Quick Apply. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Dr. Hogarth, do you want to start on that one? And we're also going to just keep radiating you. And that's a very important part for a cancer evaluation. You know what, I always tell people is there is a long list of things that the nodule could be. Get an online second opinion from one of our experts without having to leave your home. And so Dr. Hogarth, we have another question from a viewer. 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 . We evaluate whether or not it's a target that we can reach. That's coming up right now on At The Forefront Live. Is following a nodule ground glass opacity with yearly CT standard? And it also has a lot of great COVID information. Even the show that we're doing right now, you two are remote. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? We're giving you the least amount of radiation, even for what's called a diagnostic scan. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. They're still cutting in you. A star rating is not given if a provider only has a small number of survey responses. And then they just go home. of Colorado Health Sciences Ctr. Why aren't we just following the pathway down? Because I know this is a very complex situation. Or suggest that the pre-test probability is lower. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. We don't want that to happen. Is following a nodule ground glass opacity with yearly CT standard? That's good to know. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. It's got to be terrible. So this is an actual question. Schedule your appointment online for primary care and many specialties. 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. Or it could be a telemedicine visit. It's OK. So look, there's three ways to sample inside the lung. And how urgently must patients act? And so think of it like a sponge. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. And usually we discuss medications, if the patient is on a blood thinner. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. That's always the question people want to know. 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. Section of Pulmonary/Critical Care And hopefully, go home if nothing happens. We could get you a plaque or something. It is covered by insurance. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. Because initially when you're faced with something like that, everything kind of just goes over your head. It should be a CAT scan if you are eligible. And that's very important. Make sure everything looks right, that it would be safe to proceed. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Because it's interesting how you do them in the lung. And you can speak with your physician about that. So if we think you're at early stage cancer, that's great. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Conditions & Services; 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. 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. A lung mass can be a frightening discovery. So that's nice. You will get seen three to four weeks from now. We'll get you a speech card. And of course, you came here at kind of an odd time, during a pandemic. 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. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Another question from a viewer, and this is Carla. But in reality, if you're a patient, there's only two things. We don't even have any camera people in here. And that's sort of when we take a look at the CAT scan very closely. 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. 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. You know, in fact, just to even further hammer home that point. And as always, we'll take your questions during our 30 minute program. But a doctor may see something on a chest x-ray. 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: . And that would be another area, I would imagine. The Department of Pulmonary, Critical Care, Sleep, and Allergy at UI Health provides the highest level of care and treatment for lung disorders and diseases. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. I love math and science, and I love to problem solve, so I started out in engineering. There's all kinds of different tests. Now, a question. 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. I don't know who wants to take that one. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Meaning, it's technically a cancer, but it's never going to necessarily bother you. And so the lymph nodes are where cancer would spread to first. 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. Our doctors will actually even join us from the places where they're doing the work. Patients should bring recent X-rays, CT scans and PET scans either as a 'hard copy' or on CD to their appointment or make them available prior to the appointment. Or should we offer something else? Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. 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. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. Or is that the moment of panic at that point? Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. If it bothers you to come near the Medical Center, fine, let's do it via the computer. Open for more information. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. 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. That's why we do it. And we have a high success rate to get you an answer. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. There's nobody else here. Open for more information. You know, you said at the very beginning, I have a nodule, should I panic? And the national standard is roughly five weeks. That's why I'm not moving a lot, not that I move a lot anyway. So we go through your mouth. So I always have to do this. So my name is Kyle Hogarth. Age is usually 55 to 80. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Phone: (773) 702-9660, Mailing Address: And we do it through your mouth. And as always, we'll take your questions during our 30 minute program. 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. Because it's a difficult time in people's lives when they have something like this done. This is a safe place. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And that's a very important part for a cancer evaluation. Because we will always see you. Your lungs are going to be ultimately attached to your mouth. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Can you kind of walk us through that? We're going to give you some strong recommendations. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. Or come and visit a lung physician. And so that becomes one procedure, as opposed to multiple procedures. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. So that's nice. And Dr. Wagh, maybe you can take this next one. But to delay any amount of care. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . In other cases, they are actually a cancer. Even the show that we're doing right now, you two are remote. And then based on that discussion, we would set a patient up for a procedure. We just talked a moment ago, and you're pretty new here. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. Only clean air in the lungs, please. And remember, you can schedule your video visit by also going to the website. And we have a series of other tests we can do. But in reality, if you're a patient, there's only two things. Conditions & Services; 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. And it's important here. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. 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. Another question from a viewer, and this is Carla. Job Description Northwestern Medicine is currently seeking Physicians, board-certified or eligible in Interventional Pulmonology for our McHenry, IL and Lake Forest, IL hospital locations. Go ahead, Ajay. And I was fortunate enough, I think, gosh, it's been over a year ago. 