Ellsbury still in pain

[jacksonianmarch]

Jacoby Ellsbury is scheduled to have his bruised rib cage checked Friday by a Boston-based doctor.

 

Ellsbury told reporters Thursday that he can not take deep breaths without feeling a sharp pain in his side. It doesn't sound good, and the Red Sox may have to call up an outfielder from the minors in order to get through their weekend series with the Rays. Mike Cameron (abdomen) is also out. Bill Hall and Jeremy Hermida are likely to fill in for the next few days. Apr. 15 - 4:49 pm et

 

Maybe he cracked a rib after all

[yeszir]

Everyone ignore the Yankee fan

[jacksonianmarch]

They jump all over me when I make a logical, medical prediction. When it turns out that I'm right, nobody acknowledges that they were wrong.

[Dipre]

You don't know if it was a cracked rib, because it hasn't been diagnosed as such.

[jacksonianmarch]

That is my point Dipre. You don't diagnose these by XRay, they are notoriously bad at diagnosing rib fractures. You either get an XRay a week later (which can still miss a fracture) or a bone scan, which is the most sensitive. Regardless, it's all symptomatic management. Even if he broke the rib, if he can breathe and swing, then they'll let him play. Seeing as he cannot, my guess is he ends up on the DL

[Lester82]

http://www.boston.com/sports/baseball/redsox/extras/extra_bases/2010/04/ellsbury_update.html

 

And you have to be a jerk, or a Yankee fanjerk, to root for injuries.

[yankees228]

You're putting words in Jacko's mouth. He never once said that he was hoping Ellsbury was injured.

[Lester82]

sorry... but he doesn't look good in this thread.

[yankees228]

sorry... but he doesn't look good in this thread.

 

He doesn't look bad either. He made a prediction, which he backed up with his knowledge of similar injuries. Then, when an update was available about Ellsbury's condition, he posted it, something that many other people would have done.

 

This represents a classic example of someone making assumptions about Jacko, and therefore making things bigger than they are. This is exactly what I was talking about in the 'Yankees' minor league prospects' thread. There was not a single thing wrong with what he posted initially about Ellsbury's injury, or what he posted now. Unfortunately, people look for problems with what he posts, and this becomes a recurring theme.

[riverside sluggers]

Still, I dont get why this gets its own thread... just like the "breaking news" thread about Dice K going on the DL

 

EDIT: The pregame show talked about Ellsbury doing long toss and batting practice, with no complications. He said he feels ready to go on Tuesday or Wednesday

[Gom]

They jump all over me when I make a logical' date=' medical prediction. When it turns out that I'm right, nobody acknowledges that they were wrong.[/quote']

 

I never said you were wrong. I just like making fun of you.

 

You were 100% dead-on here. Kudos.

 

Don't take it personally, Jacko. They've been losing to us for over a century. They're bad winners and sore losers. They just can't stomach being corrected by Yankee fans.

 

Take a bow.

[yeszir]

He doesn't look bad either. He made a prediction, which he backed up with his knowledge of similar injuries. Then, when an update was available about Ellsbury's condition, he posted it, something that many other people would have done.

 

This represents a classic example of someone making assumptions about Jacko, and therefore making things bigger than they are. This is exactly what I was talking about in the 'Yankees' minor league prospects' thread. There was not a single thing wrong with what he posted initially about Ellsbury's injury, or what he posted now. Unfortunately, people look for problems with what he posts, and this becomes a recurring theme.

 

I agree. He's not saying "ELLSBURY IS HURT...AWESOME!"

 

Despite rooting for the wrong team, yankees228 knows what he's talking about.

[riverside sluggers]

I never said you were wrong. I just like making fun of you.

 

You were 100% dead-on here. Kudos.

 

Don't take it personally, Jacko. They've been losing to us for over a century. They're bad winners and sore losers. They just can't stomach being corrected by Yankee fans.

 

Take a bow.

 

When its 2019, you can officially say it has been over a century

[Gom]

When its 2019' date=' you can officially say it has been over a century[/quote']

 

Details...

[Spudboy]

He doesn't look bad either. He made a prediction, which he backed up with his knowledge of similar injuries. Then, when an update was available about Ellsbury's condition, he posted it, something that many other people would have done.

 

This represents a classic example of someone making assumptions about Jacko, and therefore making things bigger than they are. This is exactly what I was talking about in the 'Yankees' minor league prospects' thread. There was not a single thing wrong with what he posted initially about Ellsbury's injury, or what he posted now. Unfortunately, people look for problems with what he posts, and this becomes a recurring theme.

 

Well said.

[VA Sox Fan]

Ellsbury to DL; McDonald up

Globe Staff April 20, 2010 05:28 PM

 

Darnell McDonald just arrived in the clubhouse. Jacoby Ellsbury is about to go on the disabled list apparently.

[Gom]

http://sports.espn.go.com/boston/mlb/news/story?id=5126338

 

Hairline fracture of four ribs.

 

I have to say this. Jacko deserves major kudos for this. If you read the article, Tito says the news "threw everyone for a loop".

 

Makes you wonder how good their doctors are when Jacko was able to accurately diagnose it on TV, and the Red Sox doctors didn't.

 

Kudos Jacko. I'm giving you props, and you agreed with me in the Yankees Game Day Thread.

 

Hell is getting noticeably colder.

[schillingouttheks]

I am completely unbiased when I say that there are many, many people who need to eat some crow and back off Jacko.

 

I didn't say anything in the other thread, but when Jacko makes his own medical opinion on this forum, he ends up correct most of the time while he takes shots from everyone about his speculation. I could name names, but I won't.

