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We found 6 providers with an interest in bloodless medicine/transfusion-free surgery and who accept Health Net near La Jolla, CA.

Dr. Sohaib Ahmad Kureshi, MD
Specializes in Neurosurgery
9850 Genesee Avenue; Suite 770
La Jolla, CA
 

Dr. Sohaib Kureshi is a neurosurgeon. His areas of expertise include the following: laminectomy, neurosurgery, and bloodless medicine/transfusion-free surgery. Dr. Kureshi's hospital/clinic affiliations include Scripps Memorial Hospital La Jolla, Scripps Mercy Hospital, and Sharp HealthCare. His education and training includes medical school at the University of California, Los Angeles (UCLA), David Geffen School of Medicine and the University of Southern California (USC), Keck School of Medicine and residency at Duke University Medical Center. Patients gave him an average rating of 4.0 stars out of 5. Dr. Kureshi is an in-network provider for Anthem, Blue Cross/Blue Shield, and Medi-Cal, in addition to other insurance carriers. New patients are welcome to contact his office for an appointment.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Back Problems, Laminectomy, Neurosurgical Procedures, ... (Read more)

Dr. Brooke Laura Ballard, MD
Specializes in Hand Surgery, Orthopedics/Orthopedic Surgery
10803 Vista Sorrento Parkway
San Diego, CA
 

Dr. Brooke Ballard works as a hand surgeon and orthopedist in Coronado, CA, San Diego, CA, and La Mesa, CA. She speaks Spanish. Areas of expertise for Dr. Ballard include arthroscopic surgery, bloodless medicine/transfusion-free surgery, and knee ligament injuries. Dr. Ballard is professionally affiliated with Sharp HealthCare. She graduated from the University of Illinois College of Medicine at Chicago and then she performed her residency at a hospital affiliated with the University of California, San Diego (UCSD). Patients gave her an average rating of 5.0 stars out of 5. Dr. Ballard is an in-network provider for Anthem, Blue Cross/Blue Shield, and Coventry, as well as other insurance carriers. She welcomes new patients.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Sports Health, Fractures, Arthroscopic Surgery, Occupational Therapy Treatment, Physical Therapy ... (Read more)

Dr. Lance L Altenau, MD
Specializes in Neurosurgery
9850 Genesee Avenue; Suite 770
La Jolla, CA
 

Dr. Lance Altenau is a neurosurgeon. Clinical interests for Dr. Altenau include laminectomy, neurosurgery, and bloodless medicine/transfusion-free surgery. He is affiliated with Scripps Memorial Hospital La Jolla, Scripps Mercy Hospital, and Sharp HealthCare. Dr. Altenau attended the University of Cincinnati College of Medicine for medical school and subsequently trained at Nationwide Children's Hospital and a hospital affiliated with the University of Michigan for residency. He has received a 3.0 out of 5 star rating by his patients. Anthem, Blue Cross/Blue Shield, and Medi-Cal are among the insurance carriers that Dr. Altenau honors. Dr. Altenau has received the distinction of San Diego Super Doctors. He has an open panel.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Back Problems, Laminectomy, Neurosurgical Procedures, ... (Read more)

Dr. Harish Sadanand Hosalkar, MD
Specializes in Pediatric Orthopedics/Orthopedic Surgery
4910 Director's Place; Suite 350
San Diego, CA
 

Dr. Harish Hosalkar is a pediatric orthopedics/orthopedic surgery specialist. Patients rated him highly, giving him an average of 4.5 stars out of 5. His areas of expertise include the following: post-polio syndrome (PPS), arthroscopic surgery, and knee surgery. Dr. Hosalkar's professional affiliations include Scripps Mercy Hospital, Sharp HealthCare, and Scripps Memorial Hospital Encinitas. He takes Anthem, Blue Cross/Blue Shield, and Self-Pay/Uninsured, as well as other insurance carriers. Dr. Hosalkar welcomes new patients. His education and training includes medical school at Seth G.S. Medical College and residency at King Edward Memorial Hospital and Seth G.S. Medical College and a hospital affiliated with the University of Pennsylvania. In addition to English, Dr. Hosalkar (or staff) speaks Urdu, Marathi, and Gujarati.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Post-Polio Syndrome, Sports Health, Knee Pain, Neck Pain, Bursitis, Scoliosis, Fractures, Back ... (Read more)

