The Aha Moment
I'm getting more mileage out of this story than Ian Stewart will get out of his dismal 2012 Chicago Cubs season. In historical terms for 2012, third baseman, Ian Stewart will be just a small foot(wrist)note at the bottom of the media guide.
Stewart came to the Cubs in a "damaged goods" type trade. He didn't have a diagnosis for his 2011 bad left wrist woes and multiple doctors could not find any "structural" damage. Theo and Jed figured that a "non-structural" problem would get better with an off-season of rest. We all know that this is not the way Cubbery works.
In a trade that made sense at the time because Aramis Ramirez was being converted into a supplementary round draft choice, Ian Stewart was acquired from Colorado as damaged goods and the Cubs took that risk. I've written on this topic BEFORE Stewart went to the Cleveland Clinic for a teritary opinion with the medical history of an undiagnosed painful left wrist problem. I won't rehash the pre-Cleveland Clinic information. You can recap it here in the TCR post, "Who Ya Gonna Call."
Sports medicine Doctor to the pros, Dr. Thomas Graham, finally diagnosed the problem. The reason for this sequal is that it seems that there was an "Aha moment" when the diagnosis was made. Both doctors and patients really like those moments. It's the medical equivalent to what both Mr. Burns and his long lost son (courtesy of Tim Souers) would say in a similar situation: "Excellent."
Carrie Muskat at mlb.com posted the first article on 7/2 that acknowledged that Dr. Graham had diagnosed Stewart's problem and then detailed the surgical plans here. She related that Stewart in a prior injury a few years ago may have injured or even fractured the navicular wrist bone leading to his problem.
A few years ago, Stewart had fractured a bone in his wrist, and Graham determined that another small bone was in contact with the larger one. Removing it should alleviate the pain.
MLB.com writer, Rowan Kavner quotes Stewart in a Sunday, 7/15 article:
"Over those two or three years, there's a lot of cortisone shots, a lot of MRIs, X-rays, with nothing ever showing up," Stewart said. "It had been weighing on me a lot, especially over here, being with a new team and wanting to prove myself."
Even Dr. Graham didn't figure out the problem until he examined Stewart's wrist under fluoroscopy. Fluoroscopic imaging is an X-Ray unit with live time imaging, including the ability to image the wrist bones while the wrist is put through movement. In fact, Dr. Graham needed to examine Stewart's other wrist under fluoro to make sure what he saw was specific to the injured side.
The Aha Moment:
"On the screen, he saw one of the bones on the outer part of my wrist was overlapping the bone next to it, which really means it's touching it and they're kind of rubbing together," Stewart said. "He kind of went from there and realized that's not what's supposed to happen."
That makes this a structural problem. It was just difficult to diagnose, without going the extra mile (just like Theo's scouts are supposed to do). Finally there was a diagnosis: DWI or dorsal wrist impingement. The anatomy here is the dorsal (or top, not palm side of the wrist) portion of one of the wrist bones, known as the scaphoid (aka navicular) impinges on the capsule (connective fibrous coating) of the joint and a nearby tendon (the extensor carpi radialis brevis) or an adjacent wrist bone (probaby the capitate). It's seen most commonly in gymnasts and obviously uncommon (or not something often considered) in baseball.
(Note: the blue mark on the wrist where Dorsal Wrist Impingement occurs)
The surgery included a wrist arthroscopic exam, which was mostly to make sure there was no additional abnormalities in the joint. Then there was an open/incisional part to the surgery which including taking out a segment of the wrist bone that was impinging on other structures.
Kavner's more recent article says this about his postop treatment:
Stewart, who had a bone taken out of his wrist, said there's no timetable for his return. He will get the sling removed in a couple of weeks, when he'll return to Cleveland to take off the wrapping and progress into more movement.
Though his status this year is still unknown, he thinks a return next season is definite.
The earlier Muskat article related:
When could he return? Doctors said it might not be until early or middle September.
“You don’t know if there’s enough time [to play],” he (Stewart) said.
