Breakdown of Potilas ei kärsi ahdistuksesta, saati sitten paniikkikohtauksista.
ei
no / not (en, et, ei, emme, ette, eivät)
kärsiä
to suffer
ahdistus
the anxiety
potilas
the patient
paniikkikohtaus
panic attack
saati sitten
let alone
Questions & Answers about Potilas ei kärsi ahdistuksesta, saati sitten paniikkikohtauksista.
Why is paniikkikohtauksista in the elative (-sta) case here? Does saati sitten always require the elative?
The phrase saati sitten (let alone) does not force a specific case; instead, it copies the case of the word it is contrasting with. Here, it contrasts with ahdistuksesta (anxiety), which is in the elative case. Both nouns share the main verb kärsiä (to suffer), which dictates that case.
Could I use puhumattakaan instead of saati sitten in this sentence?
Yes, but the word order would change. While saati sitten is placed before the noun, puhumattakaan follows it. You would say paniikkikohtauksista puhumattakaan. Since puhumattakaan inherently governs the elative case, it fits perfectly without changing the noun's ending.
Is it possible to drop sitten and just say saati paniikkikohtauksista?
Yes, absolutely. Saati and saati sitten mean exactly the same thing. Adding sitten just makes the expression slightly more emphatic and flows nicely in spoken language.
Why does the verb kärsiä require the elative case for the thing you suffer from?
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