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. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. The fear always is that cancers are going to grow. But we're also going to work with you. We just talked a moment ago, and you're pretty new here. You know, it's not just like, yeah, you do this. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Because an abnormal CT scan is terrifying. of Colorado Health Sciences Ctr. [MUSIC PLAYING]. You know what, I always tell people is there is a long list of things that the nodule could be. 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. And that's kind of comforting, I think, for most patients. And we keep spacing that interval of scan out if nothing has changed. 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. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. Section of Pulmonary/Critical Care For help with MyChart, call us at 1-844-442-4278. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. He also serves as an assistant professor of internal medicine at the UK College of Medicine. So, I really believe in great communication and teamwork. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. Yeah, sure. 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. Dr. Hogarth, do you want to start on that one? I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Yeah. 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. We don't even have any camera people in here. What Dr. Wagh and I do is a procedure called bronchoscopy. And every patient is different. It should be a CAT scan if you are eligible. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Procedures performed include diagnostic bronchoscopy, linear array and radial endobronchial ultrasound (EBUS) guided fine needle aspiration, navigational bronchoscopy, bronchoscopic fiducial marker placement for radiation therapy, rigid . Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care Today there are better insights into cancer and other lung diseases. There's all kinds of different tests. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. But we're very careful about that. It's got to be terrible. And you two, and your teams, are really good at helping people through that situation. But many times, you might notice something on an x-ray that's not part of the screening pathway. And this is important. Well, it certainly can. I mean, it's really amazing. And then they just go home. That's why we do it. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. And these procedures all have their own benefits, but also their own complications. Interventional Pulmonary; Hospitals. I recently completed an interventional pulmonary fellowship, which brought me here. We're going to do our work. You know, and I want to talk a little bit more about biopsies here in just a minute. 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. Patient survey responses are also used to make star ratings for each provider. And I hope you have a great week. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . That ground glass, if it gets larger or denser, then it's changing. I don't know who wants to take that one. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. But we're also going to work with you. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And so Dr. Hogarth, we have another question from a viewer. Chicago Chest Center/ The University of Illinois Chicago. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And you know, it is extremely valuable. Star ratings and comments come from a number of survey questions. Or does it have to be a higher dose CT screening? You shared really some good information with our audience. What you're never going to hear from us is to say, now there's nothing to do, leave. And then second step is find the right people to help take care of you. That's always the question people want to know. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . Oh, less than 5%, OK, let's slow down a little bit. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. Our list of accepted insurance providers is subject to change at any time. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Because it's interesting how you do them in the lung. No, it's a great question. So I mean, we do have a regular process of lung cancer screening. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. Sure. You know what, I always tell people is there is a long list of things that the nodule could be. And we keep spacing that interval of scan out if nothing has changed. Some of them are blood based tests. And hopefully, go home if nothing happens. But there's many other tests. And our complication rate is the lowest amongst the three. Because why would I put you-- why would I cure you of something that's never going to harm you? Learn more about clinical trials and find a trial that might be right for you. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. We're going to do our work. Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . But for many people are extremely, extremely slow growing cancer. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. First, do no harm. Some of them are just re-evaluating the CAT scan you have. Ultimately, I just want to help people feel better and breathe better. Right? An Interventional Pulmonology (IP) Advanced Practice Provider works in collaboration with Board Certified Physicians in the Department of Internal Medicine on the Pulmonology Service who specialize in the management of complex airway and pleural diseases. I mean, it's really amazing. But that's part of what you do. Because I know this is a very complex situation. 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. Another question from a viewer, and this is Carla. . There's also what's called a needle biopsy. And you know, those patients typically are eligible for low dose lung cancer screening. And let's go through your CAT scan and let's have this discussion about what our next step is. But we can. When there are no changes from scan to scan. Interventional Pulmonology Fellowship; Post-Doctoral; . The University of Cincinnati Interventional Pulmonology (IP) Service is one of the 34 fellowship programs recognized by the American Association for Bronchology and Interventional Pulmonology (AABIP). Or come and visit a lung physician. So I mean, we do have a regular process of lung cancer screening. Or come and visit a lung physician. However, not everyone who receives an abnormal CT scan should be rushed into surgery. Even the show that we're doing right now, you two are remote. 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 Fellowship; Post-Doctoral; Section Intranet; Quick Links. Because it's a difficult time in people's lives when they have something like this done. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Just to echo what Dr. Wagh said. Or you're going to go to radiation or whatever. 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. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. But in reality, if you're a patient, there's only two things. I remember when Dr. Hogarth showed this to me. We'll try to get to as many as we can over the next half hour. There's all kinds of different tests. Instead, you might have a little sore throat for a day or two. In some cases, they are a precancerous lesion. So we go through your mouth. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Yes, sir. Hogarth DK. We just talked a moment ago, and you're pretty new here. Or is this something that happens and you just need to get it checked out? But we do have avenues to help with that. Yes, sir. And I try to reliably perform that every day when I come to work. Yeah, there's several possibilities in that regard to evaluate these. So this is an actual question. Salary and Benefits. Our doctors will actually even join us from the places where they're doing the work. And you know, COVID makes it harder for patients to see doctors. Maybe Dr. Hogarth, you can start. And remember, you can schedule your video visit by also going to the website. And we also try to figure out, is it a lesion that requires biopsy? No, don't panic. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Go ahead, Ajay. 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? It's either cancer or everything else. And then we go in with our scopes. