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  3. More than 15 million Americans undergo surgery each year, but some elective operations may be more about the surgeon’ s preferen

More than 15 million Americans undergo surgery each year, but some elective operations may be more about the surgeon’ s preferen

admin2018-07-27  72
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.
What’s said about the particular product chosen by your doctor to finish an orthopedic procedure?
选项 A、You should make sure it’ s the most suitable one.
B、You should make sure it’ s the most expensive one.
C、The doctor choose it because of the rich experience with it.
D、You should know its advantages over other products.
答案A
解析 根据题干中的关键词particular product，orthopedic procedure，将本题定位于第3段。第3段指出，有些整形外科手术会有多家公司生产的产品可以选用；出现这种不止一种产品可用的情况时，要问你的医生为什么选这种产品，他／她对这种产品有什么经验，还要知道该产品与其他产品的对比情况(即其优缺点是什么)，问这些问题的最终目的是确保医生所选的产品是最适合自己的，故答案为A(你应该保证该产品是最适合你的那个)。B项(你应该确保它是最贵的那个)，文中没有提及，故排除；C项(医生选择它是因为对它有丰富的经验)，原文是说要问你的医生是否对所选的产品有足够经验，但医生并非会选自己最有经验的那个产品，故排除；D项(你应该了解它相对于其他产品的优点是什么)，只知道优点是不全面的，还要考虑到它的缺陷，故排除。
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