DrPJax

Tried telling people this is not a “ weak” Jags team, but it comes down to good coaching at critical times. Jags personnel won’t match up well against KC and Reid is as good or better than the Jags head coach , so I think KC gets a pretty easy win. But this game it came down to the head coach overcoming his qb throwing 4 first half picks. Peterson made critical choices ; he went up tempo to give them enough possession time to come back , he went for 2, not 1, when Bosa was stupid enough to throw his helmet prior to the post td conversion ( he stated post game he would not have gone for two if not for bosa!) and pm 4 th and a foot they run a wide toss with etienne instead of the qb sneak and puts them in winning fg position. Huge calls and meanwhile under the great coaching on the Bolts sideline they melted down blowing at one point a 27-0 lead. That head coach acts like he is on stimulants or has adult adhd ; watch his interview coming oit at half and he is talking so fast it’s like a flight of ideas. If this disaster piled on top of last week doesn’t get this freak fired, I don’t know what would. That roster is loaded with talent and you have a premiere qb and looks like this would be the most desirable job in the NFL. Once again tho this proves in the NFL you need a really good qb, a very good head coach , and I think the gm is proving to be critical as well in keeping a franchise relevant and in playoff contention regularly. We have all that in Buffalo , now Mcd has to prove he can get to that final step in coaching and at least get to the Super Bowl. There is no one better as a team builder or culture creator than Sean and this has been his best coaching year by far. I think he deserves coach of the year by a wide margin, but the teams playoff performance may decide that as people outside of Buffalo may not appreciate all he has negotiated this year. Hopefully the Bills don’t take the fins lightly tomorrow and get out with a w and injury free. Hamlins stop by today I’m sure will have them relaxed and it’s up to the leaders and coaching to come out sharp early. . The Bolts proved tonight there is never a sure thing and you have to keep the gas pedal down in the playoffs. If we get out healthy and if Hyde somehow got back for the following game , that would be a great chance to keep advancing giving Mcd a chance to finally put last year way behind him.

They won’t be that weak at home in Jax , with a better head coach. The Bills have usually struggled here against lesser talented teams , like last year and with Blake Bortles at Qb in the Bills playoff loss here. Just saying , at home they can be a tough out. With all the charger injuries, a Jax win wouldn’t be a huge shock. ( not a big jags fan as it’s a franchise that just put crappy products on the field after Coughlin left and Wayne Weaver sold the team to this guy bent on fostering his London obsession). Have always been a Bills fan but I was an original club STH for the jags as my first office was below the original group of cardiologists and city financial guys who were instrumental in the early bids moving forward before they needed a huge money guy in Weaver. Met him and his wife and they were very genuinely kind people interested in Jax. Current owner does a lot IN Jax , but is more a globalist, and I am not sure he ever understood the NFL and actual American football.

I don’t see any world, ever , where Tua is better than Brady. Give Brady some protection, that O with that speed, and he will get the ball out quickly to those guys and it’s a challenge beating them. That coach will actually work with and listen to Brady. He turned Tua around, imagine what he could do with Brady’s cerebral talent and accuracy. You don’t compare Tua to a guy with 6 SB wins and put Brady with a guy who can get the best out of him! I am sick of dealing with Brady, they almost took two from us with Tua, let the other conference deal with him. Why chance another year or two off Josh’s career ; we are not dominating the conference as it is if you hadn’t noticed with mahomes, burrows , and the jags and chargers seem on the way up too. Please go away, Tom, the AFC is already loaded.