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Pulmonary & Critical Care Medicine. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. I apologize. And then we go in with our scopes. Now, a question. Some of them are just re-evaluating the CAT scan you have. Learn more about clinical trials and find a trial that might be right for you. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. We're going to get to a little bit more detail of that one here in just a moment. The University of Michigan as a . You want to be calm and cool. Dr. Hogarth kind of briefly said something about the blood tests. We're not going to just say, you must do this. But there's many things it could be. You need to raise a fit. Like, I'm not worried about spreading disease. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . 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. 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. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. Now, these are complicated discussions. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. So before we go and suddenly just remove a whole portion of your lung, let's slow down for a second and do things right. Program Director. Is following a nodule ground glass opacity with yearly CT standard? Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. [LAUGHTER] Well, that's nice. Can you talk to us a little bit about what the patient experiences in this procedure? Because it has everything to do with the quality of the machine for the radiation that goes through. And we have a high success rate to get you an answer. All kinds of fantastic information there. That's not hard to convince someone. The probability, if it's low enough, we don't want to do invasive things to you. I am a Professor of Medicine here. And we're also going to just keep radiating you. And then they just go home. We're giving you the least amount of radiation, even for what's called a diagnostic scan. So if we think you're at early stage cancer, that's great. About Us. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. Open for more information. This is from Therese. We want to remind people, very important, do not forego medical care during COVID. Interventional Pulmonology. Yes, sir. That's another thing that you probably want to caution people about. Referring . And at that point, they'll meet the anesthesiologist, the nursing staff. It's a wonderful website. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. So if you need an appointment, give us a call at 888-824-0200. I'm in the studio all by myself, as you can see here. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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) 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 . We do have one that I want to get to. 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. You will get seen three to four weeks from now. 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. So we'll wake you up. And you want to have something reliable in what to do next. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. You want to be calm and cool. 5841 South Maryland Avenue, I love math and science, and I love to problem solve, so I started out in engineering. Well, my name is Ajay Wagh. Because why would I put you-- why would I cure you of something that's never going to harm you? Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. 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 every patient is different. You're out. Schedule your appointment online for primary care and many specialties. And you don't want to. We don't want that to happen. But Dr. Wagh, can you talk to us a little bit about just-- I think as Dr. Hogarth just mentioned, if somebody comes in and sees a physician. The hospital is safe, the hospital is clean. And one that has a very low invasive potential. And I think we like to take things one step at a time. Really, really good questions today. Show more Show less If it bothers you to come near the Medical Center, fine, let's do it via the computer. . Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. Getting an expert opinion about what could this nodule actually be. Meet the Doctor. These are not questions. And that's a very important part for a cancer evaluation. So I want to get back to biopsies for just a moment. Randomly selected patients are sent patient satisfaction surveys after their visits. We have a great team here, and I'm excited to be part of it. What's that chance? Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. And so that becomes one procedure, as opposed to multiple procedures. Our doctors will actually even join us from the places where they're doing the work. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . We are extremely cautious about everything here. MC 6092 And it's important here. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. And Dr. Hogarth, we'll start with you. Why aren't we just following the pathway down? We're open for business. And Dr. Wagh, maybe you can take this next one. Our commitment is to outstanding clinical care, to mentoring and . You don't have to go get another procedure that's going to take time to then figure out what stage you are. Patients should bring recent X-rays, CT scans and PET scans either as a 'hard copy' or on CD to their appointment or make them available prior to the appointment. Getting an expert opinion about what could this nodule actually be. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. So we do want to remind our viewers, we'll take your questions for our experts. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Get a Second Opinion. You will get seen within a week every time here. 3 University of Rochester Medical Center, Rochester New York. We have been providing exceptional and compassionate . But you come in, we have a pre-procedural area where the patients get kind of their IV. Right? And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Loma Linda University Children's Hospital. But there's many things it could be. Even the show that we're doing right now, you two are remote. We also have literally the world's greatest nurse practitioner, Kimberly. You were fantastic. That's another thing that you probably want to caution people about. 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 hopefully, go home if nothing happens. We're in very separate areas. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. It is covered by insurance. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. But for many people are extremely, extremely slow growing cancer. This isn't that twilight. And we will kind of shepherd the patient along the way. 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. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . That's why we do it. Get an online second opinion from one of our experts without having to leave your home. Panicking, obviously, is never helpful. And they hear, oh my gosh, I've got a nodule. 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? No, it's a great question. 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. Follow @uw_APCC. And as always, we'll take your questions during our 30 minute program. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? So we need to get going and do something about it. So talk to us a little bit more about the lymph nodes. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. Consultations and second opinions are also available on request for patients that have . 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. We'll get you a speech card. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. Yes, sir. You know, you said at the very beginning, I have a nodule, should I panic? But I love these. And how minimal it actually is? And I have been working at the University of Chicago since 1998. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. 1-877-DOM-2730, Department of Medicine 11234 Anderson St, Loma Linda, CA 92354. . Can you talk to us a little bit about what the patient experiences in this procedure? And these procedures all have their own benefits, but also their own complications. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. Well, the blood test actually showed that it's less than 5%. But one of the other things we were talking about, the patient journey.
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