MC 6092 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 . Because it has everything to do with the quality of the machine for the radiation that goes through. Well, I think that there's several possibilities. But we do have avenues to help with that. It sounds like you're in a busy, busy place. 847-498-5864. And then we go in with our scopes. You know what, I always tell people is there is a long list of things that the nodule could be. 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. Or does it have to be a higher dose CT screening? 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 will get seen within a week every time here. Our pulmonary and allergy physicians see clinic patients in the Center for Lung Health, located in room 3C in the UI Health Outpatient Care Center (OCC), which is at 1801 W Taylor. You know, you mentioned that being covered by insurance. I love math and science, and I love to problem solve, so I started out in engineering. We're not going to just say, you must do this. But I'm sure you'll enjoy UChicago Medicine. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. All rights reserved. He sees patients in clinic on Fridays. Referring . I'm new here to the University of Chicago, and very thankful to be here. Dr. Hogarth kind of briefly said something about the blood tests. It's either cancer or everything else. And then they just go home. 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. As faculty members of the University of Cincinnati [] And either one of you can do that. [MUSIC PLAYING] My name is Ajay Wagh. Another question from a viewer, and this is Carla. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Fellows. And we have a high success rate to get you an answer. So appreciate that. And it's something solid. When there are no changes from scan to scan. I'm new here to the University of Chicago, and very thankful to be here. 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. Yes, so a patient typically comes in basically just for a few hours during the day. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. 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. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? So we'll wake you up. And you want to have something reliable in what to do next. Learn more about clinical trials and find a trial that might be right for you. For more information about the Interventional Pulmonology Center or to request a referral . And so that becomes one procedure, as opposed to multiple procedures. Just to echo what Dr. Wagh said. So I'm excited to be here in the city, and part of this program. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. We're going to give you some strong recommendations. I want to know you're an early stage cancer. 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. 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 so those are our mainstays of imaging. No, don't panic. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. We can talk about imaging modalities. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. This isn't that twilight. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. No, it's a great question. And let's go through your CAT scan and let's have this discussion about what our next step is. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: And how minimal it actually is? 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. Follow @uw_APCC. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. So you're going to get way more bang for your buck literally as a scan by coming here. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. 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. Karen says, your pulmonary department is the best. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. And we keep spacing that interval of scan out if nothing has changed. Or it could be a telemedicine visit. What exactly goes on there, and why is that so critical? The Emory Sleep Medicine . Oh, let me reinforce that. Just type them in the comments section. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. . Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. 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 sign a few papers. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. These are not questions. 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. However, not everyone who receives an abnormal CT scan should be rushed into surgery. 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. But of course, there's biopsies. And you know, COVID makes it harder for patients to see doctors. Interventional Pulmonology Fellowship; Post-Doctoral; . There's all kinds of different tests. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And you know, it is extremely valuable. So this is an actual question. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. So that's nice. 20 on the Best Hospitals Honor Roll. Yes, so a patient typically comes in basically just for a few hours during the day. Some of the blood tests we have, have the ability to change that number. 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. 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 . 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 have a high success rate to get you an answer. And I was fortunate enough, I think, gosh, it's been over a year ago. So talk to us a little bit more about the lymph nodes. And there are potential treatments to help patients quit smoking as well. And then afterwards, once we settle on a date, the patient comes in. You know, it's not just like, yeah, you do this. 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. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. 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 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. So ground glass nodules are a different biology. What Dr. Wagh and I do is a procedure called bronchoscopy. 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. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. Well, the blood test actually showed that it's less than 5%. A star rating is not given if a provider only has a small number of survey responses. Yeah, there's several possibilities in that regard to evaluate these. And so that becomes one procedure, as opposed to multiple procedures. That's not hard to convince someone. And we're very serious about that. So follow-up scans could also be low dose as well. Yeah, there's several possibilities in that regard to evaluate these. 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. And we get the tissue that we need. The immediate reaction is you're probably frightened. The fear always is that cancers are going to grow. Go ahead, Ajay. Yeah, sure. 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. This is from Therese. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. And that's sort of when we take a look at the CAT scan very closely. 