Dr. Roger Macklis practices Radiation Oncology in Cleveland, OH. Radiation oncology is a medical specialty that involves treating cancer with radiation. Dr. Macklis specializes in treating cancer with radiation, using radiation therapy to treat a wide variety of cancers. Radiation therapy uses carefully targeted and regulated doses of high-energy radiation to kill cancer cells.
Education and Training
Harvard Med Sch, Boston Ma 1983
RadiologyAmerican Board of RadiologyABR
Dr. Roger M Macklis M.D.'s Expert Contributions
Typically photons in the 6-18 MV range and often a range of electron beam treatments as well Roger Macklis iPhone READ MORE
If you are talking about risks to others from a course of external beam radiation of the sort used for most tumors, the answer is yes — no risk at all. It is like turning out a light. If you are talking about live source brachytherapy like a GYN implant or prostate seed implant, then the answer is probably yes, but you need to speak with your doctor to ask if there is any remaining risk. If you are asking about risks to the patient himself, that depends on the status of the immune system, etc. Roger Macklis READ MORE
Radiation therapy to the region of the thyroid (a neck organ) can commonly cause the thyroid to be less active than normal. A blood test can diagnose this thyroid problem and it can usually be resolved through taking daily thyroid supplements. Roger Macklis READ MORE
Radiation treatments themselves are usually painless, but they may cause some side effects like skin irritation and breakdown, and these side effects may be irritating or painful. The doctor prescribing the treatments should be responsible for describing this in detail and (where necessary) prescribing meds to minimize the side effects and discomfort. Roger Macklis READ MORE
Many kinds of X-rays can see lung cancers measuring several millimeters or larger, but often cannot pick out a lung cancer from other similarly dense materials until they are somewhat larger. Roger Macklis READ MORE
It is safe for most people. Exception would be people with indwelling metallic stents or devices which may be dislodged or destroyed. Roger Macklis READ MORE
Unfortunately, whenever radiation treatments are given to abdominal organs like the stomach there is some collateral damage to nearby intestinal tissue (especially small bowel) and this often causes nausea and diarrhea. This is especially true if chemotherapy is also given. Your radiation doctor should be able to prescribe anti nausea medicines that should make the problem much more manageable. Roger Macklis READ MORE
In the hands of a board d certified radiation oncologist with modern equipment and good training, radiation treatments are quite safe, though there may still be side effects in the immediate or delayed post-treatment period. Roger Macklis READ MORE
Depends on the dose. Talk with your radiation oncologist about this. Roger Macklis READ MORE
Radiation directed at the kidneys can certainly have negative effects, but only if the dose exceeds certain well-known thresholds. The kidney dose of radiation expected from patients being treated for breast cancer would be tiny since it would just consist of “scatter” rather than the planned breast doses which would be thousands of times higher. You can ask the radiation oncologist to calculate or even measure the kidney doses using TLD dosimeters if you are concerned. Roger Macklis READ MORE
Take care of the skin and don’t expose it to conditions that would cause it to hurt or bleed excessively. RM READ MORE
Radiation, applied correctly, can allow patients to avoid mastectomies with an equal chance for survival in many cases. Roger Macklis READ MORE
Yes, treatment induced erythema (redness) in the treatment field is very common and may take months to go away completely after treatment is completed. Roger Macklis READ MORE
Pulmonary tissue is extremely sensitive to radiation and lung injury and congestion are very common sequella of moderate or high dose radiation. A discussion with a knowledgeable radiation oncologist would give you more information if you give her a summary of doses delivered to lung tissue near the target. Roger Macklis READ MORE
In the hands of expert pediatric radiation oncologists, the targeted radiation that is used in cases like this is usually quite safe. However, if any alternatives in the form of chemotherapy and surgery are available, they would’ve typically been used first. Radiation for pediatric cancers is only used when no good alternatives exists, so I would suggest that your family have a meeting with the pediatric radiation oncologist to discuss risks benefits and alternatives. Ask how many similar cases the doctor has treated and try to find someone with experience in the use of this treatment. Roger Macklis READ MORE
Radiation and surgery are equally good treatments for early stage prostate cancer. They both are about 90-95 percent likely to result in 5year survival Roger Macklis READ MORE
External beam radiotherapy is the most common form of clinical radiotherapy Roger Macklis READ MORE
Depends on tumor type and stage and what other treatments are anticipated. For sensitive. Diseases like lymphoma it may be just 3 weeks after chemo but for less sensitive tumors it may be as much as 7 weeks. Some newer technologies now are being investigated with only 1-5 treatments but this is only for specific situations. READ MORE
Most people don’t show skin changes for at least a week, but there is significant variability. I would check with your MD. Roger Macklis READ MORE
There are various skin creams which can help, but they generally cannot be applied to the skin within 4-6 hours of treatment. We generally tell patients to either apply them right after treatment and then 1-2 more times before bedtime or else for afternoon treatments apply them first thing in the morning and then not again until after time of treatment. For other organs besides the skin, there are various experimental treatments that may help recover from radiation side effects. Ask your radiation doctor what they suggest. Roger Macklis READ MORE
No healing sore or enlarging bleeding pimple usually with pain. If there are also neck lumps, that may suggest lymph node involvement. Roger Macklis, MD READ MORE
Most patients tolerate breast radiotherapy just fine. You can expect some redness of skin and fatigue. 5% or so get enough skin breakdown that they need to be given strong pain meds for a couple of weeks. Everybody feels fatigued and that may persist for 2-3 weeks after treatment is done. Most women drive themselves but a driver sometimes helps to keep spirits up which is always good. READ MORE
- The role of radiation therapy in the management of Wilms' tumor.