[schillingouttheks]

http://sports.espn.go.com/boston/mlb/news/story?id=5126338

 

Hairline fracture of four ribs.

 

I have to say this. Jacko deserves major kudos for this. If you read the article, Tito says the news "threw everyone for a loop".

 

Makes you wonder how good their doctors are when Jacko was able to accurately diagnose it on TV, and the Red Sox doctors didn't.

 

Kudos Jacko. I'm giving you props, and you agreed with me in the Yankees Game Day Thread.

 

Hell is getting noticeably colder.

 

Well from the sound of it it has nothing to do with the Red Sox doctors. As Jacko said, you can't tell anything from the x-rays. I'm sure the possibility was in the back of the Sox' doctors minds but why would they publicize that if they aren't sure whether or not it actually exists?

[Gom]

I'm going to ask a question and defer to Jacko on this one.

 

Why, if it was obvious to a Doctor watching TV that the chances for a fracture were high, and the fact that X-Rays are inconclusive, did they not do a CAT scan immediately?

 

It may have shocked Tito and the Red Sox, but Jacko called it immediately.

 

Take your pick. The Red Sox doctors suck just as much as their team does right now, or Jacko really knows his stuff from a medical background, and people should stop questioning his diagnosis, admit they were wrong, and bow down to his "medicinal might".

 

Choose.

[YeAuldBroade]

I'm going to ask a question and defer to Jacko on this one.

 

Why, if it was obvious to a Doctor watching TV that the chances for a fracture were high, and the fact that X-Rays are inconclusive, did they not do a CAT scan immediately?

 

It may have shocked Tito and the Red Sox, but Jacko called it immediately.

 

Take your pick. The Red Sox doctors suck just as much as their team does right now, or Jacko really knows his stuff from a medical background, and people should stop questioning his diagnosis, admit they were wrong, and bow down to his "medicinal might".

 

Choose.

Hyperbole will get you nowhere.

[jacksonianmarch]

So, there are two perspectives to take into account.

 

The first is my practice. I do not CT scan patients who I think have rib fractures. There is no benefit to knowing as the treatment of a contusion or a fracture is completely and totallly pain relief. Some patients heal quicker than others and some dont. In my practice, as long as the patient can breathe comfortably, typically with the assistance of pain medicine, then I am fine with that. The only reason to do a CT scan would be if you think the underlying lung or a great vessel is injured.

 

Now, CT scans have radiation, and we are finding that multiple CT scans can have the equivalent radiation dose of what some of the survivors from Nagasaki and Hiroshima received. And as one would imagine, it results in lymphomas and other tumors later on down the line. So, CT scanning a kid of his age isnt in his best interest. They did it anyway, but so be it. Also, CT scans also miss non-displaced fractures as well in the acute setting (granted, nowhere near as awful as XRays are for the acute diagnosis). They had the benefit of a week of healing to occur and probably saw calluses forming over the ribs.

 

The second is the sox interests, since they needed to make a move. If you really wanted to know, you get a bone scan. That detects increased metabolism at the site of the fracture. But when the treatment is no different, what is the point? The sox needed an answer so they could make plans accordingly. But from a medical perspective, a bad rib contusion or a non-displaced fracture changes nothing in management, only how long you are out of commission. Hope that helped.

[Gom]

Hyperbole will get you nowhere.

 

Au contraire, mon amour. It has gotten me very far in many situations.

[ORS]

Jacko, what is the source of the claim about the ionizing radition similar to being present at a nuclear explosion? CT uses x-ray technology, and high frequency EM radiation is nowhere near as damaging as alpha radiation. I know iodine dye is used, and idodine is slightly radioactive through decay. Is it the ionizing high freq radiation or the idodine that is the source of the carcinogenic effect?

[jacksonianmarch]

It is the ionizing radiation. A CT scan is multiple XRays taken in a very short period of time. There has been a lot of research on this topic, and two "trauma panel" scans is equivalent in Grays to the exposure to people living a certain number of miles from Hiroshima. I dont exactly remember the mileage, but it was equivalent to an area that saw a massive spike in cancer within the following 40 yrs.

 

Unfortunately, that is the best we have, the Hiroshima and Nagasaki data. So that is all we can go by.

[ORS]

Wiki had it.

 

A full body scan is equivalent to being 2.4 miles from ground zero. That's a full body scan. Aren't most CT's done in a localized region of the body?

[jacksonianmarch]

The trauma panel is CT Head, CT Cervical Spine, CT Chest, CT Abdomen/Pelvis with Lumbar and Thoracic Spine reconstructions.

[jacksonianmarch]

Depending on your area that you are scanning and if you used or didnt use shields, you could deliver a lot of radiation. CT's of the chest and abdomen deliver the highest radiation

[ORS]

Great, I had two of those inside of a week when I got diagnosed with sarcoid near my lungs. I went to a doc in a box, he sent me to an imaging place, the radiologist thought cancer, I admit myself to MD Anderson in Orlando, they can't get film from the imaging place, so I got another at the hospital.

[jacksonianmarch]

Yeah, I had two of my abdomen when I was a first yr medical student. Turns out I had food poisoning, but there was an "abnormality vs artifact" found on the first one and I was talked into having a second. Which turned out to be clean. They are talking about creating a radiation profile for all patients where all XRays and scans are tallied and once you reach a certain threshold, there needs to be an emergent reason to go back to the scanner. Sounds like a good idea. Cause lymphoma is scary, let alone solid tumors.