Really great points. Watching the second game now on NFL network. We were down 29-21 at one point until it started to snow. But the thing that was striking was all the mistakes the secondary made. One play Edmunds is gesturing to poyer to get deep and poyer stood there as Waddell ran right past him and Tua just dropped it in to a WIDE open Waddell for an easy 6. On another play , Tre tried to jam Hill , missed completely with hand check / fighting and Hill ran easily past Tre. To top it off , Hamlin again took a terrible angle helping Tre ( not piling on Hamlin when he is down , happy he will be fine obviously, but man he took terrible angles or just got beaten on many plays this year in coverage) and Hill was wide open for an easy pass any NFL qb should be able to hit. There were several other passes the Fins receivers took short balls or won with 50/50 balls and got great yac as our defensive backfield did not look good. The run game wasn’t overwhelming and with Mostert with a fractured thumb , I don’t think they will be able to run at all in this game, so defending those slants and not missing tackles is crucial in this first playoff game. Elam actually looked ok with good anticipation the second game and we prob need his speed out there. If we play that soft D like you described , even a third string qb can hit short passes , wide open receivers and these guys have shown they can burn this defensive backfield taking short balls and going the distance. We had issues both times we played the fins and the only difference will be Tua not being there. We blew coverages , lost one on ones , got beat for contested balls so if they are not careful the fins could hang around again until the 4 th and then the Bills could feel the pressure and Josh might feel like he has to be super Josh and we have seen that result in poor choices at times. I am hoping Frazier plays tighter press coverage to mess up their timing , yet keeps two safeties deep if the corners miss jamming at the line. The other thing I wouldn’t do is leave a single safety alone and bring one up closer to the line. We miss too many tackles and we have not shown we can have one guy deep like we could with hyde playing and make up ground or take good angles to help the corners. They have to keep things in front of them and not give up huge yardage or scoring plays like they have in both prior games. . I think Frazier and the d is the key to this first game and these guys have dangerous weapons who can and have beat our coverages. I think Elam should be in with his speed this game and they can’t get caught in formations where Tre has no help. I just hope they don’t play down to the fins as they have a good d , can hang around, esp if Josh try’s to do too much and fumbles or turns the ball over in the red zone. Most fans are predicting a blowout, but it’s a divisional opponent for a third game, and this is not the same old fins as they have a clever coach that is .500 against Mcd. Tackling that speed and having to defend with at least one inexperienced safety against this Fins team is not an easy blowout imo. We should win, but so far in the prior two games we have made bad coverage mistakes. Hopefully the coaching staff steps it up for playoff time and has these guys prepped well. They have some confidence coming to Buffalo as they were up by 8 late in the game here; hopefully our O starts fast and doesn’t allow them to stay close.

Really great points.( unless he discloses his exact procedure or releases the op report , I’m not sure how anyone would really know what procedure he had ). He obviously has been cleared by his surgeon to be running out on the field and how do you clear him, even if wearing a non contact jersey, that no one touches him or or he wouldn’t slip or fall. Hyde & the surgeon must be extremely confident he has completely healed. As you stated, seems unprecedented from a time standpoint ( it’s possible he had minimal work needed , the bad disc may have been the only issue, probably only compromising one opening or just herniating in one direction, and that probably meant minimal drilling or work to decompress any compromise of ligaments or his spinal cord, which is fantastic) I just think if he is on the practice field now, unless he has some setback AFTER contact, they must be expecting him to be able to get game ready. If you’re not expecting to actually use him , then there’s no justification for him practicing. This could be a huge lift, back playing in less than 6 months and when needed with Hamlins situation; must really feel so happy as it could have been a career threatening situation. If Hamlin makes it to the stadium and Hyde is active, what a boost for the team to start the game! If Hyde plays 1/3-1/2 the snaps, that actually gives the Bills a shot because without him , watching the Pats carve the d up at times, it just seemed like asking them to stop Burrows or Mahomes might finally have been to much, especially with Miller out who was Beanes big move to get further than before. . With Hyde, they may get one or two more series stops which is putting the ball back in Josh’s hands, and that extra possession or two might be the difference in getting to the Super Bowl. Really is hard to believe this could work out for the Bills.

Cliff walks away with 30 mil$ , so someone will grab their shot at the lottery. Unbelievable how much money losing coaches walk away with ! I wonder if any owner ever has the Ba$$s to go back in time with a new or young coach , and offer them the chance to earn that type of money based on winning and culture development. What incentive do these young coaches have to actual,y develop a long term strategy when example after example has losing coaches walking away with guaranteed generational wealth. Another example of how rare Mcd / Beane are and how fortunate Buffalo is to have found a true gem. Cliffy will be partying in the pool now , free of the drama he created, and posting his sorrows on Instagram ! The owners I guess don’t worry as the NFL keeps printing money , but it sure would be a story to follow if they reset this ridiculous coaching market. All that money; Cliffy, Murray, oft injured wr man hopkins, steroid bro JJ watt , all.for how many wins? Seems ridiculous when you look at it from the outside. 😊. It’s fun watching the old NFL days on YouTube when teams like the Steelers were assembled in the 60’s/ 70’s and it seemed like they played because they enjoyed football in those days ; not to collect their “ bag”.

