As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . D. Kyle Hogarth, MD, is an expert in pulmonary diseases. 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. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . And the individual tumor biology is changing. 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. And smoking is certainly a problem, a historical problem that we're working to deal with every day. 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: . 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. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. And the national standard is roughly five weeks. Get an online second opinion from one of our experts without having to leave your home. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Well, gentlemen, we're out of time. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And you know, those patients typically are eligible for low dose lung cancer screening. 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. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. Well, it certainly can. Stopping smoking can help you just across the board. Salary and Benefits. Interesting. So if you need an appointment, give us a call at 888-824-0200. 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. Our interventional pulmonologists and their teams can diagnose and treat many types of lung disease, such as: Airway conditions, including airway fistulas and airway stenosis (narrowing) Asthma. Chicago Chest Center - 2015. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Physician Recruitment McHenry, IL. And one that has a very low invasive potential. No, it will show the nodules. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. And then we go in with our scopes. And usually we discuss medications, if the patient is on a blood thinner. We're still operating. 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. Where it's basically put right through your chest into the lung nodule done through the radiology department. Loma Linda University Children's Hospital. That's right. And this is a little bit inside baseball. That's why we do it. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. Consultations and second opinions are also available on request for patients that have . UChicago Faculty Physicians He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. What are some of the options to evaluate lung nodules and lung masses? 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. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. So there's no cutting. But of course, there's biopsies. But I'm sure you'll enjoy UChicago Medicine. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. It offers a comprehensive program of quality patient care, research and education. We're going to give you some strong recommendations. So I'm going to have you answer the question, but also kind of explain what she's asking here. All rights reserved. The University of Michigan as a . Schedule your appointment online for primary care and many specialties. So ground glass nodules are a different biology. That is not acceptable to make you wait. We evaluate whether or not it's a target that we can reach. And that's a very important part for a cancer evaluation. 2023 The University of Chicago Medical Center. And Dr. Hogarth, we'll start with you. 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. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima And as always, we'll take your questions during our 30 minute program. Absolutely, yeah. Because I know this is a very complex situation. That's not hard to convince someone. This isn't that twilight. 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 it is, would my annual low dose CT lung cancer screening show nodules? Although residents and fellows are paid by the University, the salaries and benefits are essentially the same for all trainees within a given postgraduate year of training. And that is how biopsies work. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. 840 S. Wood Street MC719 Chicago, IL 60612. Exactly. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. 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 our complication rate is the lowest amongst the three. 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. We get thousands of survey responses each year. So if the risk of cancer is low, but the risk of a complication is the same, I don't want to harm you, right? Some of them are blood based tests. That's going to be number one on the list. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And every patient is different. So that's nice. So we do want to remind our viewers, we'll take your questions for our experts. When we-- and I'll also say it depends. 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. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? His work as been published in several peer-reviewed journals, including the Journal of Thoracic Disease, Respiratory Medicine and American Journal of Physiology, Lung, Cell, Molecular Physiology. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? You will not know we're doing this to you. Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Ultimately, I just want to help people feel better and breathe better. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Randomly selected patients are sent patient satisfaction surveys after their visits. 11 millimeters is rather small. And then they come to our lab. First, do no harm. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. Can you talk to us a little bit about what the patient experiences in this procedure? So there's no cutting. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Because it's a difficult time in people's lives when they have something like this done. . I recently completed an interventional pulmonary fellowship, which brought me here. You know, you said at the very beginning, I have a nodule, should I panic? 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. 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. And you want to have something reliable in what to do next. We do have one that I want to get to. It is covered by insurance. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 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. The University of Chicago Medicine. Absolutely, yeah. And either one of you can do that. And so the lymph nodes are where cancer would spread to first. When there are no changes from scan to scan. But to delay any amount of care. We have a great team here, and I'm excited to be part of it. In some cases, they are a precancerous lesion. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. So I have two from viewers that I have to pass along. So we need to get going and do something about it. So typically we'll have a clinic evaluation. And this is a little bit inside baseball. That's going to be number one on the list. An Interventional Pulmonology (IP) Advanced Practice Provider works in collaboration with Board Certified Physicians in the Department of Internal Medicine on the Pulmonology Service who specialize in the management of complex airway and pleural diseases. And then second step is find the right people to help take care of you. Pulmonary & Critical Care Medicine. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. That's coming up right now on At The Forefront Live. 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? There's also what's called a needle biopsy. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. We're not going to just say, you must do this. 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. And I think that's the first key step. That's why we do it. Fellows. Critical Care Medicine; Pulmonology; Meet the Doctor . And how urgently must patients act? And Dr. Hogarth, I want to start with you. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. 11234 Anderson St, Loma Linda, CA 92354. . 5841 South Maryland Avenue, Because the chance it's cancer is so low, and every invasive procedure always carries a risk. We are proud to have an interventional pulmonary laboratory with full-time dedicated . I want to know you're an early stage cancer. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. Another question from a viewer, and this is Carla. of Colorado Health Sciences Ctr. So a little bit of a fan club going here, but that's awesome. And we keep spacing that interval of scan out if nothing has changed. Because initially when you're faced with something like that, everything kind of just goes over your head. But one of the other things we were talking about, the patient journey. Our list of accepted insurance providers is subject to change at any time. Well, the blood test actually showed that it's less than 5%. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. 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 then if we do need to do a biopsy, making sure the correct biopsy gets done. And how urgently must patients act? And if someone ever by mistake says to you, yeah, they can see you in three months. So-- Yeah, and I want to tell people-- this is a very, very safe place. Or it could be a telemedicine visit. And you want to have something reliable in what to do next. You will get seen three to four weeks from now. Can you kind of talk to us a little bit about that, and walk us through that? And then if we do need to do a biopsy, making sure the correct biopsy gets done. And how minimal it actually is? This type of training is beyond what is typically available in a standard . Interventional Pulmonology, Northwestern University, Feinberg School of Medicine, Chicago IL 2015-2016 Pulmonary and Critical Medicine, UC Davis Medical Center, Sacramento CA 2012-2015 Professional Memberships Today there are better insights into cancer and other lung diseases. We want to find patients who have a history of smoking, quit within the past 15 years. When there are no changes from scan to scan. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. But one of the other things we were talking about, the patient journey. We'll get you a speech card. 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. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . What you're never going to hear from us is to say, now there's nothing to do, leave. Today there are better insights into cancer and other lung diseases. But we're also going to work with you. Amit, I hope I'm pronouncing this correctly. You can't eat after midnight. What happens? Yes, sir. [LAUGHTER] Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. But in reality, if you're a patient, there's only two things. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And I try to reliably perform that every day when I come to work. You will not know we're doing this to you. First, if you smoke, please quit. And we do it through your mouth. And you know, it is extremely valuable. It's a wonderful, wonderful place. And prior to that, I was a private practice pulmonary critical care doctor for six years. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. 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. Conditions & Services; And we can help you do that, too. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. Or come and visit a lung physician. We're open for business. And that would be annually until they kind of exit out after that 15 years. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . We can talk about imaging modalities. I'm an interventional pulmonologist here at the University of Chicago. Communicate with your doctor, view test results, schedule appointments and more. Phone: (773) 702-1856 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. No, it's a great question. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. 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. No, don't panic. And it's important here. And so that becomes one procedure, as opposed to multiple procedures. And then I'll have Ajay go at it as well. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . I kiss my spouse. And at that point, they'll meet the anesthesiologist, the nursing staff. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. All kinds of fantastic information there. And that's kind of comforting, I think, for most patients. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . Schedule your appointment online for primary care and many specialties. I kiss my spouse. Now, a question. UChicago Faculty Physicians So talk to us a little bit more about the lymph nodes. And there are potential treatments to help patients quit smoking as well. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. 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. And it's something solid. So we'll wake you up. These are not questions. We get thousands of survey responses each year. They're still cutting in you. Yes, sir. [MUSIC PLAYING] And hopefully, go home if nothing happens. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. But we're very careful about that. And that would be another area, I would imagine. That ground glass, if it gets larger or denser, then it's changing. We want to remind people, very important, do not forego medical care during COVID. 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 we have a high success rate to get you an answer. For help with MyChart, call us at 1-844-442-4278. So if we think you're at early stage cancer, that's great. 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. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. What's that chance? (312) 996-8039. Instead, you might have a little sore throat for a day or two. So I mean, we do have a regular process of lung cancer screening. And Dr. Hogarth mentioned blood tests even, a few moments ago. We also have literally the world's greatest nurse practitioner, Kimberly. Right? You were fantastic. And we get the tissue that we need. Because an abnormal CT scan is terrifying. And that's very important. Program Director. And then they wait to be brought to the pre-procedural area. University of Chicago, Interventional Pulmonology; Board Certifications. And that could be in person. Communication is important with the patients. And our complication rate is the lowest amongst the three. Advanced technology and minimally invasive options are available. Like, I'm not worried about spreading disease. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. The responses are used to improve patient experience and recognize staff members for the care they provide. Communicate with your doctor, view test results, schedule appointments and more. And good nutrition and exercise is important, and we can help you get on the right track. Yes, sir. 20 on the Best Hospitals Honor Roll. So I always have to do this. And I don't know. And let's go through your CAT scan and let's have this discussion about what our next step is. Our doctors will actually even join us from the places where they're doing the work. And they'll double check everything. You shared really some good information with our audience. UChicago Faculty Physicians And then based on that discussion, we would set a patient up for a procedure. We're still operating. October 29, 2020 . Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. 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. And Dr. Hogarth, I want to start with you. What Dr. Wagh and I do is a procedure called bronchoscopy. Or is that the moment of panic at that point? So-- University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Can you kind of walk us through that? But many times, you might notice something on an x-ray that's not part of the screening pathway. . And Dr. Hogarth, we'll start with you. What's that chance? And prior to that, I was a private practice pulmonary critical care doctor for six years. 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. Getting an expert opinion about what could this nodule actually be. Can you talk to us a little bit about what the patient experiences in this procedure? And teasing out what's what is what Ajay and I do. Funding for Educational Activities 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 teasing out what's what is what Ajay and I do. And I have been working at the University of Chicago since 1998. This is from Therese. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And then they just go home. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Well, my name is Ajay Wagh. Fax: (773) 702-6500, Outpatient Practice: Section of Pulmonary/Critical Care 13 in the nation for Pulmonary and Lung Surgery. And they'll double check everything. Chronic cough. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? So you're going to get way more bang for your buck literally as a scan by coming here. And thank you to our viewers for your great questions. You're out. Or is this something that happens and you just need to get it checked out? [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. I mean, I think we are living in a strange time. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Referring Physician Access Line: . So we need to get going and do something about it. We're going to get to a little bit more detail of that one here in just a moment. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. But we're also going to work with you. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . I mean, we do have telemedicine options. So I mean, we do have a regular process of lung cancer screening. You are comfortable. So follow-up scans could also be low dose as well. Emphysema and advanced emphysema. You know, it's not just like, yeah, you do this. Because it's interesting how you do them in the lung. Yeah, there's several possibilities in that regard to evaluate these. If you think about it, the lung is mostly air. 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. The Emory Sleep Medicine . It's either cancer or everything else. It's an oath both of us took. But there's many other tests. And so those are our mainstays of imaging. And using some of the tools that we have. Dr. Hogarth kind of briefly said something about the blood tests. Really, really good questions today. I apologize. Thanks again for being with us today. The probability, if it's low enough, we don't want to do invasive things to you. Karen says, your pulmonary department is the best. Open for more information. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. You know, you said at the very beginning, I have a nodule, should I panic? For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And sign a few papers. No, it's a great question. I'm in the studio all by myself, as you can see here. And you say, well, wait. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. So we want to-- I mean, we want to do this for everybody. This is a safe place. I'm new here to the University of Chicago, and very thankful to be here. 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. 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? I can meet with you virtually. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Interventional Pulmonology. Is that-- should you be frightened? I love math and science, and I love to problem solve, so I started out in engineering. 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Interventional Pulmonology. 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. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. 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.