And between the four of us, we're all in clinic at any given moment. James Katsis, MD - Rush University Medical Center If you think about it, the lung is mostly air. And the national standard is roughly five weeks. And we have a series of other tests we can do. And we get the tissue that we need. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. So that's nice. Like, I'm not worried about spreading disease. Meet the Doctor. We don't want that to happen. Rush University Medical Center in Chicago, IL is ranked No. Can you kind of talk to us a little bit about that, and walk us through that? First, do no harm. 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. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. Thoracic Imaging | Department of Radiology | The University of Chicago 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Communication is important with the patients. Thoracic Imaging. For more information about the Interventional Pulmonology Center or to request a referral . We'll get you a speech card. I don't know who wants to take that one. 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 . And good nutrition and exercise is important, and we can help you get on the right track. Interesting. Website. So if we think you're at early stage cancer, that's great. Some of them are just re-evaluating the CAT scan you have. So there's no cutting. Schedule your appointment online for primary care and many specialties. The immediate reaction is you're probably frightened. 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. Communicate with your doctor, view test results, schedule appointments and more. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. of Colorado Health Sciences Ctr. I mean, I think we are living in a strange time. Interventional Pulmonology. But to delay any amount of care. 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. And this is a little bit inside baseball. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? And I think we like to take things one step at a time. 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. Because it's interesting how you do them in the lung. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. They come into the sky lobby here at UChicago. And our complication rate is the lowest amongst the three. And that's very important. You know what, I always tell people is there is a long list of things that the nodule could be. 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. Well, I think that there's several possibilities. So I want to get back to biopsies for just a moment. Oh, less than 5%, OK, let's slow down a little bit. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. But we're also going to work with you. So you're going to get way more bang for your buck literally as a scan by coming here. 2023 The University of Chicago Medical Center. Yeah, and I want to tell people-- this is a very, very safe place. A lung mass can be a frightening discovery. Patient survey responses are also used to make star ratings for each provider. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. We're giving you the least amount of radiation, even for what's called a diagnostic scan. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. But can you kind of walk us through what people can expect before, during, and after one of these procedures. And I have been working at the University of Chicago since 1998. Salary and Benefits. . Occupational lung disease. 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 . Advanced technology and minimally invasive options are available. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? It's OK. Like, I'm not worried about spreading disease. 11234 Anderson St, Loma Linda, CA 92354. . And Dr. Hogarth mentioned blood tests even, a few moments ago. Amit, I hope I'm pronouncing this correctly. So we'll wake you up. That's why we do it. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. . And teasing out what's what is what Ajay and I do. 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 . 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. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . Can you kind of walk us through that? Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. We're going to get to a little bit more detail of that one here in just a moment. Can you talk to us a little bit about what the patient experiences in this procedure? What you're never going to hear from us is to say, now there's nothing to do, leave. That ground glass, if it gets larger or denser, then it's changing. 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 then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. 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. I'm in the studio all by myself, as you can see here. Or you're going to go to radiation or whatever. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. And then second step is find the right people to help take care of you. Our list of accepted insurance providers is subject to change at any time. 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. Just type them in the comments section. But we also want to explain to you what we're going to do to actively follow you. And every patient is different. And I was fortunate enough, I think, gosh, it's been over a year ago. About the Program 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) 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. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. But also don't ignore it, and don't delay it. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. It's either cancer or everything else. Program Director. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. 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. I'm not happy that I have to tell you it's cancer. We're open for business. I'm new here to the University of Chicago, and very thankful to be here. 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 No, don't panic. I mean, we do have telemedicine options. For help with MyChart, call us at 1-844-442-4278. This type of training is beyond what is typically available in a standard . It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . I mean, it's really amazing. You know, we go, oh, it's a 20% chance. And that's a very important part for a cancer evaluation. When you or a loved one has a lung disease, you want to see the best lung doctors available. So Dr. Wagh, you touched on this a little bit before. Patient survey responses are also used to make star ratings for each provider. Well, my name is Ajay Wagh. We want to find patients who have a history of smoking, quit within the past 15 years. 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. 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. 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. Or it could be a telemedicine visit. Because we will always see you. Hogarth DK. And I have been working at the University of Chicago since 1998. And we're very serious about that. Conditions & Services; Show more Show less Advanced technology and minimally invasive options are available. 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? Because why would I put you-- why would I cure you of something that's never going to harm you? We do have one that I want to get to. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. Medicine Fellowship Programs - Rosalind Franklin University I can meet with you virtually. But there's many things it could be. And we have a high success rate to get you an answer. And these procedures all have their own benefits, but also their own complications. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. We're not going to just say, you must do this. Get an online second opinion from one of our experts without having to leave your home. Amit, I hope I'm pronouncing this correctly. And usually we discuss medications, if the patient is on a blood thinner. And let's go through your CAT scan and let's have this discussion about what our next step is. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. Pulmonary and Critical Care Fellows His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. And how minimal it actually is? No, don't panic. What Dr. Wagh and I do is a procedure called bronchoscopy. Compare hospital ratings for pulmonology and lung surgery. 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. And then they come to our lab. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. And then we go in with our scopes. Interventional Pulmonology | Pulmonary & Critical Care Medicine You will still be the same stage. For help with MyChart, call us at 1-844-442-4278. 11 millimeters is rather small. 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. Interventional Pulmonology - Barnes-Jewish Hospital Because we will always see you. Right? See, this just shows how important it is that we do these programs here. Because it has everything to do with the quality of the machine for the radiation that goes through. But can you kind of walk us through what people can expect before, during, and after one of these procedures. We just talked a moment ago, and you're pretty new here. But also cat scanning. The fear always is that cancers are going to grow. Sleep Medicine. We're going to get to a little bit more detail of that one here in just a moment. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. I'm actually in the endoscopy suites. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. Well, gentlemen, we're out of time. There's a surgeon, who's going to go in and cut part of it out. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Some of them are blood based tests. I'm an interventional pulmonologist here at the University of Chicago. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. You know, you said at the very beginning, I have a nodule, should I panic? Ashish P. Maskey, MD | UK Healthcare But in reality, if you're a patient, there's only two things. Interventional Pulmonology. Current Fellows in the Pulmonary and Critical Care Fellowship Phone: (773) 702-9660, Mailing Address: It's usually about a half day's worth of time. And they hear, oh my gosh, I've got a nodule. Dr. Hogarth kind of briefly said something about the blood tests. So I have two from viewers that I have to pass along. The University of Chicago Fellowship Coordinator Job in Chicago, IL Meaning, it's technically a cancer, but it's never going to necessarily bother you. You are comfortable. Even the show that we're doing right now, you two are remote. Training Programs - University of Chicago - Department of Medicine I apologize. That ground glass, if it gets larger or denser, then it's changing. It should be a CAT scan if you are eligible. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. So first is just a discussion with you of what is the probability that this could be a malignancy for you. I recently completed an interventional pulmonary fellowship, which brought me here. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Yes, sir. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Well, if you have a cancer, the next question is, what stage is it? Is following a nodule ground glass opacity with yearly CT standard? Pulmonary & Critical Care Medicine - Loyola University Chicago By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. And I was fortunate enough, I think, gosh, it's been over a year ago. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. And you know, it is extremely valuable. Nicole Greenlee. 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. Is following a nodule ground glass opacity with yearly CT standard? However, not everyone who receives an abnormal CT scan should be rushed into surgery. And either one of you can do that. 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 we do it through your mouth. Pulmonary Medicine | UC Health 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. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Interventional Pulmonary. So I mean, we do have a regular process of lung cancer screening. Hogarth was the first doctor in the Midwest to use the Monarch by Auris a robotic bronchoscopy navigation system with 3-D imaging technology built into a robotic scope that allows him to reach deeper into . That's another thing that you probably want to caution people about. Is that-- should you be frightened? 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. Conditions & Services; Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . . That's always the question people want to know. So-- [MUSIC PLAYING]. But to delay any amount of care. 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. Communicate with your doctor, view test results, schedule appointments and more. You know, it's not just like, yeah, you do this. No, it's a great question. Chicago, IL 60637, Referring Physician Access Line: You want to be calm and cool. We just talked a moment ago, and you're pretty new here. Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) That's coming up right now on At The Forefront Live. Yeah. And you don't want to. Curriculum | Chicago Medicine That's why I'm not moving a lot, not that I move a lot anyway. River East Location . And the individual tumor biology is changing. And I don't know. Along with his strides with bLVR, Dr. Hogarth was the first physician in Illinois to perform bronchial thermoplasty, a FDA-approved technique to treat severe asthma. You will get seen three to four weeks from now. Obviously, if things change, then that's a discussion towards biopsy. This isn't that twilight. And how urgently must patients act? And without a doubt, the possibility of cancer is what scares everybody. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. You need to raise a fit. So talk to us a little bit more about the lymph nodes. That's why we do it. If we keep scanning you, we're never going to see change. All kinds of fantastic information there. Pulmonary & Critical Care Medicine. And Dr. Hogarth, I want to start with you. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. 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. Lung Diseases (Pulmonology) - UChicago Medicine So Dr. Wagh and I have our partner, Dr. Mergue. Current Fellows - University of Chicago - Department of Medicine Interventional Pulmonary We are extremely cautious about everything here. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. So Dr. Wagh, you touched on this a little bit before. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. Go ahead, Ajay. Why aren't we just following the pathway down? Chicago, IL 60637 Sure. These are not questions. 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 The responses are used to improve patient experience and recognize staff members for the care they provide. Fellows | Chicago Medicine Patients will typically have primary or metastatic tumors of the chest, mediastinum or . October 29, 2020 . 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. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And then at that point, we would bring the patient back to the our laboratory. 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 we have a high success rate to get you an answer. We're giving you the least amount of radiation, even for what's called a diagnostic scan. And that is how biopsies work. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. University of Wisconsin Interventional Pulmonology Fellowship It sounds like you're in a busy, busy place. We have a great team here, and I'm excited to be part of it. Sleep clinic patients are seen here during the day . [MUSIC PLAYING] Lung Health Program | UI Health - University of Illinois Hospital Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. This isn't that twilight. In some cases, they are a precancerous lesion. And I don't know. And we have a series of other tests we can do. 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. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. So Dr. Wagh, it was interesting because this is almost like a video game. But of course, there's an 80% chance it's not cancer. 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. Interventional Pulmonary; Hospitals. The responses are used to improve patient experience and recognize staff members for the care they provide. Phone: (773) 702-9660. protected veterans, and individuals with disabilities.