Robert L. Plummer, MD, F.A.C.S

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Mon - Fri:	9:00 am - 5:00 pm

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West Bronx, Jerome Park

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Plummer, Robert L, MD

Plummer Robert L

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http://drrobertplummer.com

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Physicians & Surgeons, Medical Service Organizations, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Nephrology (Kidneys), Physicians & Surgeons, Oncology, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Rheumatology (Arthritis), Physicians & Surgeons, Sports Medicine, Physicians & Surgeons, Surgery-General, Physicians & Surgeons, Weight Loss Management, Sports Medicine & Injuries Treatment

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Phone: (718) 367-6100

Address: 176 E Mosholu Pkwy S, Bronx, NY 10458

Website: http://drrobertplummer.com

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Robert L. Plummer, MD, F.A.C.S

General Practitioners

Arthritis
Medical Weight Loss
A 27-year-old African American male presented to the emergency room for acute on chronic generalized abdominal and bilateral flank pain and non-bloody, non-bilious emesis. Past medical history is significant for poorly controlled hypertension and associated chronic kidney disease. Patient had previously received dialysis but self-discontinued and was non-compliant with medications. He also reported a 20-pound weight loss over the past three months, attributed to his chronic abdominal pain and poor oral intake. Physical exam revealed a young man in moderate distress. He was afebrile in hypertensive crisis with systolic blood pressure in the 200s and acute kidney injury on laboratory results. The abdominal exam was notable for diffuse tenderness to palpation in all quadrants without peritonitis.
Rheumatology
Subsequently, pathology of the resected small bowel revealed findings consistent with small and medium vessel vasculitis, including occlusion of arteries with intimal thickening and transmural inflammation with fibrinoid necrosis. Serology was negative for SPEP, UPEP, ANA, ANCA, PR3, MPO, anti-GBM, and anti-PLA2R antibodies. Upon review of his rheumatology follow up documentation, no additional diagnostic work up was being pursued given negative serology tests.
Emergency Care
Initial x-ray imaging showed dilated loops of small bowel with air fluid levels without free air. Given the patientâ€™s presentation of bowel obstruction, patient was initially managed nonoperatively with NGT decompression, bowel rest and serial abdominal exams. However, he remained in the emergency department, his abdominal exam acute worsened prompting a repeat x-ray which showed subdiaphragmatic free air (Figure 1). An emergent exploratory laparotomy was performed with findings of purulent ascites upon entry and multiple punctate microperforations of the small bowel with inflammation of the distal branches of the mesenteric vessels (Figure 2). The decision was made to resect 110cm of small bowel, and given the patientâ€™s hemodynamic stability and minimal feculent peritonitis, a primary anastomosis was completed without complications. He was transferred to the ICU on ventilatory support and continued on broad spectrum antibiotics

Nephrology
As well as strict blood pressure control. Patient was extubated on POD2 and his postop course remained uncomplicated from the surgical perspective. Further inpatient work-up with cardiology, nephrology, rheumatology, and endocrinology was recommended for a definitive diagnosis prior to discharge; however, the patient left against medical advice on POD9 with ongoing noncompliance to oral hypertensive medications. Patient did not return for his postoperative follow up appointment and upon multiple attempted contacts to the patient, a patientâ€™s family informed the team that the patient had presented to an outside hospital with massive hematemesis in hemorrhagic shock ultimately resulting in his death. Unfortunately, medical records from the outside hospital was unable to be obtained for confirmation of the encounter.
Colon Cancer
Dr. Robert Plummer maintained a private practice which included a wide range of general surgery including: breast cancer, colon cancer, rectal cancer and all gastrointestinal surgery, hernia and hemorrhoidal surgery. He is also actively involved in advanced Laparoscopic surgery including Laparoscopic intestinal surgery
Lung Cancer
Department Celebrates Success in Reducing Tobacco-Related Harms in New York State ALBANY, N.Y. (February 24, 2025) - The New York State Department of Health announces the 25th Anniversary of its Tobacco Control Program. The Program and its partners have led efforts to protect New Yorkers from the tobacco industry and strengthen public health in communities throughout the state. The Department celebrates the programâ€™s longstanding commitment to reducing commercial tobacco use and its related harms and remains dedicated to ensuring that all New Yorkers can live smoke-free lives.â€œAs we celebrate this 25-year anniversary milestone, we acknowledge the exceptional work that the Departmentâ€™s Tobacco Control Program and its partners have done to protect New Yorkers from the harms of smoking and recognize the many success stories of helping residents quit smoking,â€ State Health Commissioner Dr. James McDonald said. "Smoking causes long-term disease, disability and premature death, so I am proud of the program for addressing the harmful impact tobacco has on communities for more than two decades.â€ The Department envisions a commercial tobacco-free and vape-free society for all New Yorkers. Since 2000, the Stateâ€™s Tobacco Control Program has implemented comprehensive programming to reduce illness, disability, and death related to commercial tobacco use and secondhand smoke exposure, and to alleviate social and economic inequities caused by tobacco use. The program uses an evidence-based, policy-driven, and population-level approach to tobacco control and prevention with a commitment to promote health equity among populations disproportionately impacted by tobacco marketing and use. As an independently evaluated program, the Tobacco Control Program has seen significant success, contributing to record-low youth and adult smoking rates and a nearly 50 percent decrease in the lung cancer death rate in the state. Notably, it has led to thousands of lives and billions of dollars saved in health care costs associated with smoking. The Program has demonstrated a remarkable return on investment, with New York seeing a $15 return for every dollar spent on the program.As these achievements deserve celebration, it is crucial to recognize that tobacco use remains the leading cause of preventable death in New York State and nationwide and that tobacco control efforts continue to face challenges, including industry-related influences and the changing tobacco product landscape. More than 1.6 million New York State adults currently use cigarettes, and progress in reducing tobacco use and its related harms has been uneven across communities in the state. In addition, the recent surge in youth e-cigarette use poses a serious threat to long-term tobacco reduction efforts as more and more young people are put at risk for nicotine addiction. While recent data indicates that youth tobacco use has declined, one in five high school students i

Endocrinologist

Endocrinology

X-Rays

General Surgery

Plastic Surgeons

Laparoscopic Surgery

Lesions
Several differentials were considered in this patient who presented with an acute abdomen found to have spontaneous multifocal small-bowel perforations in the setting of malignant hypertension and CKD. No IgA deposits on a recent colonic resection biopsy and lack of IgG4 plasma cells and anti-GBM antibodies suggested that IgA vasculitis, IgG4 related diseases, and Goodpastureâ€™s were unlikely causes. Our working differential was possibly polyarteritis nodosa (PAN), a small-medium vessel vasculitis that affects renal and visceral vasculature, resulting in tubulointerstitial nephritis and progressive kidney failure. In PAN, vascular lesions are typically segmental and occur in branch points with absent giant cells and granulomas, which is reflected in the patientâ€™s small bowel pathology [1]. The ACR criteria for diagnosing PAN are: 1) mandatory histopathological evidence of necrotizing vasculitis in medium- or small-sized arteries or angiographic abnormality; 2) plus one of the following: skin involvement, myalgia or muscle tenderness, hypertension, peripheral neuropathy, or renal involvement [2]. Our patient presented with histopathological evidence of vasculitis and related organ involvement. However, without a comprehensive workup, the definitive connection between his underlying medical history and bowel perforation presentation remains unanswered.

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