Ero troppo stordito e non sapevo che l'infermiere avesse cambiato la benda e la flebo.

Questions & Answers about Ero troppo stordito e non sapevo che l'infermiere avesse cambiato la benda e la flebo.

Why is avesse cambiato in the past perfect subjunctive (trapassato congiuntivo)?
The phrase non sapevo che (I didn't know that) is a negative statement of knowledge, which triggers the subjunctive. We use the past perfect subjunctive (avesse cambiato) rather than the imperfect subjunctive because the nurse's action happened before the moment in the past when the speaker didn't know about it.
If the sentence were affirmative (sapevo che...), would we still use the subjunctive?
No. Affirmative statements of knowledge express certainty and take the indicative mood. You would say sapevo che l'infermiere aveva cambiato... using the past perfect indicative. It is the negative (non sapevo) that introduces the doubt or unreality required to trigger the subjunctive here.
Why is it la flebo if the word ends in -o?
Flebo is short for fleboclisi (intravenous infusion or IV drip), which is a feminine noun. When Italian words are abbreviated, they keep their original gender, just like la foto (from fotografia) or la moto (from motocicletta).
Does l'infermiere refer to a male or female nurse?
It refers to a male nurse. The feminine equivalent is l'infermiera. Because of the apostrophe, l' is used before both, but the ending -e here indicates masculine, whereas the feminine singular would end in -a.

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