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

游客2024-04-04  19

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] Why does the hospital publish incomplete information about robotic gynecologic procedures?

选项 A、Because the hospital doesn’ t know much about robotic gynecologic procedures.
B、Because the hospital wants to hide the risks of them.
C、Because something is wrong with the hospital’ s website.
D、Because many patients don’t understand the information.

答案 B

解析 根据题于中的关键词hospital,publish incomplete information,robotic gynecologic,将本题定位到第5段。该段指出,机器人妇产医院网站提供的信息不完整,没有全面说明手术的益处和风险;接着,作者在该段最后一句说明了原因,即医院或医生购买了如机器人外科手术工具等昂贵设备时,他们会过度使用这些设备以弥补花费。因此可以推测,医院发布不完整的信息是为了隐瞒这类手术的风险,让病人多花钱采用最新技术以弥补医院购买设备的花费。故答案为B(因为医院想要隐瞒其风险)。A、C和D三项原文没有提及,属于主观猜测,故排除。
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