Glossary entry

German term or phrase:

gut eingestellt

English translation:

well controlled (disease well controlled with medicine X)

Added to glossary by TechLawDC
Jun 23, 2020 07:52
3 yrs ago
64 viewers *
German term

gut eingestellt

COVID-19 German to English Medical Medical (general)
Ich betreue eine 42-jährige Patientin mit einer schweren Plaque Psoriasis, die seit einem Jahr sehr gut mit Medikament X eingestellt ist.

Do you think it is in the sense of well-adjusted or ceased?
Change log

Jul 7, 2020 04:43: TechLawDC Created KOG entry

Discussion

Anne Schulz Jun 25, 2020:
Hi David, I totally agree with this and never argued the contrary :-) All I am saying is that both "Die Patientin ist sehr gut eingestellt" and "Die Plaque-Psoriasis ist sehr gut eingestellt" are phrases that may be used by German doctors. Both statements indicate that the patient's disease is well controlled, and the former may additionally imply that the patient tolerates the treatment well.
David Moore (X) Jun 24, 2020:
@Anne: Please don't take offence, but a person canNOT be "controlled" by a medication. A medication can keep a condition under control, but that's a different kettle of fish.
What the doctors have done is ADJUST the dosage in stages to establish the optimum dose, and this unfortunate patient has had her condition under control for the past year with a well-adjusted dosage of medicine X.
Das "Einstellen" ist mir ein Begriff, die ich gut kenne, weil meine Frau hatte ziemliche Probleme mit dem Einstellen eines Schilddrüsenpräparates.

BUT...I repeat a medicine cannot control a person.
Anne Schulz Jun 23, 2020:
@David Trust us betriebsblind German doctors! The object of "einstellen" are either (chronic) diseases or patients affected by such diseases, even if the "Einstellung" happens by means of some medication. In the present case, the object is (grammatically) ambiguous and may either be the 42-year old patient or her plaque psoriasis, but the message in either case is that this patient's plaque psoriasis is well controlled on drug X. (You could probably make an equivalent statement using "adjusted" and "medication", but it would not be typical 'medicalese'.)
David Moore (X) Jun 23, 2020:
Well!!! Are all the doctors Betriebsblind, or what?

You are right on the mark with "adjusted"; it is a question of the medication being adjusted to the patient't needs, no question of "control" here. Except by the doctors, whoc need to control - sorry, CHECK - the patient every so often.

A doctor will "einstellen" a (medication) dose to the patient in the same way a mechanic will adjust the ignition timing on an older car, and I contend the ST writer has been careless with the phraseology.

Proposed translations

+6
30 mins
Selected

well controlled

(Other possible translations, such as prevented, or suppressed, or allieviated, do not fit the context.)

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Note added at 40 mins (2020-06-23 08:32:47 GMT)
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Other possibilities, such as well managed, or well stabilized, probably add connotations which the author did nit intend.

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Note added at 5 hrs (2020-06-23 13:02:33 GMT)
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Alternate answer: well controlled (with appropriate titration).
Remark: "titration" is a medical term meaning appropriate timewise dosage adjustment.
Peer comment(s):

agree Harald Moelzer (medical-translator) : yes - "well controlled with drug X"
4 mins
agree Dr. Johanna Schmitt
6 mins
agree Renee Kulkarni MD
2 hrs
agree Anne Schulz
2 hrs
agree Edith Kelly : I prefer: well stabilised but controlled is also fine. For certain diseases, definitely stabilised e.g. M. Parkinson
3 hrs
disagree David Moore (X) : Much surprised that Edith hasn't entered "stabilised" as an answer. "Controlled" really doesn't have the right connotations here.ng.
4 hrs
agree Susanne Schiewe
5 hrs
agree Steffen Walter
23 hrs
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4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
+1
9 hrs

well stabilised

Heard it zillions of times ... I have never heard controlled. But I suppose I am too late.
Peer comment(s):

agree David Moore (X)
3 mins
neutral Chris Pr : But not in the context of 'a patient is well stabilised'...
14 mins
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+1
9 hrs

responded well

"...who has responded very well to medication X over one year."

"This concept developed from the observation of patients that had been hospitalized and responded well to medication, but suffered relapses shortly after..."
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181788/




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Note added at 10 hrs (2020-06-23 17:55:45 GMT)
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Note: The source text appears to be a more informal description of a case, rather than a strictly medic-internal one...
Peer comment(s):

agree Lirka : Yes, this would be my #2 choice.
1 day 3 hrs
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10 hrs

[satisfactorily] kept in check by X

This patient's severe psoriasis is kept in check by medication X. you may not even need the satisfactorily part as it is already implied.

I would use "kept in check" here as psoriasis is likely to flare up and medication X obviously prevents these exacerbations.

https://books.google.hr/books?id=frYEiHYtOv0C&pg=PA320&lpg=P...
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5 days

a condition she has been able to manage using X medication

The option of 'has responded well to treatment X' is pretty idiomatic in English, but we also speak of 'managing' (i.e. 'controlling'/ keeping in check) a condition with a particular treatment.
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Reference comments

13 hrs
Reference:

FDA case reports

"A 27 year-old woman with ... plaque psoriasis ... She considered her psoriasis moderately well-controlled with her current treatment regimen of topicals and over-the-counter products…"

https://www.fda.gov/media/101758/download
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