And these procedures all have their own benefits, but also their own complications. 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. We are taking questions from viewers. MC 6092 What happens? And of course, you came here at kind of an odd time, during a pandemic. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. And there we perform our procedures. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Can you kind of talk to us a little bit about that, and walk us through that? Patients will typically have primary or metastatic tumors of the chest, mediastinum or . And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? (312) 996-8039. And it also has a lot of great COVID information. And then second step is find the right people to help take care of you. [MUSIC PLAYING] My name is Ajay Wagh. And that's sort of when we take a look at the CAT scan very closely. Or is that the moment of panic at that point? Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: 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. [MUSIC PLAYING] There's also what's called a needle biopsy. Associate Professor of Medicine, Co-director of Bronchoscopy. And that's very important. It's either cancer or everything else. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. The University of Michigan as a . You know, it's not just like, yeah, you do this. We are extremely cautious about everything here. 840 S. Wood Street MC719 Chicago, IL 60612. And we're also going to just keep radiating you. And obviously, you know, even with minimally invasive surgery, it's still a surgery. You will get seen three to four weeks from now. And these procedures all have their own benefits, but also their own complications. I mean, it's really amazing. 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. But I love these. Quick Apply. We evaluate whether or not it's a target that we can reach. So-- That's good to know. You shared really some good information with our audience. Instead, you might have a little sore throat for a day or two. We don't even have any camera people in here. 2018 Apr 17 . We will overbook you. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. But we're very careful about that. Occupational lung disease. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. And we have a series of other tests we can do. But we also want to explain to you what we're going to do to actively follow you. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . Conditions & Services; The Section of Thoracic Imaging provides state-of-the-art imaging and interpretation of pulmonary and cardiac diseases in close collaboration with internists, pulmonologists and thoracic surgeons at the University of Chicago Medical Center. Interventional Pulmonology. You don't have to go get another procedure that's going to take time to then figure out what stage you are. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. This is from Therese. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Conditions & Services; All rights reserved. And prior to that, I was a private practice pulmonary critical care doctor for six years. We just talked a moment ago, and you're pretty new here. Amit, I hope I'm pronouncing this correctly. So I'm going to have you answer the question, but also kind of explain what she's asking here. And so think of it like a sponge. It's an oath both of us took. 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. 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 using some of the tools that we have. Interventional Pulmonology Fellowship Program Director. They're still cutting in you. And then they wait to be brought to the pre-procedural area. You know, you mentioned that being covered by insurance. And they'll double check everything. And sign a few papers. Sure. It's got to be terrible. What are some of the options to evaluate lung nodules and lung masses? This type of training is beyond what is typically available in a standard . The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. We're open for business. The hospital is safe, the hospital is clean. You're out. We'll try to get to as many as we can over the next half hour. Getting an expert opinion about what could this nodule actually be. 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. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. And Janet wants to know how invasive is a lung biopsy? And we keep spacing that interval of scan out if nothing has changed. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Absolutely. In some cases, they are a precancerous lesion. And Dr. Wagh, maybe you can take this next one. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. The responses are used to improve patient experience and recognize staff members for the care they provide. Patient survey responses are also used to make star ratings for each provider. Medical school: St. James School of Medicine Anguilla, Park Ridge, IL Residency: University of Illinois College of Medicine, Peoria, IL Professional interests: ARDS, sepsis and infectious lung diseases. But of course, there's an 80% chance it's not cancer. You know what, I always tell people is there is a long list of things that the nodule could be. And so part of our discussion is, what's the probability that this nodule that you have on your CAT scan-- is it actually cancer or not? Our 5-year integrated IR/DR training program consists of a subspecialty track system with 4-week-long rotations in the following sections: Abdominal computed tomography. And then based on that discussion, we would set a patient up for a procedure. Loma Linda University Children's Hospital. 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. Interventional Pulmonology. October 29, 2020 . Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. But I'm sure you'll enjoy UChicago Medicine. But you come in, we have a pre-procedural area where the patients get kind of their IV. So this is an actual question. All kinds of fantastic information there. 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. And you two, and your teams, are really good at helping people through that situation. Your lungs are going to be ultimately attached to your mouth. We're not going to just say, you must do this. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. And you don't want to. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. Fellows. 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. So that's nice. Yeah. Some of them are just re-evaluating the CAT scan you have. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. 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. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. But if it shows anything of any concern, especially if it's your first one, that may require a follow-up scan in a shorter interval or one with slightly higher radiation. And the individual tumor biology is changing. And then second step is find the right people to help take care of you. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Website. 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. Oh, less than 5%, OK, let's slow down a little bit. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. And there are potential treatments to help patients quit smoking as well. We don't want that to happen. Oh, let me reinforce that. So follow-up scans could also be low dose as well. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. That's going to be number one on the list. He and I, and our other partner, Dr. Mergue, work very hard to make sure that if you need a procedure, it's the right procedure. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. Just type them in the comments section. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. Getting an expert opinion about what could this nodule actually be. Dr. Wagh, let's hear a little bit about you. Where it's basically put right through your chest into the lung nodule done through the radiology department. But to delay any amount of care. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. We'll get you a speech card. It's an oath both of us took. And you know, it is extremely valuable. Because it's a difficult time in people's lives when they have something like this done. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. 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 that is how biopsies work. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Loyola Medicine has a fully accredited and highly competitive three-year combined Pulmonary and Critical Care Fellowship program with a total complement of 13 clinical fellows. UK Pulmonary, Critical Care and Sleep Medicine offers the full scope of inpatient and outpatient services involving the diagnostic evaluation and clinical management of respiratory disorders. So if we think you're at early stage cancer, that's great. So typically we'll have a clinic evaluation. Our doctors will actually even join us from the places where they're doing the work. I am a Professor of Medicine here. And I hope you have a great week. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Physician Recruitment McHenry, IL. And we do it through your mouth. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Or should we offer something else? And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. So you're going to get way more bang for your buck literally as a scan by coming here. So we'll wake you up. And I think that's the first key step. 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. Well, gentlemen, we're out of time. Yeah, sure. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. I am a Professor of Medicine here. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . Get a Second Opinion. I work here, I go home, I kiss my children. It's either cancer or everything else. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. is seeking to recruit a Pulmonary and Critical Care Physician to join our robust team of highly experienced providers.This position requires coverage in the outpatient office located at 5 Palisades Drive, Albany NY and inpatient coverage at St Peter's Hospital Albany, NY including weekend call at Samaritan Hospital in Troy, NY. Some of them are blood based tests. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. 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. Our list of accepted insurance providers is subject to change at any time. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Open for more information. Well, if you have a cancer, the next question is, what stage is it? And remember, you can schedule your video visit by also going to the website. I kiss my spouse. But when it's time to get a follow-up scan, the reason, ultimately, for these ground glasses, why they settle into yearly, is precisely because they're slow growing. Some of the blood tests we have, have the ability to change that number. But also don't ignore it, and don't delay it. So we go through your mouth. You can't eat after midnight. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Our list of accepted insurance providers is subject to change at any time. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. See, this just shows how important it is that we do these programs here. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. Yeah, and I want to tell people-- this is a very, very safe place. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. Is following a nodule ground glass opacity with yearly CT standard? Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. And that would be another area, I would imagine. Dr. Hogarth kind of briefly said something about the blood tests. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Within the Department of Medicine, the Division of Pulmonary and Critical Care Medicine provides services at Loyola University Medical Center, Edward Hines, Jr. VA Hospital and RML Specialty Hospital. Get an online second opinion from one of our experts without having to leave your home. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. But what I can also tell you is it's cancer, here's what stage it is. We're still operating. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And so part of our discussion is, what's the probability that this nodule that you have on your CAT scan-- is it actually cancer or not? The 30 faculty, clinical associates and research associates along with a staff of more than 72, have devoted themselves to the pursuit of excellence in each of these important activities. All rights reserved. And how urgently must patients act? There's all kinds of different tests. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. 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 . And that would be another area, I would imagine. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . Is that-- should you be frightened? Well, my name is Ajay Wagh. We get thousands of survey responses each year. What you're never going to hear from us is to say, now there's nothing to do, leave. Yeah, there's several possibilities in that regard to evaluate these. So you're going to get way more bang for your buck literally as a scan by coming here. But also cat scanning. Along with his clinical practice, Dr. Wagh is an active researcher. When there are no changes from scan to scan. Who we treat. We want to remind people, very important, do not forego medical care during COVID. Some of them are just re-evaluating the CAT scan you have. 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. I don't know who wants to take that one. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And we have a high success rate to get you an answer. I mean, it's really amazing. And we get the tissue that we need. But we're also going to work with you. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. I work here, I go home, I kiss my children. Interesting. The immediate reaction is you're probably frightened. I can meet with you virtually. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. And that's a very important part for a cancer evaluation. Well, if you have a cancer, the next question is, what stage is it? So Dr. Wagh and I have our partner, Dr. Mergue. Full-Time. All rights reserved. And Dr. Hogarth mentioned blood tests even, a few moments ago. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. But can you kind of walk us through what people can expect before, during, and after one of these procedures. I'm an interventional pulmonologist here at the University of Chicago. So that's nice. 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. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. And they'll double check everything. Now, a question. 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? 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. The immediate reaction is you're probably frightened. You will not know we're doing this to you. And so now you're going to go to the surgeon to be cured. 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 want to minimize radiation. But of course, there's biopsies. 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. Now, these are complicated discussions. What you're never going to hear from us is to say, now there's nothing to do, leave. You are comfortable. Our program's strength lies in the large and varied patient base . You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Can you kind of walk us through that? Or does it have to be a higher dose CT screening? 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. 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. Open for more information. 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. I remember when Dr. Hogarth showed this to me. Loyola University Medical Center, Chicago IL: 2020: Ikuyo Imayama, MD: University of Illinois at Chicago, Chicago, IL: 2021: Mariam Anis, MBBS Northwestern Lake forest Hospital: 2021: Yu Maw Htwe, MBBS NYU Interventional Pulmonology Fellowship: 2021 11 millimeters is rather small. And I think that's the first key step. It's a wonderful website. UChicago Faculty Physicians Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. In some cases, they are a precancerous lesion. So, I really believe in great communication and teamwork.