We found 10 providers with an interest in bloodless medicine/transfusion-free surgery and who accept Railroad Medicare near Utica, MI.

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Dr. Juan Rene Frontera-Castillo, MD
Specializes in Urology
11051 Hall Road; Suite 200
Utica, MI
 

Dr. Juan Frontera is an urology (urinary tract disease) specialist. He is conversant in Spanish. Dr. Frontera's areas of expertise include the following: bloodless medicine/transfusion-free surgery and da vinci surgery. His professional affiliations include St. John's Hospital, St. John Hospital and Medical Center, and St. John Macomb-Oakland Hospital. Before completing his residency at Hahnemann University Hospital and a hospital affiliated with Wayne State University, Dr. Frontera attended medical school at the University of Puerto Rico School of Medicine. Dr. Frontera accepts Amerigroup, Cofinity, and Blue Cross/Blue Shield, in addition to other insurance carriers.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

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

Specializes in Adult Nephrology
11900 E. 12 Mile Road; Suite 205
Shelby Twp, MI
 

Dr. Christopher Provenzano specializes in adult nephrology. His areas of clinical interest consist of bloodless medicine/transfusion-free surgery, hypertension (high blood pressure), and kidney problems. Dr. Provenzano honors several insurance carriers, including Cofinity, Blue Cross/Blue Shield, and Coventry. He obtained his medical school training at American University of the Caribbean School of Medicine and performed his residency at Beaumont Hospitals. He is affiliated with St. John River District Hospital, St. John's Hospital, and McLaren Health Care.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Ultrasound, Hypertension, Kidney Problems

Dr. Bnan A Razoky, MD
Specializes in General Internal Medicine, Geriatrics
34764 Dequindre Road
Sterling Heights, MI
 

Dr. Bnan Razoky works as an internist and geriatrician. In addition to English, Dr. Razoky (or staff) speaks Chaldean Neo-Aramaic, Arabic, and Assyrian Neo-Aramaic. Her clinical interests include pap test, bloodless medicine/transfusion-free surgery, and hypertension (high blood pressure). Dr. Razoky is affiliated with St. John's Hospital and St. John Providence Health System. Before performing her residency at Mercy St. Vincent Medical Center, Toledo and a hospital affiliated with Wayne State University, Dr. Razoky attended the University of Mosul College of Medicine for medical school. She is an in-network provider for Amerigroup, Aetna EPO, Cofinity, and more.

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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)

Dr. Cynthia Holland Browne, PhD, MD
Specializes in Radiation Oncology
17900 23 Mile Road; Suite 103
Macomb Township, MI
 

Dr. Cynthia Browne is a radiation oncologist in Rochester, MI, Grosse Pointe, MI, and Warren, MI. Her education and training includes medical school at the University of Colorado Denver School of Medicine and residency at Stanford Hospital & Clinics. Dr. Browne is especially interested in holistic medicine, nutrition counseling, and bloodless medicine/transfusion-free surgery. She honors Cofinity, Blue Cross/Blue Shield, and Health Alliance Plan (HAP), in addition to other insurance carriers. Dr. Browne (or staff) speaks Spanish and French. Her hospital/clinic affiliations include St. John River District Hospital, St. John's Hospital, and St. John Hospital and Medical Center.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Holistic Medicine, Nutrition Counseling, Stress ... (Read more)

Dr. David Bryan Butcher, MD
Specializes in Adult Nephrology
45640 Schoenherr Road
Utica, MI
 

Dr. David Butcher is an adult nephrology specialist in Utica, MI and Detroit, MI. Patient ratings for Dr. Butcher average 5.0 stars out of 5. In his practice, he is particularly interested in kidney stones, bloodless medicine/transfusion-free surgery, and electrocardiogram (EKG). He accepts Cofinity, Blue Cross/Blue Shield, Coventry, and more. He attended Wayne State University School of Medicine and subsequently trained at St. John Hospital & Medical Center, Detroit for residency. Dr. Butcher is professionally affiliated with St. John's Hospital, St. John Hospital and Medical Center, and St. John Macomb-Oakland Hospital.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Electrocardiogram, Kidney Stones, Kidney Transplant, ... (Read more)

