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 we talked a little bit about just screening for lung cancer in general, and what people need to know, because I know there are some folks that will go through a regular process of screening. I'm an interventional pulmonologist here at the University of Chicago. Pulmonary and Critical Care Fellowship Program; Interventional Pulmonology Fellowship Program; Office of Graduate Medical Education; ERAS - Electronic Residency Application Service Fellowship Application; Clinical Services. Exactly. Yes, sir. So ground glass nodules are a different biology. Interstitial lung disease (pulmonary fibrosis) Mesothelioma. Every tumor, of course, has its own biology speed at which it grows. About. And it's important here. And obviously, you know, even with minimally invasive surgery, it's still a surgery. Communicate with your doctor, view test results, schedule appointments and more. It is covered by insurance. You are comfortable. Yes, sir. Interventional Pulmonology & Advanced Bronchoscopy; Lung Cancer; Lung Transplant; Pulmonary Embolism; Smoking Cessation Program; Meet Our Team. And we had a question from a viewer that dovetails perfectly into what I'm kind of curious about. But many times, you might notice something on an x-ray that's not part of the screening pathway. 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. But also don't ignore it, and don't delay it. Get an online second opinion from one of our experts without having to leave your home. The University of Michigan as a . No, it's a great question. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. His clinical and research interests include minimally invasive diagnostic and therapeutic interventions for patients suffering from benign and malignant airway obstruction. So-- You will get seen within a week every time here. 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. The responses are used to improve patient experience and recognize staff members for the care they provide. Why aren't we just following the pathway down? But we also want to explain to you what we're going to do to actively follow you. I can meet with you virtually. 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. So something solid inside the lung needs an explanation, because there shouldn't be something solid in the lung. And you know, COVID makes it harder for patients to see doctors. But I'm sure you'll enjoy UChicago Medicine. Or does it have to be a higher dose CT screening? I'm in the studio all by myself, as you can see here. Email: ipscheduling@jhmi.edu. Communication is important with the patients. So my name is Kyle Hogarth. [LAUGHTER] Interventional Pulmonology Fellowship; Post-Doctoral; Section Intranet; Quick Links. You will not know we're doing this to you. We're going to give you some strong recommendations. We get thousands of survey responses each year. Where it's basically put right through your chest into the lung nodule done through the radiology department. Well, if you have a cancer, the next question is, what stage is it? So, I really believe in great communication and teamwork. Interesting. 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. We're still operating. His clinical interests include advanced and therapeutic bronchoscopy, lung cancer, pleural diseases, and critical care medicine. Right? I should point out, the amount of radiation you get from a CAT scan at a center like ours-- so it has everything to do with the quality of the scanners. Interventional Pulmonology. A star rating is not given if a provider only has a small number of survey responses. Just to echo what Dr. Wagh said. However, not everyone who receives an abnormal CT scan should be rushed into surgery. Can you talk to us a little bit about what the patient experiences in this procedure? And as always, we'll take your questions during our 30 minute program. I am a Professor of Medicine here. Critical tasks include fellowship recruitment, fellow administrative support, scheduling, and managing faculty and fellow performance . 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. So Dr. Wagh, it was interesting because this is almost like a video game. In some cases, they are a precancerous lesion. And you know, it is extremely valuable. 2023 The University of Chicago Medical Center. 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. 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. 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 . No, it will show the nodules. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. We're going to give you some strong recommendations. Schedule your appointment online for primary care and many specialties. . And then if we do need to do a biopsy, making sure the correct biopsy gets done. Yes, sir. You will get seen within a week every time here. So first is just a discussion with you of what is the probability that this could be a malignancy for you. We want to find patients who have a history of smoking, quit within the past 15 years. Star ratings and comments come from a number of survey questions. 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. Quick Apply. So there's no cutting. 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. Our commitment is to outstanding clinical care, to mentoring and . Well, we're very happy to have you. 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. 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. 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. We are a level 1 trauma center with 649 beds and the largest hospital outside the Chicago and St. Louis metropolitan areas. And of course, you came here at kind of an odd time, during a pandemic. So my name is Kyle Hogarth. 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. And we do it through your mouth. But for many people are extremely, extremely slow growing cancer. . And that would be annually until they kind of exit out after that 15 years. But I'm sure you'll enjoy UChicago Medicine. Comments that do not apply, risk patient privacy, or are not appropriate are not posted. Chicago Chest Center/Suburban Lung Associates offers a 1 year fellowship in Interventional Pulmonology in collaboration with the University of Illinois (UIC) Division of . You need to raise a fit. 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. 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. This type of training is beyond what is typically available in a standard . And teasing out what's what is what Ajay and I do. And you want to have something reliable in what to do next. Every tumor, of course, has its own biology speed at which it grows. We want to minimize radiation. So look, there's three ways to sample inside the lung. And you say, well, wait. And that's very important. Well, it certainly can. You know, you said at the very beginning, I have a nodule, should I panic? 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. You can't eat after midnight. You will not know we're doing this to you. The fact it's a low dose is because you are being screened, there is no other reason we're scanning you. That's why we do it. But a doctor may see something on a chest x-ray. Is following a nodule ground glass opacity with yearly CT standard? And then they just go home. And so now you're going to go to the surgeon to be cured. And that's kind of comforting, I think, for most patients. And these procedures all have their own benefits, but also their own complications. I can meet with you virtually. Well, we're very happy to have you. But that's part of what you do. Train with the experts at the University of Wisconsin Interventional Pulmonology fellowship program. I'm new here to the University of Chicago, and very thankful to be here. 617-632-8036. Elizabeth says, I've had several bronchoscopes done by Dr. Hogarth, he's amazing. Mailing Address: Section of Pulmonary/Critical Care 5841 South Maryland Ave., MC 6076 Chicago, IL 60637. Oh, let me reinforce that. That's why we do it. I remember when Dr. Hogarth showed this to me. And so those are our mainstays of imaging. And that's kind of comforting, I think, for most patients. We are proud to have an interventional pulmonary laboratory with full-time dedicated . Or is that the moment of panic at that point? Karen says, your pulmonary department is the best. 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. 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. These are not questions. We're going to get to a little bit more detail of that one here in just a moment. And so now you're going to go to the surgeon to be cured. We want to minimize radiation. Dr. Wagh, let's hear a little bit about you. And you two, and your teams, are really good at helping people through that situation. Your lungs are going to be ultimately attached to your mouth. In fact, U.S. News & World Report, 2022-2023, named Northwestern Memorial Hospital No. Interventional Pulmonology Secondary Specialty. It's an oath both of us took. Now, a question. Because it has everything to do with the quality of the machine for the radiation that goes through. We don't even have any camera people in here. By utilizing minimally invasive techniques, interventional pulmonologists can provide accurate diagnoses and effective treatments while minimizing discomfort and improving outcomes for our patients. It could be cancer. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. And I have been working at the University of Chicago since 1998. A ground glass nodule almost looks like some wispy smoke on the CAT scan, if you will. You were fantastic. But of course, there's biopsies. And they hear, oh my gosh, I've got a nodule. And let's go through your CAT scan and let's have this discussion about what our next step is. I want to know you're an early stage cancer. And we also try to figure out, is it a lesion that requires biopsy? Ultimately, I just want to help people feel better and breathe better. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. That's why I'm not moving a lot, not that I move a lot anyway.