We found 3 providers with an interest in bloodless medicine/transfusion-free surgery and who accept United Healthcare Silver HMO near Hermitage, PA.

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Hikmat ElKadi MD
Specializes in Neurosurgery
Average rating 4.24 stars out of 5 (701 ratings)
1005 Campus Circle
Hermitage, PA

Dr. Hikmat El-Kadi's area of specialization is neurosurgery. He studied medicine at Second Moscow State Medical Institute. Dr. El-Kadi's medical residency was performed at Allegheny General Hospital, Los Angeles County+USC Medical Center, and a hospital affiliated with West Virginia University. His clinical interests include bloodless medicine/transfusion-free surgery. The average patient rating for Dr. El-Kadi is 4.0 stars out of 5. Dr. El-Kadi is in-network for United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate, in addition to other insurance carriers. Dr. El-Kadi (or staff) speaks the following foreign languages: Arabic, French, and Russian. He is affiliated with UPMC Mercy, UPMC Horizon, and UPMC Presbyterian.

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Relevant Interests: , Bloodless Medicine/Transfusion-Free Surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Dr Robert P Edwards MD
Specializes in Gynecologic Oncology, Other
875 N. Hermitage Road
Hermitage, PA

Dr. Robert Edwards is a medical specialist in gynecologic oncology. Dr. Edwards has indicated that his clinical interests include bloodless medicine/transfusion-free surgery. He honors United Healthcare Platinum, United Healthcare Compass, United Healthcare Navigate, and more. He graduated from the University of Pittsburgh School of Medicine and then he performed his residency at the University of Pittsburgh Medical Center (UPMC). He is professionally affiliated with UPMC Shadyside, UPMC Hamot, and UPMC Mercy.

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Relevant Interests: , Bloodless Medicine/Transfusion-Free Surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Specializes in Plastic Surgery, Otolaryngology
Average rating 5.0 stars out of 5 (58 ratings)
875 N. Hermitage Road
Hermitage, PA

Dr. Sandeep Kathju is a physician who specializes in plastic surgery and otolaryngology (ear, nose, and throat). Dr. Kathju has indicated that his clinical interests include bloodless medicine/transfusion-free surgery. He is professionally affiliated with UPMC Horizon, UPMC McKeesport, and UPMC Presbyterian. He attended the University of Michigan Medical School and subsequently trained at Massachusetts Eye and Ear Infirmary and the University of Pittsburgh Medical Center (UPMC) for residency. Dr. Kathju's average patient rating is 5.0 stars out of 5. He accepts several insurance carriers, including United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate.

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Relevant Interests: , Bloodless Medicine/Transfusion-Free Surgery

All Interests: 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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