Dr. Audrey Peng-Fei Calzada, MD
Specializes in Otolaryngology
9834 Genesee Avenue; Suite 111
La Jolla, CA
 

Dr. Audrey Calzada specializes in otolaryngology (ear, nose, and throat). Before completing her residency at a hospital affiliated with the University of California, Los Angeles (UCLA), Dr. Calzada attended medical school at Baylor College of Medicine. Areas of expertise for Dr. Calzada include endoscopic sinus surgery, skull base surgery, and bloodless medicine/transfusion-free surgery. She accepts Anthem, Blue Cross/Blue Shield, and Medi-Cal, as well as other insurance carriers. Her hospital/clinic affiliations include Scripps Memorial Hospital La Jolla, Sharp HealthCare, and Scripps Memorial Hospital Encinitas. She is accepting new patients.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Thyroid Cancer, Thyroid Surgery, Sleep Disorders, ... (Read more)

Dr. Michael Lucious Pomerantz, BS, MD
Specializes in Hand Surgery, Orthopedics/Orthopedic Surgery
4445 Eastgate Mall; Suite 105
San Diego, CA
 

Dr. Michael Pomerantz practices hand surgery and orthopedics/orthopedic surgery. Areas of expertise for Dr. Pomerantz include bloodless medicine/transfusion-free surgery, knee ligament injuries, and sports health. He accepts several insurance carriers, including Anthem, Blue Cross/Blue Shield, and Coventry. Before performing his residency at a hospital affiliated with the University of California, San Diego (UCSD), Dr. Pomerantz attended Albany Medical College and the University of California, San Diego (UCSD), School of Medicine. He is professionally affiliated with Memphis VA Medical Center and Sharp HealthCare. Dr. Pomerantz's practice is open to new patients.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Sports Health, Knee Ligament Injuries, Shoulder ... (Read more)

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What is Bloodless Medicine?

For a variety of reasons, some people feel strongly about refusing blood transfusions and blood products. Bloodless medicine is an emerging medical practice that seeks to provide full medical care, including surgery, for these patients without the use of transfusions.

There are many legitimate reasons why a patient might wish to refuse blood products. Perhaps the most well known are the religious beliefs of certain groups, especially Jehovah’s Witnesses. But religious beliefs are not the only reason someone might choose bloodless medicine. Some of these reasons include:

  • Ethical decisions about the limited supply of blood available
  • Patients with rare blood types may not have access to donor blood
  • Fear of receiving the wrong blood type, which can cause a significant allergic reaction
  • Concerns about infectious diseases that could possibly infect the blood supply, such as HIV, Hepatitis B, Epstein-Barr, or Mad Cow Disease

When it comes to surgery, bloodless medicine succeeds by increasing the amount of red blood cells a patient produces before surgery, replacing any lost blood with fluids, carefully managing the patient’s health during surgery, and meticulously controlling blood loss so that as little bleeding as possible occurs.

Preparation begins by increasing the number of red blood cells the patient produces, so that any loss during surgery will not be as harmful. Patients may be instructed to eat iron-rich foods, given iron supplements, or given medications to increase their hemoglobin. The least invasive surgical procedures available will be chosen, as they require tiny incisions.

During surgery, patients are often positioned on a slope with their head lowered, to protect their brain from any blood loss. Their blood pressure may be lowered and their body temperature raised to reduce bleeding. They may be given 100% oxygen to help a reduced number of red blood cells carry sufficient oxygen to their body. Modern surgical tools are used that cauterize any broken blood vessels as soon as they are cut, in order to minimize blood loss.

Sometimes, a technique known as hemodilution is used. A portion of blood is removed from the patient at the beginning of surgery and replaced with fluids, diluting the blood circulating within the body. If bleeding occurs during surgery, the blood lost is this dilute blood, and not as critical. After surgery, the pure blood is replaced. In some cases blood that is lost during surgery can also be collected, cleaned, and returned to the patient.

Not all surgeries can be performed bloodless, but most can, including:

  • Open heart surgery
  • Liver transplants
  • Urinary tract surgery
  • Hysterectomy
  • Hip and knee replacements
  • Brain surgery

Despite all the precautions taken, during any surgery there is the possibility of unexpected hemorrhage. A hemorrhage, or severe episode of bleeding, can be life threatening without the help of transfused blood. Before any surgical procedure, it is important to make a plan with your physicians about what steps you would like them to take, or not take, in case the unexpected happens.