
Dr. Cándido L. Otero, MD
Pathologist | Anatomic Pathology & Clinical Pathology
1687 Nw Hopper St Roseburg OR, 97470About
Dr. Candido 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.
Education and Training
Cándido L. Otero Medical Doctor 1962
Provider Details

Dr. Cándido L. Otero, MD's Expert Contributions
Energy Is All We Are
Our body and life are directed by many electrical forces that sometimes, we lose perspective of our body tissue and life. It is amazing the dependency of those forces, and the role they play with our inorganic and organic matter to sustain the body. These forces are electrical, electromagnetic, and...
Inflammation
Inflammation is a response to injury of vascularized tissue. This tissue inflammation response could be classified as acute or chronic. Acute response is composed of three major reactions which are increase blood flow and vascular diameter if the vessels, microvascular changes permitting...
The significant of hydrogen atom in the human life.
Hydrogen (H) is the simplest element in the universe. Everything is not made of hydrogen in the universe. However, the elemental mass fraction of hydrogen in the universe is approximately seventy three point nine percent (73.9 %), so almost nothing can get by without a hydrogen molecule in the...
Why to do or not to do autopsies
Autopsies are a diagnostic procedure that gives the families more information about disease processes that caused the patient's demise. It can identify an unknown primary malignancy not taken into consideration as cause of the death. In addition, pathology performs a more thorough examination that...
Leukemia
Leukemia is a cancer of blood-forming tissues, including the bone marrow. It reduces the capacity of the body to fight infection. Many types of leukemia exist such as acute lymphoblastic leukemia, acute myeloid leukemia, and chronic lymphoblastic leukemia. Acute lymphocytic leukemia (ALL) is a...
The Atom
We are fragments of universal light energy, the undetermined consciousness, sub-atomic particles which are creator of the atom. They becomes a determined consciousness, which is the creator of our state of being, and is what and who we are in the universe. We are all entangled with everything...
Intra-ductal Papilloma of the breast
Intraductal PapillomaIntraductal papilloma is a small noncancerous (benign) tumor that grows in the milk ducts of the breast. Abnormal nipple discharge may be identified and most of the time is not associated with lactation. A single papilloma does not raise the risk of breast cancer unless there...
Laboratory Results and Opinion
Laboratory results are variable. They depend on what type of result your physician is looking for based on your symptoms of sign your are presenting at the time of you visit. The laboratory medicine, pathology is composed of two main branches, anatomical pathology(body parts), and clinical...
Consciousness
What is Consciousness? This is an interesting topic to discuss since everyone has different opinions about the issue. The truth is that consciousness is subjective and unique to each and everyone. Consciousness is the individual awareness of your unique thoughts, memories, feelings, sensations and...
Do you know who and what we are!
Are we matter or not? The majority of us believe that what you see is what it is and nothing else. We are entangled with the Universe where we all come from. In other words we are energy originated from the sub-atomic particle which are the backbone of the Atom. Let me start from the DNA. The DNA is...
How to listen to your body before its too late
Our body is a secret tabernacle that we need to understand in other to move on in our life experience here on earth. Most of the times we don't pay attention to the subtle massage which is spoken coming from deep in our being. There are many examples that I can tell you but it's you the one who...
What are the tests to confirm an infection of the stomach?
The gastrointestinal pathogen panel is a multiplex polymerase chain reaction (PCR) test capable of rapidly and quantitively detecting DNA or RNA of 22 pathogens (13 bacteria, 5 viruses, and 4 parasites). Thank you. READ MORE
What is stem cell banking? Is it really worth it?
Is the extraction, processing, and storage of stem cells, so that they can be used for the treatment in the future, when required It cost between $1,350 to $2,350. Some doctors do not recommend that you bank cord blood on the slight chance that your baby will need stem cells someday Thank you. READ MORE
Why are bone marrow tests done?
First, this is an aspiration of bone marrow content, which contains the progenitor cells. The healthcare provider uses a thin needle to remove a small amount of liquid bone marrow, usually from a spot in your back of your pelvis (hipbone). Bone marrow has a fluid portion and a more solid portion, Bone marrow aspiration is usually combined with bone marrow biopsy. Bone marrow biopsy is a core biopsy, and the solid protion of the bone. Bone marrow biopsy procedure takes approximately 30 minutes. Sometimes is longer the preparation for the procedure than the actual procedure. Now, the purpose of a bone marrow is to diagnose a disease or condition involving the bone marrow or blood cells. It is also to determine progression of a disease, whether the iron levels are adequate, monitor the disease, and investigate fever of unknown origin. Bone marrow exam is done for anemia, blood cell conditions in which is either too few or too many of certain types of blood cells produced. These cells could be leukemic cells, leukocytosis, thrombotic cells (thrombocytopenia), Thrombocytosis (increase thrombotic cells, pancytopenia (decreased number of all marrow cells lineage), and polycythemia (increase in polymorphonuclear cells). Also, to check for cancer of the blood or bone marrow (leukemias, lymphomas, and multiple myelomas). metastatic cancers (cancers that have spread to other areas such as breast and bone marrow). Thank you. READ MORE
What should I expect during my cytopathology follow up?
Yes, the pap smear will find the growth of abnormal squamous cells which are the cell lining type of the cervix. There are five distinct categories, and they are atypical squamous cells of undetermined significance (ASCUS cells), low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL), atypical squamous cells, cannot exclude HSIL (ASC-H), and atypical granular cells (AGC). Thank you. READ MORE
Should my child be getting a blood test often?
It would be important after any treatment recommended by her doctor to be followed by a blood test to check the progression, and to see if additional blood test is necessary. Consult your daughter doctor. Sometimes, there is no need for additional test but at least a yearly check up is recommended. Thank you. READ MORE
When should a test for mono be done?
When patient have symptoms that a healthcare professional suspects are due to infectious mononucleosis. Blood test can detect the appearance of the atypical, activated lymphocytes. Epstein-Barr Virus - EBV (infectious mononucleosis) is a gamma group herpes virus that causes a benign, self-limited lymphoproliferative disease, and is characterized by fever, generalized lymphadenopathy, splenomegaly (large spleen), sore throat, and the appearance of atypical lymphocytes in blood. EBV enters the epithelial cell cytoplasm by directly fusing with the plasma membrane. Also, EBV enters the B-cell cytoplasm by directly fusing with the plasma membrane. There are two EBV proteins produced by the virus, the EBNA2 and LMP-1 that occurs in latently infected lymphocytes. Thank you. READ MORE
What samples are required for a DNA test?
DNA test can use cheek swag or blood tests. Thank you. READ MORE
If I didn’t eat 2 hours before my PP sugar test, will the result be inaccurate?
Depend on how long after eating you had the test. The blood sugar should go to normal after 2 hours. I don’t think that is going to make a big different. Your doctor will tell you if there is a need to repeat the test. Thank you. READ MORE
What does the CSF test include?
CSF is normally sterile, colorless, and clear. Common organism isolated from CSF fluid were Streptococcus Pneumonia, Neisseria meningitis, Haemophilus influenza, and E. Coli. CSF is usually free of bacteria. CSF fluid is made of glucose, proteins, and electrolytes. So, they are checking for bacterial, blood and other cell types. Thank you READ MORE
My platelet count showed below the normal range specified in the report, but I don’t feel any symptoms. Why could this be?
There are many causes of low platelets. The low platelet count could be due to impaired production in the marrow, medications, chemotherapy, and radiation therapy. Symptoms of low platelets are easy bussing, abnormal bleeding, blood in the urine, and feeling tired. Consult your healthcare provider. Thank you. READ MORE
How would doctors diagnose TB?
TB is a chronic communicable disease caused by Mycobacterium Tuberculosis. The lesion is characterized by a necrotizing granulomatosis (Caseating necrosis) in tissue where the organism is seeded. Transmission of TB is by inhalation of infected droplets from coughing or sneezing of infected individuals. The cell wall of lipids and carbohydrates of Mycobacterium Tuberculosis appear to enhance virulence by interfering with phagolysosomal fusion. This interference allows the intracellular survival of mycobacteria. Once the sensitization appears in patients during the infection, the nonspecific inflammatory response become granulomatous (granuloma), and abundant epithelioid histiocytes, occasional giant cells, peripheral mononuclear cells among others. There is often a central, caseous necrosis of the granuloma. Therefore, an increase resistant inhibiting intracellular replication of the bacilli. There are several forms of TB. Primary Pulmonary Tuberculosis – these are individual lacking previous contact with the bacilli. Secondary TB – means that the patient has an active infection in a previously infected individual. Miliary TB – present with myriad of minute foci of infection in many organs, preferentially liver, bone marrow, spleen, and kidneys. Isolated organ tuberculosis – when disseminated organism become established in only one or two organs or female genital tract (salpingitis, endometritis). Tuberculosis is caused by the aerobic, non-spore forming, non-motile bacillus M. tuberculosis, which has a waxy coat that stain red with acid-fast stain. The mycobacteria may block vacuolar acidification by nonactivated macrophages. The CD4+ helper T cells secretes tissue necrosis factor gamma (TNFγ), which activates macrophages to kill intracellular mycobacterium via reactive nitrogen intermediates and to form epithelioid granulomas. CD8+ suppresser T cell kill macrophages that are infected with mycobacteria, resulting in the formation of caseating (cheeselike) granulomas (delayed type of hypersensitivity reaction). The residual lesion is a calcified scar in the lung parenchyma and in the hilar lymph node (Ghon Complex). Thank you. READ MORE
What areas of the prostate are used during a biopsy?
