It's so important. That's right. 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. Well, gentlemen, we're out of time. 1-877-DOM-2730, Department of Medicine . Go ahead, Ajay. Is that-- should you be frightened? Sure. Right? We also have literally the world's greatest nurse practitioner, Kimberly. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. If it bothers you to come near the Medical Center, fine, let's do it via the computer. 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. I mean, we do have telemedicine options. There is strong subspecialty experience in pulmonary hypertension, interventional pulmonology, thoracic oncology, interstitial lung disease, bronchiectasis, and sleep medicine. Can you kind of walk us through that? Communicate with your doctor, view test results, schedule appointments and more. And between the four of us, we're all in clinic at any given moment. But one of the other things we were talking about, the patient journey. We will overbook you. And we also try to figure out, is it a lesion that requires biopsy? It is covered by insurance. We're giving you the least amount of radiation, even for what's called a diagnostic scan. 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 I think that's the first key step. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections Stopping smoking can help you just across the board. Karen says, your pulmonary department is the best. 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. And prior to that, I was a private practice pulmonary critical care doctor for six years. But also don't ignore it, and don't delay it. For help with MyChart, call us at 1-844-442-4278. I work here, I go home, I kiss my children. There's a surgeon, who's going to go in and cut part of it out. Pulmonary and Critical Care Medicine Fellowship We can talk about imaging modalities. That's a great question. We evaluate whether or not it's a target that we can reach. I work here, I go home, I kiss my children. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . Our program's strength lies in the large and varied patient base . And Dr. Hogarth mentioned blood tests even, a few moments ago. Well, that's nice. And you know, COVID makes it harder for patients to see doctors. American Association for Bronchology and Interventional Pulmonology Septimiu Murgu, MD - UChicago Medicine 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. First, do no harm. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. See, this just shows how important it is that we do these programs here. Website. And we also try to figure out, is it a lesion that requires biopsy? So Dr. Wagh, it was interesting because this is almost like a video game. But a doctor may see something on a chest x-ray. You shared really some good information with our audience. So when we're done, you go home. Meaning, it's technically a cancer, but it's never going to necessarily bother you. UChicago Faculty Physicians 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. But we're very careful about that. Schedule your appointment online for primary care and many specialties. Yes, sir. Or does it have to be a higher dose CT screening? Right? Can you talk to us a little bit about what the patient experiences in this procedure? I remember when Dr. Hogarth showed this to me. And then based on that discussion, we would set a patient up for a procedure. D. Kyle Hogarth, MD - UChicago Medicine And you two, and your teams, are really good at helping people through that situation. As an Interventional Radiology Technologist you will perform diagnostic imaging studies as assigned, assist with minimally invasive image-guided vascular procedures, apply principles of radiation protection, exercise professional judgement in . Our commitment is to outstanding clinical care, to mentoring and . 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. It offers a comprehensive program of quality patient care, research and education. So a little bit of a fan club going here, but that's awesome. But we also want to explain to you what we're going to do to actively follow you. Because an abnormal CT scan is terrifying. We'll get you a speech card. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. We evaluate whether or not it's a target that we can reach. It's OK. The probability, if it's low enough, we don't want to do invasive things to you. We could get you a plaque or something. We'll try to get to as many as we can over the next half hour. Program Director. Consultations and second opinions are also available on request for patients that have . Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Communication is important with the patients. We're giving you the least amount of radiation, even for what's called a diagnostic scan. So there's no cutting. 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. Fellows | Chicago Medicine We do have one that I want to get to. And it also has a lot of great COVID information. But many times, you might notice something on an x-ray that's not part of the screening pathway. And then if we do need to do a biopsy, making sure the correct biopsy gets done. When we-- and I'll also say it depends. We're going to do our work. Your lungs are going to be ultimately attached to your mouth. Pulmonary, Critical Care & Sleep Medicine. But that's part of what you do. Or does it have to be a higher dose CT screening? You know, you mentioned that being covered by insurance. So if you need an appointment, give us a call at 888-824-0200. Yes, sir. Loyola Medicine has a fully accredited and highly competitive three-year combined Pulmonary and Critical Care Fellowship program with a total complement of 13 clinical fellows. Faculty Directory - University of Chicago - Department of Medicine After initially working as a hospitalist, he pursued a pulmonary and critical care fellowship at OHSU followed by an interventional pulmonary fellowship at the University of Texas MD Anderson Cancer Center. Just to echo what Dr. Wagh said. And then I'll have Ajay go at it as well. Interventional Pulmonology Fellowship Program Director. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. (Or create a 1/6 column and add a text field, modify the class so You shared really some good information with our audience. Pulmonologists D. Kyle Hogarth, MD, and Ajay Wagh, MD, talk about different ways physicians can detect and diagnose lung nodules and masses, including advanced bronchoscopy techniques that do not require incisions or surgery. And one that has a very low invasive potential. And that's kind of comforting, I think, for most patients. Yeah, there's several possibilities in that regard to evaluate these. Get an online second opinion from one of our experts without having to leave your home. The University of Michigan as a . And this is important. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. And we're very serious about that. What happens? I'm new here to the University of Chicago, and very thankful to be here. And you say, well, wait. It's usually about a half day's worth of time. Chicago, IL 60637, Referring Physician Access Line: So I have two from viewers that I have to pass along. 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. If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. 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. But to delay any amount of care. I kiss my spouse. You know, we go, oh, it's a 20% chance. We're going to do our work. Referring . I'm actually in the endoscopy suites. So talk to us a little bit more about the lymph nodes. 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 I mean, the first thing is first, is we do have lung cancer screening, which we offer patients CAT scans if they're eligible and have a smoking history. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And they'll double check everything. However, not everyone who receives an abnormal CT scan should be rushed into surgery. 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. Yeah, sure. 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. What exactly goes on there, and why is that so critical? Interventional Pulmonology - Barnes-Jewish Hospital And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. So Dr. Wagh, you touched on this a little bit before. 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. 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. And you don't want to. And at that point, they'll meet the anesthesiologist, the nursing staff. Now, a question. 