And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. It's a wonderful, wonderful place. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? But in reality, if you're a patient, there's only two things. Communication is important with the patients. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. 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. 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. Yeah, there's several possibilities in that regard to evaluate these. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . No, for sure. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. Go ahead, Ajay. [MUSIC PLAYING] My name is Ajay Wagh. Only clean air in the lungs, please. 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. Get a Second Opinion. So, I really believe in great communication and teamwork. It's either cancer or everything else. And you know, COVID makes it harder for patients to see doctors. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. 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. Or is this something that happens and you just need to get it checked out? About. Pulmonary, Critical Care & Sleep Medicine. 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? 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. Communicate with your doctor, view test results, schedule appointments and more. Interesting. And Janet wants to know how invasive is a lung biopsy? It's usually about a half day's worth of time. You want to be calm and cool. Kevin Kovitz, MD MBA, FCCP, FACP Associate Program Director. So let's start off with our questions. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. And this is a little bit inside baseball. 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. Get an online second opinion from one of our experts without having to leave your home. Well, the blood test actually showed that it's less than 5%. And it's something solid. Well, it certainly can. 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. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. And so now you're going to go to the surgeon to be cured. Well, we're very happy to have you. Meaning, it's technically a cancer, but it's never going to necessarily bother you. You know, and I want to talk a little bit more about biopsies here in just a minute. So we do want to remind our viewers, we'll take your questions for our experts. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. Because we will always see you. Another question from a viewer, and this is Carla. 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. Interventional Pulmonology Fellowship Program Director. So first is just a discussion with you of what is the probability that this could be a malignancy for you. And how urgently must patients act? Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. But we do have avenues to help with that. We don't want that to happen. It is covered by insurance. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. Make sure everything looks right, that it would be safe to proceed. Well, we're very happy to have you. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu And using some of the tools that we have. Yes, sir. So Dr. Wagh, you touched on this a little bit before. And as Dr. Wagh just said, we are able to do video visits and televisits. So I mean, we do have a regular process of lung cancer screening. . Patient survey responses are also used to make star ratings for each provider. And we're, of course, happy and eager to help. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. The fear always is that cancers are going to grow. But we're also going to work with you. 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. And we also try to figure out, is it a lesion that requires biopsy? Can you kind of talk to us a little bit about that, and walk us through that? Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. Dr. Hogarth was the first physician in Illinois to perform Bronchoscopic Lung Volume Reduction (bLVR) for severe emphysemausing both the Zephyr valve and the Spiration valve. 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. And we do it through your mouth. So when we're done, you go home. 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. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. 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. Yes, sir. You know, it's not just like, yeah, you do this. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. So Dr. Wagh, it was interesting because this is almost like a video game. And there we perform our procedures. The responses are used to improve patient experience and recognize staff members for the care they provide. UChicago Faculty Physicians Loyola University Medical Center, Chicago IL: 2020: Ikuyo Imayama, MD: University of Illinois at Chicago, Chicago, IL: 2021: Mariam Anis, MBBS Northwestern Lake forest Hospital: 2021: Yu Maw Htwe, MBBS NYU Interventional Pulmonology Fellowship: 2021 We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. They're still cutting in you. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. We're going to do our work. Dr. Hogarth is also on several editorial boards for premier medical journals, and serves as a manuscript reviewer for multiple other journals. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. 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. I kiss my spouse. We're in very separate areas. And this is important. Instead, you might have a little sore throat for a day or two. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. And this is a little bit inside baseball. If it bothers you to come near the Medical Center, fine, let's do it via the computer. I love math and science, and I love to problem solve, so I started out in engineering. But of course, there's biopsies. So if we think you're at early stage cancer, that's great. 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. But we're very careful about that. And as always, we'll take your questions during our 30 minute program. 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 Dr. Hogarth mentioned blood tests even, a few moments ago. So-- go ahead, Dr. Hogarth, did you have something you wanted in? Website. Fellows. Schedule your appointment online for primary care and many specialties. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. First, if you smoke, please quit. Because it's a difficult time in people's lives when they have something like this done. That's right. 11 millimeters is rather small. We are extremely cautious about everything here. And you know, those patients typically are eligible for low dose lung cancer screening. Interventional Pulmonology. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. I'm new here to the University of Chicago, and very thankful to be here. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. We want to remind people, very important, do not forego medical care during COVID. Patient survey responses are also used to make star ratings for each provider. So Dr. Wagh and I have our partner, Dr. Mergue. Conditions & Services; is seeking to recruit a Pulmonary and Critical Care Physician to join our robust team of highly experienced providers.This position requires coverage in the outpatient office located at 5 Palisades Drive, Albany NY and inpatient coverage at St Peter's Hospital Albany, NY including weekend call at Samaritan Hospital in Troy, NY. And then second step is find the right people to help take care of you. And we have a high success rate to get you an answer. Now, a question. I want to know you're an early stage cancer. The probability, if it's low enough, we don't want to do invasive things to you. But can you kind of walk us through what people can expect before, during, and after one of these procedures. And so those are our mainstays of imaging. 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 suggest that the pre-test probability is lower. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. We don't want that to happen. Interesting. We don't even have any camera people in here. So a little bit of a fan club going here, but that's awesome. River East Location . I mean, I think we are living in a strange time. You will get seen within a week every time here. So I mean, we do have a regular process of lung cancer screening. That's right. But we also want to explain to you what we're going to do to actively follow you. We just talked a moment ago, and you're pretty new here. 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. Or does it have to be a higher dose CT screening? 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 . Just to echo what Dr. Wagh said. The Emory Sleep Medicine . 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. Chronic cough. So if you need an appointment, give us a call at 888-824-0200. And at that point, they'll meet the anesthesiologist, the nursing staff. 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. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. Stopping smoking can help you just across the board. 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. The responses are used to improve patient experience and recognize staff members for the care they provide. 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. So there's no cutting. This is a safe place. Open for more information. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. 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. We just talked a moment ago, and you're pretty new here. Obviously, if things change, then that's a discussion towards biopsy. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. We are proud to have an interventional pulmonary laboratory with full-time dedicated . For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And prior to that, I was a private practice pulmonary critical care doctor for six years. Dr. Hogarth, do you want to start on that one? Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. What happens? Our list of accepted insurance providers is subject to change at any time. We will overbook you. And every patient is different. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. 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.

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