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Sunday, April 21, 2019

Jacob deGrom plays catch, may not need MRI after all | Newsday

Maybe all is not lost.

Jim Furtado Posted: April 21, 2019 at 09:36 AM | 18 comment(s) Login to Bookmark
  Tags: jacob degrom, mets

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   1. Brian C Posted: April 21, 2019 at 11:57 AM (#5833932)
Maybe all is not lost.

Maybe not!

Alternatively, maybe waffling on whether or not a star pitcher needs an MRI is the most Mets thing possible, and they'll be trying to figure out for months whether he's hurt or not before he's finally officially shelved.
   2. Howie Menckel Posted: April 21, 2019 at 01:15 PM (#5833946)
the Mets just gave him an MRI less than 3 weeks ago (prior to signing the big contract).

absent any real pain, would he need another one?

if so, why not just MRI every pitcher once a week?
   3. The Yankee Clapper Posted: April 21, 2019 at 01:36 PM (#5833950)
The Mets new market efficiency, saving money on MRI exams.
   4. Howie Menckel Posted: April 21, 2019 at 02:26 PM (#5833962)
non-responsive

Mets have deserved plenty of heat for past blunders, but it's still silly to - assume.
   5. Fancy Crazy Town Banana Pants Handle Posted: April 21, 2019 at 03:22 PM (#5833980)
Why not just MRI every pitcher once a week? What is the downside?

Waffling on whether or not a player needs surgery or can play through something is one thing. But if you have to ask the question of whether or not to give a pitcher an MRI, the answer is 'do it'. There really is no reason not to. Either it is clean, and you have wasted, what, and hour? And now have confidence and peace of mind going forward. Or it is not clean, and you can decide what needs to be done about it.
   6. Tin Angel Posted: April 21, 2019 at 03:42 PM (#5833984)
Why not just MRI every pitcher once a week? What is the downside?


Would you want to go to the doctor every week and have him searching for something that looks suspicious? I would have to assume that would have some sort of mental toll.

Either it is clean, and you have wasted, what, and hour? And now have confidence and peace of mind going forward.


Peace of mind for one week, in your scenario.
   7. The Yankee Clapper Posted: April 21, 2019 at 03:51 PM (#5833986)
If there’s enough of a problem or concern to put a pitcher on the DL (now referred to as the IL by faddists), skipping a MRI seems a bit risky. The Mets must get a group rate at a substantial discount, so why not get the MRI, if only for the peace of mind if nothing is wrong? Heck, give him a colonoscopy, too. Can’t be too careful with pitchers.
   8. snapper (history's 42nd greatest monster) Posted: April 21, 2019 at 04:09 PM (#5833988)
Why not just MRI every pitcher once a week? What is the downside?

As Tin Angel said, false positives. Every pitcher's arm is going to look effed up to some degree.

It's the same reason why good doctors discourage those full body scans some people are pushing you to have every year. If there's nothing wrong with you, the odds of mis-diagnosis, and potentially dangerous treatment, are higher than the odds of finding some very nascent cancer.
   9. Brian C Posted: April 21, 2019 at 08:09 PM (#5834012)
the Mets just gave him an MRI less than 3 weeks ago (prior to signing the big contract).

absent any real pain, would he need another one?

if so, why not just MRI every pitcher once a week?

Hey, don't look at me - I'm not the one who said that he'd need to have an MRI, then let him throw anyway, and then just shrugged off the MRI when he said he felt OK.

Maybe he's fine or maybe he's not, how would I know? But it seems an unusual sequence of events, no? "Hey Jake, why don't we schedule an MRI for that sore elbow? But in the meantime, how about you go play some catch." Maybe that's how it always goes, but personally, I think they should have held off on publicly announcing an MRI for their star pitcher if they didn't actually know whether or not he really needed one. That sort of haphazardness is the part that seems super on-brand for the Mets to me.
   10. Bote Man Posted: April 21, 2019 at 11:09 PM (#5834036)
Why not just MRI every pitcher once a week? What is the downside?

As I learned in these very pages some years ago, the dye that they inject that shows up on the NMR/MRI does take a toll on the patient, so you don't want to go injecting that stuff willy-nilly. Somebody with actual medical knowledge should chime in here if we haven't scared them all off the site by now.
   11. Howie Menckel Posted: April 22, 2019 at 12:24 AM (#5834048)
I had hoped my original rebuttal to Post 1 was clear without emojis
   12. jacksone (AKA It's OK...) Posted: April 22, 2019 at 07:57 AM (#5834059)
As I learned in these very pages some years ago, the dye that they inject that shows up on the NMR/MRI does take a toll on the patient, so you don't want to go injecting that stuff willy-nilly. Somebody with actual medical knowledge should chime in here if we haven't scared them all off the site by now.


Not all MRI's require dye, although I am not sure if it would be used in the elbow or not.

Depending on the age/type of the machine some people can really not enjoy getting them. Some are more open than others, but some can be pretty confining, couple that with having to lie absolutely still, and very loud noises and you have a recipe for anxiety. Getting one once a week would get old really, really fast.
   13. Fernigal McGunnigle Posted: April 22, 2019 at 09:38 AM (#5834070)
Why not just MRI every pitcher once a week? What is the downside?

As Tin Angel said, false positives. Every pitcher's arm is going to look effed up to some degree.
Was it Dr Andrews who said that every single veteran pitcher has enough arm damage that you could use it to reject a trade or contract extension if you really wanted to? My impression is that every pitcher's MRI turns up something that in a normal human would at least have the doctor suggesting that the patient take it easy for a while.
   14. Jefferson Manship (Dan Lee) Posted: April 22, 2019 at 10:16 AM (#5834077)
Not all MRI's require dye, although I am not sure if it would be used in the elbow or not.
I can't speak to elbow MRIs, but I had a shoulder MRI a few weeks ago and there was no dye.

I've got a tear in my rotator cuff, about 40% of the width of the tendon. My orthopedist said that's pretty normal for someone my age (I'm 43), so I imagine if someone ten years younger than me threw a baseball 90+ MPH a few thousand times a year for ~15 years, you'd probably expect some arm damage.
   15. DanG Posted: April 22, 2019 at 01:10 PM (#5834143)
Jacob deGrom plays catch, may not need MRI after all
"You just wiggled your finger. That's wonderful!"
   16. base ball chick Posted: April 22, 2019 at 01:22 PM (#5834152)
i remember this has been asked before and i disremember whether a primate who had medical knowledge answered this or someone posted an answer from a doctor

the answer is that

1 - the MRI can miss something because youneverknow until you actually cut open and look
2 - what you see on the MRI may or may not correllate with any sort of actual pain or problem. no pitcher has a normal MRI of the throwing shoulder because of years of use/abuse
   17. The usual palaver and twaddle (Met Fan Charlie) Posted: April 22, 2019 at 03:34 PM (#5834226)
2 - what you see on the MRI may or may not correllate with any sort of actual pain or problem. no pitcher has a normal MRI of the throwing shoulder because of years of use/abuse



That reminds me of when Jim Lonborg tore up his knee in a skiing accident in the off-season of 1967-68 and nobody could nail down a timetable for his return, because:


1 - Baseball doctors had almost never had to deal with a skiing injury before; and

2 - Orthopedists who did know how to treat skiing injuries hadn't dealt with too many ballplayers.
   18. Brian C Posted: April 22, 2019 at 06:53 PM (#5834266)
So apparently now he got the MRI after all, and it came back "clean".

That's good for deGrom! But boy, people within the Mets organization sure need to talk to each other more.

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