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In some cases, they are a precancerous lesion. 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? Communicate with your doctor, view test results, schedule appointments and more. Our list of accepted insurance providers is subject to change at any time. And it's something solid. Yeah. 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. A star rating is not given if a provider only has a small number of survey responses. Because it has everything to do with the quality of the machine for the radiation that goes through. We get thousands of survey responses each year. It should be a CAT scan if you are eligible. You were fantastic. Well, gentlemen, we're out of time. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections And using some of the tools that we have. And it's important here. Yes, sir. 2018 Apr 17 . Phone: (773) 702-9660, Mailing Address: In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. So I mean, we do have a regular process of lung cancer screening. That's going to be number one on the list. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. And between the four of us, we're all in clinic at any given moment. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Because an abnormal CT scan is terrifying. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, Advanced Diagnostic and Therapeutic Bronchoscopy, University of Tennessee College of Medicine. And that would be annually until they kind of exit out after that 15 years. Oh, let me reinforce that. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. Another question from a viewer, and this is Carla. Get a Second Opinion. And then they just go home. Section of Pulmonary/Critical Care Phone: (773) 702-9660. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. We're still operating. 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. And we're, of course, happy and eager to help. The responses are used to improve patient experience and recognize staff members for the care they provide. That's always the question people want to know. Learn more about clinical trials and find a trial that might be right for you. The Interventional Pulmonology Fellowship began in July 1, 2000. Interventional Pulmonology. And the national standard is roughly five weeks. But in reality, if you're a patient, there's only two things. And it's something solid. And then at that point, we would bring the patient back to the our laboratory. 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. Media. You know, we go, oh, it's a 20% chance. Getting an expert opinion about what could this nodule actually be. 11 millimeters is rather small. I kiss my spouse. This is from Therese. Hogarth DK. Or come and visit a lung physician. I love math and science, and I love to problem solve, so I started out in engineering. You will not know we're doing this to you. And let's go through your CAT scan and let's have this discussion about what our next step is. 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? And smoking is certainly a problem, a historical problem that we're working to deal with every day. So when we're done, you go home. UChicago Faculty Physicians Referring Physician Access Line: . Or suggest that the pre-test probability is lower. 617-632-8036. And I think that's the first key step. The immediate reaction is you're probably frightened. Well, if you have a cancer, the next question is, what stage is it? Get a Second Opinion. We are proud to have an interventional pulmonary laboratory with full-time dedicated . We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. The hospital is safe, the hospital is clean. There's nobody else here. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. We're going to get to a little bit more detail of that one here in just a moment. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. 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. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. What are some of the options to evaluate lung nodules and lung masses? And the patient goes afterwards to a post-procedural area, where they recover. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. 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. And if someone ever by mistake says to you, yeah, they can see you in three months. 3 University of Rochester Medical Center, Rochester New York. 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. [MUSIC PLAYING] And it is, would my annual low dose CT lung cancer screening show nodules? But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. And I think that's the first key step. Just type them in the comments section. Our commitment is to outstanding clinical care, to mentoring and . No, it will show the nodules. These are not questions. We also have literally the world's greatest nurse practitioner, Kimberly. That's good to know. Panicking, obviously, is never helpful. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Some of them are blood based tests. Full-Time. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. (Or create a 1/6 column and add a text field, modify the class so 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. 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 we also try to figure out, is it a lesion that requires biopsy? Or it could be a telemedicine visit. And I don't know. But a doctor may see something on a chest x-ray. And I try to reliably perform that every day when I come to work. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . So ground glass nodules are a different biology. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . And the individual tumor biology is changing. 