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But there's many things it could be. And that's sort of when we take a look at the CAT scan very closely. Absolutely, yeah. Schedule your appointment online for primary care and many specialties. Patients have both benign and malignant non-cardiac diseases of the chest. I'm an interventional pulmonologist here at the University of Chicago. You are comfortable. So-- And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. I follow the philosophy of following the three A's-- affable, available, and able. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. But many times, you might notice something on an x-ray that's not part of the screening pathway. But you come in, we have a pre-procedural area where the patients get kind of their IV. That's why I'm not moving a lot, not that I move a lot anyway. That's why I'm not moving a lot, not that I move a lot anyway. And then based on that discussion, we would set a patient up for a procedure. So this is an actual question. Or you're going to go to radiation or whatever. Patient survey responses are also used to make star ratings for each provider. I'm not happy that I have to tell you it's cancer. Well, I think that there's several possibilities. Some of them are blood based tests. Media. And they hear, oh my gosh, I've got a nodule. And then if we do need to do a biopsy, making sure the correct biopsy gets done. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? All rights reserved. So I want to get back to biopsies for just a moment. And I don't know. And then second step is find the right people to help take care of you. 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. 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. The University of Chicago Medicine. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Phone: (773) 702-9660, Mailing Address: 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. And I have been working at the University of Chicago since 1998. You don't have to go get another procedure that's going to take time to then figure out what stage you are. And the patient goes afterwards to a post-procedural area, where they recover. 2023 The University of Chicago Medical Center. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. What happens? So Dr. Wagh and I have our partner, Dr. Mergue. But we also want to explain to you what we're going to do to actively follow you. Funding for Educational Activities We're still operating. And as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. So I always have to do this. Some of them are just re-evaluating the CAT scan you have. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. And we keep spacing that interval of scan out if nothing has changed. You're out. We want to find patients who have a history of smoking, quit within the past 15 years. Occupational lung disease. Referring . And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. And our complication rate is the lowest amongst the three. Karen says, your pulmonary department is the best. University of Cincinnati Department of Internal Medicine Division of Pulmonary, Critical Care, and Sleep Medicine 231 Albert Sabin Way, ML 0564 Cincinnati, OH 45267-0564. Conditions & Services; Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Our doctors will actually even join us from the places where they're doing the work. It could be cancer. And I have been working at the University of Chicago since 1998. So-- go ahead, Dr. Hogarth, did you have something you wanted in? The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. I don't know who wants to take that one. Or does it have to be a higher dose CT screening? Interventional Pulmonology. That's not hard to convince someone. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care 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? Program Director. We'll try to get to as many as we can over the next half hour. Thanks again for being with us today. I mean, I think we are living in a strange time. We're going to do our work. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. And that would be annually until they kind of exit out after that 15 years. If we keep scanning you, we're never going to see change. What exactly goes on there, and why is that so critical? Interventional Pulmonology Fellowship; Post-Doctoral; . And then they come to our lab. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. But can you kind of walk us through what people can expect before, during, and after one of these procedures. And it is, would my annual low dose CT lung cancer screening show nodules? This isn't that twilight. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. You know, in fact, just to even further hammer home that point. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . You know, you said at the very beginning, I have a nodule, should I panic? In other cases, they are actually a cancer. Get an online second opinion from one of our experts without having to leave your home. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. Maybe Dr. Hogarth, you can start. Interesting. So talk to us a little bit more about the lymph nodes. It could be cancer. CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. 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. And I hope you have a great week. Loma Linda University Children's Hospital. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. So-- Or you're going to go to radiation or whatever. The responses are used to improve patient experience and recognize staff members for the care they provide. Is following a nodule ground glass opacity with yearly CT standard? 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. So a little bit of a fan club going here, but that's awesome. You know, you said at the very beginning, I have a nodule, should I panic? 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. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. 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. But of course, there's biopsies. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Yes, sir. Randomly selected patients are sent patient satisfaction surveys after their visits. And it's very professionally satisfying. We get thousands of survey responses each year. So-- You can't eat after midnight. Yes, sir. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. There's a surgeon, who's going to go in and cut part of it out. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. And you know, those patients typically are eligible for low dose lung cancer screening. And we have a series of other tests we can do. Yeah, there's several possibilities in that regard to evaluate these. 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. Because it has everything to do with the quality of the machine for the radiation that goes through. Today there are better insights into cancer and other lung diseases. And I hope you have a great week. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. You shared really some good information with our audience. But we're also going to work with you. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And prior to that, I was a private practice pulmonary critical care doctor for six years. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. So Dr. Wagh, you touched on this a little bit before. All rights reserved. And the city of Chicago is a great place and a lot of fun. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . And you know, it is extremely valuable. MC 6092 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 you want to have something reliable in what to do next. 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.