We interrupt the alphabet — in the A–Z Challenge you can take Sundays off — to bring you “Editing Workshop, 4” It’s been almost exactly two years since “Editing Workshop, 3,” and I’d love to do more of them.  This A–Z thing has reminded me that I’ve got a lot of free-floating stuff in my head but I need a hook to get hold of it and pull it out. Like a letter of the alphabet — or a query from a writer, editor, or reader. That’s what sparked this one. If you’ve got a question or an observation, use the contact form to send it along. I will get back to you.

This query about “post” came from someone who works in medical publishing:

I have been annoyed for the past few years by the increasingly trendy use of “post” instead of “since” or “after “: “Post the election, people have been wondering . . .” It is especially prevalent in my field, medical publishing — “The patient’s symptoms improved post surgery” — and I never allow it. Nor have I been able to discover whether it is considered even marginally correct by anyone anywhere. In any case, I think it is in dreadfully poor taste. Your thoughts?

This is the sort of usage question that editors discuss among ourselves all the time. What’s considered correct, informal, or acceptable varies from field to field, and my field is not medical publishing. But I’ll take a stab at it as a generalist and hope that some of my medical editor colleagues will weigh in in the comments, drop me an email, or use the contact form at the bottom of the page to respond.

I had an instant negative reaction to “post the election,” which is to say that my fingers itched to make it “after the election” or “since the election,” depending on the rest of the sentence. “Post” isn’t a preposition, thought I, but I’ve been wrong before so I consulted the dictionary — three dictionaries: American Heritage, Merriam-Webster’s Collegiate, and Oxford (UK), all online. None of them listed “post” as a preposition. This usage may catch on and become standard, but it hasn’t yet, and because “after” and “since” serve the same purpose so well, I’d go ahead and change it.

“The patient’s symptoms improved post surgery” is something else again. “Post surgery” isn’t the same as “post the surgery.” Here I think “post” is a preposition. This would be clearer if it were either fused with “surgery” or attached to it with a hyphen: “postsurgery” or “post-surgery.” I’d go with the latter because I like hyphens a lot better than Merriam-Webster’s does. On the Copyediting-L email list, HARP stands for Hyphens Are a Reader’s Pal, and I’ve been a HARPy since I knew there was such a thing.

“Post-”prefixed words can certainly be adjectives — “post-election party” and “post-surgery protocol” both sound unexceptional to me — but offhand I couldn’t think of many “post-”prefixed adverbs, which is what I think it is in “The patient’s symptoms improved post-surgery.”

“My mental state deteriorated post-election” strikes me as grammatical enough (it’s also true), but it doesn’t sound idiomatic to my ear: I’d probably say or write “My mental state deteriorated after the election” or “The patient’s symptoms improved after surgery.” However, in a document where brevity is desired and expected by the intended readers, the adverbial “post-election” or “post-surgery” might be fine.

So what do you think, both you generalists and especially you who work in the medical field? Is it OK or not OK or OK under certain conditions?

Two comments:

Linda Kerby: “I agree with your comments. If it is used as an adjectival phrase like ‘post-operative improvement was without incident’, then yes. But the other use is awkward. I do not see much use of that, thank goodness.”

Louise Harnby: “Great post (couldn’t resist it!). In fact, Oxford Dictionaries does support the use of post as a preposition, but you have to scroll waaaay down the page to the fourth definition! https://en.oxforddictionaries.com/definition/post#post_Preposition_800. They even give an example that includes ‘the’. I agree with your enquirer that this sounds a little sticky, so it may well depend on the context (I’m not a medical editor either) and readership, but there is dictionary support for the prepositional form!”