So I'm excited to be here in the city, and part of this program. 2023 The University of Chicago Medical Center. And without a doubt, the possibility of cancer is what scares everybody. 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 you're going to get way more bang for your buck literally as a scan by coming here. And we're, of course, happy and eager to help. I work here, I go home, I kiss my children. 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. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. 840 S. Wood Street MC719 Chicago, IL 60612. Currently, there are six board certified Interventional Pulmonologists and a wide range of . I don't know who wants to take that one. Sunit Singla, MD. You know, you said at the very beginning, I have a nodule, should I panic? Well, if you have a cancer, the next question is, what stage is it? And that's sort of when we take a look at the CAT scan very closely. 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. Meet the Doctor. Star ratings and comments come from a number of survey questions. [LAUGHTER] And hopefully, go home if nothing happens. Can you kind of walk us through that? 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. These are not questions. 11 millimeters is rather small. So talk to us a little bit more about the lymph nodes. [MUSIC PLAYING]. 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). Communicate with your doctor, view test results, schedule appointments and more. Meaning, it's technically a cancer, but it's never going to necessarily bother you. 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 smoking is certainly a problem, a historical problem that we're working to deal with every day. We'll get you a speech card. 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. Quick Apply. But can you kind of walk us through what people can expect before, during, and after one of these procedures. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. I mean, it's really amazing. And we have a high success rate to get you an answer. You need to raise a fit. It's a wonderful, wonderful place. Like, I'm not worried about spreading disease. That's going to be number one on the list. We also have literally the world's greatest nurse practitioner, Kimberly. You will not know we're doing this to you. And between the four of us, we're all in clinic at any given moment. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. You're going to go home. You were fantastic. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. Interventional Pulmonary; Hospitals. We get thousands of survey responses each year. And we keep spacing that interval of scan out if nothing has changed. We could get you a plaque or something. That's another thing that you probably want to caution people about. Conditions & Services; And Dr. Wagh, maybe you can take this next one. First, do no harm. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . And you can speak with your physician about that. Physician Recruitment McHenry, IL. Panicking, obviously, is never helpful. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And our complication rate is the lowest amongst the three. We could get you a plaque or something. And that could be in person. They're still cutting in you. Dr. Hogarth, do you want to start on that one? Absolutely. We want to find patients who have a history of smoking, quit within the past 15 years. And the individual tumor biology is changing. That ground glass, if it gets larger or denser, then it's changing. 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. I'm in the studio all by myself, as you can see here. Getting an expert opinion about what could this nodule actually be. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Critical Care Medicine; Pulmonology; Meet the Doctor . 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. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . The fear always is that cancers are going to grow. And then at that point, we would bring the patient back to the our laboratory. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. All kinds of fantastic information there. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Or come and visit a lung physician. You need to raise a fit. And using some of the tools that we have. It could be cancer. I'm not happy that I have to tell you it's cancer. You know, it's not just like, yeah, you do this. We're open for business. 5841 South Maryland Ave., MC 6076 And so now you're going to go to the surgeon to be cured. Absolutely, yeah. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . And then we go in with our scopes. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. And prior to that, I was a private practice pulmonary critical care doctor for six years. Randomly selected patients are sent patient satisfaction surveys after their visits. What you're never going to hear from us is to say, now there's nothing to do, leave. And then based on that discussion, we would set a patient up for a procedure. The responses are used to improve patient experience and recognize staff members for the care they provide. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. But we do have avenues to help with that. And so those are our mainstays of imaging. And then they just go home. Because initially when you're faced with something like that, everything kind of just goes over your head. For help with MyChart, call us at 1-844-442-4278. We're not going to just say, you must do this. And one that has a very low invasive potential. 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. Is that-- should you be frightened? Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Well, it certainly can. Oh, let me reinforce that. Program Overview. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. And you say, well, wait. You know, and I want to talk a little bit more about biopsies here in just a minute. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. This type of training is beyond what is typically available in a standard . Now, these are complicated discussions. And then afterwards, once we settle on a date, the patient comes in. Program Coordinator. Dr. Wagh, let's hear a little bit about you. 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. It's a wonderful website. So we'll wake you up. 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 . Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. You're out. Yes, sir. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. 11 millimeters is rather small. 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. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. 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. And that would be annually until they kind of exit out after that 15 years. Well, we're very happy to have you. 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're out. But that's part of what you do. Nicole Greenlee. And this is a little bit inside baseball. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. We are proud to have an interventional pulmonary laboratory with full-time dedicated . We want to remind people, very important, do not forego medical care during COVID. The Interventional Pulmonology Fellowship began in July 1, 2000. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. So we do want to remind our viewers, we'll take your questions for our experts. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . Full-Time. 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. [MUSIC PLAYING]. There's also what's called a needle biopsy. Get an online second opinion from one of our experts without having to leave your home. That ground glass, if it gets larger or denser, then it's changing. So I mean, we do have a regular process of lung cancer screening. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 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. You know, in fact, just to even further hammer home that point. Or is that the moment of panic at that point? 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. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . Well, we're very happy to have you. We do have one that I want to get to. So ground glass nodules are a different biology. Fax: (773) 702-6500, Outpatient Practice: Or it could be a telemedicine visit. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. And you don't want to. But to delay any amount of care. 