Dr. Joseph Hecht's Archives


I never thought Ernie Banks passing would affect me like this. I'm not the type to be openly weeping but I am. Listening to the radio and hearing story after story of people that wanted to share their personal stories of meeting Ernie and the uplifting impact he had on everyone he touched. We are all little kids somewhere inside and Ernie was magic when it came to Cub fans. He was Chicago's treasure from the 1950's to the present.

Ankle Sprains, Lost in Translation

Per Carrie Muskat:

He limped off the field, and tried to convince manager Rick Renteria to let him keep playing. Instead, Castro had an MRI and X-rays, which showed no fracture or ligament damage.

Something is getting lost in the translation from what the Cubs doctors told the baseball staff. Although I don't have a direct quote from the Cubs medical staff, what gets lost in translation is simple to repair.

An ankle sprain is ligament damage. That's what ankle sprains are. Starlin Castro has a grade 2 high ankle sprain. I'll translate that in what follows.

Presenting the TCR, "ABC's" to ankle sprains, after the jump...

Roosevelt Rides Again!

CSN's Patrick Mooney broke the news that Theodore Roosevelt Lilly III is back with the Cubs. No, the 38 year old crafty one, who retired last November isn't being brought back from the netherworld to be another soft tossing lefty to flip at the trade deadline. He's there in a new capacity, per Rotoworld:

Ted Lilly has been hired as a special assistant for the Cubs front office. He will work with young players in Cubs camp during spring training and then help the organization with scouting for the draft.

Then there is this quote from TL upon making the decision to take the Cubs gig:

Ted Lilly: "I want to be around the game and I feel like I have something to offer. This is the organization I would prefer to be with.”

A little more from Gulliver and the Voyage to Lilliput after the jump...


Wrigley Field's Humongous Scoreboard

If I could only draw one tenth as well as Tim Souers. I'd draw a Gi-normous Scoreboard in centerfield that shrouded the entire 44th ward in a shadow darker than a solar eclipse.

Holy Cow! The Scoreboard that Overshadowed the 44th Ward. I'm talkin' Godzilla's shadow over Tokyo.

This little Aldermanic war of words was in today's Sun-Times:

Alderman Tom Tunney (44th) has made a bold suggestion to the Cubs: replace the iconic landmarked center field scoreboard with a video scoreboard that would generate millions without blocking anybody’s view.

“Put it in center field. Make it as big as you want,”

Holy Mackerel. Mess with the landmark status scoreboard? Alderman Tunney, how soon you forget. You legislated so that should never happen (unless the gi-normous scoreboard is compatible with the historic character of the field).

Mor-on the zany alderman and his puffy chest lingo, after the jump...

The Gasp Heard Round Kane County

Kane County with a collective D'oh...
Albert Almora tweets he sustained a broken hamate bone in the distal wrist today.

Not a good day! Broke my Hamate bone!

Sun-Times scribe Gordon Wittenmeyer writes that the injury occurred while swinging a bat and Almora will get surgery on this injury.

...he broke the hamate bone, pre­sumably in his left hand. It’s a fairly common injury in hitters’ bottom hand. Almora broke the bone swinging a bat and will require minor surgery. The Cubs said he will need three-to-four weeks before resuming baseball activity. Almora is projected to open the season at Class A Kane County, and he’ll begin on the disabled list. He should return to game action in late May.

The hamate is a small bone in the distal or 2nd row of wrist bones just below the 4th/5th metacarpal (ring and little finger side hand bones). The bone has an unusual shape with a hook configuration. The fracture occurs most commonly in the connection between the base of the bone and the hook. Conventional wrist X-Rays often do not show this fracture but a specific additional view that is tangential to the wrist (carpal canal view) will show the fracture. Thus, it can be easily missed if not seen by a physician who is familiar with this injury and requests this additional view. If it's still in question, Computerized (CT) Imaging or MRI Imaging will confirm this fracture. Often hook of the hamate fractures do not heal  with rest and immobilization and so it's now common for athletes to get iinitial surgical treatment with excision of the hook fragment. Giants 3B Pablo (Big Panda) Sandoval, Rockie SS Troy Tulowitzki, Oriole OF Nick Markakis, Red Sox 2B Dustin Pedroia and Phillie OF Domonic Brown are recent players with hamate fractures and their stories are attached to the links I included. This injury is not nearly as serious as the distal radius wrist fracture that Derrek Lee sustained (back in 2006) because it's more distal in the palm and not as likely to impact wrist movement. Hook of the hamate fractures create issues with grip tenderness such as holding a bat but usually does not diminish bat speed. So if all goes well, Albert Almora should be able to return to hitting activity in about 6 weeks.

There IS a lot written about hamate fractures in baseball players, so here are a few links to the anatomy, imaging and treatment..after the jump.

