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And we're also going to just keep radiating you. You know, it's not just like, yeah, you do this. Is that-- should you be frightened? I recently completed an interventional pulmonary fellowship, which brought me here. . Ajay Wagh, MD, MS, specializes in pulmonary medicine with a focus in interventional pulmonology. Randomly selected patients are sent patient satisfaction surveys after their visits. And the patient goes afterwards to a post-procedural area, where they recover. And that would be annually until they kind of exit out after that 15 years. The hospital is safe, the hospital is clean. What happens? His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. So we need to get going and do something about it. But for many people are extremely, extremely slow growing cancer. No, for sure. And the patient goes afterwards to a post-procedural area, where they recover. So appreciate that. Patients have both benign and malignant non-cardiac diseases of the chest. But of course, there's an 80% chance it's not cancer. Communication is important with the patients. Or is that the moment of panic at that point? We look at the airways and other parts of our computer modeling to see if that's something that we can get to. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. We're giving you the least amount of radiation, even for what's called a diagnostic scan. And we're very serious about that. This is a safe place. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi Where it's basically put right through your chest into the lung nodule done through the radiology department. Our doctors will actually even join us from the places where they're doing the work. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. 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. You are comfortable. Some of them are blood based tests. Some of the blood tests we have, have the ability to change that number. And either one of you can jump on this one. And of course, you came here at kind of an odd time, during a pandemic. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Instead, you might have a little sore throat for a day or two. I love math and science, and I love to problem solve, so I started out in engineering. Or should we offer something else? Another question from a viewer, and this is Carla. What exactly goes on there, and why is that so critical? Go ahead, Ajay. Along with his strides with bLVR, Dr. Hogarth was the first physician in Illinois to perform bronchial thermoplasty, a FDA-approved technique to treat severe asthma. It's usually about a half day's worth of time. 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. We don't even have any camera people in here. And that's very important. 5841 South Maryland Ave., MC 6076 We'll try to get to as many as we can over the next half hour. It sounds like you're in a busy, busy place. We don't even have any camera people in here. We just talked a moment ago, and you're pretty new here. 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. Thanks again for being with us today. Interventional Pulmonology, Northwestern University, Feinberg School of Medicine, Chicago IL 2015-2016 Pulmonary and Critical Medicine, UC Davis Medical Center, Sacramento CA 2012-2015 Professional Memberships Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. And how urgently must patients act? Getting an expert opinion about what could this nodule actually be. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . And Dr. Wagh, maybe you can take this next one. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? I'm not happy that I have to tell you it's cancer. You know what, I always tell people is there is a long list of things that the nodule could be. Rush University Medical Center in Chicago, IL is ranked No. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. 11234 Anderson St, Loma Linda, CA 92354. . 13 in the nation for Pulmonary and Lung Surgery. A star rating is not given if a provider only has a small number of survey responses. 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. Really, really good questions today. Getting an expert opinion about what could this nodule actually be. Full-Time. Northwestern Memorial Hospital; Univ. That is not acceptable to make you wait. Yes, sir. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. 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. And they hear, oh my gosh, I've got a nodule. And sign a few papers. That's going to be number one on the list. But to delay any amount of care. He and I, and our other partner, Dr. Mergue, work very hard to make sure that if you need a procedure, it's the right procedure. It's a wonderful, wonderful place. He also serves as an assistant professor of internal medicine at the UK College of Medicine. Go ahead, Ajay. So talk to us a little bit more about the lymph nodes. You don't have to go get another procedure that's going to take time to then figure out what stage you are. 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 that's part of what you do. And every patient is different. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . So my name is Kyle Hogarth. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. So we do want to remind our viewers, we'll take your questions for our experts. Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . So that's nice. And so the lymph nodes are where cancer would spread to first. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . . So-- Section of Pulmonary/Critical Care It could be cancer. And we have a high success rate to get you an answer. [MUSIC PLAYING]. I apologize. But a doctor may see something on a chest x-ray. And our complication rate is the lowest amongst the three. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: So-- go ahead, Dr. Hogarth, did you have something you wanted in? 11 millimeters is rather small. 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. Yeah, sure. And you want to have something reliable in what to do next. Obviously, if things change, then that's a discussion towards biopsy. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Occupational lung disease. And then they just go home. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. So a little bit of a fan club going here, but that's awesome. Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. Because it's a difficult time in people's lives when they have something like this done. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. . These are not questions. So we'll wake you up. So you're going to get way more bang for your buck literally as a scan by coming here. Panicking, obviously, is never helpful. We're fortunate enough here at UChicago Medicine to have a robotic endoscope that lets us get to parts of the lung we've never been able to get to before. We'll get you a speech card. 