university of chicago interventional pulmonology

We can talk about imaging modalities. A lung mass can be a frightening discovery. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Getting an expert opinion about what could this nodule actually be. And how urgently must patients act? 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 I hope you have a great week. That is not acceptable to make you wait. Some of them are just re-evaluating the CAT scan you have. Patient survey responses are also used to make star ratings for each provider. I want to know you're an early stage cancer. Yes, sir. Randomly selected patients are sent patient satisfaction surveys after their visits. Yes, sir. Karen says, your pulmonary department is the best. Is that-- should you be frightened? And you don't want to. Meaning, it's technically a cancer, but it's never going to necessarily bother you. We're open for business. And I have been working at the University of Chicago since 1998. And I don't know. And Dr. Hogarth, I want to start with you. Every tumor, of course, has its own biology speed at which it grows. We work collaboratively with pulmonary medicine, critical care, allergy, thoracic surgery, medical oncology, radiation oncology, otorhinolaryngology and transplant specialists to provide you with a seamless care experience. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. And we're, of course, happy and eager to help. So we talked a little bit about just screening for lung cancer in general, and what people need to know, because I know there are some folks that will go through a regular process of screening. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. 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. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Sleep Medicine. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. And they hear, oh my gosh, I've got a nodule. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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? If it bothers you to come near the Medical Center, fine, let's do it via the computer. Or come and visit a lung physician. And they hear, oh my gosh, I've got a nodule. Interesting. Now, a question. You will get seen three to four weeks from now. And we have a series of other tests we can do. It could be cancer. We're in very separate areas. So-- This is from Therese. Yeah. He also performs laser-assisted mechanical dilation of airway strictures, airway stenting and bronchoscopic treatments for benign and malignant airway lesions using photodynamic therapy, cryotherapy and electrosurgery techniques. And we're also going to just keep radiating you. So my name is Kyle Hogarth. Referring Physician Access Line: . A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. But of course, there's biopsies. UChicago Faculty Physicians Sleep clinic patients are seen here during the day . UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. Quick Apply. Even the show that we're doing right now, you two are remote. But also don't ignore it, and don't delay it. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. So let's start off with our questions. And every patient is different. You need to raise a fit. Chicago, IL 60637 Salary and Benefits. Well, we're very happy to have you. 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 . He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. And that is how biopsies work. We will overbook you. But in reality, if you're a patient, there's only two things. What are some of the options to evaluate lung nodules and lung masses? Just to echo what Dr. Wagh said. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. That's always the question people want to know. And prior to that, I was a private practice pulmonary critical care doctor for six years. And we also try to figure out, is it a lesion that requires biopsy? So typically we'll have a clinic evaluation. Schedule your appointment online for primary care and many specialties. But can you kind of walk us through what people can expect before, during, and after one of these procedures. So Dr. Wagh and I have our partner, Dr. Mergue. And then they wait to be brought to the pre-procedural area. And you know, those patients typically are eligible for low dose lung cancer screening. Or you're going to go to radiation or whatever. Program Coordinator. 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. And there are potential treatments to help patients quit smoking as well. That's not hard to convince someone. Conditions & Services; No, it will show the nodules. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And thank you to our viewers for your great questions. Well, that's nice. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. So I want to get back to biopsies for just a moment. Go ahead, Ajay. We have a great team here, and I'm excited to be part of it. Yes, sir. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . Yes, sir. And that would be another area, I would imagine. And Dr. Hogarth mentioned blood tests even, a few moments ago. 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. You know, we go, oh, it's a 20% chance. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? When there are no changes from scan to scan. There's nobody else here. 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. Because we will always see you. The probability, if it's low enough, we don't want to do invasive things to you. First, if you smoke, please quit. Thanks again for being with us today. I'm new here to the University of Chicago, and very thankful to be here. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Yes, so a patient typically comes in basically just for a few hours during the day. It should be a CAT scan if you are eligible. And good nutrition and exercise is important, and we can help you get on the right track. After initially working as a hospitalist, he pursued a pulmonary and critical care fellowship at OHSU followed by an interventional pulmonary fellowship at the University of Texas MD Anderson Cancer Center. And it also has a lot of great COVID information. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. 