Dr. Joseph Gemmete

Interventional Radiology
Ann Arbor, MI
30 years experience male

Locations

Office

Ann Arbor, MI

Address

UH B1D 328 1500 E Medical Center Dr, UH B1D 328, Ann Arbor, MI
Directions

University of Michigan Hospitals

Ann Arbor, MI

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.

Interventional Radiology

Languages spoken

English

Doctor Q&A

64 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Yes you can: You can perform a repeat uae in patients who have grown new fibroids since the procedure or in patients in which the fibroid was not completely infarc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Extremely low: The risk of a brain ct is extremely low. Radiation is utilized, however the dose you will receive is not enough to cause injury.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Joseph Gemmete
30 years experience
No: Sciatic is a peripheral neuropathy caused by compression on sciatic nerve. Carotid stenosis causes a TIA or stroke.
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old female asked:
Dr. Joseph Gemmete
30 years experience
Longer: Tipps procedure can last a along time provided as surveillance is performed. Two year patency with covered stent is about 76%, secondary patency is o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joseph Gemmete
30 years experience
See GI doctor: I would see your primary care doctor, who could then refer you to a GI doctor. Symptoms are probably not relate to fibroids.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Joseph Gemmete
30 years experience
See a doctor: Low blood pressure can cause a headache or dizziness. I would see your doctor to make sure you have the correct blood pressure medications.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Joseph Gemmete
30 years experience
DVT: Main risks are either deep venous thrombus or skin breakdown at the injection site.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Depends: Treatment options include radiation, embolization, and surgery. The rate of rupture for an asymptomatic avm is relatively low less than 2%/yr. If the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Nothing: Carotid endarterectomy is very safe in experienced hands that is why it is important to go to a center with a large volume. A majority of the stent/e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 82-year-old female asked:
Dr. Joseph Gemmete
30 years experience
Would not treat: 39% stenosis would not treat with cas or endarterectomy. Modify risk factors of htn, lipids, diabetes, smoking, inactive lifestyle, etc. Lipid meds ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Tangle of vessels: On imaging angiogram, ct, MRI there is an abnormal tangle/nidus of blood vessels.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Compression: Best way to prevent varicose veins is to limit the amount of standing, and to wear compression stockings.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. Joseph Gemmete
30 years experience
Depends on narrowing: If the carotid artery is completely blocked, there is no proven treatment. Eca/ica bypass study did not show efficacy. If the patient is symptomatic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Joseph Gemmete
30 years experience
Steps of CAS: 1. Conscious sedation 2. Puncture radial or femoral artery 3. Placement of catheter into common carotid artery with angiogram 4. Placement of dist... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Compression: Apply compression over area. If skin breakdown treat accordingly, maintain hydration, may take alcohol solutions 8 weeks to see full effect of treatme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Numerous: A useful tool in assessing the peripheral vasculature is the ankle-brachial index (abi). Another test that the physician can use is segmental plethys... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Plaque in legs: Peripheral vascular disease (pvd), also known as peripheral arterial occlusive disease (paod) or arteriosclerosis obliterans, refers to occlusion or s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Yes: I have performed many. Usually done for acute compression fractures less than 6- 8 weeks old and cancer involving the vertebral body which is very pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Joseph Gemmete
30 years experience
No: It is not uncommon for people to have veins showing in their hands.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Yes: Depending on the size of the stones, they can can obstruction of drainage of the urine, and worst case scenario end-stage renal disease.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Joseph Gemmete
30 years experience
No: Carotid stent placement does not clean out existing plaque. It pushes it against the vessel wall trapping it with the stent.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Stay healthy: Keep your risk factors for atherosclerosis under control (i.e. Genetic profile), htn, lipids, diabetes, sedentary lifestyle, eat appropriate foods, et... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Yes: Very low risk procedure in an osteoporotic compression fracture. Risk is slightly higher for metastatic disease to the vertebral body, since cement i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Sting warm sensation: Bee sting when numb groin to access artery. Warm sensation when inject x-ray dye. Pressure on groin when obtain hemostasis at puncture site.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Joseph Gemmete
30 years experience
Promote: Sclerotherapy promotes thrombosis of the veins by damaging the endothelial cells with the sclerotherapy agent.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Embolization person: I would see the doctor who performed the embolization procedure. They would be best to determine if it was related to the procedure.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Depends: It depends on the location, number, and size of the fibroids, and whether or not you want to become pregnant.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joseph Gemmete
