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"El castillo de Tolosa era más alcazar que fortaleza"
¿Intraruminal o intrarruminal?

Glossary entry

Spanish term or phrase:

sin tolerando la dieta

Spanish answer:

sí, tolerando la dieta

Added to glossary by liz askew
Aug 17, 2012 01:49
11 yrs ago
4 viewers *
Spanish term

sin tolerando la dieta

Spanish Medical Medical (general) general
This seems like a mistake to me.

When the patient was discharged from the hospital after the procedure, this is what they say:

"efectuando una Hemigastrectomía evolucionando en forma satisfactoria. sin complicaciones, egresándose a su domicilio al sexto día de P0. sin tolerando la dieta."

Without tolerating the diet? (In which case it should be "sin tolerar.") What diet? No diet has been mentioned other than in the previous paragraph, where they said, "Previously the patient had postprandial vomiting and could only tolerate a liquid diet."

Medical report from Mexico for US.

Thanks in advance for your help.

Diana
Responses
4 sí, tolerando la dieta
4 (patient) shows no tolerance to diet/ is not tolerating diet
4 sí, tolando la dieta
3 without a tolerance for the diet.
4 -1 without having been able to tolerate the (standard?) diet
Change log

Aug 24, 2012 21:43: Alejandro Cavalitto changed "Language pair" from "Spanish to English" to "Spanish"

Aug 28, 2012 08:07: liz askew Created KOG entry

Discussion

liz askew Aug 18, 2012:
Yup, no suing involved now:)
dianash (asker) Aug 18, 2012:
Sure Rosa, the client said: I confirm that the sentence should read: “egresándose a su domicilio al sexto día de PO, tolerando la dieta”.
Rosa Paredes Aug 18, 2012:
@asker Would you care to share with us the clarification provided by your client? Thank you.
liz askew Aug 17, 2012:
the fact there are no complications would surely indicate the patient can tolerate the diet!!
liz askew Aug 17, 2012:
As Neil said, there is a lot of surmising and theorising going on here. Speak to the client, and ignore the contributions.
JACR Aug 17, 2012:
This is difficult, because perhaps the fact that the patient was being discharged meant that they were in fact tolerating the requisite post-procedure diet for discharge.

However, if the "sin" is absolutely to be included, then perhaps the patient is being discharged despite not having been able to tolerate this diet.

It seems there may be a standard diet that they use as a determiner when considering discharge, or perhaps it's one personally recommended by the doctor.

May need clarification on that.
MedPharm Aug 17, 2012:
Sorry to say TechLawDC, but the whole argument does not make any sense.
I agree with neilmac on this one.
neilmac Aug 17, 2012:
Rather than spend all this time surmising/guessing, I'm afraid I'd have to consult the client on this one. In medical reports it is important to get every detail right.
TechLawDC Aug 17, 2012:
Patient might not be well tolerating his diet. (1) The patient might be getting sufficient nutrition but still not well tolerating the diet. He may suffer nausea, for example. (2) There will no doubt be followup, at which time further decisions may be made. (3) After all, the patient did not expire. Possibly the patient does not have sufficient financing for further hospitalization unless absolutely necessary.
liz askew Aug 17, 2012:
HI
they wouldn't discharge somebody if they weren't "tolerating the diet", so I reckon they mean "sí, tolerando la dieta".
MedPharm Aug 17, 2012:
Beware Please, remember how Medical reports are written. They go from verbal to manual writing or recording, and then to typing.
Mistakes can happen. It would not be the first time that something is written because it just crossed the mind of the typist then, making no sense at all.
Let's work it out.
PO= Procedimiento Operatorio (Operating Procedure)
sin= typing mistake
It would not make sense to send the patient home without tolerating the diet. In fact, it is the other way around. Patients are discharged from the hospital when conditions allow the patient to be reasonably cared for at home.
Double check.
lorenab23 Aug 17, 2012:
So I was doing a bit of researh on Mexican search engines and the way it is usually phrased is like this:
egresándose a su domicilio al sexto día (or whatever number of days, and they are always written out) posteriores a su ingreso tolerando la dieta
so I am going to make a wild guess here and say that PO is posteriores and "sin" is (S)u (IN)greso.
Do you know how many days was this guy in the hospital?
Mariano Osvaldo Maddaleno Aug 17, 2012:
I agree with lorenab23. I think, based on the context, that the patient in fact WAS tolerating the diet, so maybe they were trying to say "tolerando la dieta" (tolerando la dieta).
lorenab23 Aug 17, 2012:
the "sin" may not mean without, it may be part of PO. it seems to me that they are saying "tolerando la dieta". and the verb "tolerar" is being conjugated just like "efectuando", "evolucionando", "egresando(se)"...
Previously he was not tolerating food, now he is

Responses

5 hrs
Selected

sí, tolerando la dieta

and of course, indeed, tolerating the diet




--------------------------------------------------
Note added at 1 day6 hrs (2012-08-18 08:20:25 GMT)
--------------------------------------------------

I am glad.

Saludos!
Note from asker:
Thank you very much, Liz. I appreciate your input. Consulting the client cleared it up. Diana
Something went wrong...
4 KudoZ points awarded for this answer.
17 mins

without a tolerance for the diet.

("the diet" is some diet that was suggested, which may have been unremarkable and therefore may not have been described.)
... he was discharged and departed for his home on the sixth postoperative day, without good tolerance for the diet [that he was following].

--------------------------------------------------
Note added at 18 mins (2012-08-17 02:07:46 GMT)
--------------------------------------------------

(I don't see any meaning for "sin" other than "without" or some equivalent expression.)
Something went wrong...
2 hrs

(patient) shows no tolerance to diet/ is not tolerating diet

hungzollinger.blogspot.com/.../hemigastrectomy-billroth-i-met...ShareFurthermore, the poorly nourished patient, especially the female, has an ... vagotomy is routinely performed with hemigastrectomy and the Billroth I type of .... Although many patients after gastric surgery dislike dairy products, the majority will tolerate milk, eggs, ... The progressive regimen forms a basis for the discharge diet.

www.slideshare.net/.../acs0717-rehabilitation-of-the-burn-p... Jul 2010 – A C S0105 Postoperative Management Of The Hospitalized Patient .... Education and Rehabilitative better at 6 months from the time of injury than at 2 months. ... to begin range-of-motion exercises 5 days after level of function.12 An .... phase. able to tolerate a regular diet at discharge.40 Nevertheless, ...

hungzollinger.blogspot.com/.../hemigastrectomy-billroth-i-met...ShareHEMIGASTRECTOMY, BILLROTH I METHOD .... No clamps are applied to the stomach or duodenum to control bleeding, since the sutures on the gastric side ... Other soft foods are added as rapidly as the tolerance of the individual will permit.

books.google.ca/books?isbn=0834201321...
Abby S. Bloch - 1990 - Medical - 431 pages
Exhibit 9-2 Recommended Dietary Progressions for Patients with Gastric Cancer ... or hemigastrectomy (pylorus removed), follow these recommendations: 1 . ... Gradually test lactose tolerance with 5 to 6 g of lactose (equivalent to Vi c of milk). 6. ... Yogurt usually causes no problems for otherwise lactose-sensitive patients.
Something went wrong...
5 hrs

sí, tolando la dieta

,,
they would be sued if they sent the patient home otherwise
Something went wrong...
-1
8 hrs

without having been able to tolerate the (standard?) diet

That's what I would recommend.
Peer comment(s):
disagree liz askew : Why on earth would a hospital discharge a patient in this condition??
23 mins
Something went wrong...
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