We found 8 providers with an interest in bloodless medicine/transfusion-free surgery and who accept Blue Cross Blue Shield Bronze HMO near Houston, TX.

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Specializes in Obstetrics, Gynecology
1200 Binz Street; Suite 1100
Houston, TX
 

Dr. Isam Balat, who practices in Houston, TX, is a medical specialist in obstetrics and gynecology. He studied medicine at the University of Texas Southwestern Medical School, the University of Texas Medical Branch School of Medicine, and the University of Texas Medical School at Houston. He trained at Memorial Hermann, a hospital affiliated with the University of Texas Health Science Center at Houston, and a hospital affiliated with the University of Texas Medical Branch at Galveston for residency. Dr. Balat's areas of expertise include vaginal birth after cesarean (VBAC), infertility, and endometriosis. Patients rated him highly, giving him an average of 4.5 stars out of 5. He takes Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, and Amerigroup Star, as well as other insurance carriers. Dr. Balat (or staff) speaks Arabic and Spanish. Dr. Balat's professional affiliations include Texas Children’s Hospital, Houston Methodist, and Park Plaza Hospital. His practice is open to new patients.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Vaginal Birth after Cesarean, Surgical Procedures, Laparoscopically Assisted Vaginal Hysterectomy, ... (Read more)

Specializes in Surgical Oncology, Adult Hematology, Adult Oncology
6565 Fannin Street
Houston, TX
 

Dr. Charles Manner is a surgical oncologist, adult hematologist, and adult oncologist in Houston, TX. He speaks Spanish. These areas are among Dr. Manner's clinical interests: anemia, colon cancer, and bone marrow aspiration. His professional affiliations include Houston Methodist, Park Plaza Hospital, and St. Joseph Medical Center (Houston). Dr. Manner attended medical school at the University of Maryland School of Medicine. His residency was performed at a hospital affiliated with the University of Texas Health Science Center at Houston. Patient reviews placed him at an average of 3.5 stars out of 5. Dr. Manner accepts Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, Blue Cross Blue Shield Gold, and more. He has received the distinction of Texas Super Doctors. He has an open panel.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bone Marrow Aspiration, Sickle Cell Disease, Colon Cancer, Surgical Procedures, Leukemia, Lymphoma, ... (Read more)

Dr. Randolph Warren Evans, MD
Specializes in Neurology
1200 Binz, Suite 1370; Plaza Medical Center
Houston, TX
 

Dr. Randolph Evans is a neurologist. Dr. Evans has a 3.5 out of 5 star average patient rating. Clinical interests for Dr. Evans include back pain, multiple sclerosis (MS), and neck pain. He is affiliated with Houston Methodist and Park Plaza Hospital. Dr. Evans takes Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, and Blue Cross Blue Shield Gold, as well as other insurance carriers. His practice is open to new patients. He attended Baylor College of Medicine and then went on to complete his residency at a hospital affiliated with Baylor College of Medicine. Dr. Evans has received the distinction of Texas Super Doctors. He is conversant in Spanish.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Neck Pain, Surgical Procedures, Electroencephalography, Back Pain, Bloodless ... (Read more)

Dr. Juan R Stern, MD
Specializes in Urology
1213 Hermann Drive; Suite 720
Houston, TX
 

Dr. Juan Stern sees patients in Houston, TX. His medical specialty is urology (urinary tract disease). He has a 4.0 out of 5 star average patient rating. Areas of expertise for Dr. Stern include cancer. Dr. Stern takes Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, Amerigroup Star, and more. Before completing his residency at The University of Texas MD Anderson Cancer Center, St. Joseph Medical Center, Houston, and a hospital affiliated with the University of Texas Health Science Center at Houston, Dr. Stern attended medical school at National Autonomous University of Mexico (UNAM) Faculty of Medicine. Dr. Stern is conversant in Spanish. He is professionally affiliated with Park Plaza Hospital, Memorial Hermann, and St. Joseph Medical Center (Houston).

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Urologic Cancer, Surgical Procedures, Cancer, Bloodless Medicine/Transfusion-Free Surgery, ... (Read more)

Dr. Binh Thai Nguyen, MD
Specializes in Adult Nephrology
1415 La Concha Lane
Houston, TX
 

Dr. Binh Nguyen specializes in adult nephrology. He has a special interest in kidney stones and hypertension (high blood pressure). His hospital/clinic affiliations include Cypress Fairbanks Medical Center Hospital, Tomball Regional Medical Center, and Memorial Hermann The Woodlands Hospital. Dr. Nguyen is in-network for Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, and Amerigroup Star, in addition to other insurance carriers. After attending Eastern Virginia Medical School, he completed his residency training at a hospital affiliated with the University of North Carolina (UNC). He is conversant in Vietnamese.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Kidney Stones, Hypertension, Surgical Procedures, Bloodless Medicine/Transfusion-Free Surgery

Specializes in Adult Gastroenterology, Other
1213 Hermann Drive; #420
Houston, TX
 

Dr. John Clemmons specializes in adult gastroenterology. Dr. Clemmons's patients gave him an average rating of 4.5 out of 5 stars. He is an in-network provider for several insurance carriers, including Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, and Blue Cross Blue Shield Gold. Before completing his residency at a hospital affiliated with Emory University, Dr. Clemmons attended medical school at Howard University College of Medicine. Dr. Clemmons has received the distinction of Texas Super Doctors. His professional affiliations include Park Plaza Hospital and St. Joseph Medical Center (Houston).

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Surgical Procedures, Bloodless Medicine/Transfusion-Free Surgery

Specializes in General Gynecology
1200 Binz Street; Suite 1195
Houston, TX
 

Dr. Juan Serrano is a physician who specializes in general gynecology. The average patient rating for Dr. Serrano is 2.0 stars out of 5. Areas of expertise for Dr. Serrano include pelvic floor repair. He takes Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, and Blue Cross Blue Shield Gold, as well as other insurance carriers. He studied medicine at National University of San Marcos. He is conversant in Spanish. Dr. Serrano is professionally affiliated with Park Plaza Hospital.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery, Surgical Procedures, Pelvic Floor Repair

Specializes in Adult Hematology, Adult Oncology
3304 Milam; Suite A
Houston, TX
 

Dr. James Cao's areas of specialization are adult hematology and adult oncology; he sees patients in Houston, TX. He is professionally affiliated with Park Plaza Hospital. Dr. Cao accepts several insurance carriers, including Blue Cross Blue Shield Bronze, Blue Cross Blue Shield HMO, and Blue Cross Blue Shield Gold. He studied medicine at Ho Chi Minh City University of Medicine and Pharmacy. Dr. Cao (or staff) speaks the following foreign languages: Vietnamese and French.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Surgical Procedures, Bloodless Medicine/Transfusion-Free Surgery

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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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