was not completely asymptomatic of the lack of improvement

22:06 Dec 11, 2014 

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"?

21:29 Dec 11, 2014 

BD Finch that the use of the word "asymptomatic" is hardly appropriate for an intervention. But it probably serves as an euphemism... (typical MD).

18:12 Dec 11, 2014 

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".

17:36 Dec 11, 2014 

"and that this was not completely asymptomatic and that your functional capacity was bound to be affected."

16:51 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!

14:14 Dec 11, 2014 

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.

14:11 Dec 11, 2014 

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

14:07 Dec 11, 2014 

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.

13:53 Dec 11, 2014 

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

13:33 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!