Locations
Thomae Surgical / Medical Spa
St. Louis, MO
My office hours
Friday: 9:00am - 1:00pm
Show moreInsurances accepted
Aetna
Aetna Life Insurance Company
AFLAC
Alliance Health
American Family Mutual Insurance Company
Anthem BC Life & Health Insurance Company
Blue Cross Blue Shield of Illinois
Blue Cross Blue Shield of Missouri
CHAMPUS
Cigna
CIGNA Health Care
Continental General Insurance Company
Coventry Health Care
First Choice Healthcare
Geisinger Health Plans
Genworth Life and Annuity Insurance Company
Golden Rule Insurance Company
Guardian Life Insurance Company of America (The)
Hartford Life and Accident Insurance Company
Health Alliance Plan
Highmark Blue Cross Blue Shield
Humana Insurance Company
Illinois Mutual Life Insurance Company
John Hancock Life Insurance Company
Kaiser Permanente Insurance Company
Lincoln National Life Insurance Company
Medicaid
Medicare
Mercy Health Plans of MO
Missouri HealthNet
Molina Healthcare Inc
MultiPlan, Inc
Mutual of Omaha Insurance Company
National Health Insurance Company
Network Health Plan
New York Life Insurance Company
Northwestern Mutual
Other
Pacific Life Insurance Company
PreferredOne
Principal Financial Group
Sentry Insurance Group
Spectrum Health
State Farm Insurance Companies
State Farm Mutual Automobile Insurance Company
Tricare
UNICARE
UnitedHealth Group
UnitedHealthcare
UnitedHealthOne
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VA healthcare
WellCare Health Plans
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About
Bio
Most of my patients request me to be their primary care physician because of my knowledge, straight talk, reasonable options, and general skill. 28 years of medical experience as a doctor and surgeon may make me your best virtual option. I promise to serve you the best I can.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
General Surgery
Breast Surgery
Colon and Rectal Surgery
Cosmetic Surgery
Critical Care
Gastroenterology
Hand Surgery
Trauma Surgery
Vascular Surgery
Wound care
Licenses
United States: Illinois, Missouri
Languages spoken
English
Doctor Q&A
48 Answers
16 Agrees
The number of answers this doctor has agreed with.
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Cranberry: After a documented UTI: a one dose antibiotic, or OTC cranberry juice and lots of fluid.
Created for people with ongoing healthcare needs but benefits everyone.
878 viewsAnswered >2 years ago
A 55-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Stretch "nerves": There are few true pain nerves to the intestines..... the intestines react to stretching or distension. You would perceive that as nausea and pain af... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Evacuated: Follow the orders of your local police force.
Sorry for the simple answer.
(as high as possible on a very strong structure)
Created for people with ongoing healthcare needs but benefits everyone.
934 viewsAnswered >2 years ago
A 33-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Yes, keep taking: Yes, keep taking!
BM's are good for you, besides the supplements.
Created for people with ongoing healthcare needs but benefits everyone.
808 viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Exam needed: Most likely a small umbilical hernia with omentum caught in the muscle defect (causing pain). Not urgent, unless pain gets worse. As uterus gets lar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
862 viewsAnswered >2 years ago
A member asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
No: If it is not a melanoma, it is of less concern. Being dysplastic, is a pathologic concerning point, but with it's small size, I would closely watch i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Inflamed: Infected---not always
Inflamed--- usually
Most splinters, in time, work up and out of the skin......but it is fastest to remove it with surgical ins... Read More
Created for people with ongoing healthcare needs but benefits everyone.
934 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Heat kills: The heat kills bacteria, viruses, and most fungi: each of these can hurt you through your GI tract.
Created for people with ongoing healthcare needs but benefits everyone.
934 viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Fungi/Yeast: Most likely a fungi or yeast. Cab easily be treated with a "swish & swallow" anti-fungi medication. I'm glad you are getting it inspected.
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Visit ER: Unless it's a flu syndrome the family has passed to each other, I recommend taking him to the ER for evaluation and possibly IV fluids. In IL, there... Read More
Created for people with ongoing healthcare needs but benefits everyone.
925 viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Consider: Consider an umbilical (belly button) hernia. Unless you have severe abdominal pain, most likely you do not need to worry.
Created for people with ongoing healthcare needs but benefits everyone.
925 viewsAnswered >2 years ago
A male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
No issue: The leaky fluid is prostatic fluid---no issue.
The more latter thicker fluid is the same fluid, with sperm, that has undergone some reabsorption of wa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
949 viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
More likely....: More likely a recurrent abscess in another place. If painful, you need to see a physician within 12 hours.
Created for people with ongoing healthcare needs but benefits everyone.
784 viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Stress gastritis: At your young age, living in the US, and guessing you are routinely in general good health, the most likely diagnosis is gastritis.
The easiest treatm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
949 viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Possible CTS: This may be Carpel Tunnel Syndrome, or compression on the median nerve. Yes, a splint will help. If it is not this, a splint will not hurt your cond... Read More
Created for people with ongoing healthcare needs but benefits everyone.
801 viewsReviewed >2 years ago
A 16-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Most likely not.....: No, not at age 16.
Joints have very poor blood supply, and smoking does cause vascular/blood issues, but at your young age, it is mostly a non-smokin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
943 viewsReviewed >2 years ago
A 41-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
General Rule: It's a general rule (of course not dealing with cancer), one should wait at least one year for most post-surgical final results. This is when adhesio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
808 viewsReviewed >2 years ago
A male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Very risky: Morbid obesity is your highest risk; the "20% liver" shouldn't cause too much of an issue if the anatomy stays the same. Diabetes is an associated ri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
878 viewsAnswered >2 years ago
A male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
10 days: On the average (I've seen 400 of these), while it is healing, it still has an inflammatory mass for 10 days. You will feel this fullness for about 10... Read More
Created for people with ongoing healthcare needs but benefits everyone.
862 viewsAnswered >2 years ago
1 comment
A 23-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Yes: Yes
...and, yes
Without going into great detail, history, physical exam, and MRI studies should be 95% accurate.
Good luck
Created for people with ongoing healthcare needs but benefits everyone.
862 viewsAnswered >2 years ago
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Infection: When you have pain in your teeth, and a tender lymph node; this is an infection until proven otherwise.
You need antibiotics x 10 days.
After 10 days,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
943 viewsAnswered >2 years ago
A male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Likely Gallbladder: Great question: foul smelling bowel movements is a product of a change in bacteria. The most likely source is a change in the biliary system or panc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
810 viewsReviewed >2 years ago
A 43-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Uremic = BUN: Toxic effects of "BUN": blood uremic nitrogen levels
Caused by kidney setbacks/ failure.
Created for people with ongoing healthcare needs but benefits everyone.
803 viewsAnswered >2 years ago
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Yes, most likely.: PTU may even have a higher chance of causing this. Some decrease can usually be seen due to a number of factors. It should be monitored. With good ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
786 viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Full work-up needed: Change in HR to pain, besides anxiety, is not uncommon. Most people don't raise their HR >110 for any reason unless the pain was pretty impressive... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Not Weird: At your young age, and at a prime of hormonal changes, each person is individualized. Although unlikely a true genitalia orgasm, the sympathetic and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Use what works: Every human's body responds differently to medications such as H2 blockers or PPI's: it's ok to start with omeprazole.
It's ok to work up to a maxim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
949 viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
No: Not unless you are wrapped in ice, or underwater (and the weather is warm, but not exposed to you).
Created for people with ongoing healthcare needs but benefits everyone.
934 viewsReviewed >2 years ago
A 50-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
2 answers: 1. Most likely not a 2 year infection unless the mesh is infected and it drains moderate pus daily. Most likely a reaction to a hernia repair perman... Read More
Created for people with ongoing healthcare needs but benefits everyone.
925 viewsReviewed >2 years ago
A member asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Straight answer: Although I am against the use of "weed" in general, no, weed will not effect wound healing in the short span.
>10 years of smoking, in general, wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
949 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Condoned, but ok: As you know, this is not recommended, but it will not hurt overall if you are generally healthy.
