What happens? It's so important. This is a safe place. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. The Emory Sleep Medicine . . And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. So I'm going to have you answer the question, but also kind of explain what she's asking here. Elliot Y. Ho, DO | Loma Linda University Health - LLUH Currently, there are six board certified Interventional Pulmonologists and a wide range of . The ranking is a reflection of the leading-edge lung and . We don't even have any camera people in here. What are some of the options to evaluate lung nodules and lung masses? Interventional Pulmonology Secondary Specialty. Because initially when you're faced with something like that, everything kind of just goes over your head. And it is, would my annual low dose CT lung cancer screening show nodules? Yes, sir. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. 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. Can you kind of talk to us a little bit about that, and walk us through that? 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. Phone: (773) 702-9660. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Report Job. It's a wonderful website. Sure. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. That's another thing that you probably want to caution people about. Or it could be a telemedicine visit. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And there are potential treatments to help patients quit smoking as well. And remember, you can schedule your video visit by also going to the website. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. The responses are used to improve patient experience and recognize staff members for the care they provide. It's either cancer or everything else. Or is this something that happens and you just need to get it checked out? Our doctors will actually even join us from the places where they're doing the work. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. You don't have to go get another procedure that's going to take time to then figure out what stage you are. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And Dr. Hogarth mentioned blood tests even, a few moments ago. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. [MUSIC PLAYING] In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . And one that has a very low invasive potential. That is not acceptable to make you wait. So Dr. Wagh, you touched on this a little bit before. We have been providing exceptional and compassionate . It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. So this is an actual question. You don't have to go get another procedure that's going to take time to then figure out what stage you are. And I was fortunate enough, I think, gosh, it's been over a year ago. So there's no cutting. So I'm excited to be here in the city, and part of this program. There's nobody else here. So Dr. Wagh and I have our partner, Dr. Mergue. But many times, you might notice something on an x-ray that's not part of the screening pathway. If we keep scanning you, we're never going to see change. I mean, I think we are living in a strange time. And then they come to our lab. Thanks again for being with us today. Can you kind of walk us through that? It is covered by insurance. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . And then they just go home. Phone: (773) 702-9660, Mailing Address: I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. There's a surgeon, who's going to go in and cut part of it out. 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 . But there's many things it could be. And then they wait to be brought to the pre-procedural area. Fax: (773) 702-6500, Outpatient Practice: And I try to reliably perform that every day when I come to work. This isn't that twilight. We do have one that I want to get to. I mean, the first thing is first, is we do have lung cancer screening, which we offer patients CAT scans if they're eligible and have a smoking history. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. 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. So appreciate that. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And we're also going to just keep radiating you. And let's go through your CAT scan and let's have this discussion about what our next step is. We also have literally the world's greatest nurse practitioner, Kimberly. Obviously, if things change, then that's a discussion towards biopsy. Absolutely, yeah. A star rating is not given if a provider only has a small number of survey responses. Right? Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. It's a wonderful website. Yeah, and I want to tell people-- this is a very, very safe place. Advanced technology and minimally invasive options are available. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. When we-- and I'll also say it depends. What Dr. Wagh and I do is a procedure called bronchoscopy. Medicine Fellowship Programs - Rosalind Franklin University And as Dr. Wagh just said, we are able to do video visits and televisits. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. [MUSIC PLAYING]. Our program's strength lies in the large and varied patient base . And so Dr. Hogarth, we have another question from a viewer. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. I am a Professor of Medicine here. And one that has a very low invasive potential. So I want to get back to biopsies for just a moment. Or does it have to be a higher dose CT screening? 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. I mean, it's really amazing. And it also has a lot of great COVID information. IP Fellowship Program Contact Information I don't know who wants to take that one. I'm new here to the University of Chicago, and very thankful to be here. Now, a question. Website. We are taking questions from viewers. However, not everyone who receives an abnormal CT scan should be rushed into surgery. All rights reserved. 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. All rights reserved. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . So a little bit of a fan club going here, but that's awesome. And at that point, they'll meet the anesthesiologist, the nursing staff. Absolutely. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. You're out. You're out. We want to remind people, very important, do not forego medical care during COVID. Academic Interventional Pulmonary/Critical Care Physician Yes, sir. 840 S. Wood Street MC719 Chicago, IL 60612. So look, there's three ways to sample inside the lung. So, I really believe in great communication and teamwork. These are not questions. And the patient goes afterwards to a post-procedural area, where they recover. But we can. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . So follow-up scans could also be low dose as well. Lung Diseases (Pulmonology) - UChicago Medicine Or should we offer something else? But one of the other things we were talking about, the patient journey. What's that chance? That's coming up right now on At The Forefront Live. Loma Linda University Children's Hospital. Because it's a difficult time in people's lives when they have something like this done. And then we go in with our scopes. And that could be in person. They're still cutting in you. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And this is a little bit inside baseball. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Interventional Pulmonology Fellowship - MD Anderson Cancer Center And the patient goes afterwards to a post-procedural area, where they recover. And we have a series of other tests we can do. Get a Second Opinion. We're in very separate areas. Just type them in the comments section. So we want to-- I mean, we want to do this for everybody. But also cat scanning. And so now you're going to go to the surgeon to be cured. No, it will show the nodules. And usually we discuss medications, if the patient is on a blood thinner. UChicago Faculty Physicians And there we perform our procedures. So I'm going to have you answer the question, but also kind of explain what she's asking here. Is following a nodule ground glass opacity with yearly CT standard? So we go through your mouth. 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 Fellowship Program Director. But I love these. All kinds of fantastic information there. We'll try to get to as many as we can over the next half hour. 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. So ground glass nodules are a different biology. The probability, if it's low enough, we don't want to do invasive things to you. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Referring Physician Access Line: . 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. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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. Sue Hammerschmidt. What Dr. Wagh and I do is a procedure called bronchoscopy. Interesting. Oh, let me reinforce that. 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're open for business. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. We get thousands of survey responses each year. And our complication rate is the lowest amongst the three. But in reality, if you're a patient, there's only two things. Get a Second Opinion. Communication is important with the patients. So-- The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Because why would I put you-- why would I cure you of something that's never going to harm you? This is from Therese. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And thank you to our viewers for your great questions. But a doctor may see something on a chest x-ray. 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 . So my name is Kyle Hogarth. Job Description Northwestern Medicine is currently seeking Physicians, board-certified or eligible in Interventional Pulmonology for our McHenry, IL and Lake Forest, IL hospital locations. 11234 Anderson St, Loma Linda, CA 92354. . But we're very careful about that. Or it could be a telemedicine visit. Can you kind of talk to us a little bit about that, and walk us through that? 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. And that would be annually until they kind of exit out after that 15 years. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Is following a nodule ground glass opacity with yearly CT standard? Yeah, there's several possibilities in that regard to evaluate these. Getting an expert opinion about what could this nodule actually be. But there's many things it could be. I don't know who wants to take that one. So we need to get going and do something about it. And that's a very important part for a cancer evaluation. That's a great question. Now, these are complicated discussions. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. And it's very professionally satisfying. 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. Faculty Directory - University of Chicago - Department of Medicine I'm an interventional pulmonologist here at the University of Chicago. And teasing out what's what is what Ajay and I do. And every patient is different. You need to raise a fit. Division of Pulmonary, Allergy, Critical Care and Sleep Medicine And then I'll have Ajay go at it as well. Now, a question.