So I'm going to have you answer the question, but also kind of explain what she's asking here. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Amit, I hope I'm pronouncing this correctly. Consultations and second opinions are also available on request for patients that have . It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. That's not hard to convince someone. . IP Fellowship Program Contact Information Our list of accepted insurance providers is subject to change at any time. Yes, sir. Or you're going to go to radiation or whatever. And you can speak with your physician about that. Referring . So typically we'll have a clinic evaluation. Yes, so a patient typically comes in basically just for a few hours during the day. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. It's a wonderful website. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 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. 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. And hopefully, go home if nothing happens. Well, that's nice. But also don't ignore it, and don't delay it. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Another question from a viewer, and this is Carla. All kinds of fantastic information there. 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. Chicago, IL 60637, Referring Physician Access Line: Interventional Pulmonology | Conditions & Treatments | UT Southwestern If you think about it, the lung is mostly air. Because we will always see you. Phone: (773) 702-9660. But I love these. But to delay any amount of care. Physician Recruitment McHenry, IL. And how minimal it actually is? So if we think you're at early stage cancer, that's great. So that you get an answer as to what this nodule actually is. It's usually about a half day's worth of time. Yes, sir. I'm not happy that I have to tell you it's cancer. And then we go in with our scopes. We're still operating. And we have a series of other tests we can do. Chicago Chest Center The immediate reaction is you're probably frightened. That's going to be number one on the list. I mean, we do have telemedicine options. And this is a little bit inside baseball. What's that chance? So my name is Kyle Hogarth. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Fellows | Chicago Medicine We're not going to just say, you must do this. And we also try to figure out, is it a lesion that requires biopsy? Star ratings and comments come from a number of survey questions. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. You shared really some good information with our audience. Or suggest that the pre-test probability is lower. 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. There's all kinds of different tests. This isn't that twilight. However, not everyone who receives an abnormal CT scan should be rushed into surgery. Sue Hammerschmidt. And we get the tissue that we need. They're still cutting in you. As faculty members of the University of Cincinnati [] Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? Maybe Dr. Hogarth, you can start. We get thousands of survey responses each year. [MUSIC PLAYING] But in reality, if you're a patient, there's only two things. And as Dr. Wagh just said, we are able to do video visits and televisits. Or you're going to go to radiation or whatever. And how urgently must patients act? So let's start off with our questions. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Absolutely, yeah. Where it's basically put right through your chest into the lung nodule done through the radiology department. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Who we treat. There's also what's called a needle biopsy. 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. (Or create a 1/6 column and add a text field, modify the class so We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Yeah, and I want to tell people-- this is a very, very safe place. And you don't want to. And you don't want to. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Phone: (773) 702-1856 And that's sort of when we take a look at the CAT scan very closely. October 29, 2020 . We'll get you a speech card. 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. Get a Second Opinion. Because it's a difficult time in people's lives when they have something like this done. 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. Today there are better insights into cancer and other lung diseases. 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. And these procedures all have their own benefits, but also their own complications. Patient survey responses are also used to make star ratings for each provider. And it's something solid. Every tumor, of course, has its own biology speed at which it grows. 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. We're going to do our work. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? The responses are used to improve patient experience and recognize staff members for the care they provide. Panicking, obviously, is never helpful. And every patient is different. So-- And we can help you do that, too. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. But there's many things it could be. We will overbook you. So-- So I always have to do this. And it also has a lot of great COVID information. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. These are not questions. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Email: ipscheduling@jhmi.edu. So I'm excited to be here in the city, and part of this program. Funding for Educational Activities We don't want that to happen. Panicking, obviously, is never helpful. Meaning, it's technically a cancer, but it's never going to necessarily bother you. But we do have avenues to help with that. And either one of you can jump on this one. And then second step is find the right people to help take care of you. But to delay any amount of care. And that's kind of comforting, I think, for most patients. It's a wonderful, wonderful place. The hospital is safe, the hospital is clean. And hopefully, go home if nothing happens. And then based on that discussion, we would set a patient up for a procedure. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Oh, less than 5%, OK, let's slow down a little bit. He has done the most cases in the United States and has authored numerous publications on this topic. And between the four of us, we're all in clinic at any given moment. What exactly goes on there, and why is that so critical? And our complication rate is the lowest amongst the three. Pulmonary Medicine | UC Health Interesting. And so think of it like a sponge. You are comfortable. 11 millimeters is rather small. I can meet with you virtually. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And of course, you came here at kind of an odd time, during a pandemic. The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. And I have been working at the University of Chicago since 1998. About. So appreciate that. And I hope you have a great week. So I want to get back to biopsies for just a moment. And I think we like to take things one step at a time. Our list of accepted insurance providers is subject to change at any time. And basically work very hard to make sure that patients get the answers that they need to help decide what's the best next path when they find an abnormal CT scan. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Dr. Wagh, let's hear a little bit about you. 847-498-5864. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Director, Interventional Pulmonary - Clinical Faculty Rush University 2023 The University of Chicago Medical Center. There's a surgeon, who's going to go in and cut part of it out. Dr. Hogarth kind of briefly said something about the blood tests. The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. The probability, if it's low enough, we don't want to do invasive things to you. And usually we discuss medications, if the patient is on a blood thinner. Or come and visit a lung physician. We do have one that I want to get to. So if the risk of cancer is low, but the risk of a complication is the same, I don't want to harm you, right? And if someone ever by mistake says to you, yeah, they can see you in three months. And you know, those patients typically are eligible for low dose lung cancer screening. And Dr. Hogarth, I want to start with you. And you know, COVID makes it harder for patients to see doctors. Patient survey responses are also used to make star ratings for each provider. And either one of you can do that. 1-877-DOM-2730, Department of Medicine He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. 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 don't know who wants to take that one. But of course, there's biopsies. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. And the patient goes afterwards to a post-procedural area, where they recover. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. Fellowship Programs | Emory School of Medicine And how minimal it actually is? And without a doubt, the possibility of cancer is what scares everybody. If you're concerned about cancer and there's an intermediate pre-test probability, based on a calculated evaluation, then we can potentially offer a blood test or something else that may potentially reduce the risk. But we can. We can talk about imaging modalities. And remember, you can schedule your video visit by also going to the website. Oh, let me reinforce that. Dr. Hogarth kind of briefly said something about the blood tests. We are proud to have an interventional pulmonary laboratory with full-time dedicated . I recently completed an interventional pulmonary fellowship, which brought me here. And that would be another area, I would imagine. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Now, these are complicated discussions. Where it's basically put right through your chest into the lung nodule done through the radiology department. And that's very important. You don't have to go get another procedure that's going to take time to then figure out what stage you are. What's that chance? We are taking questions from viewers. So ground glass nodules are a different biology. For help with MyChart, call us at 1-844-442-4278. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. 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. Interventional Pulmonology Fellowship; Post-Doctoral; . The Interventional Pulmonology Fellowship began in July 1, 2000. No, it's a great question. Learn more about clinical trials and find a trial that might be right for you. Loma Linda University Children's Hospital. Website. Interventional Pulmonary And you want to have something reliable in what to do next. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Or is this something that happens and you just need to get it checked out? $83k-$346k Interventional Pulmonology Jobs (NOW HIRING) - ZipRecruiter Exactly. And this is a little bit inside baseball. 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 Janet wants to know how invasive is a lung biopsy? Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. Thoracic Imaging | Department of Radiology | The University of Chicago In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. This isn't that twilight. Learn more about clinical trials and find a trial that might be right for you. 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. Conditions & Services; Interventional Pulmonology Secondary Specialty. He sees patients in clinic on Fridays. But of course, there's biopsies. Getting an expert opinion about what could this nodule actually be. You know what, I always tell people is there is a long list of things that the nodule could be. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. A lung mass can be a frightening discovery. And then they just go home. And so Dr. Hogarth, we have another question from a viewer. 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. Our program's strength lies in the large and varied patient base . Well, I think that there's several possibilities. 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. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field.
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