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. Chicago Chest Center/ The University of Illinois Chicago. Yeah, sure. No, it's a great question. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. Or you're going to go to radiation or whatever. Well, the blood test actually showed that it's less than 5%. And as always, we'll take your questions during our 30 minute program. And you two, and your teams, are really good at helping people through that situation. But a doctor may see something on a chest x-ray. A star rating is not given if a provider only has a small number of survey responses. Go ahead, Ajay. 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? So when we're done, you go home. And it also has a lot of great COVID information. And Dr. Hogarth, we'll start with you. He also serves as an assistant professor of internal medicine at the UK College of Medicine. And you know, COVID makes it harder for patients to see doctors. No, for sure. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . We're still operating. And Dr. Hogarth, I want to start with you. When we-- and I'll also say it depends. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Now, these are complicated discussions. It's an oath both of us took. We're going to get to a little bit more detail of that one here in just a moment. And this is important. Pulmonary & Critical Care Medicine. Dr. Hogarth was the first physician in Illinois to perform Bronchoscopic Lung Volume Reduction (bLVR) for severe emphysemausing both the Zephyr valve and the Spiration valve. So, I really believe in great communication and teamwork. We just talked a moment ago, and you're pretty new here. 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. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? So-- I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Exactly. But there's many other tests. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . We can talk about imaging modalities. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. But many times, you might notice something on an x-ray that's not part of the screening pathway. What you're never going to hear from us is to say, now there's nothing to do, leave. 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. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. And so now you're going to go to the surgeon to be cured. So my name is Kyle Hogarth. The Interventional Pulmonology Center at Barnes-Jewish Hospital and Washington University School of Medicine, in conjunction with the Siteman Cancer Center, uses the following specialized technology to offer patients advanced diagnoses and expert care: . When you or a loved one has a lung disease, you want to see the best lung doctors available. And we can help you do that, too. Can you kind of talk to us a little bit about that, and walk us through that? He also performs laser-assisted mechanical dilation of airway strictures, airway stenting and bronchoscopic treatments for benign and malignant airway lesions using photodynamic therapy, cryotherapy and electrosurgery techniques. 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. I mean, we do have telemedicine options. 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. Is following a nodule ground glass opacity with yearly CT standard? 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 there's no cutting. Some of them are just re-evaluating the CAT scan you have. And prior to that, I was a private practice pulmonary critical care doctor for six years. You can't eat after midnight. What's that chance? And the patient goes afterwards to a post-procedural area, where they recover. And we're also going to just keep radiating you. The immediate reaction is you're probably frightened. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. And either one of you can jump on this one. With this new curriculum, physicians learn by using simulation technology, interactive step-by-step instructions and problem-based teaching which create an engaging and authentic learning environment. Karen says, your pulmonary department is the best. 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. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. 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 if someone ever by mistake says to you, yeah, they can see you in three months. MC 6092 Or it could be a telemedicine visit. You know, you mentioned that being covered by insurance. Sure. Phone: (773) 702-1856 Panicking, obviously, is never helpful. 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. Right? October 29, 2020 . Communication is important with the patients. There's nobody else here. And we get the tissue that we need. And we also try to figure out, is it a lesion that requires biopsy? Or suggest that the pre-test probability is lower. No, it's a great question. There's all kinds of different tests. Getting an expert opinion about what could this nodule actually be. Get a Second Opinion. I want to know you're an early stage cancer. It's got to be terrible. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. protected veterans, and individuals with disabilities. It's so important. A lung mass can be a frightening discovery. This isn't that twilight. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. What are some of the options to evaluate lung nodules and lung masses? Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Patient survey responses are also used to make star ratings for each provider. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And how urgently must patients act? But I love these. I don't know who wants to take that one. Stopping smoking can help you just across the board. And that would be another area, I would imagine. So we need to get going and do something about it. And sign a few papers. Oh, less than 5%, OK, let's slow down a little bit. Phone: (773) 702-9660. 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. Open for more information. So let's start off with our questions. But that's part of what you do. For help with MyChart, call us at 1-844-442-4278. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: Because initially when you're faced with something like that, everything kind of just goes over your head. Interventional Pulmonology at Hoag is an important part of the multidisciplinary approach to diagnosing and treating the complexities of lung cancer. You will get seen three to four weeks from now. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And so as Dr. Wagh just pointed out, in the same procedure, after we've just proved that is a cancer, we're going to then go sample your lymph nodes. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. And that is how biopsies work. Interventional Pulmonology, Northwestern University, Feinberg School of Medicine, Chicago IL 2015-2016 Pulmonary and Critical Medicine, UC Davis Medical Center, Sacramento CA 2012-2015 Professional Memberships Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. So look, there's three ways to sample inside the lung. That's not hard to convince someone. Obviously, if things change, then that's a discussion towards biopsy. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Some of the blood tests we have, have the ability to change that number. But one of the other things we were talking about, the patient journey. Dr. Hogarth kind of briefly said something about the blood tests. Our doctors will actually even join us from the places where they're doing the work. And that would be another area, I would imagine. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Just type them in the comments section. So a little bit of a fan club going here, but that's awesome. 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. And smoking is certainly a problem, a historical problem that we're working to deal with every day. I kiss my spouse. We want to minimize radiation. 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. But there's many other tests. You know what, I always tell people is there is a long list of things that the nodule could be. 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. And I was fortunate enough, I think, gosh, it's been over a year ago. I remember when Dr. Hogarth showed this to me. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. Learn more about clinical trials and find a trial that might be right for you.