We found 3 providers with an interest in bloodless medicine/transfusion-free surgery and who accept Unicare near Novi, MI.

Dr. Bnan A Razoky, MD
Specializes in General Internal Medicine, Geriatrics
6014 Quaker Hill Drive
West Bloomfield, MI

Dr. Bnan Razoky is a physician who specializes in general internal medicine and geriatrics (elderly care). She obtained her medical school training at the University of Mosul College of Medicine and performed her residency at Mercy St. Vincent Medical Center, Toledo and a hospital affiliated with Wayne State University. Her areas of expertise include the following: pap test, bloodless medicine/transfusion-free surgery, and hypertension (high blood pressure). Dr. Razoky accepts Aetna EPO, Amerigroup, and Cofinity, as well as other insurance carriers. Dr. Razoky (or staff) speaks Chaldean Neo-Aramaic, Arabic, and Assyrian Neo-Aramaic. Her professional affiliations include Providence - Providence Park Hospitals and St. John Macomb-Oakland Hospital, Warren Campus.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Hypertension, Arthritis, Bloodless Medicine/Transfusion-Free Surgery, Ultrasound, Pap Test, Weight ... (Read more)

Arvind Gulati
Specializes in Oral and Maxillofacial Pathology, Oral and Maxillofacial Surgery
23655 Novi; Road Suite103
Novi, MI

Dr. Arvind Gulati's areas of specialization are oral and maxillofacial pathology and oral and maxillofacial surgery; he sees patients in Novi, MI. For his professional training, Dr. Gulati completed residency programs at DMC Sinai-Grace Hospital and Henry Ford Hospital. His areas of expertise include chin implants, bloodless medicine/transfusion-free surgery, and CPAP treatment. Dr. Gulati is an in-network provider for Blue Cross/Blue Shield, Coventry, and Delta Dental, as well as other insurance carriers. Dr. Gulati (or staff) speaks Hindi. His hospital/clinic affiliations include St. John's Hospital and Providence - Providence Park Hospitals.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Botox Injection, Chin Implants, Chin Liposuction, Jaw ... (Read more)

Dr. Srilakshmi Pinnamaraju, MD
Specializes in General Pediatrics
26850 Providence Parkway; Suite 320
Novi, MI

Dr. Srilakshmi Pinnamaraju's area of specialization is general pediatrics. Her clinical interests include bloodless medicine/transfusion-free surgery. Her hospital/clinic affiliations include St. Joseph Mercy Oakland and Providence - Providence Park Hospitals. Dr. Pinnamaraju accepts several insurance carriers, including Cofinity, Blue Cross/Blue Shield, and CIGNA Plans. Her education and training includes medical school at Kansas City University of Medicine and Biosciences (KCUMB), College of Osteopathic Medicine, Andhra Medical College, and Gandhi Medical College and residency at Henry Ford Hospital. Dr. Pinnamaraju (or staff) speaks Telugu, Spanish, and Hindi.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, X-Rays




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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.

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