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Jenks has Pulmonary Embolism


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#1 HangingW/ScottCooper

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Posted 13 September 2011 - 04:10 PM

Per Gordon Edes/Espn:

http://espn.go.com/b...y-embolism-back

BOSTON -- Boston Red Sox pitcher Bobby Jenks has been diagnosed with a pulmonary embolism in his back, but he's doing fine and it's not career threatening, according to manager Terry Francona.

Doctors found the embolism, which occurs when the main artery of the lung or one of its branches becomes blocked, during the course of all the testing Jenks had on his back.

"Bobby's doing fine, and he's on the proper medication. He's doing great," Francona said.

Jenks, who remains with the team, is shut down from all physical activities for the foreseeable future, according to Francona. Francona reiterated, however, that this situation would not end the pitcher's career.

"I don't believe so," he said. "It's not something to mess around with, but it was a very small embolism and they have it under control. Certainly they want it to go away, but I they feel like he's in good shape."

Jenks has made three trips to the disabled list this season, twice because of back tightness. The right-handed reliever is 2-2 with a 6.32 ERA in 19 appearances this season, his first with Boston after six seasons with the White Sox.

"It's certainly nothing to mess around with, there just needed to be a lot of testing," Francona said. "Bobby was put on the proper medication, and that's probably going to slow down the efforts to look at his back a little bit, but in a hurry the back becomes secondary."



#2 mabrowndog


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Posted 13 September 2011 - 04:45 PM

FWIW, this is what killed Harry Agganis in 1955 at age 26 after a blood clot broke free from his leg.

#3 radsoxfan


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Posted 13 September 2011 - 05:39 PM

It's not the thread starter's fault (since the ESPN article is the culprit), but Jenks doesn't have a PULMONARY embolism in his BACK. That's like saying someone has a broken ankle in their arm.

Apparently he had an incidentally detected blood clot in one of the arteries in his lungs. These things aren't all that uncommon (especially in sedentary obese people.....), and are relatively easily treated with anticoagulation. Often times they break off from clots in the legs, but there are a host of other reasons people can get them as well.

There is actually some controversy about the importance of small, incidentally detected pulmonary emboli. With increasing imaging quality, they are detected sometimes in people who have no symptoms (which are typically shortness of breath, rapid heart rate, syncope, etc). Some claim that these tiny emboli are actually of no clinical significance whatsoever and should not be treated, as they will resolve on their own (not sure if Jenks' qualifies as "tiny").

Either way, assuming this isn't the sign of some underlying malignancy or genetic disorder of blood clotting, this is probably not a big deal. Maybe his docs can scare him into losing some weight though, that would be a nice indirect benefit.

Edited by radsoxfan, 13 September 2011 - 07:39 PM.


#4 Sprowl


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Posted 13 September 2011 - 05:54 PM

I changed the title -- perhaps ESPN meant the back of the lung.

#5 mabrowndog


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Posted 13 September 2011 - 06:27 PM

It's not the thread starter's fault (since the ESPN article is the culprit), but Jenks doesn't have a PULMONARY embolism in his BACK. That's like saying someone has a broken ankle in their arm.

All of Gordon's quotes in the article regarding Jenks' health status came from Francona, so I assume that's where the "in his back" stuff came from.

It also makes me wonder whatever happened to the club's revamped policy on not having Tito issue anything other than the most general, cursory comments on injuries and medical issues.



#6 effectivelywild

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Posted 13 September 2011 - 06:42 PM

I didn't realize sucking was a hypercoagulable state. Someone get Miller on warfarin!

Unless of course it was a fat embolism.

Ok, I kid, but here's hoping he gets better. Blood clots can be dangerous---glad to hear they are on top of this one.

#7 radsoxfan


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Posted 13 September 2011 - 07:06 PM

I didn't realize sucking was a hypercoagulable state. Someone get Miller on warfarin!

Unless of course it was a fat embolism.

