But we do have avenues to help with that. Loma Linda University Children's Hospital. This is a safe place. There's also what's called a needle biopsy. And it is, would my annual low dose CT lung cancer screening show nodules? But for many people are extremely, extremely slow growing cancer. 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. Getting an expert opinion about what could this nodule actually be. 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. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. We're open for business. Report Job. We want to find patients who have a history of smoking, quit within the past 15 years. And between the four of us, we're all in clinic at any given moment. Currently, there are six board certified Interventional Pulmonologists and a wide range of . at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. You don't have to go get another procedure that's going to take time to then figure out what stage you are. So I want to get back to biopsies for just a moment. But also cat scanning. Program Overview. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. And they hear, oh my gosh, I've got a nodule. Make sure everything looks right, that it would be safe to proceed. 11234 Anderson St, Loma Linda, CA 92354. . And then we go in with our scopes. 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. Instead, you might have a little sore throat for a day or two. We can talk about imaging modalities. And then based on that discussion, we would set a patient up for a procedure. Get a Second Opinion. First, do no harm. You're out. Even the show that we're doing right now, you two are remote. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. 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. Can you kind of walk us through that? Randomly selected patients are sent patient satisfaction surveys after their visits. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? 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. Every tumor, of course, has its own biology speed at which it grows. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Some of them are just re-evaluating the CAT scan you have. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. Our program's strength lies in the large and varied patient base . 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. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. 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. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . It's a wonderful, wonderful place. Now, these are complicated discussions. Program Director. And you can speak with your physician about that. You want to be calm and cool. And then second step is find the right people to help take care of you. Just type them in the comments section. Get an online second opinion from one of our experts without having to leave your home. 1:25 . But many times, you might notice something on an x-ray that's not part of the screening pathway. Because it's a difficult time in people's lives when they have something like this done. 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. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . And that's sort of when we take a look at the CAT scan very closely. I want to know you're an early stage cancer. So I think first step is don't panic. 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 . 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. So, I really believe in great communication and teamwork. [MUSIC PLAYING] That's not hard to convince someone. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. And thank you to our viewers for your great questions. And you know, those patients typically are eligible for low dose lung cancer screening. 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 Another question from a viewer, and this is Carla. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Conditions & Services; 617-632-8036. Interventional Pulmonology Fellowship; Post-Doctoral; . I am a Professor of Medicine here. Conditions & Services; And how urgently must patients act? And I think we like to take things one step at a time. And then they just go home. You were fantastic. So-- That's another thing that you probably want to caution people about. But can you kind of walk us through what people can expect before, during, and after one of these procedures. We have been providing exceptional and compassionate . And we keep spacing that interval of scan out if nothing has changed. 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 we get the tissue that we need. And thank you to our viewers for your great questions. Communication is important with the patients. University of Chicago, Interventional Pulmonology; Board Certifications. We get thousands of survey responses each year. . An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And let's go through your CAT scan and let's have this discussion about what our next step is. Our doctors will actually even join us from the places where they're doing the work. And how minimal it actually is? And you can speak with your physician about that. It should be a CAT scan if you are eligible. Pulmonary, Critical Care & Sleep Medicine. Interesting. And remember, you can schedule your video visit by also going to the website. And usually we discuss medications, if the patient is on a blood thinner. So that's nice. Our list of accepted insurance providers is subject to change at any time. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. There's all kinds of different tests. And there we perform our procedures. 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. Now, a question. of Colorado Health Sciences Ctr. Patients have both benign and malignant non-cardiac diseases of the chest. Critical Care Medicine; Pulmonology; Meet the Doctor . So follow-up scans could also be low dose as well. Getting an expert opinion about what could this nodule actually be. Well, my name is Ajay Wagh. But to delay any amount of care. And you two, and your teams, are really good at helping people through that situation. Dr. Murgus specialty extends to a wide range of central airway disorders, including tracheal stenosis, tracheobronchomalacia, excessive dynamic airway collapse and airway obstruction from cancer. And you know, COVID makes it harder for patients to see doctors. Some of them are just re-evaluating the CAT scan you have. I can meet with you virtually. Or you're going to go to radiation or whatever. Can you kind of talk to us a little bit about that, and walk us through that? And then they wait to be brought to the pre-procedural area. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. So I mean, we do have a regular process of lung cancer screening. Karen says, your pulmonary department is the best. We're in very separate areas. Or is this something that happens and you just need to get it checked out? Because it's interesting how you do them in the lung. I'm new here to the University of Chicago, and very thankful to be here. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And it also has a lot of great COVID information. About. 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. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . We could get you a plaque or something. 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 . If you're concerned about cancer and there's an intermediate pre-test probability, based on a calculated evaluation, then we can potentially offer a blood test or something else that may potentially reduce the risk. And so now you're going to go to the surgeon to be cured. And we will kind of shepherd the patient along the way. And you know, it is extremely valuable. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Can you kind of talk to us a little bit about that, and walk us through that? And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. I apologize. It could be cancer. I don't know who wants to take that one. And our complication rate is the lowest amongst the three. Now, a question. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. They come into the sky lobby here at UChicago. It's a wonderful website. We just talked a moment ago, and you're pretty new here. And you don't want to. So-- go ahead, Dr. Hogarth, did you have something you wanted in? The immediate reaction is you're probably frightened. Because initially when you're faced with something like that, everything kind of just goes over your head. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . We evaluate whether or not it's a target that we can reach. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. And smoking is certainly a problem, a historical problem that we're working to deal with every day. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . So-- Our doctors will actually even join us from the places where they're doing the work. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. It's got to be terrible. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? This isn't that twilight. Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. A lung mass can be a frightening discovery. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. And there we perform our procedures. You know, you mentioned that being covered by insurance. 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. So this is an actual question. You know, you said at the very beginning, I have a nodule, should I panic? Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. And that would be annually until they kind of exit out after that 15 years. 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. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . So follow-up scans could also be low dose as well. 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. And I think that's the first key step. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Or you're going to go to radiation or whatever. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. 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. I'm actually in the endoscopy suites. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. A lung mass can be a frightening discovery. If you think about it, the lung is mostly air. 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. As faculty members of the University of Cincinnati [] And we're also going to just keep radiating you. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. Obviously, if things change, then that's a discussion towards biopsy. Like, I'm not worried about spreading disease. Thanks again for being with us today. Yes, sir. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. I recently completed an interventional pulmonary fellowship, which brought me here. Get an online second opinion from one of our experts without having to leave your home. 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. 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. But in reality, if you're a patient, there's only two things. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. So I'm going to have you answer the question, but also kind of explain what she's asking here. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. So we go through your mouth. What Dr. Wagh and I do is a procedure called bronchoscopy. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Advanced technology and minimally invasive options are available. But there's many other tests. And sign a few papers. Go ahead, Ajay. Maybe Dr. Hogarth, you can start. 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. And that's a very important part for a cancer evaluation. 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.