The specialist, on the other hand, certainly should have all the options for treatment in mind when discussing them with the patient and family. I was taught in medical school and still firmly believe that the doctor is obliged to provide the information necessary for the patient to make the best decision for him- or herself, even if it isn’t what the doctor thinks is best. In your case, that would include surgery (possibly several approaches), radiation (including gamma knife), medication and doing nothing.
Circling back to your primary doctor with your experience with a specialist can only help your doctor learn more about the specialist and know better whom to refer to that specialist.
Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or request an order form of available health newsletters at P.O. Box 536475, Orlando, FL 32853-6475. Health newsletters may be ordered from www.rbmamall.com.