Feels like wheeler is done

Also it’s unfortunate that Castellanos hit a HR just after last night’s news about wheeler. So that’s not good

Harper has played 7 years for each team

8 minutes ago, iladelphxx said:

Harper has played 7 years for each team

Makes it more impressive with the Phillies has played 106 less games. He’s had two seasons of less than 100 games (Covid year and his TJ elbow year) which never happened with the nationals

I know that everyone thinks Nola is toast…but how many starts like this do they actually have to give him before they pull him out of the rotation?

I assumed he’d be the #4 on the playoff rotation, but he may not be playable.

18 minutes ago, eagle45 said:

I know that everyone thinks Nola is toast…but how many starts like this do they actually have to give him before they pull him out of the rotation?

I assumed he’d be the #4 on the playoff rotation, but he may not be playable.

He's horrific, just keep him down at AAA

1 hour ago, iladelphxx said:

Harper has played 7 years for each team

The difference in the stance is interesting.

1 hour ago, eagle45 said:

I know that everyone thinks Nola is toast…but how many starts like this do they actually have to give him before they pull him out of the rotation?

I assumed he’d be the #4 on the playoff rotation, but he may not be playable.

Tbh i think their rotation right now for the playoffs (assuming wheeler is done) is Sanchez, Walker, luzardo and either Ranger or Nola. I think depending on which is better will get that role. There’s also the potential if they call up painter if both continue to struggle to see what he does.

Sadly Ranger and nola might not be playable.

Bigger issue right now is the Phillies seem destined to do what they did last year. That is start off hot then be mediocre the next 3-4 months. Last year they were 45-19 then finished 51-51. This year they started 35-19. Currently 36-34. This is becoming a trend where the Phillies just become mediocre for majority of the year and can’t recapture what they were in April/may

OK, so it only takes a few modest assumptions to figure out what's going on with Wheeler.

He most likely has a subclavian vein dvt from overuse/repetitive movements. It's called Paget Scrhoeter syndrome. It's really rare, but well documented in pitchers.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5753956/

It is not impossible that he returns for the playoffs, but seems quite unlikely. I was initially dismissive of it because...in the general medical sense....these things are not a big deal and there is no structural problem with the affected limb, so a full recovery is straightforward. But you do need to go on blood thinning medications and confirm resolution of the clot...which takes time...more time than the Phillies have to get him back for the playoffs.

11 hours ago, e-a-g-l-e-s eagles! said:

Tbh i think their rotation right now for the playoffs (assuming wheeler is done) is Sanchez, Walker, luzardo and either Ranger or Nola. I think depending on which is better will get that role. There’s also the potential if they call up painter if both continue to struggle to see what he does.

Sadly Ranger and nola might not be playable.

Bigger issue right now is the Phillies seem destined to do what they did last year. That is start off hot then be mediocre the next 3-4 months. Last year they were 45-19 then finished 51-51. This year they started 35-19. Currently 36-34. This is becoming a trend where the Phillies just become mediocre for majority of the year and can’t recapture what they were in April/may

Well, I think we all can see the writing on the wall for where this is headed.

Right now, a Sanchez/Walker/Luzardo/Ranger rotation would be barely above average for a playoff team as they are currently pitching. Combine that with the inconsistencies of this lineup, and they'll be an easy out in the playoffs.

They just need to get unfathomable streaky good luck. The lineup needs to get hot and play better than they are for a month. And Ranger/Luzardo need to pitch like they did earlier this year for a month. And Walker needs to somehow keep pitching like he is now.

Of those 4 things they need to have happen, I think one actually could (Ranger).

I commend them that they are still hanging on in the standings while the pitching staff is leaking oil so badly. Right now, the team kind of feels like the coyote in the road runner cartoon when he starts running off the cliff. They are going to look down soon and then down they'll go.

16 minutes ago, eagle45 said:

Well, I think we all can see the writing on the wall for where this is headed.

Right now, a Sanchez/Walker/Luzardo/Ranger rotation would be barely above average for a playoff team as they are currently pitching. Combine that with the inconsistencies of this lineup, and they'll be an easy out in the playoffs.

They just need to get unfathomable streaky good luck. The lineup needs to get hot and play better than they are for a month. And Ranger/Luzardo need to pitch like they did earlier this year for a month. And Walker needs to somehow keep pitching like he is now.

Of those 4 things they need to have happen, I think one actually could (Ranger).

