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Dr. Romeo Mandanas

Hematology and Oncology
Independence, KS
39 years experience male

Locations

Integris Cancer Institue

Fax

(405) 621-5441

Insurances accepted

BCS Insurance Company

About

Bio

Current Position: Clinical Research Director at Integris Cancer Institute of Oklahoma. Training: Hematology/Medical Oncology/Bone Marrow Transplantation at Indiana University Medical Center. Internal Medicine at Wayne State University Medical Center Interests: Lymphomas, Leukemias, Myelomas, Breast, Lung, Colon Cancers, Stem Cell Therapy and Transplantation

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.

Hematology and Oncology

Doctor Q&A

164 Answers
27 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Depends on cause: Anemia is a broad diagnosis and treatment is based on the cause and severity of the condition. The most common cause is iron deficiency from chronic b... Read More
A 33-year-old female asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Microcytic Anemia: The red blood cell (rbc) indices MCV & MCH reflect the size of the red cell and the amount of hemoglobin (oxygen-carrying protein-iron complex) inside... Read More
A 35-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Unlikely: Neurocysticercosis usually presents with multiple lesions in the brain that change with time depending on the stage of the parasite. Meningiomas are u... Read More
A 41-year-old female asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Possibly: Hereditary predisposition to certain cancers usually occur at earlier ages. At age of less than 50 yrs you would qualify for genetic testing for BRCA ... Read More
A 51-year-old female asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
One can have both.: Lupus (systemic lupus erythematosus) is an autoimmune disorder that can affect any tissue or organ on the body and can cause low blood counts such as ... Read More
A 29-year-old male asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Not necessarily: Chronic Lymphocytic Leukemia (CLL) is usually an indolent slowly progressive disease that may take up to 10-15 years before requiring some form of tre... Read More
A 32-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Not to worry: The lymphocyte count is a part of the differential white count on the CBC test. The most common reason why it would be low is because of a higher neut... Read More
A 48-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Adult Leukemia: In 2011, leukemia was expected to strike more than 10 times as many adults versus children and adolescents in the US. It tends to occur in the older p... Read More
A 31-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Tetany: Tetany or muscle spasms due to low calcium is quite common since your blood is mixed with a substance that removes calcium to prevent the blood from c... Read More
A 30-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Not Necessarily: Following autologous bone marrow/stem cell transplantation, no immunosuppressive drugs are prescribed because there is no risk of graft-versus-host di... Read More
A 38-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
BRCA-1 & BRCA-2 gene: Hereditary mutations in either brca-1 or brca-2 genes predispose carriers to developing breast cancers usually at an early age. Other cancers like ov... Read More
A 33-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Very good: Across the board the 5 year survival rate of stage ii invasive ductal cancer of the breast is about 86%. Not all stage ii cancers are the same and man... Read More
A 41-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
DNA methodology: Tissue typing is based on hla (human leukocyte antigen) typing originally performed by serologic methods using different known sera to be mixed with w... Read More
A 30-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Glutamine in HIV: Some studies support the use of glutamine to prevent loss of or maintain body mass in patients with hiv/aids, as well as promote healing and recovery ... Read More
A 22-year-old male asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
<1% over next 30 yrs: The risk of developing lung cancer in the us by age group: http://www.Cdc.Gov/cancer/lung/statistics/age.Htm . At age 22, yours is less than 1 % over ... Read More
A 45-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Cancer Villages: The global economic boom and outsourcing of manufacturing to countries like china for the cheap labor costs have quickly outrun the proper application... Read More
A 44-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Maybe 60 days or so : Herceptin (trastuzumab) has been reported to be associated with oligohydramnios (scant amniotic fluid) during pregnancy but there are also reports of ... Read More
A 31-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Controversial: Glutamine is important in muscle metabolism and can get depleted during intense exercise or athletic activity. Supplementation with glutamine was show... Read More
A 45-year-old male asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Yes: Prostate cancer seems to afflict more african american men than caucasians. The mortality rate is also double than that in other race groups perhaps b... Read More
A 39-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Platelet Donation: A platelet donor using apheresis must meet requirements for a regular blood donor and: 1) be at least 16 years old 2) be in good health 3) weigh at le... Read More
A 43-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Platelet Donation: A platelet donor using apheresis must meet requirements for a regular blood donor and: 1) be at least 16 years old 2) be in good health 3) weigh at le... Read More
A 35-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Many organs: The first likely tissue where metastases occurs in invasive ductal cancer is the lymph nodes on the armpit or behind the chest wall. Other organs may ... Read More
A 47-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
No, maybe for self : Aps is an autoimmune disease and antibodies are present in blood. Experiments of injecting serum (blood product) from aps patients to mice caused diff... Read More
A 45-year-old female asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Definitions: A mass usually describes an abnormal enlargement that could be solid or cystic sometimes similarly referred to as a tumor. Masses or tumors can occur ... Read More
A 38-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Constant Training: People who lose sight in their dominant eye will eventually accommodate and their brains adjust dominance as if by default. If you patch your dominant... Read More
A 42-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Very rarely: Squamous cell carcinomas are uncommon in children. When diagnosed in young individuals, there is usually a predisposing factor like immunosuppression ... Read More