Ok, I kid, but here's hoping he gets better. Blood clots can be dangerous---glad to hear they are on top of this one.


You forgot amniotic fluid embolism.....

That would explain a lot actually. Jenks wasn't sucking all year, he was just pregnant.

#8 xpisblack

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Posted 13 September 2011 - 08:35 PM

It's not the thread starter's fault (since the ESPN article is the culprit), but Jenks doesn't have a PULMONARY embolism in his BACK. That's like saying someone has a broken ankle in their arm.

Apparently he had an incidentally detected blood clot in one of the arteries in his lungs. These things aren't all that uncommon (especially in sedentary obese people.....), and are relatively easily treated with anticoagulation. Often times they break off from clots in the legs, but there are a host of other reasons people can get them as well.

There is actually some controvery about the importance of small, incidentally detected pulmonary emboli. With increasing imaging quality, they are detected sometimes in people who have no symptoms (which are typically shortness of breath, rapid heart rate, syncope, etc). Some claim that these tiny emboli are actually of no clinical significance whatsoever and should not be treated, as they will resolve on their own (not sure if Jenks' qualifies as "tiny").

Either way, assuming this isn't the sign of some underlying malignancy or genetic disorder of blood clotting, this is probably not a big deal. Maybe his docs can scare him into losing some weight though, that would be a nice indirect benefit.

Or he could have a genetic predisposition, or he could have had a blood clot in his leg that shifted northward, etc. Losing weight would probably help, but he could well just be predisposed to emboli and this could be a minor adjunct condition not at all connected to his strained back (though I wouldn't bet on that). But it sounds as though they caught it early enough not to be too much of a worry...?

#9 doc

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Posted 13 September 2011 - 08:54 PM

Or he could have a genetic predisposition, or he could have had a blood clot in his leg that shifted northward, etc. Losing weight would probably help, but he could well just be predisposed to emboli and this could be a minor adjunct condition not at all connected to his strained back (though I wouldn't bet on that). But it sounds as though they caught it early enough not to be too much of a worry...?

A blood clotting disorder=genetic predisposition
Almost all pulmonary clots start elsewhere and get shot into your lungs, that's kind of what embolism means. You can have all sorts of embolisms, air (scuba accidents or turning up the pressure too high on a vent, or letting Popeye man the ambu bag), fat (usually the bone marrow from a fracture), septic ( from an infected heart valve or meningitis sepsis). Many strokes are cholesterol plaque chunks that break off in the carotid artery and float upstream until they get stuck and block off a bit of blood flow to the brain, and that too is an embolus (hence embolic stroke).


Not to lecture you xp we all use the jargon sometimes but Rads had it covered.

#10 xpisblack

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Posted 13 September 2011 - 11:26 PM

A blood clotting disorder=genetic predisposition
Almost all pulmonary clots start elsewhere and get shot into your lungs, that's kind of what embolism means. You can have all sorts of embolisms, air (scuba accidents or turning up the pressure too high on a vent, or letting Popeye man the ambu bag), fat (usually the bone marrow from a fracture), septic ( from an infected heart valve or meningitis sepsis). Many strokes are cholesterol plaque chunks that break off in the carotid artery and float upstream until they get stuck and block off a bit of blood flow to the brain, and that too is an embolus (hence embolic stroke).


Not to lecture you xp we all use the jargon sometimes but Rads had it covered.

No, you're right-- By my first (read: crappy) reading, it seemed as though Rad was suggesting that genetic predispositions to emboli were by definition "not a big deal," which is not at at all what was meant. I screwed up my interpretation. And I apparently missed the whole sentence about migrating clots, which is downright shameful. Sorry about that.

I would note, however, as Rad likely intended to highlight, that the symptoms of pulmonary embolism are also expected from a man with the... dimensions of Jenks. Shortness of breath, chest pains leading to coughing fits and exacerbated by exertion, sweats, fast or irregular heartbeat, lightheadedness, etc... I wouldn't be surprised if Jenks regularly experienced each of these afflictions-- Lord knows he travels enough at least to predict DVT. All I meant to suggest was that this most recent news isn't actually necessarily more troubling than earlier diagnoses. But as you say, Rad had this covered.

