And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. And then they just go home. And so that becomes one procedure, as opposed to multiple procedures. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. 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. Patient survey responses are also used to make star ratings for each provider. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. 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 . But you come in, we have a pre-procedural area where the patients get kind of their IV. What Dr. Wagh and I do is a procedure called bronchoscopy. Our doctors will actually even join us from the places where they're doing the work. Go ahead, Ajay. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. They come into the sky lobby here at UChicago. 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. 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. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. You know, and I want to talk a little bit more about biopsies here in just a minute. Our commitment is to outstanding clinical care, to mentoring and . And the national standard is roughly five weeks. So we want to-- I mean, we want to do this for everybody. 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. Patient survey responses are also used to make star ratings for each provider. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . 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. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Well, that's nice. You're going to go home. And the individual tumor biology is changing. Can you kind of talk to us a little bit about that, and walk us through that? Our program's strength lies in the large and varied patient base . And either one of you can do that. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? Karen says, your pulmonary department is the best. Because initially when you're faced with something like that, everything kind of just goes over your head. Or does it have to be a higher dose CT screening? 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 nobody else here. Yes, so a patient typically comes in basically just for a few hours during the day. Every tumor, of course, has its own biology speed at which it grows. It's usually about a half day's worth of time. So we'll wake you up. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . So-- And we're also going to just keep radiating you. Stopping smoking can help you just across the board. Additionally, Dr. Hogarth is able to offer his patients unparalleled diagnostic accuracy by being the first in the United States to use the LungVision system with the robot to maximize precision. What you're never going to hear from us is to say, now there's nothing to do, leave. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. Get an online second opinion from one of our experts without having to leave your home. You know, you said at the very beginning, I have a nodule, should I panic? Yeah, sure. Dr. Hogarth, do you want to start on that one? Yes, so a patient typically comes in basically just for a few hours during the day. These are not questions. You know, it's not just like, yeah, you do this. Yeah, there's several possibilities in that regard to evaluate these. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. 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. Oh, let me reinforce that. 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. And it also has a lot of great COVID information. Interventional Pulmonology Fellowship Program Director. And then we go in with our scopes. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. And then at that point, we would bring the patient back to the our laboratory. Now, these are complicated discussions. And that is how biopsies work. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. And this is important. You know what, I always tell people is there is a long list of things that the nodule could be. And Dr. Hogarth, I want to start with you. And we will kind of shepherd the patient along the way. Pulmonary & Critical Care Medicine. 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. But there's many other tests. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. 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. But that's part of what you do. But we're very careful about that. 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. MC 6092 And there are potential treatments to help patients quit smoking as well. I don't know who wants to take that one. So let's start off with our questions. So follow-up scans could also be low dose as well. [MUSIC PLAYING] My name is Ajay Wagh. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Some of them are just re-evaluating the CAT scan you have. All kinds of fantastic information there. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . These are not questions. And this is important. 2018 Apr 17 . He and I, and our other partner, Dr. Mergue, work very hard to make sure that if you need a procedure, it's the right procedure. And then they just go home. We have a great team here, and I'm excited to be part of it. We're going to give you some strong recommendations. But many times, you might notice something on an x-ray that's not part of the screening pathway. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. So we need to get going and do something about it. I'm actually in the endoscopy suites. But I'm sure you'll enjoy UChicago Medicine. Is that-- should you be frightened? Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. That's always the question people want to know. We have a great team here, and I'm excited to be part of it. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . So if we think you're at early stage cancer, that's great. So look, there's three ways to sample inside the lung. There's a surgeon, who's going to go in and cut part of it out. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, Advanced Diagnostic and Therapeutic Bronchoscopy, University of Tennessee College of Medicine. And then if we do need to do a biopsy, making sure the correct biopsy gets done. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. I can meet with you virtually. Communicate with your doctor, view test results, schedule appointments and more. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. But a doctor may see something on a chest x-ray. And so those are our mainstays of imaging. Interventional Pulmonology. 11 millimeters is rather small. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. And we're very serious about that. 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. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. And remember, you can schedule your video visit by also going to the website. However, not everyone who receives an abnormal CT scan should be rushed into surgery. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. The responses are used to improve patient experience and recognize staff members for the care they provide. You were fantastic. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. I love math and science, and I love to problem solve, so I started out in engineering. Or suggest that the pre-test probability is lower. 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. The Fellowship Coordinator will be responsible for coordination and administrative support for fellowship programs in Pulmonary and Critical Care Medicine, Sleep Medicine, and Interventional Pulmonology. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima Just to echo what Dr. Wagh said. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. So talk to us a little bit more about the lymph nodes. So this is an actual question. 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. And Dr. Hogarth, we'll start with you. And there we perform our procedures. Dr. Hogarth kind of briefly said something about the blood tests. Like, I'm not worried about spreading disease. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And how urgently must patients act? And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And we have a series of other tests we can do. And you know, COVID makes it harder for patients to see doctors. So my name is Kyle Hogarth. You are comfortable. 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. . Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. 5841 South Maryland Ave., MC 6076 We'll get you a speech card. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Because an abnormal CT scan is terrifying. I mean, we do have telemedicine options. But also don't ignore it, and don't delay it. Along with his clinical practice, Dr. Wagh is an active researcher. And so Dr. Hogarth, we have another question from a viewer. 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 then afterwards, once we settle on a date, the patient comes in. And then second step is find the right people to help take care of you. Program Director. Because it's interesting how you do them in the lung. And then at that point, we would bring the patient back to the our laboratory. That's good to know. It sounds like you're in a busy, busy place. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. Or should we offer something else? And prior to that, I was a private practice pulmonary critical care doctor for six years. And we will kind of shepherd the patient along the way. You were fantastic. And you say, well, wait. . Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. If it bothers you to come near the Medical Center, fine, let's do it via the computer. We are taking questions from viewers. And let's go through your CAT scan and let's have this discussion about what our next step is. Salary and Benefits. You're out. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Referring . So talk to us a little bit more about the lymph nodes. That's why we do it. There's also what's called a needle biopsy. And so think of it like a sponge. The University of Cincinnati Interventional Pulmonology (IP) Service is one of the 34 fellowship programs recognized by the American Association for Bronchology and Interventional Pulmonology (AABIP). And that's a very important part for a cancer evaluation. Or should we offer something else? But of course, there's biopsies. And if someone ever by mistake says to you, yeah, they can see you in three months. You know, it's not just like, yeah, you do this. 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. And you don't want to. Chicago, IL 60637, Referring Physician Access Line: And it's something solid. Well, it certainly can. We want to minimize radiation. And I don't know. 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. 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. We are proud to have an interventional pulmonary laboratory with full-time dedicated . I'm an interventional pulmonologist here at the University of Chicago. It should be a CAT scan if you are eligible. And every patient is different. Well, the blood test actually showed that it's less than 5%. Yeah. University of Chicago, Interventional Pulmonology; Board Certifications. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. And Dr. Wagh, maybe you can take this next one. No, don't panic. Yeah, sure. You can't eat after midnight. But of course, there's biopsies. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. It's a wonderful, wonderful place. So my name is Kyle Hogarth. Some of the blood tests we have, have the ability to change that number. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. UChicago Faculty Physicians And then I'll have Ajay go at it as well. 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. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. And that's kind of comforting, I think, for most patients. We can talk about imaging modalities. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu The immediate reaction is you're probably frightened. We could get you a plaque or something. But also don't ignore it, and don't delay it. We just talked a moment ago, and you're pretty new here. That's another thing that you probably want to caution people about. When we-- and I'll also say it depends. And there are potential treatments to help patients quit smoking as well. And so the lymph nodes are where cancer would spread to first. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. 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. And you can speak with your physician about that. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. Randomly selected patients are sent patient satisfaction surveys after their visits. And then based on that discussion, we would set a patient up for a procedure. Referring Physician Access Line: . Some of them are blood based tests. I kiss my spouse. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. A star rating is not given if a provider only has a small number of survey responses. 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. Interventional Pulmonary; Hospitals. Right? We're giving you the least amount of radiation, even for what's called a diagnostic scan. So Dr. Wagh, it was interesting because this is almost like a video game. And you two, and your teams, are really good at helping people through that situation. I love taking care of people, and I love to see them breathe better and feel better. 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 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. You know what, I always tell people is there is a long list of things that the nodule could be. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. And you know, it is extremely valuable. Interventional Pulmonology Fellowship; Post-Doctoral; . 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. That's why I'm not moving a lot, not that I move a lot anyway. 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. Another question from a viewer, and this is Carla. No, it's a great question. Our list of accepted insurance providers is subject to change at any time. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. We're going to do our work. Instead, you might have a little sore throat for a day or two. But there's many things it could be. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And you want to have something reliable in what to do next. In other cases, they are actually a cancer. I can meet with you virtually. Communication is important with the patients. Star ratings and comments come from a number of survey questions. Phone: (773) 702-9660. Sleep clinic patients are seen here during the day . Because we will always see you. We are extremely cautious about everything here. It's usually about a half day's worth of time. Today there are better insights into cancer and other lung diseases. And we do it through your mouth. 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. You know, you said at the very beginning, I have a nodule, should I panic? Well, gentlemen, we're out of time. Or it could be a telemedicine visit. You will not know we're doing this to you. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And that could be in person. But for many people are extremely, extremely slow growing cancer. 617-632-8036. So I want to get back to biopsies for just a moment. 840 S. Wood Street MC719 Chicago, IL 60612. 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) I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. And these procedures all have their own benefits, but also their own complications. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. And of course, you came here at kind of an odd time, during a pandemic. 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 And without a doubt, the possibility of cancer is what scares everybody. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Just type them in the comments section. I want to know you're an early stage cancer. Meaning, it's technically a cancer, but it's never going to necessarily bother you. That's why I'm not moving a lot, not that I move a lot anyway. Interesting. [LAUGHTER] Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. You know, and I want to talk a little bit more about biopsies here in just a minute. Phone: (773) 702-9660, Mailing Address: And let's go through your CAT scan and let's have this discussion about what our next step is. And that could be in person. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. If it bothers you to come near the Medical Center, fine, let's do it via the computer. And you two, and your teams, are really good at helping people through that situation. This isn't that twilight. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Can you kind of talk to us a little bit about that, and walk us through that? And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Obviously, if things change, then that's a discussion towards biopsy. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. All rights reserved. You need to raise a fit. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. That ground glass, if it gets larger or denser, then it's changing. You need to raise a fit. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. And teasing out what's what is what Ajay and I do. And we have a high success rate to get you an answer. Really, really good questions today. Well, I think that there's several possibilities. Interesting. 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 so now you're going to go to the surgeon to be cured. So I think first step is don't panic. 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 will get seen within a week every time here. It sounds like you're in a busy, busy place. 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? 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. 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. 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. The probability, if it's low enough, we don't want to do invasive things to you. Now, a question. But can you kind of walk us through what people can expect before, during, and after one of these procedures.