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More to the point, John isn't a doctor but rather only a talkative ex-ballplayer. Strasburg's doctor is the esteemed Lewis Yocum. He prescribed the innings limit.
Yocum further notes that it’s GM Mike Rizzo who came up with the 160 inning shutdown standard himself. That he imposed it in the case of Jordan Zimmermann, and that he’s doing the same with Strasburg without the aide of any medical directive.