DrPJax

I agree with you , that video of him hearing or feeling a “”pop” is concerning. Plus I saw it reported on YouTube that someone had seen swelling around the elbow and this other reporter said he also had swelling around his hand. The elbow has a capsule around the moving ; articulating parts , Posterior swelling is not uncommon ( bursitis can cause that) , but swelling in the area where the elbow bends is worrisome as it can signify blood collecting there from acute / recent trauma. So the reports that people saw swelling is concerning. Hearing or feeling a pop is usually associated with ligament ( like ACL) or tendon tears( like your biceps tendon ). The main tendon that might “pop” in that area under force ( like trying to tackle someone , your biceps is contracting while they are applying force in the opposite direction moving away from you ) is the distal biceps tendon and it’s not uncommon for it to rupture. X-rays would be most likely negative ( tho you can see some indirect shadows from bleeding called a fat pad sign ) , so an MRI is needed for diagnosis. If that “pop “ turns out to be the distal ( furthest from the trunk) biceps tendon rupturing , it usually requires surgery ( most of the time ; some people chose against it but they can have problems with weakness , range of movement etc and need therapy to regain function) with rehab to get full strength back. I’m not an orthopedist , but I would think most athletes would go the surgery route. So Poyer mentioning the pop and others reporting swelling is definitely concerning. You never know until you see the imaging so I hope it’s something else that won’t require surgery as I am a fan who appreciates his story and he is such a great player IMO. It would be sad if both he and Hyde , the 2 pieces Mcd started building around , both miss what looks like our best shot at the Lombardi, and could even hurt our chances getting there.to begin with. Hope for the best , sure miss seeing them out there. Poyer may end up on IR , clearing the way for Tre to be on the roster , but I bet Beane is looking for a safety tomorrow. 😣

You make a valid and important point. It’s happened once so it could happen again. Motor is adequate, above average , but look at backs or teams who can covert short yardage or in the red zone. We could use a hall or walker type back who can get yardage o. Their own ( like Josh ) , and motor has proven he is not strong against heavy boxes. It’s our only obvious weakness and if we have hoe field in Jan / feb , it’s reasonable to expect passing might be a challenge. Plus , if we do have a lead , milking the clock is hard to do passing the ball. I don’t think it’s the line play , watching other games some teams have backs with a knack for shir yardage gains against stacked boxes or they have that gear to take it to the house. Maybe Cook can be the guy. I hope so , but your point is valid and on the edge of a SB run , zi hope we have done all we can do and our run game isn’t our Achilles heel.

Yeah I saw that cocky sob say that. It’s a slap in the face to the Bills and what they have accomplished and their level of play. Go ahead and believe in your delusional Philosophy and “changed state of mind “ from doing a drug (. “ oh it’s not a drug because it’s a plant and from the earth” paraphrasing this arrogant pos as the concept escapes him that anything you place in your body is technically defined as a drug, and this has psychoactive properties so that’s about as definitive a definition of a drug as you will come across ; these enlightened celebrities almost always lack the formal education regarding their pop culture claims ). Yep , it’s a great thing to come into Buffalo on a losing streak playing some of the worst football of your career, and it’s just what your coach and gm had planned fo the first third of the season. Laughable how guys with this level of self absorption can never just admit something so common as I am playing badly now and need to improve ( missed throws and wide open receivers ) and we are facing a huge challenge next week. Nope , this is what we need as we face the best offense and defense in the NFL currently. Its that attitude of I know better than any of you regular people and at 3-4 , this game is no big deal and we are right where we want to be for our playoff run. He just can’t stand to ever admit he is not currently the best qb in the NFL right now and he is a big part of why they are losing. He is the type of guy who is never wrong and always has to have the last say as he holds up some vague book and belittles anyone who has never read it. He is insufferable on the Pat Macafee show ( have to skip his part of the show ) and Pat never actually challenges him. Perfect week to do so,if Pat has any balls,to inquire about his current poor play, but he is too afraid to offend Rodgers with even a legit topic. I hope we run the score up on this clown and Josh gets scoreboard finally since “ the match”. Lol! 😀