I commend them that they are still hanging on in the standings while the pitching staff is leaking oil so badly. Right now, the team kind of feels like the coyote in the road runner cartoon when he starts running off the cliff. They are going to look down soon and then down they'll go.

Frankly i think they are done in terms of WS. The way they were going to win it was with elite 1-2 that could win you a series. Now it’s just Sanchez. I dont see the offense finally stepping up when they’ve been like this for 2.5 years. Bullpen is finally good enough but not if your starting pitching is what it is.

If the Mets didn’t have a ridiculous September schedule i don’t know if the philllies would win the division even with a 5 game lead. Tbh i think that 5 game lead is going to shrink by the time we get to September. Phillies have Seattle and Nats at home this week. Seattle’s pitching is really good and we don’t hit good pitching. Plus our pitching is Sanchez and luzardo for games 1 and 3. Mets go on the road to nationals and Braves. Mets are horrible on the road but it feels like they are due to go on a hot streak and winning the last two games feels like they may be turning a corner.

12 minutes ago, e-a-g-l-e-s eagles! said:

Frankly i think they are done in terms of WS. The way they were going to win it was with elite 1-2 that could win you a series. Now it’s just Sanchez. I dont see the offense finally stepping up when they’ve been like this for 2.5 years. Bullpen is finally good enough but not if your starting pitching is what it is.

If the Mets didn’t have a ridiculous September schedule i don’t know if the philllies would win the division even with a 5 game lead. Tbh i think that 5 game lead is going to shrink by the time we get to September. Phillies have Seattle and Nats at home this week. Seattle’s pitching is really good and we don’t hit good pitching. Plus our pitching is Sanchez and luzardo for games 1 and 3. Mets go on the road to nationals and Braves. Mets are horrible on the road but it feels like they are due to go on a hot streak and winning the last two games feels like they may be turning a corner.

I agree. Their path to a title was giving up 0-2 runs per game on the back of relentless great starts from their rotation. Throw in a couple high scoring wins and a couple losses where you lose 2-1 or the starter disappoints...but that's their key to stacking series wins. And we had all been debating if the offense was good enough to do that.

Now, we are staring down the barrel of getting 1-2 quality starts per series. That's not compatible with advancing with the way this team is constructed.

Agreed, no way in hell they win the WS with this staff not including Wheeler + the usual inconsistent offense.

42 minutes ago, John Blutarski said:

Agreed, no way in hell they win the WS with this staff not including Wheeler + the usual inconsistent offense.

Seen people saying the dodgers did it but the dodgers offense was much better top to bottom and their bullpen was elite. Frankly i thought they got fortunate the padres imploded and that the Mets were frauds.

2 minutes ago, e-a-g-l-e-s eagles! said:

Seen people saying the dodgers did it but the dodgers offense was much better top to bottom and their bullpen was elite. Frankly i thought they got fortunate the padres imploded and that the Mets were frauds.

If the Phils want to make noise in the playoffs and sniff the WS, they need Sanchez to continue to pitch at CY level, need to somehow get Suarez rested enough to get him back to early season starter form (doubtful), get Nola pitching at least respectable #3 (doubtful) and then Luzardo/Walker as 4th starter whoever is pitching better at the time. I just don't see it. Too much needs to go right and be turned around from what it is now.

Thrombolysis for shoulder-related blood clots primarily involves treating axillo-subclavian vein thrombosis, a condition where clots form in veins in the shoulder and upper arm area. This condition, sometimes called "effort thrombosis" or Paget-Schroetter syndrome, often affects young, active individuals. Thrombolysis, a minimally invasive procedure, uses medication to dissolve the clot, improving blood flow and reducing symptoms.

Understanding the Condition:

Axillo-Subclavian Vein Thrombosis:

This is a type of deep vein thrombosis (DVT) specifically affecting the axillary (shoulder) and subclavian (below the collarbone) veins.

Thoracic Outlet Syndrome (TOS):

Axillo-subclavian vein thrombosis is often associated with thoracic outlet syndrome, where nerves or blood vessels in the space between the collarbone and first rib are compressed.

Effort Thrombosis:

Repetitive arm movements or exertion can cause the subclavian vein to be compressed, leading to clot formation, especially in young, active individuals.

Thrombolysis Procedure:

Catheter-directed thrombolysis:

A thin catheter is inserted into a blood vessel (usually the groin or arm) and guided to the clot site.

Medication Delivery:

Clot-dissolving medication (thrombolytic agent) is delivered directly to the clot through the catheter.

