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. I'm not happy that I have to tell you it's cancer. Duke Interventional Pulmonology Fellowship Program Age is usually 55 to 80. I remember when Dr. Hogarth showed this to me. And between the four of us, we're all in clinic at any given moment. Schedule your appointment online for primary care and many specialties. 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. Interventional Pulmonary Course 2023 - MDA - Continuing Education (CE) Star ratings and comments come from a number of survey questions. Website. And that would be annually until they kind of exit out after that 15 years. Age is usually 55 to 80. 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 do it through your mouth. Open for more information. And using some of the tools that we have. James Katsis, MD - Rush University Medical Center Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. And either one of you can jump on this one. Just type them in the comments section. Patients have both benign and malignant non-cardiac diseases of the chest. River East Location . Schedule your appointment online for primary care and many specialties. The University of Michigan Advanced Practice Professional (Physician Exactly. And then they wait to be brought to the pre-procedural area. Absolutely, yeah. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn And we can help you do that, too. And these procedures all have their own benefits, but also their own complications. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. And sign a few papers. And if someone ever by mistake says to you, yeah, they can see you in three months. Yeah, 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. The University of Chicago Fellowship Coordinator Job in Chicago, IL Today there are better insights into cancer and other lung diseases. You don't have to go get another procedure that's going to take time to then figure out what stage you are. A star rating is not given if a provider only has a small number of survey responses. It is covered by insurance. Why aren't we just following the pathway down? I recently completed an interventional pulmonary fellowship, which brought me here. It offers a comprehensive program of quality patient care, research and education. However, not everyone who receives an abnormal CT scan should be rushed into surgery. Training Programs - University of Chicago - Department of Medicine And I think we like to take things one step at a time. 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. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. Well, I think that there's several possibilities. And that is how biopsies work. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. If it bothers you to come near the Medical Center, fine, let's do it via the computer. But what I can also tell you is it's cancer, here's what stage it is. You know what, I always tell people is there is a long list of things that the nodule could be. Where it's basically put right through your chest into the lung nodule done through the radiology department. Pulmonary, Critical Care & Sleep Medicine. . I'm an interventional pulmonologist here at the University of Chicago. Conditions & Services; And it also has a lot of great COVID information. Sleep Medicine. 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. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Advanced technology and minimally invasive options are available. 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) 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. If we keep scanning you, we're never going to see change. So Dr. Wagh, it was interesting because this is almost like a video game. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . We are taking questions from viewers. The University of Chicago Medicine. Interventional Radiology - Integrated - University of Chicago 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. University Pulmonary & Critical Care | UT Medical Center 2023 The University of Chicago Medical Center. And every patient is different. What happens? 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. Who we treat. Communicate with your doctor, view test results, schedule appointments and more. Pulmonary, Critical Care, Sleep and Allergy | Chicago Medicine I'm not happy that I have to tell you it's cancer. Oh, less than 5%, OK, let's slow down a little bit. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And then afterwards, once we settle on a date, the patient comes in. We could get you a plaque or something. Because why would I put you-- why would I cure you of something that's never going to harm you? For help with MyChart, call us at 1-844-442-4278. Our list of accepted insurance providers is subject to change at any time. So-- No, don't panic. It's a wonderful, wonderful place. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? So let's start off with our questions. And then we go in with our scopes. If you think about it, the lung is mostly air. If we keep scanning you, we're never going to see change. And the city of Chicago is a great place and a lot of fun. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. 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. Yeah. It's so important. I mean, it's really amazing. Consultations and second opinions are also available on request for patients that have . You know, you said at the very beginning, I have a nodule, should I panic? UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. Our list of accepted insurance providers is subject to change at any time. But a doctor may see something on a chest x-ray. 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 there we perform our procedures. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. Or does it have to be a higher dose CT screening? He also performs laser-assisted mechanical dilation of airway strictures, airway stenting and bronchoscopic treatments for benign and malignant airway lesions using photodynamic therapy, cryotherapy and electrosurgery techniques. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. Because an abnormal CT scan is terrifying. Our Lung Disease Physician Team - UChicago Medicine And Dr. Hogarth mentioned blood tests even, a few moments ago. But many times, you might notice something on an x-ray that's not part of the screening pathway. Yes, sir. So my name is Kyle Hogarth. 