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Familia - Arterial Clot, surgery possible

Centerfield
May 11 2017 05:52 PM

Per Ken Rosenthal on twitter.

Not sure what this means, but it sounds bad.

John Cougar Lunchbucket
May 11 2017 05:53 PM
Bloodclot for Familia

[tweet:1194qpm2]https://twitter.com/Joelsherman1/status/862726419981500416[/tweet:1194qpm2]

[tweet:1194qpm2]https://twitter.com/Joelsherman1/status/862726943568953344[/tweet:1194qpm2]

Centerfield
May 11 2017 05:59 PM
Re: Familia - Arterial Clot, surgery possible

Man, we are going to be awesome in September. 25 games out by then, but awesome.

d'Kong76
May 11 2017 06:01 PM
Re: Familia - Arterial Clot, surgery possible

It's something like every other day this season.

MFS62
May 11 2017 06:25 PM
Re: Familia - Arterial Clot, surgery possible

Think how sweet it will be to overcome this adversity and win the World Series.

LGM

Later

seawolf17
May 11 2017 06:27 PM
Re: Familia - Arterial Clot, surgery possible

d'Kong76 wrote:
It's something like every other day this season.

Seriously.

seawolf17
May 11 2017 06:27 PM
Re: Familia - Arterial Clot, surgery possible

MFS62 wrote:
Think how sweet it will be to overcome this adversity and win the World Series.

LGM

Later

Also seriously.

Centerfield
May 11 2017 06:33 PM
Re: Familia - Arterial Clot, surgery possible

I think Dillon Gee had this many years ago and missed the rest of the season. I feel like that was in the second half though, so maybe Familia can come back for August/September.

metirish
May 11 2017 06:36 PM
Re: Familia - Arterial Clot, surgery possible

WOW, feel awful for him....this is some serious shit

LeiterWagnerFasterStrongr
May 11 2017 06:36 PM
Re: Familia - Arterial Clot, surgery possible

Criminy.

Edgy MD
May 11 2017 06:40 PM
Re: Familia - Arterial Clot, surgery possible

Is this the sort of thing that can be attributable to being a professional pitcher? Or is it just a thing?

themetfairy
May 11 2017 06:42 PM
Re: Familia - Arterial Clot, surgery possible

I can't even process this....

Benjamin Grimm
May 11 2017 06:44 PM
Re: Familia - Arterial Clot, surgery possible

The tabloid covers I've been collecting recently have been pretty grim.

This isn't going to change that.

Frayed Knot
May 11 2017 06:48 PM
Re: Familia - Arterial Clot, surgery possible

Centerfield wrote:
Per Ken Rosenthal on twitter.

Not sure what this means, but it sounds bad.


Well, arterial clots tend to be dealt with by either dissolving them or removing them.
Dissolving is obviously much better but that isn't always possible.

Frayed Knot
May 11 2017 07:03 PM
Re: Familia - Arterial Clot, surgery possible

The other mystery here is what triggered this diagnosis.
Despite the bad outing yesterday, Familia claimed afterward, "I feel great, my arm feels great" and just said that his command was off.

Ackert's first article (NYDN) on this claims that the Mets had been "privately worried about" Familia and quotes some unnamed scout saying how "disinterested" and lousy he's looked this year - but much of
that sounds like nothing more than after-the-fact justification.
Prior to yesterday he had given up just 1 hit and no walks in his previous five innings/outings, something which is kind of tough to do when you suck and don't care.

Something either was being hidden or just cropped up over night.

Edgy MD
May 11 2017 07:32 PM
Re: Familia - Arterial Clot, surgery possible

I guess that can happen. Sleep funny. Wake up funny.

Anyhow, I'm guessing the Smoker we drink will be the player we get. And at least he has a full day to report to the team and sleep. Go Mets.

MFS62
May 11 2017 08:07 PM
Re: Familia - Arterial Clot, surgery possible

I'm looking for my old baseball glove.

Later

Frayed Knot
May 11 2017 08:09 PM
Re: Familia - Arterial Clot, surgery possible

Yeah, finger numbness is often the warning sign for this sort of thing, so either JF just woke up with it today and realized was more than simply sleeping on his hand or he's had a mild case of it
for a while and decided to fess up now after it grew worse.

He's slated to see Harvey T.O.S. guy in St Louis tomorrow.

Centerfield
May 11 2017 08:59 PM
Re: Familia - Arterial Clot, surgery possible

Would go a long way to explaining why he struggles when used 3 straight days. I hear it blocks oxygen? So the recuperation is tougher.

Lefty Specialist
May 11 2017 09:33 PM
Re: Familia - Arterial Clot, surgery possible

Ay caramba. Waiting for the Shea Bridge to collapse next.

Ashie62
May 11 2017 09:55 PM
Re: Familia - Arterial Clot, surgery possible

Familia will be OK.

Save opportunities may dwindle as the year goes on.

41Forever
May 11 2017 10:06 PM
Re: Familia - Arterial Clot, surgery possible

Since this seems to happen to the Mets just about every year, might swapping out the training staff be a horrible thing? It's probably not it's fault, but I think we can all agree that something's not working.

Methead
May 11 2017 10:07 PM
Re: Familia - Arterial Clot, surgery possible

Can't we just inject some nanobots into his bloodstream to eat the clot away, or is ownership too cheap to go that route?

Edgy MD
May 11 2017 11:02 PM
Re: Familia - Arterial Clot, surgery possible

41Forever wrote:
Since this seems to happen to the Mets just about every year, might swapping out the training staff be a horrible thing? It's probably not it's fault, but I think we can all agree that something's not working.

That doesn't sound very scientific.

d'Kong76
May 12 2017 12:17 AM
Re: Familia - Arterial Clot, surgery possible

I've read that all teams except for the Mets have an organizational anti-clot
policy in place. Clearly, it's just one more thing in a long list of medical issues
with this franchise that needs to be addressed and NOW!!

Edgy MD
May 12 2017 12:24 AM
Re: Familia - Arterial Clot, surgery possible

Two words: Adriana Lima.

Twenty-two more words: Give The New York Post 48 hours and they'll have gotten to the bottom of her role in all Metly circulatory issues.

Fman99
May 12 2017 10:14 AM
Re: Familia - Arterial Clot, surgery possible

Edgy MD wrote:
Anyhow, I'm guessing the Smoker we drink will be the player we get. And at least he has a full day to report to the team and sleep. Go Mets.


Solid Joe Walsh reference here.

batmagadanleadoff
May 12 2017 10:56 AM
Re: Familia - Arterial Clot, surgery possible

Obviously, the Mets are trying to rectify the central point of this FiveThirtyEight piece:

The Mets Aren’t Even Best At Getting Injured

https://fivethirtyeight.com/features/th ... g-injured/

Benjamin Grimm
May 12 2017 12:35 PM
Re: Familia - Arterial Clot, surgery possible

Can any of the time that Familia misses be applied against his next suspension?

seawolf17
May 12 2017 01:09 PM
Re: Familia - Arterial Clot, surgery possible

Obviously, the Mets are trying to rectify the central point of this FiveThirtyEight piece:

The Mets Aren’t Even Best At Getting Injured

https://fivethirtyeight.com/features/th ... g-injured/

First of all, yes we are, sabermetric injury stats be damned.

Second of all, that picture is the most perfect picture for an article ever.

Frayed Knot
May 12 2017 06:01 PM
Re: Familia - Arterial Clot, surgery possible

Edgy MD wrote:
Is this the sort of thing that can be attributable to being a professional pitcher? Or is it just a thing?


NY Times: causes of arterial clots include "trauma, repetitive motion, or a build up of scar tissue".
So, sounds like it's a thing, but it's a thing more likely to occur if you do his thing for a living.

"If it's truly arterial", says a Mt Sinai Med Center aortic surgeon Not connected with the case, "it's generally going to be treated with surgery."

Sandy apparently to address the issue prior to tonight's game.

Batty31
May 12 2017 07:12 PM
Re: Familia - Arterial Clot, surgery possible

Centerfield wrote:
I think Dillon Gee had this many years ago and missed the rest of the season. I feel like that was in the second half though, so maybe Familia can come back for August/September.


Taken from: http://www.mycentraljersey.com/story/sp ... 101581384/


It's possible Familia could miss several months or even the rest of the season, according to examples provided by former Mets pitcher Dillon Gee, who stressed that each case is based on the location and the severity of the clot.

Gee, who is now pitching with the Rangers' Class AAA affiliate Round Rock, has twice undergone surgeries for blood clots. In 2012 when he was with the Mets, Gee had no feeling in his arm for two days, and had a severe blood clot in his right arm pit.

Gee had the option to take blood thinners but it would not have made much of a difference, and ultimately underwent surgery that was performed by Thompson. Gee said he was playing catch in about six weeks after the surgery, but did not return that season since he had the surgery in July and it didn't make sense to push it.

"It's whatever the rate the artery heals at," Gee told The Record in a telephone interview. "That rehab was really like any other rehab. Let it recover and (get) back to normal."

Last season while with Kansas City, Gee developed a blood clot near his collarbone, and this time underwent surgery for TOS, which is a more intensive recovery period. Harvey also underwent TOS surgery last July and missed the rest of that season.

"The surgical options depends on where he's having his clots," Gee said.

Edgy MD
May 12 2017 08:09 PM
Re: Familia - Arterial Clot, surgery possible

Are we on the cusp of something? Is TOS surgery about to become as commonplace for pitchers as TJ surgery?

Benjamin Grimm
May 12 2017 08:12 PM
Re: Familia - Arterial Clot, surgery possible

I'm wondering that myself. I wasn't aware (until this thread) that Dillon Gee also had the TOS surgery.

Frayed Knot
May 12 2017 08:18 PM
Re: Familia - Arterial Clot, surgery possible

Edgy MD wrote:
Are we on the cusp of something? Is TOS surgery about to become as commonplace for pitchers as TJ surgery?


If overdevelopment of shoulders is a contributing factor, then maybe so.
As weight-training and other strengthening exercises have diminished shoulder problems (fewer rotator cuffs, etc.) it's certainly been a factor in the increase of TJS. Not sure if TOS is a byproduct of that as well.


Cone (as a MFY) in the '90s was the first blood clot I remember but that wasn't also TOS.
Carpenter of the Cardinals had TOS, not sure about how many others.

Frayed Knot
May 12 2017 10:04 PM
Re: Familia - Arterial Clot, surgery possible

Mets RHP Jeurys Familia had surgery on Friday for a clot in his right armpit, which was performed by Dr. Robert Thompson in St. Louis, GM Sandy Alderson said.
Familia will be out for several months and could miss the remainder of the season, according to Alderson, who said Familia's surgery was not the same type Dillon Gee underwent in 2012.


http://www.newsday.com/sports/baseball/ ... 1.13626552


And so it goes.

Ashie62
May 12 2017 10:12 PM
Re: Familia - Arterial Clot, surgery possible

I'm verklempt.

Edgy MD
May 12 2017 10:12 PM
Re: Familia - Arterial Clot, surgery possible

Gosh. Moving that fast, (I suspect) they must have suspected he was in some danger.

Hey, man, smart move keeping Jenrry Mejia in house.

John Cougar Lunchbucket
May 12 2017 11:05 PM
Re: Familia - Arterial Clot, surgery possible

I gotta be honest. If a guy's hurt, he's hurt. Forget about him. Familia wasn't having a great year anyway. Obviously the margin for error just went down a bit but the club can't worry about it and neither should we. Let's see what Baldonado has got, or McGowan. Smoker probably needs to get going again in Vegas but maybe he helps in a few weeks. Maybe Lugo or Matz.

Edgy MD
May 12 2017 11:16 PM
Re: Familia - Arterial Clot, surgery possible

Baldo just got called up to AAA after 16.2 scoreless innings (and 6 saves) in Bingo.

I agree. Sweating over bullpenners is wasted energy. Lots of guys to pick up the slack.

cooby
May 12 2017 11:47 PM
Re: Familia - Arterial Clot, surgery possible

so who's our new closer?

John Cougar Lunchbucket
May 13 2017 12:25 AM
Re: Familia - Arterial Clot, surgery possible

Who cares, but probably Reed.

d'Kong76
May 13 2017 12:31 AM
Re: Familia - Arterial Clot, surgery possible

I know the clot condition is serious and dangerous but I'm surprised the
recovery time is as long as some predict. I'd think these days they'd go in
there 'minimally invasive' or whatever and bing bang boom. What do I know.

Frayed Knot
May 13 2017 12:31 AM
Re: Familia - Arterial Clot, surgery possible

Yeah, the real problem isn't losing Familia as much as it's who replaces Reed as he replaces Familia and then who fills in for the Reed fill-in, and on down the line.

Frayed Knot
May 13 2017 12:33 AM
Re: Familia - Arterial Clot, surgery possible

d'Kong76 wrote:
I know the clot condition is serious and dangerous but I'm surprised the
recovery time is as long as some predict. I'd think these days they'd go in
there 'minimally invasive' or whatever and bing bang boom. What do I know.


I think it's just the time needed for the blood vessel itself to re-knit itself together enough to withstand all the tension a big league pitcher will put it through.
Certainly not something you'd want to fail on you. Stitches coming out on a skin wound or even a muscle tear is one thing, but from a blood vessel presents a whole 'nother set of problems.

Edgy MD
May 13 2017 01:18 AM
Re: Familia - Arterial Clot, surgery possible

Frayed Knot wrote:
Carpenter of the Cardinals had TOS, not sure about how many others.


If found a list The Post published a list back when Harvey went under.

Besides Harve and Dillon, there was Noah Lowry, Matt Harrison, Chris Carpenter, Josh Beckett, Shaun Marcum, Chris Young, Clayton Richard, Jaime Garcia, and Phil Hughes.

Frayed Knot
May 13 2017 11:36 PM
Re: Familia - Arterial Clot, surgery possible

Further details on Familia

- can begin throwing again in six weeks but will not be able to pitch in competitive games for three or four months

- the surgery was to repair a "blockage of the posterior circumflex humeral artery"



Sounds odd that he can begin throwing as soon as six weeks but that any return is still put off for a minimum of six to seven weeks after that, but if that's what the docs say then that's what they say.
Three months puts us in mid-August. Four obviously goes to the middle of September.

Ashie62
May 14 2017 12:53 AM
Re: Familia - Arterial Clot, surgery possible

Robot pitchers anyone?

Tee-ball?