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Dr. Bhanuprasad Dwarkadas Sandesara, MD

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Specializes in: Internal Medicine (Adult Medicine) and Geriatrics (Elderly Care)

B.J. Medical College, Ahmedabad (1978 - 1981)

Professional interests include: stroke, cerebrovascular disease, dementia, and more.

4197 NW 86TH TERRACE
Gainesville, FL 32606

(352) 265-0615

Dr. Bhanuprasad Dwarkadas Sandesara, MD is an internist in Gainesville, FL specializing in internal medicine (adult medicine) and geriatrics (elderly care). He graduated from B.J. Medical College, Ahmedabad in 1981 and has 44 years of experience. Dr. Bhanuprasad Dwarkadas Sandesara, MD is affiliated with UF Health and FLORIDA CLINICAL PRACTICE ASSOCIATION INC.

Office Locations

Address:

4197 NW 86TH TERRACE
Gainesville, FL 32606

Some issues Dr. Bhanuprasad Dwarkadas Sandesara, MD can help you with:

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

In The News

“"When an older patient comes by themself, if they need help, the valet will call our clinic, and someone will come down and take the patient up," said Dr. Bhanuprasad Sandesara, division chief of...”—"Health care facilities are difficult to navigate for older adults", KevinMD, September 2019

“"When an older patient comes by themself, if they need help, the valet will call our clinic and someone will come down and take the patient up," said Dr. Bhanuprasad Sandesara, division chief of...”—"In search of age-friendly health care facilities: There's plenty of room for improvement", Chicago Sun-Times, September 2019

doctor visit	656
ear procedures	24
nursing home care	551
preventive care	37
vaccines	37

**Gender**
Male	190
Female	287

**Ethnicity**
Non-Hispanic White	411
Black	38
Hispanic	15
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	160
From 75 to 84	174
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	64
Stroke	10
Ischemic Heart Disease	38
Depression	27
Chronic Kidney Disease	32
Asthma	6
Osteoperosis	16
Atrial Fibrilation	16
Heart Failure	25
Chronic Obstructive Pulmonary Disease	13
Diabetes	26
Dementia	27
Cancer	10

doctor visit	723
ear procedures	19
nursing home care	837
preventive care	49
vaccines	49

**Gender**
Male	175
Female	272

**Ethnicity**
Non-Hispanic White	383
Black	36
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	155
From 75 to 84	152
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	61
Stroke	9
Ischemic Heart Disease	41
Depression	26
Chronic Kidney Disease	31
Asthma	6
Osteoperosis	15
Atrial Fibrilation	17
Heart Failure	27
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	28
Cancer	13

doctor visit	644
nursing home care	702
preventive care	199
vaccines	199

**Gender**
Male	314
Female	434

**Ethnicity**
Non-Hispanic White	624
Black	88
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	266
From 75 to 84	254
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	60
Stroke	12
Ischemic Heart Disease	39
Depression	30
Chronic Kidney Disease	34
Asthma	11
Osteoperosis	17
Atrial Fibrilation	16
Heart Failure	27
Chronic Obstructive Pulmonary Disease	15
Diabetes	29
Dementia	29
Cancer	16

doctor visit	429
ear procedures	19
nursing home care	296
preventive care	123
vaccines	123

**Gender**
Male	177
Female	216

**Ethnicity**
Non-Hispanic White	308
Black	56
Hispanic	17
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	154
From 75 to 84	146
85 and over	64
Less than 65	29

Hypertension	75
High Cholesterol	55
Stroke	9
Ischemic Heart Disease	41
Depression	32
Chronic Kidney Disease	40
Asthma	22
Osteoperosis	13
Atrial Fibrilation	10
Heart Failure	29
Chronic Obstructive Pulmonary Disease	20
Diabetes	33
Dementia	30
Cancer	11

doctor visit	514
ear procedures	26
nursing home care	346
preventive care	123
vaccines	123

**Gender**
Male	137
Female	194

**Ethnicity**
Non-Hispanic White	259
Black	50
Hispanic	11
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	117
From 75 to 84	134
85 and over	64
Less than 65	16

Hypertension	75
High Cholesterol	62
Stroke	11
Ischemic Heart Disease	38
Depression	31
Chronic Kidney Disease	41
Asthma	9
Osteoperosis	15
Atrial Fibrilation	11
Heart Failure	25
Chronic Obstructive Pulmonary Disease	19
Diabetes	32
Dementia	30
Cancer	12

doctor visit	575
nursing home care	253
preventive care	87
vaccines	87

**Gender**
Male	136
Female	180

**Ethnicity**
Non-Hispanic White	258
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	127
85 and over	67
Less than 65	16

