We found 4 providers with an interest in bloodless medicine/transfusion-free surgery and who accept United Healthcare Compass HMO near Monroeville, PA.

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Dr. Michael S. Makaroun MD
Specializes in Vascular Surgery, Other
average rating 4.8 stars (119 ratings)
400 Oxford Drive; Suite G-75
Monroeville, PA
 

Dr. Michel Makaroun is a physician who specializes in vascular surgery. Dr. Makaroun is rated highly by his patients. He has indicated that his clinical interests include bloodless medicine/transfusion-free surgery. He is an in-network provider for United Healthcare Platinum, United Healthcare Compass, United Healthcare Navigate, and more. After attending American University of Beirut Faculty of Medicine for medical school, Dr. Makaroun completed his residency training at American University of Beirut Medical Center and the University of Pittsburgh Medical Center (UPMC). Dr. Makaroun (or staff) speaks Lebanese, Arabic, and French. He is professionally affiliated with UPMC East, UPMC Shadyside, and UPMC Mercy.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Hikmat El-Kadi MD
Specializes in Neurosurgery
average rating 4.24 stars (701 ratings)
600 Oxford Drive
Monroeville, PA
 

Dr. Hikmat El-Kadi is a medical specialist in neurosurgery. The average patient rating for Dr. El-Kadi is 4.0 stars out of 5. In Dr. El-Kadi's practice, he is particularly interested in bloodless medicine/transfusion-free surgery. His hospital/clinic affiliations include UPMC Mercy, UPMC Horizon, and UPMC Presbyterian. He honors United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate, in addition to other insurance carriers. Dr. El-Kadi attended medical school at Second Moscow State Medical Institute. For his professional training, Dr. El-Kadi completed residency programs at Allegheny General Hospital, Los Angeles County+USC Medical Center, and a hospital affiliated with West Virginia University. Dr. El-Kadi (or staff) speaks Arabic, French, and Russian.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Vincent J. Miele MD
Specializes in Neurosurgery
average rating 4.8 stars (260 ratings)
600 Oxford Drive
Monroeville, PA
 

Dr. Vincent Miele is a specialist in neurosurgery. He has indicated that his clinical interests include bloodless medicine/transfusion-free surgery. Patients gave him an average rating of 5.0 stars out of 5. United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate are among the insurance carriers that Dr. Miele honors. After completing medical school at West Virginia University School of Medicine, he performed his residency at a hospital affiliated with West Virginia University. Dr. Miele is professionally affiliated with UPMC Shadyside, UPMC Mercy, and UPMC Presbyterian.

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Relevant Interests: , bloodless medicine/transfusion-free surgery

All Interests: Bloodless Medicine/Transfusion-Free Surgery

Dr. Steven R. Abo MD
Specializes in Gastroenterology, Other, Internal Medicine
average rating 4.67 stars (132 ratings)
125 Daugherty Drive; Suite 200
Monroeville, PA
 

Dr. Steven Abo is a gastroenterology (digestive system) specialist. Dr. Abo's clinical interests encompass bloodless medicine/transfusion-free surgery. He is affiliated with UPMC Monroeville Surgery Center, Magee-Womens Hospital of UPMC, and UPMC South Surgery Center. After attending Albert Einstein College of Medicine of Yeshiva University for medical school, he completed his residency training at a hospital affiliated with Columbia University. Dr. Abo is rated highly by his patients. He is an in-network provider for United Healthcare Platinum, United Healthcare Compass, and United Healthcare Navigate, as well as other insurance carriers.

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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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