This is an example of how medicine and great medical professionals are supposed to work ,,why they “ lift all those books, spend all those years in school , do all that scenario training “ ( to steal from Bill Parcells ) ; how a team of medical professionals from EMT’s , to respiratory therapists , to drs, to speech therapists , to critical care nurses, to rehab specialists, and more all work in concert using the latest, best evidence medical protocols, while combining the art of medicine and the power of prayer to get a result where a young man can now fulfill his promise in life along with enjoying his family ! This is why the medical profession needs an influx of great young people as shortages are on the horizon with the last of the baby boomers reaching retirement age and the cost of education acting as a deterrent. Not everyone can be an NFL athlete , but look at the joy and pride those who were on the “ medical team” felt as they transferred Damar to his next level of care at Buffalo General. If you have kids or family who maybe aren’t headed to be NFL level athletes or don’t yet have a career in mind , think about encouraging them toward the medical field by using this example to serve others and help save medical science in its pure goal to seek the truth. There is already a high career demand and almost endless opportunities to chose where to live with great lifestyles available. This almost tragic event did a complete turnaround where something as simple , yet as vital as AEDs , might be seen as a future project to be made more accessible at sporting events , public places and schools, any place where large groups of people gather, and it may serve a purpose helping more people become aware how early intervention can lead fo better outcomes like Damar’s. Maybe Damar with this extraordinary experience will spur others on, and in addition to his current foundations work, use his social platform in conjunction with some health companies to once again help reinvigorate making AEDs available in communities that might not otherwise have the resources to attain them. 8 million $ for toys shows the possible good when people are moved to act together. It’s just a “little thinking out loud” as we all witnessed this human event turn into an quick reminder about what is really important in life and how when politics are removed from science , as the UC Drs said , “ with science there is hope” ! Go Bills and here’s hoping this is a sign of good things for the coming year for the great Buffalo community. It’s a relief hearing Damar is back in his home community, one step closer to being around his teammates, and able to watch the Bills “ squish the fish”! 👍😊

Have to say those two offenses , esp kc , are really playing well and Reid with one less game to prep for , is seasoned, creative , and they look more diverse than they were when they had Hill. Mahomes even stated he felt he was forcing things to Hill & Kelce esp in the Bengals game where they blew the lead last year. They dominated the Raiders this week and that game was never in doubt. I know Beane hoped Miller was the answer and hitting Mahomes was how to get past them. Reid still looks slightly ahead , as he diversified the o even more , and put more weapons around Mahomes. They are so diverse, it’s not just about stopping mahomes now. We won’t see this year with Miller hurt , but I hope we figure them out and Dorsey gets more speed and a dependable group of supportive receivers with Diggs, or we may not catch up to kc. We beat them early the past two years , but as the year goes on that KC O evolves. Time will tell , but it looks like you will have to outproduce them on offense to get beyond them. They appear to have options if you try rushing Mahomes more. Their run game is impressive with their diverse backs. We have a D really compromised with injuries so it’s hard to judge this year, but the Raiders rush never seemed to matter. Reid is just a really creative coach with a qb who can execute just about anything. May have to win shootouts later in the year to get past them; it was the raiders tho so will see how we do. Going to be a real challenge.

