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  3. More than 15 million Americans undergo surgery each year, but some elective

More than 15 million Americans undergo surgery each year, but some elective

游客2024-03-07  28
问题     More than 15 million Americans undergo surgery each year, but some elective operations may be more about the surgeon’s preference than about the patient’s need for the procedure. So how do you make sure that when your doctor suggest surgery, it’s the best decision for you?
    Never choose surgery without exploring nonsurgical options first, advises Joshua Jacobs, president of the American Academy of Orthopaedic Surgeons and chairman of orthopedic surgery at Rush University Medical Center in Chicago. In general, surgery is recommended only when less invasive treatments have failed or when it’s clear that a surgical repair will deliver a better result than nonsurgical treatments, Jacobs says.
    Some orthopedic procedures, such as joint replacements, involve devices made by multiple companies. In cases where more than one product can do the job, "ask your surgeon: Why this device?" Jacobs says. "What’s been your experience with this particular one?" Ask if there are any studies or statistics on this particular product that show how it compares to others.
    Proceed with extra caution if your doctor is recommending a brand-new procedure or device. Whenever a new surgical technique comes out, "everyone’s excited about the newest thing and they jump on the bandwagon, but you really need to wait and see what the outcomes will be," says Frederick L. Greene, a clinical professor of surgery at the University of North Carolina School of Medicine and a member of the American College of Surgeons’ Patient Education Committee. Sometimes the novel thing turns out to be no better or even worse than the older, more established one. Many hospitals are now selling robotic surgery for elective procedures, but such shiny new technologies aren’t always your best choice, Greene says.
    Beware of hospitals and doctors with a financial interest in an expensive procedure, says Rosemary Gibson, an editor for the journal JAMA Internal Medicine and the author of The Treatment Trap. A 2012 study found that information about robotic gynecologic (妇产科医学的) hospital websites provided an incomplete picture of the benefits and risks of such procedures, and in August, researchers at Johns Hopkins University published a study suggesting that complications from robotic laparoscopic (腹腔镜检查) may be underreported. Gibson says that when doctors or hospitals purchase expensive equipment such as robotic surgical tools, they have an incentive to overuse it so they can offset their costs.
    Before you schedule surgery, ask your surgeon how long it will take to recover and what limitations you’ll face during the post-op period, Jacobs says. Also find out what you can do to maximize your recovery. Some operations require physical therapy or other recoveries to achieve best results.
    Only agree to surgery once you understand what results you can expect and how these compare to your other options. [br] What are you supposed to ask your doctor before taking a surgery?
选项 A、Is there any way I can avoid this treatment?
B、How much does this surgery cost?
C、How many surgeries have you done?
D、Can I know something about nonsurgical solutions first?
答案 D
解析 细节题。根据题干可定位到第二段第一句Never choose surgery without exploring nonsurgical options first，该句指出，不了解非外科手术手段之前，绝不选择任何手术，first是关键词，其他选项都是在确定做手术之后会问到的问题，而该段最后In general, surgery is recommended only when…than nonsurgical treatments也佐证了这个观点，故选D。
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