次の英文を読んで、後の問いに答えなさい。

Menthe pain returned, Lisa rested at home with her foot elevated. Over the next few weeks, she tried icing the area and was fitted with new orthotics. But the pain didn't get any better. She returned to the surgeon.

“I'm not surprised,” he said when Lisa told him about her condition “You need surgery, I told you that before”

Lisa and her daughter had scheduled a flip to Europe in a few weeks' time. The trip had been planned for a long while, and she told the doctor that she didn't want an operation to interfere with it.

“You have pain from the bone spur, the ganglion cyst, and lots of arthritis in that joint,” the doctor reiterated. “That's going to interfere with your trip. I can fix all of that, and in two weeks you'll be fine to travel.”

“I'd rather have another cortisone shot,” Lisa replied.

The doctor paused and then spoke deliberately, emphasizing each word. It sounded to Lisa as though he were speaking to a badly behaved child. “I will give you the shot. But this is not a cure. Let's get you on the schedule for surgery.” Lisa agreed.

The trip to Europe was everything that Lisa and her daughter had hoped for. They both loved art, and they spent days lingering in the museums in Paris. Despite the many hours Lisa spent on her feet, she didn't feel any discomfort - the shot again had worked. But her surgery was already scheduled. So when she returned, she went to the hospital for her preoperative evaluation.

In the examination room, Lisa almost dozed off waiting to meet with the nurse who would clear her flier surgery. Her jet lag still hadn't worn off. The nurse greeted Lisa with a warm smile and went over a checklist, reviewing Lisa's past medical history, asking about any allergies or reactions to medication. She noted the normal recent electrocardiogram and chest X-ray, which showed that Lisa was healthy enough to undergo surgery.

“You know,” Lisa said, “my foot feels fine now. I wonder if I really have to have such an extensive surgery?”

The nurse glanced up from the paperwork and gave Lisa a quizzical look. “You really should discuss that with your doctor,” she said “But in any event, since you're here, let's get your pre-op blood tests done.” The nurse handed Lisa a sheet with a series of tests marked off and told her how to find the phlebotomist who would draw her blood.

When we spoke with Lisa, she reflected back on this conversation. “I guess I was afraid to confront the surgeon one-on-one,” she said. She still wasn't sure exactly why she hadn't told him her foot felt better. “I guess I just didn't want to deal directly with him. He had such a frosty and assertive way about him. And I also really wanted to believe that he knew best”

Lisa underwent the operation. The surgeon removed the bone spur and the ganglion cyst and then fused the arthritic joint, inserting two small titanium screws so that there would be no motion that could cause pain. The day after the procedure, the surgeon called Lisa and said that the postoperative X-ray was “not satisfactory” It looked as if the screws weren't correctly aligned, so Lisa underwent a second operation.

We spoke with Lisa some four months later “I have pain in my foot all the time,” she said. “It has thrown off my gait. So now I also have pain in my hip.” Lisa Norton was frustrated, bitter, and consumed with regret.

(J. Groopman and P. Hartzband, Your Medical Mind, 2011)

注
• orthotics:機能回復訓練
• bone spur:骨棘
• ganglion cyst:ガングリオン嚢胞
• arthritis:関節炎
• reiterate:繰返して言う
• cortisone shot:コルチゾン注射
• linger:長居する
• preoperative:手術前の(pre-op)
• doze off:居眠りする
• jet lag:時差ぼけ
• medication:薬物
• electrocardiogram:心電図
• quizzical:いぶかしげな
• phlebotomist:採血士
• align:調整する
• gait:歩行

以下の問1～問4について、それぞれ本文の内容と合致するものを2つ選び、その番号を答えなさい。

• 問1.
  • (1) Lisaの旅行はずっと以前から計画していたものであった。
  • (2) Lisaは、手術で痛みがなくなってから娘と一緒に旅行に出かけた。
  • (3) Lisaは、娘との旅行の間、まったく痛みを感じることなく過ごすことができた。
  • (4) Lisaは、予定していた旅行の期間を短くした。
  • (5) Lisaは、予定していた旅行の出発日を遅らせた。
• 問2.
  • (1) 医師は、手術は旅行の後でも大丈夫だと言って、まず旅行に行くことを勧めた。
  • (2) 医師は、旅行の前に痛み止めの注射を打っておくことを勧めた。
  • (3) Lisaは、手術のことは旅行から帰ってから考えることにして、旅行に出かけた。
  • (4) Lisaは、これまでにも痛み止めの注射を打ってもらっていた。
  • (5) Lisaは、注射を打ってもらって痛みが消え、手術はもう必要ないのではないかと思った。
• 問3.
  • (1) Lisaが受けた手術は、小さなねじを入れて伸びたままの関節を曲がるようにするものであった。
  • (2) Lisaは、医師に勧められて、十分な話し合いと納得のないまま手術を受けてしまった。
  • (3) Lisaは、医師に勧められて手術を受けることに同意したが、手術は失敗で、再手術を受ける結果になった。
  • (4) Lisaは、痛みは良くなっていると手術の前に医師に話したが、手術は予定通り行われた。
  • (5) 手術を勧めた医師はていねいに説明してくれたので、Lisaは医師を信頼して手術を受けた。
• 問4.
  • (1) Lisaは、痛みを何とか自分で抑えようとやってみたがよくならないので、また医師のところへ来たのであった。
  • (2) Lisaは、いったん痛みがなくなったので手術はしなくても済むかと思ったが、また痛み出したのでやはり手術を受けることにした。
  • (3) Lisaは、時差ぼけのせいで手術前の血液検査を受け忘れたので、また検査に来なければならなかった。
  • (4) Lisaは、手術前の検査の際に看護師に手術についての疑間を話したが、取り合ってもらえなかった。
  • (5) 医師は、痛みを治療するいくつかの方法について説明したうえで、Lisaに手術を選択するよう勧めた。