Really? And anything to keep being a blind homer ignoring all injuries and no attempt to add any personal insight. . Point out one fact I Misstated! Now with knox, poyer , edmunds all being out as well , you still think it’s an easy game? Such astute analysis on your part! Plus I didn’t say we would lose, so your comprehension is still lacking any credibility. When is it keeping doom going , saying we would probably win , but not by a 14 point speed that’s being touted. Go ahead tho and keep proving how people are sheep and blindly lead. It’s guys like you who always predict undefeated seasons and add nothing to any intelligent analysis because you can’ t ever fathom Bills losing a game , yet they have never finished with less than 3 losses in a season, ,,,how do you explain any losses in your fantasy world? You are like the typical woke crowd , and have to label something as “ doomerism “ just because it differed from your shallow thinking ; most people get past your level of analytical thinking by jr high , but you keep hanging on to it cuz that’s the crowd you feel comfortable with , those who mischaracterize anyone who provides critical thinking Your little 7 word sentence really adds to furthering anyones understanding of the game situations. Can’t wait to see you spout more about the intellectual topic of doomerism ! Time always proves how little insight you type have ( hey where are all our Super Bowl titles at ? Omg , I stated an honest fact , so in your little mind that must mean I hate the team I have followed since ‘63 , and actually went to Superbowls 27 & 28 to be there to see them win, but I am touting doom ? ! ). Laughable stuff little homer ! 😂🤮☺️

This teams offense is not functioning well before this week. Brown / Tasker pointed out we are averaging 2 less possessions in the first half compared to last year , now getting 7 as opposed to 9 possessions/ half. Our lead margin at half last year was 10+ points. This year it’s zero. We are just coming off a loss to Miami ( where we failed to do well in the red zone ) , and we were behind 20-3 before a miracle comeback. We can’t convert short yardage downs and the running game has dropped off since the first two wins. Pittsburgh is 7- 2 against us in the last 9 meetings ,and we all remember last year going in thinking we had an easy first home game. Pittsburgh comes in at 1-3 as a 14 point dog ; staring a QB that sparked the teams play last week. Pickett to Pickens hit 10 times last week and they have receivers in he and Claypool that are physical and at least Claypool did well last year against us. We are facing an unknown qb who can run , and also looks to have energized their o , and now he has a week of practices under his belt knowing he is starting. Tomlin has proven to be a better coach so far , even tho that gap is narrowing. We are without a full receiving corp , and you know all the injuries and Gabe has struggled. Knox didn’t practice and his production has not been great to this point. We have terrible back production , and have gotten zero from our 2 nd round pick who was supposed to add mismatch capabilities. Our slot receiver has not practiced yet and has to clear concussion protocol to even play. We just lost our main PR/ Kr return guy in Crowder with a broken ankle. Our main Lb , Edmunds just developed a hamstring injury and I don’t think he practiced today. This team only has so much talent and it’s stretched to its max, and the past two games may be a warning that things are catching up. Plus add a new OC , and he has not been overly creative as we don’t see a creative run game ( and our guards have been disappointing, Safford particularly so and even Fina criticized his missed assignments in the last game ) and he is still learning on the job. All I am saying is this seems like a “ trap game” with KC pending and no one giving Pittsburgh any chance to win. I still think Allen is enough to overcome things , but our margin of talent is gone. People keep wanting to sit players out to get healthy since it’s just Pittsburgh, forgetting how we lost to a team like Jax last year as the team took them lightly. I think we win , but I also think it could be close and an upset wouldn’t shock me. I just can’t see how this should be no trouble winning. Allen better not have turnovers or repeat that first half performance. Not often do teams come back from deficits and with our receiving corp decimated , it might be even harder. I wouldn’t take Pittsburgh lightly under these circumstances and some warning signs are there with our offensive production these past two games. If we could start quickly , I do think our chances to win are still good, again if we can avoid losing the turnover battle.

So sorry to hear of your accident and head trauma. Take care , wising you a full recovery and hope it comes asap. Very serious injuries with delayed and prolonged effects. Hope it all clears so you can enjoy this Bills season.

