[0906G 文以载道三月四月作文小组] 第二周第一次作业 by lilianli

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Argument51 【0906G 文以载道三月四月小组】第二周第一次作业 by lilianli

Argument51The 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."
医生长期以来怀疑严重肌肉扭伤后的二次感染妨碍了一些患者迅速康复。这一假说现在被一项对两组患者的研究的初步结果所证实。第一组患者全部由专攻运动医学的Dr. Newland治疗肌肉损伤，他们在疗程中经常服用抗生素。他们的康复期平均比通常预期的快40％。第二组患者由综合医师Dr. Alton治疗，他们被给予糖丸，而患者相信他们在服用抗生素。他们的平均康复时间没有明显缩短。因此，任何被确诊为肌肉损伤的患者应被建议服用抗生素作为辅助治疗。

[提纲]：
1. 两组患者是否患有其它疾病？扭伤部分及扭伤程度是否相同？患者的年龄，性别，地域差异是否是影响康复时间的因素。
2.两位专家的治疗除抗生素外有无其它差异？Dr.Alton的糖丸是否有阻碍康复的作用。
3.即使抗生素对治疗肌肉扭伤有作用，不可断言任何肌肉损伤的患者都应服用抗生素。抗生素的副作用较大，可导致孕妇流产，老人小孩过敏性休克等。此外，抗生素对人的肝损害较大。

[正文]：
In this argument, the author claims that all patients who are diagnosed with muscle strain would be well advised to take antibiotics as part of their treatment. To support this claim the author cites a study of two groups of patients in which one group of patients took antibiotics regularly and the other groups of patients took sugar pills instead of antibiotics. The result shows the recuperation time of the patients who took antibiotics was 40 percent quicker than typically expected while the recuperation time of the patients from the other group was not significantly reduced. As discussed below, the argument suffers from several logical flaws and is therefore unconvincing as it stands.
To begin with, in the study the conditions of patients in two groups which may lead to the different research results are uncertain. There is the possibility that the participants as patients have other diseases which prolong the recuperation time or the extents of patients’ muscle strain were varied. Some who suffered mild strain consequently recovered quicker than the serious patients. Also, the difference of patients’ age, gender and so forth can be the factors affecting the recuperation time. For instance, the patients taking antibiotics are occasionally the middle-aged invigorative people whose physical functions work well as well as recover rapidly while the patients taking sugar pills are children whose bodies are vulnerable to be harmed.  
In addition, besides the use of antibiotics the two experts treating different groups may bring other uncertain aspects which finally result in the distinguishing recuperation time. It’s possible that Dr. Newland, a doctor who specializes in sports medicine adopted more useful treating means than Dr. Alton, a general physician besides antibiotics. And it’s just the other treating means accelerate the patients’ recover not the antibiotics. For instance, Dr Newland will be apt to the medicine treatment with physical exercise to train patients’ bodies. As a general physician Dr Alton is inclined to the pure medicine treatment and even there is the possibility the sugar pills he gave to patients went the opposite direction in the treatment. In fact, in treating the ill causing by sport, Dr Newland is more professional and therefore his patients recovered soon.
The last but not least, even if the antibiotics play an indispensable role in curing muscle strain, the author can’t jump to assert all patients should take antibiotics as part of their treatment. Antibiotics have lots of side reactions which may lead to other mortal damages and not everyone can take them frequently. For instance, some kinds of antibiotics make pregnant woman have an abortion. Also, antibiotics can cause coma of elders and infants. Besides these, vast majority of antibiotics chronically damage people’s kidney. For the sake of the normal and orderly physical functions, people should take fewer antibiotics.
In sum, the author failed to convince me that antibiotics should be taken as part of the treatment by all patients with muscle strain. To better evaluate this argument the author should provide more evidences which can assure the study is representative and creditable to show the effect of antibiotics.


[ 本帖最后由 lilianli 于 2009-1-19 00:05 编辑 ]