Dr. Brian Vaughn Guz, MD
Specializes in Urology
11051 Hall Road; Suite 200
Utica, MI
 

Dr. Brian Guz specializes in urology (urinary tract disease) and practices in Saint Clair Shores, MI and Utica, MI. Dr. Guz's areas of expertise include female urologic disorders and bloodless medicine/transfusion-free surgery. He is affiliated with St. John's Hospital, St. John Hospital and Medical Center, and St. John Macomb-Oakland Hospital. He is a graduate of the University of Michigan Medical School. For his professional training, Dr. Guz completed a residency program at Cleveland Clinic. He is rated 2.5 stars out of 5 by his patients. He takes several insurance carriers, including Amerigroup, Cofinity, and Blue Cross/Blue Shield.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Female Urologic Disorders

Dr. Clifford Landis Weldon, MD
Specializes in Adult Cardiology, Interventional Cardiology
43200 Dequindre Road; Suite 105
Sterling Heights, MI
 

Dr. Clifford Weldon sees patients in Sterling Heights, MI and Roseville, MI. His medical specialties are adult cardiology and interventional cardiology. Dr. Weldon speaks Spanish. He has a special interest in heart problems, bloodless medicine/transfusion-free surgery, and preventive cardiology. His hospital/clinic affiliations include St. John's Hospital, St. John Hospital and Medical Center, and St. John Macomb-Oakland Hospital. His education and training includes medical school at CETEC University School of Medicine and National University of Pedro Henriquez Urena and residency at Orlando Regional Medical Center. AARP, Cofinity, and Blue Cross/Blue Shield are among the insurance carriers that Dr. Weldon accepts.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Preventive Cardiology, Echocardiogram, Heart Problems, ... (Read more)

Dr. Anthony J Kawa, DO
Specializes in Adult Cardiology
46591 Romeo Plank Road; Suite 133
Macomb Township, MI
 

Dr. Anthony Kawa's area of specialization is adult cardiology. These areas are among his clinical interests: heart problems, bloodless medicine/transfusion-free surgery, and diagnostic cardiac catheterization. Amerigroup, Cofinity, and Blue Cross/Blue Shield are among the insurance carriers that Dr. Kawa honors. Dr. Kawa attended medical school at Michigan State University College of Osteopathic Medicine. His hospital/clinic affiliations include St. John's Hospital, St. John Hospital and Medical Center, and St. John Macomb-Oakland Hospital.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Echocardiogram, Non-Invasive Cardiology, Heart ... (Read more)

Dr. Gary B Langnas, DO
Specializes in General Internal Medicine, Geriatrics
44199 Dequinre; Suite 518
Madison Heights, MI
 

Dr. Gary Langnas' areas of specialization are general internal medicine and geriatrics (elderly care). His areas of clinical interest consist of diabetes, heart problems, and bloodless medicine/transfusion-free surgery. He is professionally affiliated with St. John Macomb-Oakland Hospital. Dr. Langnas attended medical school at Michigan State University College of Osteopathic Medicine and Michigan State University College of Human Medicine. His average patient rating is 3.5 stars out of 5. Dr. Langnas is an in-network provider for Cofinity, Blue Cross/Blue Shield, TRICARE, and more.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Hypertension, Heart Problems, Diabetes, X-Rays

Dr. Marc Oliver Gosselin, DO
Specializes in Adult Cardiology, Interventional Cardiology
46591 Romeo Plank Road; Suite 133
Macomb, MI
 

Dr. Marc Gosselin specializes in adult cardiology and interventional cardiology and practices in Saint Clair Shores, MI and Macomb, MI. Dr. Gosselin attended medical school at the University of New England, College of Osteopathic Medicine. For his residency, Dr. Gosselin trained at Henry Ford Hospital. He is especially interested in heart problems, bloodless medicine/transfusion-free surgery, and echocardiogram (echo). He honors Amerigroup, Cofinity, and Blue Cross/Blue Shield, as well as other insurance carriers. He is affiliated with St. John's Hospital, St. John Hospital and Medical Center, and St. John Macomb-Oakland Hospital.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Ultrasound, Echocardiogram, Heart Problems, Stress ... (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.

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