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Dr. Robert Roschmann

Internal Medicine - Rheumatology
MI
47 years experience male

Locations

Office

About

Bio

Board Certified in Internal Medicine and Rheumatology. Hobbies and interests have included ceramics, silver-glass jewelry making, motorcycle, biking, Tai Chi, sailing, RC airplanes, skiing.

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.

Internal Medicine - Rheumatology

Rheumatology

Languages spoken

English

Doctor Q&A

130 Answers
32 Agrees
The number of answers this doctor has agreed with.
A 45-year-old member asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Paraproteinemia: The Sed Rate often goes up if there is inflammation somewhere in the body but it can also go up if lymphocytes are producing excessive protein (calle... Read More
A 17-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
US giuded Rx: The iliopsoas tendon/bursa can be difficult areas to treat. Although you say you had "steroid" therapy did you ever have an ultrasound guided injectio... Read More
A 58-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Doubtful unless...: Undifferentiated Connective Tissue Disorders (UCTD) should not affect the propensity to sweat. If, however, you are using steroid therapy (such as pre... Read More
A 29-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
A Personal opinion: I was involved in phase 3 studies RE: efficacy IN ADULTS of "biological" TNF agents of which Enbrel (etanercept) was the first. Impression = that TNF ... Read More
A female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Lumpy or flat?: If you have areas of hair loss with lumpy areas (or scar like tissue) in the region of hair loss, you may have an autoimmune skin condition called "di... Read More
A 26-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Possible but....: What you are referring to is called a "remission" which can be drug induced (I see you are on Enbrel (etanercept) Rx which can result in a medication ... Read More
A 45-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Need more info : You mention you have a "reactive arthritis". That term is often used if there is an arthritis reaction to an infection. Other than cellulitis have you... Read More
A 25-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
It depends on....: It depends on the severity of inflammation that is present. If you're talking about the type of inflammation that you might see from an insect bite or... Read More
A 25-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
No and No: "Dehydration" of the disc material refers more to changes in the collagen content of the disc. Fasting will not aggravate this type of "dehydration" ... Read More
A 26-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Yes: In ~ 40% of people with bona fide Rheumatoid Arthritis (RA) the RHEUMATOID FACOR (RF) test will never be positive. Non specific tests that measure inf... Read More
A 64-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Levothyroxine: If only a part of the thyroid gland was removed then unlikely to see side effects. If entire gland removed you will need to be on thyroid replacement ... Read More
A 52-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Unlikely: It would be rather unusual to see swelling in your leg because of compression of a nerve in your back. Is their swelling your calf? If so, that would ... Read More
A 25-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Some thoughts: I have seen hundreds of people on Methotrexate for their rheumatoid arthritis and then I agree that hair loss is a bothersome side effects. Nonetheles... Read More
A 32-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Yes, can see....: In Rheumatoid arthritis even on a conventional chest x-ray you can see changes that have reported with rheumatoid arthritis. These changes include... Read More
A 40-year-old member asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Close follow up!: Arnold Chiari 1 occurs when part of the brain (cerebellum) presses into the opening at the base of the skull. The future depends more on what what you... Read More
A 33-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Possibly: Sjogren's can be associated with a peripheral neuropathy whereas Sarcoidosis could actually involve the nerve roots at the spinal cord level (some of ... Read More
A 23-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
May represent ....: A statistical anomaly. ~ 1 out of every 20 lab tests may be above/below the famous "Bell Curve" that describes statistical variability. In addition, y... Read More
A 48-year-old member asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
No: There is a study that followed people who cracked their knuckles daily for 20 years vs people who didn't crack their knuckles. Serial x-rays of their ... Read More
A 35-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Probably: Given your age, about 70% of all cases of acute back pain are self limited and due to "myofascial" irritation/strain. Sometimes sneezing can aggravate... Read More
A 63-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Correlation needed: It is not clear from your description if the radiculopathy is brand-new or if it's associated with old symptomatology. The MRI suggests that there may... Read More
A 35-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Anti phospholipid : The neurologist may be screening you for condition called anti-phospholipid syndrome. In this condition the most common manifestation would be a prop... Read More
A 53-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
MTX & ROIDS: Typically a combination therapy with steroids in the form of Prednisone and a drug call Methotrexate is usually started at the same time. A decrease i... Read More
A 37-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Tinea: A picture truly is worth 1000 words. In this situation without actually seeing the patches it can be hard to make a diagnosis but if your daughter ha... Read More
A 30-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Effusion: It sounds like you have a knee effusion. An effusion is a collection of fluid within the knee joint. It increased the pressure within the joint. As y... Read More
A 24-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Possibly RA: This CRP measures inflammation and can be elevated if there has been a recent infection or even surgery. You didn't mention when the abortion was. ... Read More
A 21-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Possibly: The median nerve primarily controls the first 3 fingers whereas the ulnar controls the 4th ( ring finger) and the 5th ( pinkie ) digit. Depending on t... Read More