Sorry , no disrespect intended , but you don’t know how Tua will be playing ; why would he go out if he is “ scared”.? Thats just speculation/ fan speak and if he is out there , with all the focus specifically directed toward him ,,he does not play without clearance so it’s out of his hands. Usually you expect a guy with three documented concussions in one year to be shut down, but if he has no symptoms and clears the protocol, I bet this coach goes with him with so much at stake. Even our own pro bowl center has SIX concussions, at least two within this year , and I have not heard he is playing scared (he has never said so ) and obviously he has not been “one hit” from “ his career being over “ ( related to his concussion history , yet EVERY player is ONE HIT from their career being over as Hamlin nearly or possibly demonstrated a week ago ) , ao speculating about Tua because you are a good Bills fan is being a little biased. It’s been a great year to be a fan of this team as they seem to keep winning despite making several mistakes that somehow they find ways to recover from ( another red zone int by Josh, lost fumble by motor , touching a punt and turning it over to the Pats , allowing Jones,who everyone on here describes as average at best , to go 17/17 in three TD drives as our d faced an 8-8, now 8-9 team), and truthfully we were behind by three to this bad offensive team on our home field at one point, so who knows what to predict? Despite the mistakes, they keep making spectacular things happen that they pull out wins with, like two kickoff returns for Tds , Tre making a key drive stopping int , and while Gabe seems to be dropping balls more than expected or not getting two feet down more than once , in comes Smoke from the past with a great Td catch, or Allen makes up for the red zone int with a perfect bomb to Diggs and extends another play finding Dawson in the endzone! Here’s hoping Dorsey will roll out some new wrinkles , like Beasley, Smoke , throwing downfield to Cook, running Josh inside the ten, using Shakir more etc. Predicting anything about Tua and the Fins just seems impossible this year and I personally hope he is out. ( alls fair in the playoffs cuz it’s one and done !) It’s a little concerning as he did lead them to one of the wins against us and they played well against us in cold weather: it probably will be another one possession game ( we won the last one here in the cold 32-29, they beat us by two in Miami, so seems it will be very competitive). We played at a different level last year in the playoffs, but injuries have really taken a toll this year. Hyde is out , Hamlin is out , Poyer and Tre are not 100% , and the guy Beane thought was critical to advance , Miller , is out. Throw in an OC in his first playoff game and it might make things a lot more even or unpredictable than we expected. Vegas tho must think Tua is not playing with that line, and any advantage to overcome the gift KC got having to play only two games to get to the SB, after losing head to head to both us and Cincy, is something I’m all for.

Seemed weird as he asked Kay adams as she interviewed him how much he should donate.LIVE; it was HERV choice for the 6900$ as he said from some minimum number up to. 15k$. She said that number as she was winking , smiling at gronk who continued to suggest he was bored and still might have “5 years “ left. It was perhaps tongue in cheek with Kay suggesting that number, but it seemed weird and awkward to me as it was her podcast / YouTube UP & ADAMS show. May have meant nothing more than a multiple of 3 but it was Kay who made up that # to donate. Why not choose 15 k as it was an option/ multiple of 3, or 8 $k , somewhere in the middle but more than 1/2 of the range Gronk offered to donate live BASED on Kates decision ? It’s Not gronks jersey or area code etc. ; anybody else see that cheeky , weird interaction , and know why Kay chose that figure ? ( I could see Gronk joking with the “69”00 $ contribution , but it was Kay’s choice and she had even earlier asked about Gronks Christmas gift for his girlfriend, so I just don’t get why that number ? Just joking or something else I’m not aware of ?). I was wondering about Hamlin’s feasibility to play again even if cleared. Right now I believe work comp law means any medical issues he has the remainder of His life related to this injury are by law covered by either the Bills or NFL. Does that remain in place if he goes back to THIS work specifically, and suffers another injury ? Any attorneys who know work comp law have a full understanding? I am not 100 % positive but I thought he was also being assured he would be getting a financial package from the NFL to help cover his financial future as well given this unique situation, considering he is on a lower tiered contract now and there apparently was to be some discussion about the 8 mil donated and how it’s all used in addition. Some undoubtedly will wish to be sure Hamlin received some contributions just to protect his future financial security should he not be cleared or he chooses to never take that risk again regardless of medical clearance ( I am no pro athlete , but if I had a unique arrest like that and walked away with my brain intact , not much chance I PERSONALLY would risk my heart/ brain again as there is no way any dr signs off saying there is 0 % chance of recurrence or some other related injury couldn’t happen in this violent , collision sport). Would you take a chance on a new contract even if “ CLEARED TO PLAY AGAIN”? 😊

Have seen this many times over this year and prior years. He did not have control of the ball in his hand after he was being hit from behind. If it’s not a fumble , explain how he had control of a ball and threw it forward END OVER END. Have to have control with ball fully in your hand as arm moves forward. It was agreed by the on air ref to be a clear fumble , and it was reviewed quickly and confirmed. If you have control and throw it forward the ball is rotating and not driven forward end over end by the hit. Try throwing one end over end with the ball still fully in your hand on the laces. Pretty simple call, took seconds to confirm. And I’m not a jags fan. Just straight forward call imo, and it stood. 🍸

