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More is less. Not all high risk nodules are cancer. Ion robotic nav bronch with live CT for 2 nodules in difficult locations with heavy emphysema. A single safe procedure finding benign inflammatory processes while avoiding prolonged pneumothorax or surgery. With Napoleon Puente

Have needle, will sample! When there’s a need, there’s a way. Tiny (3-5 mm) but persistently PET active mediastinal LN in a patient on treatment for lymphoma. Effectively sampled with 22g EBUS-TBNA. With Napoleon Puente

Changing the paradigm. Line up of recent weekly thoracic tumor board. 7 patients. All new early stage lung cancer diagnosis, ranging stage 1A1 to 1A3. All received plans for curative intent treatment. Focus on early detection and diagnosis will improve lung cancer mortality.

Had an amazing time teaching and learning about lung cancer management at Intuitive TOP Executive Summit 2023, with the IP allstar team from Methodist San Antonio!

November is Lung Cancer Awareness Month. Help us spread the word on the importance of lung cancer screening and tobacco use cessation, so we can save as many lives as possible! #TxIPS #MethodistHospital fb.watch/oekIP48xv_/?mi…

Just needs a good rinse! Along the zebras and unicorns series… New diagnosis pulmonary alveolar proteinosis (PAP) presenting in severe respiratory failure, nearing intubation. Treated with VV-ECMO supported bilateral whole lung lavage with excellent response. With Napoleon Puente

The simple pleasures of IP. Angled Tricut airway microdebrider turning a normally tedious tracheal tumor debulking job into a 60 second breath of fresh air. Excellent symptomatic response to improve functional status for urgent chemotherapy. What’s your favorite tool(s) for

Amazing time at #AABIP2024 in Charlotte! Excellent 3 days of learning, networking, and running into old friends. AABIP

Plugging leaks! Seems like endobronchial valve treatment for truly significant BPF almost never works. But in those rare cases when it does… good lord is it satisfying! Patient who already failed surgical repair attempt with wide open air-leak, significant reduction in leak with

Making the impossible routine! Shape sensing robotic assisted bronchoscopy, combined with live 3D imaging, allows for unlikely navigational biopsies to become average procedures. Whether the difficulty is size (6mm nodule), location (above aortic arch), structure (cystic rim),

Terrible Things in the Trachea. Large necrotic anterior tracheal perforation in setting of metastatic cancer and mediastinal SBRT. Presenting with mediastinitis and not a surgical candidate. Palliated with silicone tracheal Y-stent.

Simple pleasures. Said it before, but endobronchial valve treatment for non-resolving air leak due to APF/BPF, in those relatively rare cases when it works instantly and well… easily a top 3 most satisfying IP procedure.

What’s the diagnosis? 80+ yo man, with cough and multifocal solid to cavitary PET avid lung nodules. RLL endobronchial mass, smooth but fungating, resected with rigid tools and cryo. Path slides with sheets of small blue cells and IHC stains as listed.