The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. 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. Well, it certainly can. And this is a little bit inside baseball. And then we go in with our scopes. But we also want to explain to you what we're going to do to actively follow you. Or is that the moment of panic at that point? When you or a loved one has a lung disease, you want to see the best lung doctors available. You will get seen within a week every time here. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Program Overview. These are not questions. Oh, less than 5%, OK, let's slow down a little bit. So I mean, we do have a regular process of lung cancer screening. First, do no harm. UChicago Faculty Physicians Your lungs are going to be ultimately attached to your mouth. All rights reserved. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . 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. Is following a nodule ground glass opacity with yearly CT standard? No, it will show the nodules. We don't want that to happen. It is covered by insurance. But many times, you might notice something on an x-ray that's not part of the screening pathway. Go ahead, Ajay. And so Dr. Hogarth, we have another question from a viewer. So I'm excited to be here in the city, and part of this program. And we're very serious about that. There's also what's called a needle biopsy. We're open for business. So, I really believe in great communication and teamwork. And of course, you came here at kind of an odd time, during a pandemic. Go ahead, Ajay. And remember, you can schedule your video visit by also going to the website. Communicate with your doctor, view test results, schedule appointments and more. October 29, 2020 . And of course, you came here at kind of an odd time, during a pandemic. Age is usually 55 to 80. What Dr. Wagh and I do is a procedure called bronchoscopy. Learn more about clinical trials and find a trial that might be right for you. For more information about the Interventional Pulmonology Center or to request a referral . We have been providing exceptional and compassionate . And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. But to delay any amount of care. 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. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Pulmonary Hypertension; Sleep Disorders; . You shared really some good information with our audience. Another question from a viewer, and this is Carla. You know, you mentioned that being covered by insurance. You want to be calm and cool. And so now you're going to go to the surgeon to be cured. And the city of Chicago is a great place and a lot of fun. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. Thanks again for being with us today. There's a surgeon, who's going to go in and cut part of it out. And teasing out what's what is what Ajay and I do. But that's part of what you do. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. Just to echo what Dr. Wagh said. Every tumor, of course, has its own biology speed at which it grows. 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. Loyola University Medical Center, Chicago IL: 2020: Ikuyo Imayama, MD: University of Illinois at Chicago, Chicago, IL: 2021: Mariam Anis, MBBS Northwestern Lake forest Hospital: 2021: Yu Maw Htwe, MBBS NYU Interventional Pulmonology Fellowship: 2021 Phone: (773) 702-9660. And you know, those patients typically are eligible for low dose lung cancer screening. Today there are better insights into cancer and other lung diseases. It's got to be terrible. And we're, of course, happy and eager to help. Because it's interesting how you do them in the lung. Faculty and fellows conduct research in a wide range of topics such as devices in sleep medicine and interventional pulmonary, laboratory studies in IPF fibroblast pathology or building new lungs for transplantation. It offers a comprehensive program of quality patient care, research and education. 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. MC 6092 Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. 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 . And I don't know. And so I do think it needs to be corrected that you should not get a chest x-ray as a screening tool. Quick Apply. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . But I'm sure you'll enjoy UChicago Medicine. What exactly goes on there, and why is that so critical? And we have a high success rate to get you an answer. And it also has a lot of great COVID information. Schedule your appointment online for primary care and many specialties. River East Location . So that you get an answer as to what this nodule actually is. And basically work very hard to make sure that patients get the answers that they need to help decide what's the best next path when they find an abnormal CT scan. 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. Phone: (773) 702-9660. So we go through your mouth. And how urgently must patients act? Really, really good questions today. Chicago Chest Center/ The University of Illinois Chicago. St. Peters Health Partners Medical Associates, P.C. It's usually about a half day's worth of time. And you want to have something reliable in what to do next. Exactly. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. 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. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. We want to minimize radiation. We are proud to have an interventional pulmonary laboratory with full-time dedicated . Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And that would be another area, I would imagine. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. I work here, I go home, I kiss my children. We're not going to just say, you must do this. Open for more information. This is a safe place. of Colorado Health Sciences Ctr. We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. Compare hospital ratings for pulmonology and lung surgery. So when we're done, you go home. 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. 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. In other cases, they are actually a cancer. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . However, not everyone who receives an abnormal CT scan should be rushed into surgery. What you're never going to hear from us is to say, now there's nothing to do, leave. And so that becomes one procedure, as opposed to multiple procedures. That's another thing that you probably want to caution people about. So that's nice. And that's kind of comforting, I think, for most patients. Chicago Chest Center - 2015. The Section of Thoracic Imaging provides state-of-the-art imaging and interpretation of pulmonary and cardiac diseases in close collaboration with internists, pulmonologists and thoracic surgeons at the University of Chicago Medical Center. 