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Monday, March 17, 2014

A’s Jarrod Parker to miss season – Tommy John surgery again

The Complete Jarrod Parker On Nerve.

Jarrod Parker will miss the A’s 2014 season; the projected Opening Day starter needs Tommy John surgery for the second time.

“The first thing in these situations is you feel bad for Jarrod,” assistant general manager David Forst said. “He worked hard this offseason after some struggles at the end of the year and was going to be at the top of the rotation. But we can only play the hand that we’re dealt.”

This morning, Parker visited Dr. James Andrews, who did his first Tommy John surgery in 2009. Andrews will perform Parker’s second ulnar collateral ligament replacement surgery a week from today in Pensacola, Fla.

Numerous pitchers have had two or more Tommy John surgeries, but the recovery rate for a second surgery is not as good as it is for first Tommy John procedures. Former Giants reliever Brian Wilson is among those to successfully come back from a second surgery, and former A’s reliever Jason Isringhausen had the surgery three times in his career and continued to pitch. In general, relievers have fared better with second Tommy John procedures than have starters.

“Unfortunately there are more data points on this than there were four years ago,” Forst said. “In the last week, it’s come up a number of times. It’s hard to predict right now, you don’t know the recovery rate on guys with a second Tommy John. It’s unfortunate that it’s more frequent.”

Repoz Posted: March 17, 2014 at 04:23 PM | 29 comment(s) Login to Bookmark
  Tags: oakland

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   1. Davo Dozier Posted: March 17, 2014 at 04:36 PM (#4673016)
You know, when this happens in OOTP sims, there's a really easy fix: You just sign Vernon Wells and Barry Zito and Juan Pierre and Laynce Nix and Placido Polanco to 1-year free agent contracts, then trade them all to the Cubs for like Travis Wood or something.
   2. Dock Ellis on Acid Posted: March 17, 2014 at 04:39 PM (#4673017)
The jury is still out on Brian Wilson "among those to successfully come back from a second surgery," right?
   3. What did Billy Ripken have against ElRoy Face? Posted: March 17, 2014 at 04:52 PM (#4673020)
Is Andrews offering some sort of clearance rate this month or something?
   4. The Id of SugarBear Blanks Posted: March 17, 2014 at 05:18 PM (#4673033)
Former Giants reliever Brian Wilson is among those to successfully come back from a second surgery,

He is?
   5. asinwreck Posted: March 17, 2014 at 05:47 PM (#4673054)
Is the epidemic of popped UCLs over the past couple of weeks some sort of 21-gun salute to Frank Jobe?
   6. billyshears Posted: March 17, 2014 at 06:10 PM (#4673062)
So, apparently Dr. Andrews has been using self-destructing UCLs in his surgeries of late?
   7. Nasty Nate Posted: March 17, 2014 at 06:21 PM (#4673070)
This is why I never bother to familiarize myself with A's starting pitchers. It's just easier to think of any one of them vaguely as a pasty guy who they acquired from some expansion team from west of the Mississippi who maybe once threw a perfect game and will give them a year with 190 innings at vaguely 3.80 ERA before stepping aside for the next version of this same guy.
   8. Baldrick Posted: March 17, 2014 at 06:38 PM (#4673079)
It has to be terrifying to be a young pitcher. Imagine if other professions were like this. You can be very successful but there's like a 10% chance that the entire basis for making your living will completely shred itself with no warning at any point - and you will be unable to do anything useful for a full year while you undergo rehab.

Making it through a few years with your arm intact is literally worth tens of millions of dollars - and there seems to be almost nothing you can do to protect yourself.
   9. Tim M Posted: March 17, 2014 at 06:55 PM (#4673088)
What a gruesome sport this is, this genteel, pastoral game called baseball. It has people literally getting body parts torn apart like they're on a medieval rack, just from doing their job. Just awful.
   10. Lars6788 Posted: March 17, 2014 at 07:02 PM (#4673094)
Billy Beane would have had one more notch in his belt if Santana was still in the market and was snatched up by the A's.
   11. SG Posted: March 17, 2014 at 08:11 PM (#4673110)
So with all these pitchers needing a second TJS, is there some possibility that some of the people performing the surgery aren't necessarily as good at it as Dr. Jobe was?
   12. 6 - 4 - 3 Posted: March 17, 2014 at 08:22 PM (#4673113)
Former Giants reliever Brian Wilson is among those to successfully come back from a second surgery,

He is?


Per the injury history on Baseball Prospectus' player page, Wilson had TJ surgery in May 2003 and of course again on April 2012. Interestingly, he entered the draft (and taken by the Giants in the 24th round) only a couple of months after he had the surgery.
   13. base ball chick Posted: March 17, 2014 at 09:10 PM (#4673116)
i don't think that dr jobe had done surgeries himself in a while - he was very old

and i would bet that all the surgeries done at dr andrews place are not done by dr andrews. sort of like our infamous dr brown the hand surgeon
   14. Biff, highly-regarded young guy Posted: March 17, 2014 at 09:39 PM (#4673127)
You know, when this happens in OOTP sims, there's a really easy fix: You just sign Vernon Wells and Barry Zito and Juan Pierre and Laynce Nix and Placido Polanco to 1-year free agent contracts, then trade them all to the Cubs for like Travis Wood or something.