It’s just easier to go forward if they Know he will at least live. They all know he faces a long, hard battle going forward. Pat Kirwin today on Sirius used the analogy of the jets DB Byrd , who suffered a spinal cord injury on the field. Finally , they got news he was going to live and not die. They still knew he faced paralysis, but he was going to be alive to at least possibly improve. Knowing that was positive news, their brother tho never playing again , would be there to live and have a chance to improve. Kirwin said it was a huge emotional lift for the team. They didn’t keep dwelling on his possible death , focused on his being alive , and it freed them emotionally to move forward together as a team , and they went on to win the following game. Without that , without being certain he was going to live , they were never going to focus on playing a seemingly meaningless game. Small positives matter ; the Bills know he is done for this year or more , but they don’t know yet if he will live. You can save the heart while still losing the brain. If they get news Damar suffered brain death , all the cpr/atls/acls doesn’t mean squat. But , if he breathes con his own , maybe grasps a finger , thst is a HUGE positive and he has a future , challenging to be sure , but he will still be here with them ! If that’s part of your family , you’re elated when for all purposes he should have died on the field! You can finally move forward ! Hope that makes sense. 😊👍

I think just about every expert , dr believes that was the mechanism. Other things like aortic dissection , Hypertrophic cardiomyopathy , coronary artery disease or anomalies would have been investigated and the attending physicians would not just allow a false narrative ti continue. We all saw what happened ; it’s the old saying in medicine if you hear hoof beats behind you and turn around , it’s usually a horse and not a zebra. This is yet ANOTHER CRITICAL CARE EXPERT all agreeing with the diagnosis , not still working on a differential. If you want other explanation or evidence , other than an autopsy , it’s just being argumentative for the sake of arguing. What else explains it and how can you support a different conclusion then? Will it take 1 more or a hundred more Drs saying the diagnosis for you to “ accept “ that if it quacks like a duck, usually it’s a duck ? Part if the art of medicine , and it is still largely an art where experience matters , these all very experienced Drs diagnosing visually ( we are in an age of legitimate, reimbursable telemedicine now, but most very good Drs agree, you can diagnose about 80% of the things patients present with just by getting a good history alone) , so arguing over semantics seems silly. . Again , if not that , please feel free to put forth some discussion as a colleague and we can gladly debate. Just negating things without some reasonable alternative seems a little light in the effort department is all I’m saying ;;it’s not how colleagues learn or debate ideas. At least it never used to be until suddenly it’s more convenient to just cancel things or not listen at all. No one has ever said commotio cordis is the ONLY DIAGNOSIS , BUT ARE YOU ACTUALLY ARGUING IT WAS NOT A FACTOR AT ALL? You are welcome to your opinion ; usually when negating something , at least where I have been in talks and rounds , people aren’t just called out without a counter discussion of ideas. Maybe it’s different in other countries, or planets , I don’t know !? 😊 I said it was an explanation and he uses diagrams and language that those not in the profession can easily relate too. He did use that as his working diagnosis in two videos now. It mentions the latest info I have heard , about lowering the o2 down to 50%. Of course that’s not brand new , nothing is brand new yet ! But again for the majority who are not medical personnel, it did discuss how the treating Drs might be seeing improvement with just positioning, and they did say they saw “ some improvements”. I would bet most people have not had ards explained relating to an arrest or have viewed how it appears on X-ray. This is for a message board , just tried to post something that helps visually. It’s not a grand rounds lecture, never alluded it as such, and I just quoted a Dr I have followed ( along with a million other subscribers, so the numbers might be on his side here ) who is board certified , treated these type of patients, and has a good demeanor. But let’s just criticize because that adds,,,,,nothing! If not up to your standards for info from a football message board, it’s ok to move on , it’s that simple as nothing was posted with bad intent or for click bait. He did confirm , and this was said by Damar’s relative speaking on CNN , that he was awake and then sedated and that is relevant for prognosis relating to preservation of his brain , pretty important as that’s the only objective thing we can measure; throwing around statements that the time of 9 min doing cpr etc mean nothing until we see if his brain was preserved. It’s sounds at least somewhat positive that he is less likely to have suffered brain death, tho we can’t be 100% sure, yet. This dr felt comfortable saying that to 1 million subscribers , so he must have some history of reliability; imo he has proven to be measured and reliable since 2020. It’s his reputation tho , not mine , so shooting the messenger again seems silly. It was posted to view as another opinion with some very good explanations and diagrams ( prob not many can visualize how the diaphragm and heart can affect lung expansion) IMO for people in non- medical professions. No one posted it was THE ONLY reliable info from the attendings at cincy, so of course it’s a general description. It really doesn’t need your disclaimer ; no one was harmed or misled and as far as I know , this is not a peer reviewed journal. Lol, man , his videos were posted by others before in this thread and received well ; it is what it is and it’s like the commercial , “ we don’t need a line monitor here”. Lol. Let’s hope his being awake was accurate info at the time and , who knows , maybe this dr has trained with or knows docs at Cincy as he spoke very highly of them! Have a better day ! 😉👍

