We're giving you the least amount of radiation, even for what's called a diagnostic scan. Our list of accepted insurance providers is subject to change at any time. And sign a few papers. Dr. 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 the lung than ever before to detect and/or biopsy nodules and masses. I love math and science, and I love to problem solve, so I started out in engineering. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . And it's something solid. I mean, we do have telemedicine options. 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. The responses are used to improve patient experience and recognize staff members for the care they provide. Chicago Chest Center - 2015. And as always, we'll take your questions during our 30 minute program. And the national standard is roughly five weeks. 617-632-8036. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. We have been providing exceptional and compassionate . Exactly. Why aren't we just following the pathway down? What happens? I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. No, it will show the nodules. 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. Fellows. 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. 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? That's coming up right now on At The Forefront Live. Emphysema and advanced emphysema. These are not questions. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. But can you kind of walk us through what people can expect before, during, and after one of these procedures. And smoking is certainly a problem, a historical problem that we're working to deal with every day. With this new curriculum, physicians learn by using simulation technology, interactive step-by-step instructions and problem-based teaching which create an engaging and authentic learning environment. 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. But I love these. [MUSIC PLAYING]. And so think of it like a sponge. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Sampling and Evaluating Lung Nodules and Masses: Expert Q&A, Advanced Diagnostic and Therapeutic Bronchoscopy, University of Tennessee College of Medicine. I don't know who wants to take that one. Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. protected veterans, and individuals with disabilities. But we also want to explain to you what we're going to do to actively follow you. Patient survey responses are also used to make star ratings for each provider. Get an online second opinion from one of our experts without having to leave your home. And we also try to figure out, is it a lesion that requires biopsy? I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Meaning, it's technically a cancer, but it's never going to necessarily bother you. But of course, there's biopsies. And the city of Chicago is a great place and a lot of fun. Our list of accepted insurance providers is subject to change at any time. 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 . And they hear, oh my gosh, I've got a nodule. 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. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Because it's a difficult time in people's lives when they have something like this done. I want to know you're an early stage cancer. Show more Show less 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. And remember, you can schedule your video visit by also going to the website. 5841 South Maryland Ave., MC 6076 He also serves as an assistant professor of internal medicine at the UK College of Medicine. We want to minimize radiation. Age is usually 55 to 80. And there we perform our procedures. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. Conditions & Services; I kiss my spouse. Absolutely. Get an online second opinion from one of our experts without having to leave your home. Our doctors will actually even join us from the places where they're doing the work. Sure, so a ground glass nodule is definitely a different thing than a very solid nodule. But of course, there's an 80% chance it's not cancer. Just to echo what Dr. Wagh said. There's a surgeon, who's going to go in and cut part of it out. American Board of Internal Medicine, Pulmonary Disease; American Board of Internal Medicine, Internal Medicine . Instead, you might have a little sore throat for a day or two. Karen says, your pulmonary department is the best. And there we perform our procedures. Even the show that we're doing right now, you two are remote. The University of Michigan as a . You know, it's not just like, yeah, you do this. We are extremely cautious about everything 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. We just talked a moment ago, and you're pretty new here. And Dr. Hogarth mentioned blood tests even, a few moments ago. Chicago, IL 60637 Patients have both benign and malignant non-cardiac diseases of the chest. And I think we like to take things one step at a time. Dr. Murgus specialty extends to a wide range of central airway disorders, including tracheal stenosis, tracheobronchomalacia, excessive dynamic airway collapse and airway obstruction from cancer. You want to be calm and cool. You know, it's not just like, yeah, you do this. I'm actually in the endoscopy suites. We offer a university-based training experience at a state-of-the art community-based tertiary care teaching hospital nestled . 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 prior to that, I was a private practice pulmonary critical care doctor for six years. Some of the blood tests we have, have the ability to change that number. Or come and visit a lung physician. For more information about the Interventional Pulmonology Center or to request a referral . So I'm going to have you answer the question, but also kind of explain what she's asking here. Sleep Medicine. And then at that point, we would bring the patient back to the our laboratory. So we want to-- I mean, we want to do this for everybody. First, if you smoke, please quit. That's good to know. We're giving you the least amount of radiation, even for what's called a diagnostic scan. 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. I mean, I think we are living in a strange time. Program Overview. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . All rights reserved. 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 had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Or suggest that the pre-test probability is lower. Get a Second Opinion. 5841 S Maryland Ave, MC 6076. We could get you a plaque or something. 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. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. And either one of you can do that. Well, my name is Ajay Wagh. That's why I'm not moving a lot, not that I move a lot anyway. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Or is that the moment of panic at that point? And that's very important. Your lungs are going to be ultimately attached to your mouth. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. Because an abnormal CT scan is terrifying. Well, the blood test actually showed that it's less than 5%. Getting an expert opinion about what could this nodule actually be. The probability, if it's low enough, we don't want to do invasive things to you. 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? Yeah, sure. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. We can talk about imaging modalities. That's why I'm not moving a lot, not that I move a lot anyway. And Dr. Hogarth, I don't know if you can talk to us a little bit about how do you work with the patients? Sue Hammerschmidt. That's not hard to convince someone. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And then based on that discussion, we would set a patient up for a procedure. A star rating is not given if a provider only has a small number of survey responses. And then at that point, we would bring the patient back to the our laboratory. And it's very professionally satisfying. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. Star ratings and comments come from a number of survey questions. And you know, those patients typically are eligible for low dose lung cancer screening. And it's important here. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Comments that do not apply, risk patient privacy, or are not appropriate are not posted. You can't eat after midnight. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. So that's nice. Patient survey responses are also used to make star ratings for each provider. So we go through your mouth. And we have a series of other tests we can do. 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 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 so the lymph nodes are where cancer would spread to first. And between the four of us, we're all in clinic at any given moment. And you know, COVID makes it harder for patients to see doctors.