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You know, you said at the very beginning, I have a nodule, should I panic? I am a Professor of Medicine here. Pulmonary/Critical Care Medicine in Albany, NY for St. Peter's Health That's a great question. Hogarth DK. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. We want to minimize radiation. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Just to echo what Dr. Wagh said. We can talk about imaging modalities. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Because it has everything to do with the quality of the machine for the radiation that goes through. So we need to get going and do something about it. Nicole Greenlee. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. And we get the tissue that we need. And the individual tumor biology is changing. Emphysema and advanced emphysema. But for many people are extremely, extremely slow growing cancer. And this is a little bit inside baseball. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Interventional Pulmonology Fellowship Program - University of Chicago And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. And you can speak with your physician about that. UChicago Faculty Physicians 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. It's a wonderful, wonderful place. We'll get you a speech card. And we also try to figure out, is it a lesion that requires biopsy? Lung Diseases (Pulmonology) - UChicago Medicine And Dr. Hogarth, we'll start with you. We're going to give you some strong recommendations. And good nutrition and exercise is important, and we can help you get on the right track. Absolutely, yeah. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. And we will kind of shepherd the patient along the way. Because it's a difficult time in people's lives when they have something like this done. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. And the patient goes afterwards to a post-procedural area, where they recover. Sunit Singla, MD. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Referring Physician Access Line: . So we'll wake you up. But we're also going to work with you. About. And that is how biopsies work. Well, gentlemen, we're out of time. 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. Why aren't we just following the pathway down? 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. No, it will show the nodules. Or is this something that happens and you just need to get it checked out? Chicago Chest Center - 2015. There's also what's called a needle biopsy. Yes, sir. That's going to be number one on the list. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. And you two, and your teams, are really good at helping people through that situation. And every patient is different. We want to find patients who have a history of smoking, quit within the past 15 years. And then at that point, we would bring the patient back to the our laboratory. I mean, we do have telemedicine options. Where it's basically put right through your chest into the lung nodule done through the radiology department. But also cat scanning. Thoracic Imaging | Department of Radiology | The University of Chicago This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . Our doctors will actually even join us from the places where they're doing the work. So there's no cutting. Or come and visit a lung physician. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Well, it certainly can. So-- go ahead, Dr. Hogarth, did you have something you wanted in? So I think first step is don't panic. They're still cutting in you. What you're never going to hear from us is to say, now there's nothing to do, leave. We're going to do our work. First, if you smoke, please quit. Dr. Hogarth, do you want to start on that one? Well, my name is Ajay Wagh. But of course, there's an 80% chance it's not cancer. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Because initially when you're faced with something like that, everything kind of just goes over your head. So follow-up scans could also be low dose as well. I don't know who wants to take that one. Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary The immediate reaction is you're probably frightened. But of course, there's an 80% chance it's not cancer. And you say, well, wait. Pulmonary and Critical Care Fellowship | Chicago Medicine It's so important. And Janet wants to know how invasive is a lung biopsy? And Dr. Hogarth mentioned blood tests even, a few moments ago. And teasing out what's what is what Ajay and I do. Benjamin J. Seides, MD | Northwestern Medicine Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. And hopefully, go home if nothing happens. So I think first step is don't panic. So a little bit of a fan club going here, but that's awesome. It sounds like you're in a busy, busy place. The fear always is that cancers are going to grow. And the individual tumor biology is changing. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. 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. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Dr. Hogarth kind of briefly said something about the blood tests. I don't know who wants to take that one. Some of them are just re-evaluating the CAT scan you have. Communication is important with the patients. And they'll double check everything. And then second step is find the right people to help take care of you. Ultimately, I just want to help people feel better and breathe better. What exactly goes on there, and why is that so critical? We're going to get to a little bit more detail of that one here in just a moment. Interventional pulmonology is a new field within pulmonary medicine focused on the use of advanced diagnostic and therapeutic techniques for patients with lung cancer, airway disorders, and pleural diseases. So when we're done, you go home. So I want to get back to biopsies for just a moment. Now, a question. 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. 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 Dr. Hogarth, I want to start with you. And you don't want to. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. 617-632-8036. But you come in, we have a pre-procedural area where the patients get kind of their IV. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . We do have one that I want to get to. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Thanks again for being with us today. Is following a nodule ground glass opacity with yearly CT standard? And using some of the tools that we have. So I'm excited to be here in the city, and part of this program. And at that point, they'll meet the anesthesiologist, the nursing staff. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. Best Hospitals for Pulmonology & Lung Surgery | Rankings & Ratings | US And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. The probability, if it's low enough, we don't want to do invasive things to you. You know, in fact, just to even further hammer home that point. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. The Emory Sleep Medicine . Additionally, he authored a best-selling textbook on bronchoscopy as well as written numerous book chapters and clinical guidelines pertinent to the management of patients with lung cancer. It's OK. Current Fellows in the Pulmonary and Critical Care Fellowship So look, there's three ways to sample inside the lung. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. This is a safe place. Yes, sir. Interventional Pulmonology Fellowship | Chicago Medicine So you're going to get way more bang for your buck literally as a scan by coming here. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. He also serves as an assistant professor of internal medicine at the UK College of Medicine. But many times, you might notice something on an x-ray that's not part of the screening pathway. Interventional Pulmonology Fellowship; Post-Doctoral; . And we do it through your mouth. We have a great team here, and I'm excited to be part of it. All kinds of fantastic information there. This is a safe place. And we're very serious about that. And we do it through your mouth. You want to be calm and cool. What's that chance? I'm in the studio all by myself, as you can see here. And I have been working at the University of Chicago since 1998. And we're very serious about that. We will overbook you. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: A star rating is not given if a provider only has a small number of survey responses. 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. That's why we do it. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. [MUSIC PLAYING]. However, not everyone who receives an abnormal CT scan should be rushed into surgery. 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. Chicago, IL 60637, Referring Physician Access Line: If it bothers you to come near the Medical Center, fine, let's do it via the computer. I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. So we go through your mouth. They come into the sky lobby here at UChicago. 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. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. St. Peters Health Partners Medical Associates, P.C. You will not know we're doing this to you. What Dr. Wagh and I do is a procedure called bronchoscopy. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. 5841 South Maryland Ave., MC 6076 Conditions & Services; Yeah, sure. American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection . Getting an expert opinion about what could this nodule actually be. I remember when Dr. Hogarth showed this to me. When there are no changes from scan to scan. So we need to get going and do something about it. But a doctor may see something on a chest x-ray. Interventional Radiology - Integrated - University of Chicago Follow @uw_APCC. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . Our commitment is to outstanding clinical care, to mentoring and . And I think that's the first key step. Faculty Profiles - University of Chicago Medicine Faculty Profiles First, do no harm. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . And at that point, they'll meet the anesthesiologist, the nursing staff. That's right. We're in very separate areas. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. But for many people are extremely, extremely slow growing cancer. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. And so Dr. Hogarth, we have another question from a viewer. That's always the question people want to know. But what I can also tell you is it's cancer, here's what stage it is. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? So I'm going to have you answer the question, but also kind of explain what she's asking here.