Pfft, this wouldn't work in OOTP unless you had trading difficulty set to easy or something. Now, in Baseball Mogul that would probably work.
   15. Dr. Vaux Posted: March 17, 2014 at 09:39 PM (#4673128)
You can be very successful but there's like a 10% chance that the entire basis for making your living will completely shred itself with no warning at any point - and you will be unable to do anything useful for a full year while you undergo rehab.


It's got to be a way more than ten percent chance, yes?


At this level of gravity and presumably price, I'm sure that Andrews is doing the surgeries personally.
   16. boteman is not here 'til October Posted: March 17, 2014 at 10:00 PM (#4673133)
@MannyActa14: Let the record show that there is no WBC going on to blame for all of these injuries. I can only imagine...

I assume that is really Manny Acta's account.
   17. Publius Publicola Posted: March 17, 2014 at 10:30 PM (#4673144)
Pain and fear. It's a tough combination.
   18. ...and Toronto selects: Troy Tulowitzki Posted: March 18, 2014 at 02:22 AM (#4673167)
"What a gruesome sport this is, this genteel, pastoral game called baseball. It has people literally getting body parts torn apart like they're on a medieval rack..."

I was getting smileful, stemmy almost, hopping this was Primer Ol' school giving a Rustin Cohle take. Or, the good lord willing a parody commenter? Nope. *frown*

Maybe there have been Primer 'True Detective' convo's this last while that are gold... I gather, I must use the search feature. Lets a find out.
   19. RickG Posted: March 18, 2014 at 02:24 AM (#4673168)
bbc (13), MMQB had a really good article this NFL season about ACL tears, shadowing a player at Dr. Andrews clinic and the surgical/recovery teams. IIRC Andrews still does all pro and college ACL repairs that land at his institute. Not sure about Tommy John but I bet it's the same. He does let other docs clean up and patch up when the repair is complete, though.
   20. Knock on any Iorg Posted: March 18, 2014 at 02:40 AM (#4673170)
With all these injuries piling up I can see Dr. Andrews getting overloaded. Maybe Mr. Ray's Hair Weave and ACL/UCL Clinic could tap into the sharply growing demand.
   21. jacksone (AKA It's OK...) Posted: March 18, 2014 at 09:15 AM (#4673211)
It has to be terrifying to be a young pitcher. Imagine if other professions were like this. You can be very successful but there's like a 10% chance that the entire basis for making your living will completely shred itself with no warning at any point - and you will be unable to do anything useful for a full year while you undergo rehab.

Making it through a few years with your arm intact is literally worth tens of millions of dollars - and there seems to be almost nothing you can do to protect yourself.


Isn't the average running back's career something like 2.4 seasons?
   22. The Robby Hammock District (Dan Lee) Posted: March 18, 2014 at 09:20 AM (#4673213)
Isn't the average running back's career something like 2.4 seasons?
I've heard that too, but I'd imagine the main reason it's so short is that, once you get past the top 30 or so, you're approaching replacement level.
   23. Martin Hemner Posted: March 18, 2014 at 09:23 AM (#4673215)
“Unfortunately there are more data points on this than there were four years ago,” Forst said. “In the last week, it’s come up a number of times. It’s hard to predict right now, you don’t know the recovery rate on guys with a second Tommy John. It’s unfortunate that it’s more frequent.”

Is it time to start questioning whether Dr. Andrews is past his prime? It has to be a serious possibility at this point.
   24. My name is Votto, and I love to get blotto Posted: March 18, 2014 at 09:26 AM (#4673219)
So, apparently Dr. Andrews has been using self-destructing UCLs in his surgeries of late?


Parker, Medlen and Beachy just want to take advantage of Andrews' three-year, 300-inning warranty.
   25. Davo Dozier Posted: March 18, 2014 at 11:55 AM (#4673331)
Whatever happened to Michael Ynoa? Is he still a prospect?
   26. valuearbitrageur Posted: March 18, 2014 at 12:30 PM (#4673349)
Ynoa lowered his walk rate to 4.2 per 9 last year, as a 21 year old in A ball.

He may not still be a prospect, but he's 6'7"!
   27. Knock on any Iorg Posted: March 18, 2014 at 01:31 PM (#4673411)
So, apparently Dr. Andrews has been using self-destructing UCLs in his surgeries of late?

Wasn't there an episode of Columbo where he discovered that the doctor used dissolving sutures instead of permanent sutures in the expired patient's heart surgery?
   28. What did Billy Ripken have against ElRoy Face? Posted: March 18, 2014 at 04:09 PM (#4673542)
Is it time to start questioning whether Dr. Andrews is past his prime? It has to be a serious possibility at this point.


Or the decline might be due to injury. You know what that means...
   29. Knock on any Iorg Posted: March 18, 2014 at 07:09 PM (#4673637)
What's the baseline salary for a replacement level orthopedic surgeon?

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