Advanced technology and minimally invasive options are available. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. No, it's a great question. So I think first step is don't panic. I'm an interventional pulmonologist here at the University of Chicago. First, do no harm. 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? Chicago Chest Center - 2015. 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). Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn Northwestern Memorial Hospital; Univ. I love taking care of people, and I love to see them breathe better and feel better. I mean, I think we are living in a strange time. I don't know who wants to take that one. Current Fellows in the Pulmonary and Critical Care Fellowship And you want to have something reliable in what to do next. And the patient goes afterwards to a post-procedural area, where they recover. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. And between the four of us, we're all in clinic at any given moment. And Dr. Hogarth mentioned blood tests even, a few moments ago. And sign a few papers. Panicking, obviously, is never helpful. And so the lymph nodes are where cancer would spread to first. Because why would I put you-- why would I cure you of something that's never going to harm you? That's another thing that you probably want to caution people about. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. $83k-$346k Interventional Pulmonology Jobs (NOW HIRING) - ZipRecruiter And the patient goes afterwards to a post-procedural area, where they recover. Report Job. Get an online second opinion from one of our experts without having to leave your home. But many times, you might notice something on an x-ray that's not part of the screening pathway. So if we think you're at early stage cancer, that's great. Interesting. 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. And Dr. Hogarth, we'll start with you. And this is important. Interventional Radiology Technologist, Days Job in Chicago, IL at The Media. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. And good nutrition and exercise is important, and we can help you get on the right track. University of Chicago hiring Fellowship Coordinator in Chicago And that's a very important part for a cancer evaluation. And as always, we'll take your questions during our 30 minute program. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Dr. Hogarth, do you want to start on that one? We're in very separate areas. All rights reserved. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. Now, a question. You will not know we're doing this to you. And then second step is find the right people to help take care of you. 20 on the Best Hospitals Honor Roll. Ultimately, I just want to help people feel better and breathe better. That's a great question. What are some of the options to evaluate lung nodules and lung masses? What happens? . So appreciate that. 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. No, it will show the nodules. We're in very separate areas. And how urgently must patients act? Even the show that we're doing right now, you two are remote. The ranking is a reflection of the leading-edge lung and . Yes, so a patient typically comes in basically just for a few hours during the day. We'll try to get to as many as we can over the next half hour. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. And you can speak with your physician about that. Conditions & Services; Where it's basically put right through your chest into the lung nodule done through the radiology department. Learn more about clinical trials and find a trial that might be right for you. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. We want to remind people, very important, do not forego medical care during COVID. Interesting. It's a wonderful, wonderful place. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Well, my name is Ajay Wagh. A star rating is not given if a provider only has a small number of survey responses. But we do have avenues to help with that. 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 I mean, we do have a regular process of lung cancer screening. This is from Therese. It sounds like you're in a busy, busy place. And there we perform our procedures. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And one that has a very low invasive potential. Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. And if someone ever by mistake says to you, yeah, they can see you in three months. Schedule your appointment online for primary care and many specialties. You need to raise a fit. But also don't ignore it, and don't delay it. And Janet wants to know how invasive is a lung biopsy? Chicago Chest Center/ The University of Illinois Chicago. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Some of them are just re-evaluating the CAT scan you have. And every patient is different. And we also try to figure out, is it a lesion that requires biopsy? I remember when Dr. Hogarth showed this to me. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Interventional Pulmonary; Hospitals. 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. We are extremely cautious about everything here. Pulmonary & Critical Care Medicine. 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. 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 if you need an appointment, give us a call at 888-824-0200. Faculty | OHSU And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. And we can help you do that, too. Patient survey responses are also used to make star ratings for each provider. That's good to know. We're open for business. And I don't know. That ground glass, if it gets larger or denser, then it's changing. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. We want to find patients who have a history of smoking, quit within the past 15 years. In other cases, they are actually a cancer. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . So you're going to get way more bang for your buck literally as a scan by coming here. Interventional Pulmonology - Hoag The hospital is safe, the hospital is clean. And then they wait to be brought to the pre-procedural area. Northwestern Medicine Canning Thoracic Institute We get thousands of survey responses each year. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. [LAUGHTER] Well, gentlemen, we're out of time. You are comfortable. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. About the Program Interventional Pulmonology Service - Washington University in St. Louis And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. I don't know who wants to take that one. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. Consultations and second opinions are also available on request for patients that have . 2023 The University of Chicago Medical Center. Pulmonary & Critical Care Fellowship | GME | Loyola Medicine Hogarth DK. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Interventional Pulmonology. The responses are used to improve patient experience and recognize staff members for the care they provide. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Karen says, your pulmonary department is the best. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. University of Chicago, Interventional Pulmonology; Board Certifications. You will not know we're doing this to you. And teasing out what's what is what Ajay and I do. And then they just go home. Yes, sir. Currently, there are six board certified Interventional Pulmonologists and a wide range of . I recently completed an interventional pulmonary fellowship, which brought me here. 