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsReviewed >2 years ago
A 49-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Many factors: 6 to 7mm within diagnostic error.
<1 cm overall a much better diagnosis: lots and lots of nodules are seen <1cm.
18 months is too long IF you ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
847 viewsReviewed >2 years ago
A member asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
OK: OK
No issues with that.
It will work.
Created for people with ongoing healthcare needs but benefits everyone.
803 viewsAnswered >2 years ago
A male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Empty intestines: When one has diarrhea, most of the intestines has little left in them........This causes bile and air in the small intestine to make "cat purr" sounds... Read More
Created for people with ongoing healthcare needs but benefits everyone.
943 viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Benign bump: This most likely is a lymph node, or an infected cyst. If you can feel it, it is in the soft tissue. Very rare to be any type of malignancy. Yes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Yes / infection: Yes, you most likely have an infection. Most likely yeast, but could be bacterial. Simple tests can confirm. You will need to see a physician.
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Yes: Usually a respiratory (lung) illness.
Rare to affect the skin.
Stomach acid will usually kill the mold, but it can also affect your GI system.
Created for people with ongoing healthcare needs but benefits everyone.
934 viewsAnswered >2 years ago
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Not Uncommon: Not Uncommon, unfortunately. This is why laparoscopy is being used more and more for colectomies.
For you, it is time to get the hernia evaluated an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
801 viewsAnswered >2 years ago
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Yes: Yes, more unusual area than normal, but Herpes Zoster can effect any nerve or dermatome.
Created for people with ongoing healthcare needs but benefits everyone.
808 viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
More serious ear: When the wax is starting to get black, it most likely is blood tinged. If blood is being released in any part of the external ear, or typanic membran... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Esophagitis: Most likely you are describing an infection of the esophagus, or acid reflux.
Cheap solution: try an antacids 2 hours after meals, or OTC H2blockers... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Probably a hernia: Your symptoms can be classic for an early inguinal hernia (groin hernia). The abdominal sac (peritoneum) is probably starting to herniate into the sc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
949 viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Don't be scared: At your young age, this is most likely benign. There are many etiologies for this, including past trauma or pneumonia. Even, not taking a big breath... Read More
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Yes: Veins on the penis can get larger with more masturbations (over years)........ thus, a varicocele could occur in time. Benign.
Created for people with ongoing healthcare needs but benefits everyone.
942 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Red from blood: Red drainage at 8 months is usually a seroma, or hematoma that finally lets loose; but if the area is warm & red, that sounds like an infection. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
791 viewsReviewed >2 years ago
A 56-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
CTS: Probably Carpal Tunnel Syndrome.
(Median Nerve Compression)
Common.
I recommend getting that evaluated (nerve conduction study).
Created for people with ongoing healthcare needs but benefits everyone.
803 viewsAnswered >2 years ago
A 41-year-old male asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Complicated: Most likely a tight Nissen Fundoplication if you are drooling a lot. In time it should get better, however, you may need an EGD with dilitation. PPI... Read More
Created for people with ongoing healthcare needs but benefits everyone.
943 viewsReviewed >2 years ago
A member asked:
Dr. Keith Thomaeanswered
Specializes in General Surgery
Normal: The colon (and rectum) absorb water. The stool coming out first has had more internal contact time with the colon lining, thus more water reabsorption... Read More
Created for people with ongoing healthcare needs but benefits everyone.
803 viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
24
Thank you notes
HealthTap member
This was very helpful. Thanks! Thanks a lot doctor. My surgeon was suggesting another lancing. But since it is actively draining I wanted to see if I can wait.
HealthTap member
This was very helpful. Thanks! Thank you for the information. It helped me make a decision about going forward from here.
HealthTap member
This made me feel good. Thanks! Thank you for taking time to help people like me.
Education & Training
Medical/Graduate school
null
Graduated nullMD
Medical/Graduate school
University of Wisconsin School of Medicine and Public Health, WI
Graduated 1988MD
Residency
LOYOLA UNIVERSITY MEDICAL CENTER
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