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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  32
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 are you supposed to ask your doctor before taking a surgery?
选项 A、Is there any way I can avoid this treatment?
B、How much does this surgery cost?
C、How many surgeries have you done?
D、Can I know something about nonsurgical solutions first?
答案D
解析 根据题干中的关键词ask your doctor，before，surgery，将本题定位于第2段。第2段第1句指出，在不了解非手术方案之前，不要选择接受任何手术，first是关键词，也就是说在决定接受手术前，要先看一下非手术方案是否更适合自己，而该段的最后一句提到，只有在低创治疗方案失败或明确手术修复比非手术治疗会取得更好疗效时，才建议手术治疗，也证明了这个说法，故答案为D(“我能先了解一下非手术治疗方案吗?”)。
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