A 38-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Cancer in the Liver: Cancer that has spread (metastasis) to the liver is still considered the same cancer as the original one. Primary cancers of the lung, breast, colon a... Read More
A 26-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Blood donor & colds: People with colds are often asked to defer their blood donation until symptoms disappear. This is not because their donated blood may transmit the col... Read More
A 42-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Leukemia age-wise: Acute myeloid leukemia, chronic myeloid and chronic lymphoid leukemias are most common in adults but are of highest incidence after 50 years old (7-9t... Read More
A 35-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Anemia & Pregnancy: The growing fetus requires all the nutrients, vitamins and minerals for normal growth and development inside the womb. You as the mother are the only ... Read More
A 17-year-old male asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Iron-rich foods: Anemia is commonly caused by a deficiency in iron. The richest sources of iron in the diet include meats (beef, liver, pork, lamb), poultry (dark meat... Read More
A 33-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Immunoenzymatic test: A very commonly established way to check for the presence of certain proteins in the blood/serum uses a combination of monoclonal antibodies directed ... Read More
A 31-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Peter Pan: Aging is the prostate's greatest enemy. About half of men by age 50 will start experiencing some prostate-related symptoms. By age 90 more than 90 % w... Read More
A 39-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Herceptin (trastuzumab) breast ca: About 1/4 cases of breast cancer express a protein on the surface of the cancer cells called her2neu which is a member of the epidermal growth factor ... Read More
A 35-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Lymphoma Staging: A diagnosis of lymphoma is usually made by obtaining a sample of lymph nodes that is easily accessible by a surgeon. If there is not easilly accessibl... Read More
A 48-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Etoh, hepatitis, etc: Alcohol and hepatitis c are the most common causes of cirrhosis in the us. Worldwide, hepatitis b is #1 etiology. Other causes include toxins, heart f... Read More
A 46-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Usually: Following breast-sparing surgery such as lumpectomy or quadrantectomy for cancer, radiation is prescribed to the remaining breast tissue to minimize l... Read More
A 42-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Bone Marrow Harvest: Bone marrow harvesting for donating bone marrow is performed under general anesthesia and subjects the donor to the same risks of general anesthesia. ... Read More
A 45-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Pregnancy & Leukemia: Acute leukemia can sometimes be diagnosed in pregnant women. A young woman with acute leukemia should defer having a baby until at least more than 2 y... Read More
A 31-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Talc and Ovarian CA: Talcum powder contains talc (magnesium, silicon & oxygen) and may be used as a powder or found in sanitary napkins, diaphragms or condoms. Studies lin... Read More
A 35-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Certain cancers: Cea (carcinoembryonic antigen) can be found at elevated levels in the blood of patients with certain cancers such as colon, lung, breast. It is useful... Read More
A 47-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Anti-Leukemic Drugs: Anthracyclines like Daunorubicin or Idarubicin are frequently used with ara-c as part of initial (induction) therapy for acute myeloid leukemia. Mitox... Read More
A 32-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Depends: A left-handed person (leftie) who develops a stroke causing left-sided weakness (hemiplegia) will have a harder time recovering than if he had right h... Read More
A 47-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
More than 10,000: According to the american society of clinical oncology (asco) there were about 10, 500 oncologists in the us (81% medical oncs or hematologist-oncolog... Read More
A 33-year-old female asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
False hematochezia: Certain foods can color your stool red and can mimic hematochezia (bright red blood in the stool):red gelatin or jello, popsicles, or kool-aid, tomato... Read More
A 44-year-old member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Certainly: Anemia leads to low red blood cells that carry oxygen to tissues in the body. With reduced delivery of oxygen, the heart tries to pump more blood or w... Read More
A 35-year-old female asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Provocative: It measures different kinds of estrogen metabolites in the urine and gives a ratio of "good" and "bad" Estrogens that categorizes one's risk of develo... Read More
A member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Technically > once: Unlike other solid organs, bone marrow is a renewable resource as long as it is not damaged by chemotherapy or radiation. God forbid if you have to d... Read More
A member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Visit with doctor: In someone who has had a history of esophageal cancer, symptoms like worsening cough, back pain and a new lump should prompt a visit with your doctor ... Read More
A member asked:
Dr. Romeo Mandanas
Hematology and Oncology 39 years experience
Tamoxifen: After a mastectomy, use of tamoxifen in an er+ tumor has the best historical experience for this rare condition in men. The decision to use chemothera... Read More

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

4
Recommendations
417
Thank you notes
Caring, dedicated, knowledgeable.
Jun 24, 2013
Great responses. Very accurate.
HealthTap member
Mar 30, 2015
Dr. Mandanas is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thank you! I had an embryonal yolk sac tumor stage 4 and 4 rounds of BEP, I have one ovary remaining. Is it possible to come back?
HealthTap member
Thanks Dr. mandanas. I am getting infused two days next week prior to stem cell collection. Wanted to know which side effects to look out fo
HealthTap member
Correction - biopsy in oct 2011. Family history includes mom who died of breast cancer at age 51 and paternal grandma diagnosed in late 40s

Education & Training

Medical/Graduate school

Cebu Institute of Medicine, Philippines
Graduated 1983MD

Residency

Wayne State University - Detroit Medical Center

Residency

Philippine General Hospital

Awards

University of Oklahoma Health Sciences Center, 1993-1998
Most Influential, Third Place, Oklahoma - Summer
2013
Top Oncologist and Hematologist , First Place, Oklahoma - Summer
2013

Affiliations

American College of Physicians
American Medical Association
American Society of Clinical Oncology
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