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 . Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . Program Director. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. Interventional Pulmonary. Interesting. Dr. Hogarth kind of briefly said something about the blood tests. So a little bit of a fan club going here, but that's awesome. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Is that-- should you be frightened? UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Every tumor, of course, has its own biology speed at which it grows. When we-- and I'll also say it depends. But what I can also tell you is it's cancer, here's what stage it is. 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. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . 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. And this is a little bit inside baseball. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. Go ahead, Ajay. You will not know we're doing this to you. And you know, COVID makes it harder for patients to see doctors. I mean, it's really amazing. 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. You know, we go, oh, it's a 20% chance. We just talked a moment ago, and you're pretty new here. Can you kind of walk us through that? And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Randomly selected patients are sent patient satisfaction surveys after their visits. He has done the most cases in the United States and has authored numerous publications on this topic. Amit, I hope I'm pronouncing this correctly. And this is a little bit inside baseball. 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. We just talked a moment ago, and you're pretty new here. And it's important here. And the patient goes afterwards to a post-procedural area, where they recover. But also cat scanning. And let's go through your CAT scan and let's have this discussion about what our next step is. 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. All rights reserved. And Dr. Hogarth mentioned blood tests even, a few moments ago. 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. Follow @uw_APCC. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. 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. Can you talk to us a little bit about what the patient experiences in this procedure? And Dr. Hogarth, we'll start with you. Yeah, there's several possibilities in that regard to evaluate these. But I'm sure you'll enjoy UChicago Medicine. Really, really good questions today. And at that point, they'll meet the anesthesiologist, the nursing staff. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Website. But of course, there's an 80% chance it's not cancer. All kinds of fantastic information there. 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. 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. 2023 The University of Chicago Medical Center. So if you need an appointment, give us a call at 888-824-0200. And one that has a very low invasive potential. So I always have to do this. Well, it certainly can. You know, in fact, just to even further hammer home that point. And that's very important. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. Dr. Wagh, let's hear a little bit about you. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. First, do no harm. 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. 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. Get a Second Opinion. And so those are our mainstays of imaging. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Oh, let me reinforce that. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? And we will kind of shepherd the patient along the way. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And so think of it like a sponge. That's coming up right now on At The Forefront Live. 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. But you come in, we have a pre-procedural area where the patients get kind of their IV. Thoracic Imaging. Interventional Pulmonology Fellowship; Post-Doctoral; . And we can help you do that, too. And that's a very important part for a cancer evaluation. Nicole Greenlee. 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 talk to us a little bit more about the lymph nodes. So I always have to do this. But for many people are extremely, extremely slow growing cancer. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. It's a wonderful, wonderful place. Report Job. 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. You know, in fact, just to even further hammer home that point. It is covered by insurance. This is a safe place. Communication is important with the patients. Because initially when you're faced with something like that, everything kind of just goes over your head. So talk to us a little bit more about the lymph nodes. And we do it through your mouth. 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) However, not everyone who receives an abnormal CT scan should be rushed into surgery. And if someone ever by mistake says to you, yeah, they can see you in three months. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. So I think first step is don't panic. 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. Communicate with your doctor, view test results, schedule appointments and more. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. But we also want to explain to you what we're going to do to actively follow you. 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). Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. So you're going to get way more bang for your buck literally as a scan by coming here. We're going to get to a little bit more detail of that one here in just a moment. We want to find patients who have a history of smoking, quit within the past 15 years. And then afterwards, once we settle on a date, the patient comes in. And they'll double check everything. Some of the blood tests we have, have the ability to change that number. But that's part of what you do. And we keep spacing that interval of scan out if nothing has changed. We're going to tell you a outlined plan that is backed up with data as to why we're doing this.

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