Absolutely. Interesting. And then based on that discussion, we would set a patient up for a procedure. Dr. Wagh, let's hear a little bit about you. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. The 30 faculty, clinical associates and research associates along with a staff of more than 72, have devoted themselves to the pursuit of excellence in each of these important activities. First, do no harm. Sleep clinic patients are seen here during the day . Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . Referring Physician Access Line: . Today there are better insights into cancer and other lung diseases. You're out. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Our doctors will actually even join us from the places where they're doing the work. And one that has a very low invasive potential. And prior to that, I was a private practice pulmonary critical care doctor for six years. Yeah, and I want to tell people-- this is a very, very safe place. Yes, sir. And you don't want to. Yes, sir. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Get a Second Opinion. And without a doubt, the possibility of cancer is what scares everybody. St. Peters Health Partners Medical Associates, P.C. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Stopping smoking can help you just across the board. You know, and I want to talk a little bit more about biopsies here in just a minute. And we will kind of shepherd the patient along the way. Patient survey responses are also used to make star ratings for each provider. And then based on that discussion, we would set a patient up for a procedure. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Make sure everything looks right, that it would be safe to proceed. . Yes, sir. 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. UChicago Faculty Physicians And it's important here. UK Pulmonary, Critical Care and Sleep Medicine offers the full scope of inpatient and outpatient services involving the diagnostic evaluation and clinical management of respiratory disorders. And so that becomes one procedure, as opposed to multiple procedures. Compare hospital ratings for pulmonology and lung surgery. It's a wonderful website. 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 hopefully, go home if nothing happens. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. That's why I'm not moving a lot, not that I move a lot anyway. Or come and visit a lung physician. 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. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Go ahead, Ajay. Panicking, obviously, is never helpful. And there we perform our procedures. We have a great team here, and I'm excited to be part of it. Amit, I hope I'm pronouncing this correctly. 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. And this is important. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Meet the Doctor. We do have one that I want to get to. But what I can also tell you is it's cancer, here's what stage it is. 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 . All rights reserved. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. And then we go in with our scopes. And then afterwards, once we settle on a date, the patient comes in. It's a wonderful, wonderful place. Northwestern Memorial Hospital; Univ. 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. So follow-up scans could also be low dose as well. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi But we also want to explain to you what we're going to do to actively follow you. And that would be annually until they kind of exit out after that 15 years. . 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 . Pulmonary & Critical Care Medicine. And of course, you came here at kind of an odd time, during a pandemic. You know what, I always tell people is there is a long list of things that the nodule could be. If we keep scanning you, we're never going to see change. And that would be another area, I would imagine. But for many people are extremely, extremely slow growing cancer. And there we perform our procedures. We're still operating. 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 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. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. It's a wonderful website. 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. Go ahead, Ajay. That's going to be number one on the list. But there's many things it could be. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. For help with MyChart, call us at 1-844-442-4278. Faculty Profiles - University of Chicago Medicine Faculty Profiles Comments that do not apply, risk patient privacy, or are not appropriate are not posted. [MUSIC PLAYING] Rush University Medical Center in Chicago, IL - Rankings, Ratings So that's nice. You need to raise a fit. Elliot Y. Ho, DO | Loma Linda University Health - LLUH And you want to have something reliable in what to do next. No, it's a great question. This isn't that twilight. And smoking is certainly a problem, a historical problem that we're working to deal with every day. 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. You shared really some good information with our audience. And that could be in person. Getting an expert opinion about what could this nodule actually be. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. So there's no cutting. Or is this something that happens and you just need to get it checked out? So-- Because we will always see you. 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. That's going to be number one on the list. There's a surgeon, who's going to go in and cut part of it out. Phone: (773) 702-1856 And it's important here. American Association for Bronchology and Interventional Pulmonology A lung mass can be a frightening discovery. Email: ipscheduling@jhmi.edu. Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn Interventional Pulmonology Service - Washington University in St. Louis Yes, sir. And we get the tissue that we need. 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. 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 . Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. Pulmonary, Critical Care & Sleep Medicine | UK Healthcare We're open for business. And hopefully, go home if nothing happens. And Dr. Wagh, maybe you can take this next one. And our complication rate is the lowest amongst the three. 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. And thank you to our viewers for your great questions. I recently completed an interventional pulmonary fellowship, which brought me here. And I don't know. We don't want that to happen. 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. Another question from a viewer, and this is Carla. So talk to us a little bit more about the lymph nodes. 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. Some of them are blood based tests. And you say, well, wait. Communicate with your doctor, view test results, schedule appointments and more. 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. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And either one of you can do that. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Patient survey responses are also used to make star ratings for each provider. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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. Chicago, IL 60637 And we keep spacing that interval of scan out if nothing has changed. And every patient is different. And sign a few papers. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? What's that chance? That's a great question. Or suggest that the pre-test probability is lower. I remember when Dr. Hogarth showed this to me. That's not hard to convince someone. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. That's why I'm not moving a lot, not that I move a lot anyway. Pulmonary/Critical Care - University of Chicago You know, it's not just like, yeah, you do this. And usually we discuss medications, if the patient is on a blood thinner. Future Oncol. So Dr. Wagh, you touched on this a little bit before. And using some of the tools that we have. Where it's basically put right through your chest into the lung nodule done through the radiology department. And thank you to our viewers for your great questions. 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. And then they come to our lab. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. You will not know we're doing this to you. But I love these. So we go through your mouth. And that's sort of when we take a look at the CAT scan very closely. And so Dr. Hogarth, we have another question from a viewer. So first is just a discussion with you of what is the probability that this could be a malignancy for you. You're out. That's coming up right now on At The Forefront Live. The immediate reaction is you're probably frightened. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. Because an abnormal CT scan is terrifying. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. Schedule your appointment online for primary care and many specialties. But that's part of what you do. Open for more information. All rights reserved. You are comfortable. You don't have to go get another procedure that's going to take time to then figure out what stage you are. It's OK. We don't want that to happen. And we also try to figure out, is it a lesion that requires biopsy? Because initially when you're faced with something like that, everything kind of just goes over your head. And obviously, you know, even with minimally invasive surgery, it's still a surgery. We will overbook you. Kumar Gaurav, MD | Interventional Pulmonologist & Critical Care There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. I mean, I think we are living in a strange time. For help with MyChart, call us at 1-844-442-4278. So I'm excited to be here in the city, and part of this program. The fear always is that cancers are going to grow. We get thousands of survey responses each year. Only clean air in the lungs, please. So I'm going to have you answer the question, but also kind of explain what she's asking here. 2018 Apr 17 . And I would imagine in this-- I've got to word COVID of in here, because you know, it's what we're talking about everywhere. What happens? Our program's strength lies in the large and varied patient base . Phone: 410-502-2533. Thanks again for being with us today. University of Wisconsin Interventional Pulmonology Fellowship But we're very careful about that. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Fellows - Chest Center
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