Hypertension	75
High Cholesterol	68
Stroke	12
Ischemic Heart Disease	39
Depression	35
Chronic Kidney Disease	39
Asthma	5
Osteoperosis	16
Atrial Fibrilation	12
Heart Failure	24
Chronic Obstructive Pulmonary Disease	21
Diabetes	33
Dementia	30
Cancer	12

blood draw	182
doctor visit	489
nursing home care	293
preventive care	19
vaccines	19

**Gender**
Male	126
Female	159

**Ethnicity**
Non-Hispanic White	222
Black	46
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	91
From 75 to 84	127
85 and over	50
Less than 65	17

Hypertension	75
High Cholesterol	73
Stroke	9
Ischemic Heart Disease	42
Depression	45
Chronic Kidney Disease	44
Asthma	8
Osteoperosis	15
Atrial Fibrilation	12
Heart Failure	31
Chronic Obstructive Pulmonary Disease	26
Diabetes	37
Dementia	37
Cancer	12

blood draw	172
doctor visit	351
nursing home care	425
preventive care	27
vaccines	27

**Gender**
Male	143
Female	190

**Ethnicity**
Non-Hispanic White	261
Black	50
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	138
85 and over	86
Less than 65	12

Hypertension	75
High Cholesterol	69
Stroke	11
Ischemic Heart Disease	45
Depression	47
Chronic Kidney Disease	50
Asthma	8
Osteoperosis	15
Atrial Fibrilation	11
Heart Failure	31
Chronic Obstructive Pulmonary Disease	21
Diabetes	34
Dementia	39
Cancer	12

blood draw	345
doctor visit	846
hospital care	239
inpatient care	239
nursing home care	320
preventive care	103
vaccines	103

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Bhanuprasad Dwarkadas Sandesara, MD for Medicare patients.

The highest averages for the top procedures that Dr. Bhanuprasad Dwarkadas Sandesara, MD treated as an internist in Gainesville, FL were nursing home care, hospital care, inpatient care and blood draw.

blood draw	233
doctor visit	582
ear procedures	22
hospital care	239
inpatient care	239
nursing home care	447
preventive care	87
vaccines	87

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Bhanuprasad Dwarkadas Sandesara, MD.

**Gender**
Female	193
Male	139

**Ethnicity**
Black / African American	40
Asian / Pacific Islander	0
Non-Hispanic White	272
Native American / Alaskan Native	0
Hispanic	5
Other	0

**Age**
85 and over	33
75 to 84	125
Less than 65	9
65 to 74	114

Average of Total of Conditions of Medicare patients treated by Dr. Bhanuprasad Dwarkadas Sandesara, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Bhanuprasad Dwarkadas Sandesara, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	51
Stroke	8
Ischemic Heart Disease	32
Depression	27
Chronic Kidney Disease	31
Asthma	7
Osteoporosis	12
Heart Failure	21
Chronic Obstructive Pulmonary Disease	14
Diabetes	25
Atrial Fibrillation	10
Dementia	25
Cancer	9

Education & Training

Dr. Bhanuprasad Dwarkadas Sandesara, MD graduated from B.J. Medical College, Ahmedabad in 1981. He completed residency at Forest Park Hospital. He is certified by the American Board of Internal Medicine and has a state license in Florida.

Medical School: B.J. Medical College, Ahmedabad (1981)

Residency: Forest Park Hospital (2007)

Board Certification: American Board of Internal Medicine

Licensed In: Florida

Affiliations & Hospitals

Dr. Bhanuprasad Dwarkadas Sandesara, MD is associated with these hospitals and organizations:

UF Health

FLORIDA CLINICAL PRACTICE ASSOCIATION INC

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General Payments

These charts describe general payments received by Dr. Bhanuprasad Dwarkadas Sandesara, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Sunovion Pharmaceuticals Inc.	$122 APTIOM $61	Brovana $61
Janssen Pharmaceuticals, Inc	$83 XARELTO $83
Lundbeck LLC	$83 NORTHERA $83
Avanir Pharmaceuticals, Inc.	$78 Nuedexta $78
SANOFI PASTEUR INC.	$58 FLUZONE HIGH-DOSE $58
Other	$63 LOKELMA $50	NUPLAZID $13

**Types of Payments**
Food and Beverage	$487

Biography

Dr. Bhanuprasad Sandesara specializes in geriatrics (elderly care) and practices in Gainesville, FL. Areas of expertise for Dr. Sandesara include heart failure, stroke, and polypharmacy. His education and training includes medical school at B.J. Medical College, Ahmedabad and residency at Forest Park Hospital. He is professionally affiliated with UF Health. He has an open panel in Gainesville, FL according to Doctor.com.