Even with his medical issues, surgery is relatively low risk, and the benefits in understanding treatment options and their expected benefits, as well as reducing risk of complications from local tumor growth, makes this a strong recommendation. Of course, it’s your father’s decision, but I agree with his doctor’s recommendation.
DEAR DR. ROACH: I have diabetes, and I was looking at different types of traditional herbal teas to cut down on caffeine and to try to help my diabetes. I always double-check to make sure none of the ingredients interacts with my medications. I read the tea that I am considering is an inactivator of cytochrome P450 3A4. I am taking metformin, Arthrotec, Paxil, Eltroxin and Ventolin. Must I worry? — N.E.
ANSWER: The cytochrome P450 system is a major way the body has of detoxifying medications. Some medicines and a few foods (notably grapefruit juice) can affect the P450