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River East Location . And we're, of course, happy and eager to help. D. Kyle Hogarth, MD, is an expert in pulmonary diseases.He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancer through bronchoscopy.Dr. And then they wait to be brought to the pre-procedural area. And using some of the tools that we have. [MUSIC PLAYING]. Or it could be a telemedicine visit. Just to echo what Dr. Wagh said. But you come in, we have a pre-procedural area where the patients get kind of their IV. Conditions & Services; Just type them in the comments section. That's a great question. So Dr. Wagh and I have our partner, Dr. Mergue. And we're also going to just keep radiating you. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. We don't want that to happen. When you or a loved one has a lung disease, you want to see the best lung doctors available. And as Dr. Wagh just said, we are able to do video visits and televisits. 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. That's going to be number one on the list. But there's many things it could be. And so those are our mainstays of imaging. 20 on the Best Hospitals Honor Roll. Physician Recruitment McHenry, IL. If you think about it, the lung is mostly air. 2023 The University of Chicago Medical Center. And it's something solid. I'm not happy that I have to tell you it's cancer. No, it's a great question. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. We'll try to get to as many as we can over the next half hour. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . 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 . 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. That's right. Some of them are blood based tests. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. That's good to know. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . And this is a little bit inside baseball. So that you get an answer as to what this nodule actually is. And I think that's the first key step. 11234 Anderson St, Loma Linda, CA 92354. . Meet the Doctor. Or does it have to be a higher dose CT screening? 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 probability, if it's low enough, we don't want to do invasive things to you. 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. And we have a high success rate to get you an answer. So talk to us a little bit more about the lymph nodes. 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. Sleep Medicine. And the patient goes afterwards to a post-procedural area, where they recover. So you're going to get way more bang for your buck literally as a scan by coming here. Email: ipscheduling@jhmi.edu. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. In other cases, they are actually a cancer. And you don't want to. And we do it through your mouth. Yeah. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care Because initially when you're faced with something like that, everything kind of just goes over your head. This is from Therese. Randomly selected patients are sent patient satisfaction surveys after their visits. And remember, you can schedule your video visit by also going to the website. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. We could get you a plaque or something. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Well, gentlemen, we're out of time. 1-877-DOM-2730, Department of Medicine [LAUGHTER] Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. Or suggest that the pre-test probability is lower. And the patient goes afterwards to a post-procedural area, where they recover. I'm not happy that I have to tell you it's cancer. And that's a very important part for a cancer evaluation. I mean, it's really amazing. I can meet with you virtually. Yes, sir. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. 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. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Salary and Benefits. Yeah, and I want to tell people-- this is a very, very safe place. Or should we offer something else? 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 you say, well, wait. But what I can also tell you is it's cancer, here's what stage it is. Program Overview. Some of the blood tests we have, have the ability to change that number. So I'm going to have you answer the question, but also kind of explain what she's asking here. So we need to get going and do something about it. You can't eat after midnight. Communicate with your doctor, view test results, schedule appointments and more. Well, we're very happy to have you. It is covered by insurance. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections And there are potential treatments to help patients quit smoking as well. And I was fortunate enough, I think, gosh, it's been over a year ago. Northwestern Memorial Hospital; Univ. The Emory Sleep Medicine . So if you need an appointment, give us a call at 888-824-0200. Can you kind of talk to us a little bit about that, and walk us through that? 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. October 29, 2020 . And Dr. Wagh, maybe you can take this next one. So let's start off with our questions. Associate Professor of Medicine, Co-director of Bronchoscopy. And then they come to our lab. And between the four of us, we're all in clinic at any given moment. You will get seen three to four weeks from now. I mean, it's really amazing. But for many people are extremely, extremely slow growing cancer. Learn more about clinical trials and find a trial that might be right for you. This type of training is beyond what is typically available in a standard . You want to be calm and cool. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. We'll try to get to as many as we can over the next half hour. Consultations and second opinions are also available on request for patients that have . You want to be calm and cool. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And then based on that discussion, we would set a patient up for a procedure. But also cat scanning. Because I know this is a very complex situation. Show more Show less And thank you to our viewers for your great questions. I'm new here to the University of Chicago, and very thankful to be here. UChicago Faculty Physicians We'll get you a speech card. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. For more information about the Interventional Pulmonology Center or to request a referral . He sees patients in clinic on Fridays. Make sure everything looks right, that it would be safe to proceed. Karen says, your pulmonary department is the best. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. Go ahead, Ajay. Today there are better insights into cancer and other lung diseases. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. But also cat scanning. St. Peters Health Partners Medical Associates, P.C. 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. Chicago Chest Center was the first dedicated IP fellowship program in the Chicago area and the oldest established full service Interventional Pulmonology program in the state. Or come and visit a lung physician. And at that point, they'll meet the anesthesiologist, the nursing staff. We want to remind people, very important, do not forego medical care during COVID. But when it's time to get a follow-up scan, the reason, ultimately, for these ground glasses, why they settle into yearly, is precisely because they're slow growing. There's a surgeon, who's going to go in and cut part of it out. 2023 The University of Chicago Medical Center. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. 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. Randomly selected patients are sent patient satisfaction surveys after their visits. Phone: (773) 702-1856 And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. . The probability, if it's low enough, we don't want to do invasive things to you. Some of the blood tests we have, have the ability to change that number. And then we go in with our scopes. Why aren't we just following the pathway down? We also have literally the world's greatest nurse practitioner, Kimberly. 5841 South Maryland Ave., MC 6076 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. Yes, sir. I can meet with you virtually. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And as always, we'll take your questions during our 30 minute program. Or is that the moment of panic at that point? It was pretty fascinating to see what you could do inside of a person's lung with a very, very minor, very minor invasive procedure. And it is, would my annual low dose CT lung cancer screening show nodules? This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . And they hear, oh my gosh, I've got a nodule. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. 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. Interventional Pulmonology. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . Schedule your appointment online for primary care and many specialties. And that's very important. Dr. Hogarth, do you want to start on that one? Can you kind of talk to us a little bit about that, and walk us through that? So look, there's three ways to sample inside the lung. And there we perform our procedures. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. But there's many things it could be. Full-Time. 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. 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. Patients should bring recent X-rays, CT scans and PET scans either as a 'hard copy' or on CD to their appointment or make them available prior to the appointment. Really, really good questions today. We have a great team here, and I'm excited to be part of it. So Dr. Wagh, you touched on this a little bit before. Open for more information. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. We're still operating. Getting an expert opinion about what could this nodule actually be. We are proud to have an interventional pulmonary laboratory with full-time dedicated . We're giving you the least amount of radiation, even for what's called a diagnostic scan. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . 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. Yeah, there's several possibilities in that regard to evaluate these. And I was fortunate enough, I think, gosh, it's been over a year ago. But there's many other tests. 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. Because it has everything to do with the quality of the machine for the radiation that goes through. 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. And that could be in person. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? And the individual tumor biology is changing. Amit, I hope I'm pronouncing this correctly. University of Chicago, Interventional Pulmonology; Board Certifications. Fax: (773) 702-6500, Outpatient Practice: Interventional Pulmonology Secondary Specialty. Phone: (773) 702-9660. And Janet wants to know how invasive is a lung biopsy? Get an online second opinion from one of our experts without having to leave your home. Yeah, sure. But we also want to explain to you what we're going to do to actively follow you. And that would be annually until they kind of exit out after that 15 years. 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 . If it bothers you to come near the Medical Center, fine, let's do it via the computer. 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. Patient survey responses are also used to make star ratings for each provider. 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. And I have been working at the University of Chicago since 1998. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Yeah. First, do no harm. (Or create a 1/6 column and add a text field, modify the class so And this is a little bit inside baseball. Additionally, Dr. Hogarth is able to offer his patients unparalleled diagnostic accuracy by being the first in the United States to use the LungVision system with the robot to maximize precision. I don't know who wants to take that one. UChicago Faculty Physicians And that could be in person. What are some of the options to evaluate lung nodules and lung masses? 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. And our complication rate is the lowest amongst the three. Your lungs are going to be ultimately attached to your mouth. It's either cancer or everything else. The Interventional Pulmonology Fellowship began in July 1, 2000. And that's kind of comforting, I think, for most patients. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. And how urgently must patients act? It's either cancer or everything else. And prior to that, I was a private practice pulmonary critical care doctor for six years. You know, you mentioned that being covered by insurance. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . But we do have avenues to help with that. The hospital is safe, the hospital is clean. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois.