To be consistent, I’m sure the sportswriters will refer to the Medical Wing of the Hall of Fame:
Read More...Dr. Frank Jobe, who developed the elbow procedure known as “Tommy John surgery” that has helped baseball players extend their careers, will be honored during Hall of Fame induction weekend on July 27.
Tommy John will attend the ceremony to help honor Jobe for his impact on the sport. John was diagnosed with a ruptured MCL in his left elbow in 1974 when Jobe tried a procedure in which he ...
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1 2 3 >Microbrew:
facepalm
What a turd Dibble is. My favorite quotes:
If this were true then pitcher injuries would never happen to anyone. Since every pitcher was once at a point where they had not yet hurt their arm.
Yeah, #### you Rob Dibble.
I don't know what kind of inside info Dibble has, but THAT would make some headlines!
Because everyone knows that Doc Gooden wasn't burned out in anyway whatsoever.
Until you hurt it, 'cause then it's already been hurt!
/yogi
Sooner or later just like the world first day
Sooner or later we learn to throw the past away
Sooner or later we learn to throw the past away
History will teach us nothing
History will teach us nothing
annnnd diet tab to #11.
I don't think they've revealed all that they know (or at least all the data they're going on), but, from what they've indicated in the press, Dibble's kind of right about this. I've only seen the sports doctors quoted for broader approval of erring on the side of caution, but nothing really firm.
This is all that I'm aware of as well. However, I'd note that I don't see any feasible way for any data to have been collected. The Nationals are essentially in uncharted territory with their approach. The lack of data shouldn't really be that discouraging - they are the data point. Maybe it won't work at all, but I'd rather a team be trying something that's backed with sound reasoning (even if there's no yet data) than just saying, "well, we don't know how to do better than the normal approach, so normal approach it is!".
Adam Kilgore reported out a pretty solid piece on the attitude towards the impending shutdown in the clubhouse a couple of days ago. He said the unanimous opinion from them, both on and off the record, was "we understand why it's happening and we accept it, but obviously we're not thrilled." Jordan Zimmermann has also made it a point to speak up on behalf of the idea, pointing out how critical he now feels his early shutdown last year (under identical circumstances save for a pennant race) was to his remarkable success this year. Paraphrasing him, he said "I hated it with a passion last year, but in retrospect it was the right thing to do."
My guess is there are quite a few players frustrated by it but that their frustration is with the organization, not with Strasburg. He's been pretty clear with the whole "rip the ball out of my hands" stuff that he wants to keep going so unless he's doing a 180 when he's in the clubhouse I doubt the criticisms are of him.
In addition -- and this point has been made by a number of writers already -- it gives the Nats a GOOD reputation with agents and players, not the opposite. The message they're sending here is "we will care more about your long-term health and career than our short-term interests. You are not just a piece of meat to us." The father of Lucas Giolito (the HS pitcher the Nats drafted and surprised the industry by managing to sign) specifically said the other day that the main reason he okayed the idea of his son signing onto the Nationals is because of the rep they had acquired for caring for young pitching arms -- important because Giolito already had an elbow problem that caused him to fall several slots in most teams' draft estimations.
Leaving aside purely ethical & moral considerations, that's a damn good reputation for the Nats to have in the game. Especially given the fact a number of teams -- Red Sox, Mets, Pirates -- have developed toxic reputations for the indifference/incompetence/quasi-malevolence of their medical staff.
The Nationals have used fellow starter Jordan Zimmermann as a model for their approach with Strasburg. Zimmermann had Tommy John surgery to replace his torn ulnar collateral ligament in 2009 and pitched 1611 / 3 innings last year in his first full season back, just over his prescribed 160-inning limit. While that proved successful for Zimmermann, who has emerged as one of the league’s best pitchers, Strasburg won’t be held to the same number.
Did Dibble call out Dibble during his career? Per Deadspin - http://deadspin.com/5620583/rob-dibble-is-trying-to-destroy-stephen-strasburg - Dibble spent the entire 1994 and 1996 seasons on the DL due to injuries which eventually ended his career.
Very true. But that's pretty much Dibble's point. They're making this up as they go along. Maybe they're right, but they're not guided by any real data (that's been revealed) that firmly suggest that this is the way to proceed. (It wouldn't be a big issue, of course, but for the status of the Nats as significant contenders for it all.)
So Dibble raises an interesting point, however inartfully as he might raise it. Let's say the Nats continue to pitch him throughout the playoffs. That might be negligent in some sense; there's a chance he'll get hurt (now or in the near future). But there's nothing willfully negligent about it -- they're not going against all data and logic. How far, then, has the industry come? Wasn't the whole point of pitch counts/PAP/all that stuff a reaction to baseball management willfully riding their pitchers (young ones, especially) into a higher potential for injury? Now we have a team that is so cautious that it has adopted essentially the opposite approach.
Baseball teams now are playing it safe (and coddling their players), while the statheads are saying go for it (because it's all about winning now).
If I were Strasburg, I would also demand to pitch in the postseason, and I would probably be upset with the regular season shutdown if my team were not in such a good position in the standings. If winning a champoinship isn't the most important thing to an athlete, well, I just don't know how to identify with that.
As for the future, what is Strasburg's ceiling now? Its taken him 41 career starts to surpass 230 IP, and he's not particularly economical with his pitches despite excellent control and low hit totals.
Excellent point, I forgot the article already (and it was only a week ago!). It's really a must read for anyone who wants to be well informed on the Nats reasoning. It's from Jayson Stark and can be found here: http://espn.go.com/mlb/story/_/id/8253442/shut-stephen-strasburg-just-let-pitch
Here's where the important bit comes in (or, at least important to me):
What follows is strong endorsement from some very credible people.