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. 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. Emphysema and advanced emphysema. Or come and visit a lung physician. And this is a little bit inside baseball. And they hear, oh my gosh, I've got a nodule. And I have been working at the University of Chicago since 1998. Dr. Hogarth, do you want to start on that one? 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. When we-- and I'll also say it depends. It's either cancer or everything else. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Oh, less than 5%, OK, let's slow down a little bit. Oh, let me reinforce that. And remember, you can schedule your video visit by also going to the website. This is from Therese. And Dr. Hogarth, I want to start with you. Our commitment is to outstanding clinical care, to mentoring and . It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. And you know, COVID makes it harder for patients to see doctors. 2023 The University of Chicago Medical Center. Because it's interesting how you do them in the lung. But you come in, we have a pre-procedural area where the patients get kind of their IV. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. Oh, less than 5%, OK, let's slow down a little bit. He has done the most cases in the United States and has authored numerous publications on this topic. 1:25 . This is from Therese. So-- [MUSIC PLAYING] My name is Ajay Wagh. Is following a nodule ground glass opacity with yearly CT standard? That's why we do it. Dr. Hogarth kind of briefly said something about the blood tests. 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. But I'm sure you'll enjoy UChicago Medicine. 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. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And then if we do need to do a biopsy, making sure the correct biopsy gets done. That's always the question people want to know. We want to remind people, very important, do not forego medical care during COVID. 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. So there's no cutting. So Dr. Wagh, you touched on this a little bit before. So we want to-- I mean, we want to do this for everybody. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Compare hospital ratings for pulmonology and lung surgery. Loma Linda University Children's Hospital. The University of Chicago Medicine. Dr. Hogarth kind of briefly said something about the blood tests. 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. Can you kind of walk us through that? No, it will show the nodules. Or is this something that happens and you just need to get it checked out? Can you kind of walk us through that? Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. So I have two from viewers that I have to pass along. Because I know this is a very complex situation. You will still be the same stage. We're in very separate areas. But we do have avenues to help with that. The fear always is that cancers are going to grow. And it is, would my annual low dose CT lung cancer screening show nodules? We're fortunate enough here at UChicago Medicine to have a robotic endoscope that lets us get to parts of the lung we've never been able to get to before. In some cases, they are a precancerous lesion. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. 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. You know, and I want to talk a little bit more about biopsies here in just a minute. In other cases, they are actually a cancer. Or does it have to be a higher dose CT screening? Our pulmonary and allergy physicians see clinic patients in the Center for Lung Health, located in room 3C in the UI Health Outpatient Care Center (OCC), which is at 1801 W Taylor. I recently completed an interventional pulmonary fellowship, which brought me here. You will get seen three to four weeks from now. [MUSIC PLAYING] The responses are used to improve patient experience and recognize staff members for the care they provide. We are taking questions from viewers. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. 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. And then I'll have Ajay go at it as well. Advanced technology and minimally invasive options are available. 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. UK Pulmonary, Critical Care and Sleep Medicine offers the full scope of inpatient and outpatient services involving the diagnostic evaluation and clinical management of respiratory disorders. protected veterans, and individuals with disabilities. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Make sure everything looks right, that it would be safe to proceed. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Future Oncol. 2023 The University of Chicago Medical Center. And so Dr. Hogarth, we have another question from a viewer. Really, really good questions today. Yeah, there's several possibilities in that regard to evaluate these. You know, you mentioned that being covered by insurance. No, it will show the nodules. I am a Professor of Medicine here. And you can speak with your physician about that. I want to know you're an early stage cancer. Because I know this is a very complex situation. Well, if you have a cancer, the next question is, what stage is it? And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. 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. 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. Well, we're very happy to have you. 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 . U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . So you're going to get way more bang for your buck literally as a scan by coming here. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. 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. Communicate with your doctor, view test results, schedule appointments and more. Because it has everything to do with the quality of the machine for the radiation that goes through. Follow @uw_APCC. Or is this something that happens and you just need to get it checked out? The University of Illinois at Chicago/Chicago Chest Center offers a 12 month Interventional Pulmonology fellowship is spread across a spectrum of hospitals to allow for exposure to a wide variety of patients, diagnoses, interventions and multiple mentors. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. I remember when Dr. Hogarth showed this to me. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. 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. It's a wonderful website. I'm actually in the endoscopy suites. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases.
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