Author Topic: The Medical Staff Still Stinks - 2021 Injuries  (Read 8191 times)

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Online Slateman

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Offline JCA-CrystalCity

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Ok, how do you mistake hand swelling with thoracic outlet? Is it something with blood not returning from the hand after exertion? That seems more vein than artery

Online Slateman

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Ok, how do you mistake hand swelling with thoracic outlet? Is it something with blood not returning from the hand after exertion? That seems more vein than artery


Offline JCA-CrystalCity

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Offline imref

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Offline wj73

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Ok, how do you mistake hand swelling with thoracic outlet? Is it something with blood not returning from the hand after exertion? That seems more vein than artery


There are three kinds of TOS - neurogenic (nerve is squeezed as it passes through the thoracic outlet in the shoulder), venous (vein is squeezed), and arterial (artery is squeezed). The most common by far is neurogenic. The other two types are much more rare and are often misdiagnosed.


Unfortunately, I know all this because several years ago, Mr wj73 woke up one morning with a swollen arm that was cold and blue. He was diagnosed as having a blood clot in the vein, and was put on warfarin, which is not pleasant. But, the issue never really resolved and the arm continued to be swollen. After several weeks of ineffective care, he got a second opinion at Hopkins and was properly dx’d with venous TOS. He had surgery at Hopkins to remove the top rib on that side to give more space in the thoracic outlet, and has been fine since. From what I’ve been able to glean, Harris had venous TOS.

Offline JCA-CrystalCity

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There are three kinds of TOS - neurogenic (nerve is squeezed as it passes through the thoracic outlet in the shoulder), venous (vein is squeezed), and arterial (artery is squeezed). The most common by far is neurogenic. The other two types are much more rare and are often misdiagnosed.


Unfortunately, I know all this because several years ago, Mr wj73 woke up one morning with a swollen arm that was cold and blue. He was diagnosed as having a blood clot in the vein, and was put on warfarin, which is not pleasant. But, the issue never really resolved and the arm continued to be swollen. After several weeks of ineffective care, he got a second opinion at Hopkins and was properly dx’d with venous TOS. He had surgery at Hopkins to remove the top rib on that side to give more space in the thoracic outlet, and has been fine since. From what I’ve been able to glean, Harris had venous TOS.
so your saying my diagnosis that it was a vein was at least as good as Vinny Boombatz?  I appreciate the respect.

(thanks for clearing that up.  Did sound like something with a vein, and in my mind I read outlet as only meaning stuff coming out of the core into the arm)

Offline wj73

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You absolutely pegged it as involving the vein. Wish the Nats staff had made the same connection.


Had to google the Dr Boombatz reference. Guess I missed that part of popular culture.  :lol:

Offline varoadking

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Had to google the Dr Boombatz reference. Guess I missed that part of popular culture.  :lol:

I don't get no respect, I tell ya...

Offline RobDibblesGhost

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Placeholder for Strasburg.

Offline JCA-CrystalCity

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Quote from: RobDibblesGhost link=topic=39055.msg2209Dr.584#msg2209584 date=1622591033
Placeholder for Strasburg.
Dr. Nick said the arm was still there so he's fine

Offline NatsAllThe Way

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Crap we can't have nice things.

Offline nfotiu

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Soto's hurt?  huh?

Offline NatsAllThe Way

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My Soto posts were meant for the GDT... not paying attention.

Offline Elvir Ovcina

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Dr. Nick said the arm was still there so he's fine

Anatomy, by Dr. Nick:

"The knee bone's connected to the...something
The something's connected to the...red thing
The red thing's connected to my...wristwatch...uh-oh."


Offline imref

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Placeholder for Strasburg.

Last time he rubbed his forearm he needed TJ :(

Offline RobDibblesGhost

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My Soto posts were meant for the GDT... not paying attention.

I’ve done the same thing and forgotten which topic I’m currently in :lmao:

Offline Air Desmond

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Any thought to converting Stras to a reliever?

Offline imref

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Davey says Stras had tightness in his trap. MRI tomorrow.

Offline GataNats

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Strasburg is done for his career.    Bring up Capelli

Online Slateman

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Strasburg is done for his career.    Bring up Capelli
Going to assume you mean Cavalli.

How about lets not. How about we not fry the arm of a guy who hasnt thrown over 60 innings, ever.

Offline Natsinpwc

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Going to assume you mean Cavalli.

How about lets not. How about we not fry the arm of a guy who hasnt thrown over 60 innings, ever.
Agree. If the year is lost no reason to risk one of our few assets.

Offline rileyn

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Any thought to converting Stras to a reliever?
Agree.  Move him into the closer role a la John Smoltz.  Go hard for one inning.

Offline GburgNatsFan

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It's trapezius tightness. Let's not get ahead of ourselves here.