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. The Interventional Pulmonary Fellowship is a one-year intense training program designed to expose the trainee to all the advanced diagnostic and therapeutic procedures necessary for practice. Interventional Pulmonology. Chronic cough. Interventional Pulmonary; Hospitals. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . 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. Yes, sir. So my name is Kyle Hogarth. So we need to get going and do something about it. 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. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Interesting. There's also what's called a needle biopsy. Currently, there are six board certified Interventional Pulmonologists and a wide range of . You know, you mentioned that being covered by insurance. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. 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. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Go ahead, Ajay. We have a great team here, and I'm excited to be part of it. And how minimal it actually is? Future Oncol. So ground glass nodules are a different biology. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Maybe Dr. Hogarth, you can start. Yes, sir. We're going to do our work. Interesting. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. So typically we'll have a clinic evaluation. That's why I'm not moving a lot, not that I move a lot anyway. Now, a question. But also don't ignore it, and don't delay it. Program Overview. 2023 The University of Chicago Medical Center. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And how urgently must patients act? UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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 That's not hard to convince someone. And hopefully, go home if nothing happens. We want to find patients who have a history of smoking, quit within the past 15 years. You will still be the same stage. It's OK. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Northwestern Memorial Hospital; Univ. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. Patient survey responses are also used to make star ratings for each provider. And the individual tumor biology is changing. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. It's a wonderful website. And so think of it like a sponge. What's that chance? And how urgently must patients act? Because why would I put you-- why would I cure you of something that's never going to harm you? 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. But you come in, we have a pre-procedural area where the patients get kind of their IV. Conditions & Services; Can you kind of walk us through that? All kinds of fantastic information there. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. 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. We're still operating. 1-877-DOM-2730, Department of Medicine And if you can, just kind of set the stage for us and tell us a little bit about nodules and masses, and what are they and how do people even know that they have such a thing in their lungs. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Oh, let me reinforce that. Well, it certainly can. Communication is important with the patients. It's OK. Even the show that we're doing right now, you two are remote. Yeah. And we will kind of shepherd the patient along the way. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Full-Time. . A star rating is not given if a provider only has a small number of survey responses. Because it has everything to do with the quality of the machine for the radiation that goes through. 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. You were fantastic. Sure. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. [MUSIC PLAYING]. It should be a CAT scan if you are eligible. And remember, you can schedule your video visit by also going to the website. 1:25 . 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. Our list of accepted insurance providers is subject to change at any time. And obviously, you know, even with minimally invasive surgery, it's still a surgery. We'll try to get to as many as we can over the next half hour. And every patient is different. And the patient goes afterwards to a post-procedural area, where they recover. 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. And you know, those patients typically are eligible for low dose lung cancer screening. Thanks again for being with us today. Getting an expert opinion about what could this nodule actually be. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. We will overbook you. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. We get thousands of survey responses each year. 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. 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. But there's many other tests. And between the four of us, we're all in clinic at any given moment. We work collaboratively with pulmonary medicine, critical care, allergy, thoracic surgery, medical oncology, radiation oncology, otorhinolaryngology and transplant specialists to provide you with a seamless care experience. We want to minimize radiation. If you think about it, the lung is mostly air. And then they come to our lab. It's got to be terrible. Phone: (773) 702-9660. Can you talk to us a little bit about what the patient experiences in this procedure? You know, and I want to talk a little bit more about biopsies here in just a minute. You will get seen three to four weeks from now. And you don't want to. And we will kind of shepherd the patient along the way. So-- go ahead, Dr. Hogarth, did you have something you wanted in? (Or create a 1/6 column and add a text field, modify the class so I mean, we do have telemedicine options. We don't even have any camera people in here. So if the risk of cancer is low, but the risk of a complication is the same, I don't want to harm you, right? I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. And I don't know. This isn't that twilight. Get a Second Opinion. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Some of them are blood based tests. Or should we offer something else? Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. But of course, there's an 80% chance it's not cancer. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. So my name is Kyle Hogarth. Phone: (773) 702-9660. What you're never going to hear from us is to say, now there's nothing to do, leave. I can meet with you virtually. In some cases, they are a precancerous lesion. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? 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. Really, really good questions today. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. I am a Professor of Medicine here. He also serves as an assistant professor of internal medicine at the UK College of Medicine. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. Chicago Chest Center was the first dedicated IP fellowship program in the Chicago area and the oldest established full service Interventional Pulmonology program in the state.
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