A 53-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Overall good: The overall picture you're describing is one of progressive albeit slow improvement. The flutters and slight ear pain is not a good news or bad news; ... Read More
A 33-year-old member asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Alternative Therapy: Ayurvedic therapy (sometimes called alternative Rx) can be traced back to its origins in India with foundations in Hinduism and Buddhism. There are di... Read More
A 37-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Ignore: Artificial joint fluid injections may help delay the need for knee joint replacement. Ask your MD...
A 37-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Ignore: If a knee joint flares, rest the joint/do daily stretching; when better, restart low impact aerobics.
A 38-year-old member asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
May cause: Muscle cramps can occur with Ethosuximide but it's not very common. Occasionally it can result in an auto immune type disorder so if you have muscle p... Read More
A 37-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Ignore: Emotional stress can increase Raynaud's. Learning the technique of mediation breathing can help!
A 36-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Muscle atrophy: The astronauts had the same issue. You haven't been using your muscles for ~ three months and you probably have some loss of muscle mass (called atro... Read More
A 24-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Consider gallbladder: Recurrent episodes of inflammation of the gallbladder can be associated with gallbladder stones that block the normal passage of bile, which in turn, ... Read More
A 31-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
"Borderline"????: I am not quite sure what the term "borderline" means. Some people with symptoms may have incomplete criteria for lupus and are therefore Lupus "suspec... Read More
A 62-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Depends on lungs: It sounds like you have an overlap syndrome with an inflammatory arthritis as well as inflammation of your muscles and lungs. In this situation my exp... Read More
A 47-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Possible Heberden's: Women are more likely to get a certain type of osteoarthritis of their hands when compared to men. Typically this involves the set of joints that the ... Read More
A 39-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Unusual: Gastroparesis is more typically seen when there is a autonomic neuropathy condition as can be seen in diabetes. Connective tissue disorders on occasio... Read More
A 49-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Short term: Yes, the Medrol (methylprednisolone) Dosepak contains the steroid prednisone. There could be some retention of salt and water by your body that might... Read More
A 58-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Not normal : There are people with new knee replacements who do complete triathlons successfully. Although a person may have knee pain (even without a joint rep... Read More
A 37-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Ignore: It takes about 8 - 12 weeks for a spine fracture to heal. Rx can decrease further fracture risk.
A 27-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Referred Pain : The sensation of "sharp/stabbing " pain may be a PARASTHESIA symptom often associated with nerve irritation/ inflammation/compression. However, I not... Read More
A 30-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Do not interrupt Rx: Imfliximab can markedly reduce the symptoms of CD in many people. If you begin noticing improvements of CD then Imfliximab should be continued on a re... Read More
A 56-year-old male asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Esophagitis : You did mention in your history that you have acid reflux. There is a muscular valve in between the bottom of your esophagus and your stomach. If the ... Read More
A 18-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Many mimicks: The symptoms you describe may be a reflection of fibromyalgia (FM) but there are many conditions that mimick FM and are treated very differently. Fo... Read More
A 54-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Even odds: These are all members of the NSAID family. They all have about the same potential for side effects such as stomach irritation or possibly some salt an... Read More
A 57-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Probably : Commonly used "muscle relaxants" include cyclobenzaprine (flexaril) or benzodiazepams (Valium - Xanax (alprazolam) drugs). None of these should resul... Read More
A 31-year-old member asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Different Options: There are many reasons for hand tremors and the therapy should be tailored to what is causing the tremor. For example, if you are on thyroid medicat... Read More
A 25-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Myofascial : This sounds like you may be experiencing a myofascial trigger point; this irritation of muscle groups can even mimic nerve root type pain. The shou... Read More
A 22-year-old female asked:
Dr. Robert Roschmann
Internal Medicine - Rheumatology 47 years experience
Probably not: Nerve blocks may help if large nerve roots are inflamed or injured. Typically they are used for a person with back pain when there is bone fide pressu... Read More

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

4
Recommendations
268
Thank you notes
HealthTap member
Mar 30, 2015
Thank you for answering my question with such knowledgeable information. God bless you!!! #nationaldoctorsday2015 #virtualflower2
HealthTap member
Mar 30, 2015
Dr. Roschmann is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Roschmann is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! He told Me to see him in 3 days if pain there persists. She I ask 4 CT
HealthTap member
Your tip saved my life! Thanks :) to know more about health care system. thanks from Mr Joachim Udeze
HealthTap member
This saved my life. Thank You! Wow amazing valuable knowledgable answer, u r a star! Immense thanks!

Education & Training

Medical/Graduate school

University of Illinois College of Medicine, IL
Graduated 1975MD

Residency

Kalamazoo Center Medical Studies

Residency

Bronson and Borgess Hospitals

Awards

Michigan State University
Associate Medical Staff KCMS
Adjunct Staff Western Michigan University Physician Assistant Program

Affiliations

International Tai Chi Society
Friendship force
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