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Dr. Michael Engel

Pediatric Hematology and Oncology
Salt Lake City, UT
21 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

Wednesday: 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

374 Answers
273 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 35-year-old male asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 34-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 34-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Hopefully not...: The petechiae rash that often accompanies leukemia presentation is quite different from that seen with ringworm. Of note, ringworm (aka, tinea corpora... Read More
A 40-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
This is surprisingly: Complex question. How long it takes for a mass to achieve a given size is highly variable and depends upon the rate of cell cycle progression, growth ... Read More
A 26-year-old male asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Food poisoning....: Is not an infectious process, but rather is a general term that refers to toxin-mediated symptoms, such as nausea/emesis. Your "clogged ear" is likely... Read More
A 33-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Not really.....: The differential (ie., the percentage of the different kinds of wbcs), plus some additional details as to why you were checking in the first place wou... Read More
A 40-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
What you are.....: Describing is pagophagia, the consumption of ice in the setting of anemia, usually due to an fe deficiency state. The ice consumption is not causative... Read More
A 39-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Some thoughts......: The definition of fever is a single temperature of 101 (or more) or two temperatures of 100.4 or more (up to 101) separated in time by 30 minutes. Re... Read More
A 32-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
No, it should not: Affect a standard urine pregnancy test, nor should it have any appreciable effect upon a serum beta- HCG test. Likewise, the predictive quality of ei... Read More
A 43-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 44-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 43-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 42-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Vincristine ...: Blockscell cycle progression. Vincristine is a vinca alkaloid originally purified from periwinkle. It binds tubulin and prevents microtubule elongatio... Read More
A 45-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 47-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 48-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 33-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 41-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 35-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 42-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 29-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 38-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 44-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 23-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 38-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 33-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 32-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 39-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 50-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 39-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 38-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 35-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 41-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 37-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Extremely complex...: This is a fascinating molecular mechanistic story, but too complex for this forum. Suffice it to say that the presence of the sickle beta chain create... Read More
A 40-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
What is neglis?: Regarding aplastic anemia, yes there are good treatments for it. Standard of care for a young person with severe aplastic anemia and a matched sibling... Read More
A 37-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
No: Sickle cell disease is an inherited disorder, not an acquired condition. It is not contagious, and your partner will not contract this disorder throug... Read More
A 32-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Wilms tumor: Also known as nephroblastoma, is a malignant tumor of the kidney, but the tumor does not function like normal renal tissue. Luckily we have lots of fu... Read More
A 32-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Can you give us ...: More details such as her age, WBC count, CNS disease, etc.? It would help us be more specific. Generally, pts have several blood tests, chest x-ray, ... Read More
A 29-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
See your doctor...: There are many causes of hemolysis, both intrinsic and extrinsic.. Intrinsic causes are generally divided into hemoglobinopathies, enzymopathies and ... Read More
A 37-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
It depends upon....: The blood counts to which you are referring. If you mean anemia, the overwhelmingly most common reason for a low rbc count in the us is fe deficiency... Read More
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
It's on the low side: But falls within the normative range for an adult. Total WBC count is not necessarily the most important or informative parameter to focus on. There a... Read More
A 16-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Anemia is simply....: A rbc percentage (aka hematocrit) or hemoglobin concentration (in g/dl) that is more than 2 standard deviations below the mean for the population, tak... Read More
A 22-year-old male asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Provided both are Ss: Which means you are heterozygous for the hgbs mutation (one normal beta chain and one sickle cell mutant beta chain), then mendelian genetics define r... Read More
A 41-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Not all patients....: With sickle cell disease are lean, but most are. There are several reasons, and many things we don't know. First, the half life of sickle red cells is... Read More
A 17-year-old female asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
Unlikely. : An fe deficiency state severe enough to cause missed periods would be associated with a significant anemia, and like one from which you would be exper... Read More
A 31-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 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
A 32-year-old member asked:
Dr. Michael Engel
Pediatric Hematology and Oncology 21 years experience
The test for sickle: Cell hemoglobin is an electrophoretic technique, or alternatively, a test based upon differential solubility/ppt. Drug screens use a completely differ... Read More

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

3
Recommendations
325
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
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