The Most Challenging Clinical Case of My Medical Career

Case Study

A professional lawyer with diabetes type II and high blood pressure, was summited to metabolic bariatric surgery. After 24 hours, in post-op, he started bleeding in the high digestive tube, for this reason we had to re-operate. An endoscopy was performed that showed erosive gastritis with superficial bleeding originated from the veins without detecting a gastric ulcer in the superior part of the small intestine. No alterations were made to the area where the surgery was performed.

Why we are different

The whole multidisciplinary team from OCC took action in taking care of the patient, giving first class assistance. He had a full recovery 5 days later. The analysis, in this case, and the experience leave a lot to learn. It is always necessary to ask personal history and risk for other diseases, as well as know what other drugs they have taken.

What not to do

Omitting any medical history can cause a lot of headache and mainly put the patients life in danger. That is why in OCC out patient’s data base (Health Survey) is the key to our success, where our medical staff meticulously reviews each clinical case and virtually knows each and everyone of our patients.

Each day we face complications in each bariatric surgery, that is why we dedicate ourselves to study the anatomy, physiological changes for the use of the laparoscopic technique and to understand the behavior of the anesthesia in obese patients. The knowledge and humility of knowing that we are fragile, helps us being more human and responsible for other beings.

 


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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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