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

游客2024-04-04  16

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 should we do when we are going to undergo a surgery?

选项 A、Listen to the doctors and take all their advice.
B、Do not trust the doctors and turn to other solutions.
C、Be watchful while listening to the doctors.
D、Always try a new product bravely.

答案 C

解析 根据题干中的关键词we,do,undergo a surgery,将本题定位到最后一段。文章的最后一段给读者提出建议,即他们要在完全了解手术疗效和对比其他选项的优劣之后,再同意手术,也就是对待手术一事要格外谨慎。同时,通读全文可以看出,作者在手术一事上对医院和医生,以及新技术和产品持怀疑态度,文中也出现extra caution,beware of等词,可见作者建议要时时警惕,四个选项中只有C项最符合,A、B、D三项都太绝对,故答案为C(听从医生建议的同时要保持警惕)。
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