Encompass Healthcare and Wound Medicine

Outpatient IV Therapies

We Offer Outpatient IV Therapies For Infectious Diseases and Other Medical Problems, 7 Days a Week For Patients From All Over Metro Detroit.

IIntravenous (I.V.) administration for infectious diseases and other medical problems at Encompass HealthCare & Wound Medicine, West Bloomfield, Michigan

Intravenous (I.V.) administration for infectious diseases and other medical problems at Encompass HealthCare & Wound Medicine, West Bloomfield, Michigan


We treat all types of infectious diseases and infuse IV therapies for other purposes as well.

The infusion room at Encompass HealthCare in West Bloomfield is a convenient, comfortable and friendly place to receive your intravenous medications (IV antibiotics) for infectious diseases and other medical reasons for infusions. It is staffed by caring doctors and technicians who treat you like family and they are dedicated to providing you with the highest level of health care possible.

Encompass HealthCare is centrally located to serve Oakland, Wayne, Macomb and Washtenaw counties. We serve all cities in Oakland, Wayne, Washtenaw Counties (and more.)  Our patients come from Detroit, Ann Arbor, Grand Blanc, Flint, and everywhere in between.The following are some answers to common questions about IV therapy:

What is IV infusion therapy?  

IV infusion therapy is the intravenous administration of a specific medicine targeted at treating a specific medical problem. These medical problems usually involve infectious diseases and/or problems that can result from infectious diseases. We, however, also infuse other types of medicines for other types of medical problems. These include those who need parental (added) nutrition and other medical conditions such as arthritis, rheumatoid arthritis, psoriasis, osteoporosis. multiple sclerorsis, congestive heart failure, asthma and more. At Encompass HealthCare & Wound Medicine, we are equipped to handle all of these medical problems, right here in our in-office suite. For a fuller list of the I.V. antibiotic and other infusion list we offer, please click here. But keep in mind, this list is not exhaustive and Dr. Ruben is always willing to consider other alternatives and new drugs that have just come on to the market.

Should IV therapy be administered in a hospital?

Today, most medicines infused intravenously can administered in an outpatient setting. These settings include physician-supervised offices, patients’ homes and extended care facilities. By receiving your IV medications outside of a hospital, you avoid exposure to hospital-borne antibiotic-resistant germs and bacteria sometimes called “super bugs.”

At Encompass HealthCare, our physicians and nurses administer infusions seven days a week and maintain the Board of Pharmacy licensing to dispense IV medicines for home infusions. That flexibility allows us to make the best choice for the patient’s treatment setting and to successfully treat infectious diseases.

How is IV therapy performed? 

At Encompass HealthCare and Wound Medicine, we only use intravenous butterfly needles to avoid secondary infection

At Encompass HealthCare and Wound Medicine, we only use intravenous butterfly needles to avoid secondary infection

For most patients, a very small sterile butterfly needle is smoothly and easily inserted into a vein and remains in place for the duration of the intravenous infusion.  This lasts between 15 minutes and four hours depending on the specific medicine being infused. The butterfly needle is then removed. This method of infusion is the safest way to receive a medicine intravenously and to avoid potential complications such as phlebitis, blood infections and blood clots. In our 15 years of experience, we have never had any of those complications.

For some patients with difficult veins to access or those who will be getting infusions for an extended period of time, Dr. Ruben can place a small catheter called a “PICC line” intravenously. This catheter remains in place until the prescribed infusions are completed although we prefer to use butterfly needles because with butterflies, the infection risk from inserting the needle itself is almost zero.

What is it like to have infusion therapy at Encompass HealthCare?

Our IV suite is inviting, comfortable and pleasant. Patients are seated in a comfy recliner while one of our technicians performs the physician-supervised procedure. Soft drinks, coffee and light snacks are offered and cable TV is available for viewing. Appointment times are flexible.

Why should I choose Encompass HealthCare to receive my IV therapy?

First, a board-certified physician in Infectious Diseases is always on site in the unlikely event that an urgent medical condition arises related to an infusion, such as an allergic reaction. That physician is also available to intervene should any other medical emergency arise or to change prescriptions quickly. We believe this immediate contact with the doctor is extremely valuable in patient outcomes.

When might a home infusion program be more preferable?

There are several circumstances when a patient may elect to receive his IV therapy at home including geographical or time constraints; and patients who may not be ambulatory or have transportation issues.

What are some of the medical conditions that can improve with infusion therapy?

  • Diabetes
  • Acute and chronic infections
  • Psoriasis
  • Osteoporosis in post-menopausal women
  • Psoriatic arthritis
  • Rheumatoid arthritis
  • Multiple sclerosis
  • Emphysema due to alpha 1-antitrypsin deficiency
  • Immunoglobulin deficiency
  • Anemia (abnormally low hemoglobin) due to chemotherapy, chronic renal insufficiency or HIV
  • Neutropenia (abnormally low white blood cell count) due to chemotherapy or HIV
  • Growth hormone deficiency
  • Metastatic bone cancer
  • Congestive heart failure
  • Asthma
  • Migraine headaches.

Will my insurance cover infusion therapy?

Most insurance plans tend to cover infusion therapy in a physician’s office since it is prohibitively more expensive in a hospital.  When you call your insurance company to check on coverage, infusion therapy is also known in a benefit plan as “injection coverage.” You also want to verify with your benefits specialist that you have office visit coverage following your treatment at Encompass HealthCare. We participate with Blue Cross/Blue Shield, Medicare and various other insurance providers.  We also have a generous payment plan for out-of-network copays. We are also to help you check with your insurance company if you need assistance.

Are the medications listed and described above a complete list of those that can be administered at Encompass HealthCare?

No. The list simply includes the most commonly administered infusions at Encompass HealthCare. However, any medication approved for injection or infusion in the U.S. can be obtained and administered safely under the supervision of Encompass HealthCare physicians seven days a week.

The 5 things you should know about IV therapies at Encompass HealthCare:

This is an I.V. (intravenous) drip bag used for I.V. therapies at Encompass HealthCare & Wound Medicine, West Bloomfield, Michigan.

This is an I.V. (intravenous) drip bag used for I.V. therapies at Encompass HealthCare & Wound Medicine, West Bloomfield, Michigan.


  1. Your comfort during your infusion is our primary concern.
  2. We use tiny butterfly needles to keep the infusion process as painless as possible. Using butterfly needles also reduces the increased risk of infections associated with ports and peripherally inserted central catheters (PICC lines).
  3. During your infusion, we’ll be monitoring you closely for any adverse reactions to your medication.
  4. We’ll also monitor your I.V. drip rate continuously to make sure it’s not too fast or too slow.
  5. Beverages and snacks are complimentary and abundant. Enjoy!









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