And the individual tumor biology is changing. And then afterwards, once we settle on a date, the patient comes in. So-- go ahead, Dr. Hogarth, did you have something you wanted in? So Dr. Wagh, it was interesting because this is almost like a video game. 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. So if you need an appointment, give us a call at 888-824-0200. Ajay Wagh, MD, MS, specializes in pulmonary medicinewith a focus in interventional pulmonology. And we have a series of other tests we can do. We evaluate whether or not it's a target that we can reach. That's always the question people want to know. There are characteristics of nodules that make them more concerning for cancer, as opposed to less concerning. And you don't want to. The NIH requires applicants for the T-32 physician-scientist program must be US citizens or permanent residents. And you can speak with your physician about that. So there's no cutting. 4 Department of Internal Medicine, Division of Pulmonary Critical Care and Sleep Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina. Or you're going to go to radiation or whatever. Dr. Wagh, you mentioned as a pulmonologist you tell people stop smoking. And at that point, they'll meet the anesthesiologist, the nursing staff. You will still be the same stage. I can't even imagine what that would be like if you're worried that you have cancer, and then you're told you have to wait for an extended period of time. You know, we go, oh, it's a 20% chance. It was designed to provide the subspecialty trainees with extensive training and experience in advanced diagnostic and therapeutic procedures that are essential to the practice of Interventional Pulmonology. However, not everyone who receives an abnormal CT scan should be rushed into surgery. The University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637 | 773-702-1000 Appointments: 1-888-824-0200. That is not acceptable to make you wait. Go ahead, Ajay. It offers a comprehensive program of quality patient care, research and education. That's right. But what I can also tell you is it's cancer, here's what stage it is. Even the show that we're doing right now, you two are remote. But I love these. And either one of you can do that. And sign a few papers. Yeah, and I want to tell people-- this is a very, very safe place. And so Dr. Hogarth, we have another question from a viewer. And let's go through your CAT scan and let's have this discussion about what our next step is. It should be a CAT scan if you are eligible. I kiss my spouse. I'm grateful to participate in Dr. Hogarth and Dr. Perdue's team. 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. They're still cutting in you. Really, really good questions today. You were fantastic. Well, if you have a cancer, the next question is, what stage is it? What you're never going to hear from us is to say, now there's nothing to do, leave. But we also want to explain to you what we're going to do to actively follow you. 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. When we-- and I'll also say it depends. In the newly remodeled 62-bed ICU at the University of Minnesota Medical Center, PACCS faculty provide state-of-the-art care . It could be cancer. Schedule your appointment online for primary care and many specialties. You will never be told, you've got to wait around to be seen after someone's told you that you might have cancer. So when we're done, you go home. Yes, sir. Fax: (773) 702-6500, Outpatient Practice: 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. So we'll wake you up. Well, I think that there's several possibilities. His contributions to the field of procedure-related training has been recognized by his peers and professional societies. So when we're done, you go home. Phone: (773) 702-1856 Because why would I put you-- why would I cure you of something that's never going to harm you? Can you kind of talk to us a little bit about that, and walk us through that? 11234 Anderson St, Loma Linda, CA 92354. . 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. Loma Linda University Children's Hospital. We want to remind people, very important, do not forego medical care during COVID. 