40 + years in the kitchen my friend ; what experience do you have or how much literature do you read about malpractice. Millionaire dr thing is a large myth except for a very few. Someday you , as everyone of us will require that talent for your own illness or family unless you are not human. The medical crisis is large Dr deficits as boomers are retiring and many leaving from burnout from the pandemic. Because of the years of education required and large debt for schools , many bright people are choosing other fields . I have seen medicine be taken over by third parties , insurance companies who dictate Drs care and have dramatically reduced payments as ceos in jnsurance companies and hospitals become rich. Those are facts ; probably best to just bow out when you speak in vague generalities offering no valid analysis. Let’s see how you handle the heat when you are sick , frightened , and need a dedicated professional who swore an oath , sacrificed years to be educated while you were probably out partying. For most in the field it is a lifetime calling. Sorry if that seems harsh , but the “ can’t handle the heat “ comment is BS as they deal with life and death daily, including putting their own lives at risk. Time will prove what I am saying as it’ seems unlikely you have had a significant personal illness or your attack would be more tempered. Benefit of the doubt , I am sorry if some professional did something wrong to you. It’s easy to spout about “ a crisis “ with no specifics.. Nothing more than repeating jargon you have been fed. What do you know about the risks of a pneumothorax? Tyrod is reaching, but many see malpractice as a lottery. He was not going to hang onto the starters role regardless as he never has. Wishing you good health to enjoy the Bills season.

Being honest ( also I review charts for attorneys in malpractice cases to see if they should go forward ) , this is a hard case to think anyone will find malpractice. It’s a simple injection , but if someone’s anatomy is different or you go a few millimeters too deep ( which is not that hard , tho there are techniques to use to help avoid it , but you can’t 100% prevent it ) it’s possible and an ACCEPTABLE risk in this type of procedure. I feel for both parties. Problem is the malpractice insurance company can settle without the Drs approval and they often do. This type of stress can ruin a Drs life as it drags on for a long time; suicide has been know to happen under this type of stress. Tyrod suffered no permanent damage , maybe some financial loss , yet he is probably a millionaire already ? Sorry , but this seems like most likely a frivolous suit driven by ego and greed. Jmo. He agreed to the risk when he took the injection. I think he is betting I insurance settling and this is the type of stuff that has a cap on damages anyhow. Not sure he gains much doing this. I know I am biased, yet if a doc does negligent things I don’t have tolerance for that either.

Wow I feel for you. We are only a few hours apart. The winds and rain finally ended tonight. I was shocked we didn’t lose power. I agree ,, it seemed like it was never stopping , have not experienced anything this prolonged. It’s rough in Florida without power. I was surprised how chilly the air became tho. I agree , and hope we never see this again. Scary thought that hurricane season is until mid November. Stay safe. Hopefully you stay in Florida. Great state , no taxes, been pretty good under this governor. This was a freak storm. 4 th worst in Florida and United States history. No real evidence to expect more like this, as odds are in our favor. Stay safe and wishing you the best , always great to know another Bills fan !

Glad you are ok !

Don’t know if you will see this but I am hoping things turned out ok. Not sure where you are. I am in Jacksonville beach , and been here since 85. This is the worst storm in my all most 40 years here in Florida. Had bad winds , rain etc for past 36 hours and at Augustine that is 1/2 hour south is completely flooded. I was ordered to evacuate but stayed as I have never ( knock on wood ) experienced flooding here. I can’t imagine being on the west coast of Florida , ft Myer s , Engle wood area etc. It is completely destroyed. I am praying you are safe and didn’t lose everything. Hope people , Bills fans rally behind the people or bills fans in Florida as they are in dire need now. Also the state is in an insurance crisis. Companies are leaving. I paid my full premium , went up from 3 k a year to 6 k this year. A month after paying I was informed the insurance company was leaving Florida ! They sent part of my premium back! I was shopping for insurance when this hit. Have flood insurance only right at the moment. It’s scary as now I am sure it will be even harder to get coverage. But my main thoughts are with those injured , worse., or who lost their homes and workplaces. Part of Florida is devastated and changed for years. Please stay safe and strong and know people have you in Their prayers. 😌

Neither of us really know the guy personally, so I guess it’s hard to really judge. It is Jmo , he seems like the type that would not disregard a neurologist etc telling him it was not safe to play Tua. He obviously has little medical knowledge , so I think he has to rely on what he is told. Fins are a shady org with a shady owner , so I guess it’s possible if he felt his job was at risk if the owner sent some message down, anything is possible. One thing is for sure , people can never be completely trusted if money or their livelihood is controlled by someone else. In this case reckless is really no different than acting maliciously. Seriously , if it was Belicheck, I would believe anything, this guy I would believe until something is conclusively proven otherwise. Time will tell I guess.

