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DEAR DR. ROACH: I am a 74-year-old ac-
tive male currently taking a daily 81-mg aspirin
due to a periodic heart arrythmia. I have elec-
tive sinus surgery scheduled, requiring that I be
under a general anesthetic for 90 minutes and
that I be off aspirin for the two weeks preceding
the procedure.
I’m beginning to have second thoughts
about the surgery as I wonder if I’m risking a
stroke. Would you please share your thoughts
on this? Thank you. -- R.B.
ANSWER: Aspirin is used in some people
with atrial fibrillation (the likely heart arryth-
mia you would be put on aspirin for) when they
1. Pitcher Larry Sherry, 1959 World Series ELIGARD INJECTIONS CAUSE MAN TO
MVP, and his brother, catcher Norm Sherry, DEVELOP BREAST TISSUE are at a low risk for a stroke.
played together on what Major League Base- DEAR DR. ROACH: I have been treated for There is a score called the CHA2DS2-VASc
ball team from 1959-62? that is used to estimate risk. People at a higher
2. Woody Strode, who played for the NFL?s prostate cancer and stopped my semiannual El- risk are recommended anticoagulants such as
Los Angeles Rams (1946) and the CFL?s igard injections three years ago. I’m 75 years old apixaban (Eliquis). Since you are 74, you get at
Calgary Stampeders (1948-49), received a and about 5 feet, 9 inches tall. Before treatment,
Golden Globe Award nomination for his I weighed 227 pounds; I currently weigh 209 least one point for your age, and unless you have
acting role in what 1960 gladiator movie? pounds. My testosterone level is 49.6 ng/dL. My another risk factor that I don’t know about, you
3. What two-sport pro athlete played with the have an estimated risk of stroke without treat-
NBA?s Los Angeles Lakers and San Francis- breasts have become somewhat feminine. ment of approximately 0.6% per year.
co Warriors (1964-65), and Major League My question is: Will they regain their nor-
Baseball?s Chicago White Sox (1967) and mal appearance? I’m losing weight slowly, and While it is true that being off aspirin for a
Minnesota Twins (1969-70)? I’m trying to build muscle with weights. -- Anon. period of time around a surgery increases your
4. Julie Krone became the first female to win a ANSWER: Gynecomastia is the growth of stroke risk, your risk is already so low that the
Triple Crown race when she jockeyed what absolute risk of being off aspirin for two weeks
horse to victory at the 1993 Belmont Stakes? male breast tissue, specifically when not due to is quite small. You should always consider the
5. Name the Ukrainian boxer who became the breast cancer. It can happen during puberty in
first undisputed world heavyweight champi- healthy males, but it is a common side effect of risks of any surgery against the benefits, but the
on in 24 years when he beat Tyson Fury in androgen deprivation therapy for prostate can- risk of stroke in your case is small compared to
May 2024. cer. Up to 75% of men treated with antiandro- the risks anyone has with sinus surgery (such as
6. What is the nickname of the University of bleeding or an infection).
Delaware?s athletic teams? gen therapy like leuprolide (Lupron or Eligard)
7. What multinational sports entertainment will develop breast tissue. I am a little surprised about it being two
franchise was founded in 2000 by twin It isn’t likely that the breast tissue will go weeks; normally when a person comes off as-
brothers Steve and Dave Jolliffe? away on its own. For men who want treatment pirin before surgery, it’s for five to seven days.
due to the appearance or tenderness of the breast Also, not all surgeons require aspirin to be
Answers: tissue, there are radiation, medication and sur- stopped before sinus surgery.
gical treatments available. Radiation therapy is Since your reason to be on aspirin is to pre-
7. Topgolf.
the most effective for men who develop breast vent a stroke due to your arrythmia, and this
5. Oleksandr Usyk. 6. The Fightin? Blue Hens.
tissue with androgen-depletion treatment. risk appears to be very small, it may be that the
3. Cotton Nash. 4. Colonial Affair.
1. The Los Angeles Dodgers. 2. “Spartacus.”
Tamoxifen is the usual medical treatment, surgeon determined the risk of stopping aspirin
and you may ask the physician treating your was so small. So, it wouldn’t be worth the pos-
prostate cancer about these choices. Men who sible increased risk of bleeding from the sinus
can’t take or choose not to take either of these surgery if you’re still taking aspirin.
treatments can be referred for surgical treat- If you haven’t talked to your regular doctor
ment, which can be liposuction or a mastecto- or cardiologist about this, I recommend doing
my. so since I don’t have your full medical history.
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