Urgent Care Management of the Patient With Prior Bariatric Surgery

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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