Aug 7, 2009 20:26
14 yrs ago
2 viewers *
English term

at the same setting

English Medical Medical: Health Care reporting medical services
Sometimes the anesthesiologist performs both an anesthetic and one or more other procedures at the same setting. These other procedures may include such things as invasive lines, nerve blocks for postoperative anesthesia, or a transesophageal echocardiography study.

What does "setting" refer to?

Discussion

Allda (asker) Aug 7, 2009:
No more clues in this context, I am afraid From answer 9 ( by dr Michael C.E.) to this question : Can I have multiple procedures done at once?
http://www.realself.com/question/multiple-procedure-breast-i...
His answer : It is common that multiple procedures be done at the same setting
I gather that "at the same setting" means "at once"

However answer 3 by Shervin to this question :
http://www.realself.com/question/blepharoplasty-rhinoplasty-...
is a bit confusing, because he says: "at the same setting or time"
B D Finch Aug 7, 2009:
Not at all clear More context is needed. It could be an error for "in the same setting", i.e. in the same place and conditions. Can you post any further clues?

Responses

+10
3 hrs
Selected

at the same time and place

Definition of "setting" from Ask.com
1. The position, direction, or way in which something, such as an automatic control, is set.
2.
1. The context and environment in which a situation is set; the background.
2. The time, place, and circumstances in which a narrative, drama, or film takes place.
3. Music. A composition written or arranged to fit a text, such as a poetical work.
4. A mounting, as for a jewel.
5. A place setting.
6. A set of eggs in a hen's nest.

In this context, definition 2.2 applies except that the "drama" is the medical encounter. In other words, several procedures are performed on the patient either simultaneously or sequentially but at the same visit/encounter.

Discussions about doing several procedures at the same "setting" are usually in the context of billing. Very often fee schedules will discount the 2nd, 3rd, etc procedure if it is performed at the same setting. Thus, in my personal case, I am obliged to have patients return for separate visits on separate days if they have more than one problem, since the fee schedule does not adequately reimburse me for the time spent for several problems at the same setting.
Peer comment(s):

agree Anna Fominykh
3 mins
Thanks Anna & Victor!
agree Michal Berski
4 hrs
Thanks Michal!
agree Shera Lyn Parpia : After reading the links that Alida gave, I would accept this interpretation - but it's a slightly unusual use of the term.
5 hrs
Thanks Shera and I agree with you. The actual term used in my electronic medical records is "encounter" but even that has an unwarranted confrontational connotation.
agree Phong Le
8 hrs
Thanks Phong!
agree Demi Ebrite
8 hrs
Thanks Demi!
agree B D Finch : Even though it should be "in" rather than "at". Perhaps this is wishful thinking by hungry doctors about their lunch together, at the same sitting in the hospital canteen?
8 hrs
Thanks BD. I would have interpreted "in the same setting" as meaning "under the same circumstances". It is clear from the confusion that "setting" is not uniformly understood. A different word should have been used, such as "encounter".
agree Olga B
9 hrs
Thanks Olga!
agree Rolf Keiser
10 hrs
Thansk Goldcoaster!
agree Polangmar
12 hrs
Thanks Polangmar!
agree George C.
2 days 7 hrs
Thanks solarstone!
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4 KudoZ points awarded for this answer. Comment: "Thank you very much for your clear explanation, Dr. Barnett :)"
+2
3 mins

an anesthetic and one or more other procedures

Peer comment(s):

neutral B D Finch : How does this answer the question?
1 hr
agree JangF
1 hr
agree Judith Hehir : Yes, the adverbial is redundant and awkward.
3 days 4 hrs
Something went wrong...
12 hrs

same complete arrangement

This includes, among others, calibration, place, equipment, ......etc.
Something went wrong...
22 hrs

on the same patient/surgical case

The way I read it is that the anesthesiologists performs many procedures on the patient; of course meaning at the same time and place; or, in other words, during/before one and the same surgery...

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