And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. I mean, I think we are living in a strange time. And Dr. Hogarth, we'll start with you. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. 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. He sees patients in clinic on Fridays. You're out. Northwestern Medicine Canning Thoracic Institute 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? So follow-up scans could also be low dose as well. We are taking questions from viewers. And we have a series of other tests we can do. And we are going to be first and foremost interested in protecting you, as well as protecting ourselves and our staff. So a little bit of a fan club going here, but that's awesome. Well, that's nice. It should be a CAT scan if you are eligible. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Is following a nodule ground glass opacity with yearly CT standard? Yes, sir. And hopefully, go home if nothing happens. Go ahead, Ajay. They're still cutting in you. Dr. Hogarth kind of briefly said something about the blood tests. Pulmonary & Critical Care Medicine - Loyola University Chicago Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Oh, less than 5%, OK, let's slow down a little bit. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And we're, of course, happy and eager to help. Academic Interventional Pulmonary/Critical Care Physician 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. I mean, we do have telemedicine options. And that's a very important part for a cancer evaluation. And how urgently must patients act? 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. Follow @uw_APCC. That's a great question. Email: ipscheduling@jhmi.edu. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And it is, would my annual low dose CT lung cancer screening show nodules? But I love these. And thank you to our viewers for your great questions. We are extremely cautious about everything here. So Dr. Wagh and I have our partner, Dr. Mergue. When you or a loved one has a lung disease, you want to see the best lung doctors available. Well, we're very happy to have you. 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. But can you kind of walk us through what people can expect before, during, and after one of these procedures. So I think first step is don't panic. It's a wonderful website. Dr. Hogarth kind of briefly said something about the blood tests. They're still cutting in you. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. And I think we like to take things one step at a time. Yeah, and I want to tell people-- this is a very, very safe place. Pulmonary & Critical Care Medicine. It's usually about a half day's worth of time. Associate Professor of Medicine, Co-director of Bronchoscopy. 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. Your lungs are going to be ultimately attached to your mouth. You want to be calm and cool. That's always the question people want to know. Because initially when you're faced with something like that, everything kind of just goes over your head. Fellowship Programs | Emory School of Medicine But you come in, we have a pre-procedural area where the patients get kind of their IV. And that's kind of comforting, I think, for most patients. So typically we'll have a clinic evaluation. 2023 The University of Chicago Medical Center. So if you need an appointment, give us a call at 888-824-0200. So if we think you're at early stage cancer, that's great. And sign a few papers. In some cases, they are a precancerous lesion. Because it's a difficult time in people's lives when they have something like this done. And Janet wants to know how invasive is a lung biopsy? We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. And using some of the tools that we have. Who we treat. So I have two from viewers that I have to pass along. Rush University Medical Center in Chicago, IL is ranked No. And remember, you can schedule your video visit by also going to the website. And how minimal it actually is? Curriculum | Chicago Medicine And so the lymph nodes are where cancer would spread to first. We want to find patients who have a history of smoking, quit within the past 15 years. Because it has everything to do with the quality of the machine for the radiation that goes through. Fellows. This isn't that twilight. There's also what's called a needle biopsy. 5841 South Maryland Avenue, And then I'll have Ajay go at it as well. University of Chicago hiring Fellowship Coordinator in Chicago 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. So we'll wake you up. So Dr. Wagh, you touched on this a little bit before. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. I'm an interventional pulmonologist here at the University of Chicago. We want to minimize radiation. So we do want to remind our viewers, we'll take your questions for our experts. Another question from a viewer, and this is Carla. 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. University of Chicago: PGY-4: Kevin Buell: Vanderbilt University: PGY-4: Mario Fonseca-Paricio: . Because we will always see you. And the individual tumor biology is changing. It's a wonderful, wonderful place. And usually we discuss medications, if the patient is on a blood thinner. 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. I'm new here to the University of Chicago, and very thankful to be here. Thanks again for being with us today. I apologize. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. Ultimately, I just want to help people feel better and breathe better. Communication is important with the patients. 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. And there we perform our procedures. Dr. Murgu has specific expertise in minimally invasive techniques, such as bronchoscopic and pleural procedures, to diagnose and treat patients with central airway disorders. Duke Interventional Pulmonology Fellowship Program Chicago Chest Center was the first dedicated IP fellowship program in the Chicago area and the oldest established full service Interventional Pulmonology program in the state. There's nobody else here. Along with his clinical practice, Dr. Wagh is an active researcher. Our list of accepted insurance providers is subject to change at any time. Is following a nodule ground glass opacity with yearly CT standard? Well, the blood test actually showed that it's less than 5%. Oh, let me reinforce that. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. The question is, how quickly do cancerous lung nodules grow compared to other types of cancer? Referring Physician Access Line: . And I try to reliably perform that every day when I come to work. We're not going to just say, you must do this. You shared really some good information with our audience. This is a safe place. 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. You're going to go home. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Meaning, it's technically a cancer, but it's never going to necessarily bother you. He also serves as an assistant professor of internal medicine at the UK College of Medicine. So Dr. Wagh, it was interesting because this is almost like a video game. You are comfortable. What are some of the options to evaluate lung nodules and lung masses? All kinds of fantastic information there. But we're also going to work with you. That's coming up right now on At The Forefront Live. That's right. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. Patient survey responses are also used to make star ratings for each provider. 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. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. After initially working as a hospitalist, he pursued a pulmonary and critical care fellowship at OHSU followed by an interventional pulmonary fellowship at the University of Texas MD Anderson Cancer Center. Report Job. 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? And then second step is find the right people to help take care of you. Ajay Wagh, MD, MS - UChicago Medicine Chinh Phan, D.O. - Interventional Pulmonology - UC Davis Health System Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. Right? Yes, so a patient typically comes in basically just for a few hours during the day. [MUSIC PLAYING]. Because an abnormal CT scan is terrifying. Star ratings and comments come from a number of survey questions. And so now you're going to go to the surgeon to be cured. Pulmonary, Critical Care, Sleep and Allergy | Chicago Medicine Sunit Singla, MD. And you can speak with your physician about that. We don't even have any camera people in here. I mean, the first thing is first, is we do have lung cancer screening, which we offer patients CAT scans if they're eligible and have a smoking history. 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. So I mean, we do have a regular process of lung cancer screening. Yeah, sure. Meaning, it's technically a cancer, but it's never going to necessarily bother you. 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. Rush University Medical Center in Chicago, IL - Rankings, Ratings Interesting. A lung mass can be a frightening discovery. And that's very important. UChicago Faculty Physicians We will overbook you. Dr. Wagh, let's hear a little bit about you. And Dr. Hogarth, I want to start with you. You know, we go, oh, it's a 20% chance. Interventional Pulmonology - Hoag 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. In 2007 and 2011, he received the Department of Medicines Outstanding Junior Faculty Clinical Service Award and in 2013 and 2014 the Department of Medicines Outstanding Clinical Service Award. So let's start off with our questions. Although residents and fellows are paid by the University, the salaries and benefits are essentially the same for all trainees within a given postgraduate year of training. And so that becomes one procedure, as opposed to multiple procedures. 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. Program Overview. Yes, sir. 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?
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