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.
Who is this Arrieta guy? Can I get the old one back please?
Well, this is, once again, the whole season for the Sox.
...and the Bryant RBI jinx continues in the 3rd....crap.
bryant's in the dugout filling a police report BECAUSE HE JUST GOT ROBBED.
chapman showing up and available tomorrow night.
i'm sure he'll be a bit hit. hope he doesn't choke. dude has a rifle for an arm. he'll add a bit of punch to the bullpen.
the 'crosstown classic' sure has lost it's magic with interleague. the excitement level is barely noticable...maybe it's a bit more hype in the city, itself.
Well he didn't leave a mark so its not that bad.
He choked her.
Her brother tackled him to separate him.
He cooled off by shooting his gun in the garage.
I don't have to like him on the team I follow.
And you are others are free to not give a shit about his personal misgivings if you so choose as well.
Sure, no marks and some inconsistencies in the witness's statements. But firing your gun into garage wall immediately after an argument and punching out your car window is still threatening and out of control behavior. There was certainly enough for MLB to think it warranted a 30-game suspension.
I'd prefer they be flexible with the closing situation depending on matchups. You're not really adding a lefty reliever if you use him strictly as a closer.
Stockpiling young talent isn't only for trading for someone like Chapman though. Even with an elite closer winning the World Series is basically a crap shoot so the key is to get to the playoffs as much as possible and not just mortgage everything on one year. Once you get there an elite bullpen certainly helps but the playoffs can be won by one hitter or starting pitcher getting hot (Murphy, Molina, Baumgardner) and a closer might not be able to stop that.
I'm also not crazy about press convictions. As the police report noted, there were no marks on the lady in question. There's a TMZ link (of course) to her police pictures, as well.
I think the only way this trade goes real bad is if Cubbery intervenes and Chapman is suddenly bad for some reason.
I am right there with you closing in on 60.
I don't care that much about "mortgaging" one player who is not only blocked by two guys, but is not ready to hit the majors for at least a couple years.
There is no reason why this team, this year, can't have a real shot at something NONE of us have experienced.
Further, I don't feel that even if they fall short that they have ruined their farm system.
I have made my opinion clear here, with others, Warren was shit on the Cubs save one spot start.
Trading for Warren, Warren sucking, getting Warren back for Chapman plus 3 prospects, sounds like Revenge of The Yankees on the former Boston executive. Old rivalries never die.
I pray to the heavens above Chapman doesn't suck for some reason, or he'll be booed out of town faster than a Todd Hundley revival meeting.
I'm kind of nostalgic for the Schwarber-for-Miller rumors.
This offseason, after some ridiculous playoff run and Chapman saving every game from here until the end of the postseason striking out 27/9innings, I welcome anyone to quote this thread and call me a dummy: I hate this trade, and my hate is 2 parts Chapman makes this team less likeable and 1 part that's a ridiculous overpay for 30 regular season innings and, at tops, 10 postseason innings. Already hoping they don't extend him.
btw...Thanks AZ Phil. I'm really enjoying your take on this trade.