2023 The University of Chicago Medical Center. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. But in reality, if you're a patient, there's only two things. So I mean, we do have a regular process of lung cancer screening. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? I apologize. [LAUGHTER] So a little bit of a fan club going here, but that's awesome. And without a doubt, the possibility of cancer is what scares everybody. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. There's all kinds of different tests. And then if we do need to do a biopsy, making sure the correct biopsy gets done. Communication is important with the patients. Advanced technology and minimally invasive options are available. It's got to be terrible. You know what, I always tell people is there is a long list of things that the nodule could be. And this is important. 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. 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. Or should we offer something else? Phone: (773) 702-9660, Mailing Address: And you want to have something reliable in what to do next. It's so important. You can't eat after midnight. 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 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. That's why I'm not moving a lot, not that I move a lot anyway. 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. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Pulmonary & Critical Care Medicine. Website. And that's sort of when we take a look at the CAT scan very closely. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. 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. Yeah, and I want to tell people-- this is a very, very safe place. And it is, would my annual low dose CT lung cancer screening show nodules? We want to remind people, very important, do not forego medical care during COVID. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. Schedule your appointment online for primary care and many specialties. But I love these. We're giving you the least amount of radiation, even for what's called a diagnostic scan. 2023 The University of Chicago Medical Center. 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. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Some of them are blood based tests. Yes, sir. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Dr. Hogarth kind of briefly said something about the blood tests. You will not know we're doing this to you. Can you talk to us a little bit about what the patient experiences in this procedure? And then second step is find the right people to help take care of you. 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. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. We're giving you the least amount of radiation, even for what's called a diagnostic scan. And remember, you can schedule your video visit by also going to the website. And as Dr. Wagh just said, we are able to do video visits and televisits. Yes, sir. We're going to give you some strong recommendations. 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. 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. And one that has a very low invasive potential. And then second step is find the right people to help take care of you. 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. And you know, COVID makes it harder for patients to see doctors. It is covered by insurance. 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. Even the show that we're doing right now, you two are remote. Interventional Pulmonology. And that's very important. So we do want to remind our viewers, we'll take your questions for our experts. We also have literally the world's greatest nurse practitioner, Kimberly. Referring Physician Access Line: . And then based on that discussion, we would set a patient up for a procedure. 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 we have a high success rate to get you an answer. The University of Chicago Medicine. The program focuses on both procedures and the procedure related management of benign and malignant thoracic diseases. Loma Linda University Children's Hospital. We don't even have any camera people in here. So I'm excited to be here in the city, and part of this program. It's either cancer or everything else. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. And either one of you can do that. That's why I'm not moving a lot, not that I move a lot anyway. First, do no harm. And then at that point, we would bring the patient back to the our laboratory. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . And then I'll have Ajay go at it as well. And I think that's the first key step. 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. Now, these are complicated discussions. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . So we'll wake you up. Fellows. In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. That's a great question. You know, you said at the very beginning, I have a nodule, should I panic? The responses are used to improve patient experience and recognize staff members for the care they provide. We will overbook you. And there are potential treatments to help patients quit smoking as well. However, not everyone who receives an abnormal CT scan should be rushed into surgery. Communicate with your doctor, view test results, schedule appointments and more. See, this just shows how important it is that we do these programs here. You know what, I always tell people is there is a long list of things that the nodule could be. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . And obviously, you know, even with minimally invasive surgery, it's still a surgery. Interventional Pulmonology. All kinds of fantastic information there. We don't want that to happen. And we're very serious about that. And I hope you have a great week. Obviously, if things change, then that's a discussion towards biopsy. Hogarth was the first doctor in the Midwest to use the Monarch by Auris a robotic bronchoscopy navigation system with 3-D imaging technology built into a robotic scope that allows him to reach deeper into . I don't know who wants to take that one. Nicole Greenlee. 3 University of Rochester Medical Center, Rochester New York. And it also has a lot of great COVID information. Every tumor, of course, has its own biology speed at which it grows. That's why we do it. And we get the tissue that we need.