More Jed than You Can Shake a Bat At

ESPN Chicago radio's weekly Saturday Baseball gabfest, "Talking Baseball", found Jed Hoyer hitting the airwaves one more time. Questions covered Scott Baker's status, Scott Feldman's rotation status, Wrigley renovations, Hot Prospects (Soler and Baez), Cub interest in Michael Bourn, trading a certain reliever (Carlos Marmol) and what's life with Theo really like. Finally, Jed's comments as he faces off  vs. Theo in the bunting contest. All that, plus a few post interview caller questions that hosts Bruce Levine and Fred Hubner try to field. Official Scorer: Bruce Levine need a catcher's knuckleball mitt.

A really full transcript after the jump.

Jim Squared and Jed

Not trying to step on Rob's post so my apologies for the dueling TCR writeups.

I'm providing a hand made transcript of the XM Front Office Radio show, hosted by former GM's Jim Bowden, (Reds GM 1992-2003 and Expos/Nationals 2004-2009) and Jim Duquette (aka, "Duke", the Mets GM 2004). Their program airs every Sunday morning.  They interviewed Cubs GM Jed Hoyer (preceded by interviews of Mets Sandy Alderson and followed by Rangers Jon Daniels) and there was some post-interview Cubs chatter by the two hosts. Just some decent hot stove talk on a late January AM.


Bowden: You had a very busy offseason here. Can you break down moves...Edwin Jackson, Scott Baker, Carlos Villaneuv-er, Scott Hairston, Kuji Fujikawa?

Meatballs, mashed potatoes and Lumpy Gravy after the jump...

When the Doctor says Oops

What happens when the Doctor Says "Oops?"

You become a Cub.

Lookie here. The Cubs get an early holiday present under their tree in 31 year old starting pitcher Scott Baker. In typical Cub fashion, the wrapping paper is a bit discheveled and the bow on the gift is a little off kilter. Scott Baker toiled on the mound for the Twins from 2005-2011 including his best year in 2009 with 33 starts, 200 IP, a 15-9 record and a WHIP of 1.190. He had Tommy John/Ulnar collateral ligament (UCL) reconstructive surgery on his elbow last April, missing the entire 2012 season. Fitting Jedstein's Modus Operandi, it's a one year deal at $5.5M with $1.5M in incentives. According to XM Radio's Jim Bowden, the Cubs have made an offer to lefty Francisco Liriano, so maybe they are just going after ex-Twins. Matt Garza should soon be tweeting: "Collect em all."

Baker was supposed to have the (quicker to recover) flexor-pronator muscle attachment repaired in his right pitching elbow (compared to Tommy John ligament reconstruction) , but there was a change of plans decided intraoperatively...


Recent comments

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  • 8 in a row to end the year...let's do this playoffs thing.

  • shelby miller (ATL) finishes the season with a win, snapping his 24-game winless streak...because ATL bats are non-existent.

    3.02 era, 1.25 whip, 205.1ip, 171K

    6-17 w/l...ugg.

  • Totally independent of the Cubs winning or losing today, Dan Haren came into today's game having earned $2M of his potential $3M in performance bonuses for 2015. 

    By making the start (his 32nd start of the season) he picked up $500K, and he'll get the remaining $500K if he can throw at least 8.2 IP in the game (he was at 181.1 IP coming into the game, and he needs to reach 190 IP to get the remaining $500K), 

    It's a bit like the old "Bowling for Dollars" TV show, but of course Haren is actually "Pitching for Dollars."

  • holy crap, MIL is just...awful.

  • i think he's currently playing for the Santo Domingo Meths. he's an Adderall-Star player there.

  • I'm longing for a Neifi sighting.

  • if you have stable/fast internet you can stream with and you don't mind giving up $20 a month check out "sling tv".


    TBS, TNT, ESPN 1+2, etc...100% legal.


  • 68 pitches (50 strikes)

    love seeing that...especially with the batters doing very little with it.

  • Yeah, keep him off the playoff roster.

  • Or, he's looked exactly like Ted Williams.

  • Lately he hasn't looked like Ted Williams...

  • Reading between the lines on some of his comments he seems to know his longish swing doesn't play well with a man on third and two outs, and two strikes on him. I doubt a playoff adjustment is happening, just something he'll need to figure out next year. I have this odd feeling he will.

  • Mark Gonzales ‏@MDGonzales 4m4 minutes ago
    Bryant leads NL rookies in HRs (26), RBIs (99), 2B (31) and runs (86). Last rookie to reach 26 HR, 99 RBI, 31 2bs, 86 runs and 74 BBs?

    Mark Gonzales ‏@MDGonzales 4m4 minutes ago
    Boston’s Ted Williams in 1939

  • Surprised and bummed that Mark Buehrle is retiring. One of my all-time favorite pitchers. I think he could pitch for 5 more years.

  • Probably going to a bar/restaurant with TBS. Cord-cutting is so over-rated.