So we do want to remind our viewers, we'll take your questions for our experts. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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. Associate Professor of Medicine, Co-director of Bronchoscopy. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. 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. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . Meaning, it's technically a cancer, but it's never going to necessarily bother you. It's got to be terrible. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. But I'm sure you'll enjoy UChicago Medicine. Conditions & Services; Neeraj Desai, MD, MBA, FCCP, FACP Program Director. This is from Therese. And every patient is different. So first is just a discussion with you of what is the probability that this could be a malignancy for you. When you or a loved one has a lung disease, you want to see the best lung doctors available. But we do have avenues to help with that. The Fellowship Coordinator will be responsible for coordination and administrative support for fellowship programs in Pulmonary and Critical Care Medicine, Sleep Medicine, and Interventional Pulmonology. Oh, less than 5%, OK, let's slow down a little bit. Patient survey responses are also used to make star ratings for each provider. That's right. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Rush University Medical Center in Chicago, IL is ranked No. And we get the tissue that we need. You will still be the same stage. What Dr. Wagh and I do is a procedure called bronchoscopy. And that is how biopsies work. Interesting. 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. Or come and visit a lung physician. Make sure everything looks right, that it would be safe to proceed. 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. And Dr. Hogarth mentioned blood tests even, a few moments ago. Really, really good questions today. Yes, sir. As faculty members of the University of Cincinnati [] And so now you're going to go to the surgeon to be cured. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . Really, really good questions today. I should point out, the amount of radiation you get from a CAT scan at a center like ours-- so it has everything to do with the quality of the scanners. But of course, there's biopsies. And sign a few papers. Randomly selected patients are sent patient satisfaction surveys after their visits. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. So appreciate that. And that could be in person. Because I know this is a very complex situation. Star ratings and comments come from a number of survey questions. I don't know who wants to take that one. Fax: (773) 702-6500, Outpatient Practice: We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. 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) But you come in, we have a pre-procedural area where the patients get kind of their IV. And you two, and your teams, are really good at helping people through that situation. And usually we discuss medications, if the patient is on a blood thinner. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Chicago Chest Center - 2015. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. And we have a series of other tests we can do. Can you talk to us a little bit about what the patient experiences in this procedure? He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. Instead, you might have a little sore throat for a day or two. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. But we're very careful about that. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi It's OK. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. No, don't panic. 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. But there's many other tests. Yes, so a patient typically comes in basically just for a few hours during the day. Absolutely, yeah. 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: . UChicago Faculty Physicians We can talk about imaging modalities. They're still cutting in you. And we keep spacing that interval of scan out if nothing has changed. Interventional Pulmonology. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. You know, in fact, just to even further hammer home that point. 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. Can you kind of walk us through that? And we also try to figure out, is it a lesion that requires biopsy? And I try to reliably perform that every day when I come to work. And of course, you came here at kind of an odd time, during a pandemic. I work here, I go home, I kiss my children. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. What happens? We just talked a moment ago, and you're pretty new here. Yeah, sure. If you think about it, the lung is mostly air. Communicate with your doctor, view test results, schedule appointments and more. Yes, sir. So this is an actual question. And so that becomes one procedure, as opposed to multiple procedures. What exactly goes on there, and why is that so critical? And without a doubt, the possibility of cancer is what scares everybody. Absolutely, yeah. We'll get you a speech card. But one of the other things we were talking about, the patient journey. Communication is important with the patients. Age is usually 55 to 80. But of course, there's biopsies. And that is how biopsies work. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Can you kind of walk us through that? And at that point, they'll meet the anesthesiologist, the nursing staff. 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 . UChicago Faculty Physicians 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 we're, of course, happy and eager to help. And you know, COVID makes it harder for patients to see doctors. Interventional Pulmonology. October 29, 2020 . And you say, well, wait. See, this just shows how important it is that we do these programs here. It's either cancer or everything else. So that's nice. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. 