Familia - Arterial Clot, surgery possible

[Frayed Knot]

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]

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/sports/mlb/mets/2017/05/11/mets-jeurys-familia-clot-shoulder-surgery-possible/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]

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

[Benjamin Grimm]

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

[Frayed Knot]

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]

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/mets/jeurys-familia-has-surgery-to-remove-arterial-clot-1.13626552


And so it goes.

[ashie62]

I'm verklempt.

[Edgy MD]

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

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

[Guest John Cougar Lunchbucket]

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]

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.

[Guest cooby]

so who's our new closer?

[Guest John Cougar Lunchbucket]

Who cares, but probably Reed.

[Guest d'Kong76]

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]

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]

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]

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]

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]

Robot pitchers anyone?

Tee-ball?