university of chicago interventional pulmonology
Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima It's so important. Fellows. Loma Linda University Children's Hospital. 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. As faculty members of the University of Cincinnati [] His work as been published in several peer-reviewed journals, including the Journal of Thoracic Disease, Respiratory Medicine and American Journal of Physiology, Lung, Cell, Molecular Physiology. Yes, sir. About Us. Chicago Chest Center/ The University of Illinois Chicago. That's right. We'll try to get to as many as we can over the next half hour. The probability, if it's low enough, we don't want to do invasive things to you. And you two, and your teams, are really good at helping people through that situation. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. Well, if you have a cancer, the next question is, what stage is it? Northwestern Memorial Hospital; Univ. And that would be another area, I would imagine. And I don't know. Just to echo what Dr. Wagh said. What exactly goes on there, and why is that so critical? Or suggest that the pre-test probability is lower. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Hogarth DK. Thoracic Imaging. Follow @uw_APCC. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. There's all kinds of different tests. What Dr. Wagh and I do is a procedure called bronchoscopy. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. And you can speak with your physician about that. Yeah, sure. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. Well, we're very happy to have you. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. But also cat scanning. There's nobody else here. And teasing out what's what is what Ajay and I do. Yes, sir. So there's no cutting. October 29, 2020 . Interesting. Chicago, IL 60637 We will overbook you. And either one of you can do that. There's also what's called a needle biopsy. However, not everyone who receives an abnormal CT scan should be rushed into surgery. Critical Care Medicine; Pulmonology; Meet the Doctor . Phone: (773) 702-9660. And it's something solid. 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 . You're going to go home. We also have literally the world's greatest nurse practitioner, Kimberly. So ground glass nodules are a different biology. No, don't panic. So we talked a little bit about just screening for lung cancer in general, and what people need to know, because I know there are some folks that will go through a regular process of screening. You shared really some good information with our audience. Communication is important with the patients. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. 1-877-DOM-2730, Department of Medicine And of course, you came here at kind of an odd time, during a pandemic. So when we're done, you go home. 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. Dr. Hogarth kind of briefly said something about the blood tests. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. That's why we do it. And it is, would my annual low dose CT lung cancer screening show nodules? I love taking care of people, and I love to see them breathe better and feel better. 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. Karen says, your pulmonary department is the best. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. It was designed to provide the subspecialty trainees with extensive training and experience in advanced diagnostic and therapeutic procedures that are essential to the practice of Interventional Pulmonology. Oh, less than 5%, OK, let's slow down a little bit. And then based on that discussion, we would set a patient up for a procedure. And the individual tumor biology is changing. Fellowship, 2004, The University of Chicago, Pulmonary and Critical Care 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. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. We're still operating. And smoking is certainly a problem, a historical problem that we're working to deal with every day. Meet the Doctor. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . Bronchoscopic procedures are also offered to manage patients with asthma, emphysema, massive hemoptysis, foreign body aspiration, mediastinal disorders, post lung transplant complications, interstitial and infectious lung disorders. We don't even have any camera people in here. Because it's interesting how you do them in the lung. So I'm going to have you answer the question, but also kind of explain what she's asking here. We're going to get to a little bit more detail of that one here in just a moment. And so the lymph nodes are where cancer would spread to first. 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 using some of the tools that we have. The probability, if it's low enough, we don't want to do invasive things to you. You will still be the same stage. All rights reserved. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. You were fantastic. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Stopping smoking can help you just across the board. It's usually about a half day's worth of time. You know, and I was only being partially facetious when I said panic is kind of the natural-- because I think for a lot of people that's just the natural reaction. And there are potential treatments to help patients quit smoking as well. I work here, I go home, I kiss my children. [MUSIC PLAYING] My name is Ajay Wagh. That's not hard to convince someone. Communication is important with the patients. Program Overview. Or come and visit a lung physician. 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. So follow-up scans could also be low dose as well. Can you kind of talk to us a little bit about that, and walk us through that? Learn more about clinical trials and find a trial that might be right for you. So I want to get back to biopsies for just a moment. 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 . But you come in, we have a pre-procedural area where the patients get kind of their IV. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. And usually we discuss medications, if the patient is on a blood thinner. And Dr. Wagh, maybe you can take this next one. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Conditions & Services; I can meet with you virtually. 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. And we can help you do that, too. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. But one of the other things we were talking about, the patient journey. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. So typically we'll have a clinic evaluation. And how urgently must patients act? Can you kind of walk us through that? And Dr. Hogarth, we'll start with you. 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 . The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. That's going to be number one on the list. In some cases, they are a precancerous lesion. Every tumor, of course, has its own biology speed at which it grows. We evaluate whether or not it's a target that we can reach. And Dr. Hogarth, we'll start with you. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. So that's nice. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. So-- That's another thing that you probably want to caution people about. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. You know what, I always tell people is there is a long list of things that the nodule could be. Now, a question. We can talk about imaging modalities. We just talked a moment ago, and you're pretty new here. Because an abnormal CT scan is terrifying. And we also try to figure out, is it a lesion that requires biopsy? [MUSIC PLAYING]. So-- 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 remember, you can schedule your video visit by also going to the website. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. 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. So that you get an answer as to what this nodule actually is. But I'm sure you'll enjoy UChicago Medicine. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Is that-- should you be frightened? 2023 The University of Chicago Medical Center. And I don't know. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. And so think of it like a sponge. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. We are extremely cautious about everything here. And that's sort of when we take a look at the CAT scan very closely. For help with MyChart, call us at 1-844-442-4278. And of course, you came here at kind of an odd time, during a pandemic. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. 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. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And the individual tumor biology is changing. When we-- and I'll also say it depends. Make sure everything looks right, that it would be safe to proceed. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. And I think we like to take things one step at a time. And I try to reliably perform that every day when I come to work. Patient survey responses are also used to make star ratings for each provider. Because it's a difficult time in people's lives when they have something like this done. And how urgently must patients act? Communicate with your doctor, view test results, schedule appointments and more. So we need to get going and do something about it. Interventional Pulmonary. I kiss my spouse. Chicago, IL 60637, Referring Physician Access Line: We'll try to get to as many as we can over the next half hour. The UI Health Sleep Science Center, located at 2242 W Harrison, is the home to our comprehensive sleep program. So if we think you're at early stage cancer, that's great. Pulmonary, Critical Care & Sleep Medicine. They come into the sky lobby here at UChicago. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. (773) 702-1234, 2023 University of Chicago Department of Medicine, Center for Continuing Medical Education Tracker. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Yes, so a patient typically comes in basically just for a few hours during the day. Interesting. 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. That's why I'm not moving a lot, not that I move a lot anyway. Karen says, your pulmonary department is the best. And then I'll have Ajay go at it as well. Where it's basically put right through your chest into the lung nodule done through the radiology department. And the national standard is roughly five weeks. You will not know we're doing this to you. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. So Dr. Wagh, you touched on this a little bit before. With Dr. Murgus extensive knowledge of airflow dynamics, nomenclature and classification systems of tracheal stenosis, tracheobronchomalacia (the weakening of the trachea and bronchi) and excessive dynamic airway collapse, he has the experience, knowledge and skill to deliver long-term success for his patients. Patient survey responses are also used to make star ratings for each provider. And so think of it like a sponge. I mean, we do have telemedicine options. Or you're going to go to radiation or whatever. Pulmonologists D. Kyle Hogarth, MD, and Ajay Wagh, MD, talk about different ways physicians can detect and diagnose lung nodules and masses, including advanced bronchoscopy techniques that do not require incisions or surgery. So appreciate that. But of course, there's biopsies. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. So I'm going to have you answer the question, but also kind of explain what she's asking here. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. And prior to that, I was a private practice pulmonary critical care doctor for six years. Or is that the moment of panic at that point? Yes, sir. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. Panicking, obviously, is never helpful. 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. When we-- and I'll also say it depends. So talk to us a little bit more about the lymph nodes. Conditions & Services; Conditions & Services; 617-632-8036. Report Job. So we'll wake you up. Well, gentlemen, we're out of time. Can you kind of walk us through that? When you or a loved one has a lung disease, you want to see the best lung doctors available. I don't know who wants to take that one. So if you have an x-ray or a CAT scan, there is a chance that the word module or mass is going to show up in the report. That's always the question people want to know. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Well, if you have a cancer, the next question is, what stage is it? 3 University of Rochester Medical Center, Rochester New York. And we keep spacing that interval of scan out if nothing has changed. In addition to his dedication to his patients, Dr. Hogarth is committed to teaching, receiving the resident teaching award in 2020 and has been named a Distinguished Chest Educator several years in a row. But that's part of what you do. Yes, sir. And how minimal it actually is? That's coming up right now on At The Forefront Live. University Pulmonary and Critical Care (UPCC) physicians and nurse practitioners specialize in the diagnosis and treatment of inpatient critical care patients who are typically hospitalized as well as diagnosis and treatment of pulmonary (lung) conditions in an outpatient setting. Learn more about clinical trials and find a trial that might be right for you. I recently completed an interventional pulmonary fellowship, which brought me here. The fear always is that cancers are going to grow. And I have been working at the University of Chicago since 1998. Interventional Cardiology; Pulmonary Disease; Hematology and Medical Oncology; Benefits. We don't want that to happen. We want to minimize radiation. And that would be annually until they kind of exit out after that 15 years. But we're very careful about that. 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 are taking questions from viewers. Star ratings and comments come from a number of survey questions. Sleep Medicine. Open for more information. So I'm excited to be here in the city, and part of this program. It could be cancer. And this is important. So we'll wake you up. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And the city of Chicago is a great place and a lot of fun. We get thousands of survey responses each year. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. Because we will always see you. And using some of the tools that we have. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. You're going to go home. We want to remind people, very important, do not forego medical care during COVID. And they hear, oh my gosh, I've got a nodule. So I always have to do this. You know, you said at the very beginning, I have a nodule, should I panic? See, this just shows how important it is that we do these programs here. I mean, we do have telemedicine options. 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. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Get a Second Opinion.
