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

admin2022-09-18  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 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.
Why does the hospital publish incomplete information about robotic gynecologic?
选项 A、Because the hospital doesn’t clearly know about robotic gynecologic.
B、Because the hospital wants to mislead its patients.
C、Because something is wrong with the hospital’s website.
D、Because many patients don’t understand the information.
答案B
解析 推断题。根据题干中的hospital publish incomplete information可定位到第五段第二句A 2012 study found that… the benefits and risks of such procedures，该句指出医院网站发布关于手术益处和风险的不完整信息，这是为什么呢?作者也在该段最后一句做出了解释Gibson says that…they have an incentive to overuse it so they can offset their costs. (医生倾向于过度使用新设备以弥补花销)，所以可推测，医院发布不详的信息是为了误导病人，让他们多花钱采用最新技术以弥补医院购买设备的花销，故选B。
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