university of chicago interventional pulmonology

And we do it through your mouth. And they hear, oh my gosh, I've got a nodule. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? 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. When there are no changes from scan to scan. But of course, there's an 80% chance it's not cancer. We evaluate whether or not it's a target that we can reach. I mean, I think we are living in a strange time. 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. Yeah, and I want to tell people-- this is a very, very safe place. And every patient is different. Because it has everything to do with the quality of the machine for the radiation that goes through. Sure. What Dr. Wagh and I do is a procedure called bronchoscopy. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. Every tumor, of course, has its own biology speed at which it grows. 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 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 follow-up scans could also be low dose as well. A star rating is not given if a provider only has a small number of survey responses. No, it will show the nodules. But you come in, we have a pre-procedural area where the patients get kind of their IV. And then afterwards, once we settle on a date, the patient comes in. About Us. And this is important. And these procedures all have their own benefits, but also their own complications. Program Director. Exactly. But we're very careful about that. And it also has a lot of great COVID information. Another question from a viewer, and this is Carla. 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? Getting an expert opinion about what could this nodule actually be. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Yes, sir. And we have a high success rate to get you an answer. Just type them in the comments section. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. 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. Can you talk to us a little bit about what the patient experiences in this procedure? And as always, we'll take your questions during our 30 minute program. Well, the blood test actually showed that it's less than 5%. And one that has a very low invasive potential. And it's something solid. And because I enjoyed working with people, I followed that up with going into medicine, and it just seemed like a perfect fit. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. So Dr. Wagh and I have our partner, Dr. Mergue. Well, gentlemen, we're out of time. That's right. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. 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. But to delay any amount of care. Our interventional pulmonologists and their teams can diagnose and treat many types of lung disease, such as: Airway conditions, including airway fistulas and airway stenosis (narrowing) Asthma. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. Interesting. Oh, let me reinforce that. But of course, there's biopsies. Our list of accepted insurance providers is subject to change at any time. All kinds of fantastic information there. You will still be the same stage. 2023 The University of Chicago Medical Center. All rights reserved. But if it shows anything of any concern, especially if it's your first one, that may require a follow-up scan in a shorter interval or one with slightly higher radiation. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. No, it's a great question. I recently completed an interventional pulmonary fellowship, which brought me here. Just type them in the comments section. I'm actually in the endoscopy suites. Panicking, obviously, is never helpful. 1-877-DOM-2730, Department of Medicine The Department of Pulmonary, Critical Care, Sleep, and Allergy at UI Health provides the highest level of care and treatment for lung disorders and diseases. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. I recently completed an interventional pulmonary fellowship, which brought me here. But also don't ignore it, and don't delay it. And they'll double check everything. I kiss my spouse. Or you're going to go to radiation or whatever. And so that becomes one procedure, as opposed to multiple procedures. 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. I want to know you're an early stage cancer. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Medical school: St. James School of Medicine Anguilla, Park Ridge, IL Residency: University of Illinois College of Medicine, Peoria, IL Professional interests: ARDS, sepsis and infectious lung diseases. He sees patients in clinic on Fridays. Because it's interesting how you do them in the lung. And remember, you can schedule your video visit by also going to the website. Media. And sign a few papers. Loma Linda University Children's Hospital. Dr. Wagh, let's hear a little bit about you. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. Schedule your appointment online for primary care and many specialties. That ground glass, if it gets larger or denser, then it's changing. And teasing out what's what is what Ajay and I do. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. A star rating is not given if a provider only has a small number of survey responses. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Because initially when you're faced with something like that, everything kind of just goes over your head. And Dr. Hogarth mentioned blood tests even, a few moments ago. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. You shared really some good information with our audience. Program Overview. Exactly. But of course, there's biopsies. 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? And that would be annually until they kind of exit out after that 15 years. Ultimately, I just want to help people feel better and breathe better. For help with MyChart, call us at 1-844-442-4278. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And the national standard is roughly five weeks. So we need to get going and do something about it. And then based on that discussion, we would set a patient up for a procedure. You know what, I always tell people is there is a long list of things that the nodule could be. We're going to give you some strong recommendations. 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. 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. But also cat scanning. And so those are our mainstays of imaging. You shared really some good information with our audience. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. We're giving you the least amount of radiation, even for what's called a diagnostic scan. The University of Chicago Medicine. And you say, well, wait. Dr. Hogarth, do you want to start on that one? That's always the question people want to know. You know, we go, oh, it's a 20% chance. Interventional Pulmonary. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. Use of augmented fluoroscopic imaging during diagnostic 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. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . You know, we go, oh, it's a 20% chance. Patient survey responses are also used to make star ratings for each provider. So that you get an answer as to what this nodule actually is. Dr. Wagh, let's hear a little bit about you. Because it has everything to do with the quality of the machine for the radiation that goes through. And I think we like to take things one step at a time. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Only clean air in the lungs, please. And it's something solid. Absolutely. Schedule your appointment online for primary care and many specialties. And so think of it like a sponge. 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. Because we will always see you. At UF Health we have a very strong focus on interventional pulmonology with a program which has been in place for more than ten years, making it one of the oldest and strongest programs in . 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 again, in all seriousness, I think that shows really, you know, the work that you do with the patients. It's a wonderful website. Emphysema and advanced emphysema. So we'll wake you up. And Dr. Hogarth, I want to start with you. And we have a high success rate to get you an answer. Dr. Hogarth kind of briefly said something about the blood tests. Yes, so a patient typically comes in basically just for a few hours during the day. It is covered by insurance. Sure. So Dr. Wagh, it was interesting because this is almost like a video game. That's good to know. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . Or should we offer something else? Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. So if you need an appointment, give us a call at 888-824-0200. A lung mass can be a frightening discovery. And I think that's the first key step. Some of the blood tests we have, have the ability to change that number. And one that has a very low invasive potential. 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. This isn't that twilight. 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. 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. Yeah, there's several possibilities in that regard to evaluate these. It's got to be terrible. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. So I'm going to have you answer the question, but also kind of explain what she's asking here. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Well, we're very happy to have you. So typically we'll have a clinic evaluation. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters.

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