Dr. Michael Engel

Pediatric Hematology and Oncology
Salt Lake City, UT
22 years experience male

Locations

Pediatric Hematology/Oncology-Primary Children's Medical Center

Salt Lake City, UT

Address

2000 Circle of Hope Drive, Huntsman Cancer Institute, Salt Lake City, UT
Directions

My office hours

Thursday: Closed
Show more

About

Bio

Michael Engel, MD, PhD, is a Huntsman Cancer Institute (HCI) investigator in Oncologic Sciences and an Assistant Professor in the Division of Pediatric Hematology/Oncology at the University of Utah School of Medicine and Primary Children’s Medical 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.

Pediatric Hematology and Oncology

Pediatrics

Doctor Q&A

373 Answers
273 Agrees
The number of answers this doctor has agreed with.
A 32-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Not necessarily....: But they could be. Simply inducing remission may not be enough to stave off disease recurrence. Post-remission therapy is given to reduce risk of re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Generally by ...: Stopping the drug first and foremost. Dapsone has two primary effects on the blood, both connected to its oxidant qualities. The first is dose-depende... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
These vaccines are: Wildly effective and are recommended strongly. Specific recommendations for their administration can be found on the cdc website, along with recommend... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Of course....: Anemia is simply a red cell mass insufficient to meet the needs of the tissues without triggering compensatory mechanisms. A mathematical definition i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
It depends what you: Mean by recovery. Recovery takes many forms after a stem cell transplant. Neutrophil recovery tends to preceed platelet recovery. There are other issu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
I agree with : Dr. Rosen's answer. Excellent description of the problem and its spontaneous resolution. Of note, some patients are at increased risk for developing g... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Interesting question: I was surprised to find your age listed as 52yo, as growth hormone is generally reserved for younger patients with growth potential. Letrozole (an aro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
It depends upon ....: The cause of the hemolysis. There are intrinsic and extrinsic causes of red cell lysis. Intrinsic causes are generally divided into hemoglobinopathies... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Provided Fe ....: Deficiency is the cause of the anemia. While this is the most common reason for anemia in a young child, it is not the only cause. And even if it is,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
I would encourage...: You to try almost right away after the birth. It might not be a particularly productive exchange, but it can be a wonderful bonding moment. Your fir... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Yes they are....: Virtually all babies have some degree of gastroesophageal reflux, but for premature infants the problem is more ever present than for term infants bec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Assuming anemia...: Fe deficiency and B12 deficiency can be distinguished by the size of your red cells. Fe deficiency results in a microcytic hypo chromic anemia, reticu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
There are many ways: The therapeutic approach taken depends upon the underlying cause, and causes of anemia are many and varied. They can result from impaired rbc producti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Not normal..Anemia: Is an hematocrit outside the normative values for age and sex. Its presence can be detected by a complete blood count (cbc). The hematocrit is the v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Like most deficiency: If you dont have enough of something, its because you either don't make it, you lose it or you hide it. Neutropenia is no different. As examples, ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Vincristine ...: Blockscell cycle progression. Vincristine is a vinca alkaloid originally purified from periwinkle. It binds tubulin and prevents microtubule elongatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Unfortunately, they: All are. While the risks differ for separate malignancies, they all can leed to bad outcomes either from the cancer or treatment for it. The most comm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
ALL therapy also ...: Includes cyclophosphamide, antimetabolite therapies such as 6-tg, 6-mp and methotrexate, and the corticosteroid dexamethasone. Methotrexate and Cytara... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Raynauds is an auto-: Immune disorder whose pathogenesis involves dysfunction within the adaptive compartment of the immune system. Neutrophils are a component of the innat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
It would be helpful: To know the side effects to which you refer. Dactinomycin is generaly well tolerated, with nausea/emesis being the most common negative. We have exc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Neuropathic effects: Are most common with vincristine. Patients can experience pain, numbness, tingling (aka paresthesias), difficulty with chewing/jaw pain, foot drop and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Thrombocytopenia : Has many causes, but they are all detected by the same test, a platelet count, usually obtained because of a clinical suspicion due to bleeding, bruis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Absolutely...: It depends upon the chemotherapy agent(s) being used. Many of these agents are myelosuppressive, meaning that they interfere with the bone marrow's a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Yes there is.....: There are many types of leukemia. Pts with b-cell phenotypes tend to do better than those with t-cell dz. AML carries more risk. Children tend to do b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Both drugs block....: Cell cycle progression. Vincristine is a vinca alkaloid originally purified from periwinkle. It binds tubulin and prevents microtubule elongation. It ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