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. Even the show that we're doing right now, you two are remote. The responses are used to improve patient experience and recognize staff members for the care they provide. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. And smoking is certainly a problem, a historical problem that we're working to deal with every day. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And then at that point, we would bring the patient back to the our laboratory. Today there are better insights into cancer and other lung diseases. And prior to that, I was a private practice pulmonary critical care doctor for six years. 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 let's go through your CAT scan and let's have this discussion about what our next step is. And then they just go home. And I hope you have a great week. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And it's important here. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. We get thousands of survey responses each year. Communicate with your doctor, view test results, schedule appointments and more. Get a Second Opinion. We're still operating. 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. And sign a few papers. So a little bit of a fan club going here, but that's awesome. And they hear, oh my gosh, I've got a nodule. Consultations and second opinions are also available on request for patients that have . Oh, less than 5%, OK, let's slow down a little bit. I kiss my spouse. And then afterwards, once we settle on a date, the patient comes in. Interventional Pulmonology Fellowship; Post-Doctoral; . We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. Meet the Doctor. 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, in fact, just to even further hammer home that point. Dr. Wagh, let's hear a little bit about you. I work here, I go home, I kiss my children. 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. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. 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. Why aren't we just following the pathway down? Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. The responses are used to improve patient experience and recognize staff members for the care they provide. Just to echo what Dr. Wagh said. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Or you're going to go to radiation or whatever. So that you get an answer as to what this nodule actually is. We are taking questions from viewers. 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. If we keep scanning you, we're never going to see change. 840 S. Wood Street MC719 Chicago, IL 60612. Some of them are just re-evaluating the CAT scan you have. Our pulmonary and allergy physicians see clinic patients in the Center for Lung Health, located in room 3C in the UI Health Outpatient Care Center (OCC), which is at 1801 W Taylor. Funding for Educational Activities Right? It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And as Dr. Wagh just said, we are able to do video visits and televisits. Phone: (773) 702-9660, Mailing Address: His contributions to the field of procedure-related training has been recognized by his peers and professional societies. And so Dr. Hogarth, we have another question from a viewer. And it is, would my annual low dose CT lung cancer screening show nodules? 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. I'm actually in the endoscopy suites. 11 millimeters is rather small. Phone: (773) 702-1856 Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. I'm actually in the endoscopy suites. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. And you want to have something reliable in what to do next. Star ratings and comments come from a number of survey questions. It's either cancer or everything else. Phone: 410-502-2533. Full-Time. And they'll double check everything. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. And then afterwards, once we settle on a date, the patient comes in. So we'll wake you up. It's an oath both of us took. 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. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. But a doctor may see something on a chest x-ray. So we'll wake you up. A lung mass can be a frightening discovery. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. So typically we'll have a clinic evaluation. But also don't ignore it, and don't delay it. 5841 South Maryland Avenue, Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. We just talked a moment ago, and you're pretty new here. Getting an expert opinion about what could this nodule actually be. And that's a very important part for a cancer evaluation. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Critical Care Medicine; Pulmonology; Meet the Doctor . His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. Because it has everything to do with the quality of the machine for the radiation that goes through. 11 millimeters is rather small. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And hopefully, go home if nothing happens. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. So this is an actual question. Star ratings and comments come from a number of survey questions. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. So I mean, we do have a regular process of lung cancer screening. But we do have avenues to help with that. [MUSIC PLAYING] We could get you a plaque or something. And every patient is different. And I was fortunate enough, I think, gosh, it's been over a year ago. Schedule your appointment online for primary care and many specialties. I mean, I think we are living in a strange time. No, it's a great question. But there's many things it could be. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. We also have literally the world's greatest nurse practitioner, Kimberly. I mean, it's really amazing. Stopping smoking can help you just across the board. There's all kinds of different tests. . Interesting. Can you kind of talk to us a little bit about that, and walk us through that? 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.
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