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51.The following appeared in a medical newsletter. "Doctors have long suspected that secondary infections may keep some patients from healing quickly after severe muscle strain. This hypothesis has now been proved by preliminary results of a study of two groups of patients. The first group of patients, all being treated for muscle injuries by Dr. Newland, a doctor who specializes in sports medicine, took antibiotics regularly throughout their treatment. Their recuperation time was, on average, 40 percent quicker than typically expected. Patients in the second group, all being treated by Dr. Alton, a general physician, were given sugar pills, although the patients believed they were taking antibiotics. Their average recuperation time was not significantly reduced. Therefore, all patients who are diagnosed with muscle strain would be well advised to take antibiotics as part of their treatment.". 1.没有提供study的详细信息,可能两个医生的方法不同或者是别的原因导致了康复期加快.第一组患者的专科医生有可能更为专业,因此采取的治疗方法能使病人较快康复。因为两组病人的伤势是否相同以及是否接受同样的治疗都没有被指出,因此该结果缺乏可信性。 2. 即使抗生素能加快肌肉扭伤病人的康复,作者认为应该在所有肌肉损伤的病人身上都用抗生素是不可取的。也许有的病人伤势较轻或者有些人对抗生素过敏不能使用。 3.也没有说明抗生素是否具有副作用或其他不好的作用。比如会造成病人免疫力下降。产生耐药性等。 In this argument, the author enthusiastically advocated that all patients who are diagnosed with muscle strain would be well advised to take antibiotics as part of their treatment. By comparing two groups preliminary results, frist group of patients which were treated for muscle injuries by a special sports doctor, were given antibiotics regulaly, with other group of petients which were treated by a general phsician, were given sugar pills. However, this argument was questionable in several facets.
First of all. The author fails to consider other possible althernatives may decrease the recuperation time of patients in the first group. Such althernatives may include that the two doctors’ prefession areas are different: the first group docter is specilizes in sports medicine, who would like be much more good at this kind of diseases. It is entirely possible that during the cure time, he adopt some proper, effective methods which decrease the recuperation time of patients. Moreover, the author fails to inform us the condition of patients at all. Perhaps the second group of patients are all in serious condition and have to lie for rest for longer time to cure. Or it is also possible that the average age of second group patients are higher, and less healthier than patients of first group, so that their reputation time are longer.I will be not convinced. Without rulling out these possible factors which may influence the conclusion.
Even assuming that antiboitics can help patients with muscle strain decrease their reputation time, this suggestion will be not apprapriot for all patients. If someone are born sensitive to antibiotics, they will be in danger by taking them. It is also possible that the antibiotics treatment is too expensive to afford for some patients. Furthermore, some patients hurts slightly and it is not nessesary for them to take antibiotics. All in these cases, there is no efficient reasons to adopt taking antibiotics as part treatment for all patiens, because this will bring different results for some patients.
Finally, there is no thorough lost-benefit analysis in this argument. The author should consider the negtive affect by overemphsize taking antibiotics. For instance, long time use of antibiotics may bring anti-medicine, which means that these antibiotics would not be effective to cure the inflation for bactirio are no longer sensitive for them. The immune system will be weaken by long-time antibiotics abuse. Withour considering these and other backflaws, the author cannot confidently conclude that all patients diagnosed with muscle stress should take antibiotics as part of trearment.
In sum, to persuade me the author should provide more detail information and statics of the study by a comparison two groups. What is more important is that the author must consider the possible backflaws of his advocation. |