There are fifteen prostate biopsies. Your urologist divided the prostate into ride and left side. Then. You have Right upper, R. middle, and R. lower. On the left side is L. upper, L. middle, and left lower. Thank you. READ MORE
Why did I get two different results for my pregnancy test?
Home test for pregnancy is accurate. However, in some instances, they produce a false-positive results. Incorrect tesr usage, previous abortion, and miscarriages, and some medications. May lead to a false-positive for pregnancy test. The blood test measures the levels of the hormone in the blood and are therefore more accurate. Thank you. READ MORE
My mole sample was sent to another lab. Should I be concerned?
There are many reasons for a second opinion of your mole biopsy. A second opinion can help shed light on different treatment options, clinical trials that may be good fit, or they may make you feel more at ease by confirming your diagnosis and the initial treatment plan. Thank you. READ MORE
What causes constant fluttering of the eyelids?
The most common cause that make the muscle in your eyelid twitch are fatigue, stress, caffeine, and excessive alcohol intake. Vitamin deficiency is associated with twitches. They are electrolytes, vitamin B12, vitamin D and magnesium. Thank you. READ MORE
Do PAP smears note abnormal growths?
Yes, the pap smear will find the growth of abnormal squamous cells which are the cell lining type of the cervix. There are five distinct categories, and they are atypical squamous cells of undetermined significance (ASCUS cells), low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL), atypical squamous cells, cannot exclude HSIL (ASC-H), and atypical granular cells (AGC). Thank you. READ MORE
What blood tests can diagnose celiac disease?
Ordering a serologic test to check for antibodies is usually the first step. The serologic test will check for IgA antibodies, specifically tTG-IgA will be positive in 93% of cases with Celiac disease who are on a gluten-containing diet. Also, genetic testing for human leukocyte antigens (HLA-DQ2 and HLA-DQ8) can be used to rule out Celiac disease. Thank you. READ MORE
Does an elevated CA-125 indicate cancer?
Yes, CA-125 indicates the presence of cancer or other conditions. Not all patients with a high CA-125 result have cancer. The normal range is between 0 – 35 units per microliter (0 -35 U/mL). Levels over 35 U/mL may indicate the presence of cancer. Thank you. READ MORE
Will my cytopathology follow up explain my urinary infections?
Yes, your doctor will explain the etiology of your UTI. Urinalysis is a test of your urine. It can detect UTI, Kidney disease, diabetes. Urine culture can detect and identifies specific bacteria and yeast that may be causing the UTI. A urine dipstick may be the only test healthy women with typical UTI symptoms need. The urine is examined under microscope for bacteria or white blood cells which are signs of infection. Urinary infection is due to many etiologies (causes). Bacterial infection in urine is treated with antibiotics. There are many different of types of antibiotics to treat urinary tract infection. The most commonly ones are Trimethoprim and sulfamethoxazole, Fosfomycin, cephalexin, ceftriaxone, and others. Vitamin C seems to work by increasing the acidity of the urine and killing off the bacteria that cause infection. Health care provider usually uses antibiotics to kill the bacterial. Now, it would be recommended to see your health care provider and have a urinalysis to identify the bacteria, and therefore the specific antibiotic can be used to kill the microorganism. Thank you. READ MORE
How can I check my iron levels?
