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Dr. Carlos Encarnacion

Medical Oncology
Waco, TX
36 years experience male

Locations

Texas Oncology Horizon Circle

Waco, TX

Address

6520 Horizon Circle, Waco, TX
Directions

My office hours

Tuesday: 9:00am - 5:00pm
Show more

About

Bio

Dr. Encarnación obtained his medical degree at the University of Puerto Rico School of Medicine in 1986. He completed an Internal Medicine internship and residency and spent a year as Chief Resident at the San Juan VA Hospital followed by a Medical Oncology fellowship with emphasis in breast cancer at UT San Antonio. He currently works for Texas Oncology in Waco, where he serves as Research Site Leader. He is a member of the US Oncology Genetic Risk Evaluation and Testing Steering Committee and chairs the Department of Medicine at Providence Health Center.

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.

Medical Oncology

Clinical Genetics

Internal Medicine

Doctor Q&A

1.0K Answers
713 Agrees
The number of answers this doctor has agreed with.
A 46-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Call: As a rule, if it was something serious, a doctor or nurse would call or make an appointment but it sometimes takes time to get pathology reports and m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Awareness: Don't be paranoid but be aware. If your family history is truly significant, you should visit with a health professional with expertise on risk assess... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
12-14 years: For medical oncology: 4 years unergrad, 4 years medical or osteopathy school, 3 years internal medicine internship and residence, 2 or 3 years oncolog... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Action, not fear: Do you mean in her lung or chest wall? Rather than being worried, make sure she goes to see a doctor (if she has not done so yet) and follows up his/... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Do your best: There is no sure shot way to keep cancer away but as i recall, two thirds of cancer deaths can be prevented by avoiding tobacco products, eating well,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Like a lump: I am not trying to be funny but often you cannot tell malignant vs. Non-malignant masses. Inflammed nodes are sometimes tender but don't depend on tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Could be: If the lymphoma is advanced and involves the bone marrow, a person could have low blood counts but often the CBC will be normal.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
I guess...: Never say never but it would be remarkably improbable.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Have it checked: You are very young so the possibility of cancer is low. Nonetheless, blood in the stool is never normal so i suggest you visit your family doc and see... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Yep: A tumor may be benign but still can grow and put pressure on vital organs and structures.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Depends: Low grade or indolent lymphomas are those that usually grow very slowly and can be present for years before they are diagnosed. They are in essence ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Healthy lifestyle : Avoid any sort of tobacco products and excessive sun exposure, eat well, exercise, don't drink alcohol in excess, and make sure you get age appropriat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Ignore: Chemo is not a "cure all" to be abused. That said, if someone tells you chemo is always bad and docs use it because we are "in bed with pharma" is ign... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
No: I don't see how it could, other than the person doing the swab noticing something suspicious during the procedure.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Heck yea!: Otherwise i'd be out of a job... Many cancers are curable if detected early (thus the importance of screening). Others, like testicular cancer or ly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Man, there are : ..Entire books meant to answer that. Cells have instructions in their dna that establish their behavior. Sometimes those instructions are changed (m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
If by getting rid..: ...You mean to cure, usually no. There are some rare situations in which there are only one or 2 metastases that can be treated successfully with surg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Multifactorial: For once, people live longer and cancer is usually seen more as we age. More recently, exposures to industrial toxins of all sorts. Even more recently... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Good question: But not enough info to say. If you had proper counseling and your risk is very high (eg. Brca mutation or other significant risk factors) mastectomies... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Good question!: Stage describes how spread a cancer is. Usually, but not always, it goes from stage 1 (or 0 in some cases) to 4. Grade has to do with how the cell... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Morphine is : ..A great drug, and it helps many patients deal with pain issues but there are many other drugs and non-pharmaceutical modalities to help cancer patie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Yes: Most cancers of the breast don't cause pain but some do, so what you describe could be almost anything. At your age is not likely to be cancer b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Good question: But the problem is nobody can answer for sure. I guess it would require exposure for a few years but remember that cancer is seldom a one hit deal, a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
No: Blood in the urine is not normal. I'm not saying the cancer is back, there are many other reasons for this, but i advise you tell your oncologist soo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