Plus after listening today on Sirius, Pat Kirwin was comparing this to when Dennis Byrd of the jets was paralyzed. He stated no one wants to see this Bengals / Bills game go forward now , interest is lost and no one want to go back thru that trauma , nor should they. That game and it’s once in an NFL lifetime need to be moved forward from , there is just no realistic way to jump back into it. It wasn’t until the players knew Byrd was going to live that they emotionally picked back up and it drew them together. They knew he was going to be paralyzed with a long recovery , but they knew he was going to LIVE ! The players still don’t knew that regarding Damar ant this is so rare , literally still life and death on the line , it’s impossible to expect those two teams to just go right back to it. Kirwin really believes it will be a no contest for both teams and if KC wins this weekend , they get the 1:seed. Seems disappointing to me if that happens , just giving the 1 seed to KC. Yes they won one more game , but in my eyes they lost to both the Bills and the Bengals head to head and rewarding them just because the other two teams suffered a unique tragedy and trauma , just feels wrong to me. It goes away if they would lose but that seems unlikely. The Bills controlled that 1 seed for most of the season , and just because they were 4 points down ( and they are the best scoring team at the end of the half’s ) is not a reason to take that away and ice it to cincy unless the Bills lose their 4 th game. Then I could see Cincy with the 1 , kc 2 , Bills with the 3 seed Should Kc get that 4 th loss , then for me with a Bills win over the Pats, they lock up the 1 and Cincy 2 aamd kc 3. I don’t concede an L just to move on ; they have fought all year thru so much and have never quit. I don’t see them playing more than 16 games and then have a no contest as the only fair solution and had no control over or did anything to make that happen. They have had a season unlike any other and if they win in the face of all this, they deserve some acknowledgement of all they have overcome. The Bengals / Chiefs can try to argue differently but they have not overcome anything close to what Buffalo faced this year. They deserve a week off after all the trauma and travel and let the others come in to Buffalo to face a small taste of adversity , and prove they really are better. The Bills got hosed with Covid and the Titans mismanagement in a prior year , plus they faced and lost in 120 degree heat to a team and league who allowed a concussed player to continue for the second half when admittedly he should have been disqualified from the second half. . What else do they need to overcome to be treated fairly and with some compassion ? 😔🤔

