I recently completed an interventional pulmonary fellowship, which brought me here. AABIP/AIPPD Interventional Pulmonology Accredidation In his research, Dr. Murgu is evaluating the safety and outcomes of multimodal bronchoscopic interventions for patients suffering from benign and malignant airway obstruction. And Janet wants to know how invasive is a lung biopsy? Right? And this is a little bit inside baseball. 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. And I have been working at the University of Chicago since 1998. 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. But we can. So-- I'm actually in the endoscopy suites. 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. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. He published articles on the role of bronchoscopy for molecular testing, diagnosis of lung nodules, and therapeutic bronchoscopy for central airway disorders. 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. Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary And then at that point, we would bring the patient back to the our laboratory. Or come and visit a lung physician. Getting an expert opinion about what could this nodule actually be. I remember when Dr. Hogarth showed this to me. And you know, it is extremely valuable. Or is that the moment of panic at that point? We're still operating. And Dr. Hogarth mentioned blood tests even, a few moments ago. We're in very separate areas. So Dr. Wagh, you touched on this a little bit before. No, for sure. And you want to have something reliable in what to do next. And you know, those patients typically are eligible for low dose lung cancer screening. So let's start off with our questions. Section of Pulmonary/Critical Care Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. If it bothers you to come near the Medical Center, fine, let's do it via the computer. And then second step is find the right people to help take care of you. 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. Now, these are complicated discussions. You were fantastic. Interventional Pulmonology Fellowship - MD Anderson Cancer Center I want to know you're an early stage cancer. 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. But of course, there's biopsies. Dr. Wagh, let's hear a little bit about you. And thank you to our viewers for your great questions. 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. Editor, World Association for Bronchology and Interventional Pulmonology Newsletter; Distinguished CHEST Educator designation (top 4% of international faculty) . But in reality, if you're a patient, there's only two things. We work collaboratively with pulmonary medicine, critical care, allergy, thoracic surgery, medical oncology, radiation oncology, otorhinolaryngology and transplant specialists to provide you with a seamless care experience. Yeah. And you know, it is extremely valuable. So we need to get going and do something about it. We are extremely cautious about everything here. 617-632-8036. Along with his strides with bLVR, Dr. Hogarth was the first physician in Illinois to perform bronchial thermoplasty, a FDA-approved technique to treat severe asthma. Best Hospitals for Pulmonology & Lung Surgery | Rankings & Ratings | US Please remember to check out our Facebook page for our schedule of programs that are coming up in the future. We evaluate whether or not it's a target that we can reach. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. 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. And again, in all seriousness, I think that shows really, you know, the work that you do with the patients. But the first thing to understand is there's a long list of not cancer reasons you could have a nodule in your lung. Exactly. He sees patients in clinic on Fridays. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. There's a surgeon, who's going to go in and cut part of it out. And of course, you came here at kind of an odd time, during a pandemic. Yeah, sure. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. And we keep spacing that interval of scan out if nothing has changed. We look at the airways and other parts of our computer modeling to see if that's something that we can get to. Or you're going to go to radiation or whatever. 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. We even use-- in order to evaluate a patient's risk-- we use calculators to help evaluate that too based on a patient's history and imaging findings. And we have a high success rate to get you an answer. Get a Second Opinion. 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. 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. 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. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Is that-- should you be frightened? 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. Because we will always see you. Let's have each of you start off by introducing yourselves to our audience, and tell us a little bit about what you do here at UChicago Medicine. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. D. Kyle Hogarth, MD - UChicago Medicine We look at the airways and other parts of our computer modeling to see if that's something that we can get to. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Report Job. You were fantastic. And they hear, oh my gosh, I've got a nodule. And you don't want to. Current Fellows - University of Chicago - Department of Medicine That is not acceptable to make you wait. And let's go through your CAT scan and let's have this discussion about what our next step is. First, do no harm. About Us. 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. 