So Dr. Wagh, you touched on this a little bit before. He has done the most cases in the United States and has authored numerous publications on this topic. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. And you say, well, wait. Website. And so Dr. Hogarth, we have another question from a viewer. So if you need an appointment, give us a call at 888-824-0200. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. You're out. No, don't panic. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. You will get seen within a week every time here. Get an online second opinion from one of our experts without having to leave your home. It's usually about a half day's worth of time. But there's many things it could be. That's why I'm not moving a lot, not that I move a lot anyway. Northwestern Memorial Hospital; Univ. Our program's strength lies in the large and varied patient base . We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. All kinds of fantastic information there. You will get seen three to four weeks from now. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Because it has everything to do with the quality of the machine for the radiation that goes through. And Dr. Hogarth, we'll start with you. 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. Now, a question. Get a Second Opinion. [LAUGHTER] Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . Because initially when you're faced with something like that, everything kind of just goes over your head. Another question from a viewer, and this is Carla. It's got to be terrible. What Dr. Wagh and I do is a procedure called bronchoscopy. It was designed to provide the subspecialty trainees with extensive training and experience in advanced diagnostic and therapeutic procedures that are essential to the practice of Interventional Pulmonology. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . And that's very important. Absolutely. Right? You will still be the same stage. There's all kinds of different tests. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. Oh, less than 5%, OK, let's slow down a little bit. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And using some of the tools that we have. And at that point, they'll meet the anesthesiologist, the nursing staff. In some cases, they are a precancerous lesion. We're not going to just say, you must do this. And it is, would my annual low dose CT lung cancer screening show nodules? In some cases, they are a precancerous lesion. Rush University Medical Center in Chicago, IL is ranked No. 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 that's a very important part for a cancer evaluation. So typically we'll have a clinic evaluation. The immediate reaction is you're probably frightened. 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 . For help with MyChart, call us at 1-844-442-4278. You shared really some good information with our audience. [MUSIC PLAYING] My name is Ajay Wagh. 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 were fantastic. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. These are not questions. And this is a little bit inside baseball. 2023 The University of Chicago Medical Center. So Dr. Wagh, it was interesting because this is almost like a video game. Advanced technology and minimally invasive options are available. Hogarth DK. 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. But also don't ignore it, and don't delay it. Occupational lung disease. The Interventional Pulmonology Fellowship began in July 1, 2000. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. That's why I'm not moving a lot, not that I move a lot anyway. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . Oh, let me reinforce that. Conditions & Services; So we go through your mouth. And they'll double check everything. And hopefully, go home if nothing happens. Just to echo what Dr. Wagh said. And let's go through your CAT scan and let's have this discussion about what our next step is. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. St. Peters Health Partners Medical Associates, P.C. And either one of you can jump on this one. You're out. And you know, it is extremely valuable. I recently completed an interventional pulmonary fellowship, which brought me here. But of course, there's biopsies. I don't know who wants to take that one. So this is an actual question. We do have one that I want to get to. Well, my name is Ajay Wagh. Yes, so a patient typically comes in basically just for a few hours during the day. We also have literally the world's greatest nurse practitioner, Kimberly. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. Go ahead, Ajay. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. A lung mass can be a frightening discovery. Obviously, if things change, then that's a discussion towards biopsy. 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. You were fantastic. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And smoking is certainly a problem, a historical problem that we're working to deal with every day. But I'm sure you'll enjoy UChicago Medicine. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? And obviously, you know, even with minimally invasive surgery, it's still a surgery. And remember, you can schedule your video visit by also going to the website. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? You will get seen three to four weeks from now. We'll get you a speech card. Or should we offer something else? First, do no harm. Oh, less than 5%, OK, let's slow down a little bit. We don't want that to happen. That's another thing that you probably want to caution people about. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Learn more about clinical trials and find a trial that might be right for you. This is a safe place. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. And then if we do need to do a biopsy, making sure the correct biopsy gets done. So we'll wake you up. Communicate with your doctor, view test results, schedule appointments and more. We will overbook you. It is covered by insurance. 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 . And it's important here. We get thousands of survey responses each year. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Conditions & Services; Or come and visit a lung physician. And that could be in person. No, for sure. It's OK. You need to raise a fit. And we will kind of shepherd the patient along the way. 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. And either one of you can jump on this one. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Today there are better insights into cancer and other lung diseases. 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. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. So I think first step is don't panic. We want to remind people, very important, do not forego medical care during COVID. Interventional Pulmonology Secondary Specialty. 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. Interesting. We'll get you a speech card. Well, if you have a cancer, the next question is, what stage is it? Yes, sir. Yeah. So let's start off with our questions. So Dr. Wagh, you touched on this a little bit before. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. And we keep spacing that interval of scan out if nothing has changed. I mean, I think we are living in a strange time. Is that-- should you be frightened? So that you get an answer as to what this nodule actually is. 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. So I want to get back to biopsies for just a moment. Age is usually 55 to 80. You know, you mentioned that being covered by insurance. Chicago Chest Center - 2015. And how urgently must patients act? Some of them are blood based tests. The fear always is that cancers are going to grow. So if we think you're at early stage cancer, that's great. I'm not happy that I have to tell you it's cancer. 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. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Getting an expert opinion about what could this nodule actually be. Our world-renowned physicians are known for their superior expertise in pulmonary diseases and critical care medicine and many have been recognized by Best Doctors in America and Top Doctors in Cincinnati. Interventional Pulmonology. And sign a few papers. We're going to get to a little bit more detail of that one here in just a moment. 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. 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. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. I am a Professor of Medicine here. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. So ground glass nodules are a different biology. But we do have avenues to help with that. He also serves as an assistant professor of internal medicine at the UK College of Medicine. I'm new here to the University of Chicago, and very thankful to be here. And thank you to our viewers for your great questions. So a little bit of a fan club going here, but that's awesome. Absolutely, yeah. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. So-- Is that-- should you be frightened? 1-877-DOM-2730, Department of Medicine And it's something solid. But what I can also tell you is it's cancer, here's what stage it is. Can you talk to us a little bit about what the patient experiences in this procedure? Sure. The Department of Pulmonary, Critical Care, Sleep, and Allergy at UI Health provides the highest level of care and treatment for lung disorders and diseases. I mean, we do have telemedicine options. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. The hospital is safe, the hospital is clean. So a little bit of a fan club going here, but that's awesome. Media. 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. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. UChicago Faculty Physicians We will overbook you. I mean, it's really amazing. Communication is important with the patients. And we also try to figure out, is it a lesion that requires biopsy? The Interventional Pulmonary Fellowship is a one-year intense training program designed to expose the trainee to all the advanced diagnostic and therapeutic procedures necessary for practice. 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. So this is an actual question. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine .

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