So-- go ahead, Dr. Hogarth, did you have something you wanted in? 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: . But we can. And either one of you can jump on this one. But also cat scanning. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. The Emory Sleep Medicine . And it's very professionally satisfying. So we do want to remind our viewers, we'll take your questions for our experts. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. This is from Therese. And how minimal it actually is? Dr. Hogarth kind of briefly said something about the blood tests. And that could be in person. St. Peters Health Partners Medical Associates, P.C. And this is a little bit inside baseball. [MUSIC PLAYING]. With Dr. Murgus extensive knowledge of airflow dynamics, nomenclature and classification systems of tracheal stenosis, tracheobronchomalacia (the weakening of the trachea and bronchi) and excessive dynamic airway collapse, he has the experience, knowledge and skill to deliver long-term success for his patients. 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? Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. 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. 840 S. Wood Street MC719 Chicago, IL 60612. So I'm excited to be here in the city, and part of this program. And how urgently must patients act? We'll get you a speech card. And every patient is different. And our complication rate is the lowest amongst the three. Within the Department of Medicine, the Division of Pulmonary and Critical Care Medicine provides services at Loyola University Medical Center, Edward Hines, Jr. VA Hospital and RML Specialty Hospital. Yeah, and I want to tell people-- this is a very, very safe place. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. As faculty members of the University of Cincinnati [] Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . We have a great team here, and I'm excited to be part of it. So that's nice. That's good to know. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Go ahead, Ajay. [LAUGHTER] Maybe Dr. Hogarth, you can start. And that's sort of when we take a look at the CAT scan very closely. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . And then we go in with our scopes. So look, there's three ways to sample inside the lung. You know, and I want to talk a little bit more about biopsies here in just a minute. And good nutrition and exercise is important, and we can help you get on the right track. 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. You will get seen within a week every time here. [MUSIC PLAYING] 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. Interesting. And you know, COVID makes it harder for patients to see doctors. And our complication rate is the lowest amongst the three. 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. Advanced technology and minimally invasive options are available. I'm actually in the endoscopy suites. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . But also cat scanning. Communicate with your doctor, view test results, schedule appointments and more. And it's important here. I apologize. 2023 The University of Chicago Medical Center. 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. I mean, I think we are living in a strange time. And that would be another area, I would imagine. Because an abnormal CT scan is terrifying. But we're very careful about that. We are taking questions from viewers. Program Coordinator. This isn't that twilight. And remember, you can schedule your video visit by also going to the website. 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. When we-- and I'll also say it depends. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Schedule your appointment online for primary care and many specialties. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. I love taking care of people, and I love to see them breathe better and feel better. Learn more about clinical trials and find a trial that might be right for you. The responses are used to improve patient experience and recognize staff members for the care they provide. We get thousands of survey responses each year. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. We can talk about imaging modalities. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . But also don't ignore it, and don't delay it. And there are potential treatments to help patients quit smoking as well. of Colorado Health Sciences Ctr. But Dr. Wagh, can you talk to us a little bit about just-- I think as Dr. Hogarth just mentioned, if somebody comes in and sees a physician. Now, a question. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. [MUSIC PLAYING]. 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. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Conditions & Services; I work here, I go home, I kiss my children. Sunit Singla, MD. And that's a very important part for a cancer evaluation. The Section of Pulmonary and Critical Care Medicine has been a model of exemplary patient care, research, and post-doctoral training for more than 20 years. We're going to get to a little bit more detail of that one here in just a moment. And either one of you can do that. Really, really good questions today. And we have a series of other tests we can do. But can you kind of walk us through what people can expect before, during, and after one of these procedures. I'm in the studio all by myself, as you can see here. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. These are not questions. And that is how biopsies work. You shared really some good information with our audience. Karen says, your pulmonary department is the best. You will get seen three to four weeks from now. We can talk about imaging modalities. Quick Apply. UChicago Faculty Physicians 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. Really, really good questions today. 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. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Future Oncol. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . You are comfortable. And you say, well, wait. And I think that's the first key step. And so now you're going to go to the surgeon to be cured. That's another thing that you probably want to caution people about. We want to find patients who have a history of smoking, quit within the past 15 years. Yeah, there's several possibilities in that regard to evaluate these. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. We're open for business. A star rating is not given if a provider only has a small number of survey responses. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. I am a Professor of Medicine here. UChicago Faculty Physicians Yes, so a patient typically comes in basically just for a few hours during the day. And you know, those patients typically are eligible for low dose lung cancer screening. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. protected veterans, and individuals with disabilities. It's either cancer or everything else. A star rating is not given if a provider only has a small number of survey responses. The responses are used to improve patient experience and recognize staff members for the care they provide. I mean, I think we are living in a strange time. I'm actually in the endoscopy suites. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Now, a question. Well, it certainly can. But we're very careful about that. Interventional Pulmonology. It's either cancer or everything else. But you come in, we have a pre-procedural area where the patients get kind of their IV. You know, you said at the very beginning, I have a nodule, should I panic? If you think about it, the lung is mostly air. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. That's a great question. 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 . Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. That's right. In some cases, they are a precancerous lesion. You know, you mentioned that being covered by insurance. Make sure everything looks right, that it would be safe to proceed. That's right. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. Getting an expert opinion about what could this nodule actually be. We want to find patients who have a history of smoking, quit within the past 15 years. 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. 11 millimeters is rather small. You need to raise a fit. You need to raise a fit. 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 And you don't want to. There's all kinds of different tests. So I always have to do this. 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. We want to remind people, very important, do not forego medical care during COVID. And either one of you can jump on this one. 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 . Yes, sir. There's also what's called a needle biopsy. So we'll wake you up. And that's very important. Absolutely. And so think of it like a sponge. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Our list of accepted insurance providers is subject to change at any time. 5841 South Maryland Ave., MC 6076 I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. I'm in the studio all by myself, as you can see here. And that's kind of comforting, I think, for most patients. Because it's a difficult time in people's lives when they have something like this done. Now, these are complicated discussions. Yes, sir. With this new curriculum, physicians learn by using simulation technology, interactive step-by-step instructions and problem-based teaching which create an engaging and authentic learning environment. So I think first step is don't panic. So that you get an answer as to what this nodule actually is. So that's nice. Interesting. And this is important. Northwestern Memorial Hospital; Univ. And how minimal it actually is? 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 you want to have something reliable in what to do next. Sure. And it also has a lot of great COVID information. They're still cutting in you. So you're going to get way more bang for your buck literally as a scan by coming here. And I hope you have a great week. And let's go through your CAT scan and let's have this discussion about what our next step is. Your lungs are going to be ultimately attached to your mouth. That ground glass, if it gets larger or denser, then it's changing. Well, my name is Ajay Wagh. So we want to-- I mean, we want to do this for everybody. It's a wonderful website. 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. Only clean air in the lungs, please. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care 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. Go ahead, Ajay. 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. You will get seen three to four weeks from now. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Interventional Pulmonology. Yeah. But there's many things it could be. You don't have to go get another procedure that's going to take time to then figure out what stage you are. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. We're going to give you some strong recommendations. Dr. 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 the lung than ever before to detect and/or biopsy nodules and masses. 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. 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. And Dr. Hogarth mentioned blood tests even, a few moments ago. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Because an abnormal CT scan is terrifying. The probability, if it's low enough, we don't want to do invasive things to you. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . Chicago, IL 60637, Referring Physician Access Line: . First, do no harm. Well, I think that there's several possibilities. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Phone: (773) 702-9660. So first is just a discussion with you of what is the probability that this could be a malignancy for you. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. Chicago Chest Center/ The University of Illinois Chicago. And that would be another area, I would imagine. But I love these. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Absolutely, yeah. And the individual tumor biology is changing. So we need to get going and do something about it. 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. And you can speak with your physician about that. 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. Thanks again for being with us today. And then second step is find the right people to help take care of you. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. So my name is Kyle Hogarth. So appreciate that. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . No, for sure. And at that point, they'll meet the anesthesiologist, the nursing staff. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. This is from Therese. Fax: (773) 702-6500, Outpatient Practice: And then afterwards, once we settle on a date, the patient comes in. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. We are proud to have an interventional pulmonary laboratory with full-time dedicated . You will not know we're doing this to you. So we want to-- I mean, we want to do this for everybody. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. But also don't ignore it, and don't delay it. . We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. I mean, we do have telemedicine options. Yeah, sure. Randomly selected patients are sent patient satisfaction surveys after their visits. Well, we're very happy to have you. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Learn more about clinical trials and find a trial that might be right for you. But we're also going to work with you. Our doctors will actually even join us from the places where they're doing the work. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. And the patient goes afterwards to a post-procedural area, where they recover. Associate Professor of Medicine, Co-director of Bronchoscopy. We want to minimize radiation. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . And you can speak with your physician about that. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And we have a high success rate to get you an answer. And one that has a very low invasive potential. We also have literally the world's greatest nurse practitioner, Kimberly. So Dr. Wagh and I have our partner, Dr. Mergue. Because we will always see you. We'll get you a speech card. Open for more information. If you think about it, the lung is mostly air. I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. 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 talk to us a little bit more about the lymph nodes. It's a wonderful website. 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. 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). So Dr. Wagh, it was interesting because this is almost like a video game. Yeah, and I want to tell people-- this is a very, very safe place. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . We're still operating. 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) Schedule your appointment online for primary care and many specialties. This isn't that twilight. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. You will still be the same stage. So Dr. Wagh, it was interesting because this is almost like a video game. 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. Phone: (773) 702-1856 We're open for business. Some of them are blood based tests. 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 between the four of us, we're all in clinic at any given moment. So a little bit of a fan club going here, but that's awesome. You want to be calm and cool. And as Dr. Wagh just said, we are able to do video visits and televisits. You know what, I always tell people is there is a long list of things that the nodule could be. And usually we discuss medications, if the patient is on a blood thinner. 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. University Pulmonary and Critical Care (UPCC) physicians and nurse practitioners specialize in the diagnosis and treatment of inpatient critical care patients who are typically hospitalized as well as diagnosis and treatment of pulmonary (lung) conditions in an outpatient setting. 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? What's that chance? A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. So this is an actual question. That's why we do it. Because initially when you're faced with something like that, everything kind of just goes over your head. We do have one that I want to get to. 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? And the patient goes afterwards to a post-procedural area, where they recover. 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. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. 1-877-DOM-2730, Department of Medicine (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. You're out. Yes, sir. Program Overview. I am a Professor of Medicine here. 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. A lung mass can be a frightening discovery. And we do it through your mouth. So when we're done, you go home. . But can you kind of walk us through what people can expect before, during, and after one of these procedures. And I think we like to take things one step at a time. The hospital is safe, the hospital is clean. Because it's a difficult time in people's lives when they have something like this done. But that's part of what you do. So let's start off with our questions. Amit, I hope I'm pronouncing this correctly. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. So we go through your mouth. Patient survey responses are also used to make star ratings for each provider. There's all kinds of different tests. When there are no changes from scan to scan. 11 millimeters is rather small. We will overbook you. The fear always is that cancers are going to grow. Or is this something that happens and you just need to get it checked out? And I don't know. Media. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? 1:25 . Absolutely, yeah. It could be cancer. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. But one of the other things we were talking about, the patient journey. When we-- and I'll also say it depends. But I'm sure you'll enjoy UChicago Medicine. What are some of the options to evaluate lung nodules and lung masses? Can you kind of walk us through that? Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . His contributions to the field of procedure-related training has been recognized by his peers and professional societies. And we can help you do that, too. All kinds of fantastic information there. The fear always is that cancers are going to grow. About Us. So Dr. Wagh, you touched on this a little bit before. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. We want to remind people, very important, do not forego medical care during COVID. What you're never going to hear from us is to say, now there's nothing to do, leave. And Janet wants to know how invasive is a lung biopsy? There's also what's called a needle biopsy. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. So that you get an answer as to what this nodule actually is.