Polly loggies for the contradictions-- I fucked it up, plain and simple.

#11 AB in DC


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Posted 23 February 2012 - 04:17 PM

Apparently, this was just the tip of the iceberg for Jenks:

http://espn.go.com/b...nks-feared-life

Jenks had surgery to remove bone spurs in his back on Dec. 12 at Massachusetts General Hospital and was back home in Phoenix a few weeks later when he noticed the incision in the middle of his back was leaking some kind of fluid.

The Red Sox pitcher bandaged it up himself and first thought nothing of it. But the problem didn't subside, so he visited a doctor and was rushed into emergency surgery on Dec. 30 to repair "a mistake" that Jenks said could have been a life-threatening situation.



#12 MannysDestination


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Posted 23 February 2012 - 04:22 PM

I'm no doctor, but when I hear "clear fluid oozing from the back" I think that it could be spinal fluid... Definitely not good.

#13 doc

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Posted 23 February 2012 - 04:28 PM

I bet he used duct tape

#14 Corsi


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Posted 23 February 2012 - 04:32 PM

I'm no doctor, but when I hear "clear fluid oozing from the back" I think that it could be spinal fluid... Definitely not good.


Meat sweats?

#15 glennhoffmania


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Posted 23 February 2012 - 04:34 PM

I'm no doctor, but when I hear "clear fluid oozing from the back" I think that it could be spinal fluid... Definitely not good.


Yeah, at a minimum I wouldn't bandage myself up and think nothing of it.

#16 Rasputin


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Posted 23 February 2012 - 04:37 PM

If he dies does his salary come off the books?

#17 luckysox


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Posted 23 February 2012 - 04:39 PM

If he dies does his salary come off the books?

That ship has probably sailed. if he was gonna kick it, it would have been months ago. Sadly, the Sox will pay his salary for 2 years and get nothing for it except his a$$ imprint on the training room table.

#18 Rasputin


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Posted 23 February 2012 - 04:41 PM

That ship has probably sailed. if he was gonna kick it, it would have been months ago. Sadly, the Sox will pay his salary for 2 years and get nothing for it except his a$$ imprint on the training room table.


Yeah but now I'm just curious about the rule. What if someone went psycho and took out John Lackey. Would we still get dinged on the contract for tax purposes?

#19 HriniakPosterChild

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Posted 23 February 2012 - 06:22 PM

Yeah but now I'm just curious about the rule. What if someone went psycho and took out John Lackey. Would we still get dinged on the contract for tax purposes?

That would be a good question for Mrs. Darryl Kile.

#20 E5 Yaz


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Posted 23 February 2012 - 06:24 PM

If he dies does his salary come off the books?


Nevermind that ... what about Fenway Whalers' fantasy team!!!

#21 DaveRoberts'Shoes


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Posted 23 February 2012 - 09:39 PM

This just in.... Being a fat fuck is an independent risk factor of the highest degree for infection, wound healing problems, you name it. Seriously, aside from smoking, being overweight is the single worst "controllable" risk factor there is for almost all types of post-op complications.

#22 dcmissle


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Posted 23 February 2012 - 09:50 PM

This just in.... Being a fat fuck is an independent risk factor of the highest degree for infection, wound healing problems, you name it. Seriously, aside from smoking, being overweight is the single worst "controllable" risk factor there is for almost all types of post-op complications.


Maybe you get TV time on this one too if he takes a turn for the worse?

#23 Dick Pole Upside

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Posted 23 February 2012 - 09:56 PM

I blame Gill. Moar Dave Roberts!!!

#24 Rasputin


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Posted 23 February 2012 - 10:47 PM

That would be a good question for Mrs. Darryl Kile.


And I thought I was being morbidly creepy.

