Absolutely. UChicago Faculty Physicians
And so now you're going to go to the surgeon to be cured. Interesting. For help with MyChart, call us at 1-844-442-4278. And you two, and your teams, are really good at helping people through that situation. But you come in, we have a pre-procedural area where the patients get kind of their IV. So before we go and suddenly just remove a whole portion of your lung, let's slow down for a second and do things right. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? 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. You know, you said at the very beginning, I have a nodule, should I panic? But of course, there's biopsies. MC 6092 UK Pulmonary, Critical Care and Sleep Medicine offers the full scope of inpatient and outpatient services involving the diagnostic evaluation and clinical management of respiratory disorders. And there are potential treatments to help patients quit smoking as well. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Randomly selected patients are sent patient satisfaction surveys after their visits. 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. We're giving you the least amount of radiation, even for what's called a diagnostic scan. And we have a series of other tests we can do. It's usually about a half day's worth of time. Or you're going to go to radiation or whatever. You're going to go home. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. 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. Thanks again for being with us today. Just type them in the comments section. [MUSIC PLAYING] 1:25 . Dr. Hogarth kind of briefly said something about the blood tests. Hogarth DK. But we're very careful about that. I can meet with you virtually. Because we will always see you. We are extremely cautious about everything here. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. 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. You were fantastic. See, this just shows how important it is that we do these programs here. And this is important. Really, really good questions today. 5841 South Maryland Avenue, I work here, I go home, I kiss my children. Interesting. And that's kind of comforting, I think, for most patients. But one of the other things we were talking about, the patient journey. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . . The immediate reaction is you're probably frightened. And we're also going to just keep radiating you. University of Chicago, Interventional Pulmonology; Board Certifications. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. The University of Chicago Fellowship Coordinator Job in Chicago, IL And so now you're going to go to the surgeon to be cured. You shared really some good information with our audience. [MUSIC PLAYING] My name is Ajay Wagh. We just talked a moment ago, and you're pretty new here. And you two, and your teams, are really good at helping people through that situation. If we keep scanning you, we're never going to see change. We have a great team here, and I'm excited to be part of it. And teasing out what's what is what Ajay and I do. Chicago Chest Center - 2015. 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. IP Fellowship Program Contact Information Pulmonary & Critical Care Fellowship | GME | Loyola Medicine And you can speak with your physician about that. That's why we do it. Can you talk to us a little bit about what the patient experiences in this procedure? Karen says, your pulmonary department is the best. 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. Because I know this is a very complex situation. And we keep spacing that interval of scan out if nothing has changed. Northwestern Memorial Hospital; Univ. 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? If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. 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 fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. Yeah, sure. And then we go in with our scopes. And you say, well, wait. And we can help you do that, too. And it's something solid. And our complication rate is the lowest amongst the three. So if you need an appointment, give us a call at 888-824-0200. 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. Interventional Pulmonology Fellowship | Chicago Medicine But can you kind of walk us through what people can expect before, during, and after one of these procedures. And that is how biopsies work. Interventional Pulmonology | Conditions & Treatments | UT Southwestern And I was fortunate enough, I think, gosh, it's been over a year ago. Get an online second opinion from one of our experts without having to leave your home. But we also want to explain to you what we're going to do to actively follow you. I'm actually in the endoscopy suites. And thank you to our viewers for your great questions. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. 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. 13 in the nation for Pulmonary and Lung Surgery. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Because it has everything to do with the quality of the machine for the radiation that goes through. But for many people are extremely, extremely slow growing cancer. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. If you think about it, the lung is mostly air. The University of Michigan Advanced Practice Professional (Physician And I try to reliably perform that every day when I come to work. We'll get you a speech card. And we keep spacing that interval of scan out if nothing has changed. So that's nice. And then at that point, we would bring the patient back to the our laboratory. 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. You are comfortable. The Section of Pulmonary and Critical Care Medicine has been a model of exemplary patient care, research, and post-doctoral training for more than 20 years. And so those are our mainstays of imaging. Instead, you might have a little sore throat for a day or two. 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. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And the patient goes afterwards to a post-procedural area, where they recover. 3 University of Rochester Medical Center, Rochester New York. Dr. Wagh is focused on using minimally invasive techniques for diagnosing and treating a wide range of lung and chest conditions, including stage lung cancer, chronic respiratory illness, complex airway disorders, pleural disease (pleurisy, pneumothorax, pleural tumors) and more. 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. You will still be the same stage. Another question from a viewer, and this is Carla. But many times, you might notice something on an x-ray that's not part of the screening pathway. You don't have to go get another procedure that's going to take time to then figure out what stage you are. What Dr. Wagh and I do is a procedure called bronchoscopy. 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. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. Well, we're very happy to have you. This type of training is beyond what is typically available in a standard . And that could be in person. So we'll wake you up. Our commitment is to outstanding clinical care, to mentoring and . I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. What Dr. Wagh and I do is a procedure called bronchoscopy. It's a wonderful, wonderful place. Or should we offer something else? Consultations and second opinions are also available on request for patients that have . Email: ipscheduling@jhmi.edu. And the individual tumor biology is changing. Age is usually 55 to 80. Is following a nodule ground glass opacity with yearly CT standard? So follow-up scans could also be low dose as well. And remember, you can schedule your video visit by also going to the website. And that's a very important part for a cancer evaluation. Sue Hammerschmidt. Interventional Pulmonology. A lung mass can be a frightening discovery. Thoracic Imaging. We're not going to just say, you must do this. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Full-Time. No, for sure. And obviously, you know, even with minimally invasive surgery, it's still a surgery. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . But of course, there's biopsies. The hospital is safe, the hospital is clean. And I hope you have a great week. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. We get thousands of survey responses each year. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. protected veterans, and individuals with disabilities. So we go through your mouth. Faculty | OHSU When there are no changes from scan to scan. We are taking questions from viewers. Make sure everything looks right, that it would be safe to proceed. Referring Physician Access Line: . But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. So I think first step is don't panic. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. And of course, you came here at kind of an odd time, during a pandemic. Advanced technology and minimally invasive options are available. They're still cutting in you. 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. The responses are used to improve patient experience and recognize staff members for the care they provide. The probability, if it's low enough, we don't want to do invasive things to you. And you don't want to. Our program's strength lies in the large and varied patient base . And we do it through your mouth. I want to know you're an early stage cancer. Yeah, there's several possibilities in that regard to evaluate these. Emphysema and advanced emphysema. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. And as Dr. Wagh just said, we are able to do video visits and televisits. I remember when Dr. Hogarth showed this to me. And I don't know. So we do want to remind our viewers, we'll take your questions for our experts. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Just to echo what Dr. Wagh said. Stopping smoking can help you just across the board. Dr. Hogarth, do you want to start on that one? Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. And we can help you do that, too. And between the four of us, we're all in clinic at any given moment. Chicago Chest Center/ The University of Illinois Chicago. What's that chance? Pulmonary Medicine | UC Health And we get the tissue that we need. And you know, it is extremely valuable. And usually we discuss medications, if the patient is on a blood thinner. Patient survey responses are also used to make star ratings for each provider. It's OK. We're not going to just say, you must do this. But many times, you might notice something on an x-ray that's not part of the screening pathway. Sure. Or you're going to go to radiation or whatever. I kiss my spouse. 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. Dr. Wagh, let's hear a little bit about you. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Right?
Panicking, obviously, is never helpful. We're in very separate areas. 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. Or should we offer something else? And then if we do need to do a biopsy, making sure the correct biopsy gets done. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. And the city of Chicago is a great place and a lot of fun. We could get you a plaque or something. We don't want that to happen. Obviously, if things change, then that's a discussion towards biopsy. But to delay any amount of care. 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 let's go through your CAT scan and let's have this discussion about what our next step is. 11234 Anderson St, Loma Linda, CA 92354. . Dr. Wagh is focused on using minimally invasive techniques for diagnosing and treating a wide range of lung and chest conditions, including stage lung cancer, chronic respiratory illness, complex airway disorders, pleural disease (pleurisy, pneumothorax, pleural tumors) and more. Yeah. And I hope you have a great week. That's always the question people want to know. You know, it's not just like, yeah, you do this. You will not know we're doing this to you. Or suggest that the pre-test probability is lower. And the patient goes afterwards to a post-procedural area, where they recover. So ground glass nodules are a different biology. Well, if you have a cancer, the next question is, what stage is it? Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. In some cases, they are a precancerous lesion. And then afterwards, once we settle on a date, the patient comes in. (Or create a 1/6 column and add a text field, modify the class so So we want to-- I mean, we want to do this for everybody. 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. First, if you smoke, please quit. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. It's so important. UChicago Faculty Physicians
But in reality, if you're a patient, there's only two things. Get a Second Opinion. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Because an abnormal CT scan is terrifying. In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. You will get seen three to four weeks from now. 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? And either one of you can jump on this one. Amit, I hope I'm pronouncing this correctly. You know, we go, oh, it's a 20% chance. And using some of the tools that we have. Panicking, obviously, is never helpful. Instead, you might have a little sore throat for a day or two. So typically we'll have a clinic evaluation. And then I'll have Ajay go at it as well. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. 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. . 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 . Yeah. And then they wait to be brought to the pre-procedural area. And you can speak with your physician about that. Interventional Pulmonology Fellowship Program - University of Chicago You're going to go home. And that's very important. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. So I want to get back to biopsies for just a moment. So-- go ahead, Dr. Hogarth, did you have something you wanted in? But we can. So I have two from viewers that I have to pass along. And that's sort of when we take a look at the CAT scan very closely. Our list of accepted insurance providers is subject to change at any time. Can you talk to us a little bit about what the patient experiences in this procedure? And Dr. Hogarth mentioned blood tests even, a few moments ago. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. And that's kind of comforting, I think, for most patients. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Absolutely. Rush University Medical Center in Chicago, IL - Rankings, Ratings You know, and I want to talk a little bit more about biopsies here in just a minute.
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