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. Interventional Pulmonology. Conditions & Services; Director, Interventional Pulmonary - Clinical Faculty Rush University Rush University Medical Center in Chicago, IL is ranked No. The responses are used to improve patient experience and recognize staff members for the care they provide. The Fellowship Coordinator will be responsible for coordination and administrative support for fellowship programs in Pulmonary and Critical Care Medicine, Sleep Medicine, and Interventional Pulmonology. You don't have to go get another procedure that's going to take time to then figure out what stage you are. Interesting. Sunit Singla, MD. But we're very careful about that. D. Kyle Hogarth, MD, is an expert in pulmonary diseases.He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancer through bronchoscopy.Dr. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. 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. The University of Michigan as a . But a doctor may see something on a chest x-ray. But also cat scanning. Yes, so a patient typically comes in basically just for a few hours during the day. Advanced technology and minimally invasive options are available. We're not going to just say, you must do this. And you can speak with your physician about that. We could get you a plaque or something. And every patient is different. River East Location . And then at that point, we would bring the patient back to the our laboratory. Our interventional pulmonologists and their teams can diagnose and treat many types of lung disease, such as: Airway conditions, including airway fistulas and airway stenosis (narrowing) Asthma. Pulmonary & Critical Care Medicine - Loyola University Chicago And we do it through your mouth. In other cases, they are actually a cancer. Pulmonary & Critical Care Fellowship | GME | Loyola Medicine It should be a CAT scan if you are eligible. And so that becomes one procedure, as opposed to multiple procedures. And as always, we'll take your questions during our 30 minute program. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Interventional Pulmonology - Barnes-Jewish Hospital Open for more information. And using some of the tools that we have. But there's many other tests. But we're also going to work with you. And we also try to figure out, is it a lesion that requires biopsy? is seeking to recruit a Pulmonary and Critical Care Physician to join our robust team of highly experienced providers.This position requires coverage in the outpatient office located at 5 Palisades Drive, Albany NY and inpatient coverage at St Peter's Hospital Albany, NY including weekend call at Samaritan Hospital in Troy, NY. And we get the tissue that we need. So my name is Kyle Hogarth. We also have literally the world's greatest nurse practitioner, Kimberly. We're going to do our work. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. You know what, I always tell people is there is a long list of things that the nodule could be. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. Pulmonary, Critical Care & Sleep Medicine | UK Healthcare So I mean, we do have a regular process of lung cancer screening. Anchored at Northwestern Memorial Hospital, Canning Thoracic Institute is a regional destination for those who need highly specialized thoracic care. And usually we discuss medications, if the patient is on a blood thinner. I recently completed an interventional pulmonary fellowship, which brought me here. I love taking care of people, and I love to see them breathe better and feel better. . 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. But we do have avenues to help with that. Yeah. But what I can also tell you is it's cancer, here's what stage it is. Or is this something that happens and you just need to get it checked out? Exactly. If you don't need a procedure-- because there's no chance that this is cancer-- we would like to avoid doing anything invasive on you. And we're very serious about that. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. Interventional Pulmonary - American Association for Bronchology & Interventional Pulmonology Dr. Kumar Gaurav joined Cancer Treatment Centers of America (CTCA), Chicago in October 2021. Name Rank Section; Adegunsoye, Ayodeji: Assistant Professor Pulmonary / Critical Care Bag, Remzi You know, and I want to talk a little bit more about biopsies here in just a minute. We're open for business. And these procedures all have their own benefits, but also their own complications. Age is usually 55 to 80. Because initially when you're faced with something like that, everything kind of just goes over your head. So-- go ahead, Dr. Hogarth, did you have something you wanted in? And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. But we can. These are not questions. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Compare hospital ratings for pulmonology and lung surgery. 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. Lung Diseases (Pulmonology) - UChicago Medicine There's nobody else here. The immediate reaction is you're probably frightened. Interventional Pulmonology is an area of medicine dedicated to the minimally invasive procedural aspects of thoracic disease for diagnosis and treatment. And I hope you have a great week. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. And between the four of us, we're all in clinic at any given moment. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. 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. And either one of you can do that. What you're never going to hear from us is to say, now there's nothing to do, leave. You know, we go, oh, it's a 20% chance. And so those are our mainstays of imaging. We hope you join our family and continue its proud tradition of excellence through our Pulmonary and Critical Care fellowship. The University of Chicago Fellowship Coordinator Job in Chicago, IL It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. And teasing out what's what is what Ajay and I do. This type of training is beyond what is typically available in a standard . And thank you to our viewers for your great questions. 