expert type icon EXPERT

Dr. Candido Otero, M.D.

Pathologist

Dr. Cándido L. Otero is a retired pathologist in Orlando, Florida. Dr. Otero is a doctor who specializes in the study of bodily fluids and tissues. As a pathologist, Dr. Otero did two Fellowships, the first Fellowship was Cytopathology, the study of the cell, at Shans Jacksonville, Florida and the second Felllowship, Oncological Surgical Pathology, was done at Moffitt Cancer Center in Tampa, Florida. Dr. Otero can help your primary care doctor make a diagnosis about your medical condition. Dr. Otero may perform a tissue biopsy to determine if a patient has cancer, practice genetic testing, and complete a number of laboratory examinations. Pathologists can also perform autopsies which can determine a persons cause of death and gain information about genetic progression of a disease.
63 years Experience
Dr. Cándido Otero, M.D.
  • Roseburg, OR
  • Cándido L. Otero
  • Accepting new patients

How quickly is an autopsy performed after a crime?

Autopsy usually takes two to four hours to perform. Preliminary results are withing 24 to 36 hrs., but the full results may take up to six weeks. Thank you.

What are the signs of blood cancer in children?

First sign of leukemia in children are fatigue, flu-like innless, no appetite, headaches, and frequent infections however is not necessarily cancer. That’s why you need to find READ MORE
First sign of leukemia in children are fatigue, flu-like innless, no appetite, headaches, and frequent infections however is not necessarily cancer. That’s why you need to find a health care provider to do a complete medical history and laboratory. They get anemia that needs to be monitored because the red blood cells become low in number. The leukemia and or lymphoma may be at risk for then to present with fatigue, growth delay, thyroid dysfunction, hearing loss and development of secondary cancer. Thank you.

Need help understanding bloodwork?

GFR (glomerular filtration rate), which measures the filtration of blood in the kidneys. In other words, how well your kidneys are working. Specifically measures how much blood READ MORE
GFR (glomerular filtration rate), which measures the filtration of blood in the kidneys. In other words, how well your kidneys are working. Specifically measures how much blood passes through the glomeruli each minute. Glomeruli are tiny filters in the kidneys that filters the waste from the blood. Chloride, Carbon dioxide, Creatinine, Anion Gap are component in the blood that tells you how optimal the blood is functioning. You see, we have inorganic and organic components needed to the function of every organ system. For example, Sodium (Na+), Potassium (K+), Chloride (Cl-) are used by the body system. They for example Na/K help the heart to pump is the chemical in the electrical function of the heart. Also, in the cell this pump help the cell to obtain the nutrients and at the same time the cell getting rid of the waste. So, your anion gap tells you weather your electrolytes are out of balance or if the blood is too acidic or not.
WBC = white blood cells: most of the time indicates that you are fighting infection or inflammation. Normal range is 4,500 to 11,000 WBCs per microliter (4.5 to 11.0 x 109/L).
There are three major classifications of WBCs. The main purpose oof WBCs, are to recognize intruders.
1. Monocytes – They have the longer lifespan than other WBCs. They help to break down bacteria.
2. Lymphocytes – They create antibodies to fight against bacteria, viruses, and other invaders to the body.
3. Granulocytes – They kill and digest bacteria, fungi, and many other things. Neutrophils, 4. Eosinophils and Basophils are a subset of granulocytes. Basophils are mainly responsible for allergens. Eosinophils are responsible for parasitic infections.
RBC = Red blood cells Count: Measures how many red bloods cell count you have in the body. A red blood cell counts higher than 6.1 million RBCs in male and 5.4 million for females, and 5.5 million for children. High RBCs count can be due to multiple etiologies. They are dehydration, heart disease, Polycythemia vera, Bone marrow diseases that causes other etiologies in many other cells that are produced in the bone marrow. Low RBC indicates B12, Folate and B6 deficiency. Also could mean that you are bleeding internally.
HCT= Hematocrit is the percentage by volume of red blood cells, white blood cells, and platelets suspended in plasma.
MCV = Mean corpuscular volume = measures the average size and volume of red blood cell.
MCHC = Mean corpuscular hemoglobin concentration is a measurement of hemoglobin in a single red blood cell related to the volume of the cell.
RDW = Red Cell Distribution Width = test the different in volume and size of your RBC.
Platelets = (Thrombocytes), they stop bleeding by clumping and forming plugs.
Neutrophils = A type of white blood cell (Leukocytes) that are your first immune response. Thank you.

How long does nerve pain last after head injury?

Usually, can last from weeks to six months. Anticonvulsants such as Gabapentin and Pregabalin, have been used to release the pain by managing the post stroke spasticity and pain. READ MORE
Usually, can last from weeks to six months. Anticonvulsants such as Gabapentin and Pregabalin, have been used to release the pain by managing the post stroke spasticity and pain. Thank you.

How do you treat nerve pain in your head?

Medications like antii-inflammatory drugs can provide relief from tingling and burning sensations. Lidocaine patches and certain antidepressants reduces the pain associated with READ MORE
Medications like antii-inflammatory drugs can provide relief from tingling and burning sensations. Lidocaine patches and certain antidepressants reduces the pain associated with numbness. Usually, can last from weeks to six months. Anticonvulsants such as Gabapentin and Pregabalin, have been used to release the pain by managing the post stroke spasticity and pain. Thank you.

