And we will kind of shepherd the patient along the way. 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. And how urgently must patients act? But you come in, we have a pre-procedural area where the patients get kind of their IV. 2018 Apr 17 . Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima 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. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. You're going to go home. I'm actually in the endoscopy suites. Go ahead, Ajay. I can meet with you virtually. [MUSIC PLAYING] 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. Our commitment is to outstanding clinical care, to mentoring and . And that would be another area, I would imagine. So ground glass nodules are a different biology. Dr. Hogarth, do you want to start on that one? You will still be the same stage. Patient survey responses are also used to make star ratings for each provider. And that could be in person. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? 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. Every tumor, of course, has its own biology speed at which it grows. And then based on that discussion, we would set a patient up for a procedure. It's OK. And Dr. Hogarth, I want to start with you. 5841 S Maryland Ave, MC 6076. Chicago, IL 60637 That's why I'm not moving a lot, not that I move a lot anyway. So-- So typically we'll have a clinic evaluation. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. This is from Therese. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Northwestern Memorial Hospital; Univ. And that's sort of when we take a look at the CAT scan very closely. That's a great question. St. Peters Health Partners Medical Associates, P.C. A lung mass can be a frightening discovery. That's why I'm not moving a lot, not that I move a lot anyway. You know, you said at the very beginning, I have a nodule, should I panic? For more information about the Interventional Pulmonology Center or to request a referral . But of course, there's an 80% chance it's not cancer. Is that-- should you be frightened? BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Even the show that we're doing right now, you two are remote. 847-498-5864. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. But of course, there's biopsies. We want to find patients who have a history of smoking, quit within the past 15 years. We'll try to get to as many as we can over the next half hour. [LAUGHTER] We evaluate whether or not it's a target that we can reach. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. Obviously, if things change, then that's a discussion towards biopsy. But we also want to explain to you what we're going to do to actively follow you. It sounds like you're in a busy, busy place. 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. So if you have an x-ray or a CAT scan, there is a chance that the word module or mass is going to show up in the report. We'll get you a speech card. Open for more information. You will get seen within a week every time here. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. So I'm going to have you answer the question, but also kind of explain what she's asking here. And I don't know. That's right. Well, we're very happy to have you. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Yeah, and I want to tell people-- this is a very, very safe place. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. But I'm sure you'll enjoy UChicago Medicine. 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. Another question from a viewer, and this is Carla. Learn more about clinical trials and find a trial that might be right for you. And our complication rate is the lowest amongst the three. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. And Dr. Hogarth, I want to start with you. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. 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? Sunit Singla, MD. Or you're going to go to radiation or whatever. I work here, I go home, I kiss my children. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And sign a few papers. Well, that's nice. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. What happens? Chicago Chest Center/ The University of Illinois Chicago. 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. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And between the four of us, we're all in clinic at any given moment. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. And then they come to our lab. The probability, if it's low enough, we don't want to do invasive things to you. We're going to do our work. Well, I think that there's several possibilities. Schedule your appointment online for primary care and many specialties. Because initially when you're faced with something like that, everything kind of just goes over your head. Getting an expert opinion about what could this nodule actually be. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. We want to minimize radiation. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. So I want to get back to biopsies for just a moment. And without a doubt, the possibility of cancer is what scares everybody. What's that chance? We're going to get to a little bit more detail of that one here in just a moment. We could get you a plaque or something. River East Location . It's got to be terrible. 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. It's a wonderful, wonderful place. Can you kind of talk to us a little bit about that, and walk us through that? That's not hard to convince someone. Dr. Wagh, let's hear a little bit about you. 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. 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? [LAUGHTER] I apologize. The hospital is safe, the hospital is clean. 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. Or is this something that happens and you just need to get it checked out? It's a wonderful, wonderful place. So Dr. Wagh, it was interesting because this is almost like a video game. So look, there's three ways to sample inside the lung. But that's part of what you do. And usually we discuss medications, if the patient is on a blood thinner. Conditions & Services; You shared really some good information with our audience. 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. And of course, you came here at kind of an odd time, during a pandemic. So I always have to do this. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. 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. Absolutely. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. And good nutrition and exercise is important, and we can help you get on the right track. I want to know you're an early stage cancer. Make sure everything looks right, that it would be safe to proceed. So you're going to get way more bang for your buck literally as a scan by coming here. What Dr. Wagh and I do is a procedure called bronchoscopy. 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. We're in very separate areas. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. I'm in the studio all by myself, as you can see here. And then we go in with our scopes. I love taking care of people, and I love to see them breathe better and feel better. That's going to be number one on the list. And then we go in with our scopes. And without a doubt, the possibility of cancer is what scares everybody. You know, you mentioned that being covered by insurance. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. So I'm excited to be here in the city, and part of this program. It's an oath both of us took. Our doctors will actually even join us from the places where they're doing the work. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. And the national standard is roughly five weeks. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. So we'll wake you up. Really, really good questions today. So we need to get going and do something about it. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. Can you kind of talk to us a little bit about that, and walk us through that? And these procedures all have their own benefits, but also their own complications. But many times, you might notice something on an x-ray that's not part of the screening pathway. And let's go through your CAT scan and let's have this discussion about what our next step is. So I have two from viewers that I have to pass along. Sleep clinic patients are seen here during the day . Loma Linda University Children's Hospital. And one that has a very low invasive potential. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. But in reality, if you're a patient, there's only two things. And so think of it like a sponge. And so the lymph nodes are where cancer would spread to first. There's all kinds of different tests. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Sure. But also cat scanning. You know what, I always tell people is there is a long list of things that the nodule could be. We're in very separate areas. And the city of Chicago is a great place and a lot of fun. Why aren't we just following the pathway down? Go ahead, Ajay. And that would be another area, I would imagine. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. Future Oncol. Right? We're still operating. So if we think you're at early stage cancer, that's great. Just type them in the comments section. 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Or it could be a telemedicine visit. Phone: (773) 702-9660, Mailing Address: 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 . They come into the sky lobby here at UChicago. And so Dr. Hogarth, we have another question from a viewer. protected veterans, and individuals with disabilities. And it is, would my annual low dose CT lung cancer screening show nodules? But can you kind of walk us through what people can expect before, during, and after one of these procedures. We don't want that to happen. And I think that's the first key step. Amit, I hope I'm pronouncing this correctly. Program Coordinator. Where it's basically put right through your chest into the lung nodule done through the radiology department. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. You will still be the same stage. 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. You shared really some good information with our audience. What exactly goes on there, and why is that so critical? Well, my name is Ajay Wagh. 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. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. And I was fortunate enough, I think, gosh, it's been over a year ago. And sign a few papers. I remember when Dr. Hogarth showed this to me. But we can. Media. When there are no changes from scan to scan. And we also try to figure out, is it a lesion that requires biopsy? Sue Hammerschmidt. And then second step is find the right people to help take care of you.
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