I didn’t see this posted , but if so I apologize and mods can delete. I just watched a second video /YouTube podcast by a very talented young critical care specialist and pulmonologist , Dr Mike Hansen. It’s been up just 18 hours , it has a pic of Hamlin with the words ; MEDICAL UPDATE across the thumbnail and the title is : DOCTORS WORK TO GET BILL’S DAMAR BREATHING WITHOUT A VENT. I think it’s a great , concise , hopeful update based on most recent reports coming from an expert in the icu/ critical care medicine. It’s good info for docs to lay people and I expect he will continue the updates. Please check this 5 min , 54 second video out on YouTube. ( His channel has over a mil subscribers. He does great work. Followed him since the epidemic started as he treated many patients and had it himself in moderate severity. His skips jargon and talks using humor when appropriate, and he has no hidden agendas ). This video is great as it confirms the diagnosis, but it really does a fantastic job showing the complications from cpr;the possible development of acute respiratory distress syndrome associated with cardiac arrest ; he mentions two resuscitation attempts; he shows the changes in the lungs on X-ray and why 100% oxygen was needed but is now weaned to 50% ; he discussed Damar being awake before they sedated him and explains in very understandable terms why he is sedated and what to expect ; he shows how prone positioning while sedated helped with the lungs requiring less oxygen (100% oxygen is actually harmful to the lungs. He is on 50% now and we breath 21% oxygen at normal altitudes / sea level ) ; he goes into detail why prone positioning is only safe on a limited basis ( you may remember many Covid pneumonia patients survived with prone positioning while on a vent) ; he uses great diagrams about the use of prone positioning , which has been shown to lower mortality or death rate, ; he describes once patient’s are down to 50% oxygen that’s when Drs start considering putting the patient lying on their back again to prevent pressure ulcers and other complications with using a vent ; proper positioning helps maintain iv lines more easily , especially central lines ( these are Large ivs placed into the subclavian or jugular veins which allows easy access for meds , nutrition , blood draws and monitoring things like central venous pressure which is important in assessing cardiac function and hydration as examples; he explains with lowering the oxygen levels they begin withdrawing the sedation so they can assess brain function ( can’t be done while sedated); finally he repeated the fact that Damar was awake and had to be sedated ( nice having this confirmed by a reputable critical care dr) for ventilator use is a “ telling and very good sign when it comes to the brain. “ No doubt about it he is receiving top notch medical care at the university of Cincinnati medical center , and I remain very optimistic and hopeful that he progresses in his recovery”! Tried to post the link, hope it works. I am working with an iPad Pro and sometimes for the life of me I can’t always find easy ways to post things to here with the iPad OS, but I just use it for teaching ARNP’s , PA’s , Med students , and mostly patients with all the great anatomy appps available for it and it’s so light and portable. 😊. If you have not seen this video or are not familiar with lung issues post arrest , how positioning in vent use works , this is a fantastic 5 min summary of what Damar is going thru and how these issues are solved in a very well diagrammed, fluent discussion by an expert who manages these type of patients daily. Highly recommended. Hope you find this informative Go Bills and Prayers for Damar

Good catch. Great guy. Loved him on empire sports! I had one of those huge umbrella shaped dishes installed in my yard way before the direct tv days, just to follow the bills from jacksonville1. Problem was I forgot you had to get the dam thing removed later when small dishes came out ! That was a pain, but it was great for following those great bills teams in the early 90’s!

Great story. Thx for sharing. Glad your mom did well! A small positive miracle would go a long way for the bills and Buffalo and the Hamlins. You guys are due up there for something good!

Great explanation. Literally his life was on the line. It takes a great deal of training to function intelligently and in the correct order when it ‘counts for real’ , and it was really life and death. It’s like witnessing someone having a seizure; I don’t care how many you have seen they are always very stressful and frightening! I think if he comes around ok tho, things might change dramatically mood wise and the players could be elated in that sense and might want to play. I didn’t feel that way at first , but if he is fortunate because the resuscitation was so rapid , it might turn the entire mood around and they could look at it as a miracle and be such a relief that playing might be perfect to put this behind them. I think it all depends on the outcome and how great would it feel if he was off the vent by wed or Thursday?unfortunately we just don’t know which way things are going To go. He and the Bills could sure use some good fortune and a small miracle would be amazing for Hamlin, the bills , and all of buffalo. Really praying and wishing that it goes that way,,,,,its still possible !

Yep, pretty sure that arm has a torn long head of his biceps. Can play with it but I bet he gets off season surgery. Now playing with a meniscus injury,,,wow he is a man’s man! That hurts with twisting , cutting. Guy is amazing with desire and placing team above himself. He is the heart of that backfield this year. Amazing how he didn’t let that guy hurdle him! Now with this Hamlin issue, I don’t know how they can overcome much more. Tre being out there shows a lot of heart too. It’s looking like we are running out of solutions against a team like cincy but what can you do ? Missing von doesn’t help either. Injuries may prevent this team from its final goal, but the future still looks good. I just feel for them putting in all that time and too many things going on they have no control of. They had a great roster that is slowly being decimated by freak injuries.

Very good points. I’m just not sure how you do what’s right for these young men emotionally. I didn’t sleep all night and I have 40 years in medicine and unfortunately as part of the career ,I have been there to see people pass. Was with my father who passed from non Hogkins lymphoma way too young at 72. It is always traumatizing. You never “get used to it”, that’s the truth. I hope they don’t have to face him passing , but they are facing his loss at least for this season. I’m just not sure how they go right back to playing without distraction. NFL has smart people, they surely can figure this out while remembering these are young men being affected.

I agree. It was best to go home. They can’t help in the hospital and it’s a very bad place to be unless you need care. Too many infection exposures walking around a hospital from antibiotic overuse and very resistant bacteria in there. On the other hand I tell family members , don’t leave your loved ones alone. It’s a shame but speaking as an insider for 40 years , the nurses are understaffed with too many pts per nurse and too much time now is demanded documenting everything for reimbursement and legalities and following endless algorithms. Too much human touch and compassion is being drained. Even cleaning staff has been cut for profit. Been on both sides , dr and patient , and do expert work regarding malpractice both for and against hospitals etc,, so try to stay unbiased. IMO, It’s not safe to be left alone as nursing staffs are so stressed and burdened. As a family member , it’s your right to question what is being given to your loved one. It never used to be this way , certainly differs hospital to hospital. But hospitals are run now by ceos who expect profit , outcomes are monitored but too often secondary to profit, and this kills me and breaks my heart , but drs have lost control and need to retake their profession. If you are afraid of being fired because you want to give full consent and not just the hospital byline, how do you expect to be trusted and how do you sleep having sworn an oath to do no harm? Everyone , nurses , drs , all agree they want the best for their patients , yet they have bills , mortgages, etc and many have to do what the hospital or insurance dictates. So , IMO, best for the Bills players to be safe at home and keep strong with their faith and away from infection exposure. Hamlin is in the best hands in the icu /ccu. The nurses have always been great in the units! Less patients per nurse in an icu and they do the brunt of the care. One positive tho is now hospitals have hospitalists who are drs who only do care in hospital 24/7/365, so response to issues is just moments away.

I watched this. This guy is a very good pulmonary and critical care doctor. He did a very good job on this and also had very many good videos on covid issues. Very reliable young dr and utilizes social media well and YouTube channel is very good. Mixes humor in and is not loaded with technical jargon. Recommended viewing!

I really do understand your point , yet losing a grandparent ( having lost all of mine and my father. 96 year old mom was watching and cheering for Bills tonight!) is not as unexpected as losing a peer in your age group right in front of your eyes while playing the sport you do as well for a living. There is a difference. Josh unlikely was there as his grandmother passed ( I could be wrong , just my experience over the years ) and many grandparents have chronic illness etc. Possibly losing a younger peer , who you spend more time with than grandparents usually, is a very unexpected trauma. Just a thought. Not sure he will be ready to play lights out in this situation; may be very affected as many team men were crying , and extremely shaken just witnessing the resuscitation, let alone considering the possibility of him passing. He did dedicate the game to his grandmother and did play well. This type of thing makes you realize your own vulnerability though.

This could possibly happen. I am hoping /praying for the best , yet sometimes in medicine that doesn’t happen. It’s still possible we wont know for days his response or prognosis. Also. 9 min doing cpr is a very long time as brain injury begins around 3 min. We have no way of knowing how long he was with poor circulation and lack of oxygen to the brain. It is still possible to save the heart but not the brain; this means he might never regain consciousness. Of course we all hope he makes a full recovery , but it is possible he might not recover at all. I can’t see how a close Bills team could be allowed to emotionally grieve and be expected to play a football game this week. That is of course the worst case scenario, but it is still sadly a possibility. Unless he shows signs of recovering , I don’t see how they play after watching their appropriate reactions tonight. If his recovery is delayed or doesn’t happen , these are young,20 something year old men ( and for Dawson it could be a second loss in a very short period). Some may need time to even evaluate if they wish to continue playing football at all. I have a hard time imagining them playing this week unless everything suddenly goes right. If the worst scenario happens and he suffers brain death, how do you ask these guys to play? I just don’t see how they recover emotionally from that visible trauma either way to want to play football in 2-3 days; seems like too much to ask. It’s just my opinion tho. I think they deserve time, they are not robots and even mcd was shaken. I would just drop it or take the L and hope they can recover to play the Pats. Going out there unfocused might be just asking for more bad things. We will know more as time passes and you can’t rush this. It was a terrible injury, his heart stopped functioning, and only time will tell how his Brain will recover. You don’t just forget watching something like that and then go out to play the game that the injury occurred in as if nothing happened. If you have lost a loved one or family member , you can understand as nothing else matters for some time. The med staffs did a phenomenal job, yet that’s not always enough. Now we just have hope until reality plays out.