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发表于 2007-6-29 15:48:17
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Argument51
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."
50 min
Words: 593
In the above argument, the arguer’s assertion of taking antibiotics to avoid second infections appears reasonable. However, the author didn’t consider the cases where there is no second infection at all. Nor did him clearly interpretate (interpret) the study or its application to the muscle strain patients.
First of all, it is presumptuous to assume that all the patients suffering severe muscle strain have secondary infections only according to the doctors’ suspicion. The arguer falsely assumes that the secondary infection, which might happen, actually occurs to each patient. It is likely that with professional treatment from the doctors and careful tendance from the nurses and the relatives, secondary infections could be avoided, shortening the recover time for healing. If it is the case, the emphasis should be shift to avoid the infections instead of the treatment after their appearance. Additionally, myriads of other variables should be taken into consideration upon the healing of a muscle strain patient, such as the necessary physical exercises for the muscles, whether the recovering legs could walk and coordinate properly, or the patients’ metal confidence, whether they would like to beat the muscle strain with full energy, or instead, feel lost and refuse further treatments or exercises. Thus, a more specific analysis of the causes of the secondary infections and the healings determinants is needed to make the argument more forceful. (这段的思路感觉有点乱噢,我以前写过一次这个题,也试着在第一段去证明不是所有人都会二次感染,但是发现很难和整篇文章结合起来。)
Secondly, even if we concede secondary infections happens to every severe patient, the effectiveness of the antibiotics is open to doubt. The study referred in the argument ignores the inherent difference between the two groups of patients and distinctive treatments from two doctors. It is possible that patients going to see Dr. Newland are mainly getting hurt during exercises, with the condition easily under control without any infection at all whereas those going to Dr. Alton are mostly the ones with chronic problems or the most severe cases, which of course need much longer time for recovering even if they also take the antibiotics. Without comparable patients, the conclusion that antibiotics help shortening the recuperating time is too hasty. (Time is up, word 349) Or perhaps the two doctors have varied definition of recuperation. While Dr. Newland may simply let the patients go after the release of the pain whereas Dr. Alton may use the results of equipment testing or physical exercises variables to make sure the muscles are fully recovered and functions properly. Without detail information to the related aspects, hardly can we make any conclusion about the usefulness of the antibiotics in the muscle strain patients’ recovering.
Moreover, even assuming that antibiotics are powerful to help severe patients, no evidence is provide to indicate that it would help all patients. We don’t know the effect of antibiotics in slight hurt cases, nor do we know whether it has any negative effect in these slight cases. If the extensive usage of antibiotics makes the secondary infecting bacteria more resistant, the doctors could do nothing when the same patients get severe muscle strain. It also might be the case that the antibiotics might damage some healthy tissue or interfere with other drugs used in the slight cases. Either of the above scenarios, if true, would cause great doubt upon the application of antibiotics to the muscle strain patients. (我觉得这段写过敏比较合适,大家也更容易理解)
Taken together, the above argument is not well reasoned as it stands. Unless given further discussion about the way to avoid the secondary infections, the thorough understanding of the study, and the effect of antibiotics in all possible situations, the arguer’s advice cannot be adopted. |
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