Is Rhinoplasty safe with type 1 Vonv Willebrand with no hematologist present? (photo)

I'm from MA &found the perfect ent in NJ to do my septorhinoplasty Have a MA hematologist who is a nervous person in general. Despite having a septoplsty in2006 &spine surgery2017with DDAVP(clot medicine)given by just the anesthesiologist no hema present. She wants me to hire a hematologist out ofpocket in NJ to be at the Ents private surgery office DURING the surgery.should I find a new hematologist w my insurance to get a different opinion/recommendation?How would you handle a VW patient?