Or is that the moment of panic at that point? University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . So I'm excited to be here in the city, and part of this program. 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 . We'll get you a speech card. Well, I think that there's several possibilities. About. Amit, I hope I'm pronouncing this correctly. James Katsis, MD - Rush University Medical Center You know what, I always tell people is there is a long list of things that the nodule could be. And you don't want to. It's OK. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care Because it's interesting how you do them in the lung. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Open for more information. So we want to-- I mean, we want to do this for everybody. And using some of the tools that we have. 11 millimeters is rather small. And how urgently must patients act? 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. And we can help you do that, too. But we're very careful about that. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. It could be cancer. Can you kind of walk us through that? You're going to go home. And that could be in person. Yes, sir. Because it's a difficult time in people's lives when they have something like this done. Program Overview. I apologize. 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. 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. That's why I'm not moving a lot, not that I move a lot anyway. Age is usually 55 to 80. 3 University of Rochester Medical Center, Rochester New York. 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. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Or should we offer something else? We also have literally the world's greatest nurse practitioner, Kimberly. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. Exactly. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And the city of Chicago is a great place and a lot of fun. Is following a nodule ground glass opacity with yearly CT standard? That's a great question. [LAUGHTER] And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Or you're going to go to radiation or whatever. So if you need an appointment, give us a call at 888-824-0200. So that's nice. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Interventional pulmonology is a new field within pulmonary medicine focused on the use of advanced diagnostic and therapeutic techniques for patients with lung cancer, airway disorders, and pleural diseases. Yeah, sure. We're giving you the least amount of radiation, even for what's called a diagnostic scan. Conditions & Services; Best Hospitals for Pulmonology & Lung Surgery | Rankings & Ratings | US 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. . I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Communicate with your doctor, view test results, schedule appointments and more. 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. MC 6092 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? Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? But for many people are extremely, extremely slow growing cancer. Pulmonary, Critical Care & Sleep Medicine | UK Healthcare 11234 Anderson St, Loma Linda, CA 92354. . And I think what we want to do is offer a pathway here in our program for patients to get everything they need. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. Or suggest that the pre-test probability is lower. 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. 2023 The University of Chicago Medical Center. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. There's also what's called a needle biopsy. So we go through your mouth. And then if we do need to do a biopsy, making sure the correct biopsy gets done. But I love these. And we also try to figure out, is it a lesion that requires biopsy? And we do it through your mouth. No, don't panic. It's so important. Well, that's nice. And of course, you came here at kind of an odd time, during a pandemic. Right? 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. Yes, sir. But a doctor may see something on a chest x-ray. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. We want to find patients who have a history of smoking, quit within the past 15 years. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. I'm new here to the University of Chicago, and very thankful to be here. CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. I work here, I go home, I kiss my children. So look, there's three ways to sample inside the lung. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. But of course, there's biopsies. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. I remember when Dr. Hogarth showed this to me. I recently completed an interventional pulmonary fellowship, which brought me here. Interesting. The probability, if it's low enough, we don't want to do invasive things to you. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. And so the lymph nodes are where cancer would spread to first. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? We get thousands of survey responses each year. And between the four of us, we're all in clinic at any given moment. Details - University of Chicago Medicine Faculty Profiles Interventional Pulmonary; Hospitals. And there we perform our procedures. 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. So typically we'll have a clinic evaluation. So I want to get back to biopsies for just a moment. We have been providing exceptional and compassionate . Another question from a viewer, and this is Carla. And so think of it like a sponge. And it is, would my annual low dose CT lung cancer screening show nodules? We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And Dr. Hogarth, I want to start with you. So when we're done, you go home. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. It is covered by insurance. You know, in fact, just to even further hammer home that point. And we get the tissue that we need. We do have one that I want to get to. Ultimately, I just want to help people feel better and breathe better. Pulmonary Medicine | UC Health Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. A lung mass can be a frightening discovery. We're still operating. What exactly goes on there, and why is that so critical? 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. It sounds like you're in a busy, busy place. Yes, sir. 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. The responses are used to improve patient experience and recognize staff members for the care they provide. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. This is from Therese. Fellows. Open for more information. So we do want to remind our viewers, we'll take your questions for our experts. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Show more Show less So I'm going to have you answer the question, but also kind of explain what she's asking here. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Communicate with your doctor, view test results, schedule appointments and more. It's usually about a half day's worth of time. However, not everyone who receives an abnormal CT scan should be rushed into surgery. 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. We want to remind people, very important, do not forego medical care during COVID. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections You know, it's not just like, yeah, you do this. It's either cancer or everything else. We get thousands of survey responses each year. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. You shared really some good information with our audience. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. We can talk about imaging modalities. And we also try to figure out, is it a lesion that requires biopsy? So typically we'll have a clinic evaluation. So I think first step is don't panic. The immediate reaction is you're probably frightened. 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. It sounds like you're in a busy, busy place. 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. So let's start off with our questions. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. For more information about the Interventional Pulmonology Center or to request a referral . But there's many things it could be. You want to be calm and cool. In other cases, they are actually a cancer. The Emory Sleep Medicine . Is following a nodule ground glass opacity with yearly CT standard? During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. 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. Loyola University Medical Center, Chicago IL: 2020: Ikuyo Imayama, MD: University of Illinois at Chicago, Chicago, IL: 2021: Mariam Anis, MBBS Northwestern Lake forest Hospital: 2021: Yu Maw Htwe, MBBS NYU Interventional Pulmonology Fellowship: 2021 And the national standard is roughly five weeks. And this is important. 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. 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 ground glass nodules are a different biology. And we're very serious about that. 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. And I think that's the first key step. It's an oath both of us took. It offers a comprehensive program of quality patient care, research and education. Really, really good questions today. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And we're, of course, happy and eager to help. 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 . Maybe Dr. Hogarth, you can start. And Dr. Hogarth, I want to start with you. So this is an actual question. And the individual tumor biology is changing. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. And teasing out what's what is what Ajay and I do. Pulmonary/Critical Care Medicine in Albany, NY for St. Peter's Health When you or a loved one has a lung disease, you want to see the best lung doctors available. So when we're done, you go home. And Janet wants to know how invasive is a lung biopsy? UChicago Faculty Physicians Dr. Wagh, let's hear a little bit about you. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . I can meet with you virtually. And it also has a lot of great COVID information. Because I know this is a very complex situation. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. And one that has a very low invasive potential. I mean, we do have telemedicine options. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And this is a little bit inside baseball. Karen says, your pulmonary department is the best. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Karen says, your pulmonary department is the best. Referring . For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? 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. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Thoracic Imaging | Department of Radiology | The University of Chicago Interventional Pulmonology Secondary Specialty. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. So-- go ahead, Dr. Hogarth, did you have something you wanted in? We'll try to get to as many as we can over the next half hour. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Occupational lung disease. All rights reserved. Rush University Medical Center in Chicago, IL is ranked No. So first is just a discussion with you of what is the probability that this could be a malignancy for you. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . It was designed to provide the subspecialty trainees with extensive training and experience in advanced diagnostic and therapeutic procedures that are essential to the practice of Interventional Pulmonology. And then they wait to be brought to the pre-procedural area. That ground glass, if it gets larger or denser, then it's changing. That ground glass, if it gets larger or denser, then it's changing. St. Peters Health Partners Medical Associates, P.C. Interventional Pulmonology Fellowship; Post-Doctoral; . University of Chicago hiring Fellowship Coordinator in Chicago Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . What's that chance? So-- So I'm going to have you answer the question, but also kind of explain what she's asking here. So we go through your mouth. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Even the show that we're doing right now, you two are remote. Chicago Chest Center And then second step is find the right people to help take care of you. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. You know, you said at the very beginning, I have a nodule, should I panic? 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. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. We want to remind people, very important, do not forego medical care during COVID. Every tumor, of course, has its own biology speed at which it grows. 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 probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. And thank you to our viewers for your great questions. We want to find patients who have a history of smoking, quit within the past 15 years. Where it's basically put right through your chest into the lung nodule done through the radiology department. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. The Interventional Pulmonology Center at Barnes-Jewish Hospital and Washington University School of Medicine, in conjunction with the Siteman Cancer Center, uses the following specialized technology to offer patients advanced diagnoses and expert care: . We're still operating. I am a Professor of Medicine here. Interventional Pulmonology - Barnes-Jewish Hospital Some of the blood tests we have, have the ability to change that number. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. Yes, sir. Director, Interventional Pulmonary - Clinical Faculty Rush University And they hear, oh my gosh, I've got a nodule. So we need to get going and do something about it. So ground glass nodules are a different biology. You know what, I always tell people is there is a long list of things that the nodule could be. We're open for business. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Phone: (773) 702-9660. 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. No, it will show the nodules. All kinds of fantastic information there. You were fantastic. 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. Phone: 410-502-2533. You know, you mentioned that being covered by insurance. Patient survey responses are also used to make star ratings for each provider. Fellows | Chicago Medicine Get a Second Opinion. Lung Diseases (Pulmonology) - UChicago Medicine That's not hard to convince someone. Chicago Chest Center/ The University of Illinois Chicago. Well, my name is Ajay Wagh. Conditions & Services; Yeah, and I want to tell people-- this is a very, very safe place. So I have two from viewers that I have to pass along. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. 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. There's also what's called a needle biopsy. Oh, let me reinforce that. 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. Now, these are complicated discussions. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. We just talked a moment ago, and you're pretty new here. I am a Professor of Medicine here. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Interventional Pulmonology Service - Washington University in St. Louis So that you get an answer as to what this nodule actually is. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between.
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