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

游客2024-04-04  15

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 suggests 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 Orthopedic Surgeons and chairman of orthopedic surgery(整形外科手术)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, you 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 under reported. 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’ 11 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] According to the author, what are you supposed to do when the doctor recommends a brand-new procedure or device?

选项 A、To try them as soon as possible.
B、To be cautious and wait for its outcomes.
C、To ignore them and choose the older things.
D、To accept them before knowing its effects.

答案 B

解析 根据题干中的关键词recommends,brand-new procedure,device,将本题定位于第4段。第4段开头提到,当医生建议你使用一种全新的治疗方法或设备时,要加倍小心;接着又指出,新的手术方法诞生时,大家都对新事物欢欣鼓舞,然后迫不及待地追赶潮流,但你最好等等看结果怎样。综合分析,故答案为B(要谨慎,等待这种治疗方法或设备的效果出来)。A项(尽可能快地使用它们),作者反对盲目地选择,故A项错误;新的事物可能比旧的事物好,但也不一定,所以C项(忽视它们,选择旧事物)是错误的;D项(在了解到其效果前就接受它们),正是作者反对的做法,故排除。
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