30 years experience
Equivalent: Both procedure have the same efficacy. Some believe you can get some vertebral body height restoration with kyphoplasty. I have not seen this. The n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Joseph Gemmete
30 years experience
No minimum: I have performed sclerotherapy on infants to adults in there 9th decade.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Laser/sclerotherapy: They can be improved with pulse dye laser or sclerotherapy.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Joseph Gemmete
30 years experience
All types: Academic and community hospitals perform endarterectomy and carotid stent placement.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Many tests: Doctor will usually start with ultrasound-ankle brachial index followed by segmental pressures, then maybe a cta/mra, with the last test an angiogram.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Multiple: Main treatment is modifying risk factors htn, lipids, smoking, diabetes, inactive lifestyle, antiplatelet therapy, etc. For acute stroke IV tpa (altep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Great procedure: Minimally invasive procedure for fibroids. 23 hr stay in hospital or outpatient procedure. Expect fibroids and uterus to shrink 40% by volume. Improve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Joseph Gemmete
30 years experience
None: No connection, between poison and cerebral aneurysm.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Risks: 1. Family history 2. Smoking 3. Hypertension if two sibling in a family have an aneurysm then all brothers and sisters should be screened.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Joseph Gemmete
30 years experience
No: Risk factors for development of cerebral aneurysm are family history, smoking, and hypertension. If two siblings have a cerebral aneurysm then other s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Joseph Gemmete
30 years experience
UAE/hysterectomy: Options are uterine artery embolization or a hysterectomy.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Joseph Gemmete
30 years experience
Yes: I personally would take my films to an interventional radiologist who is trained in the interpretation of imaging and also has been trained in perform... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Joseph Gemmete
30 years experience
Location in uterus: Fibroids can be classified as submucosal, intramural, and subserosal. They can also be further classified as fundal, in the anterior or posterior uter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old female asked:
Dr. Joseph Gemmete
30 years experience
Liver disease: Procedure where doctor places a shunt in the liver from the inside through a small needle stick. Useful for patients with portal hypertension related... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Joseph Gemmete
30 years experience
Headache: Most come sign is headache, which gets worse while standing throughout the day, and then goes away when the patient is recumbent. Patients can progre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Joseph Gemmete
30 years experience
Ultrasound: Ultrasound will be able to determine size, but not show if it is preventing ovulation.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Joseph Gemmete
30 years experience
O2 sat: Depends on the patients oxygen saturation, normal saturation is greater than 94%, however chd patients can compensate for lower values.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Joseph Gemmete
30 years experience
UAE: Uae probably safer since done under conscious sedation vs general anesthesia, no risk to ureter, bladder, or bowel.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Mess: Controlling HTN with meds, , lipid control with meds, diabetes control, smoking cessation, anti platelet therapy, becoming active, eating a well balan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Shunting blood: The avm is probably shunting blood from that region of your brain. Grade 4 avms are difficult to treat, morbidity and mortality from surgical resecti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Joseph Gemmete
30 years experience
High volume center: I would have the procedure performed at a high center. The number of procedures an operator has performed is directly related to outcome.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Varies: Some patients have minimal pain, others can have significant pain similar to child birth. Fortunately this can be controlled with minimal discomfort ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Joseph Gemmete
30 years experience
Many: Many veins can be done at one time. The operator is limited by the amount of sclerosant he can inject based on body weight. %3 sodium tetradecyl max d... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
94
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Gemmete is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gemmete is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thanks. But what's the cure doc to my RENAL PARENCHYMAL DISEASE? Thank you.
HealthTap member
I appreciate you for taking some time to review my questions and answer them
HealthTap member
Thanks that was the bottom-line answer I was seeking.

Education & Training

Medical/Graduate school

Wayne State University School of Medicine, MI
Graduated 1993MD

Awards

Top Interventional Radiologist, First Place, Michigan - Winter
2013
Top Interventional Radiologist, Third Place, National - Summer
2013
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