forefront Live. But can you kind of walk us through what people can expect before, during, and after one of these procedures. You can't eat after midnight. And then at that point, we would bring the patient back to the our laboratory. No, it's a great question. So that's nice. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Make sure everything looks right, that it would be safe to proceed. And thank you to our viewers for your great questions. Because initially when you're faced with something like that, everything kind of just goes over your head. 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 . The whole key thing, too, is that this is an ongoing dialogue between us and the patient. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. Or you're going to go to radiation or whatever. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. That's good to know. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? And then second step is find the right people to help take care of you. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. This isn't that twilight. No, don't panic. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. But a doctor may see something on a chest x-ray. And usually we discuss medications, if the patient is on a blood thinner. And it's important here. That's not hard to convince someone. 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. All rights reserved. Well, we're very happy to have you. So I have two from viewers that I have to pass along. Interesting. Exactly. 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. And there we perform our procedures. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Chicago Chest Center/ The University of Illinois Chicago. You know, it's not just like, yeah, you do this. Today there are better insights into cancer and other lung diseases. But for many people are extremely, extremely slow growing cancer. No, it will show the nodules. Meaning, it's technically a cancer, but it's never going to necessarily bother you. And either one of you can jump on this one. Can you kind of walk us through that? 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 our complication rate is the lowest amongst the three. We're going to get to a little bit more detail of that one here in just a moment. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. The Section of Thoracic Imaging provides state-of-the-art imaging and interpretation of pulmonary and cardiac diseases in close collaboration with internists, pulmonologists and thoracic surgeons at the University of Chicago Medical Center. And that could be in person. We are extremely cautious about everything here. First, if you smoke, please quit. I love math and science, and I love to problem solve, so I started out in engineering. So I have two from viewers that I have to pass along. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. I kiss my spouse. It's either cancer or everything else. There's also what's called a needle biopsy. And it's something solid. And it is, would my annual low dose CT lung cancer screening show nodules? Or you're going to go to radiation or whatever. Media. October 29, 2020 . That's why I'm not moving a lot, not that I move a lot anyway. And so think of it like a sponge. And smoking is certainly a problem, a historical problem that we're working to deal with every day. What's that chance? Yeah, there's several possibilities in that regard to evaluate these. And Janet wants to know how invasive is a lung biopsy? 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. 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. So my name is Kyle Hogarth. Well, gentlemen, we're out of time. Well, the blood test actually showed that it's less than 5%. Now, a question. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. And of course, you came here at kind of an odd time, during a pandemic. But we also want to explain to you what we're going to do to actively follow you. And so think of it like a sponge. And we're also going to just keep radiating you. And that's kind of comforting, I think, for most patients. 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. You are comfortable. But also cat scanning. And Dr. Wagh, maybe you can take this next one. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. 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 there are potential treatments to help patients quit smoking as well. 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. But also don't ignore it, and don't delay it. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. You know, and I want to talk a little bit more about biopsies here in just a minute. Oh, let me reinforce that. It's OK. Because it has everything to do with the quality of the machine for the radiation that goes through. I am a Professor of Medicine here. Or is that the moment of panic at that point? Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. 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 also have literally the world's greatest nurse practitioner, Kimberly. And prior to that, I was a private practice pulmonary critical care doctor for six years. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. And the national standard is roughly five weeks. St. Peters Health Partners Medical Associates, P.C. Or suggest that the pre-test probability is lower. 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 I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. 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 then at that point, we would bring the patient back to the our laboratory. And I try to reliably perform that every day when I come to work. I'm new here to the University of Chicago, and very thankful to be here. And I hope you have a great week. And then second step is find the right people to help take care of you. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. Oh, less than 5%, OK, let's slow down a little bit. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Some of them are blood based tests. It's a wonderful website. And this is a little bit inside baseball. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . Go ahead, Ajay. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. We're going to do our work. 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. A star rating is not given if a provider only has a small number of survey responses. 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. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And the national standard is roughly five weeks. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. (Or create a 1/6 column and add a text field, modify the class so I mean, it's really amazing. I'm an interventional pulmonologist here at the University of Chicago. But a doctor may see something on a chest x-ray. Sunit Singla, MD. And then we go in with our scopes. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . . So Dr. Wagh, it was interesting because this is almost like a video game. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. And how minimal it actually is? For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Future Oncol. Interventional Pulmonology Fellowship; Post-Doctoral; . It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And every patient is different. And these procedures all have their own benefits, but also their own complications. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. But one of the other things we were talking about, the patient journey. Schedule your appointment online for primary care and many specialties. All rights reserved. Well, gentlemen, we're out of time. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. It's a wonderful, wonderful place. 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 if someone ever by mistake says to you, yeah, they can see you in three months. The responses are used to improve patient experience and recognize staff members for the care they provide. Can you kind of talk to us a little bit about that, and walk us through that? Yeah. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Maybe Dr. Hogarth, you can start. And smoking is certainly a problem, a historical problem that we're working to deal with every day. But there's many things it could be. 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. In 2007 and 2011, he received the Department of Medicines Outstanding Junior Faculty Clinical Service Award and in 2013 and 2014 the Department of Medicines Outstanding Clinical Service Award. 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. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. And either one of you can do that. 847-498-5864. If it bothers you to come near the Medical Center, fine, let's do it via the computer. I remember when Dr. Hogarth showed this to me. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. 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 then they come to our lab. We can talk about imaging modalities. I work here, I go home, I kiss my children. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. An Interventional Pulmonology (IP) Advanced Practice Provider works in collaboration with Board Certified Physicians in the Department of Internal Medicine on the Pulmonology Service who specialize in the management of complex airway and pleural diseases. Associate Professor of Medicine, Co-director of Bronchoscopy. We evaluate whether or not it's a target that we can reach. No, for sure. And it is, would my annual low dose CT lung cancer screening show nodules? I can meet with you virtually. And that's kind of comforting, I think, for most patients. Meaning, it's technically a cancer, but it's never going to necessarily bother you. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And you know, it is extremely valuable. About. So we'll wake you up. I'm new here to the University of Chicago, and very thankful to be here. Dr. Wagh, let's hear a little bit about you. I apologize. Or suggest that the pre-test probability is lower. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. So I think first step is don't panic. We're not going to just say, you must do this. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. We are taking questions from viewers. 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. But in reality, if you're a patient, there's only two things. We are taking questions from viewers. If it bothers you to come near the Medical Center, fine, let's do it via the computer. That's another thing that you probably want to caution people about. And we can help you do that, too. 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. Emphysema and advanced emphysema. We just talked a moment ago, and you're pretty new here. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . What you're never going to hear from us is to say, now there's nothing to do, leave. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. The Emory Sleep Medicine . We could get you a plaque or something. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. A lung mass can be a frightening discovery. Consultations and second opinions are also available on request for patients that have . Interesting. 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. And we keep spacing that interval of scan out if nothing has changed. Only clean air in the lungs, please. 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. But to delay any amount of care. Or it could be a telemedicine visit. What's that chance? Because the chance it's cancer is so low, and every invasive procedure always carries a risk. 5841 South Maryland Ave., MC 6076 He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. That's coming up right now on At The Forefront Live. If you think about it, the lung is mostly air. I'm not happy that I have to tell you it's cancer. And then I'll have Ajay go at it as well. Yes, sir. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Right? So Dr. Wagh, you touched on this a little bit before. Instead, you might have a little sore throat for a day or two. But of course, there's biopsies. Absolutely, yeah. It is covered by insurance. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. And teasing out what's what is what Ajay and I do. Open for more information.