Dr. M.: Green's a lucky guy

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Dr. M.: Green's a lucky guy

By Dr. Neil Minkoff
Special to CSNNE.comJeff Green is a lucky guy.Yes, he's out for the season because he needs surgery for an aortic aneurysm. But he's lucky because a) it was discovered and b) it can be fixed.About 13,000-15,000 people die from aneurysm every year in the United States. Almost none of them know they have a blood vessel waiting to rupture. At least Green does, early enough to repair it.An aneurysm is a weakness in the artery wall that stretches out from the high pressure of the blood flowing through it. Think of a bubble on a bicycle tire. Most aneurysms have no symptoms so the first sign of a problem is when they start to rupture. This can happen in two ways. The first is a straight rupture, where the artery bursts and the blood flows out into the chest or abdomen. The seecond type is called a dissectiob. In a dissection, the wall of the artery splits between layers and the blood flows into the wall itself, widening that tear.Both are incredibly dangerous and a rupturing or dissecting aneurysm requires emergency surgery. The outcome tends to be dicey, as well.An aneurysm can happen anywhere there is a blood vessel. Aneurysm in the vessels in the brain can cause a form of stroke.The most common aneurysms, like Green's, involve the aorta, which is the biggest artery in the body. The aorta takes blood from the heart through the chest and abdomen before splitting in two to go to the legs. An aneurysm can occur in either the section that goes through the chest (called a thoracic aneurysm) or the abdomen (called an abdominal aortic aneurysm or AAA). If the aneurysm is high enough on the aorta, it can interfere with the blood flowing out of the heart, leading to a leaky valve.The best outcomes for aortic aneurysms are the ones that are found by accident, like this one. This has gotten more common over the years, as more and more people get X-rays, CT scans and MRIs. The great advantage is that the patient can get a full work-up and have planned surgery before the aneurysm is rupturing or dissecting.The surgery depend on the locatiuon of the aneurysm, which I don't think is public knowledge. What will happen, though, is that the weak part of the vessel will be reinforced and stabilized. Even though this can now be done without a full, open surgery, I would opt for the full procedure in Green's case. That would provide the best peace of mind for a player who plans to resume full NBA schedule and the contact involved in banging on the floor.

Farrell says Red Sox clubhouse anticipating trade

Farrell says Red Sox clubhouse anticipating trade

BOSTON — John Farrell might have stopped short of actually stumping for a deal. Still, the Red Sox manager on Thursday morning spoke highly of the potential impact of a trade and indicated his players are waiting to see what this front office can add to a first-place team.

From a morale perspective, Farrell sees a potential boon in an acquisition.

“I think it’s always a plus,” Farrell said. “It’s a strong sign that everyone is aligned to support, add to, fortify — however you want to describe it — an area of need. And I think there’s a lot that goes into — there’s almost an injection of maybe that support or, further momentum that, OK, this is going to better equip us to go deep into the season.”

The players, Farrell said, have an anticipation for the possibility of a trade as well.

“I think there is. I think players carry that,” Farrell said. “They’re well in tune. Maybe some of them might be wondering OK, am I out?...So there’s a tentative period of time that we’ll go through here in the next 10-14 days. But adding to [the team] I think is always a positive.”

A day earlier, Farrell noted the improvement the Yankees made in their trade for Todd Frazier, David Robertson and Tommy Kahnle.  
 


 

Morning Skate: Sabres' Okposo back on the ice

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Morning Skate: Sabres' Okposo back on the ice

Here are all the links from around the hockey world, and what I’m reading, while officially in the Dead Zone of the NHL offseason.

*A great sight to see is Buffalo Sabres forward Kyle Okposo taking the ice in a summer league in Minnesota after a health scare at the end of last season.

*Nolan Patrick might be fresh off abdominal surgery, but that doesn’t mean he’s going to be rushed if he plays for the Flyers.

*Here’s an offseason power ranking of the offseason moves for the NHL teams, and the Bruins rank 28th out of 31 teams with the organization being “stuck” in the estimation of this writer. I don’t disagree that they’re kind of paralyzed right now until David Pastrnak signs an extension, with other things being held up because of that. The Paul Postma and Kenny Agostino signings were about as small time as you can get on July 1. But the Bruins’ goal for this summer wasn’t to win in the offseason moves department, but instead continue to let their interesting mix of young players and established veterans grow into an effective mix. Winning the offseason power rankings really isn’t the thing for the Black and Gold, and that’s perfectly okay given their situation.

*There’s a wide gap between the Detroit Red Wings and Tomas Tatar with salary arbitration looming.

*It’s a good thing that Barstool Sports is here to ask the really tough questions, like whether Jaromir Jagr is being treated unfairly by NHL teams because of his hair.

*PHT writer James O’Brien has Johnny Gaudreau really high on the window for the Calgary Flames to compete over the next three years with the young, talented group they have in place.  

*Nico Hischier is looking to be a playmaking force for the New Jersey Devils right off the bat after being the No. 1 overall pick in Jersey.

*A slew of soon-to-be college sophomores starred in development camps across the NHL and showed what they learned at the NCAA level.

*Classy tweet from the Arizona Coyotes wishing war hero and distinguished statesman John McCain well in his battle with brain cancer.

*Players that are on AHL contracts will be allowed to participate in the Winter Olympics this season. While the loss of NHL participation would be a difficult blow to the Olympics and fans, part of me is happy that some of these AHL guys will get to experience playing for their country when they might not have been able to otherwise.  

*For something completely different: Paul Pierce sees some very good things with first-round pick Jayson Tatum, but he’ll need to see “killer instinct” from the Celtics rookie for him to live up to the Pierce comparisons.