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. 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. Interventional Pulmonology - Penn Medicine - University of Pennsylvania And I think we like to take things one step at a time. This is a safe place. So there's no cutting. Division of Pulmonary, Allergy, Critical Care and Sleep Medicine MC 6092 It's a wonderful website. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. And the national standard is roughly five weeks. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. We have a great team here, and I'm excited to be part of it. And I don't know. We get thousands of survey responses each year. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. 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. Interventional Pulmonary. Now, these are complicated discussions. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Well, that's nice. Or is that the moment of panic at that point? That's why we do it. So I mean, we do have a regular process of lung cancer screening. Patients have both benign and malignant non-cardiac diseases of the chest. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . And without a doubt, the possibility of cancer is what scares everybody. Randomly selected patients are sent patient satisfaction surveys after their visits. I want to know you're an early stage cancer. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. of Colorado Health Sciences Ctr. 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. Yes, so a patient typically comes in basically just for a few hours during the day. First, do no harm. Yeah, sure. 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 then they wait to be brought to the pre-procedural area. Thoracic Imaging | Department of Radiology | The University of Chicago And that is how biopsies work. 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. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. You will still be the same stage. Like, I'm not worried about spreading disease. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. That's good to know. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. And then at that point, we would bring the patient back to the our laboratory. And hopefully, go home if nothing happens. And we have a high success rate to get you an answer. Stopping smoking can help you just across the board. And where this matters is, of course, if I go and prove that it's not a cancer, then rather than being cut open and proved it was not a cancer-- which is great it's not cancer, but you've been cut open. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi . It's an oath both of us took. But to delay any amount of care. Advanced technology and minimally invasive options are available. So I'm excited to be here in the city, and part of this program. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . $83k-$346k Interventional Pulmonology Jobs (NOW HIRING) - ZipRecruiter I can meet with you virtually. What are some of the options to evaluate lung nodules and lung masses? Because it's interesting how you do them in the lung. Associate Professor of Medicine, Co-director of Bronchoscopy. 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. But we're very careful about that. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Loma Linda University Children's Hospital. University of Chicago, Interventional Pulmonology; Board Certifications. Lung Health Program | UI Health - University of Illinois Hospital And remember, you can schedule your video visit by also going to the website. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? But I'm sure you'll enjoy UChicago Medicine. It's a wonderful website. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima 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. And you know, those patients typically are eligible for low dose lung cancer screening. Sleep clinic patients are seen here during the day . We want to remind people, very important, do not forego medical care during COVID. I remember when Dr. Hogarth showed this to me. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. What's that chance? I am a Professor of Medicine here. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. And then second step is find the right people to help take care of you. 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 as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. And they hear, oh my gosh, I've got a nodule. Some of them are blood based tests. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Conditions & Services; 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. But we do have avenues to help with that. Age is usually 55 to 80. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. 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. 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 then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. The hospital is safe, the hospital is clean. Pulmonary and Critical Care Fellows I'm actually in the endoscopy suites. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . And that would be annually until they kind of exit out after that 15 years. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. 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 it's something solid. Chronic cough. No, don't panic. Interesting. Absolutely, yeah. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Nicole Greenlee. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . Curriculum | Chicago Medicine Dr. Hogarth kind of briefly said something about the blood tests. Communicate with your doctor, view test results, schedule appointments and more. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And so now you're going to go to the surgeon to be cured. Because we will always see you. And sign a few papers. 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? 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. These are not questions. But one of the other things we were talking about, the patient journey. Learn more about clinical trials and find a trial that might be right for you. And they'll double check everything. 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. So-- go ahead, Dr. Hogarth, did you have something you wanted in? It is covered by insurance. So follow-up scans could also be low dose as well. Interventional Pulmonology. But we're also going to work with you. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. And that's very important. Communication is important with the patients. Or you're going to go to radiation or whatever. That's always the question people want to know. Interventional Pulmonary; Hospitals. 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. About the Program Thoracic Imaging. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. Interventional Pulmonology Fellowship; Post-Doctoral; . Exactly. So this is an actual question. Chicago, IL 60637. smurgu@medicine.bsd.uchicago.edu. You're going to go home. The responses are used to improve patient experience and recognize staff members for the care they provide. Interesting. Go ahead, Ajay. So let's start off with our questions. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. Pulmonary & Critical Care Medicine - Loyola University Chicago Some of them are just re-evaluating the CAT scan you have. It's a wonderful, wonderful place. It's a wonderful, wonderful place. 1:25 . 5841 South Maryland Avenue, And we can help you do that, too. And we keep spacing that interval of scan out if nothing has changed. Chicago Chest Center - 2015. Patient survey responses are also used to make star ratings for each provider. And we do it through your mouth. Critical Care Medicine; Pulmonology; Meet the Doctor . So look, there's three ways to sample inside the lung. And you can speak with your physician about that. They come into the sky lobby here at UChicago. [MUSIC PLAYING]. I don't know who wants to take that one. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . And then they come to our lab. 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? I'm not happy that I have to tell you it's cancer. Ashish P. Maskey, MD | UK Healthcare Email: ipscheduling@jhmi.edu. So if we think you're at early stage cancer, that's great. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. And so that becomes one procedure, as opposed to multiple procedures. 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. Even the show that we're doing right now, you two are remote. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care .