That's why we do it. That's why I'm not moving a lot, not that I move a lot anyway. And that's very important. Because why would I put you-- why would I cure you of something that's never going to harm you? And you know, those patients typically are eligible for low dose lung cancer screening. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . Stopping smoking can help you just across the board. Or is this something that happens and you just need to get it checked out? 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. Yes, so a patient typically comes in basically just for a few hours during the day. No, it's a great question. We'll get you a speech card. First, if you smoke, please quit. Academic Interventional Pulmonary/Critical Care (3-309-1142) - The Division of Pulmonary and Critical Care Medicine at the University of Maryland School of Medicine seeks a pulmonary and critical care physician for our expanding Academic Interventional Pulmonology program. But to delay any amount of care. 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. And I think that's the first key step. There's all kinds of different tests. We are extremely cautious about everything here. University of Chicago, Interventional Pulmonology; Board Certifications. Yes, sir. So we do want to remind our viewers, we'll take your questions for our experts. For help with MyChart, call us at 1-844-442-4278. Get a Second Opinion. And so Dr. Hogarth, we have another question from a viewer. And you don't want to. Interventional Pulmonology Secondary Specialty. So when we're done, you go home. 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 either one of you can do that. 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 Communicate with your doctor, view test results, schedule appointments and more. These are not questions. And I was fortunate enough, I think, gosh, it's been over a year ago. I work here, I go home, I kiss my children. But in reality, if you're a patient, there's only two things. The fear always is that cancers are going to grow. 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. 2023 The University of Chicago Medical Center. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. They come into the sky lobby here at UChicago. The responses are used to improve patient experience and recognize staff members for the care they provide. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. In other cases, they are actually a cancer. And that is how biopsies work. So-- Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. Right? I am a Professor of Medicine here. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Or come and visit a lung physician. You are comfortable. 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. What Dr. Wagh and I do is a procedure called bronchoscopy. Conditions & Services; 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. So before we go and suddenly just remove a whole portion of your lung, let's slow down for a second and do things right. And I hope you have a great week. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. And you say, well, wait. You're out. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. Some of the blood tests we have, have the ability to change that number. Stopping smoking can help you just across the board. Your lungs are going to be ultimately attached to your mouth. Interventional Pulmonology Fellowship; Post-Doctoral; . And one that has a very low invasive potential. Or it could be a telemedicine visit. Phone: 513-558-4831 Fax: 513-558-4858 Email: pulmonary@uc.edu We don't want that to happen. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. And I think we like to take things one step at a time. And smoking is certainly a problem, a historical problem that we're working to deal with every day. And we do it through your mouth. Just to echo what Dr. Wagh said. But of course, there's an 80% chance it's not cancer. We're going to get to a little bit more detail of that one here in just a moment. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. The immediate reaction is you're probably frightened. Funding for Educational Activities A star rating is not given if a provider only has a small number of survey responses. Physician: Interventional Pulmonology - McHenry, IL / Lake Forest, IL. of Colorado Health Sciences Ctr. Amit, I hope I'm pronouncing this correctly. And the city of Chicago is a great place and a lot of fun. It should be a CAT scan if you are eligible. Because it has everything to do with the quality of the machine for the radiation that goes through. Or come and visit a lung physician. Rush University Medical Center, a nationally recognized clinical and academic institution, and the teaching hospital for Rush Medical and Nursing Colleges, located in downtown Chicago, is expanding its Interventional Pulmonary (IP) program.To support the continued growth of the IP program, the Division of Pulmonary, Critical Care and Sleep Medicine is seeking to hire a board-certified . I apologize. It sounds like you're in a busy, busy place. We evaluate whether or not it's a target that we can reach. There's all kinds of different tests. Well, my name is Ajay Wagh. Go ahead, Ajay. Well, the blood test actually showed that it's less than 5%. And that could be in person. And if someone ever by mistake says to you, yeah, they can see you in three months. So if you need an appointment, give us a call at 888-824-0200. And at that point, they'll meet the anesthesiologist, the nursing staff. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . You know, in fact, just to even further hammer home that point. 840 S. Wood Street MC719 Chicago, IL 60612. Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. 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. But you come in, we have a pre-procedural area where the patients get kind of their IV. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. And then afterwards, once we settle on a date, the patient comes in. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Yeah. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And I would say the only other thing, as a pulmonologist, is if you smoke, try to stop. We just talked a moment ago, and you're pretty new here. First, do no harm. It could be cancer. And then if we do need to do a biopsy, making sure the correct biopsy gets done. 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. 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. Phone: 410-502-2533. But there's many other tests. Or does it have to be a higher dose CT screening? Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. [MUSIC PLAYING]. Some of them are blood based tests. And Janet wants to know how invasive is a lung biopsy? Like, I'm not worried about spreading disease. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . You're going to go home. 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 . You know, in fact, just to even further hammer home that point. I follow the philosophy of following the three A's-- affable, available, and able. So this is an actual question. 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. You will get seen within a week every time here. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. When there are no changes from scan to scan. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. But I love these. Get a Second Opinion. But many times, you might notice something on an x-ray that's not part of the screening pathway. And our complication rate is the lowest amongst the three. And you don't want to. He has done the most cases in the United States and has authored numerous publications on this topic. Along with his clinical practice, Dr. Wagh is an active researcher. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. So I have two from viewers that I have to pass along. And we can help you do that, too. Well, that's nice. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. UChicago Faculty Physicians Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment.
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