Cassidy Mullen
Mr. Ippolito
AP Biology
9/30/18
Patel, Neel V. “Many Folks with Appendicitis Could Skip Surgery.” Popular Science, 27 Sept. 2018, www.popsci.com/appendicitis-antibiotics.
Appendicitis is a serious medical condition where the appendix becomes inflamed and painful
and entails that patients undergo surgical treatment. According to author Neel V. Patel, almost
1 in 20 americans will get appendicitis, but there may be an alternative treatment which consists
of the use of antibiotics instead of surgery. This new method might take a great deal of convincing
considering the fact that many doctors, patients, and surgeons must alter their prefixed mindset on t
he issue. Many doctors including pediatric surgeon Janice Taylor claim that the appendix cannot hurt
the patient again if it is already out of their body, but Patel argues that even routine surgeries such as an
appendectomy can have complications and are less financially practical. Patel also mentions that the purpose
of an appendix is unknown and removing it could have unknown harmful effects even though there
are no obvious ill effects known at the moment. Patel then assures the reader that the method of
treatment which entails the use of antibiotics has only worked on roughly 6 out of 10 people, meaning
4 out of 10 must come back for surgery, but those who decided to have surgery without trying antibiotics
first had a higher risk of surgical complications and the cost of treatment for immediate surgery patients
was about 60% higher. Lastly, the author mentions moving towards patient-centered decision-making and
identifying whom each treatment is optimal for in order to get the best results for each patient.
and entails that patients undergo surgical treatment. According to author Neel V. Patel, almost
1 in 20 americans will get appendicitis, but there may be an alternative treatment which consists
of the use of antibiotics instead of surgery. This new method might take a great deal of convincing
considering the fact that many doctors, patients, and surgeons must alter their prefixed mindset on t
he issue. Many doctors including pediatric surgeon Janice Taylor claim that the appendix cannot hurt
the patient again if it is already out of their body, but Patel argues that even routine surgeries such as an
appendectomy can have complications and are less financially practical. Patel also mentions that the purpose
of an appendix is unknown and removing it could have unknown harmful effects even though there
are no obvious ill effects known at the moment. Patel then assures the reader that the method of
treatment which entails the use of antibiotics has only worked on roughly 6 out of 10 people, meaning
4 out of 10 must come back for surgery, but those who decided to have surgery without trying antibiotics
first had a higher risk of surgical complications and the cost of treatment for immediate surgery patients
was about 60% higher. Lastly, the author mentions moving towards patient-centered decision-making and
identifying whom each treatment is optimal for in order to get the best results for each patient.
Despite the fact that using antibiotic treatments instead of doing a relatively successful surgery is a new
idea when it comes to appendectomies, this idea opens up the possibility of curing other health issues
with antibiotics instead of putting people under the knife. It also means that doctors could overmedicate
people without reassurance of their exact condition. We are venturing into the unknown when trying to
cure previously surgical cases with only medicine, but discovering the unknown is essential to the future
of medicine. Patel makes a good point when he says, “...minor changes to our health could have larger
ramifications we’ve yet to unravel.” This reminds me of Juuling in current day high schools because so
many students have Juuled and claimed it is not that bad for their health because doctors do not know
] the exact consequences of Juuling, but we cannot ignore the unknown because almost everything has
negative aspects to compliment its positive ones.
idea when it comes to appendectomies, this idea opens up the possibility of curing other health issues
with antibiotics instead of putting people under the knife. It also means that doctors could overmedicate
people without reassurance of their exact condition. We are venturing into the unknown when trying to
cure previously surgical cases with only medicine, but discovering the unknown is essential to the future
of medicine. Patel makes a good point when he says, “...minor changes to our health could have larger
ramifications we’ve yet to unravel.” This reminds me of Juuling in current day high schools because so
many students have Juuled and claimed it is not that bad for their health because doctors do not know
] the exact consequences of Juuling, but we cannot ignore the unknown because almost everything has
negative aspects to compliment its positive ones.
Neel V. Patel did a good job of explaining both the negative and positive aspects of using antibiotics
to cure people with appendicitis. He used research and references from other doctors, such as Pediatric
Surgeon Janice taylor and Surgeon F. Thurston Drake, to support the information presented in the text.
It would have been helpful if Patel defined or explained what appendicitis and appendectomies are. This
information would have given the reader more background context and therefore a better understanding
of the article as a whole. Patel does clarify and explain the statistics he presents which resulted from
the JAMA study on the effects of antibiotics which is beneficial to the reader’s understanding of the
article. My criticism about the way the study is presented is that Patel wrote, “A study published Tuesday
in JAMA suggests…” without telling the reader exactly who conducted the study and came up with this
new idea. Patel adds details about how the idea of the study originated from our knowledge of submariners
during the Cold War which was interesting.
to cure people with appendicitis. He used research and references from other doctors, such as Pediatric
Surgeon Janice taylor and Surgeon F. Thurston Drake, to support the information presented in the text.
It would have been helpful if Patel defined or explained what appendicitis and appendectomies are. This
information would have given the reader more background context and therefore a better understanding
of the article as a whole. Patel does clarify and explain the statistics he presents which resulted from
the JAMA study on the effects of antibiotics which is beneficial to the reader’s understanding of the
article. My criticism about the way the study is presented is that Patel wrote, “A study published Tuesday
in JAMA suggests…” without telling the reader exactly who conducted the study and came up with this
new idea. Patel adds details about how the idea of the study originated from our knowledge of submariners
during the Cold War which was interesting.