UChicago Faculty Physicians Another question from a viewer, and this is Carla. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. 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. You know, and I want to talk a little bit more about biopsies here in just a minute. I recently completed an interventional pulmonary fellowship, which brought me here. Interventional Pulmonology Secondary Specialty. And so Dr. Hogarth, we have another question from a viewer. I mean, it's really amazing. First, do no harm. And they'll double check everything. 11234 Anderson St, Loma Linda, CA 92354. . And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. It's either cancer or everything else. The whole key thing, too, is that this is an ongoing dialogue between us and the patient. And that's kind of comforting, I think, for most patients. Interesting. And usually we discuss medications, if the patient is on a blood thinner. So when we're done, you go home. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. Phone: (773) 702-9660, Mailing Address: We don't even have any camera people in here. Well, we're very happy to have you. Because in some cases, our plan for you is to get a follow-up CAT scan, is to do watch and wait. We get thousands of survey responses each year. 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. And thank you to our viewers for your great questions. Meaning, it's technically a cancer, but it's never going to necessarily bother you. However, not everyone who receives an abnormal CT scan should be rushed into surgery. And we will kind of shepherd the patient along the way. Learn more about clinical trials and find a trial that might be right for you. For the star ratings and comments, all feedback on the provider web page is posted as it was given from patients. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. And teasing out what's what is what Ajay and I do. And we will kind of shepherd the patient along the way. 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. And I try to reliably perform that every day when I come to work. You know, it's not just like, yeah, you do this. Interventional Pulmonology - Hoag I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. So there's no cutting. And Dr. Hogarth, I want to start with you. It's a wonderful website. [MUSIC PLAYING] 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 . But there's many things it could be. 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. We are taking questions from viewers. Because it's a difficult time in people's lives when they have something like this done. You know, and I want to talk a little bit more about biopsies here in just a minute. In 2007 and 2011, he received the Department of Medicines Outstanding Junior Faculty Clinical Service Award and in 2013 and 2014 the Department of Medicines Outstanding Clinical Service Award. Your lungs are going to be ultimately attached to your mouth. And so think of it like a sponge. We're not going to just say, you must do this. In other cases, they are actually a cancer. I apologize. [MUSIC PLAYING]. And you know, those patients typically are eligible for low dose lung cancer screening. Really, really good questions today. It is a one-year program which is fully accredited by American Association of Bronchology and Interventional Pulmonology (AABIP) and . Age is usually 55 to 80. And you know, it is extremely valuable. Open for more information. This isn't that twilight. And then if we do need to do a biopsy, making sure the correct biopsy gets done. And there we perform our procedures. Karen says, your pulmonary department is the best. Yes, sir. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. They come into the sky lobby here at UChicago. Randomly selected patients are sent patient satisfaction surveys after their visits. 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. And I have been working at the University of Chicago since 1998. As an interventional pulmonologist, Dr. Gaurav focuses on the screening, diagnosis and staging of lung cancers, as well as management of malignant airway . Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. But we're very careful about that. Ajay Wagh Physician in Interventional Pulmonary and Critical Care Medicine Chicago, Illinois, United States 500+ connections 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. And you two, and your teams, are really good at helping people through that situation. 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. 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. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Our commitment is to outstanding clinical care, to mentoring and . So first is just a discussion with you of what is the probability that this could be a malignancy for you. That's always the question people want to know. We are extremely cautious about everything here. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. That's a great question. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . And I don't know. Absolutely, yeah. Because it has everything to do with the quality of the machine for the radiation that goes through. 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. It could be cancer. You know, in fact, just to even further hammer home that point. Is the evaluation and procedure that we've been talking about, is that covered by insurance as well? Future Oncol. We want to remind people, very important, do not forego medical care during COVID. I recently completed an interventional pulmonary fellowship, which brought me here. 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. And that would be another area, I would imagine. Really, really good questions today. Communicate with your doctor, view test results, schedule appointments and more. Interesting. So a little bit of a fan club going here, but that's awesome. He has done the most cases in the United States and has authored numerous publications on this topic. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. Faculty | OHSU Interventional Pulmonology | Pulmonary & Critical Care Medicine That's not hard to convince someone. But a doctor may see something on a chest x-ray. Sunit Singla, MD. But there's many things it could be. . And smoking is certainly a problem, a historical problem that we're working to deal with every day. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. Just to echo what Dr. Wagh said. And as always, we'll take your questions during our 30 minute program. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Make sure everything looks right, that it would be safe to proceed. But can you kind of walk us through what people can expect before, during, and after one of these procedures. Communicate with your doctor, view test results, schedule appointments and more. When there are no changes from scan to scan. Interventional Pulmonology - Barnes-Jewish Hospital And I hope you have a great week. No, it will show the nodules. Can you talk to us a little bit about what the patient experiences in this procedure? Now, the low dose lung cancer screening has its own set of guidelines that helps us to monitor and follow any suspicious nodules. So-- Patient survey responses are also used to make star ratings for each provider. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. This type of training is beyond what is typically available in a standard . But I'm sure you'll enjoy UChicago Medicine. James Katsis, MD - Rush University Medical Center Reason for choosing our fellowship: "I chose UW-Madison because of the people.There was a sense of camaraderie within the department, and it was evident that the program is highly invested in . Thanks again for being with us today. I'm actually in the endoscopy suites. Yes, so a patient typically comes in basically just for a few hours during the day. Today there are better insights into cancer and other lung diseases. Interventional Pulmonology | UI Health - University of Illinois Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. So you're going to get way more bang for your buck literally as a scan by coming 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. 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? So typically we'll have a clinic evaluation. 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. BCBS Blue Precision HMO (specialists only), United Select (HMO & EPO) (specialists only), Humana Medicare Advantage Gold Choice PFFS. So we'll wake you up. That's always the question people want to know. 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. Well, I think that there's several possibilities. Can you kind of talk to us a little bit about that, and walk us through that? And it is, would my annual low dose CT lung cancer screening show nodules? And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. 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. So I'm going to have you answer the question, but also kind of explain what she's asking here. And thank you to our viewers for your great questions. Associate Professor of Medicine, Co-director of Bronchoscopy. But we can. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. There's nobody else here. And the patient goes afterwards to a post-procedural area, where they recover. I've been practicing for the last seven years as a pulmonary critical care physician, and I'm excited to be here. Why aren't we just following the pathway down? And you know, those patients typically are eligible for low dose lung cancer screening. But you come in, we have a pre-procedural area where the patients get kind of their IV. Because initially when you're faced with something like that, everything kind of just goes over your head. Our list of accepted insurance providers is subject to change at any time. And it's something solid. Instead, you might have a little sore throat for a day or two. And of course, you came here at kind of an odd time, during a pandemic. And Dr. Hogarth mentioned blood tests even, a few moments ago. And we have a high success rate to get you an answer. But one of the other things we were talking about, the patient journey. So Dr. Wagh, you touched on this a little bit before. Our collaborative program emphasizes complex procedural skills and overall clinical excellencegiving you the experience and confidence you need to be a leader in the field. 847-498-5864. So-- That's why we do it. What Dr. Wagh and I do is a procedure called bronchoscopy.

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