We want to find patients who have a history of smoking, quit within the past 15 years. Meet the Doctor. 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. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . And you know, COVID makes it harder for patients to see doctors. So I think first step is don't panic. Because it has everything to do with the quality of the machine for the radiation that goes through. And I don't know. And thank you to our viewers for your great questions. And if someone ever by mistake says to you, yeah, they can see you in three months. And one that has a very low invasive potential. You know, it's not just like, yeah, you do this. We will overbook you. We're still operating. We get thousands of survey responses each year. And we're, of course, happy and eager to help. Pulmonary & Critical Care Medicine - Loyola University Chicago That's another thing that you probably want to caution people about. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Panicking, obviously, is never helpful. 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 teasing out what's what is what Ajay and I do. Oh, let me reinforce that. And you two, and your teams, are really good at helping people through that situation. St. Peters Health Partners Medical Associates, P.C. Best Hospitals for Pulmonology & Lung Surgery | Rankings & Ratings | US Some of them are blood based tests. We evaluate whether or not it's a target that we can reach. So that's nice. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. So Dr. Wagh, you touched on this a little bit before. Well, if you have a cancer, the next question is, what stage is it? And we're very serious about that. So follow-up scans could also be low dose as well. Septimiu Murgu, MD - UChicago Medicine And was fortunate enough to start the bronchoscopy program here, and the Nodule program. The fear always is that cancers are going to grow. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. Because we will always see you. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. Critical Care Medicine; Pulmonology; Meet the Doctor . AABIP/AIPPD Interventional Pulmonology Accredidation And thank you to our viewers for your great questions. IP Fellowship Program Contact Information 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. Go ahead, Ajay. 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. Compare hospital ratings for pulmonology and lung surgery. Stopping smoking can help you just across the board. I mean, the first thing is first, is we do have lung cancer screening, which we offer patients CAT scans if they're eligible and have a smoking history. When there are no changes from scan to scan. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. 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 you're going to get way more bang for your buck literally as a scan by coming here. The ranking is a reflection of the leading-edge lung and . 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 the city of Chicago is a great place and a lot of fun. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. We want to minimize radiation. So follow-up scans could also be low dose as well. And it's important here. We're going to give you some strong recommendations. Randomly selected patients are sent patient satisfaction surveys after their visits. 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 it also has a lot of great COVID information. Our list of accepted insurance providers is subject to change at any time. And so the lymph nodes are where cancer would spread to first. Right? Oh, let me reinforce that. You will still be the same stage. I want to know you're an early stage cancer. Chicago Chest Center - 2015. University of Cincinnati Department of Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine 231 Albert Sabin Way, ML 0564 Cincinnati, OH 45267-0564. Yes, sir. That's right. 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. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. When you or a loved one has a lung disease, you want to see the best lung doctors available. 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. It is covered by insurance. But in reality, if you're a patient, there's only two things. [LAUGHTER] 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. And that is how biopsies work. Phone: (773) 702-9660, Mailing Address: So first is just a discussion with you of what is the probability that this could be a malignancy for you. Well, it certainly can. Interventional Radiology Technologist, Days Job in Chicago, IL at The Who we treat. And how minimal it actually is? But what I can also tell you is it's cancer, here's what stage it is. So appreciate that. And we do it through your mouth. Lung Health Program | UI Health - University of Illinois Hospital And then if we do need to do a biopsy, making sure the correct biopsy gets done. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. 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. You know, you mentioned that being covered by insurance. We're going to get to a little bit more detail of that one here in just a moment. That's going to be number one on the list. And that's sort of when we take a look at the CAT scan very closely. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. You're out. 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. And I hope you have a great week. Randomly selected patients are sent patient satisfaction surveys after their visits. If your insurance company is not listed here, or if you have any other questions, please contact [email protected]. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. But we're very careful about that. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. Every tumor, of course, has its own biology speed at which it grows. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. Absolutely. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And we're also going to just keep radiating you. Pulmonary, Critical Care, Sleep and Allergy | Chicago Medicine Right? And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. Referring Physician Access Line: . With this new curriculum, physicians learn by using simulation technology, interactive step-by-step instructions and problem-based teaching which create an engaging and authentic learning environment. We don't want that to happen. Section of Pulmonary/Critical Care You're out. Communication is important with the patients. So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? 