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Dr. J Roberts

Vascular Surgery
Gallatin, TN
28 years experience male

Locations

Office

Gallatin, TN

Address

Gallatin, TN
Directions

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Vascular Surgery

Licenses

United States: Washington

Languages spoken

English

Doctor Q&A

119 Answers
3 Agrees
The number of answers this doctor has agreed with.
A 29-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Low acidic: Bananas, kiwi, apples, .
A 50-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Low fat diet: When the ovaries no longer synthesize oestrogen, the peripheral lipocyte or fat cell creates e1---> e3. This "peripheral conversion" is a target for ... Read More
A 33-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Primarily breast ca: Fda approved for breast cancers that are er+. Off-label uses of Letrozole (trade name: femara) include ovarian stimulation (but can increase risks o... Read More
A 40-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Weeks to months: Depending on extent of embolization, clinical results may lag for several weeks to months... Repeat scrotal u/s will provide more information but wait... Read More
A 44-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
High fiber diet: Chronic constipation has many causes: hormonal, previous surgery, diet, neural input... Exercise and diet may militate against constipation. Avoid m... Read More
A 48-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No...: The class effect of imidazoles (miconazole) is interference of Coumadin (warfarin) metabolism, thus increasing the protime/inr--the measure of systemi... Read More
A 44-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No: This anemia is not from blood loss, rather it is due to B12 or folate (folic acid) deficiency. Long term (decades) complications of pa include both g... Read More
A 31-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Echo...: Echocardiogram annually... When > 5 cm or aortic valve regurgitation is severe, then a bentall procedure is the classic repair. Speak with a cardiolo... Read More
A 33-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Autosomal Dom.: Many genes code for this anomaly of sarcomere proteins: chr 14 in the beta-myosin heavy chain; protein c cardiac myosin. This error creates some degr... Read More
A 31-year-old female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Absolutely: The definition of pneumonia: leukocytosis (elevated white blood cell count), fever (> 101), sputum culture + and an infiltrate on cxr (pa/lateral). A... Read More
A 36-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Low or unrelated: Cyanocobalamin or vitamin B12 is important for normal erythrocyte formation (red blood cell). If b 12 is deficient, one gets pernicious anemia and th... Read More
A member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
GB: Diabetics get severe gallbladder disease, so loss of glycemic control (sugars high/low), then r uq abdominal sonogram and/or hida scan would be worthw... Read More
A 31-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
4 things: Tobacco, diabetes, hypertension & hyperlipidemia... Are the primary causative factors... Genetics is a distant secondary cause...
A 56-year-old female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No: The first three moieties are part of the urea cycle, which metabolizes ammonia to urea in both the liver and kidney. Safflower, used in chinese medic... Read More
A 43-year-old female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No, but...: Hyper-estrogenic states make one hyper coagulable. So, hrt such as prempro (conjugated estrogens and medroxyprogesterone) increases the tendency to c... Read More
A 59-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Lymphoedema: Make sure a venous reflux study precedes any sclerotherapy. If you have either superficial or deep venous reflux, sclerotherapy results will only be ... Read More
A 35-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No, but...: An ASD (v. Vsd) is much less associated w/ pulm HTN (> 50 mmhg). The degree of "shunting" through the defect needs to quantified via cardiac cathe... Read More
A 44-year-old female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Unlikely: Neurogenic bladder poses one to chronic uti. The angle of the urethra also plays a role. Pyridium (phenazopyridine) may be necessary to preclude fur... Read More
A 33-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Yes : Giant cell or temporal arteritis causes pain along the temple and can eventually lead to blindness, all the while leaving the skin itself appearing no... Read More
A 47-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
< 1 cm, yes: The size matters-- < 1 cm and ct may miss it. Ct w/ 3d reconstruction is markedly improved imaging technique, but this specific test needs to be r... Read More
A 39-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Parallel systems: Diseased arteries cause PVD (peripheral vasc ds.), venous disease causes leg edema, venous discoloration and non-painful ulcers; ulcers from PVD are p... Read More
A 37-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Anomaly: All vessels can take unusual shapes, twists and turns; an aneurysm specifically is any vessel that is 2 x its normal diameter... Ectasia and tortuosit... Read More
A 48-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Neuralgia ?: Femoral artery pain may be mistaken for femoral neuralgia. But if you've undergone an angiogram, the femoral artery may be dissected or have develope... Read More
A 39-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
CN 7, 9, 10: The sensory innervation of the pinna (or ear) is complex: cranial nerves 7, 9, 10 play a part. Given your otherwise neurological "intactness" except ... Read More
A 22-year-old female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Possible infection: Was dermabond applied to any/all incisions? If so, you could have a dermatitis reaction to it, though an allergy is uncommon. Otherwise, yes, you ma... Read More
A 49-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Congenital anomalies: Vascular anomalies, coupled with bad habits like tobacco use or latent diseases as hyperlipidemia or hypercoagulable states such as factor v leiden de... Read More
