So when we're done, you go home. 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. And probably the worst thing that could happen is that somebody would forego treatment that they need because they're afraid of COVID. Can an 11 millimeter nodule be biopsied by that bronchoscope method through the throat? 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. 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. But you come in, we have a pre-procedural area where the patients get kind of their IV. Procedures performed include diagnostic bronchoscopy, linear array and radial endobronchial ultrasound (EBUS) guided fine needle aspiration, navigational bronchoscopy, bronchoscopic fiducial marker placement for radiation therapy, rigid . And Dr. Hogarth, we'll start with you. No, it will show the nodules. You're going to go home. It's so important. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. I mean, we do have telemedicine options. UChicago Faculty Physicians If we keep scanning you, we're never going to see change. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. But of course, there's an 80% chance it's not cancer. And the patient goes afterwards to a post-procedural area, where they recover. Yes, sir. Although residents and fellows are paid by the University, the salaries and benefits are essentially the same for all trainees within a given postgraduate year of training. protected veterans, and individuals with disabilities. Communicate with your doctor, view test results, schedule appointments and more. 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. Our doctors will actually even join us from the places where they're doing the work. Dr. Wagh, let's hear a little bit about you. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. And they'll double check everything. Get a Second Opinion. Section of Pulmonary/Critical Care And we kind of-- we have a nice staff who will kind of walk the patient through what they should expect. Really, really good questions today. The ranking is a reflection of the leading-edge lung and . Right? It should be a CAT scan if you are eligible. No, it's a great question. Oh, less than 5%, OK, let's slow down a little bit. So first is just a discussion with you of what is the probability that this could be a malignancy for you. So I think first step is don't panic. And then based on that discussion, we would set a patient up for a procedure. We do have one that I want to get to. There's also what's called a needle biopsy. I am a Professor of Medicine here. U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . CURRICULUM Fellowship Curriculum Guide Clinician Educator Curriculum INSTRUCTIONS: In order to add a sidebar anchor: Duplicate the existing item, listed as a 1/6 text field. The University of Chicago Medicine. We want to remind people, very important, do not forego medical care during COVID. And so the lymph nodes are where cancer would spread to first. So ground glass nodules are a different biology. 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 I'm new here to the University of Chicago, and very thankful to be here. Yes, so a patient typically comes in basically just for a few hours during the day. But many times, you might notice something on an x-ray that's not part of the screening pathway. So I always have to do this. Like, I'm not worried about spreading disease. And then I'll have Ajay go at it as well. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . 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. Program Director. Interventional pulmonology is often important in the screening, diagnosis, and treatment of lung cancer. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. Really, really good questions today. And then based on that discussion, we would set a patient up for a procedure. Because why would I put you-- why would I cure you of something that's never going to harm you? D. Kyle Hogarth, MD, is an expert in pulmonary diseases. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. All rights reserved. Interesting. And remember, you can schedule your video visit by also going to the website. Septimiu Murgu, MD, FCCP, Diplomat of the AABIP, Associate Professor of Medicine, Co-director of Bronchoscopy, Interventional Pulmonology Fellowship Program Director, Academic Offices: 3 University of Rochester Medical Center, Rochester New York. 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. Nicole Greenlee. And you know, COVID makes it harder for patients to see doctors. What you're never going to hear from us is to say, now there's nothing to do, leave. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. of Colorado Health Sciences Ctr. So that you get an answer as to what this nodule actually is. And one that has a very low invasive potential. Yes, sir. And there we perform our procedures. See, this just shows how important it is that we do these programs here. Show more Show less I do think that it's worth saying that complications are pretty rare with the scopes, the endoscopy that we perform. Exactly. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. And it also has a lot of great COVID information. You want to be calm and cool. Can you talk to us a little bit about what the patient experiences in this procedure? 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? And the individual tumor biology is changing. Together our hospitals have approximately 800 acute care beds of which 200 are adult intensive care beds. Ultimately, I just want to help people feel better and breathe better. We can talk about imaging modalities. We just talked a moment ago, and you're pretty new here. 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. We could get you a plaque or something. Our list of accepted insurance providers is subject to change at any time. So we go through your mouth. We want to minimize radiation. And then afterwards, once we settle on a date, the patient comes in. Or come and visit a lung physician. Now, these are complicated discussions. Critical Care Medicine; Pulmonology; Meet the Doctor . We get thousands of survey responses each year. We're going to do our work. It's almost, you know, again it's like a video game, science fiction, it's pretty amazing. But there's many other tests. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. 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 is a new field within pulmonary medicine focused on the use of advanced diagnostic and therapeutic techniques for patients with lung cancer, airway disorders, and pleural diseases. 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. Or it could be a telemedicine visit. 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. We're not going to just say, you must do this. Absolutely. 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. So Dr. Wagh and I have our partner, Dr. Mergue. So let's start off with our questions. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Yeah, and I want to tell people-- this is a very, very safe place. Or should we offer something else? 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. Also, if you want more information about UChicago Medicine, take a look at our website at uchicagomedicine.org. The Department has a rich history of contributions to the fields of diagnostic and interventional radiology, and we hope that you will consider adding to our legacy. And so as Dr. Wagh just pointed out, in the same procedure, after we've just proved that is a cancer, we're going to then go sample your lymph nodes. Emphysema and advanced emphysema. So there's no cutting. So typically we'll have a clinic evaluation. Why aren't we just following the pathway down? Phone: 513-558-4831 Fax: 513-558-4858 Email: [email protected] These are not questions. I follow the philosophy of following the three A's-- affable, available, and able. Program Overview. Is following a nodule ground glass opacity with yearly CT standard? We get thousands of survey responses each year. We're in very separate areas. So typically we'll have a clinic evaluation. The mission of Duke Interventional Pulmonary Fellowship is to train the leaders in the field by exposure to high volume of complex cases, multi-disciplinary and thoughtful approach, and cutting edge research. Yes, sir. I work here, I go home, I kiss my children. And then second step is find the right people to help take care of you. I remember when Dr. Hogarth showed this to me. We don't even have any camera people in here. Pulmonary, Critical Care & Sleep Medicine. Learn more about clinical trials and find a trial that might be right for you. And without a doubt, the possibility of cancer is what scares everybody. Or you're going to go to radiation or whatever. You know, you said at the very beginning, I have a nodule, should I panic? All rights reserved. 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. As faculty members of the University of Cincinnati [] That's why we do it. Karen says, your pulmonary department is the best. You will still be the same stage.

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