- Reducing scatter radiation to the contralateral breast with a mobile, conformal shield during breast cancer radiotherapy.
- Hidden perils of automation and its effect on error reduction.
- Successful conversion from a linear accelerator-based program to a Gamma Knife radiosurgery program: the Cleveland Clinic experience.
- Palliative radiotherapy.
- It's time medicine stopped burying its mistakes.
- Treatment of prognosis of primary breast lymphoma: a review of 13 cases.
- Radiotherapy for pediatric genitourinary tumors. Its role and long-term consequences.
- Radiation therapy in pregnancy: risk calculation and risk minimization.
- Lymphoma and pregnancy.
- Stability of biodegradable radioactive rhenium (Re-186 and Re-188) microspheres after neutron-activation.
- Ionizing radiation induces CD20 surface expression on human B cells.
- Promoting patient safety: is technology the solution?
- Contralateral breast cancer risk.
- Fluoroscopic study of tumor motion due to breathing: facilitating precise radiation therapy for lung cancer patients.
- Joint Ctr For Rad Therapy, Radiation Oncology; Brigham & Women'S Hosp, Internal Medicine
Dr. Roger M Macklis M.D.'s Practice location
Cleveland, OH 44195Get Direction
CLEVELAND, OH 44106Get Direction
Request An Appointment With Dr. Roger M Macklis M.D. | Radiation Oncologist | Radiation Oncology
Please note that this request is not considered final until you receive email notification confirming the details.
In the event the doctor is not yet registered with FindaTopDoc, we will contact the office on your behalf in an effort to secure your appointment.
Dr. Roger M Macklis M.D.'s reviewsWrite Review
Patient Experience with Dr. Macklis
- She Survived Breast Cancer, But Says a Treatment Side Effect Almost Killed Her
In 2014, 47-year-old Virginia Harrod found a lump in her breast, which was actually stage III breast cancer. She was immediately started on shock-and-awe chemotherapy, but as it turned out, the cancer was chemo-resistant and the tumor only grew with each treatment. Harrod then underwent a double...
- Radiotherapy for Cervical Cancer
Radiotherapy is a treatment that involves high-energy X-rays or particles, which kill cancerous cells. It is sometimes used to treat non-cancerous tumors. Studies have shown that almost half of people with cancer receive radiotherapy as a part of their treatment plan.The type of radiotherapy to be...
- Treatments for Liver Cancer
During liver cancer treatment, different healthcare professionals work together to come up with an overall treatment plan. The treatment plan combines different types of cancer treatment to get a successful cure. This group of doctors is called a "multidisciplinary team", which include:...
- Three-Week Chemotherapy Dosing Reconfirmed as First-Line Treatment of Ovarian Cancer
Chemotherapy as a treatment option for cancer has existed for decades, and has long been the standard of care and first line of treatment for almost all forms of cancer. The term is an umbrella term referring to the use of medicines to halt the growth of cancerous tumors and to kill off cancerous...
- What Procedures Are Used to Treat Bladder Cancer?
There are various treatment options for bladder cancer. Each option has its own procedure on how it is carried out. The type of treatment is also chosen based on several factors such as:...
- Bone Health Drugs for Breast Cancer
Like any other drug or therapy, breast cancer treatment also has its own side effects. One of the side effects of breast cancer treatment is rapid bone loss leading to osteoporosis. The following are treatments for breast cancer that can significantly cause bone loss:...
- Dr. Justin James Juliano M.D.Cleveland Clinic Cleveland OH 44195
- Dr. Michael Joseph Burdick MD9500 Euclid Ave Cleveland OH 44195
- Dr. Suzan S Cheng MD9500 Euclid Ave Cleveland OH 44195
- Dr. Carmen Vermont MD9500 Euclid Ave Cleveland OH 44195
- Dr. Samuel T Chao M.D.9500 Euclid Ave Cleveland OH 44195
- Dr. Anthony Mastroianni MD9500 Euclid Ave Cleveland OH 44195