As a patient, Ian Stewart has to be thrilled to have his mystery problem (hopefully) solved. As a professional baseball hitter, we all know that that the wrist is critical for bat speed and control of the swing. What the Cubs do regarding Ian Stewart's contract for 2013 is yet to be seen but with his 2012 season mostly being a non-event, at least Jedstein should get some credit for getting him diagnosed and treated under their watch. Because of this good deed, on their baseball deathbed, team-Theo should receive Total Consciousness (which is nice). I'm hoping, Stewart will come back for the same money in 2013 and everyone gets a mulligan. Unfortunately, the Laws of Cubbery would predict that Stewart will have his best seasons soon after leaving the Cub organization.
BLOCK: Of course any advantage is an advantage. An MLB, NBA, or NHL team getting the extra game at home in a seven game series is an advantage, I just don't think it is enough of an advantage for winning a division and/or having the best record in a conference or league over the course of an 82-game season (NBA and NHL) or 162 game series (MLB).
TEX takes the opening game from TOR (@TOR) 5-3.
TOR lost bautista + donaldson in-game due to injuries...TEX lost beltre...dunno if any will be lingering issues leading to missed games.
Ride the Kid Magic! Schwarber hadn't homered in a long time before last night.
Greg Maddux was 8-18 in his rookie season. Kyle has the 8 wins down pat.
Think Baby Maddux.
Prof. Harold Hill's THINK system at work.
Kyle is on the far left.
I support this. Hendricks has not only looked better lately but seems to start struggling after a few innings which is better than the 1st in the playoffs.
Just tweeted via Jesse Rogers: Hendricks starting Game 2. Wow. Just wow.
That was good!
Well said. On one hand, I thought the HBP was a bad baseball play -- down 4 runs, put a runner on for a red-hot Fowler. On the other hand, they needed to do something -- I hadn't thought about the warning/pitching inside point. Is Hurdle that smart? He does not strike me that way. By the way -- not clear which fan base you are referring to in your "first" 3rd point.
My unsolicited opinions on topics covered in this thread:
1. I hate the fact that after 162 games, a team could be out after 1 game. However, I think the system is pretty close to perfect right now. 2 of 3 isn't feasible unless they shorten the regular season, and it ices the division winners for way too long. This creates excitement, and rewards the division winners.
Personally, I think the game could have had a very different look had the Pirates held onto the ball and tagged Fowler out on the steal in the first. Cole was clearly frazzled, but if they took that runner off the base, it could have relaxed him a lot.
Football games are played once a week. There are 16 games a year. I'm not even remotely following at all how you can compare the two leagues and playoff systems. It is physically impossible to play a home and away series. The idea of not having any road games in baseball playoffs is certainly a head scratcher.
How is not having the first and last game at home a benefit for the division winners and team with the best record? How is it not an incentive to win the division when a WC team has to blow their top pitcher?
Call me lost.
Two 97+ win teams in a do-or-die, great bullpens, overpowering starters, plenty of pop--hard to believe that game wouldn't be tense. A 4-0 lead is not a blowout, especially in that situation and with the Cubs' young bullpen. Not only would a defensive play here or there make a difference, but you get the win there also on the home plate umps strike zone (generous strike calls for Arrieta, including a couple Ks), and on Schwarber sitting on the right pitch at the right time.
I just noticed the Dodger's payroll today. It is just absurd. $300,000,000+!!
Here is where just some of their money is for 2015:
Carl Crawford $20MM
Brandon McCarthy $17MM
Bronson Arroyo $3.5MM
Darwin B $2.2MM
Dan Haren $10MM
Matt Kemp $18MM
Brian Wilson $10MM
Ryan Webb $2.2MM
Dee Gordon $2.5MM
So I think tomorrow will be the most important test of how far we can go. We can win it all with two pitchers since Arietta has shown he can carry over his success to the post season. If Lester can be dominant also then I think we can go far no matter how Hendricks or Hammel do.
And in terms of pitching just went through to see how we could maximize Lester and Arietta and came up with this (Lester would be going on 4 days rest three times and Arietta twice):
i still can't believe that crawford contract (7/142). all that loot and years for a LF'r who's entire hitting game revolves around his legs and line-drive power. those triples that raised his value are deceptive as hell to his true power, but it helped him get paid.
there's also pause about a guy who's ob% is almost totally driven by hits rather than walks. BOS got lucky unloading that crap deal.
I think the Cubs take Berry and Soler off playoff roster and add Hammel & Ramirez. Believe Maddon will find Denorfia & Jackson defense too hard to lose.