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
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.
SpecialtiesDoctors 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.
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 24-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
It can make you: Feel this way, particularly if the anemia is severe enough to alter patterns of blood flow to support visceral organ perfusion. However, a sense of co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
No. : Most patients with beta thalassemia minor have no significant clinical symptoms and do not require interventions for their malady. As far as i know, t... Read More
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4.9k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Official is an .....: Interesting word. Perhaps more accurately, there are standards of care for primary therapy for virtually all types of leukemia. Oncologists strive t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Anthracyclines....: All carry with their use risks for secondary malignancy, particularly acute myeloid leukemia. Likewise, there is a risk of myocardial damage, and this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Leukemia suggested..: By symptoms and signs: fatigue, pallor, headache, fast heart rat, bleeding, bruising, petechial rash, fever, bone pain, walk refusal or loss of milest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Follow the advice...: Of your hematologist/oncologist. First step is a specific diagnosis, and from there they can formulate a plan of care and address whether there might ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 27-year-old female asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Doesn't sound like..: Aplastic anemia to me. A differential and red cell indices would likely be informative, but i find nothing here to support a diagnosis of aa. Of note,... Read More
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4.9k viewsReviewed >2 years ago
A 38-year-old female asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Likely nothing... : To be concerned about. Pathological sweats are usually drenching in nature, and often accompanied by other symptoms or signs (eg., fever, weight loss,... Read More
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4.9k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Leukemia symptoms: & signs, albeit incomplete ...Fatigue, pallor, headache, fast heart rate or even congestive heart failure, bleeding, bruising, petechial rash, fever, ... Read More
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4.9k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
While most people...: Experience nausea with actinomycin-d treatment, those who do receive considerable relief with the use of 5ht3 antagonists like granisetron, ondansetro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
There are many.: Bruises, particularly in unusual places can be a clue (but can occur anywhere). A pinpoint red rash known as petechiae is frequently seen. Blood blist... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Sure...: This types of foods are perfectly safe with pregnancy. Happy eating!
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Not necessarily...: Disproportion is not uncommon as children grow. The more important factor is whether their individual growth parameters, height, weight and head circu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Of course....: Sounds like a great way to relax. I'd take advantage of the opportunity now, as similar escapes with a small child, or a toddler, or a school age chi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
No it's not.....: While patients with leukemia can be neutropenic, both at diagnosis and repeatedly throughout rx, neutropenia can be seen in many other non-malignant c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Chloroma is....: A solid leukemia mass, also known as a granulocytic sarcoma, that is traditionally associated with aml. Indeed, chloromas are often associated with s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A male asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Fe deficiency....: Does not cause fever. Your child may have acquired an infection, which would fall under the heading of true, true, and unrelated. If you re worried ab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Neutropenia is....: Defined as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
More and more: We are moving away from cranial radiation in leukemia if we can. Leukemia cells use the central nervous system as a sanctuary site (ie., they hide the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
You can't prevent it: Sickle cell dz is a constitutional disease caused by a mutation in codon 6 of the beta globin gene that changes glutamate to valine in the encoded pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years agoMerged
A 31-year-old male asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Convergent symptoms: There are many conditons considered to be "preleukemic", each with their own unique features. Common to each is some measure of marrow synthetic dysfu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Many possibilities: What is the PLT count? Have their been interventions? What was the outcome? Head ultasound done? Most common cause of thrombocytopenia in a newborn ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A female asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Fever in an AML: Patient is a medical emergency and needs to be addressed immediately. You should contact your oncologist as soon as fever develops. They will almost c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
You should ask. : Generally folks with trait are asymptomatic and don't need this.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 21-year-old male asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
G6PD is....: Glucose-6-phosphate dehydrogenase (aka g6pd), is an enzyme that cells rely upon to create reducing equivalents to deal with oxidant stress. Patients w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 26-year-old female asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
X-linked. : The g6pd gene is on the x chromosome. Boys have one, which they inherit from their mom. Girls get one from mom and one from dad, so they have two. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
In short...: There is no such test. Cancer is a collection of diagnoses, each with its own diagnostic criteria, and few with a specific, singular diagnostic test. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Most likely....: The parents are both carriers of the sickle cell mutation on one of their two beta globin genes. Their other gene is normal. This condition is called ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 47-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Thalassemia vs trait: Thalassemia is al deficiency in the production of one of the globin chains. There are many variants that manifest a wide severity of symptoms from non... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 56-year-old female asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Possibly.....: Craving ice, also known as pagophagia, is often associated with fedeficiency anemia or other nutritional deficiency state. It can also be a manifestat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
1 comment
A 30-year-old female asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Methotrexate.....: Is an inhibitor of dihydrofolate (folic acid) reductase, and is essentially a folate (folic acid) antagonist. Do administration of a folate (folic aci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 29-year-old female asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Fe deficiency is a..: Symptom of a problem as much as being a problem in its own rite. It's important to both correct the deficiency and discover its source. To correct, co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
There are many .....: Causes of anemia, both constitutional and acquired. Fe deficiency is the most common cause of anemia in the us and making that diagnosis is relatively... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 16-year-old male asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
It is possible: But unlikely. Pediatric cancer is not common, with approximately 12k new diagnoses in the us each year. A majority of patients have leukemia, lymphoma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
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 volu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Yes you can, but....: It is wise to check a platelet count before starting the medication and being vigilant regarding symptoms of platelet hypofunctioning. Both functiona... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Early is hard....: Quantify. Implied in your question is a linear progression from localized to metastatic disease, but this may not be the case. There is research to su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Fever can be quite..: High and still be a normal reaction to an infxn. If by dangerous you mean malignant hyperthermia, this is generally not triggered by infection. Rather... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
A karyotype is ...: A technique that lets us see the gross structural features of the chromosomes in a cell. Cells are forced to enter mitosis but then are arrested in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Aplastic anemia....: Represents synthetic dysfunction of the marrow. While there may be immune dysregulation at the heart of aa (since immune suppression is the rx of choi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Fanconi Anemia is: Actually a collection of many distinct molecular abnormalities in dna damage/repair that lead to a common phenotype of bone marrow failure and elevate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Neutropenia is......: Divided by severity: <500 is severe, 500-1000 moderate and 1000-1500 mild. Pts with severe neutropenia, for whatever reason, are at increased ris... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Neutropenia is....: Defined as an absolute neutrophil count (anc) less than 1500. From there it is subdivided into mild (1000-1500), moderate (500-1000) and severe (<... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
The vast majority...: Work at tertiary care medical centers and located in larger cities. There are some who work in smaller practices, but maintain a close affiliation wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
No, definitely not..: Itp is an autoimmune disorder where a person develops antibodies to antigens on the surface of their platelets, targeting them for destruction by thei... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
It's very rare, but: Does happen. If ones platelet count fall to low enough, spontaneous bleeding can occur. Head bleeds, for example, can be both spontaneous and life-thr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Several precautions: 1. Never leave the child unattended
2. Always have an eye/hand on the child
3. A concave pad, velcro strap and side rails.
4. Have all your changin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 23-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Many anemia causes: Anemia simply means a red cell mass outside normative values for age/sex. There are many causes, both acquired (eg., fe or folate (folic acid) deficie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Michael Engelanswered
Pediatric Hematology and Oncology 22 years experience
Provided.....: The delivery is uncomplicated, your OB will likely have you continue your prenatal vitamins and will check a CBC in the postnatal period. Fluid shifts... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
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
Publications
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