How do I know if my anemia is serious?

Usually the patient feels tired, fatigue, sometimes unable to do their daily living activity. The complete blood count (CBC) is the most common test used to confirm anemia. It READ MORE
Usually the patient feels tired, fatigue, sometimes unable to do their daily living activity.
The complete blood count (CBC) is the most common test used to confirm anemia. It is part of the routine tests done. The complete CBC test the hemoglobin and hematocrit. The hemoglobin is the iron-rich protein part in the red blood cell that carries the oxygen. The hematocrit is a measure how much space the red blood cells take up in your blood. Low level of hemoglobin or hematocrit signify anemia. Everything has to do with the type of anemia and how it was acquired. For example, iron deficiency anemia due to blood loss or due to lack of nutrients, can be corrected by stopping the blood loss and eating food that are reach in iron. Diet: beans, dried fruits, eggs, lean red meat, salmon, iron-fortified bread and cereal, peas, tofu, dark green leafy vegetables (Spanish cucumber, broccoli) among others. No, anemia due to hereditary condition, the etiology (cause) of that condition needs to be assessed to find the right treatment. Severe anemia could be very serious. Loosing blood quickly can be fatal. The three main causes are red blood cell loss, lack of red blood production in the bone marrow or red cell destruction by the immune system. A hematologist would be a great choice. They will send the test to the lab. For analysis. But a complete work up is appropriate to find the etiology of the anemia. Thank you.

How long after a crime can evidence be taken from the scene?

It is an average of 72 hours after the crime. They call it the 72-hour rule. This is since they use the cut-off time to recover biological and trace evidence when it is more likely READ MORE
It is an average of 72 hours after the crime. They call it the 72-hour rule. This is since they use the cut-off time to recover biological and trace evidence when it is more likely to be successfully collected. A range from 24 to 96 hours is more realistic. Thank you.

Blood test question?

The results were maybe borderline or unusual. The doctor may fail to disclose tests results for multiple reasons. One reason could be that he simply forgot to call you. Sometimes READ MORE
The results were maybe borderline or unusual. The doctor may fail to disclose tests results for multiple reasons. One reason could be that he simply forgot to call you. Sometimes test results can bel lost or confused along the chain of communication in a hospital. If the result is sufficiently abnormal to cause any immediate concern the doctor will contact, you themselves. Looking for potential causes such as viruses, problems with the immune system and rare conditions. Maybe the results don’t match with the clinical history and many more reasons. Thank you.

Can you be hospitalized for pneumonia?

Yes, you can be hospitalized for pneumonia. Pneumonia is caused by viruses, bacteria, and fungi if you are immunosuppressed. It is important to determine the etiology of your pneumonia. READ MORE
Yes, you can be hospitalized for pneumonia. Pneumonia is caused by viruses, bacteria, and fungi if you are immunosuppressed. It is important to determine the etiology of your pneumonia. Some people feel better and return to their normal routine in 1 to 2 weeks. Pneumonia can be serious and can cause death. I recommend for you to see your health care provider to do the necessary tests. Thank you.

How can I clean my lungs after quitting smoking?

Usually takes 1 to 12 months after quitting depending on how many packs/years you smoked. The lungs have tiny-like hair structures that the main is to move the mucus out of the READ MORE
Usually takes 1 to 12 months after quitting depending on how many packs/years you smoked. The lungs have tiny-like hair structures that the main is to move the mucus out of the lungs. They start to regain function and cleaning the lungs by increasing the ability to move and get rid of the mucus. That’s why the smokers tend to have the morning cough where they are using the abdominal muscle to help to propel the mucus stagnated overnight while sleeping. Thank you.

Mites are back?

Please, call the pest control. Now, Permethrin cream is a skin cream with chemicals that kill mites and eggs that cause scabies. Vacuum and clean your house from top to bottom, READ MORE
Please, call the pest control. Now, Permethrin cream is a skin cream with chemicals that kill mites and eggs that cause scabies. Vacuum and clean your house from top to bottom, and wash the bed linen and close it with hot water.. Thank you.

Is liver biopsy done under local anesthesia?

You will receive a local anesthetic at the biopsy site. Sometimes, general anesthesia depending on the type of lesion. Liver biopsies results usually takes from 12 to 24 hours READ MORE
You will receive a local anesthetic at the biopsy site. Sometimes, general anesthesia depending on the type of lesion. Liver biopsies results usually takes from 12 to 24 hours even a week, depending on the findings an any additional tests that might be needed to be performed for the final diagnosis. Thank you.

What path should I take in attempting to resolve an unidentified chronic oral infection?