It’ certainly has some risk , but that is how medicine is risk vs benefit. Short flight to Miami probably , like a couple hours probably. Maybe three ? They have time to act unless he became unresponsive and I’m not a pilot , but I would think if that happened they could land in Atlanta etc.

True , have to understand they have no medical expertise, nor does the head coach. He did seem to misspeak about the falling thing. He was thrown to the ground violently, so not sure what he is referring to. I think he is shaken up a little , just lost and your qb is fortunate to be going home. True he is not out of the woods , the next 48 hours are still a critical time. You can have delayed bleeds in that period. So any NEURO changes , like vomiting or confusion or worsening headache are ominous signs. He is traveling with a dr so that is as safe as he could be unless he started vomiting on the plane etc. People makimg an issue about him being discharged don’t know how much medicine has changed. If tests are negative you are discharged. Hey I was discharged the next morning at 8 am AFTER having spinal surgery on 4 discs with spinal compression after getting out of surgery at 10 pm the night before. I was in a lot of pain and Was like please let me stay just a day , but nope , sent home !😀. When I was in residency In The 80’s , we literally kept people In the hospital for bed rest for simple,back pain for 3 -5 days ! No joke ! Medicine is much different now run by insurance companies and CEO’s.

I actually like this guy. I think he is being honest. He is kind of nerdy , and I don’t see him being malicious enough to pit Tua in if Drs told him to keep him out. Fins are in good hands , unfortunately. But I at least like the guy compared to a creep like Belicheck

Classy guy , best beard ever. Burrow is a little too cocky , arrogant for me. Josh much more humble , team focused.

That speed is hard to deny , or duplicate. We really could use someone like Waddell. We beat teams with routes and scheme, so some great speed would be a plus. Maybe they need to give cook some reps out as a receiver ? Drafted the guy , use him.

Exactly , I made. Post about this issue in another thread. Heat illness can and has caused football player deaths numerous times over the years. They are so concerned over Tua and the concussion protocol, yet lives were placed at risk in those conditions yesterday. The product on the field was impacted negatively and I think we will see some with lingering effects. Theee is no excuse for not changing no time of that game until later knowing on field+temps were researching 120 degrees reportedly. This is a bad look for the NFL , and as they set trends and are watched by high schools etc, playing that game as if players just have to suck it up and play as some sign of toughness is outdated and wrong. Glad to hear you are recovering ! Best wishes !

Great post and points. I think after watching yesterday the NFL needs to think about moving games to a later time when this type of extreme heat is involved. There is no way to prevent heat illness without time over days to acclimate beforehand. They are actually fortunate no one was hospitalized or worse. Every year we lecture about heat illness / exhaustion/ stroke etc and still you see reports o young athletes dying from situations like this ; thankfully it’s much less common as staffs are more aware of early warning signs and treatments. The NFL is better than what happened yesterday , and while the NFLPA is so worried about Tua and the concussion protocol, they exposed two rosters to severe heat and injury risk for no reason. When temps are above 100 degrees on the field, why not rotate to a 4 pm start time? It makes no sense to play that game at the worst time / hottest part of the day and the product was affected while also sending a message that disregards all known health science regarding prevention of heat illness and it’s risks of severe consequences. Plus it will continue to have lingering effects as it is hard to recover from and increases risk on subsequent exposure. Just a bad look and the evidence is all the injuries and players still having issues. it’s not the old days where players are just expected to suck it up and just play. We know the risks , and that was a dangerous playing condition yesterday. They delay for lightning which is a much lower risk than heat illness is given those conditions, so a delay is a simple solution. Let’s see if the NFLPA /NFL look at this for future games. No one benefits watching a product like yesterdays game. Jmo. 😊