No fear: Yes, some women will gain weight, get thinning hair, most will have bone aches or hot flashes. Some may even lose bone density but overall, Femara (le... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Nope: Never too late to stop tobacco products. If you did it for many years, you should make sure your dentist or family doc does regular checkups.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Keep it up: You must feel understandably tired and worn out after chemo but, since you had a lumpectomy (and i assume your cancer was er+) it would be unwise not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Sounds good: But that report has to be taken in context with the circumstances (kind of cancer, type of biopsy, any abnormalities in scans, etc.). Whosoever order... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Hmmmm: You know, the terms "stage iv" and "cure" are not usually put in the same sentence by oncologists because in theory, most stage IV cancers are incurab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Maybe: Your mother had risk factors that could account for her early breast cancer. That said, she had it while still quite young. You should visit a profes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Maybe....: ...maybe not. If they are all less than 5-6 mm, there is usually not a whole lot to do other than observation and follow up. PET scans are usually no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
That is a good: ...question but hard to answer without more data. Most (8-9 out of 10) breast cancers are not related to an inherited trait so just based on statisti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Whaaaa???: 23 and getting old? I better start looking for a retirement home.... Seriously, your notion that cancer is more common as we age is correct but canc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
???: Can't help you here. Diagnosed with what? Cancer? What kind? What stage? Your oncologist is best prepared to answer specific questions about your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Talking, of course: I'm not sure I understand your question. We sit down with the patient and the family to discuss the diagnosis, prognosis, and possible treatments... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Yes, you R at risk.: And so am I. Insofar as you are alive, you can get cancer. You may reduce the risk of getting it by living a healthy lifestyle (avoid tobacco, exercis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Can't tell: Probably is a hydrocele (just fluid) based on your description but I strongly urge you to see a doctor for this. You need a physical exam and maybe an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Stage 4?: If by late you mean stage 4 (metastatic), the answer is: possible but unlikely. If the number of metastases is limited and the patient is in good shap... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Varies: My other colleague answered your question well so I will not repeat it. I'm concerned about you, though. I see a lot of questions regarding cancer co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
You?: If you are talking about yourself, you are somewhat young for oral cancer BUT you should do 2 things: first, please visit a dentist or your local doc.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
How old are you?: Are you 16 or 51?? My concern for cancer would be somewhat different depending on that. I would suggest you continue the work up your doctor initiate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Slim: Lung cancer can happen in non-smokers, but it would be exceedingly rare in a young, never smoker young lady. That said, it not impossible so if you ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
?: What do you mean? Do you mean symptoms or how to treat it? Please be a bit more specific. If you have unexplained vaginal bleeding or discomfort, p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Thus:: A medical oncologist uses medications of different sorts (chemo, hormones, etc.) whereas a radiation oncologist uses different forms of radiation (bea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Talk to doc: At your age, the risk for cancer is low, even if there is a "bad gene" in the family. There are exceptions to this, though, so I would advise you tal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Yes?: As a rule, stage 4 cancer of the pancreas is incurable. As to being terminal, it depends on the definition. If you mean it will kill the patient at so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Variable: That depends on many factors including the type of cancer, the behavior of that particular cancer, presence of metastases in other places like liver, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Why?: Depends on the number of nodes involved and other factors but in average would be 40-50%. The question would be: why aren't you getting chemo? Curren... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
Depends : Herceptin (trastuzumab) is a very expensive drug so the total cost of treatment will be obviously higher. That said, it is a good drug and most insura... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Carlos Encarnacion
Medical Oncology 36 years experience
MD time: Too much going on to be able to give you responsible advise. My suggestion: see your regular md and let him/her decide the course of action.
Created for people with ongoing healthcare needs but benefits everyone.

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

9
Recommendations
561
Thank you notes
Jul 20, 2014
I learn a great deal from the information that Dr. Encarnacion provides. He is clearly very knowledgeable about oncology and medicine in general. I endorse Dr. Encarnacion.
I highly recommend Dr. Carlos Encarnacion. He is highly knowledgeable and caring.
Jul 7, 2014
Very accurate and timely responses.
HealthTap member
This was very helpful. Thanks! Ok. Situation is now in hands of preeminent surgical oncologist whose also world renowned in organ transplants at major medical center.Online=helpful!
HealthTap member
This was very helpful. Thanks! All that you wrote is fully understood. Each point was really helpful to the max. I will continue on the right health track that I have remained on.
HealthTap member
Thanks for your quick reply! Okay thanks...since the caae is unrelated can u say how effective is femara instead of chemo in stage 3 if the person cannot take chemo

Education & Training

Medical/Graduate school

University of Puerto Rico School of Medicine, PR
Graduated 1986MD

Residency

San Juan VA Hospital

Awards

Friend of the ACS 1999
Alpha Omega Alpha (AOA)
Top Doctor, First Place, Waco, TX - Winter
2013

Affiliations

American College of Physicians
American Society of Clinical Oncology
McLennan County Medical Society
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