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本帖最后由 jenius4869 于 2010-2-26 03:01 编辑
51The 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."
In this newsletter, the author asserts that every patient who suffers from muscle strain should be recommended to take antibiotics during the treatment. To support the contention, the author also cites a study which on the purpose to find out whether the antibiotics are useful for muscle strain recuperation. From the perspective of the author, this experiment successfully improves the efficient of antibiotics when deal with patients suffering from muscle injuries. However, for several logical flaws, I suspect that the author's proposal is unpersuasive.
To begin with, I want to argue about the reliability of this experiment. The author fails to provide elaborate information about the experiment, such as the number of patients who take part in this study of each group, and the extent of individual muscle injury and other experimental paremeters. Lacking such detailed evidence, it is hardly to draw any conclusions of the experiment. Since these factors can all influence the accuracy of the experimental result. For instance, suppose the extreme condition that the patients of second group all suffering from badly server muscle injuries while the first group are only diagnosed with light injuries, then certainly second group may need a longer time to recover compared with first one, so how can we possibly know whether antibiotics could make a contribution to recovery? Without considering these factors, the author's suggestion cannot be taken seriously.
Even assuming that the study is statistically reliable, there is also another problem with it that cannot be neglected. As the author claims that the doctors who treat the patients of each group are not the same. One specialized in sports medicine while another is merely a general physician. It is possible that the faster recuperation of the patients of group one can be attributed to the Dr. Newland's credit rather than the effect of antibiotics. Therefore, I cannot accept the conclusion of the study since the doctors who take care the patient are different persons.
Setting the study which is not cogent aside, even if the antibiotics are effective while used to prevent the patients from secondary infections as the doctors suspected. It is unwarranted to advise every patient who have something to do with muscle strain to take antibiotics. Because it is important to take it properly according to the extent of muscle injury. For some slight injury, there is even on need to take antibiotics. As we know, the abuse of antibiotics will cause the resistance of bacteria and weaken our immune system. So we should be careful and rational when take antibiotics during treatment, it is not a thing of the more, the better for our health.
To sum up, the author's argument is unconvincing for the several aspects I proposed above. To better evaluate it, the author need to provide substantial evidence to prove the conclusion of the study is credible, and suggest the patients take antibiotics under a rigorous supervision will be a better choice.
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