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. Our list of accepted insurance providers is subject to change at any time. Faculty and fellows conduct research in a wide range of topics such as devices in sleep medicine and interventional pulmonary, laboratory studies in IPF fibroblast pathology or building new lungs for transplantation. Septimiu Murgu, MD - UChicago Medicine Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. 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're going to go home. The immediate reaction is you're probably frightened. So that you get an answer as to what this nodule actually is. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . And as always, we'll take your questions during our 30 minute program. And the individual tumor biology is changing. 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 So look, there's three ways to sample inside the lung. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. The responses are used to improve patient experience and recognize staff members for the care they provide. And so the lymph nodes are where cancer would spread to first. If you think about it, the lung is mostly air. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. UChicago Faculty Physicians And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. In some cases, they are a precancerous lesion. Get a Second Opinion. We don't even have any camera people in here. And one that has a very low invasive potential. I follow the philosophy of following the three A's-- affable, available, and able. You are comfortable. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. About the Program Faculty Directory - University of Chicago - Department of Medicine UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. 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. We want to minimize radiation. When we-- and I'll also say it depends. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. That's not hard to convince someone. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Absolutely. And hopefully, go home if nothing happens. I mean, I think we are living in a strange time. And of course, you came here at kind of an odd time, during a pandemic. We also have literally the world's greatest nurse practitioner, Kimberly. In some cases, they are a precancerous lesion. 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. Exactly. But many times, you might notice something on an x-ray that's not part of the screening pathway. Curriculum | Chicago Medicine I mean, it's really amazing. Communication is important with the patients. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. 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? Well, gentlemen, we're out of time. And that could be in person. Karen says, your pulmonary department is the best. 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. Some of them are just re-evaluating the CAT scan you have. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. Ultimately, I just want to help people feel better and breathe better. Communicate with your doctor, view test results, schedule appointments and more. And thank you to our viewers for your great questions. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Our doctors will actually even join us from the places where they're doing the work. And there we perform our procedures. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. But there's many other tests. MC 6092 The Interventional Pulmonology Fellowship began in July 1, 2000. Maybe Dr. Hogarth, you can start. 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? Rush University Medical Center in Chicago, IL is ranked No. Yes, sir. Interventional Pulmonology - Hoag Communication is important with the patients. And so those are our mainstays of imaging. [LAUGHTER] It's usually about a half day's worth of time. You were fantastic. Make sure everything looks right, that it would be safe to proceed. Referring . An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. You will not know we're doing this to you. And you say, well, wait. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. Well, that's nice. Interesting. So let's start off with our questions. But in reality, if you're a patient, there's only two things. We want to remind people, very important, do not forego medical care during COVID. Interventional Pulmonology Service - Washington University in St. Louis 13 in the nation for Pulmonary and Lung Surgery. For more information about the Interventional Pulmonology Center or to request a referral . 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. And then based on that discussion, we would set a patient up for a procedure. And so those are our mainstays of imaging. When we-- and I'll also say it depends. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. But to delay any amount of care. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. So look, there's three ways to sample inside the lung. Dr. Hogarth kind of briefly said something about the blood tests. We're giving you the least amount of radiation, even for what's called a diagnostic scan. 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. Conditions & Services; (312) 996-8039. And I think we like to take things one step at a time. And we're very serious about that. Yes, so a patient typically comes in basically just for a few hours during the day. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. 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. Or should we offer something else? 5841 South Maryland Avenue, Because it's a difficult time in people's lives when they have something like this done. You will not know we're doing this to you. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. But of course, there's an 80% chance it's not cancer. Karen says, your pulmonary department is the best. 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 . The whole key thing, too, is that this is an ongoing dialogue between us and the patient. The fear always is that cancers are going to grow. And hopefully, go home if nothing happens. But one of the other things we were talking about, the patient journey. I mean, we do have telemedicine options.
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