In this episode, Tracey Davidoff, MD, Joe Toscano, MD, and Melissa Thomas, PA, discuss the August 2026 Evidence-Based Urgent Care article, Urgent Care Management of the Patient With Prior Bariatric Surgery
- 0:27 - Introduction
- 2:16 - Introducing topic and guest: Melissa Thomas, PA
- 2:47 - Why bariatric history is often missed
- 3:58 - Why urgent care is the first stop for post-bariatric complications
- 5:28 - Vital sign abnormalities
- 7:39 - Physical exam limitations
- 10:11 - Distinguishing gastroenteritis from surgical complications
- 12:31 - Recognizing leaks
- 13:45 - Internal hernias
- 15:24 - NSAIDs and steroids
- 19:34 - When to refer immediately to the ED
- 20:57 - Value of calling the patient's surgeon directly
- 23:03 - Medical tourism and follow-up care challenges
- 25:59 - Personal case stories and clinical experience
- 26:47 - Key takeaways
- 28:39 - Return precautions and closing advice
- 29:19 - Wrap-up's
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