(单词翻译:单击)
听力文本
Doctor: Bariatric Surgery Underused Tool to Prevent Severe Obesity
Bariatric surgery helps people who are severely overweight. The surgery can help them lose weight and regain their health.
Doctors remove part of the stomach, so the patient is forced to eat less food. It is a difficult, life-changing operation. Yet some doctors think it should be done more often, before patients become severely obese.
Shaun Rogers struggled for more than 20 years to control his weight while he battled the disease diabetes.
"By just dieting and continuing ...with the insulin, I was never going to lose the amount of weight I needed to, to change ...and get the diabetes under really good control," he said.
Diabetes patients take insulin to get blood sugar, or glucose, into their cells. However, insulin can make people feel hungry, making it even harder to lose weight.
Costly treatment
Bariatric surgery is costly. In the United States, insurance companies will not always pay for the surgery. They require a patient's body mass index (BMI) to be at least 35, even if a patient's diabetes is uncontrolled. BMI is the measure of body fat based on the person's height and weight.
Stacy Brethauer is a surgeon at The Ohio State University Wexner Medical Center in Columbus, Ohio. He says the BMI number does not always show how a patient is reacting to treatment for diabetes.
"BMI is not really a fair ...representation of who should be getting therapy," he said.
Brethauer added that the rules for who gets bariatric surgery need to be changed.
"The patient who doesn't get the operation, we know very well that their disease will progress, their lifespan will be shortened if they don't get effective treatment," he said.
The American Medical Association identifies obesity as a complex, chronic disease that requires medical attention. If it is not treated, obesity can lead to heart disease, cancer and diabetes. Brethauer believes early treatment is necessary for both obesity and diabetes.
Double standard?
"No one asks somebody with cancer or heart disease to ‘just do it themselves...' but there's also effective therapy being offered to those patients at the same time," he said.
Since he had surgery to reduce the size of his stomach, Shaun Rogers has lost a lot of weight. His diabetes is also under control. Rogers no longer needs oral medication. And he has cut down on the use of insulin, going from nearly 500 units a day down to about 10.
"It's changed my life so much," he said, "I would tell anyone do it."
Diabetes is a health issue worldwide. More than 400 million people have the disease. That number represents one in 11 adults. The World Health Organization estimates that number will rise sharply in the near future.
If people with diabetes have bariatric surgery early on, their diabetes can be cured. For those who have had the disease for 10 years or more, and need insulin, bariatric surgery will not cure their diabetes. But as Stacy Brethauer notes, it can greatly improve their health.
I'm Susan Shand.
重点解析
1.lose weight 减肥
After all, I want to lose weight not my health.
毕竟我要减肥可不是要失去我的健康。
2.at the same time 同时
It's impossible to get everybody together at the same time.
让所有人同时聚在一起是不可能的。
3.cut down 削减
We should cut down expenses.
我们应该削减开支。
4.rise sharply 急剧上升
The carbon price is likely to rise sharply as a result.
碳的价格为此可能会有很大的提高。
5.His diabetes is also under control.
under control 得到控制
Firemen said they had the blaze under control.
消防队员说他们已经控制住了火势。
Army officers said the situation was under control.
陆军军官称局面已经得到了控制。
6.The World Health Organization estimates that number will rise sharply in the near future.
in the near future 不久的将来
The President will visit China in the near future.
总统将在近期内访华。
The controversy regarding vitamin C is unlikely to be resolved in the near future.
关于维生素C的争议短期内不可能平息。
参考译文
减肥手术能避免严重肥胖？
减肥手术能帮助那些严重超重的人。手术可以帮助他们减肥，恢复健康。
医生切除了一部分胃，所以病人食欲会大减。这是一项有难度且能改变人生的手术。然而，一些医生认为，在病人变得严重肥胖之前，应该更经常地做该手术。
肖恩·罗杰斯（Shaun Rogers）在与糖尿病作斗争的同时，已经为控制体重努力了20多年。
“只是通过节食和继续注射胰岛素，我永远无法减掉需要减掉体重，无法改变并且让糖尿病得到很好的控制，”他说。
糖尿病患者注射胰岛素将血糖或葡萄糖输入细胞。然而，胰岛素会使人感到饥饿，使减肥更加困难。
高昂的治疗费用
减肥手术费用高昂。在美国，保险公司并不总是为这类手术买单。他们要求病人的身体质量指数（BMI）至少为35，即使病人的糖尿病是无法控制的。BMI是根据一个人的身高和体重来衡量身体脂肪的指标。
史黛西·柏思德（Stacy Brethauer）是俄亥俄州哥伦布市俄亥俄州立大学韦克斯纳医学中心的外科医生。他说，身体质量指数并不总能反映出病人对糖尿病治疗的反应。
“BMI并不能作为衡量谁应该接受治疗的标准，”他说。
柏思德补充说，减肥手术适用对象的规定需要作出改变。
他说:“那些没有接受手术的病人，我们非常清楚，如果得不到有效的治疗，他们的病情将会恶化，他们的寿命将会缩短。”
美国医学协会认为肥胖是一种复杂的慢性疾病，需要医疗护理。如果不治疗，肥胖会导致心脏病、癌症和糖尿病。柏思德认为早期治疗对肥胖和糖尿病都是必要的。
双重标准？
“没有人要求癌症或心脏病患者接受‘早期治疗’……但是同时也为这些患者提供了有效的治疗，”他说。
自从做了缩胃手术后，肖恩·罗杰斯的体重减轻了很多。他的糖尿病也得到了控制。罗杰斯不再需要口服药物。他还减少了胰岛素的使用量，从每天近500个单位降至约10个单位。
“这一手术极大地改善了我的生活，”他说，“我想建议其他人试试。”
糖尿病是一个世界性的健康问题。超过4亿人患有这一疾病。该数据表明，每11个成年人中就有一名糖尿病患者。世界卫生组织估计，不久的将来人数还会急剧上升。
如果糖尿病患者在早期进行减肥手术，他们的糖尿病是可以治愈的。对于那些患有糖尿病10年或10年以上并需要胰岛素治疗的人来说，减肥手术并不能治愈他们的糖尿病。但正如柏思德指出的，这一手术可以极大地改善他们的健康。
苏珊·尚德为您播报。
译文为可可英语翻译，未经授权请勿转载！
