And smoking is certainly a problem, a historical problem that we're working to deal with every day. Yeah, sure. So look, there's three ways to sample inside the lung. Only clean air in the lungs, please. And was fortunate enough to start the bronchoscopy program here, and the Nodule program. 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. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. It is nationally ranked in 10 adult specialties and rated high performing in 1 adult specialty and . Why aren't we just following the pathway down? Because the chance it's cancer is so low, and every invasive procedure always carries a risk. Program Overview. So if you need an appointment, give us a call at 888-824-0200. Dr. Murgu is also actively involved in creating education projects for physicians to enhance their treatment techniques. And every patient is different. And we want to remind our viewers that today's program is not designed to take the place of a visit with your physician. AABIP/AIPPD Interventional Pulmonology Accredidation; AABIP IP Fellows Reading List; IP Fellows Case Discussion Monthly Series; 2023 IP Fellows Bootcamp; Upcoming Events. And you know, it is extremely valuable. . Well, if you have a cancer, the next question is, what stage is it? I recently completed an interventional pulmonary fellowship, which brought me here. D. Kyle Hogarth, MD, is an expert in pulmonary diseases. And the patient goes afterwards to a post-procedural area, where they recover. That's a great question. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. 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. Program accreditation is under the joint auspices of the American Association of Bronchology and Interventional . 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. [MUSIC PLAYING]. So talk to us a little bit more about the lymph nodes. But there's many things it could be. You know what, I always tell people is there is a long list of things that the nodule could be. And then they wait to be brought to the pre-procedural area. Dr. Hogarths expertise has been recognized by both patients and colleagues alike. And the patient goes afterwards to a post-procedural area, where they recover. And so now you're going to go to the surgeon to be cured. Neeraj Desai, MD, MBA, FCCP, FACP Program Director. the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare, Children's Hospital of Chicago Medical Center, and the . You're out. Absolutely, yeah. So let's start off with our questions. We'll try to get to as many as we can over the next half hour. We are taking questions from viewers. And that's a very important part for a cancer evaluation. During the three-year training period, the fellows have exposure to the various disciplines of pulmonary and critical care medicine. This isn't that twilight. 11 millimeters is rather small. The hospital is safe, the hospital is clean. And prior to that, I was a private practice pulmonary critical care doctor for six years. Star ratings and comments come from a number of survey questions. So-- Sleep Medicine Fellowship Emory University School of Medicine offers a post-doctoral training program in sleep medicine. Interventional Pulmonary; Hospitals. He also performs laser-assisted mechanical dilation of airway strictures, airway stenting and bronchoscopic treatments for benign and malignant airway lesions using photodynamic therapy, cryotherapy and electrosurgery techniques. Maybe a 3% chance of cancer is acceptable to some, and terrifying to others, and everywhere in between. For an appointment in the Interventional Pulmonology Outpatient Clinic at the Holmes Hospital (3 rd floor), please . It is covered by insurance. Dr. 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 the lung than ever before to detect and/or biopsy nodules and masses. And that's very important. But in reality, if you're a patient, there's only two things. A lung mass can be a frightening discovery. There's also what's called a needle biopsy. Maybe Dr. Hogarth, you can start. Schedule your appointment online for primary care and many specialties. So I'm excited to be here in the city, and part of this program. We're going to do our work. It sounds like you're in a busy, busy place. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. You know, you said at the very beginning, I have a nodule, should I panic? Salary and Benefits. That's right. I'm new here to the University of Chicago, and very thankful to be here. Along with his clinical practice, Dr. Wagh is an active researcher. 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. I mean, it's really amazing. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. It's a wonderful, wonderful place. Open for more information. So I always have to do this. You will get seen three to four weeks from now. I recently completed an interventional pulmonary fellowship, which brought me here. And one that has a very low invasive potential. 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 we're, of course, happy and eager to help. It should be a CAT scan if you are eligible. Well, I think that there's several possibilities. You know, you mentioned that being covered by insurance. Patient survey responses are also used to make star ratings for each provider. Make sure everything looks right, that it would be safe to proceed. But a doctor may see something on a chest x-ray. The probability, if it's low enough, we don't want to do invasive things to you. So I always have to do this. 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. It should be a CAT scan if you are eligible. 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. I'm new here to the University of Chicago, and very thankful to be here. And that is how biopsies work. Faculty and fellows conduct research in a wide range of topics such as devices in sleep medicine and interventional pulmonary, laboratory studies in IPF fibroblast pathology or building new lungs for transplantation. Dr. Wagh is focused on using minimally invasive techniques for diagnosing and treating a wide range of lung and chest conditions, including stage lung cancer, chronic respiratory illness, complex airway disorders, pleural disease (pleurisy, pneumothorax, pleural tumors) and more. Instead, you might have a little sore throat for a day or two. 