He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Elliot Y. Ho, DO | Loma Linda University Health - LLUH Emphysema and advanced emphysema. 11234 Anderson St, Loma Linda, CA 92354. . But one of the other things we were talking about, the patient journey. Our program's strength lies in the large and varied patient base . The ranking is a reflection of the leading-edge lung and . Duke Interventional Pulmonology Fellowship Program Get an online second opinion from one of our experts without having to leave your home. So if we think you're at early stage cancer, that's great. We have a great team here, and I'm excited to be part of it. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Exactly. But many times, you might notice something on an x-ray that's not part of the screening pathway. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Chicago Chest Center/ The University of Illinois Chicago. University of Chicago hiring Fellowship Coordinator in Chicago We get thousands of survey responses each year. 20 on the Best Hospitals Honor Roll. 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 shared really some good information with our audience. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And there we perform our procedures. And so now you're going to go to the surgeon to be cured. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. This is a safe place. But also don't ignore it, and don't delay it. 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. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Star ratings and comments come from a number of survey questions. Amit, I hope I'm pronouncing this correctly. 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? Because it's interesting how you do them in the lung. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. So, I really believe in great communication and teamwork. So follow-up scans could also be low dose as well. Training Programs - University of Chicago - Department of Medicine Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn We are extremely cautious about everything here. 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. So you're going to get way more bang for your buck literally as a scan by coming here. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. There's nobody else here. In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. Patients have both benign and malignant non-cardiac diseases of the chest. I want to know you're an early stage cancer. Dr. Hogarth was the first physician in Illinois to perform Bronchoscopic Lung Volume Reduction (bLVR) for severe emphysemausing both the Zephyr valve and the Spiration valve. We don't even have any camera people in here. Phone: (773) 702-1856 There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. So I always have to do this. 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. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Dr. Hogarth, do you want to start on that one? 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. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Sleep clinic patients are seen here during the day . IP Fellowship Program Contact Information 2023 The University of Chicago Medical Center. Sue Hammerschmidt. In other cases, they are actually a cancer. Get a Second Opinion. 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 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. Well, we're very happy to have you. 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. And of course, you came here at kind of an odd time, during a pandemic. And good nutrition and exercise is important, and we can help you get on the right track. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . We're going to do our work. It offers a comprehensive program of quality patient care, research and education. No, it will show the nodules. Pulmonary, Critical Care, Sleep and Allergy | Chicago Medicine And using some of the tools that we have. 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. It should be a CAT scan if you are eligible. 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. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections And one of the reasons we do this yearly image, because it is so slow growing, if it's not changing year after year, then the probability that it's going to do anything to you becomes so low that we actually leave you alone. Communicate with your doctor, view test results, schedule appointments and more. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Fellows. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? And so think of it like a sponge. And they hear, oh my gosh, I've got a nodule. As faculty members of the University of Cincinnati [] Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . 11 millimeters is rather small. If you think about it, the lung is mostly air. Yes, sir. Yeah, and I want to tell people-- this is a very, very safe place. So Dr. Wagh, it was interesting because this is almost like a video game. And then we go in with our scopes. I'm new here to the University of Chicago, and very thankful to be here. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. I kiss my spouse. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. What's that chance? And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Dr. Murgus specialty extends to a wide range of central airway disorders, including tracheal stenosis, tracheobronchomalacia, excessive dynamic airway collapse and airway obstruction from cancer. Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. 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. Northwestern Medicine Canning Thoracic Institute 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 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. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Benjamin J. Seides, MD | Northwestern Medicine You know, it's not just like, yeah, you do this. But to delay any amount of care. And you can speak with your physician about that. You want to be calm and cool. Our list of accepted insurance providers is subject to change at any time. You will not know we're doing this to you. 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 . Comments that do not apply, risk patient privacy, or are not appropriate are not posted. That is not acceptable to make you wait. Currently, there are six board certified Interventional Pulmonologists and a wide range of . Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi So first is just a discussion with you of what is the probability that this could be a malignancy for you. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. 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. 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 I love these. There's all kinds of different tests. 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. And you know, those patients typically are eligible for low dose lung cancer screening. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Dr. Hogarth kind of briefly said something about the blood tests. But there's many things it could be. 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. Yes, sir. And then they wait to be brought to the pre-procedural area. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Right? 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. Pulmonary, Critical Care & Sleep Medicine. And prior to that, I was a private practice pulmonary critical care doctor for six years. So ground glass nodules are a different biology. What you're never going to hear from us is to say, now there's nothing to do, leave. And Dr. Hogarth, we'll start with you. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. The probability, if it's low enough, we don't want to do invasive things to you. Or you're going to go to radiation or whatever. [LAUGHTER] But there's many other tests. 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. Yes, sir. . He also serves as an assistant professor of internal medicine at the UK College of Medicine. Current Fellows in the Pulmonary and Critical Care Fellowship (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. And one that has a very low invasive potential. Panicking, obviously, is never helpful. But we're also going to work with you. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Or should we offer something else? And I think we like to take things one step at a time. We can talk about imaging modalities. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . So if we think you're at early stage cancer, that's great. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. And we do it through your mouth. Conditions & Services; It's got to be terrible. It is covered by insurance. 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. 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. And usually we discuss medications, if the patient is on a blood thinner. 1-877-DOM-2730, Department of Medicine Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. If we keep scanning you, we're never going to see change. 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 was fortunate enough to start the bronchoscopy program here, and the Nodule program. $83k-$346k Interventional Pulmonology Jobs (NOW HIRING) - ZipRecruiter Interventional Pulmonology. And these procedures all have their own benefits, but also their own complications. That ground glass, if it gets larger or denser, then it's changing. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. 2018 Apr 17 . And the city of Chicago is a great place and a lot of fun. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. Dr. Hogarth was the first doctor in the Midwest to use the Monarch by Auris a robotic bronchoscopy navigation system with 3-D imaging technology built into a robotic scope that allows him to reach deeper into the lung than ever before to detect and/or biopsy nodules and masses. I'm not happy that I have to tell you it's cancer. And this is a little bit inside baseball. Absolutely, yeah. That's why I'm not moving a lot, not that I move a lot anyway. But in reality, if you're a patient, there's only two things. Now, these are complicated discussions. And that would be annually until they kind of exit out after that 15 years. So we do want to remind our viewers, we'll take your questions for our experts. Lung Diseases (Pulmonology) - UChicago Medicine Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Program Coordinator. He sees patients in clinic on Fridays. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Can you kind of walk us through that? I apologize. Interesting. Yes, sir. Oh, let me reinforce that. Instead, you might have a little sore throat for a day or two. UF Health Lung Cancer Program: Interventional Pulmonology And sign a few papers. Your lungs are going to be ultimately attached to your mouth. St. Peters Health Partners Medical Associates, P.C. Meaning, it's technically a cancer, but it's never going to necessarily bother you. It could be cancer. Learn more about clinical trials and find a trial that might be right for you. But there's many things it could be. 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: . Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. 5841 South Maryland Avenue, That's right. Interesting. What happens? Ajay Wagh, MD, MS - UChicago Medicine Is following a nodule ground glass opacity with yearly CT standard? And we're very serious about that. The immediate reaction is you're probably frightened. For help with MyChart, call us at 1-844-442-4278. And you don't want to. And it's something solid. Faculty Directory - University of Chicago - Department of Medicine I'm new here to the University of Chicago, and very thankful to be here. And we're also going to just keep radiating you. Or suggest that the pre-test probability is lower. And so the lymph nodes are where cancer would spread to first. Interventional Radiology Technologist, Days Job in Chicago, IL at The Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. And hopefully, go home if nothing happens. 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. And it also has a lot of great COVID information. And we also try to figure out, is it a lesion that requires biopsy? We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Every tumor, of course, has its own biology speed at which it grows. Or come and visit a lung physician. First, do no harm. Karen says, your pulmonary department is the best. So look, there's three ways to sample inside the lung. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. And then if we do need to do a biopsy, making sure the correct biopsy gets done. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. Occupational lung disease. 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) 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. What's that chance? We just talked a moment ago, and you're pretty new here. 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. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? Randomly selected patients are sent patient satisfaction surveys after their visits. Phone: (773) 702-9660, Mailing Address: [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. A lung mass can be a frightening discovery. Oh, let me reinforce that. But can you kind of walk us through what people can expect before, during, and after one of these procedures. In some cases, they are a precancerous lesion. Because it has everything to do with the quality of the machine for the radiation that goes through. Ultimately, I just want to help people feel better and breathe better. If it bothers you to come near the Medical Center, fine, let's do it via the computer. But of course, there's biopsies. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. And then we go in with our scopes. 847-498-5864. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And you say, well, wait. What you're never going to hear from us is to say, now there's nothing to do, leave. But we also want to explain to you what we're going to do to actively follow you. Well, it certainly can. . Thanks again for being with us today. Faculty Profiles - University of Chicago Medicine Faculty Profiles Pulmonary/Critical Care - University of Chicago That ground glass, if it gets larger or denser, then it's changing. So let's start off with our questions. 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 very professionally satisfying. Absolutely. Interesting. Phone: (773) 702-9660. Can you talk to us a little bit about what the patient experiences in this procedure? The Interventional Pulmonology Fellowship began in July 1, 2000. The University of Illinois at Chicago/Chicago Chest Center offers a 12 month Interventional Pulmonology fellowship is spread across a spectrum of hospitals to allow for exposure to a wide variety of patients, diagnoses, interventions and multiple mentors. That's going to be number one on the list. So that you get an answer as to what this nodule actually is. They come into the sky lobby here at UChicago. It's a wonderful, wonderful place. And then afterwards, once we settle on a date, the patient comes in. And let's go through your CAT scan and let's have this discussion about what our next step is. Because we will always see you. That's good to know. We evaluate whether or not it's a target that we can reach. The responses are used to improve patient experience and recognize staff members for the care they provide. Because it's interesting how you do them in the lung. It's usually about a half day's worth of time. Some of them are just re-evaluating the CAT scan you have. And then they just go home. The hospital is safe, the hospital is clean. When there are no changes from scan to scan. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? And the national standard is roughly five weeks. And it's important here. I remember when Dr. Hogarth showed this to me. And then second step is find the right people to help take care of you. So-- go ahead, Dr. Hogarth, did you have something you wanted in? The University of Chicago Medicine. Lung Health Program | UI Health - University of Illinois Hospital About Us. Along with his clinical practice, Dr. Wagh is an active researcher. And we're, of course, happy and eager to help. 5841 South Maryland Ave., MC 6076 We're going to tell you a outlined plan that is backed up with data as to why we're doing this. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. 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. Pulmonary Critical Care Fellowship | Peoria Medicine We're open for business. But of course, there's biopsies. Pulmonary and Critical Care Medicine Fellowship Interventional Pulmonology - Barnes-Jewish Hospital Pulmonary & Critical Care Fellowship | GME | Loyola Medicine And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? And sign a few papers. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Stopping smoking can help you just across the board. It's usually about a half day's worth of time.