To check iron levels, you need to have a blood test. You can purchase an iron blood test. The test are Iron, TIBC (total iron binding capacity) and a Ferritin Panel Thank you. READ MORE
Areas of expertise and specialization
Faculty Titles & Positions
- Chief of Pathology & Diagnostics VA Healthcare System - Roseburg Oregon 2004 - 2009
- Chief of Diagnostics & Acting Chief of Staff VA Healthcare System - Roseburg Oregon 2008 - 2009
- Chief of Pathology & Diagnostics VA Healthcare System - West Texas VA 2009 - 2014
- Chief of Pathology & Diagnostics & Acting Chief of Staff VA Healthcare System - West Texas VE 2011 - 2014
- Medical Retirement due to Leukemia From: West Texas VA 2014 - Present
- Leukemia Remission Florida 2018 - Present
- Individual Investigational Research in Quantum Physics and Metaphysic Florida 2018 - Present
- Writter - Book in Process to be Published - Title: Do You Know Who We Are! Newman Springs Publishing Co. 2023 - Present
Professional Memberships
- American Medical Association
- American Society of Cytopathology
Fellowships
- Moffit Cancer Center Tampa Fl
What do you attribute your success to?
- positive frame of thinking. always do something for the good of yourself and others. A positive attitude can move mountains.
Areas of research
Individual Research Study in Quantum Physics and Metaphysics. A book is in the process to be published. The title of the book is: "Do You Know Who We Are" The manuscript is in revision by Newman Spring Publishing Co.
My goal in writing this humble and informative pages, is to make you aware of who you are, and realize that everything and anything you’ve learned about life is a concept that can disappear the same very moment that it cames into existence. The universe as we know it, is only a creation of our consciousness. The only tangible concept are our thoughts that lights up as a bright light bulb, whenever we accept them, but they can disappear just at once when we aren’t conscious about it. The creation of consciousness is like a small light in the horizon that if you are not paying attention, you do not see it and your life will be the same as it had been since you were born, influenced by your surroundings and everyone in your circle, instead of being created by you.
Humanity and life are not a complicated issue if we follow the Universal law and apply it. But first, since we do not come to this material world with instructions or guidance to complete our mission of life, we need to find the purpose of our terrestrial life deep in ourselves to accomplish our mission.
It is funny, because when you are born, your parents tell you who you are, they give you a name that maybe you don’t like, and during primary and secondary education, your parents, family and friends are still influencing your character and telling you who and what you are to a point that you begin to believe it. Later, when you start to become more independent, you start questioning everything and anything happening in your present journey here on earth. Wow, now you start realizing what are your likes and dislikes. The fact that you are bombarded by all these pressures, there are no room for thoughts and nevertheless time to stand still to find yourself or character that molds you to be who you are and what your life purpose is. Then, later in life you say, hmm, this is not me and all things you are trying to accomplish in life, are either wrong or never realized.
Now, one day you wake up on the right side of your bed and say, in off. I am going to do what feels right, which go along with my personality and purpose in life. Then, from that day on, everything starts going well for you and your family.
The book starts with scientific and non-scientific descriptions and definitions, that are important for you to know to have a basic knowledge that is designed to support the truth of who we really are in what we call life.
No matter who tells you who or what you are in this life, only you know the answer of that truth. You just need to seat down and meditate. By showing love, humility and thankfulness for everything you are and asking what you need to know, you will get the answers you are looking for.
Once you discover your purpose in life and stay on that path, everything will come on your way. The universal law will take care of all those things. Just be in the present and be always aware of your I am in the present when asking. Most of all, be thankful for what you have received in the present time. Believe me, everything will fall into place. We can create something from nothing. The only thing you need is to ask in the present, even though has not been yet conceived, be thankful, love, feelings of contentment and believing that what you are asking for, it had been received. Believing without any doubt in your consciousness that what you asked its already yours.
Let’s start this journey with a warm welcome and do not forget that everything is tailored for you to become more successful and assertive. There is a world to be discovered, waiting for you and if you are willing to explore and discover, you will find what you are looking for.
Remember, the possibilities are endlessly, waiting to be discovered. What you must do is to knock at the door, it will be opened as you wish, but you must be the one who must pass through that door. The answers and discoveries in this book are for you and yours only.
Dr. Cándido L. Otero, MD's Practice location
Dr. Candido Otero, MD
1687 Nw Hopper St -Roseburg, OR 97470Get Direction
Dr. Cándido L. Otero, MD's reviews
Write ReviewMedia Releases
Get to know Pathologist Dr. Cándido L. Otero, who served patients in Florida.
Dr. Otero is a seasoned pathologist who is retired from practice and currently living in Florida.