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. Our list of accepted insurance providers is subject to change at any time. But there's many things it could be. And we will kind of shepherd the patient along the way. So I think first step is don't panic. 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 do have one that I want to get to. Learn more about clinical trials and find a trial that might be right for you. Now, these are complicated discussions. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . Star ratings and comments come from a number of survey questions. That's coming up right now on At The Forefront Live. 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. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. See, this just shows how important it is that we do these programs here. There's a surgeon, who's going to go in and cut part of it out. 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. They're still cutting in you. 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. Communication is important with the patients. Yeah, and I want to tell people-- this is a very, very safe place. And they'll double check everything. 11 millimeters is rather small. 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. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And I hope you have a great week. For help with MyChart, call us at 1-844-442-4278. We're not going to just say, you must do this. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. So Dr. Wagh, it was interesting because this is almost like a video game. You know, and I want to talk a little bit more about biopsies here in just a minute. 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. And teasing out what's what is what Ajay and I do. That's going to be number one on the list. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima But of course, there's an 80% chance it's not cancer. And the city of Chicago is a great place and a lot of fun. And then afterwards, once we settle on a date, the patient comes in. And using some of the tools that we have. No, it's a great question. And then I'll have Ajay go at it as well. We get thousands of survey responses each year. You shared really some good information with our audience. Exactly. This type of training is beyond what is typically available in a standard . That's not hard to convince someone. And you can speak with your physician about that. 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. Yes, sir. I remember when Dr. Hogarth showed this to me. Thanks again for being with us today. . You shared really some good information with our audience. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. 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? The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. 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. Because an abnormal CT scan is terrifying. 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. 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. We're not going to just say, you must do this. You are comfortable. No, it will show the nodules. Interventional Pulmonology. Yes, sir. We get thousands of survey responses each year. So appreciate that. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 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. Along with his clinical practice, Dr. Wagh is an active researcher. I recently completed an interventional pulmonary fellowship, which brought me here. But I love these. And we keep spacing that interval of scan out if nothing has changed. These are not questions. So that you get an answer as to what this nodule actually is. You will get seen within a week every time here. Yeah, and I want to tell people-- this is a very, very safe place. And good nutrition and exercise is important, and we can help you get on the right track. And it also has a lot of great COVID information. So there's no cutting. All rights reserved. So I mean, we do have a regular process of lung cancer screening. Chicago Chest Center - 2015. And it's something solid. Because it has everything to do with the quality of the machine for the radiation that goes through. And you know, those patients typically are eligible for low dose lung cancer screening. Just to echo what Dr. Wagh said. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. October 29, 2020 . Communicate with your doctor, view test results, schedule appointments and more. Absolutely, yeah. Interesting. That's another thing that you probably want to caution people about. We're going to do our work. Can you talk to us a little bit about what the patient experiences in this procedure? Oh, let me reinforce that. So talk to us a little bit more about the lymph nodes. And we have a series of other tests we can do. The immediate reaction is you're probably frightened. Yes, sir. Where it's basically put right through your chest into the lung nodule done through the radiology department. 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. What you're never going to hear from us is to say, now there's nothing to do, leave. And then they come to our lab. 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. We're going to do our work. Stopping smoking can help you just across the board. Go ahead, Ajay. Patient survey responses are also used to make star ratings for each provider. 1-877-DOM-2730, Department of Medicine If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. And so the lymph nodes are where cancer would spread to first. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. . 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 is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. We're in very separate areas. And there we perform our procedures. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. You want to be calm and cool. And then they wait to be brought to the pre-procedural area. Randomly selected patients are sent patient satisfaction surveys after their visits. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. I apologize. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Yes, sir. If you think about it, the lung is mostly air. And that would be annually until they kind of exit out after that 15 years. So typically we'll have a clinic evaluation. 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 it's very professionally satisfying. So you're going to get way more bang for your buck literally as a scan by coming here. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. And we also try to figure out, is it a lesion that requires biopsy? [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Amit, I hope I'm pronouncing this correctly. Academic Interventional Pulmonary/Critical Care (3-309-1142) - The Division of Pulmonary and Critical Care Medicine at the University of Maryland School of Medicine seeks a pulmonary and critical care physician for our expanding Academic Interventional Pulmonology program. And it's important here. And you want to have something reliable in what to do next. 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. We have a great team here, and I'm excited to be part of it. We could get you a plaque or something. Or you're going to go to radiation or whatever. 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. But what I can also tell you is it's cancer, here's what stage it is. Because we will always see you. Instead, you might have a little sore throat for a day or two. Our program's strength lies in the large and varied patient base . We want to find patients who have a history of smoking, quit within the past 15 years. You can't eat after midnight. Or is that the moment of panic at that point?