First, do no harm. You will get seen within a week every time here. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . And thank you to our viewers for your great questions. And I have been working at the University of Chicago since 1998. Stopping smoking can help you just across the board. The probability, if it's low enough, we don't want to do invasive things to you. Yeah, there's several possibilities in that regard to evaluate these. And you know, those patients typically are eligible for low dose lung cancer screening. And then if we do need to do a biopsy, making sure the correct biopsy gets done. So we'll wake you up. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. And so the lymph nodes are where cancer would spread to first. 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. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Age is usually 55 to 80. And how urgently must patients act? Because we will always see you. We don't even have any camera people in here. And either one of you can jump on this one. About Us. We do have one that I want to get to. Can you kind of talk to us a little bit about that, and walk us through that? And you can speak with your physician about that. Critical Care Medicine; Pulmonology; Meet the Doctor . It's a wonderful, wonderful place. We evaluate whether or not it's a target that we can reach. Quick Apply. And that would be another area, I would imagine. And we're very serious about that. 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 You want to be calm and cool. Today there are better insights into cancer and other lung diseases. When there are no changes from scan to scan. But there's many other tests. Northwestern Memorial Hospital; Univ. So I'm excited to be here in the city, and part of this program. There's nobody else here. So we need to get going and do something about it. For help with MyChart, call us at 1-844-442-4278. When there are no changes from scan to scan. We get thousands of survey responses each year. When you or a loved one has a lung disease, you want to see the best lung doctors available. You can't eat after midnight. Salary and Benefits. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. These are not questions. So that you get an answer as to what this nodule actually is. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Another question from a viewer, and this is Carla. And so those are our mainstays of imaging. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. But also cat scanning. Is that-- should you be frightened? Just type them in the comments section. The hospital is safe, the hospital is clean. Panicking, obviously, is never helpful. That's why we do it. And it also has a lot of great COVID information. And we're very serious about that. 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. What you're never going to hear from us is to say, now there's nothing to do, leave. Sue Hammerschmidt. Because an abnormal CT scan is terrifying. We're in very separate areas. And then they just go home. You know, we go, oh, it's a 20% chance. And you can speak with your physician about that. Communicate with your doctor, view test results, schedule appointments and more. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. And I have been working at the University of Chicago since 1998. 5841 South Maryland Ave., MC 6076 We are proud to have an interventional pulmonary laboratory with full-time dedicated . And I think that's the first key step. And Janet wants to know how invasive is a lung biopsy? Because initially when you're faced with something like that, everything kind of just goes over your head. Dr. Hogarth, do you want to start on that one? Pulmonary & Critical Care Medicine. 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 sign a few papers. Or is this something that happens and you just need to get it checked out? Communication is important with the patients. We do have one that I want to get to. And between the four of us, we're all in clinic at any given moment. You know what, I always tell people is there is a long list of things that the nodule could be. What's that chance? Exactly. Why aren't we just following the pathway down? So ground glass nodules are a different biology. And Dr. Hogarth, we'll start with you. We have been providing exceptional and compassionate . [LAUGHTER] In 2007 and 2011, he received the Department of Medicines Outstanding Junior Faculty Clinical Service Award and in 2013 and 2014 the Department of Medicines Outstanding Clinical Service Award. Because I know this is a very complex situation. And of course, you came here at kind of an odd time, during a pandemic. I kiss my spouse. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . Your lungs are going to be ultimately attached to your mouth. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . And then at that point, we would bring the patient back to the our laboratory. Chicago Chest Center/ The University of Illinois Chicago. 840 S. Wood Street MC719 Chicago, IL 60612. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Loma Linda University Children's Hospital. Where it's basically put right through your chest into the lung nodule done through the radiology department. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. In some cases, they are a precancerous lesion. Or is that the moment of panic at that point? And remember, you can schedule your video visit by also going to the website. And Dr. Hogarth, I want to start with you. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Program Overview. We're going to get to a little bit more detail of that one here in just a moment. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. So a little bit of a fan club going here, but that's awesome. Well, my name is Ajay Wagh. Faculty and fellows conduct research in a wide range of topics such as devices in sleep medicine and interventional pulmonary, laboratory studies in IPF fibroblast pathology or building new lungs for transplantation. And then they wait to be brought to the pre-procedural area. And you know, COVID makes it harder for patients to see doctors. First, if you smoke, please quit. Because we will always see you. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. We don't want that to happen. Can you talk to us a little bit about what the patient experiences in this procedure? And as always, we'll take your questions during our 30 minute program. Pulmonary, Critical Care & Sleep Medicine. Our list of accepted insurance providers is subject to change at any time. Dr. Wagh, let's hear a little bit about you. We could get you a plaque or something. Nicole Greenlee. And you don't want to. Dr. Wagh, let's hear a little bit about you. Chicago Chest Center was the first dedicated IP fellowship program in the Chicago area and the oldest established full service Interventional Pulmonology program in the state. Open for more information. What are some of the options to evaluate lung nodules and lung masses? Star ratings and comments come from a number of survey questions. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. You will get seen three to four weeks from now. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: And we keep spacing that interval of scan out if nothing has changed. Can you kind of talk to us a little bit about that, and walk us through that? Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Or it could be a telemedicine visit.
It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . This is a safe place. You can't eat after midnight. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . 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? Can you talk to us a little bit about what the patient experiences in this procedure? Every tumor, of course, has its own biology speed at which it grows. Associate Professor of Medicine, Co-director of Bronchoscopy. And the city of Chicago is a great place and a lot of fun. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. 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. Or should we offer something else? Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. So we need to get going and do something about it. Randomly selected patients are sent patient satisfaction surveys after their visits. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. Because it has everything to do with the quality of the machine for the radiation that goes through. Chicago Chest Center - 2015. So that's nice. Chicago, IL 60637 So I always have to do this. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. 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. The probability, if it's low enough, we don't want to do invasive things to you. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. 5841 South Maryland Avenue, So if you have an x-ray or a CAT scan, there is a chance that the word module or mass is going to show up in the report. You need to raise a fit. And so Dr. Hogarth, we have another question from a viewer. Or come and visit a lung physician. Conditions & Services; 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. Or is this something that happens and you just need to get it checked out? Or it could be a telemedicine visit. Getting an expert opinion about what could this nodule actually be. It's a wonderful website. University Pulmonary and Critical Care (UPCC) physicians and nurse practitioners specialize in the diagnosis and treatment of inpatient critical care patients who are typically hospitalized as well as diagnosis and treatment of pulmonary (lung) conditions in an outpatient setting. You will not know we're doing this to you. We'll try to get to as many as we can over the next half hour. These are not questions. University of Chicago, Interventional Pulmonology; Board Certifications. And we're, of course, happy and eager to help. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Or does it have to be a higher dose CT screening? And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. 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 . Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. But for many people are extremely, extremely slow growing cancer. And obviously, you know, even with minimally invasive surgery, it's still a surgery. 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. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. 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. It could be cancer. So follow-up scans could also be low dose as well. Sunit Singla, MD. 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 I'm going to have you answer the question, but also kind of explain what she's asking here. No, it will show the nodules. And then we go in with our scopes. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And we're, of course, happy and eager to help. And I try to reliably perform that every day when I come to work. Because initially when you're faced with something like that, everything kind of just goes over your head. That's right. And our complication rate is the lowest amongst the three. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. So we do want to remind our viewers, we'll take your questions for our experts. 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. . You don't have to go get another procedure that's going to take time to then figure out what stage you are. Thanks again for being with us today. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. The responses are used to improve patient experience and recognize staff members for the care they provide. Right? 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 I think first step is don't panic. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. 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. I recently completed an interventional pulmonary fellowship, which brought me here. And then based on that discussion, we would set a patient up for a procedure. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. Amit, I hope I'm pronouncing this correctly. 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? So we want to-- I mean, we want to do this for everybody. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And between the four of us, we're all in clinic at any given moment. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Sleep Medicine. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Learn more about clinical trials and find a trial that might be right for you. Well, we're very happy to have you. 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. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Make sure everything looks right, that it would be safe to proceed. 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. And then we go in with our scopes. [MUSIC PLAYING]. But we can. . We also have literally the world's greatest nurse practitioner, Kimberly. But of course, there's an 80% chance it's not cancer. 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. Interesting. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. So if we think you're at early stage cancer, that's great. And that could be in person. Hogarth DK. Ultimately, I just want to help people feel better and breathe better. 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. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Yeah. And it's something solid. We want to find patients who have a history of smoking, quit within the past 15 years. 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. But there's many things it could be. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . And that's sort of when we take a look at the CAT scan very closely. Interventional pulmonology is a new field within pulmonary medicine focused on the use of advanced diagnostic and therapeutic techniques for patients with lung cancer, airway disorders, and pleural diseases. All rights reserved. Karen says, your pulmonary department is the best. 2018 Apr 17 . All rights reserved. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. So we'll wake you up. It sounds like you're in a busy, busy place. Star ratings and comments come from a number of survey questions. And that's kind of comforting, I think, for most patients. And usually we discuss medications, if the patient is on a blood thinner. Interventional Pulmonary; Hospitals. We're going to do our work. Yes, so a patient typically comes in basically just for a few hours during the day. Yes, sir. Dr. Hogarth kind of briefly said something about the blood tests. So that's nice. You know, you said at the very beginning, I have a nodule, should I panic? 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. So my name is Kyle Hogarth. 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. That's another thing that you probably want to caution people about. 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. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Get a Second Opinion. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Because an abnormal CT scan is terrifying. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And we have a high success rate to get you an answer. And they'll double check everything. Getting an expert opinion about what could this nodule actually be. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Follow @uw_APCC. Yeah, sure. I mean, we do have telemedicine options. It was pretty fascinating to see what you could do inside of a person's lung with a very, very minor, very minor invasive procedure. 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. Future Oncol. 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. No, don't panic. Yes, sir. And so now you're going to go to the surgeon to be cured. And prior to that, I was a private practice pulmonary critical care doctor for six years. It's an oath both of us took. I work here, I go home, I kiss my children. Phone: (773) 702-9660. And this is important. 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. 2023 The University of Chicago Medical Center. And that's a very important part for a cancer evaluation. And without a doubt, the possibility of cancer is what scares everybody. 13 in the nation for Pulmonary and Lung Surgery. And these procedures all have their own benefits, but also their own complications. Some of them are just re-evaluating the CAT scan you have. So Dr. Wagh, it was interesting because this is almost like a video game.