And there we perform our procedures. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Some of them are blood based tests. And we're also going to just keep radiating you. And the patient goes afterwards to a post-procedural area, where they recover. It's an oath both of us took. 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 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. No, it will show the nodules. Although residents and fellows are paid by the University, the salaries and benefits are essentially the same for all trainees within a given postgraduate year of training. Interventional Pulmonary Pulmonary, Critical Care, Sleep and Allergy | Chicago Medicine Go ahead, Ajay. University of Cincinnati Department of Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine 231 Albert Sabin Way, ML 0564 Cincinnati, OH 45267-0564. The responses are used to improve patient experience and recognize staff members for the care they provide. So appreciate that. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. Schedule your appointment online for primary care and many specialties. And you know, COVID makes it harder for patients to see doctors. I work here, I go home, I kiss my children. That's a great question. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And then based on that discussion, we would set a patient up for a procedure. So my name is Kyle Hogarth. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Northwestern Medicine Canning Thoracic Institute . We want to minimize radiation. Division of Pulmonary, Allergy, Critical Care and Sleep Medicine 20 on the Best Hospitals Honor Roll. Go ahead, Ajay. So-- Is following a nodule ground glass opacity with yearly CT standard? 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. That ground glass, if it gets larger or denser, then it's changing. Along with his clinical practice, Dr. Wagh is an active researcher. Chicago Chest Center 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. Kumar Gaurav, MD | Interventional Pulmonologist & Critical Care I recently completed an interventional pulmonary fellowship, which brought me here. D. Kyle Hogarth, MD, is an expert in pulmonary diseases.He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancer through bronchoscopy.Dr. This is from Therese. 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. I'm in the studio all by myself, as you can see here. No, for sure. Or is that the moment of panic at that point? Yes, sir. And how minimal it actually is? Get an online second opinion from one of our experts without having to leave your home. But I'm sure you'll enjoy UChicago Medicine. And that is how biopsies work. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. A star rating is not given if a provider only has a small number of survey responses. 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. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Well, gentlemen, we're out of time. Because initially when you're faced with something like that, everything kind of just goes over your head. We'll get you a speech card. But we're also going to work with you. What Dr. Wagh and I do is a procedure called bronchoscopy. And you know, it is extremely valuable. Can you talk to us a little bit about what the patient experiences in this procedure? When there are no changes from scan to scan. Currently, there are six board certified Interventional Pulmonologists and a wide range of . 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 Sue Hammerschmidt. Media. Curriculum | Chicago Medicine You know, in fact, just to even further hammer home that point. So Dr. Wagh, you touched on this a little bit before. 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. That's a great question. That's going to be number one on the list. 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. American Association for Bronchology and Interventional Pulmonology Director, Interventional Pulmonary - Clinical Faculty Rush University We do have one that I want to get to. Age is usually 55 to 80. Interventional Pulmonology | Pulmonary & Critical Care Medicine Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. I mean, I think we are living in a strange time. In other cases, they are actually a cancer. And of course, you came here at kind of an odd time, during a pandemic. You shared really some good information with our audience. And we're, of course, happy and eager to help. Occupational lung disease. 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. And Janet wants to know how invasive is a lung biopsy? The Section of Pulmonary and Critical Care Medicine has been a model of exemplary patient care, research, and post-doctoral training for more than 20 years. [MUSIC PLAYING] Interventional Pulmonology Service - Washington University in St. Louis The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. [MUSIC PLAYING] That's going to be number one on the list. Well, I think that there's several possibilities. Pulmonary/Critical Care - University of Chicago The University of Chicago Medicine. Maybe Dr. Hogarth, you can start. Yes, sir. 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. 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. Star ratings and comments come from a number of survey questions. It's got to be terrible. I'm actually in the endoscopy suites. And then they just go home. Funding for Educational Activities But we do have avenues to help with that. And I hope you have a great week. And Dr. Wagh, maybe you can take this next one. And Dr. Wagh, maybe you can take this next one. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. I recently completed an interventional pulmonary fellowship, which brought me here. When we-- and I'll also say it depends. And then they come to our lab. 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. 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. That's good to know. And then I'll have Ajay go at it as well. Open for more information. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. You will get seen within a week every time here. We also have literally the world's greatest nurse practitioner, Kimberly. [MUSIC PLAYING]. Patient survey responses are also used to make star ratings for each provider. We will overbook you. But you know, I think that there's so many different possibilities when it comes to management that we're quickly learning how to utilize technology, even in telehealth, to help patients get what they need. Or does it have to be a higher dose CT screening? And I was fortunate enough, I think, gosh, it's been over a year ago. We'll get you a speech card. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. And we have a high success rate to get you an answer. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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. Rush University Medical Center in Chicago, IL is ranked No. Medicine Fellowship Programs - Rosalind Franklin University We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Pulmonary and Critical Care Medicine Fellowship So I always have to do this. You know, we go, oh, it's a 20% chance. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Dr. Wagh, let's hear a little bit about you. However, not everyone who receives an abnormal CT scan should be rushed into surgery. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. Communication is important with the patients. 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. Go ahead, Ajay. For help with MyChart, call us at 1-844-442-4278. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And that's a very important part for a cancer evaluation. Pulmonary, Critical Care & Sleep Medicine. What's that chance? And you can speak with your physician about that. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. 1:25 . And good nutrition and exercise is important, and we can help you get on the right track. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. Interventional Pulmonology - Hoag Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi I kiss my spouse. We're open for business. And it's important here. 11 millimeters is rather small. 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. Can you talk to us a little bit about what the patient experiences in this procedure? And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Interventional Pulmonology Fellowship; Post-Doctoral; . We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . AABIP/AIPPD Interventional Pulmonology Accredidation 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. So if you have an abnormality, the other thing that sets this place apart is if you call a regular hospital and say, hey, I've got a lung nodule, can I see somebody? If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And it's very professionally satisfying. Your lungs are going to be ultimately attached to your mouth. I'm new here to the University of Chicago, and very thankful to be here. And that would be annually until they kind of exit out after that 15 years. The University of Illinois at Chicago/Chicago Chest Center offers a 12 month Interventional Pulmonology fellowship is spread across a spectrum of hospitals to allow for exposure to a wide variety of patients, diagnoses, interventions and multiple mentors. Now, these are complicated discussions. What exactly goes on there, and why is that so critical? You're out. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Section of Pulmonary/Critical Care I mean, it's really amazing. Just to echo what Dr. Wagh said. What are some of the options to evaluate lung nodules and lung masses? So typically we'll have a clinic evaluation. Because it has everything to do with the quality of the machine for the radiation that goes through. 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. Randomly selected patients are sent patient satisfaction surveys after their visits. (Or create a 1/6 column and add a text field, modify the class so We don't want that to happen. Our list of accepted insurance providers is subject to change at any time. You will still be the same stage. A star rating is not given if a provider only has a small number of survey responses. I work here, I go home, I kiss my children. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: 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? Pulmonary Critical Care Fellowship | Peoria Medicine So-- Like, I'm not worried about spreading disease. We're in very separate areas. I mean, we do have telemedicine options. James Katsis, MD - Rush University Medical Center IP Fellowship Program Contact Information And I think that's the first key step. So Dr. Wagh, you touched on this a little bit before. So Dr. Wagh, it was interesting because this is almost like a video game. 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 then at that point, we would bring the patient back to the our laboratory. Oh, less than 5%, OK, let's slow down a little bit. And we get the tissue that we need. 5841 South Maryland Avenue, We also have literally the world's greatest nurse practitioner, Kimberly. [LAUGHTER] But we can. But I'm sure you'll enjoy UChicago Medicine. Where it's basically put right through your chest into the lung nodule done through the radiology department. Another question from a viewer, and this is Carla. You need to raise a fit. He also serves as an assistant professor of internal medicine at the UK College of Medicine. So that's nice. Curriculum | Chicago Medicine And smoking is certainly a problem, a historical problem that we're working to deal with every day. A lung mass can be a frightening discovery. But I love these. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . 2023 The University of Chicago Medical Center. The mission of Duke Interventional Pulmonary Fellowship is to train the leaders in the field by exposure to high volume of complex cases, multi-disciplinary and thoughtful approach, and cutting edge research. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. And thank you to our viewers for your great questions. And that would be annually until they kind of exit out after that 15 years. 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 love math and science, and I love to problem solve, so I started out in engineering. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. And that's kind of comforting, I think, for most patients. And Janet wants to know how invasive is a lung biopsy? We are taking questions from viewers. The University of Michigan Advanced Practice Professional (Physician Yeah, there's several possibilities in that regard to evaluate these. About the Program Ultimately, I just want to help people feel better and breathe better. Yes, sir. There's a surgeon, who's going to go in and cut part of it out. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. See, this just shows how important it is that we do these programs here. And every patient is different. And we will kind of shepherd the patient along the way. And we keep spacing that interval of scan out if nothing has changed. We want to remind people, very important, do not forego medical care during COVID. But one of the other things we were talking about, the patient journey. 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.