And it's important here. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . We also have literally the world's greatest nurse practitioner, Kimberly. Pulmonary/Critical Care Medicine in Albany, NY for St. Peter's Health But in reality, if you're a patient, there's only two things. Hogarth DK. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? 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. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? When we-- and I'll also say it depends. You know, it's not just like, yeah, you do this. You were fantastic. Faculty Directory - University of Chicago - Department of Medicine And obviously, you know, even with minimally invasive surgery, it's still a surgery. Patient survey responses are also used to make star ratings for each provider. River East Location . For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. That's right. We're going to do our work. I kiss my spouse. I can meet with you virtually. See, this just shows how important it is that we do these programs here. And this is a little bit inside baseball. But we're also going to work with you. You're going to go home. 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. Or should we offer something else? I mean, it's really amazing. If we keep scanning you, we're never going to see change. Website. Where it's basically put right through your chest into the lung nodule done through the radiology department. 840 S. Wood Street MC719 Chicago, IL 60612. What happens? And then they just go home. Some of the blood tests we have, have the ability to change that number. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Get a Second Opinion. If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. Because it's a difficult time in people's lives when they have something like this done. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Well, the blood test actually showed that it's less than 5%. We're in very separate areas. That's always the question people want to know. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Nicole Greenlee. So a little bit of a fan club going here, but that's awesome. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . 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. Chicago Chest Center - 2015. 5841 S Maryland Ave, MC 6076. 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. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. So my name is Kyle Hogarth. And between the four of us, we're all in clinic at any given moment. Well, my name is Ajay Wagh. And we have a series of other tests we can do. But I love these. In other cases, they are actually a cancer. No, don't panic. Oh, less than 5%, OK, let's slow down a little bit. Details - University of Chicago Medicine Faculty Profiles Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. They're still cutting in you. A star rating is not given if a provider only has a small number of survey responses. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? If we keep scanning you, we're never going to see change. And we have a series of other tests we can do. Because it's interesting how you do them in the lung. And we're, of course, happy and eager to help. Because we will always see you. And Dr. Wagh, maybe you can take this next one. Or should we offer something else? 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. Interesting. St. Peters Health Partners Medical Associates, P.C. So let's start off with our questions. You shared really some good information with our audience. I want to know you're an early stage cancer. It should be a CAT scan if you are eligible. Procedures performed include diagnostic bronchoscopy, linear array and radial endobronchial ultrasound (EBUS) guided fine needle aspiration, navigational bronchoscopy, bronchoscopic fiducial marker placement for radiation therapy, rigid . It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Well, if you have a cancer, the next question is, what stage is it? If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 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. You know what, I always tell people is there is a long list of things that the nodule could be. I want to know you're an early stage cancer. Faculty | OHSU Compare hospital ratings for pulmonology and lung surgery. And there we perform our procedures. But I love these. It is covered by insurance. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. We evaluate whether or not it's a target that we can reach. We work collaboratively with pulmonary medicine, critical care, allergy, thoracic surgery, medical oncology, radiation oncology, otorhinolaryngology and transplant specialists to provide you with a seamless care experience. You know, it's not just like, yeah, you do this. And then they come to our lab. And you know, it is extremely valuable. And Dr. Hogarth, we'll start with you. It sounds like you're in a busy, busy place. Go ahead, Ajay. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. 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 we do it through your mouth. We don't even have any camera people in here. Occupational lung disease. 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. Along with his strides with bLVR, Dr. Hogarth was the first physician in Illinois to perform bronchial thermoplasty, a FDA-approved technique to treat severe asthma. And you say, well, wait. Pulmonary and Critical Care Fellows And then at that point, we would bring the patient back to the our laboratory. 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. There's a surgeon, who's going to go in and cut part of it out. You will get seen three to four weeks from now. Yeah, there's several possibilities in that regard to evaluate these. 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. Pulmonologists D. Kyle Hogarth, MD, and Ajay Wagh, MD, talk about different ways physicians can detect and diagnose lung nodules and masses, including advanced bronchoscopy techniques that do not require incisions or surgery. But there's many other tests. That's why I'm not moving a lot, not that I move a lot anyway. And I hope you have a great week. And then we go in with our scopes. 617-632-8036. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Fellows | Chicago Medicine We could get you a plaque or something. That's right. 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. Yes, sir. Conditions & Services; Referring . The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. The University of Michigan as a . That's always the question people want to know. 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. Thoracic Imaging. And I hope you have a great week. Like, I'm not worried about spreading disease. Well, the blood test actually showed that it's less than 5%. You will get seen within a week every time here. Well, it certainly can. So when we're done, you go home. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. 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. We're open for business. And these procedures all have their own benefits, but also their own complications. So you're going to get way more bang for your buck literally as a scan by coming here. Rush University Medical Center in Chicago, IL is ranked No. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. University of Cincinnati Department of Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine 231 Albert Sabin Way, ML 0564 Cincinnati, OH 45267-0564. 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. However, not everyone who receives an abnormal CT scan should be rushed into surgery. Yes, so a patient typically comes in basically just for a few hours during the day. He has done the most cases in the United States and has authored numerous publications on this topic. You know, in fact, just to even further hammer home that point. 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. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. About. And Dr. Hogarth, we'll start with you. But can you kind of walk us through what people can expect before, during, and after one of these procedures. UChicago Faculty Physicians Instead, you might have a little sore throat for a day or two. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu Communication is important with the patients. 2023 The University of Chicago Medical Center. And our complication rate is the lowest amongst the three. And of course, you came here at kind of an odd time, during a pandemic. Current Fellows - University of Chicago - Department of Medicine Ultimately, I just want to help people feel better and breathe better. Septimiu Murgu, MD - UChicago Medicine You will still be the same stage. So-- go ahead, Dr. Hogarth, did you have something you wanted in? I love math and science, and I love to problem solve, so I started out in engineering. 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. And that's very important. And one that has a very low invasive potential. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. 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. You know, you mentioned that being covered by insurance. And that's a very important part for a cancer evaluation. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Division of Pulmonary, Allergy, Critical Care and Sleep Medicine And we're, of course, happy and eager to help. So, I really believe in great communication and teamwork. Yes, sir. 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. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. 1-877-DOM-2730, Department of Medicine We will overbook you. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. Our doctors will actually even join us from the places where they're doing the work. You know, we go, oh, it's a 20% chance. Obviously, if things change, then that's a discussion towards biopsy. And I think we like to take things one step at a time. Is following a nodule ground glass opacity with yearly CT standard? And either one of you can jump on this one. Elliot Y. Ho, DO | Loma Linda University Health - LLUH The immediate reaction is you're probably frightened. Yeah, sure. Pulmonary Critical Care Fellowship | Peoria Medicine That's going to be number one on the list. And the city of Chicago is a great place and a lot of fun. Yes, sir. Make sure everything looks right, that it would be safe to proceed. We get thousands of survey responses each year. That is not acceptable to make you wait. But I'm sure you'll enjoy UChicago Medicine. And we get the tissue that we need. D. Kyle Hogarth, MD - UChicago Medicine A star rating is not given if a provider only has a small number of survey responses. And we're very serious about that. When we-- and I'll also say it depends. And you don't want to. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. You can't eat after midnight. Learn more about clinical trials and find a trial that might be right for you. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. I mean, it's really amazing. Phone: (773) 702-9660. 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 whole key thing, too, is that this is an ongoing dialogue between us and the patient. So I always have to do this. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Pulmonary, Critical Care & Sleep Medicine | UK Healthcare UChicago Faculty Physicians And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Thanks again for being with us today. But in reality, if you're a patient, there's only two things. But you come in, we have a pre-procedural area where the patients get kind of their IV. And we will kind of shepherd the patient along the way. 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 . Our program's strength lies in the large and varied patient base . And so those are our mainstays of imaging. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Pulmonary & Critical Care Medicine - Loyola University Chicago So Dr. Wagh and I have our partner, Dr. Mergue. Consultations and second opinions are also available on request for patients that have . What you're never going to hear from us is to say, now there's nothing to do, leave. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. . So we want to-- I mean, we want to do this for everybody. Exactly. And it's important here. With this new curriculum, physicians learn by using simulation technology, interactive step-by-step instructions and problem-based teaching which create an engaging and authentic learning environment. We don't even have any camera people in here. If you think about it, the lung is mostly air. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi Well, that's nice. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . Faculty Profiles - University of Chicago Medicine Faculty Profiles I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. And you want to have something reliable in what to do next. The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. And we're very serious about that. And let's go through your CAT scan and let's have this discussion about what our next step is. And I don't know. (Or create a 1/6 column and add a text field, modify the class so And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. And you want to have something reliable in what to do next. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . 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. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . He sees patients in clinic on Fridays. Currently, there are six board certified Interventional Pulmonologists and a wide range of . There's all kinds of different tests. I love taking care of people, and I love to see them breathe better and feel better. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Fax: (773) 702-6500, Outpatient Practice: I don't know who wants to take that one. We are extremely cautious about everything here. 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. Phone: (773) 702-9660. 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. Learn more about clinical trials and find a trial that might be right for you. No, for sure. Medical school: St. James School of Medicine Anguilla, Park Ridge, IL Residency: University of Illinois College of Medicine, Peoria, IL Professional interests: ARDS, sepsis and infectious lung diseases. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. So I always have to do this. So when we're done, you go home. It's so important. If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. And there are potential treatments to help patients quit smoking as well. So I have two from viewers that I have to pass along. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Interventional Pulmonology Fellowship - MD Anderson Cancer Center Interesting. You need to raise a fit. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. We're in very separate areas. So that you get an answer as to what this nodule actually is. And you know, COVID makes it harder for patients to see doctors. And Dr. Hogarth, I want to start with you. That's why I'm not moving a lot, not that I move a lot anyway. We do have one that I want to get to. 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. So we go through your mouth. Phone: 410-502-2533. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . And the individual tumor biology is changing. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. And thank you to our viewers for your great questions. The fear always is that cancers are going to grow. A lung mass can be a frightening discovery. Lung Health Program | UI Health - University of Illinois Hospital 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? Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. You shared really some good information with our audience. Yeah. 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. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Faculty Profiles - University of Chicago Medicine Faculty Profiles