Dr. Hogarth, do you want to start on that one? And the city of Chicago is a great place and a lot of fun. Future Oncol. And these procedures all have their own benefits, but also their own complications. Phone: (773) 702-1856 I mean, we do have telemedicine options. And that's sort of when we take a look at the CAT scan very closely. . And every patient is different. 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. You know, we go, oh, it's a 20% chance. And it's something solid. Bronchoscopic procedures are also offered to manage patients with asthma, emphysema, massive hemoptysis, foreign body aspiration, mediastinal disorders, post lung transplant complications, interstitial and infectious lung disorders. Well, my name is Ajay Wagh. Interventional Pulmonary; Hospitals. But we do have avenues to help with that. And teasing out what's what is what Ajay and I do. And prior to that, I was a private practice pulmonary critical care doctor for six years. 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. We have a great team here, and I'm excited to be part of it. [MUSIC PLAYING] All rights reserved. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. So we need to get going and do something about it. UChicago Faculty Physicians 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. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. Can you talk to us a little bit about what the patient experiences in this procedure? We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. Some of them are blood based tests. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . And without a doubt, the possibility of cancer is what scares everybody. 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. For more information about the Interventional Pulmonology Center or to request a referral . So there's no cutting. But can you kind of walk us through what people can expect before, during, and after one of these procedures. And that could be in person. Chronic cough. Sleep clinic patients are seen here during the day . You know, and I want to talk a little bit more about biopsies here in just a minute. 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. 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. So I mean, we do have a regular process of lung cancer screening. I'm not happy that I have to tell you it's cancer. But we're also going to work with you. River East Location . It sounds like you're in a busy, busy place. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . It sounds like you're in a busy, busy place. [MUSIC PLAYING]. The responses are used to improve patient experience and recognize staff members for the care they provide. There's large databases that have been built off of the experience of radiology to be able to essentially plug-in and give a number. Yeah, sure. Schedule your appointment online for primary care and many specialties. Advanced technology and minimally invasive options are available. And then they come to our lab. So Dr. Wagh and I have our partner, Dr. Mergue. 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. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. We want to remind people, very important, do not forego medical care during COVID. Quick Apply. And the city of Chicago is a great place and a lot of fun. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. And then second step is find the right people to help take care of you. This type of training is beyond what is typically available in a standard . I am a Professor of Medicine here. We want to minimize radiation. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections So when we're done, you go home. So typically we'll have a clinic evaluation. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. Well, if you have a cancer, the next question is, what stage is it? Because why would I put you-- why would I cure you of something that's never going to harm you? And these procedures all have their own benefits, but also their own complications. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Hogarth DK. You are comfortable. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Program Overview. I love math and science, and I love to problem solve, so I started out in engineering. You can't eat after midnight. Dr. Hogarth kind of briefly said something about the blood tests. We don't even have any camera people in here. 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. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. That's coming up right now on At The Forefront Live. 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. For help with MyChart, call us at 1-844-442-4278. And you don't want to. So ground glass nodules are a different biology. Just type them in the comments section. And so think of it like a sponge. There's a surgeon, who's going to go in and cut part of it out. Or is this something that happens and you just need to get it checked out? Well, that's nice. Obviously, if things change, then that's a discussion towards biopsy. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. And it's important here. That's right. And Dr. Wagh, maybe you can take this next one. No, don't panic. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. Yes, sir. We'll try to get to as many as we can over the next half hour. And so that becomes one procedure, as opposed to multiple procedures. You will get seen three to four weeks from now. You can't eat after midnight. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And we're also going to just keep radiating you. It offers a comprehensive program of quality patient care, research and education. Absolutely, yeah. But to delay any amount of care. 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. All rights reserved. There's all kinds of different tests. So I'm going to have you answer the question, but also kind of explain what she's asking here. That's good to know. The probability, if it's low enough, we don't want to do invasive things to you. Full-Time. We have a great team here, and I'm excited to be part of it. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. 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. They're still cutting in you. So we do want to remind our viewers, we'll take your questions for our experts. And Dr. Hogarth, I want to start with you. 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. Yeah, there's several possibilities in that regard to evaluate these. We can talk about imaging modalities. Can you kind of talk to us a little bit about that, and walk us through that? The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. Panicking, obviously, is never helpful. We just talked a moment ago, and you're pretty new here. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. And the patient goes afterwards to a post-procedural area, where they recover. And I hope you have a great week. University of Chicago, Interventional Pulmonology; Board Certifications. So there's no cutting. That's why we do it. And Dr. Hogarth, I want to start with you. And then based on that discussion, we would set a patient up for a procedure. In other cases, they are actually a cancer. So I'm going to have you answer the question, but also kind of explain what she's asking 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. Your lungs are going to be ultimately attached to your mouth. And let's go through your CAT scan and let's have this discussion about what our next step is. So typically we'll have a clinic evaluation. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. It should be a CAT scan if you are eligible. The hospital is safe, the hospital is clean. Thanks again for being with us today. Interesting. 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. Because it's a difficult time in people's lives when they have something like this done. 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. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. We evaluate whether or not it's a target that we can reach. So I want to get back to biopsies for just a moment. And I think that's the first key step. Our list of accepted insurance providers is subject to change at any time. It was pretty fascinating to see what you could do inside of a person's lung with a very, very minor, very minor invasive procedure. Oh, less than 5%, OK, let's slow down a little bit. Ultimately, I just want to help people feel better and breathe better. So that's nice. 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 Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? That ground glass, if it gets larger or denser, then it's changing. 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. Emphysema and advanced emphysema. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. 13 in the nation for Pulmonary and Lung Surgery. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. All kinds of fantastic information there. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . For help with MyChart, call us at 1-844-442-4278. Like, I'm not worried about spreading disease. Well, I think that there's several possibilities. And as Dr. Wagh just said, we are able to do video visits and televisits. Thoracic Imaging. 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 we're, of course, happy and eager to help. You know, you mentioned that being covered by insurance. Just to echo what Dr. Wagh said. Where it's basically put right through your chest into the lung nodule done through the radiology department. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. A star rating is not given if a provider only has a small number of survey responses. 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. It should be a CAT scan if you are eligible. We have been providing exceptional and compassionate . Interventional Pulmonology. And so think of it like a sponge. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . And I hope you have a great week. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Our doctors will actually even join us from the places where they're doing the work. Getting an expert opinion about what could this nodule actually be. And it is, would my annual low dose CT lung cancer screening show nodules? And Dr. Hogarth mentioned blood tests even, a few moments ago. But you come in, we have a pre-procedural area where the patients get kind of their IV. Some of the blood tests we have, have the ability to change that number. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. 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 can you kind of walk us through what people can expect before, during, and after one of these procedures. Our interventional pulmonologists and their teams can diagnose and treat many types of lung disease, such as: Airway conditions, including airway fistulas and airway stenosis (narrowing) Asthma. You need to raise a fit. You shared really some good information with our audience. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. 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. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Absolutely, yeah. See, this just shows how important it is that we do these programs here. 840 S. Wood Street MC719 Chicago, IL 60612. We're going to give you some strong recommendations. Meaning, it's technically a cancer, but it's never going to necessarily bother you. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. Referring . Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Getting an expert opinion about what could this nodule actually be. And that's kind of comforting, I think, for most patients. As faculty members of the University of Cincinnati [] So look, there's three ways to sample inside the lung. 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 . Communicate with your doctor, view test results, schedule appointments and more. And I don't know. Physician Recruitment McHenry, IL. So this is an actual question. Occupational lung disease. See, this just shows how important it is that we do these programs here. 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.
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