Usually you have great write ups and I appreciate them. This one seems a Little angry given the situation.😀. The Bills have been injury free for years , it’s finally averaging out this year. . We will really miss hyde but at least we should hopefully get most guys back when you want to peak late in the season. Just wanted to address the medical stuff a little since you addressed safety. Tua could certainly clear a standardized , computer based concussion protocol. It has to be administered and cleared by an INDEPENDENT neurologist for him to return. That’s the rule , so team docs can’t clear him. Florio also explains this tonight on NBC. IT USED TO be just the team doc asking questions of orientation and memory and they asked the same questions all the time so players got around the test by memorizing the answers. That’s not the case now. I suppose the fins could have cheated and bypassed an independent doc clearing him , but that’s not supposed to happen. So I have no issue medically if protocol was followed and he passed. He looked great on third and 22! If they bypassed the protocol that’s on the fins and not the NFL. I don’t think you appreciate the extreme heat and heat associated illness we were seeing today. We ran 90 offensive plays. While in a way that’s good , it also was inefficient in that heat. John Fina has said a ten play drive is an absolute killer and that why he,advises playing in the preseason so guys get a taste of that exhaustion. We had many longer drives than that so the heat was taking a heavy toll. That’s why so many lineman got sick and were replaced. Its why Diggs could never recover. I don’t care how much you hydrate before the game , there is no way to prevent heat associated illness in this situation. The only prevention for heat illness is hydration , cooling , and acclimating over several DAYS to that type of heat. Our bodies can not adapt that quickly and just showing up a day before won’t work. That’s why the fins had fewer issues as they have been acclimating physiologically over weeks and they still struggled despite limited possessions. Once you start having symptoms like cramping , you are way behind and it just progresses and it showed on the field. That’s why the line was getting no push as you mentioned. They were battling heat illness symptoms like lethargy , nausea , mental slowness in processing , cramps and then it can get worse if not treated correctly. Bates’ looked very Ill to me. The only effective treatment is cooling , fluids and you have to get out of the heat. Wicking material is a huge help but I didn’t see guys changing jerseys and I would think the NFL uses the best materials but I haven’t researched that. This is just as a bad or worse than playing In the blizzard conditions. So running 90 plays actually worked against us and long drives in this heat were counter productive. It’s obvious as we still lost with the fins running only 39 plays , but they were more efficient and effective. Josh did make some unusual errors, as did many offensive players. He had no time and Morse being out was huge. They are relying too much on Josh and the lack of a running game can’t keep being ignored. It’s killing us in short yardage and red zone in close games , but obviously not an issue in blowout wins. Josh touches the ball on every play , so 90 plays in that heat was bound to cause some issues later in the game. You start to lose concentration or have motor issues and you aren’t aware of it as others may notice your performance dropping before you do , it can be subtle and is insidious. . Guys were looking very sluggish on those last two drives and Diggs was having to sit and Gabe looked fatigued with no separation and had an unusual drop. It’s even possible Josh was showing effects with that missed mckenzie pass as his throwing mechanics were off and that’s not like him the past year. He has been very accurate so either the pressure or physiology affected him. All I would say is you have to temper expectations in this type of climate coupled with all the prior and game time injuries ( Bedford , Kumerow and more ). It’s hard to be too upset with a two point loss while playing with so many guys who never get many reps. This was really an extreme situation similar to the New England first game last year. I can understand making mistakes normally not seen. This may carry over to the Ravens game as heat illness is slow to recover from and happens more easily on subsequent exposure. Going to be a tough stretch. I agree it’s hard to accept Bass missing a gimme. He certainly had no heat issues or excuses. The mistakes snowballed. . I thought crowder was good , made no errors , and made good decisions. They got lucky with a fantastic punt after the butt punt ! At least we had no blocking in the back etc penalties. My issues are the persistent running game failures; playing a soft d on 3 rd and 22 ( other teams dcs pressure the qb so long routes can’t develop yet Frazier choses to rush 3); rotating the backs so much that none really ever gets in any groove and you end up with 3 mediocre guys and finally quit doing shotgun snaps inside the 5 ! This is a throw away type result as no other game today was played in anything close to these conditions and it had a definite impact on performance and outcome. Just some thoughts as i feel your pain and my main concern is the injury issue is uncontrollable. We can’t expect great results playing backups to backups in the defensive backfield. Our RT situation also looks concerning. Hope you have a better week, and hope we get some healthy guys back.

