Because we will always see you. And so that becomes one procedure, as opposed to multiple procedures. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. I'm new here to the University of Chicago, and very thankful to be here. Obviously, if things change, then that's a discussion towards biopsy. And you can speak with your physician about that. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. So I think first step is don't panic. Critical Care Medicine; Pulmonology; Meet the Doctor . Because I know this is a very complex situation. Our list of accepted insurance providers is subject to change at any time. And how minimal it actually is? And there we perform our procedures. Stopping smoking can help you just across the board. Well, I think that there's several possibilities. And the individual tumor biology is changing. The probability, if it's low enough, we don't want to do invasive things to you. You know what, I always tell people is there is a long list of things that the nodule could be. Your lungs are going to be ultimately attached to your mouth. Well, it certainly can. No, don't panic. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. But Dr. Wagh, can you talk to us a little bit about just-- I think as Dr. Hogarth just mentioned, if somebody comes in and sees a physician. And that's sort of when we take a look at the CAT scan very closely. So Dr. Wagh, it was interesting because this is almost like a video game. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. And teasing out what's what is what Ajay and I do. You will get seen three to four weeks from now. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. So I always have to do this. And then I'll have Ajay go at it as well. So I'm excited to be here in the city, and part of this program. There's nobody else here. It's got to be terrible. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. Pulmonary, Critical Care & Sleep Medicine. So you're going to get way more bang for your buck literally as a scan by coming here. And I hope you have a great week. It's usually about a half day's worth of time. And there are potential treatments to help patients quit smoking as well. The Emory Sleep Medicine . And that's sort of when we take a look at the CAT scan very closely. 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. And it's very professionally satisfying. 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. And you don't want to. We also have literally the world's greatest nurse practitioner, Kimberly. Just type them in the comments section. Because why would I put you-- why would I cure you of something that's never going to harm you? 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. 3 University of Rochester Medical Center, Rochester New York. And so Dr. Hogarth, we have another question from a viewer. And then based on that discussion, we would set a patient up for a procedure. 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 how minimal it actually is? But we're very careful about that. You need to raise a fit. 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. Our commitment is to outstanding clinical care, to mentoring and . Learn more about clinical trials and find a trial that might be right for you. Chicago Chest Center/ The University of Illinois Chicago. Future Oncol. 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. Well, gentlemen, we're out of time. It sounds like you're in a busy, busy place. We'll try to get to as many as we can over the next half hour. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. When there are no changes from scan to scan. And so those are our mainstays of imaging. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. You know, in fact, just to even further hammer home that point. And usually we discuss medications, if the patient is on a blood thinner. Because I know this is a very complex situation. 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. It is covered by insurance. And you know, COVID makes it harder for patients to see doctors. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. When there are no changes from scan to scan. protected veterans, and individuals with disabilities. Chicago Chest Center - 2015. Occupational lung disease. 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. And we're very serious about that. We do have one that I want to get to. The 30 faculty, clinical associates and research associates along with a staff of more than 72, have devoted themselves to the pursuit of excellence in each of these important activities. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. And I don't know. They come into the sky lobby here at UChicago. The hospital is safe, the hospital is clean. I want to know you're an early stage cancer. But we can. Star ratings and comments come from a number of survey questions. So I think first step is don't panic. But many times, you might notice something on an x-ray that's not part of the screening pathway. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. Northwestern Memorial Hospital; Univ. And we get the tissue that we need. You were fantastic. Bronchoscopic procedures are also offered to manage patients with asthma, emphysema, massive hemoptysis, foreign body aspiration, mediastinal disorders, post lung transplant complications, interstitial and infectious lung disorders. And it also has a lot of great COVID information. Communication is important with the patients. I'm not happy that I have to tell you it's cancer. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. We get thousands of survey responses each year. Age is usually 55 to 80. Salary and Benefits. The hospital is safe, the hospital is clean. So-- And the national standard is roughly five weeks. Funding for Educational Activities This is a safe place. Go ahead, Ajay. Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. Or is this something that happens and you just need to get it checked out? 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. As faculty members of the University of Cincinnati [] And I do also think it's worth mentioning that by doing the bronchoscopy, as opposed to choosing an alternative technique, such as a needle biopsy, we're also able to evaluate the lymph nodes in the chest. So if we think you're at early stage cancer, that's great. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. So that you get an answer as to what this nodule actually is. We don't even have any camera people in here. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Randomly selected patients are sent patient satisfaction surveys after their visits. Emphysema and advanced emphysema. Another question from a viewer, and this is Carla. Or it could be a telemedicine visit. If you think about it, the lung is mostly air. Like, I'm not worried about spreading disease. Phone: (773) 702-9660. 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 it's something solid. Even the show that we're doing right now, you two are remote. River East Location . Right? So my name is Kyle Hogarth. Yes, sir. 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 Dr. Hogarth, I want to start with you. Just to echo what Dr. Wagh said. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. Thanks again for being with us today. 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. We're going to do our work. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. You're going to go home. 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 we will kind of shepherd the patient along the way. I remember when Dr. Hogarth showed this to me. And we also try to figure out, is it a lesion that requires biopsy? And I have been working at the University of Chicago since 1998. Open for more information. Some of them are blood based tests. And that's a very important part for a cancer evaluation. 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? He has done the most cases in the United States and has authored numerous publications on this topic. So typically we'll have a clinic evaluation. So I always have to do this. Even the show that we're doing right now, you two are remote. Advanced technology and minimally invasive options are available. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Some of them are blood based tests. [MUSIC PLAYING]. And smoking is certainly a problem, a historical problem that we're working to deal with every day. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. And we're also going to just keep radiating you. And as always, we'll take your questions during our 30 minute program. And we keep spacing that interval of scan out if nothing has changed. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And then based on that discussion, we would set a patient up for a procedure. Well, my name is Ajay Wagh. 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 the patient goes afterwards to a post-procedural area, where they recover. A star rating is not given if a provider only has a small number of survey responses. Star ratings and comments come from a number of survey questions. Now, a question. And that would be another area, I would imagine. Right? It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Compare hospital ratings for pulmonology and lung surgery. But I love these. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. And then second step is find the right people to help take care of you. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. And then they come to our lab. But I'm sure you'll enjoy UChicago Medicine. Why aren't we just following the pathway down? In some cases, they are a precancerous lesion. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. Or it could be a telemedicine visit. But of course, there's biopsies. Get a Second Opinion. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. For help with MyChart, call us at 1-844-442-4278. Can you kind of talk to us a little bit about that, and walk us through that? What's that chance? And then they come to our lab. Phone: 410-502-2533. And we do it through your mouth. You know, in fact, just to even further hammer home that point. [LAUGHTER] Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. And it is, would my annual low dose CT lung cancer screening show nodules? The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. Or suggest that the pre-test probability is lower. And as always, we'll take your questions during our 30 minute program. About. But one of the other things we were talking about, the patient journey. We're going to get to a little bit more detail of that one here in just a moment. And we do it through your mouth. Chicago, IL 60637, Referring Physician Access Line: We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Phone: (773) 702-1856 The immediate reaction is you're probably frightened. That's why I'm not moving a lot, not that I move a lot anyway. And using some of the tools that we have. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. It could be cancer. Because we will always see you. In other cases, they are actually a cancer. Patient survey responses are also used to make star ratings for each provider. Get an online second opinion from one of our experts without having to leave your home. 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. Our list of accepted insurance providers is subject to change at any time. Now, these are complicated discussions. 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. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live.
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