In isolation, no....: Outside the neonatal period, or in special circumstances like hematopoietic stem cell transplant, the definition of fever is a single temperature of 1... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Yes, fever and WBC: Elevation often go hand in hand in the context of infection and/or inflammation. Both are features of an "inhospitable environment" for the infecting ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Both drugs have...: Significant ses. Anthracyclines like adriamycin (doxorubicin) are associated with cardiotoxicity. A cardioprotectant known as zinecard is being evalua... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Yes: Klonipin has been associated with neutropenia. Best to work through this issue with your doctor. It could be "true, true, and unrelated". If you've be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Sounds like : Symptoms of a viral syndrome of some sort. Your fever and other symptoms are minimal, your sed rate is reasonable, your WBC count is normal and the d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Yes, but depends on: The type of leukemia, age and risk stratification. Pts w/ all b-cell phenotypes tend to do better than those with t-cell dz. AML is more challenging t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Yes, depending on ..: Severity and intervention. In children, for example, fe deficiency from inappropriate cows milk ingestion can lead to hematocrit below 10% in severel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
There is data....: To suggest that extracts from lupin may lower the hepatic synthesis of glucose-6-phosphate dehydrogenase (aka g6pd), which theoretically might exacerb... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
I suspect this was..: True...True and unrelated. Coagulopathy, is not a side effect of vincristine. However, having a cancer (such as lymphoma that i suspect your dad has) ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Acute lymphoblastic: Leukemia is the most common malignancy in children overall, with approximately 2500 new all diagnoses per year in the us. Notably, the spectrum of mos... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Likely no: Most of your family members are developing their cancers later in life, and there is not an obvious pattern of inheritance from this limited amount of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
African American?: African americans often have absolute neutrophil counts that are slightly lower than caucasians. There are many reasons for slight variations in the n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Vincristine is used: To treat a wide array of cancers in children and adults, including hematologic malignancies, central nervous system cancers and a host of solid tumors... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Hard to be certain..: But these counts seem more consistent with a reactive process. You WBC count is on the high side, but your absolute neutrophil count (anc) is ~10k an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Most likely.....: Folic acid, or possibly B12 in the setting of deficient but not completely absent intrinsic factor synthesis. The eqivalent of pernicious anemia can b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Short answer....: You should never worry about calling your dr for advice or to express concern. Every pediatrician that i know believes "if you are concerned about you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Neutropenia every: 2-3 weeks could indicate a cyclic neutropenia. This is caused by neutrophil elastase defects, and we are learning more about the molecular details all... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
A fascinating dz...: Cyclic neutropenia is due to particular deficiencies in neutrophil elastase (elan) activity. This enzyme plays a role in neutrophil progenitor maturat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
I can't think of ...: A direct connection between these two issues, but regardless, their presence concurrently suggests you need to be seen by your OB to determine the sou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Beta thalassemia: Is a quantitative deficiency of beta globin, caused by alterations in regulatory elements governing beta globin expression. The mutation that causes s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Going back to.....: Organic chemistry and biochemistry, carboxylic acids like Ascorbic Acid (aka vitamin c) have oxidant potential (ie., meaning that they can accept elec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Generally you can if: You had acute itp as a child without recurrence, and now as an adult you have a normal platelet count, are not being treated for itp and you did not r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Abrasions can take: Time to heal, and 10 days doesnt sound out of the ordianary. Healing is often accompanied by itching, but at this point it shouldn't hurt much. Coul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
No: A diagnosis of sickle cell disease precludes donation of blood. This is not only because of the presence of the disease itself, but also because patie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 22 years experience
Depends on the....: Cancer. Leukemias of all types can be associated with an elevated WBC count, sometimes very high indeed. However, this is not always the case, and som... 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.

3
Recommendations
327
Thank you notes
Sep 22, 2013
I recommend Dr, Engel. He is providing an invaluable service to the public on Healthtap. His input is accurate, understandable & helpful. I endorse Dr. Engel.
HealthTap member
Mar 30, 2015
Dr. Engel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Engel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Sometimes I feel weak. I will work with my Lifestyles and nutrition. I want theses #s higher. Thank you for responding so quick.
HealthTap member
Thank you, your answer was very helpful! My hgb always have been between 13.5 to 14. I did checked previous labs. Now is 12.8 and feeling a liitle weak.
HealthTap member
Thank you, your answer was very helpful! Thank you so much..I do feel better. It might be due to my heavy cycle

Education & Training

Medical/Graduate school

Vanderbilt University School of Medicine, TN
Graduated 2001MD

Medical/Graduate school

Vanderbilt University School of Medicine, TN
Graduated 1999MD

Residency

VANDERBILT UNIVERSITY HOSPITAL

Awards

St. Baldricks Foundation Scholar
Ruth L. Kirschstein National Research Service Award, National Institutes of Health
ASPHO Young Investigator Award

Affiliations

American Association for Cancer Research (AACR)
American Society for Pediatric Hematology/Oncology
Children's Oncology Group
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