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. Like, I'm not worried about spreading disease. No, for sure. And either one of you can do that. Amit, I hope I'm pronouncing this correctly. Well, we're very happy to have you. I don't know who wants to take that one. Join one of the nation's most comprehensive academic medical centers, University of Chicago Medicine. He investigates diagnostic techniques used to improve outcomes and quality of life for pulmonary patients. But I love these. And this is a little bit inside baseball. Job Description Northwestern Medicine is currently seeking Physicians, board-certified or eligible in Interventional Pulmonology for our McHenry, IL and Lake Forest, IL hospital locations. 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. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. 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. So-- Because we will always see you. 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. 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 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. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. Our commitment is to outstanding clinical care, to mentoring and . Or is that the moment of panic at that point? What's that chance? We get thousands of survey responses each year. What you're never going to hear from us is to say, now there's nothing to do, leave. Today there are better insights into cancer and other lung diseases. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of Pulmonary, Critical Care, Sleep and Allergy. 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. We're going to get to a little bit more detail of that one here in just a moment. And of course, you came here at kind of an odd time, during a pandemic. This is from Therese. You were fantastic. Exactly. You know, and I was only being partially facetious when I said panic is kind of the natural-- because I think for a lot of people that's just the natural reaction. 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. [MUSIC PLAYING] My name is Ajay Wagh. Well, if you have a cancer, the next question is, what stage is it? I mean, we do have telemedicine options. The collaboration with the Chicago Chest Center, the oldest established full service Interventional Pulmonology program in the state, gives our faculty and trainees expanded access to research and advanced procedures. Just type them in the comments section. 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. Our goal is to train the next generation of leaders in pulmonary, critical care , and sleep medicine. 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. Name Rank Section; Abou Baker, Nabil: Assistant Professor General Internal Medicine Addetia, Karima And what we've gained, of course, is for all of those scans, that nothing changed and you avoided an unnecessary invasive procedure. I love taking care of people, and I love to see them breathe better and feel better. (312) 996-8039. Yes, sir. It's an oath both of us took. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Dr. Hogarth is the founder and past president of the Society for Advanced Bronchoscopy. It's usually about a half day's worth of time. A lung mass can be a frightening discovery. And we're very serious about that. Patients will typically have primary or metastatic tumors of the chest, mediastinum or . Interesting. Star ratings and comments come from a number of survey questions. 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. 13 in the nation for Pulmonary and Lung Surgery. 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. Dr. Hogarth kind of briefly said something about the blood tests. We're giving you the least amount of radiation, even for what's called a diagnostic scan. You know, it's not just like, yeah, you do this. So follow-up scans could also be low dose as well. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. And so think of it like a sponge. These are not questions. So Dr. Wagh, you touched on this a little bit before. Emphysema and advanced emphysema. The responses are used to improve patient experience and recognize staff members for the care they provide. He has done the most cases in the United States and has authored numerous publications on this topic. 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. Our world-renowned physicians are known for their superior expertise in pulmonary diseases and critical care medicine and many have been recognized by Best Doctors in America and Top Doctors in Cincinnati. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Obviously, if things change, then that's a discussion towards biopsy. 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. But one of the other things we were talking about, the patient journey. Well, the blood test actually showed that it's less than 5%. He also specializes in the minimally invasive diagnosis, management, staging and treatment of lung cancerthrough bronchoscopy. But also don't ignore it, and don't delay it. Schedule your appointment online for primary care and many specialties. Conditions & Services; And we also try to figure out, is it a lesion that requires biopsy? When there are no changes from scan to scan. And I think what we want to do is offer a pathway here in our program for patients to get everything they need. And we have a high success rate to get you an answer. And then once that's completed, we send the patient to the post procedural area, where they recover for a couple hours. Well, my name is Ajay Wagh. What exactly goes on there, and why is that so critical? The probability, if it's low enough, we don't want to do invasive things to you. And we will kind of shepherd the patient along the way. First, do no harm. The immediate reaction is you're probably frightened. Or it could be a telemedicine visit. So Dr. Wagh, you touched on this a little bit before. You will not know we're doing this to you. 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.