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. University of Chicago, Interventional Pulmonology; Board Certifications. Additionally, he authored a best-selling textbook on bronchoscopy as well as written numerous book chapters and clinical guidelines pertinent to the management of patients with lung cancer. Consultations and second opinions are also available on request for patients that have . But in reality, if you're a patient, there's only two things. We do have one that I want to get to. So we do want to remind our viewers, we'll take your questions for our experts. We want to minimize radiation. So we want to-- I mean, we want to do this for everybody. Communicate with your doctor, view test results, schedule appointments and more. Sure. Star ratings and comments come from a number of survey questions. Well, my name is Ajay Wagh. So we do want to remind our viewers, we'll take your questions for our experts. And then afterwards, once we settle on a date, the patient comes in. But for many people are extremely, extremely slow growing cancer. We want to remind people, very important, do not forego medical care during COVID. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. And then they come to our lab. And I hope you have a great week. 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 so that becomes one procedure, as opposed to multiple procedures. And we have a high success rate to get you an answer. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. I love taking care of people, and I love to see them breathe better and feel better. . 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. There's also what's called a needle biopsy. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. And then afterwards, once we settle on a date, the patient comes in. We're not going to just say, you must do this. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Patients have both benign and malignant non-cardiac diseases of the chest. Is following a nodule ground glass opacity with yearly CT standard? 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. 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. Panicking, obviously, is never helpful. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. I'm new here to the University of Chicago, and very thankful to be here. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . Interesting. But there's many things it could be. Quick Apply. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Ultimately, I just want to help people feel better and breathe better. But there's many other tests. That ground glass, if it gets larger or denser, then it's changing. Some of them are just re-evaluating the CAT scan you have. And either one of you can jump on this one. Interesting. That ground glass, if it gets larger or denser, then it's changing. 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. It's got to be terrible. 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. Make sure everything looks right, that it would be safe to proceed. But we're very careful about that. 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. . And then based on that discussion, we would set a patient up for a procedure. But I'm sure you'll enjoy UChicago Medicine. And our complication rate is the lowest amongst the three. What you're never going to hear from us is to say, now there's nothing to do, leave. And you know, those patients typically are eligible for low dose lung cancer screening. Yes, sir. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 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. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. We have a great team here, and I'm excited to be part of it. We evaluate whether or not it's a target that we can reach. 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. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. And we will kind of shepherd the patient along the way. . Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu 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. So talk to us a little bit more about the lymph nodes. Thanks again for being with us today. 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. So-- go ahead, Dr. Hogarth, did you have something you wanted in? A lung mass can be a frightening discovery. Because initially when you're faced with something like that, everything kind of just goes over your head. The Interventional Pulmonary Fellowship is a one-year intense training program designed to expose the trainee to all the advanced diagnostic and therapeutic procedures necessary for practice. 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. This is a safe place. Instead, you might have a little sore throat for a day or two. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Every tumor, of course, has its own biology speed at which it grows. And so Dr. Hogarth, we have another question from a viewer. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. And so now you're going to go to the surgeon to be cured. Chicago, IL 60637 Nicole Greenlee. So this is an actual question. What Dr. Wagh and I do is a procedure called bronchoscopy. We'll get you a speech card. This isn't that twilight. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. No, for sure. 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. Yeah, and I want to tell people-- this is a very, very safe place. Interventional Pulmonology. I'm in the studio all by myself, as you can see here. 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. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Interventional Pulmonology Fellowship; Post-Doctoral; . No, it's a great question. Go ahead, Ajay. Is that-- should you be frightened? In other cases, they are actually a cancer. 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. Well, we're very happy to have you. You know, it's not just like, yeah, you do this. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. You know, you mentioned that being covered by insurance. And how minimal it actually is? Yes, sir. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. We have a great team here, and I'm excited to be part of it. And let's go through your CAT scan and let's have this discussion about what our next step is. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? 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. You can't eat after midnight. I'm not happy that I have to tell you it's cancer. Compare hospital ratings for pulmonology and lung surgery. So you're going to get way more bang for your buck literally as a scan by coming here. I work here, I go home, I kiss my children. And Janet wants to know how invasive is a lung biopsy? And we do it through your mouth. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait.