So Dr. Wagh, you touched on this a little bit before. [MUSIC PLAYING]. There's also what's called a needle biopsy. And we will kind of shepherd the patient along the way. Well, if you have a cancer, the next question is, what stage is it? Our list of accepted insurance providers is subject to change at any time. Oh, let me reinforce that. 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? Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And then based on that discussion, we would set a patient up for a procedure. So that's nice. Another question from a viewer, and this is Carla. Referring Physician Access Line: . So let's start off with our questions. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima And as Dr. Wagh just said, we are able to do video visits and televisits. 11 millimeters is rather small. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. MC 6092 There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. So look, there's three ways to sample inside the lung. You are comfortable. And I hope you have a great week. And of course, you came here at kind of an odd time, during a pandemic. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Well, we're very happy to have you. Our doctors will actually even join us from the places where they're doing the work. And this is a little bit inside baseball. It's so important. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . And so those are our mainstays of imaging. Some of the blood tests we have, have the ability to change that number. St. Peters Health Partners Medical Associates, P.C. They're still cutting in you. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. That's good to know. 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) We're still operating. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. We do have one that I want to get to. And then based on that discussion, we would set a patient up for a procedure. That's why we do it. The ranking is a reflection of the leading-edge lung and . 5841 South Maryland Ave., MC 6076 And we have a high success rate to get you an answer. But to delay any amount of care. And that's sort of when we take a look at the CAT scan very closely. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . Conditions & Services; All kinds of fantastic information there. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Can you talk to us a little bit about what the patient experiences in this procedure? And we get the tissue that we need. protected veterans, and individuals with disabilities. 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. And remember, you can schedule your video visit by also going to the website. 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. See, this just shows how important it is that we do these programs here. 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? You can't eat after midnight. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Our pulmonary and allergy physicians see clinic patients in the Center for Lung Health, located in room 3C in the UI Health Outpatient Care Center (OCC), which is at 1801 W Taylor. Yeah, and I want to tell people-- this is a very, very safe place. And I have been working at the University of Chicago since 1998. So-- Get an online second opinion from one of our experts without having to leave your home. But there's many other tests. Well, it certainly can. Because it has everything to do with the quality of the machine for the radiation that goes through. What you're never going to hear from us is to say, now there's nothing to do, leave. 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. And then second step is find the right people to help take care of you. Schedule your appointment online for primary care and many specialties. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. We get thousands of survey responses each year. So I'm going to have you answer the question, but also kind of explain what she's asking here. And you know, COVID makes it harder for patients to see doctors. That's right. I mean, I think we are living in a strange time. So that you get an answer as to what this nodule actually is. And that is how biopsies work. 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. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And so Dr. Hogarth, we have another question from a viewer. It could be cancer. I'm not happy that I have to tell you it's cancer. And our complication rate is the lowest amongst the three. And without a doubt, the possibility of cancer is what scares everybody. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. You're out. Within the Department of Medicine, the Division of Pulmonary and Critical Care Medicine provides services at Loyola University Medical Center, Edward Hines, Jr. VA Hospital and RML Specialty Hospital. 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. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. No, it will show the nodules. Interesting. And prior to that, I was a private practice pulmonary critical care doctor for six years. That's a great question. And we're, of course, happy and eager to help. 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. I recently completed an interventional pulmonary fellowship, which brought me here. I apologize. We can talk about imaging modalities. . Now, these are complicated discussions. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. That's coming up right now on At The Forefront Live. And thank you to our viewers for your great questions. Interesting. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. And between the four of us, we're all in clinic at any given moment. So we need to get going and do something about it. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Star ratings and comments come from a number of survey questions. 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. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Absolutely. And these procedures all have their own benefits, but also their own complications. If you think about it, the lung is mostly air. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. So if we think you're at early stage cancer, that's great. Get a Second Opinion. Learn more about clinical trials and find a trial that might be right for you. They're still cutting in you. Fax: (773) 702-6500, Outpatient Practice: Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. I can meet with you virtually. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. 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. We can talk about imaging modalities. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. And we have a series of other tests we can do. 2023 The University of Chicago Medical Center. And so think of it like a sponge. And then I'll have Ajay go at it as well. 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. 2023 The University of Chicago Medical Center. But many times, you might notice something on an x-ray that's not part of the screening pathway. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care You know, it's not just like, yeah, you do this. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. It's a wonderful, wonderful place. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. So this is an actual question. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. And Dr. Wagh, maybe you can take this next one. Interesting. We're giving you the least amount of radiation, even for what's called a diagnostic scan. But I love these. Absolutely. I'm actually in the endoscopy suites. I mean, it's really amazing. What's that chance? So-- go ahead, Dr. Hogarth, did you have something you wanted in? We are extremely cautious about everything here. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . And we can help you do that, too. What's that chance? 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. Stopping smoking can help you just across the board. Yeah, sure. And using some of the tools that we have. The probability, if it's low enough, we don't want to do invasive things to you. A star rating is not given if a provider only has a small number of survey responses. And then at that point, we would bring the patient back to the our laboratory. So I always have to do this. And then they come to our lab. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. It's usually about a half day's worth of time. Yes, so a patient typically comes in basically just for a few hours during the day. . 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. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Make sure everything looks right, that it would be safe to proceed. Because initially when you're faced with something like that, everything kind of just goes over your head. And we're also going to just keep radiating you. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . 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. You know, you mentioned that being covered by insurance. That's going to be number one on the list. [LAUGHTER] Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. But I love these. We want to minimize radiation. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . Can you kind of talk to us a little bit about that, and walk us through that? So if you need an appointment, give us a call at 888-824-0200. Well, gentlemen, we're out of time. 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: . So I think first step is don't panic. Rush University Medical Center in Chicago, IL is ranked No. What Dr. Wagh and I do is a procedure called bronchoscopy. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. So I think first step is don't panic. Well, if you have a cancer, the next question is, what stage is it? But what I can also tell you is it's cancer, here's what stage it is. So we want to-- I mean, we want to do this for everybody. Communication is important with the patients. It should be a CAT scan if you are eligible. And let's go through your CAT scan and let's have this discussion about what our next step is. Because it has everything to do with the quality of the machine for the radiation that goes through. And the individual tumor biology is changing. 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. Because initially when you're faced with something like that, everything kind of just goes over your head. 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 So we'll wake you up. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. And let's go through your CAT scan and let's have this discussion about what our next step is. Communication is important with the patients. But of course, there's biopsies. Interesting. And then second step is find the right people to help take care of you. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. And we're very serious about that. Sunit Singla, MD. 2018 Apr 17 . And Dr. Hogarth, we'll start with you. Program Director. I'm actually in the endoscopy suites. The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. Thanks again for being with us today. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. We're going to give you some strong recommendations. Dr. Hogarth, do you want to start on that one? 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. So you're going to get way more bang for your buck literally as a scan by coming here. And good nutrition and exercise is important, and we can help you get on the right track. 1:25 . So I mean, we do have a regular process of lung cancer screening. We don't want that to happen. [MUSIC PLAYING]. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. Our commitment is to outstanding clinical care, to mentoring and . So I'm going to have you answer the question, but also kind of explain what she's asking here. (312) 996-8039. [MUSIC PLAYING] Yeah. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. 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 . And the city of Chicago is a great place and a lot of fun. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. Thoracic Imaging. We want to remind people, very important, do not forego medical care during COVID. So let's start off with our questions. But we do have avenues to help with that. 11 millimeters is rather small. And Dr. Hogarth, we'll start with you. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? You will still be the same stage. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. We're not going to just say, you must do this. With Dr. Murgus extensive knowledge of airflow dynamics, nomenclature and classification systems of tracheal stenosis, tracheobronchomalacia (the weakening of the trachea and bronchi) and excessive dynamic airway collapse, he has the experience, knowledge and skill to deliver long-term success for his patients. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. 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? And then afterwards, once we settle on a date, the patient comes in. And one that has a very low invasive potential. We want to remind people, very important, do not forego medical care during COVID. The fear always is that cancers are going to grow. Or should we offer something else? You shared really some good information with our audience. But I'm sure you'll enjoy UChicago Medicine. So Dr. Wagh, it was interesting because this is almost like a video game. Because I know this is a very complex situation. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. We don't even have any camera people in here. Just to echo what Dr. Wagh said. 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. Ultimately, I just want to help people feel better and breathe better. And you know, those patients typically are eligible for low dose lung cancer screening. I am a Professor of Medicine here. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. Well, my name is Ajay Wagh. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. We could get you a plaque or something. 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. They come into the sky lobby here at UChicago. It's an oath both of us took. It's got to be terrible. 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. But also cat scanning. First, do no harm. 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. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. And then at that point, we would bring the patient back to the our laboratory. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. There's nobody else here. 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. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Exactly. Well, I think that there's several possibilities. Star ratings and comments come from a number of survey questions. Well, that's nice. And we do it through your mouth. And the patient goes afterwards to a post-procedural area, where they recover. 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. 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. But we also want to explain to you what we're going to do to actively follow you. You know, you said at the very beginning, I have a nodule, should I panic? But for many people are extremely, extremely slow growing cancer. You need to raise a fit. And if someone ever by mistake says to you, yeah, they can see you in three months. But what I can also tell you is it's cancer, here's what stage it is. And how minimal it actually is? So Dr. Wagh and I have our partner, Dr. Mergue. And we're also going to just keep radiating you. Stopping smoking can help you just across the board. We'll get you a speech card. And teasing out what's what is what Ajay and I do. I love math and science, and I love to problem solve, so I started out in engineering. And then they wait to be brought to the pre-procedural area. Why aren't we just following the pathway down? You know what, I always tell people is there is a long list of things that the nodule could be. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. And it's something solid. Dr. Hogarth kind of briefly said something about the blood tests. No, for sure. That's always the question people want to know. It's OK. I kiss my spouse. But a doctor may see something on a chest x-ray. UChicago Faculty Physicians You know, we go, oh, it's a 20% chance. He also serves as an assistant professor of internal medicine at the UK College of Medicine. There's large databases that have been built off of the experience of radiology to be able to essentially plug-in and give a number. We just talked a moment ago, and you're pretty new here. And that could be in person. That is not acceptable to make you wait. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. I work here, I go home, I kiss my children. So I have two from viewers that I have to pass along. Phone: 410-502-2533. And you don't want to. A lung mass can be a frightening discovery. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . You will get seen within a week every time here. Really, really good questions today. And either one of you can do that. Yes, sir. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Along with his clinical practice, Dr. Wagh is an active researcher.
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