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. This is from Therese. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Learn more about clinical trials and find a trial that might be right for you. Show more Show less Well, the blood test actually showed that it's less than 5%. There's nobody else here. And how urgently must patients act? Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. 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. Conditions & Services; Yeah, sure. The immediate reaction is you're probably frightened. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Compare hospital ratings for pulmonology and lung surgery. Quick Apply. So I'm excited to be here in the city, and part of this program. We will overbook you. It is covered by insurance. And we can help you do that, too. And of course, you came here at kind of an odd time, during a pandemic. Get a Second Opinion. 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. 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. I can meet with you virtually. And so that becomes one procedure, as opposed to multiple procedures. 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. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. Or should we offer something else? And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. 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. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. Meet the Doctor. So-- go ahead, Dr. Hogarth, did you have something you wanted in? 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. But I love these. Phone: (773) 702-1856 But of course, there's an 80% chance it's not cancer. What's that chance? And I think we like to take things one step at a time. And we have a series of other tests we can do. Because it has everything to do with the quality of the machine for the radiation that goes through. Thoracic Imaging. Well, I think that there's several possibilities. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And I think that's the first key step. We're still operating. And either one of you can do that. Another question from a viewer, and this is Carla. So that you get an answer as to what this nodule actually is. And one that has a very low invasive potential. And that would be annually until they kind of exit out after that 15 years. But when it's time to get a follow-up scan, the reason, ultimately, for these ground glasses, why they settle into yearly, is precisely because they're slow growing. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. All kinds of fantastic information there. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? We don't even have any camera people in here. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. So Dr. Wagh and I have our partner, Dr. Mergue. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. And there we perform our procedures. Consultations and second opinions are also available on request for patients that have . Another question from a viewer, and this is Carla. I apologize. Age is usually 55 to 80. And we also try to figure out, is it a lesion that requires biopsy? Well, it certainly can. And Dr. Hogarth, we'll start with you. 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: . Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. Or it could be a telemedicine visit. So-- There's nobody else here. That's another thing that you probably want to caution people about. 5841 South Maryland Avenue, Our doctors will actually even join us from the places where they're doing the 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. And sign a few papers. And our complication rate is the lowest amongst the three. The ranking is a reflection of the leading-edge lung and . Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? You're out. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And the city of Chicago is a great place and a lot of fun. We are extremely cautious about everything here. So when we're done, you go home. We have a great team here, and I'm excited to be part of it. And then they come to our lab. It's a wonderful, wonderful place. But we're very careful about that. So we need to get going and do something about it. Because I know this is a very complex situation. For help with MyChart, call us at 1-844-442-4278. Amit, I hope I'm pronouncing this correctly. It could be cancer. What are some of the options to evaluate lung nodules and lung masses? The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? And so think of it like a sponge. That's why we do it. There's also what's called a needle biopsy. Rush University Medical Center in Chicago, IL is ranked No. We evaluate whether or not it's a target that we can reach. So that's nice. 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. Go ahead, Ajay. You know, you mentioned that being covered by insurance. Program Coordinator. Yeah, and I want to tell people-- this is a very, very safe place. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. But there's many other tests. Sure. You need to raise a fit. 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 then we go in with our scopes. And then second step is find the right people to help take care of you. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . And then they just go home. 2023 The University of Chicago Medical Center. But one of the other things we were talking about, the patient journey. See, this just shows how important it is that we do these programs here. 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. It's OK. I don't know who wants to take that one. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. But many times, you might notice something on an x-ray that's not part of the screening pathway. Maybe Dr. Hogarth, you can start. We'll get you a speech card. And so the lymph nodes are where cancer would spread to first. 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 . We'll try to get to as many as we can over the next half hour. So Dr. Wagh, you touched on this a little bit before. Or come and visit a lung physician. 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. It could be cancer. But that's part of what you do. And usually we discuss medications, if the patient is on a blood thinner. I love taking care of people, and I love to see them breathe better and feel better. And thank you to our viewers for your great questions. 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? 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. We're in very separate areas. Today there are better insights into cancer and other lung diseases. Well, the blood test actually showed that it's less than 5%. Associate Professor of Medicine, Co-director of Bronchoscopy. Now, these are complicated discussions. That ground glass, if it gets larger or denser, then it's changing. So talk to us a little bit more about the lymph nodes. We want to minimize radiation. Chronic cough. Well, my name is Ajay Wagh. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . So a little bit of a fan club going here, but that's awesome. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. So follow-up scans could also be low dose as well. 847-498-5864. 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. We're not going to just say, you must do this. Email: ipscheduling@jhmi.edu. [MUSIC PLAYING] My name is Ajay Wagh. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. But to delay any amount of care. So we'll wake you up. They come into the sky lobby here at UChicago. Can you talk to us a little bit about what the patient experiences in this procedure? Because an abnormal CT scan is terrifying. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. It is covered by insurance. Referring . Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. Panicking, obviously, is never helpful. Obviously, if things change, then that's a discussion towards biopsy. So that's nice. 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. 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. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Star ratings and comments come from a number of survey questions. The immediate reaction is you're probably frightened. Exactly. Getting an expert opinion about what could this nodule actually be. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. I am a Professor of Medicine here. I recently completed an interventional pulmonary fellowship, which brought me here. But a doctor may see something on a chest x-ray. And Janet wants to know how invasive is a lung biopsy? And every patient is different. American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection . You will get seen three to four weeks from now. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. And then if we do need to do a biopsy, making sure the correct biopsy gets done. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. (Or create a 1/6 column and add a text field, modify the class so You're out. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Because why would I put you-- why would I cure you of something that's never going to harm you? You need to raise a fit. This is a safe place. That's good to know. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. So I always have to do this. 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) 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. Yes, sir. 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. Because initially when you're faced with something like that, everything kind of just goes over your head. And you can speak with your physician about that. And you can speak with your physician about that. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Interventional Pulmonology Fellowship; Post-Doctoral; . Only clean air in the lungs, please. And obviously, you know, even with minimally invasive surgery, it's still a surgery. 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. 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. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. 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. Or is that the moment of panic at that point? But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. I mean, it's really amazing. And so Dr. Hogarth, we have another question from a viewer. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. 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 something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. 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. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Interventional Pulmonology Fellowship Program Director. And hopefully, go home if nothing happens. 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. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. St. Peters Health Partners Medical Associates, P.C. As faculty members of the University of Cincinnati [] We can talk about imaging modalities. 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. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. That's right. Open for more information. Getting an expert opinion about what could this nodule actually be. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. 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. Yes, sir. And Dr. Hogarth mentioned blood tests even, a few moments ago. 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. So Dr. Wagh, it was interesting because this is almost like a video game. What exactly goes on there, and why is that so critical? But we can. And you two, and your teams, are really good at helping people through that situation. And they hear, oh my gosh, I've got a nodule. But we're very careful about that. And that's kind of comforting, I think, for most patients. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. 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. Make sure everything looks right, that it would be safe to proceed. Just to echo what Dr. Wagh said. Just type them in the comments section. So if we think you're at early stage cancer, that's great. That's good to know. 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? 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. Chicago, IL 60637 The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. A star rating is not given if a provider only has a small number of survey responses. Oh, less than 5%, OK, let's slow down a little bit. No, it's a great question. And as Dr. Wagh just said, we are able to do video visits and televisits. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? And we're, of course, happy and eager to help. That is not acceptable to make you wait. 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 I want to get back to biopsies for just a moment. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. I mean, I think we are living in a strange time. Because we will always see you. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Well, gentlemen, we're out of time. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Communicate with your doctor, view test results, schedule appointments and more. He also serves as an assistant professor of internal medicine at the UK College of Medicine. And good nutrition and exercise is important, and we can help you get on the right track. You know, in fact, just to even further hammer home that point. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. So we do want to remind our viewers, we'll take your questions for our experts. So when we're done, you go home. And you know, COVID makes it harder for patients to see doctors. We just talked a moment ago, and you're pretty new here. And it's very professionally satisfying. And I have been working at the University of Chicago since 1998. Well, gentlemen, we're out of time. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. But also don't ignore it, and don't delay it. Patient survey responses are also used to make star ratings for each provider. It sounds like you're in a busy, busy place. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 5841 South Maryland Ave., MC 6076 Emphysema and advanced emphysema.

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