This paper presents the first empirical study of a vulnerability detection and fix tool with professional software developers on real projects that they own. We implemented DeepVulGuard, an IDE-integrated tool based on state-of-the-art detection and fix models, and show that it has promising performance on benchmarks of historic vulnerability data. DeepVulGuard scans code for vulnerabilities (including identifying the vulnerability type and vulnerable region of code), suggests fixes, provides natural-language explanations for alerts and fixes, leveraging chat interfaces. We recruited 17 professional software developers at Microsoft, observed their usage of the tool on their code, and conducted interviews to assess the tool's usefulness, speed, trust, relevance, and workflow integration. We also gathered detailed qualitative feedback on users' perceptions and their desired features. Study participants scanned a total of 24 projects, 6.9k files, and over 1.7 million lines of source code, and generated 170 alerts and 50 fix suggestions. We find that although state-of-the-art AI-powered detection and fix tools show promise, they are not yet practical for real-world use due to a high rate of false positives and non-applicable fixes. User feedback reveals several actionable pain points, ranging from incomplete context to lack of customization for the user's codebase. Additionally, we explore how AI features, including confidence scores, explanations, and chat interaction, can apply to vulnerability detection and fixing. Based on these insights, we offer practical recommendations for evaluating and deploying AI detection and fix models. Our code and data are available at https://doi.org/10.6084/m9.figshare.26367139.