We have been recognized by U.S. News & World Report as a high-performing hospital in COPD care. 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 want to be calm and cool. Associate Professor of Medicine, Co-director of Bronchoscopy. Duke Interventional Pulmonology Fellowship Program Ajay Wagh - Interventional Pulmonologist - University of Chicago | LinkedIn UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Can you kind of walk us through that? That's why I'm not moving a lot, not that I move a lot anyway. And the national standard is roughly five weeks. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. Section of Pulmonary/Critical Care Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? That's why we do it. But we're very careful about that. It's OK. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu 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. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. And between the four of us, we're all in clinic at any given moment. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Stopping smoking can help you just across the board. 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. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. You were fantastic. 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. Yes, sir. And usually we discuss medications, if the patient is on a blood thinner. So Dr. Wagh, it was interesting because this is almost like a video game. 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. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Who we treat. Yes, sir. Program Coordinator. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. The Interventional Pulmonology Fellowship began in July 1, 2000. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Phone: (773) 702-9660. [MUSIC PLAYING] But also don't ignore it, and don't delay it. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. So I always have to do this. So I mean, we do have a regular process of lung cancer screening. 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. 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. Getting an expert opinion about what could this nodule actually be. Interventional Pulmonology - Hoag And Dr. Hogarth, we'll start with you. And sign a few papers. Pulmonary & Critical Care Fellowship | GME | Loyola Medicine And we can help you do that, too. And that's very important. But one of the other things we were talking about, the patient journey. Chicago Chest Center/ The University of Illinois Chicago. University of Chicago: University of Cincinnati: University of Colorado Probation Status: Probation starts 7/1/2022, runs through 6/30/2023. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Occupational lung disease. And so now you're going to go to the surgeon to be cured. We're in very separate areas. 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. About Us. UF Health Lung Cancer Program: Interventional Pulmonology It's a wonderful website. Or it could be a telemedicine visit. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. It's either cancer or everything else. Well, I think that there's several possibilities. So I have two from viewers that I have to pass along. So Dr. Wagh and I have our partner, Dr. Mergue. And then they just go home. I'm an interventional pulmonologist here at the University of Chicago. 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. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And that's a very important part for a cancer evaluation. I'm not happy that I have to tell you it's cancer. We'll try to get to as many as we can over the next half hour. All rights reserved. 2023 The University of Chicago Medical Center. Our doctors will actually even join us from the places where they're doing the work. Interventional Pulmonology | UI Health - University of Illinois Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. 5841 South Maryland Avenue, Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. But there's many things it could be. Curriculum | Chicago Medicine 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. Well, it certainly can. And I try to reliably perform that every day when I come to work. We could get you a plaque or something. Well, we're very happy to have you. So Dr. Wagh, it was interesting because this is almost like a video game. That's always the question people want to know. And I think that's the first key step. And the national standard is roughly five weeks. But a doctor may see something on a chest x-ray. 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. They come into the sky lobby here at UChicago. You will get seen three to four weeks from now. Learn more about clinical trials and find a trial that might be right for you. 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 don't know who wants to take that one. Show more Show less And we're very serious about that. Full-Time. Really, really good questions today. We're going to tell you a outlined plan that is backed up with data as to why we're doing this. Yeah, sure. 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 that's a very important part for a cancer evaluation. And we're also going to just keep radiating you. Our doctors will actually even join us from the places where they're doing the work. Sleep Medicine. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. Get an online second opinion from one of our experts without having to leave your home. And obviously, you know, even with minimally invasive surgery, it's still a surgery. And between the four of us, we're all in clinic at any given moment. Amit, I hope I'm pronouncing this correctly. You know, and I want to talk a little bit more about biopsies here in just a minute. We're giving you the least amount of radiation, even for what's called a diagnostic scan. And as always, we'll take your questions during our 30 minute program. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. And I don't know. We're still operating. So a little bit of a fan club going here, but that's awesome. 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. Conditions & Services; Well, my name is Ajay Wagh. Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? So you're going to get way more bang for your buck literally as a scan by coming here. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. What happens? So-- 11 millimeters is rather small. We're open for business. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. The University of Michigan as a . And was fortunate enough to start the bronchoscopy program here, and the Nodule program. AABIP/AIPPD Interventional Pulmonology Accredidation And we keep spacing that interval of scan out if nothing has changed. 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 . Absolutely, yeah. Salary and Benefits. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. Our list of accepted insurance providers is subject to change at any time. But generally speaking, a lung cancer-- when someone says to you, hey, we want to get a follow-up CAT scan, the reason they're suggesting that is that the nodule you have is so small or has characteristics that are so convincing that it's benign, that that two or three month interval that they've suggested-- if I'm wrong and it's actually a cancer, the amount that it's going to grow in that time period is so small that we've not lost anything. And this is a little bit inside baseball. Or is that the moment of panic at that point? And Janet wants to know how invasive is a lung biopsy? We'll get you a speech card. But in reality, if you're a patient, there's only two things. So you're going to get way more bang for your buck literally as a scan by coming here. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And we're, of course, happy and eager to help. He has done the most cases in the United States and has authored numerous publications on this topic. And they'll double check everything. Randomly selected patients are sent patient satisfaction surveys after their visits. And that's sort of when we take a look at the CAT scan very closely. Even the show that we're doing right now, you two are remote. So we do want to remind our viewers, we'll take your questions for our experts. It should be a CAT scan if you are eligible. 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. So I want to get back to biopsies for just a moment. He uses endobronchial ultrasound to biopsy lymph nodes and performs minimally invasive procedures to help patients with lung cancer. But we also want to explain to you what we're going to do to actively follow you. The probability, if it's low enough, we don't want to do invasive things to you. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. You need to raise a fit. The Emory Sleep Medicine . This isn't that twilight. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. 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. I recently completed an interventional pulmonary fellowship, which brought me here. We have been providing exceptional and compassionate . If it bothers you to come near the Medical Center, fine, let's do it via the computer. Is following a nodule ground glass opacity with yearly CT standard? 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. I mean, it's really amazing. Co-Director, Lung Cancer Screening Program, at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Case Western Reserve University School of Medicine, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. That's why I'm not moving a lot, not that I move a lot anyway. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. D. Kyle Hogarth, MD - UChicago Medicine