Obviously, based on your history you have gone through os much. Let me tell you that going by the Dr. recommendation would be a wise decision since your Dr. has all your medical READ MORE
Obviously, based on your history you have gone through os much. Let me tell you that going by the Dr. recommendation would be a wise decision since your Dr. has all your medical history and would be able to wisely direct you to what needs to be done by the best of their abilities. Having said that, I think it is wiser to have a bone marrow biopsy where the pathologist will tell the Dr. the final diagnosis of what you really have plus the differential diagnosis. Why? In the bone marrow the Stem Cells are the progenitor of all cells in the body and based on the finding, the pathologist will render a final diagnosis. Based on that diagnosis, you will be treated accordingly. Remember, medicine and the medical profession are there to do the best for the patient, however, deceases and the human body do not behave the same way for every one. The way you have described me your situation, it seems to me that probably you have another issue and with the bone marrow biopsy it will direct the doctors to do the best. You are a young woman, full of life that needs to put whatever you have gone through in the past and look for a better future. You deserve it. Try to think positive and just go through those experiences and ask yourself, what do I need to learn from what I'm going though. The most important thing in this world is you. Your consciousness is the one telling you who what you are. I tell you this because in my book that is under copy revision by the publishing company, talks about that. We are here for experience only. Do what your heart tells you to do. Only you knows yourself. I wish you the best. Thank you.

How long does it take to get gallbladder biopsy results?

Your doctor uses an ultrasound or CT scan to localize exactly where the tumor is located. Once is localized, if it is in the gallbladder of the lymph node, a local anesthetic injection READ MORE
Your doctor uses an ultrasound or CT scan to localize exactly where the tumor is located. Once is localized, if it is in the gallbladder of the lymph node, a local anesthetic injection is put in the skin over the area. Once the area is numbed the dr. insert the needle through the skin and into the tumor. He takes a small piece of tissue for the pathologist . The procedure takes, depending what type of biopsy, transcutaneous or laparoscopic biopsy, takes from 30 minutes to one hour forty five minutes. Most of the time spent is preparation the patient of aseptic technics before the procedure. Thank you.

Canker sores or oral cancer?

Aphthous ulcers (Canker sores) are small lesions that appears in the mouth, cheeks and lips. Their causes are numerous and difficult to resolve. One simple treatment for a minor READ MORE
Aphthous ulcers (Canker sores) are small lesions that appears in the mouth, cheeks and lips. Their causes are numerous and difficult to resolve. One simple treatment for a minor canker sores problem is to do salt water gargles. Other simple at home treatment is to applying baking soda and water directly to the sore. Also medication over the counter Benzocaine. For major canker sores problem go to your healthcare provider to give you medical treatment. Thank you.

Can a chiropractor fix knee pain?

No, you have to go to an orthopedic doctor. Depending on your problem in you knee, that he, the Orthopedist needs to evaluate to see if you nee a surgical procedure. Please, go READ MORE
No, you have to go to an orthopedic doctor. Depending on your problem in you knee, that he, the Orthopedist needs to evaluate to see if you nee a surgical procedure. Please, go to the Orthopedist. Thank you.

What tests show kidney levels?

Glomerular Filtration Rate (GFR) greater than 60 or higher is the normal range. GRR lower than 60 may mean kidney disease. GFR 15 or lower may mean kidney failure. There are urine READ MORE
Glomerular Filtration Rate (GFR) greater than 60 or higher is the normal range. GRR lower than 60 may mean kidney disease. GFR 15 or lower may mean kidney failure. There are urine tests, Dipstick urine test, Urine albumin-to-creatinine ratio (UACR) which compares albumin to creatinine in your urine. Blood tests, Serum creatinine, glomerular filtration rate (GFR), Blood Urea Nitrogen, Blood test, Imaging, and others. Yes, however, is better to go to your healthcare provider who have you complete medical history and therefore his / her assessment would be more complete. They can other additional tests if they are needed. Please, ask the healthcare provider who ordered the laboratory tests for a complete analysis, they will help you.

How long does a prostate biopsy last under anesthesia?

The prostate biopsy procedure lasts 30-45 minutes. The prostate biopsies results can take from several days to 2 – 3 weeks. It all depends on the pathology findings and what additional READ MORE
The prostate biopsy procedure lasts 30-45 minutes. The prostate biopsies results can take from several days to 2 – 3 weeks. It all depends on the pathology findings and what additional stains and tests needs to be performed for the final diagnosis. Pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Fever, pain or burning sensation during urination could be an indication of infection. Consult your healthcare provider. Thank you.

What results come from a bone marrow biopsy?

The bone marrow results show all the Red blood and white blood cells lineage count. The progenitors cell, the stem cells are the one producing the lineage of white and red cells READ MORE
The bone marrow results show all the Red blood and white blood cells lineage count. The progenitors cell, the stem cells are the one producing the lineage of white and red cells in the cell in our body. The count of the differentiation of those progenitor cells give you what type of cells lineage are out of control producing more than other cell type. Done to differentiate types of leukemia and other cancer cells. Thank you.

What are these bumps?

The purple bluish anatomical object underneath the tongue are veins. Some individual have those veins more dilated than others. Regarding the sores that are uncomfortable, try READ MORE
The purple bluish anatomical object underneath the tongue are veins. Some individual have those veins more dilated than others. Regarding the sores that are uncomfortable, try to see a dentist to be treated. They can give you the right
medication. Thank you.