For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . Occupational lung disease. And the city of Chicago is a great place and a lot of fun. Go ahead, Ajay. That's going to be number one on the list. Age is usually 55 to 80. Chronic cough. 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. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. We don't even have any camera people in here. And we're very serious about that. We don't want that to happen. See, this just shows how important it is that we do these programs here. We get thousands of survey responses each year. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . But for many people are extremely, extremely slow growing cancer. What Dr. Wagh and I do is a procedure called bronchoscopy. We do have one that I want to get to. Fax: (773) 702-6500, Outpatient Practice: All rights reserved. When there are no changes from scan to scan. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. There's nobody else here. And remember, you can schedule your video visit by also going to the website. We just talked a moment ago, and you're pretty new here. It's OK. 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. This type of training is beyond what is typically available in a standard . What you're never going to hear from us is to say, now there's nothing to do, leave. Exactly. Exactly. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. We use that CAT scan, build a three dimensional map of your lungs, and we drive to the spot where that's at. And that's sort of when we take a look at the CAT scan very closely. He has done the most cases in the United States and has authored numerous publications on this topic. But I love these. 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 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. You know, you mentioned that being covered by insurance. It's so important. University of Chicago, Interventional Pulmonology; Board Certifications. Our fancy robot that's going to let us go everywhere in the lung is definitely covered by insurance. Like, I'm not worried about spreading disease. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. That's another thing that you probably want to caution people about. It's a wonderful, wonderful place. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. And it also has a lot of great COVID information. I recently completed an interventional pulmonary fellowship, which brought me here. However, not everyone who receives an abnormal CT scan should be rushed into surgery. So Dr. Wagh, you touched on this a little bit before. Thanks again for being with us today. And we're, of course, happy and eager to help. Yes, sir. Well, that's nice. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Or is that the moment of panic at that point? But there's many other tests. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. That's coming up right now on At The Forefront Live. We're open for business. St. Peters Health Partners Medical Associates, P.C. And that would be annually until they kind of exit out after that 15 years. 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. So appreciate that. Maybe Dr. Hogarth, you can start. Because we will always see you. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. Meet the Doctor. James Katsis, MD is affiliated with Rush University Medical Center and specializes in Pulmonology Services in Chicago, IL James Katsis, MD - Rush University Medical Center Call (888) 352-RUSH (7874) UChicago Faculty Physicians Conditions & Services; And I don't know. That is not acceptable to make you wait. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637. Communication is important with the patients. You are comfortable. Panicking, obviously, is never helpful. Advanced technology and minimally invasive options are available. We are extremely cautious about everything here. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. It could be cancer. And using some of the tools that we have. The Interventional Pulmonology Center at Barnes-Jewish Hospital and Washington University School of Medicine, in conjunction with the Siteman Cancer Center, uses the following specialized technology to offer patients advanced diagnoses and expert care: . During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. You know, you said at the very beginning, I have a nodule, should I panic? The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. Interventional Pulmonology Fellowship; Post-Doctoral; . of Colorado Health Sciences Ctr. A star rating is not given if a provider only has a small number of survey responses. And that's kind of comforting, I think, for most patients. 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. No, it's a great question. And I think we like to take things one step at a time. And we can help you do that, too. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Is that-- should you be frightened? Can you kind of talk to us a little bit about that, and walk us through that? Interesting. 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. Right? And how minimal it actually is? You know what, I always tell people is there is a long list of things that the nodule could be. An interventional pulmonologist uses minimally invasive techniques to diagnose and manage lung disease. 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. And then afterwards, once we settle on a date, the patient comes in. And then at that point, we would bring the patient back to the our laboratory. And let's go through your CAT scan and let's have this discussion about what our next step is. 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. And between the four of us, we're all in clinic at any given moment. 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. 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. It's an oath both of us took. Chicago Chest Center/ The University of Illinois Chicago. So if we think you're at early stage cancer, that's great. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . And then they just go home. I mean, we do have telemedicine options. 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 these procedures all have their own benefits, but also their own complications. And without a doubt, the possibility of cancer is what scares everybody. But in reality, if you're a patient, there's only two things. So first is just a discussion with you of what is the probability that this could be a malignancy for you. I love taking care of people, and I love to see them breathe better and feel better. The 30 faculty, clinical associates and research associates along with a staff of more than 72, have devoted themselves to the pursuit of excellence in each of these important activities. And we keep spacing that interval of scan out if nothing has changed. And I think we like to take things one step at a time. Learn more about clinical trials and find a trial that might be right for you. This position will cover both day shifts and weekend shifts on our Interventional Pulmonary service at the University of . What happens? at Duchossois Center for Advanced Medicine (DCAM) - Hyde Park, See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, Chronic Obstructive Pulmonary Disease (COPD), World Association for Bronchology and Interventional Pulmonology, International Association for the Study of Lung Cancer, American Association for Bronchology and Interventional Pulmonology, Chair, CHEST/AABIP/AIPPD panel for The Use of Tracheostomy during COVID-19 Pandemic Expert Panel Report, Chair, Education Committee for the American College of Chest Physicians, President, American Association of Bronchology and Interventional Pulmonology, Member, Program Committees for the International Association for the Study of Lung Cancer programs and CHEST, Editor, World Association for Bronchology and Interventional Pulmonology Newsletter, Distinguished CHEST Educator designation (top 4% of international faculty), Geoffrey McLennan Memorial Award for Advancements in Interventional Pulmonology, University of Medicine and Pharmacy "Carol Davila", AMITA Health Saint Francis Hospital Evanston, University of California San Francisco Medical Center, BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. Another question from a viewer, and this is Carla. 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 as you can imagine, a place like UChicago Medicine, we've got the highest quality CT scanners. You were fantastic. I work here, I go home, I kiss my children. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. No, for sure. Referring Physician Access Line: . Every tumor, of course, has its own biology speed at which it grows. But a doctor may see something on a chest x-ray. Well, it certainly can. And it is, would my annual low dose CT lung cancer screening show nodules? So we go through your mouth. And there are potential treatments to help patients quit smoking as well. Yeah, and I want to tell people-- this is a very, very safe place. It should be a CAT scan if you are eligible. And between the four of us, we're all in clinic at any given moment. Dr. Maskey completed a residency in internal medicine at SUNY Upstate Medical University in Syracuse, N.Y . And Dr. Hogarth, we'll start with you. It is covered by insurance. And I have been working at the University of Chicago since 1998. Just to echo what Dr. Wagh said. Within the Department of Medicine, the Division of Pulmonary and Critical Care Medicine provides services at Loyola University Medical Center, Edward Hines, Jr. VA Hospital and RML Specialty Hospital. Patient survey responses are also used to make star ratings for each provider. 11 millimeters is rather small. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. The Section of Pulmonary and Critical Care Medicine offers the following training programs: Pulmonary and Critical Care Medicine. So I have two from viewers that I have to pass along. And as always, we'll take your questions during our 30 minute program. We could get you a plaque or something. And Janet wants to know how invasive is a lung biopsy? Because the chance it's cancer is so low, and every invasive procedure always carries a risk. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Interventional Pulmonology; Cystic Fibrosis; Pulmonary Vascular Disease; Pulmonary Hypertension; Hereditary Hemorrhagic . And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Or does it have to be a higher dose CT screening? And remember, you can schedule your video visit by also going to the website. This isn't that twilight. Or is this something that happens and you just need to get it checked out? Meaning, it's technically a cancer, but it's never going to necessarily bother you. No, it will show the nodules. I can meet with you virtually. That's always the question people want to know. We want to remind people, very important, do not forego medical care during COVID. 1-877-DOM-2730, Department of Medicine University Pulmonary and Critical Care (UPCC) physicians and nurse practitioners specialize in the diagnosis and treatment of inpatient critical care patients who are typically hospitalized as well as diagnosis and treatment of pulmonary (lung) conditions in an outpatient setting. Every tumor, of course, has its own biology speed at which it grows. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. And then based on that discussion, we would set a patient up for a procedure. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. So you're going to get way more bang for your buck literally as a scan by coming here. You're going to go home. And there we perform our procedures. What Dr. Wagh and I do is a procedure called bronchoscopy. And so that becomes one procedure, as opposed to multiple procedures. It could be cancer. Learn more about clinical trials and find a trial that might be right for you. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) .

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