11 millimeters is rather small. Fellows - Chest Center The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. 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. Physician Recruitment McHenry, IL. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. Thanks again for being with us today. I mean, it's really amazing. Or come and visit a lung physician. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . Our Lung Disease Physician Team - UChicago Medicine Even the show that we're doing right now, you two are remote. Or should we offer something else? A lung mass can be a frightening discovery. And so think of it like a sponge. (312) 996-8039. Schedule your appointment online for primary care and many specialties. We don't want that to happen. What happens? 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. The immediate reaction is you're probably frightened. And the individual tumor biology is changing. They come into the sky lobby here at UChicago. We have a great team here, and I'm excited to be part of it. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? For more information about the Interventional Pulmonology Center or to request a referral . Our program's strength lies in the large and varied patient base . During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. [MUSIC PLAYING] And one that has a very low invasive potential. Panicking, obviously, is never helpful. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. And either one of you can do that. You know, in fact, just to even further hammer home that point. UChicago Faculty Physicians Absolutely. Bronchoscopy, Interventional Bronchoscopy, Lung Nodules, Alpha One Antitrypsin Deficiency Publications. Now, these are complicated discussions. We have a great team here, and I'm excited to be part of it. 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. And it's something solid. And as Dr. Wagh just said, we are able to do video visits and televisits. If your insurance company is not listed here, or if you have any other questions, please contact Managed.Care@uchospitals.edu. And so that becomes one procedure, as opposed to multiple procedures. 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. So Dr. Wagh, you touched on this a little bit before. There's also what's called a needle biopsy. If you're concerned about cancer and there's an intermediate pre-test probability, based on a calculated evaluation, then we can potentially offer a blood test or something else that may potentially reduce the risk. In close collaboration with faculty from oncology, thoracic surgery, otorhinolaryngology, anesthesia and critical care medicine, the interventional pulmonology service is actively involved in the diagnosis, management and research of patients with histologically malignant and benign central airway disorders, pulmonary nodules and pleural disorders. Pulmonary/Critical Care Medicine in Albany, NY for St. Peter's Health But of course, there's an 80% chance it's not cancer. And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. And then I'll have Ajay go at it as well. Getting an expert opinion about what could this nodule actually be. Current Fellows in the Pulmonary and Critical Care Fellowship You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. 2023 The University of Chicago Medical Center. And then we go in with our scopes. Well, I think that there's several possibilities. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. Who we treat. Stopping smoking can help you just across the board. Yeah, and I want to tell people-- this is a very, very safe place. You shared really some good information with our audience. UC Health Pulmonary Medicine provides advanced care for a variety of lung and other pulmonary-related diseases. He also serves as an assistant professor of internal medicine at the UK College of Medicine. Well, we're very happy to have you. That's another thing that you probably want to caution people about. And the individual tumor biology is changing. The fear always is that cancers are going to grow. His work as been published in several peer-reviewed journals, including the Journal of Thoracic Disease, Respiratory Medicine and American Journal of Physiology, Lung, Cell, Molecular Physiology. And that's sort of when we take a look at the CAT scan very closely. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Yes, sir. 5841 S Maryland Ave, MC 6076. Star ratings and comments come from a number of survey questions. Because it's a difficult time in people's lives when they have something like this done. Really, really good questions today. Now, a question. Schedule your appointment online for primary care and many specialties. And between the four of us, we're all in clinic at any given moment. Follow @uw_APCC. But a doctor may see something on a chest x-ray. And you say, well, wait. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . Schedule your appointment online for primary care and many specialties. And it also has a lot of great COVID information. And I was fortunate enough, I think, gosh, it's been over a year ago. So-- A star rating is not given if a provider only has a small number of survey responses. Some of them are just re-evaluating the CAT scan you have. Pulmonary & Critical Care Medicine. What Dr. Wagh and I do is a procedure called bronchoscopy. St. Peters Health Partners Medical Associates, P.C. Interventional Radiology - Integrated - University of Chicago