During his active years helping others, he served as Chief of Pathology & Diagnostics and Acting Chief of Staff VA Healthcare System – West Texas VA (2011 – 2014); Chief of Pathology & Diagnostics at VA Healthcare System – West Texas VA (2009 – 2014); Chief of Diagnostics & Acting Chief of Staff at VA Healthcare System – Roseburg, Oregon (2008 – 2009); and Chief of Pathology & Diagnostics at VA Healthcare System – Roseburg, Oregon (2004 – 2009).
The doctor’s acclaimed career in medicine began in 1986 when he graduated with his Medical Degree from the Eastern Central University School of Medicine in the Dominican Republic. He then relocated to the United States, performing his residency in anatomic and clinical pathology at Louisiana State University School of Medicine in 2000, and an additional residency in anatomic and clinical pathology at the University of Florida College of Medicine – Jacksonville in 2002.
Furthering his training, Dr. Otero completed a fellowship in cytopathology at the University of Florida College of Medicine – Jacksonville in 2003, after which he served as a Fellow within the Oncology Surgical Pathology Program at the H. Lee Moffitt Cancer and Research Institute at the University of South Florida in Tampa.
Among his professional affiliations, he is an active member of the American Medical Association and the American Society of Cytopathology.
Pathology is a branch of medical science that involves the study and diagnosis of disease through the examination of surgically removed organs, tissues, bodily fluids, and in some cases, the whole body. Pathologists are physicians who specialize in the diagnosis and management of diseases by laboratory methods.
Dr. Otero has a book that is in the process of being published. The title of the book is: “Do You Know Who We Are” and the manuscript is in revision by Newman Spring Publishing Co.
“My goal in writing these humble and informative pages is to make you aware of who you are, and realize that everything and anything you’ve learned about life is a concept that can disappear the same very moment that it comes into existence. The universe as we know it, is only a creation of our consciousness. The only tangible concept is our thoughts that light up as a bright light bulb, whenever we accept them, but they can disappear just at once when we aren’t conscious about it. The creation of consciousness is like a small light in the horizon that if you are not paying attention, you do not see it and your life will be the same as it had been since you were born, influenced by your surroundings and everyone in your circle, instead of being created by you” expressed Dr. Otero.
Recommended Articles
- Are There Vaccines Available For Cholera?
What Is Cholera?Cholera is an infectious disease that affects mostly the intestines, but causes complications to the rest of the body. Once a person suffers from cholera, the first parts of the body to be affected are the intestines. It is an infection caused by a bacteria known as the Vibrio...
- Mononucleosis: Am I Contagious Throughout the Duration of My Condition?
Mononucleosis is a disease that is spread through the Epstein-Barr virus. Specific details about the virus is still unknown. This virus is known to exhibit fatigue in people, accompanied by an aching body, swollen lymph nodes, and fever. This disease is known to be spread through saliva and other...
- What to Expect After a Biopsy
Biopsies may vary differently depending on the type and location of the tissues and how hard are they to obtain. The medical term used to describe such method is “invasiveness.” A less invasive procedure will, for example, take place in a doctor’s office the same day an abnormal tissue is...
- Everything You Need to Know About Biopsy Procedures
What is a biopsy?A biopsy is a medical procedure, which is mostly used in diagnosing cancer. In this procedure, a small tissue sample is taken from your body for a closer examination under the microscope. A biopsy is usually recommended by your doctor if initial tests in your body suggest an...
- 5 Tips on Living with Mononucleosis
People with the mononucleosis (or mono) infection can live perfectly normal lives by doing what is best for them during their period of affliction. In this review, I have outlined the most essential tips on living with mononucleosis. In choosing these tips, the emphasis was focused on the well-being...
- Treatments for Bladder Cancer
The treatment options or medications for bladder cancer depend largely on the advancement of cancer. The treatment is different for the early stage non-invasive bladder cancer and the more advanced muscle-invasive bladder cancer.During treatment, all hospitals have multidisciplinary teams (MDTs),...
Nearby Providers
- Dr. Yan Wang M.D.913 NW Garden Valley Blvd Roseburg OR 97470
- Dr. Claire Michelle Stone M.D.2700 Nw Stewart Pkwy Roseburg OR 97471
Nearest Hospitals
MERCY MEDICAL CENTERl
2700 NW STEWART PARKWAY ROSEBURG OR 97471PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTERl
1515 VILLAGE DRIVE COTTAGE GROVE OR 97424