Imaging Guidance:

X-rays or other imaging techniques are used to monitor the clot dissolution process.

Duration:

It can take up to 48 hours for the clot to fully dissolve, according to the Cleveland Clinic.

Recovery:

Monitoring:

After the procedure, patients are monitored for several hours in a recovery area.

Follow-up:

Follow-up appointments are crucial to assess healing and the effectiveness of the treatment.

Activity Restrictions:

Patients may need to avoid strenuous activities and follow doctor's instructions regarding physical activity.

Medications:

Anticoagulants (blood thinners) may be prescribed to prevent new clots from forming.

Surgical Decompression:

In some cases, surgical decompression of the thoracic outlet may be necessary if symptoms persist or recur after thrombolysis.

Other Important Considerations:

Minimally Invasive:

Thrombolysis is generally considered a minimally invasive procedure, reducing the risks associated with major surgery.

Multidisciplinary Approach:

Treatment often involves a multidisciplinary team, including vascular surgeons, radiologists, and other specialists.

Functional Outcomes:

Thrombolysis can significantly improve blood flow and reduce symptoms associated with axillo-subclavian vein thrombosis.

Thrombolysis and recovery for baseball pitchers

Thrombolysis, a medical procedure used to dissolve blood clots, can play a crucial role in the recovery of baseball pitchers who experience blood clot formation, particularly in the subclavian vein, a condition often associated with Paget-Schroetter Syndrome (PSS) or effort thrombosis in throwing athletes.

Here's how thrombolysis and the subsequent recovery process typically unfold for a pitcher:

1. Early diagnosis and treatment

Prompt Recognition: A high index of suspicion should be maintained in pitchers presenting with symptoms like a "heavy" or "dead" arm and upper extremity swelling, according to Sage Journals.

Diagnostic Evaluation: Diagnosis is typically confirmed with contrast venography and serologic screening for hypercoagulable states.

Thrombolysis: Once diagnosed, treatment often involves transluminal catheter-directed thrombolysis, which directly delivers clot-dissolving medication to the clot site.

2. Post-thrombolysis management

Anticoagulation: Systemic anticoagulation therapy follows thrombolysis to prevent new clot formation.

Addressing the Cause: In cases related to PSS/effort thrombosis, further evaluation for an underlying cause, such as thoracic outlet syndrome (TOS), is crucial. This may involve:

Thoracic Outlet Decompression Surgery: If TOS is identified, surgery to decompress the thoracic outlet (often involving first rib resection) may be recommended to prevent future clots.

Follow-up Venography: Follow-up venography within 1 to 3 weeks of surgery is performed to check for residual stenosis.

Balloon Angioplasty: If persistent stenosis is present, it may be treated with balloon angioplasty.

3. Rehabilitation and return to play

Early Rehabilitation: Early rehabilitation, starting with gentle exercises to regain range of motion, lower extremity, and core strength, can begin shortly after the initial treatment and as anticoagulation begins.

Gradual Progression: A structured return-to-throwing program with progressive increases in intensity should be followed. According to Boston Shoulder Institute, athletes should be pain-free before re-engaging in a throwing program.

Monitoring and Adjustment: The athlete should be monitored carefully throughout the process for any signs of recurrent symptoms or complications.

Potential Timeline: Full return to competitive pitching can take several months to a year or more, depending on the individual case and whether surgery was required.

4. Successful recovery

Favorable Outcomes: With prompt clinical recognition, accurate diagnosis, and appropriate treatment, including thrombolysis, surgical intervention (if needed), and a dedicated rehabilitation program, the prognosis for an elite throwing athlete to return to their previous level of play after effort thrombosis is excellent, notes Sage Journals.

Examples: Examples of pitchers like Matt Harvey and Chris Young who underwent TOS surgery (which often follows thrombolysis) and returned to play demonstrate the potential for a successful comeback.

Important Considerations:

Thrombolysis can have risks, including bleeding complications.

Individual recovery timelines and rehabilitation protocols will vary depending on the specifics of the case, the pitcher's response to treatment, and the presence of any underlying conditions or complications.

Close collaboration with a healthcare team specializing in sports medicine, vascular issues, and rehabilitation is essential throughout the recovery process.

0-2 with RISP…

11 minutes ago, e-a-g-l-e-s eagles! said:

0-2 with RISP…

Nice reverse jinx. 2-4

Wow turner’s first homer at CBP this year

Just now, e-a-g-l-e-s eagles! said:

Wow turner’s first homer at CBP this year

TRASH

Nice hit fella