Haha! Seems a little mild in comparison. Wouldn’t exactly call that a tantrum, he is not the Karen type ! I really like mcds personality as the face of the Bills. Temperament is always professional yet caring, and he gets it’s not just about football. . The players know tho if you make mistakes , you sit , and he’s been consistent. Levy will always be my favorite Bills coach, but I hope Mcd has a future and tenure like Tomlin has had. He is a perfect fit for the Bills and the community.

Good points , but you are cherry picking a little. Motor avg under 2 yards a carry. He was good in catching passes but his yac is not very good. Moss had two good plays over three games basically. Cook has potential , as a receiver, and his run game is yet to be determined. I don’t blame the backs. It’s three years now without an effective run game you can DEPEND ON in the red zone and short yardage situations. It results in all the pressure being on Josh and in the red zone the passing windows tighten and in critical , one posession games , other than the KC game, it has resulted in game losing mistakes. Until the Bills stop the rb by committee thing with guys getting less than 10 touches a game , I think we will keep seeing losses in one possession games. Even analysts like Jason Garrett said today the Bills are relying too much on Josh ; 90 offensive plays and losing is unheard of. When will this staff learn they need to do more to help these backs succeed? I agree with you that they prob have enough raw talent to be ok , but right now there is no possible way you can honestly say you can depend on this run game in critical situations. That also affects the passing game as it hurts play action. If you have to depend on blowouts to win , it’s unlikely you will win a Lombardi because most games in the NFL are not blowouts. .

I actually loved it. For once you see how much a guys job means to him and his passion for it. Would you rather see this genuine display or keep seeing pressers by Belicheck or even Mcd , that are the same bottled non informative crap every week ? 😀. It’s an emotional sport and it’s great to see a new young talent developing on our staff right before our eyes. I’m sure he will be fined and won’t do it again , but it was genuine today and he called 90 , yep 90 offensive plays ( compared to 39 for the fish ) and if they were executed as they should have been , we probably blow that game wide open. 😀. Looks great for our future.

Yep , reminiscent of Daboll. Bills have a short yardage problem and that goes hand in hand with being unable to run the ball with the running back by committee situation. The frustrating part is we have seen this over 2-3 years now and you would think they might have some solutions by now. Always losing one possession games is a disturbing fact. Josh is a true super star , yet with the game on the line in a final drive situation , other than the KC game he has shown a tendency to make a critical mistake and so far that’s the only area his vast improvement seems lagging. ( Tenn game slips, Houston playoff game crazy lateral and failed 4 th down conversion, todays pass into the ground missing mckenzie ) Too much is being placed on Josh in the red zone. I do realize all the flubs by the o before , two botched fg situations , dropped td pass, dropped pick 6 etc. The bottom line tho is you needed a final successful td drive to win and despite dominating TOP , yardage , etc, we failed in the red zone once again. These games can cost you playoff home field advantage and it feels like we gave one away today. I really believe the issue is they keep ignoring the failed run game. If you could run with any success , all that pressure on Josh in the red zone is alleviated. Widows are too tight inside the 10, 5 yard lines to keep relying on passing rather than some power runs. Fix that run game and I bet we start winning those close games. Hey without his heroics all game , we had no chance. I just wonder why he / the team struggles so much in short yardage and keep making execution errors at the most critical point in one possession games. Brady , nowhere near the athlete Josh is , was great with the qb sneak , and great on that game winning drive situation. Hopefully they figure this last little piece of the puzzle out as that’s the last step to a title. Maybe it’s just they need more focus in practice for that situation or maybe dorsey needs to get a little further away from the prior Daboll playbook. Try searching out a run game guru to bring in as a consultant because it’s years of having no run game outside of Josh. He can’t keep that up without risk of injury. Hope they learn , but we keep saying this. Love the team tho, great effort today.