And then we go in with our scopes. What exactly goes on there, and why is that so critical? 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. Stopping smoking can help you just across the board. The Section of Pulmonary and Critical Care Medicine has been a model of exemplary patient care, research, and post-doctoral training for more than 20 years. I'm actually in the endoscopy suites. The ranking is a reflection of the leading-edge lung and . 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 . Patient survey responses are also used to make star ratings for each provider. Or is this something that happens and you just need to get it checked out? No, it's a great question. Consultations and second opinions are also available on request for patients that have . But of course, there's biopsies. 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. It's OK. Learn more about clinical trials and find a trial that might be right for you. I remember when Dr. Hogarth showed this to me. Interesting. Absolutely. 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 . We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. If it bothers you to come near the Medical Center, fine, let's do it via the computer. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Where it's basically put right through your chest into the lung nodule done through the radiology department. What's that chance? 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. Or does it have to be a higher dose CT screening? So follow-up scans could also be low dose as well. And I hope you have a great week. 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? 2023 The University of Chicago Medical Center. So we go through your mouth. 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. And sign a few papers. But in reality, if you're a patient, there's only two things. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. We do have one that I want to get to. That's another thing that you probably want to caution people about. And you say, well, wait. We're giving you the least amount of radiation, even for what's called a diagnostic scan. We want to minimize radiation. And we also try to figure out, is it a lesion that requires biopsy? And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And we keep spacing that interval of scan out if nothing has changed. 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. Yeah, and I want to tell people-- this is a very, very safe place. Because why would I put you-- why would I cure you of something that's never going to harm you? 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. These are not questions. If your insurance company is not listed here, or if you have any other questions, please contact [email protected]. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Really, really good questions today. And you know, those patients typically are eligible for low dose lung cancer screening. First, do no harm. Some of the blood tests we have, have the ability to change that number. The academic interventional pulmonology (IP) fellowship at the University of Chicago offers training in conjunction with national and international experts in bronchoscopy, thoracoscopy, and all aspects of interventional pulmonology. You shared really some good information with our audience. Chicago Chest Center - 2015. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Full-Time. The hospital is safe, the hospital is clean. That's going to be number one on the list. Our doctors will actually even join us from the places where they're doing the work. Go ahead, Ajay. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Dr. Wagh, let's hear a little bit about you. That's going to be number one on the list. What happens? And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. UChicago Faculty Physicians We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. And there we perform our procedures. I can meet with you virtually. Why aren't we just following the pathway down? It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Star ratings and comments come from a number of survey questions. Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, Request an Appointment at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park. Or suggest that the pre-test probability is lower. Chicago Chest Center/ The University of Illinois Chicago. Some of the blood tests we have, have the ability to change that number. St. Peters Health Partners Medical Associates, P.C. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Patient survey responses are also used to make star ratings for each provider. 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. And it's very professionally satisfying. Because we will always see you. Schedule your appointment online for primary care and many specialties. [MUSIC PLAYING] 13 in the nation for Pulmonary and Lung Surgery. Our Lung Health Program is staffed by some of the best pulmonary specialists in the Chicago . You know, we go, oh, it's a 20% chance. Dr. Hogarth, do you want to start on that one? And this is a little bit inside baseball. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Phone: (773) 702-1856 Get an online second opinion from one of our experts without having to leave your home. But I'm sure you'll enjoy UChicago Medicine. We get thousands of survey responses each year. 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? You will not know we're doing this to you. Another question from a viewer, and this is Carla. It should be a CAT scan if you are eligible. But for many people are extremely, extremely slow growing cancer. Make sure everything looks right, that it would be safe to proceed. So let's start off with our questions. Meaning, it's technically a cancer, but it's never going to necessarily bother you. Well, that's nice. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. That's right. We also have literally the world's greatest nurse practitioner, Kimberly. A lung mass can be a frightening discovery. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. Maybe Dr. Hogarth, you can start. We evaluate whether or not it's a target that we can reach. And then if we do need to do a biopsy, making sure the correct biopsy gets done. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . That's why we do it. So look, there's three ways to sample inside the lung. Quick Apply. Your lungs are going to be ultimately attached to your mouth. Go ahead, Ajay. 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. Thoracic Imaging. You know, we go, oh, it's a 20% chance. And you want to have something reliable in what to do next. And hopefully, go home if nothing happens. And between the four of us, we're all in clinic at any given moment. 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. And how urgently must patients act? And let's go through your CAT scan and let's have this discussion about what our next step is. Or should we offer something else? So follow-up scans could also be low dose as well. For more information about the Interventional Pulmonology Center or to request a referral . Yes, so a patient typically comes in basically just for a few hours during the day. . It offers a comprehensive program of quality patient care, research and education. And there we perform our procedures. 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. Yeah. That's coming up right now on At The Forefront Live. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. Age is usually 55 to 80. So this is an actual question. Only clean air in the lungs, please. 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 that's very important. Sue Hammerschmidt. And I was fortunate enough, I think, gosh, it's been over a year ago. Well, if you have a cancer, the next question is, what stage is it? Hey, this nodule has a 20% chance of being cancer, which is not a number anybody wants to hear. But I love these. 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. And then second step is find the right people to help take care of you. But of course, there's biopsies. And how urgently must patients act? Interventional Pulmonary; Hospitals. But many times, you might notice something on an x-ray that's not part of the screening pathway. And it is, would my annual low dose CT lung cancer screening show nodules? Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. And that would be annually until they kind of exit out after that 15 years. Because the chance it's cancer is so low, and every invasive procedure always carries a risk. And then based on that discussion, we would set a patient up for a procedure. All rights reserved. We also have literally the world's greatest nurse practitioner, Kimberly. You know, you said at the very beginning, I have a nodule, should I panic? 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. Maybe Dr. Hogarth, you can start. And how minimal it actually is? What are some of the options to evaluate lung nodules and lung masses? Well, we're very happy to have you. 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. So I always have to do this. I kiss my spouse. 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. But of course, there's an 80% chance it's not cancer. So-- Neeraj Desai, MD, MBA, FCCP, FACP Program Director. [MUSIC PLAYING]. 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. Interesting. Getting an expert opinion about what could this nodule actually be. We're not going to just say, you must do this. And there are potential treatments to help patients quit smoking as well. I follow the philosophy of following the three A's-- affable, available, and able. Absolutely, yeah. We want to minimize radiation. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Whether they, you know, the fact that they can't eat the night before because we do general anesthesia for many of our cases. This isn't that twilight. And so Dr. Hogarth, we have another question from a viewer. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. That's good to know. So appreciate that. 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 my name is Kyle Hogarth. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. Exactly. 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. Well, it certainly can. 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. And we are lucky enough to have anesthesiologists who help take care of the patient during the procedure. But many times, you might notice something on an x-ray that's not part of the screening pathway. 1-877-DOM-2730, Department of Medicine We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. You are comfortable. Yeah, sure. But I love these. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . And that could be in person. 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 And either one of you can do that. We're going to give you some strong recommendations. MC 6092 . And they hear, oh my gosh, I've got a nodule. Panicking, obviously, is never helpful. Can you kind of talk to us a little bit about that, and walk us through that?
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