A 30-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Carotid v. Mitral : The carotid disease if stenosed (>80%) warrants surgical consideration as risk of stroke is increased. The mr, if miderate to severe, poses a risk ... Read More
A 41-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No, but...: Pneumoperitoneum is air in the abdomen, usu. From perforated ulcer or diverticulitis. Yet blowing into the vagina can too, so no harm but she may unde... Read More
A 34-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Possibly: Radiating pain to l arm and jaw (mandible) is referred pain from t1-3 spinal nerve roots; these same nerve roots innervate the heart. Not all chest p... Read More
A 31-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No: Varicose veins along the temple augur no intracranial disease disease such as aneurysms; it's most genetic and may develop due to superficial trauma.
A 61-year-old female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
CEA or nothing: Carotid stents are relatively contraindicated in > 80 yrs old; CEA (endarterectomy) is high risk but safe in competent hands. The risk of heart a... Read More
A 31-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Epididymitis: Signs/sxs appear to be epididymitis of the testis, or orchitis. You need a scrotal ultrasound and possibly antibiotics. An incarcerated inguinal her... Read More
A 31-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Vague question: You need t know the gradient across the stenosis. High gradients require valve replacement, as the left ventricle will begin to enlarge (hypertrophy)... Read More
A 55-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No... : Varicose veins cause leg swelling, pain, but not impotence per se. A varicocele, however, involves the testicular venous supply known as the pamp... Read More
A 42-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Any age: Most cerebral aneurysms are acquired from poorly controlled HTN (hypertension), but some are congenital... Think of errors in collagen metabolism, for... Read More
A 45-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
The worst headache..: A bleed in the brain, aka subarachnoid hemorrhage (sah), if it's not initially lethal is usually characterized as "the worst headache of one's life." ... Read More
A 18-year-old female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Typically chest pain: Angina pectoris (chest pain behind the sternum) is classic, but pain that radiates to left arm & neck/mandible can also occur. Dyspnea or extreme sho... Read More
A 46-year-old male asked:
Dr. J Roberts
Vascular Surgery 28 years experience
No: The exact "cause" of alzheimer's dementia is unknown. Excess beta-amyloid protein and excess aluminum in, say, dialysate solution (for those on dialy... Read More
A 38-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Ultrasound, not echo: Aortic ultrasound or sonogram is commonly used to diagnose aaa, abdominal aortic aneurysm. Echo is specifically used to assess the heart: valves, cha... Read More
A 31-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Birth defects: Clomid (clomiphene) & Femara both exert a stimulatory effect on ovarian ovulation. Both increase the risks of birth defects.
A 31-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
The yin/yang of diet: Gherlin, a peptide secreted by the fundus of the stomach, increases before meals and falls after meals; whereas leptin, produced by adipose cells, in... Read More
A 23-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Ovarian Ca: Taxol, (paclitaxel) from the yew tree, is primary for treatment of ovarian malignancy.
A 36-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
High-grade DCIS: This designation refers to high-grade ductal carcinoma in situ. The adhesion molecules cd31 and cd44 are increasing expressed in very malignant breas... Read More
A 34-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Bilateral mastectomy: Lpbular carcinoma in situ (lcis) itself is only a risk marker of disease and not itself a cancer diagnosis. The DX of lcis in, say, the right great r... Read More
A 34-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Steatorrhea: Alli impairs fat absorption by blocking the pancreatic enzyme lipase. Biliary disease, if there's excess bile in the intestine can cause steatorrhea ... Read More
A 42-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Possible DVT: Any gastric surgery enhances the risk of developing a dvt, deep venous thrombosis. If one has leg pain post-gastric bypass, a venous duplex ultrasoun... Read More
A 43-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Need MRI of spine: Lumbosacral neuralgia, or "back pain, " should be examined clinically, then assessed with imaging, namely mri. If one harbors a herniated disc, then ... Read More
A 31-year-old member asked:
Dr. J Roberts
Vascular Surgery 28 years experience
Hip arthritis: Degenerative hip arthritis (a variant of djd, degenerative joint disease) is common. Chronic standing stresses the hip joint with the femoral head in... Read More
A female asked:
Dr. J Roberts
Vascular Surgery 28 years experience
ERCP/sphincterotomy: Seek GI md for ercp--it's a endoscopic procedure. Either retained stones or ampullary stenosis. The latter is DX of exclusion...

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
225
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Roberts is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Roberts is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you so very much how long do you think I can go without surgery I own and work at my car detailing company
HealthTap member
Thank you, your answer was very helpful! Thank you I just stArted on Coumadin a few weeks ago . I'm not sure
HealthTap member
Your answer was very helpful, thanks! Don’t forget connective tissue & genetic disorders such as Marfans Syn

Education & Training

Medical/Graduate school

University of Louisville School of Medicine, KY
Graduated 1994MD

Awards

Top Vascular Surgeon , First Place, Tennessee - Winter
2013
Top Vascular Surgeon , First Place, National - Summer
2013

Affiliations

Alpha Omega Alpha
Fellow American College of Surgeons
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less