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. Well, that's nice. And I think that's the first key step. You will get seen three to four weeks from now. And it's very professionally satisfying. And at that point, they'll meet the anesthesiologist, the nursing staff. Interventional Pulmonology - Hoag We're still operating. That's why I'm not moving a lot, not that I move a lot anyway. But there's many other tests. No, don't panic. That is not acceptable to make you wait. So-- If you think about it, the lung is mostly air. So we'll wake you up. And the city of Chicago is a great place and a lot of fun. But in reality, if you're a patient, there's only two things. They come into the sky lobby here at UChicago. And one that has a very low invasive potential. 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. So talk to us a little bit more about the lymph nodes. Academic Interventional Pulmonary/Critical Care (3-309-1142) - The Division of Pulmonary and Critical Care Medicine at the University of Maryland School of Medicine seeks a pulmonary and critical care physician for our expanding Academic Interventional Pulmonology program. It was pretty fascinating to see what you could do inside of a person's lung with a very, very minor, very minor invasive procedure. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. 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 . So there's no cutting. 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. And how urgently must patients act? James Katsis, MD is affiliated with Rush University Medical Center and specializes in Pulmonology Services in Chicago, IL James Katsis, MD - Rush University Medical Center Call (888) 352-RUSH (7874) 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. I'm actually in the endoscopy suites. Or you're going to go to radiation or whatever. Faculty Directory - University of Chicago - Department of Medicine Fellows | Chicago Medicine 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. I'm an interventional pulmonologist here at the University of Chicago. Chicago, IL 60637. [email protected]. I'm in the studio all by myself, as you can see here. What you're never going to hear from us is to say, now there's nothing to do, leave. And we have a series of other tests we can do. So look, there's three ways to sample inside the lung. (Or create a 1/6 column and add a text field, modify the class so So Dr. Wagh, it was interesting because this is almost like a video game. There's nobody else here. So I have two from viewers that I have to pass along. You can't eat after midnight. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. However, not everyone who receives an abnormal CT scan should be rushed into surgery. The probability, if it's low enough, we don't want to do invasive things to you. No, for sure. Yes, sir. 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. Sue Hammerschmidt. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Ultimately, I just want to help people feel better and breathe better. Age is usually 55 to 80. Chicago Chest Center/ The University of Illinois Chicago. But of course, there's biopsies. You want to be calm and cool. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. So that you get an answer as to what this nodule actually is. Yeah. We are extremely cautious about everything here. And so that becomes one procedure, as opposed to multiple procedures. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Advanced technology and minimally invasive options are available. I don't know who wants to take that one. And basically work very hard to make sure that patients get the answers that they need to help decide what's the best next path when they find an abnormal CT scan. And we're very serious about that. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. You know, you said at the very beginning, I have a nodule, should I panic? First, do no harm. Randomly selected patients are sent patient satisfaction surveys after their visits. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Get a Second Opinion. And so that becomes one procedure, as opposed to multiple procedures. If your insurance company is not listed here, or if you have any other questions, please contact [email protected]. And smoking is certainly a problem, a historical problem that we're working to deal with every day. But for many people are extremely, extremely slow growing cancer. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Interesting. That's why we do it. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. But a doctor may see something on a chest x-ray. 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. And I think we like to take things one step at a time. So we need to get going and do something about it. 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. 617-632-8036. Some of them are blood based tests. I mean, I think we are living in a strange time. Because initially when you're faced with something like that, everything kind of just goes over your head. The probability, if it's low enough, we don't want to do invasive things to you. And then afterwards, once we settle on a date, the patient comes in. Additionally, he authored a best-selling textbook on bronchoscopy as well as written numerous book chapters and clinical guidelines pertinent to the management of patients with lung cancer. Communicate with your doctor, view test results, schedule appointments and more. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Some of the blood tests we have, have the ability to change that number. It's got to be terrible. We'll get you a speech card. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. 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. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi And I was fortunate enough, I think, gosh, it's been over a year ago. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . And we have a high success rate to get you an answer. For more information about the Interventional Pulmonology Center or to request a referral . And so Dr. Hogarth, we have another question from a viewer. But there's many other tests. So Dr. Wagh and I have our partner, Dr. Mergue. Or it could be a telemedicine visit. 