Back to Esoteric:
I concur wholeheartedly with this. That people focus on the effect on player's psyches is entirely reasonable, but the focus being almost entirely on the negative seems somewhat absurd. It seems like almost everyone actually around the team accepts the reasoning behind the decision and grants that it's about doing what's right for the player in the long run (even if we can't know with certainty what that is). The point is, the Nats are trying to do what's best for Strasburg's long term health, and that's sure not something you'll get from every team (as you note).
Alternative read: Giolito signed with the Nationals because they centered their entire draft strategy about carving out the maximum amount of money possible for him to sign. Sure, maybe it was the team's history with recovery that pushed them over the edge. But it was also likely 98% that giant dumptruck full of money.
(related prickish rhetorical kinda question: should an organization get credit for successfully rehabbing all the injuries that seem to pop up in its organization? wouldn't it be better if their players didn't get injured in the first place?)
Also, and to be cold-blooded here: the interests of the doctors are different than the interests of the team. Frankly (and this is just the nature of sports), Mike Rizzo shouldn't care whether or not Stephen Strasburg can still lift his arm above perpendicular in ten years. He shouldn't really even care about that in five. That's not to say you do something that was so obviously abusive as to what happened with Prior. But this is almost to the opposite extreme.
Didn't he also say that he'd have hated it even more if the team had been in the race last season?
They're not planning to shut down Zimmermann. That was last year.
I'm guessing you don't have kids. You never stop wanting to protect your kids. I'm in my fifties; my dad's 92; he's still trying to protect me.
The thing that I don't feel like I'm hearing enough in all of this is that while everybody gets to have an opinion, only one guy actually has the responsibility of making the decision. We don't have to agree with Rizzo to appreciate that distinction.
Oh, keep listening. He's all too happy to tell you himself that he's the decider.
That, and nothing else, is why none of the medical experts quoted will state "yes they should shut him down" or "no, they shouldn't." It would be grossly unprofessional of them to offer an opinion on that matter -- and their peers would most certainly notice.
The low innings per start thing isn't mostly driven by him not being economical; it is driven more by the Nats not letting let him pitch as many pitches per start as other successful pitchers thus far in his career. His ceiling is best pitcher in baseball.
This take might not be relevant any longer, but Joe Sheehan painted an interesting scenario on the Rany & Joe podcast that was taped a few days ago: Rizzo says, "No, that 180 IP (or whatever) limit was for the regular season." Trickeration!
I think most agree that you don't want to drive Strasburg into the ground. And that pitching him too much this year could do that. COULD do that. Not WILL do that. But what are those odds? And what are the odds that even by sitting him, that he won't get injured any way. I hate how much of this argument rests on a single data point: See what they did with Zimmermann?! But see what happened with Joba? What about with Strasburg himself? The team babied him the first year they had him, and he still got hurt. Crap happens sometimes, even if you try to control it. And in this case, we just don't know one way or another what those various percentages and odds are.
Rizzo's banking that the odds of contention this year won't diminish that much, and that the odds of future contention will increase. That may be true, but without knowing or being able to assess the odds for other scenarios, it's not a question that anyone can really answer definitively.
I'm rambling here, but I guess that that's what bugs me the most about this. Much of the pro-shutdown argument IS being framed as if it is definitive. As if those odds have been assessed, and that this definitely IS the right thing to do. It's probably that, more than anything, that chafes me.
I refuse to believe it's as simple as them counting innings. Are they counting pitches? Are they weighing pitches by pitch type and situational stress? Are they tracking pitchFx for bite on his pitches or changes to release point?
There are any number of ways that you COULD track Strasburg to monitor how fatigued he is to help assess a decision to shut him down. The team, for whatever reason, refuses to talk about it.
(For what it's worth, I pulled down some data on Strasburg's curves from brooksbaseball last night. I don't know if you can draw broad conclusions, but his curves are getting much less bite on them now than they were at the beginning of the year.)
Is there some kind of "magic number" of pitches or innings or total stress factor within a given time period beyond which the chances of a guy getting injured go up dramatically? There almost certainly is, but I don't think that there is any possible way to ever scientifically prove what that magic number is for any particular individual pitcher. It's nothing but a guess backed up by some anecdotes from the past.
Not sure how much Joba is relevant because Pudge Rodriguez caused the injury that derailed his path to stardom. Though I suppose you could use it to say "sh!t happens, so might as well get the good while you can."
I keep reading this 10-years line. Sure, it's a hypothetical. But he's only under contract for 4 more years. Again, don't go Prior on him. But where he is in 2019 shouldn't matter to today's decisions.
Maybe the guy is the biggest jerk in the history of jerkiness, but that doesn't change the fact that it's a lot easier to spout off about this on talk radio or a message board than it is to actually make the call.
So Stevie has two daddies? :)
Isn't it more likely that they'd gladly issue a policy and cash the premium checks, but then refuse to pay a claim if you hadn't followed doctors' orders?
There are any number of ways that you COULD track Strasburg to monitor how fatigued he is to help assess a decision to shut him down.
Why would they need to look at game data? The team can examine his pitching arm directly and see how it develops during the season.
If the Nationals think they have the inside track to resign him past those 4 years (and obviously they do think that), then it very much matters how he'll be in 2019. Having Boras for an agent implies that they won't be getting any sort of discount on resigning Strasburg, but it's entirely possible that they'll have the first shot at paying market value.
I'm the last person to make claims for medical certainty after my own experience with cancer stats and outcomes, but then again, the flags fly forever argument seems to assume much greater certainty for the Nats' post-season outcome than the crapshoot doctrine implies.
Too late!
You also get only one shot at $200 million. I'm sure every single player in baseball history, including Dibble, would trade a shot at a ring for a better shot at the huge payday.
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