#25 Pearl Wilson


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Posted 24 February 2012 - 06:27 AM

This just in.... Being a fat fuck is an independent risk factor of the highest degree for infection, wound healing problems, you name it. Seriously, aside from smoking, being overweight is the single worst "controllable" risk factor there is for almost all types of post-op complications.


Jenks had to delay his first surgery to Dec. 12 to allow a pulmonary embolism to heal late in the autumn. During that time, he shed what appears to be close to 50 pounds, in order to put himself in the best condition to emerge strong from the surgery.

That plan didn’t work.


First, I can imagine him being advised to drop some poundage before the surgery. Still, though he is a big guy I doubt he's all that far from the norm for a guy his age. And if he were not a candidate for the surgery, it would not have been done.

Second, I hate that Projo made it sound like losing weight was wasted effort. And 50 pounds? Really?

Third, I wonder how often this type of surgery is performed and how many had been done by this surgical team. Bone spurs in one's back sounds like something occupation-related rather than a common ailment. I hope to be enlightened.

#26 Smiling Joe Hesketh


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Posted 24 February 2012 - 09:10 AM

Posted Image

He certainly looks a lot lighter than he was last year.

#27 DaveRoberts'Shoes


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Posted 24 February 2012 - 09:16 AM

He's listed as being 6'4", 275, and he was probably more than that before he started losing weight. He was a fat son of a bitch, make no mistake about that.

As for the surgery itself, I don't know exactly what he had but it sounds like a lumbar decompression without a fusion - a relatively common spinal procedure. Basically all spinal surgery in this country is done by fellowship-trained specialists who only do spine surgery, so I am sure that whoever did this does this kind of stuff all the time. Even well-done surgery can have complications, unfortunately.

#28 Buzzkill Pauley


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Posted 24 February 2012 - 10:51 AM

He certainly looks a lot lighter than he was last year.


Man, that doesn't look like Bobby Jenks at all. I'd believe 50 lbs, easily.

#29 Snowplow

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Posted 24 February 2012 - 11:03 AM

I'm no doctor, but when I hear "clear fluid oozing from the back" I think that it could be spinal fluid... Definitely not good.


I had this same issue before my third back surgery. When he says he was in pain believe me, he was. I wanted to die, no relief and nothing can make it go away until surgery. Pot was the only relief I could find and that barely helped. My surgeon said my back actually burst when they made the incision. I can say from personal experience that it will be a total miracle if Bobby Jenks ever throws another pitch. I hope he does.

#30 ypioca

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Posted 25 February 2012 - 11:16 PM

Pete Abe: http://articles.bost...d-surgery-spine

Jenks had spinal decompression surgery Dec. 12 that was expected to correct a back condition that led to him twice being placed on the disabled list last season. Dr. Kirkham Wood, chief of MGH’s orthopedic spine service, performed the surgery.

“I don’t know whose fault it was, but there was an error done inside,’’ Jenks said. “I had four bone spurs on my spine. We talked about taking the top two out. The third one was started and not finished. So basically there was a serrated edge that sliced me open in two different spots and I was leaking spinal fluid.’’


According to Jenks, the fluid pooled at the bottom of his incision and was constantly leaking. Severe headaches followed.
“It kind of blew up on me,’’ he said. “It caused an infection to climb up that incision wound. So now I had an infection in my spine. It was a combination of everything that could have gone wrong went wrong.’’


Jenks contacted the Red Sox, who advised him to seek immediate treatment in Phoenix. Jenks said he was rushed into surgery the day he was examined, Dec. 30.



Peter then goes on to rehash the talking point "MGH did the surgery, the Sox work with people from MGH, so this is another Sox medical blunder". Obviously, it's the team's fault, and it' exactly like Ellsbury's ribs and Pedey's foot.. :rolleyes:

He was correctly diagnosed, underwent surgery and suffered complications. I know they made some mistakes in the past, but sometimes shit just happens in surgery, Pete. Stop with the braindead connections.

Edited by ypioca, 25 February 2012 - 11:17 PM.