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. Conditions & Services; We look at the airways and other parts of our computer modeling to see if that's something that we can get to. 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. I am a Professor of Medicine here. And we will kind of shepherd the patient along the way. Our 5-year integrated IR/DR training program consists of a subspecialty track system with 4-week-long rotations in the following sections: Abdominal computed tomography. Now, a question. So if the risk of cancer is low, but the risk of a complication is the same, I don't want to harm you, right? And I hope you have a great week. And the individual tumor biology is changing. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Is that-- should you be frightened? Curriculum | Chicago Medicine Well, if you have a cancer, the next question is, what stage is it? But of course, there's biopsies. What are some of the options to evaluate lung nodules and lung masses? Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. So ground glass nodules are a different biology. So talk to us a little bit more about the lymph nodes. And so Dr. Hogarth, we have another question from a viewer. And these procedures all have their own benefits, but also their own complications. And either one of you can do that. Chicago, IL 60637 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. 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. . A star rating is not given if a provider only has a small number of survey responses. 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? And of course, you came here at kind of an odd time, during a pandemic. And hopefully, go home if nothing happens. Lung Health Program | UI Health - University of Illinois Hospital Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. All kinds of fantastic information there. Absolutely. So ground glass nodules are a different biology. It's a wonderful website. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. Program Overview. But you come in, we have a pre-procedural area where the patients get kind of their IV. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. And that would be annually until they kind of exit out after that 15 years. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? So we want to-- I mean, we want to do this for everybody. And hopefully, go home if nothing happens. I mean, I think we are living in a strange time. 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. There's a surgeon, who's going to go in and cut part of it out. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. Communicate with your doctor, view test results, schedule appointments and more. First, do no harm. And so now you're going to go to the surgeon to be cured. And the individual tumor biology is changing. A star rating is not given if a provider only has a small number of survey responses. But a doctor may see something on a chest x-ray. And they'll double check everything. [LAUGHTER] I follow the philosophy of following the three A's-- affable, available, and able. That's why we do it. If we keep scanning you, we're never going to see change. Our list of accepted insurance providers is subject to change at any time. So when we're done, you go home. But there's many other tests. Dr. Wagh, let's hear a little bit about you. Phone: 410-502-2533. [MUSIC PLAYING] And it's very professionally satisfying. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. You know, it's not just like, yeah, you do this. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. For help with MyChart, call us at 1-844-442-4278. 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. 3 University of Rochester Medical Center, Rochester New York. But we can. Patients have both benign and malignant non-cardiac diseases of the chest. You don't have to go get another procedure that's going to take time to then figure out what stage you are. 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. 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. Septimiu Murgu, MD - UChicago Medicine So if you have an x-ray or a CAT scan, there is a chance that the word module or mass is going to show up in the report. Patient survey responses are also used to make star ratings for each provider. And we're, of course, happy and eager to help. I'm not happy that I have to tell you it's cancer. And thank you to our viewers for your great questions. And so those are our mainstays of imaging. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. There's nobody else here. So we'll wake you up. And I have been working at the University of Chicago since 1998. Because an abnormal CT scan is terrifying. That's another thing that you probably want to caution people about. 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. Oh, less than 5%, OK, let's slow down a little bit. You shared really some good information with our audience. Or should we offer something else? But many times, you might notice something on an x-ray that's not part of the screening pathway. That's going to be number one on the list. Loma Linda University Children's Hospital. 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. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. In some cases, they are a precancerous lesion. Referring Physician Access Line: . Physician Recruitment McHenry, IL. 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. Because I know this is a very complex situation. I'm new here to the University of Chicago, and very thankful to be here. Now, these are complicated discussions. We evaluate whether or not it's a target that we can reach. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. Show more Show less I love math and science, and I love to problem solve, so I started out in engineering. 1:25 . Our commitment is to outstanding clinical care, to mentoring and . That's why I'm not moving a lot, not that I move a lot anyway. We do have one that I want to get to. That's a great question. And that's kind of comforting, I think, for most patients. Because why would I put you-- why would I cure you of something that's never going to harm you? Meet the Doctor. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. [MUSIC PLAYING] My name is Ajay Wagh. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. What exactly goes on there, and why is that so critical? We're going to do our work. 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. So typically we'll have a clinic evaluation. Fellows | Chicago Medicine And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. And you two, and your teams, are really good at helping people through that situation. 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. 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. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. They come into the sky lobby here at UChicago. The immediate reaction is you're probably frightened. And we have a series of other tests we can do. Website. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Our world-renowned physicians are known for their superior expertise in pulmonary diseases and critical care medicine and many have been recognized by Best Doctors in America and Top Doctors in Cincinnati. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . Just type them in the comments section. You will still be the same stage. You can't eat after midnight. Yes, sir. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Pulmonary Medicine | UC Health