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. You will get seen within a week every time here. We don't even have any camera people in here. Karen says, your pulmonary department is the best. Pulmonary, Critical Care & Sleep Medicine | UK Healthcare No, don't panic. And we can help you do that, too. Pulmonary and Critical Care Fellows But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. So this is an actual question. Why aren't we just following the pathway down? Dr. Hogarth kind of briefly said something about the blood tests. So I mean, we do have a regular process of lung cancer screening. . Curriculum | Chicago Medicine I'm not happy that I have to tell you it's cancer. But we also want to explain to you what we're going to do to actively follow you. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Benjamin J. Seides, MD | Northwestern Medicine Sure. 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. Because why would I put you-- why would I cure you of something that's never going to harm you? We look at the airways and other parts of our computer modeling to see if that's something that we can get to. And as always, we'll take your questions during our 30 minute program. Interventional Pulmonology. UChicago Faculty Physicians And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. I mean, we do have telemedicine options. And remember, you can schedule your video visit by also going to the website. So we'll wake you up. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. So we talked a little bit about just screening for lung cancer in general, and what people need to know, because I know there are some folks that will go through a regular process of screening. Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) And as Dr. Wagh just said, we are able to do video visits and televisits. Fellows. Or it could be a telemedicine visit. 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. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. [MUSIC PLAYING] My name is Ajay Wagh. And I have been working at the University of Chicago since 1998. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Obviously, if things change, then that's a discussion towards biopsy. Ajay Wagh, MD, MS - UChicago Medicine 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. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Medicine Fellowship Programs - Rosalind Franklin University The University of Cincinnati Interventional Pulmonology (IP) Service is one of the 34 fellowship programs recognized by the American Association for Bronchology and Interventional Pulmonology (AABIP). You want to be calm and cool. So I mean, we do have a regular process of lung cancer screening. Job Description Northwestern Medicine is currently seeking Physicians, board-certified or eligible in Interventional Pulmonology for our McHenry, IL and Lake Forest, IL hospital locations. So ground glass nodules are a different biology. But to delay any amount of care. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. 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. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. Instead, you might have a little sore throat for a day or two. Getting an expert opinion about what could this nodule actually be. You are comfortable. Currently, there are six board certified Interventional Pulmonologists and a wide range of . We don't even have any camera people in here. And you know, it is extremely valuable. And then second step is find the right people to help take care of you. We are extremely cautious about everything here. Yeah, there's several possibilities in that regard to evaluate these. And so the lymph nodes are where cancer would spread to first. So let's start off with our questions. . But many times, you might notice something on an x-ray that's not part of the screening pathway. Northwestern Medicine Canning Thoracic Institute Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Interventional Pulmonology Fellowship Program Director. There's all kinds of different tests. Because it has everything to do with the quality of the machine for the radiation that goes through. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. We can talk about imaging modalities. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And it is, would my annual low dose CT lung cancer screening show nodules? And you know, those patients typically are eligible for low dose lung cancer screening. It's a wonderful website. Your lungs are going to be ultimately attached to your mouth. And either one of you can do that. And that's very important. So we want to-- I mean, we want to do this for everybody. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. That's always the question people want to know. And we have a series of other tests we can do. Future Oncol. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. 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. So if we think you're at early stage cancer, that's great. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . And using some of the tools that we have. Well, it certainly can. Communication is important with the patients. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? Faculty Profiles - University of Chicago Medicine Faculty Profiles And that would be another area, I would imagine. Ashish P. Maskey, MD | UK Healthcare You were fantastic. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Or does it have to be a higher dose CT screening? Like, I'm not worried about spreading disease. There's also what's called a needle biopsy. And sign a few papers. 11 millimeters is rather small. [MUSIC PLAYING]. The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. And Dr. Hogarth, we'll start with you. Is that-- should you be frightened? University of Chicago hiring Fellowship Coordinator in Chicago The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Interesting. 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. Well, gentlemen, we're out of time. I mean, we do have telemedicine options. And this is important. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. A lung mass can be a frightening discovery. American Association for Bronchology and Interventional Pulmonology
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