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. Or suggest that the pre-test probability is lower. And Dr. Wagh, maybe you can take this next one. He also serves as an assistant professor of internal medicine at the UK College of Medicine. But of course, there's an 80% chance it's not cancer. That's why we do it. James Katsis, MD is affiliated with Rush University Medical Center and specializes in Pulmonology Services in Chicago, IL James Katsis, MD - Rush University Medical Center Call (888) 352-RUSH (7874) 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. And then there are other types of imaging techniques, like PET scans, other images that we use to evaluate lung nodules. Ashish P. Maskey is a specialist in pulmonology, critical care medicine and interventional pulmonology, a relatively new and upcoming field. We'll try to get to as many as we can over the next half hour. We're still operating. Use of augmented fluoroscopic imaging during diagnostic bronchoscopy. And then they wait to be brought to the pre-procedural area. Learn more about clinical trials and find a trial that might be right for you. We're going to do our work. Some of them are blood based tests. Advanced technology and minimally invasive options are available. Administration; Faculty; Sections & Centers; Clinical; Research; Training; River East Location; The University of Chicago . And we have a high success rate to get you an answer. Because initially when you're faced with something like that, everything kind of just goes over your head. And that's kind of comforting, I think, for most patients. So I want to get back to biopsies for just a moment. We are taking questions from viewers. We're still operating. It's either cancer or everything else. Before the appointment, all pertinent medical records from referring physicians should be faxed to (410) 367-3252. 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. You should contact your insurance company to confirm UChicago Medicine participates in their network before scheduling your appointment. Pass instruments out, take little pieces that we-- so you're not going to miss anything, you know, volume wise. Get a Second Opinion. Critical Care Medicine; Pulmonology; Meet the Doctor . But there's many things it could be. Dr. Ajay Wagh and Dr. Kyle Hogarth will discuss the latest in lung nodule diagnostics, management, and treatment. American Association for Bronchology and Interventional Pulmonology (AABIP) Statement on the Use of Bronchoscopy and Respiratory Specimen Collection in Patients With Suspected or Confirmed COVID-19 Infection . U.S. News evaluated 1,699 hospitals and ranked the top 50 that see challenging patients for complex respiratory conditions such as lung . 847-498-5864. So I mean, we do have a regular process of lung cancer screening. I'll also point out that our procedures, like Dr. Wagh said, are done under anesthesia. And that's sort of when we take a look at the CAT scan very closely. And then at that point, we would bring the patient back to the our laboratory. Pulmonologists D. Kyle Hogarth, MD, and Ajay Wagh, MD, talk about different ways physicians can detect and diagnose lung nodules and masses, including advanced bronchoscopy techniques that do not require incisions or surgery. And of course, you came here at kind of an odd time, during a pandemic. That's always the question people want to know. University of Chicago Cancer Treatment Centers of America Chicago, IL University of Colorado, Denver, CO Virginia . 5 Interventional Pulmonology Program, The University of Chicago Medicine, Chicago, Illinois. Well, we're very happy to have you. Really, really good questions today. Phone: (773) 702-9660, Mailing Address: But we can. Now, solid nodules, depending on the size, there are guidelines that suggest the interval of scans. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. And they'll double check everything. 11 millimeters is rather small. Septimiu Murgu, MD, is a highly skilled interventional pulmonologist. So I always have to do this. And you know, it is extremely valuable. And then I'll have Ajay go at it as well. Get an online second opinion from one of our experts without having to leave your home. It was way pre-COVID, but you showed me one piece of equipment that you had, Dr. Hogarth. [MUSIC PLAYING] Hello, and welcome to At The Forefront Live. So let's start off with our questions. Well, gentlemen, we're out of time. Interesting. I'm actually in the endoscopy suites. And that's very important. So I'm excited to be here in the city, and part of this program. Schedule your appointment online for primary care and many specialties. A lung mass can be a frightening discovery. Under the direction of Alexander Chen, MD, the interventional pulmonology (IP) service cares for patients in both the inpatient and outpatient setting.. Or does it have to be a higher dose CT screening? Loyola University Medical Center, Chicago IL: 2020: Ikuyo Imayama, MD: University of Illinois at Chicago, Chicago, IL: 2021: Mariam Anis, MBBS Northwestern Lake forest Hospital: 2021: Yu Maw Htwe, MBBS NYU Interventional Pulmonology Fellowship: 2021 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. That's going to be number one on the list. But in reality, if you're a patient, there's only two things. 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. of Colorado Health Sciences Ctr. So typically we'll have a clinic evaluation. 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.