Glossary entry

English term or phrase:

was not completely asymptomatic of the lack of improvement

English answer:

was to some extent symptomatic of (= responsible for?) the lack of improvement

    The asker opted for community grading. The question was closed on 2014-12-14 17:54:08 based on peer agreement (or, if there were too few peer comments, asker preference.)
Dec 11, 2014 13:10
9 yrs ago
English term

was not completely asymptomatic of the lack of improvement

English Other Medical (general)
x felt that your second operation was likely to have been the result of an operative complication which required intervention and that this was not completely felt that your second operation was likely to have been the result of an operative complication which required intervention and that this was not completely asymptomatic of the lack of improvement in your functional capacity in your functional capacity

I'm a bit confused about this part "this was not completely asymptomatic of the lack of improvement in your functional capacity in your functional capacity"

Discussion

Charles Davis Dec 11, 2014:
Well... It was fairly obvious all along that the patient had undergone surgery and that his/her functional capacity had not improved (the surgery did not resolve the symptoms). If that was all it meant, it was a waste of time trying to work out what "not completely asymptomatic of the lack of improvement in your functional capacity" might mean. It does not seem to have meant anything much at all, since the client has now replaced it with a quite different statement, "was not completely asymptomatic and that your functional capacity was bound to be affected", which is still far from lucid. I still don't know what "this" refers to: what was it that was not completely asymptomatic? What was it that (adversely) affected the patient's functional capacity? And what does the writer mean by "symptomatic"?
Lirka Dec 11, 2014:
So my gut feeling was right... though I agree with BD Finch that the use of the word "asymptomatic" is hardly appropriate for an intervention. But it probably serves as an euphemism... (typical MD).
B D Finch Dec 11, 2014:
Still a problem Can an intervention be symptomatic or asymptomatic? Judging from the drastic change in the end of the sentence, which has been grammatically separated by an "and", I think what the client might mean is that the intervention was not completely without consequences. Ideally, the client should be asked to express what they mean without using the words "asymptomatic" or "symptomatic".
Ewa Dabrowska (asker) Dec 11, 2014:
thanks everybody, here is what the client said "and that this was not completely asymptomatic and that your functional capacity was bound to be affected."
liz askew Dec 11, 2014:
For what it's worth the English is confusing and unclear. I would ask the author what they actually mean, rather than everybody trying to interpret what is meant, which could be misleading!
Lirka Dec 11, 2014:
try to get away with it by formulating it neutrally. The point is that post-operatively, the patient is still experiencing symptoms and has limited functional capacity... It could be the result of S1 or S2 (or both). It's not your fault if their En does not indicate the sequence of events and the cause-effect correctly.
Ewa Dabrowska (asker) Dec 11, 2014:
the context is the patient was involved in an accident but had some health problems before the accident; it is now questionable which symptoms are due to this accident and which are due other problems
Lirka Dec 11, 2014:
Context I offered my opinion on this ( see answer) but I would be able to confirm if given more context. What is this about? Is it a second opinion on a failed surgery? From the context you can surely tell how this should be interpreted. It is true, however, that the author's English is really poor.
Ewa Dabrowska (asker) Dec 11, 2014:
sorry, there the text got pasted incorrectly x felt that your second operation was likely to have been the result of an operative complication which required intervention and that this was not completely asymptomatic of the lack of improvement in your functional capacity in your functional capacity
B D Finch Dec 11, 2014:
????! There are rather a lot of repeated bits of cut and paste there. Was that you or the ST? However, "(not completely) asymptomatic of the lack of improvement" seems nonsensical rather than medical!

Responses

+2
30 mins
Selected

was to some extent symptomatic of (= responsible for?) the lack of improvement

You can be forgiven for finding this confusing. There are three problems at least. One is straightforward: if the text you've been given is exactly as you've copied it, there are repetitions which must be errors. It should presumably read:

"x felt that your second operation was likely to have been the result of an operative complication which required intervention and that this was not completely asymptomatic of the lack of improvement in your functional capacity."

The second problem is the double negative of "not completely asymptomatic", which seems to me an unnecessarily elaborate way of putting it. It's rather like the expression "not unrelated to", which some people are fond of. Since "asymptomatic" means "non-symptomatic", "not completely asymptomatic" clearly means "somewhat symptomatic" or "symptomatic to some extent".

So it is saying that the complication requiring a second operation, or the fact that this complication arose, is to some extent symptomatic of the lack of improvement in functional capacity. But here the third problem arises, in my opinion, because to me this doesn't really make sense. It would mean that the complication was indicative of or a sign of the lack of improvement. But common sense would suggest it's the other way round: the lack of improvement in functional capacity is surely observable, and the complication is not a sign or symptom of it but the cause of it. So I would suggest (tentatively, of course) that what they actually mean is "was to some extent responsible for" or "was to some extent the cause of" the lack of improvement.

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Note added at 36 mins (2014-12-11 13:47:35 GMT)
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In practice, B D Finch is probably right; they probably don't mean anything more precise than that the complication had something to do with the lack of improvement. But I think the implication must be that the former caused the latter, and even without the convoluted double negative "symptomatic" is the wrong word.
Peer comment(s):

agree Tina Vonhof (X)
46 mins
Thanks, Tina :)
agree acetran
19 hrs
Thanks, acetran :)
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
25 mins

had something to do with the lack of improvement ...

Now that I've ploughed through and eliminated those extraneous negatives.

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Note added at 27 mins (2014-12-11 13:37:46 GMT)
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And misguided use of "asymptomatic" when simple English would do.
Something went wrong...
+1
1 hr

surgery 2 (*presumably*) did not result in complete resolution of symptoms

I read it as:

There was surgery 1 which obviously went badly.
Another surgery was performed ( surgery 2)
Tthen this particular X was asked for his opinion on it ( so I reckon).
He says that it was S2 was the result of S1 ( corrective surgery). And S2 didn't go that well either since the patient did not improve in his functional capacity.

So, for the time being, I read it as: Surgery 1 was the reason for surgery 2, the patient still hasn't recovered 100% after surgery 2.

The main question is what the "this" refers to in the second part of the sentence. Without much context and given the poor author's English, we can only guess...

If you leave out "2" from surgery 2 you can make it neutral enough...
Peer comment(s):

agree Yvonne Gallagher : agree with your discussion comment
27 mins
Thanks, Gallagy!
neutral B D Finch : It could mean that the symptoms were a consequence of the surgery.
4 hrs
Thanks for your input.
Something went wrong...
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