Beck Water

I think this is the NFL’s “the optics will suck if we let you play and you’re concussed again after telling the world you couldn’t move after that hit last week” inactivation. Although, McKenzie was listed as “limited” after his Stage 5 practice, so it’s possible he legit developed some symptoms. I’m sure he’ll be telling the world all about it on Monday night with Ty Dunne. I don’t think that show is good for McKenzie’s football career.

In a game, I think that’s correct. I even went back to look because I somehow thought Shady McCoy was a 1st rounder. I think Zay Jones might be the only receiver, TE or RB drafted 2nd round or higher, as well Primarily 5th round and UDFA guys. Knox from the 3rd round In practice, probably Corey Coleman and Tavon Austin Hodgins was signed to the 53 man roster yesterday. Tanner Gentry was called up. Edit to correct brain fart about Gentry

I don’t know about “people”, but I’m specifically saying, if the Dolphins physicians honestly believed that the GMI Tua exhibited was in fact caused by aggravating an earlier back injury - if we take that at absolute face value - then shouldn’t the Dolphins physicians conduct whatever examination and testing they believe is relevant to a back injury causing those symptoms? If WEO is correct that no physician would rely upon a physical exam and X-ray to diagnose that but would require an MRI, then pull him and send him out of stadium for an MRI. If a physician/PT feel that x-ray and physical exam are enough to rule out issue that could be worsened by RTP, then do that. But don’t do nothing - no exam, no X-ray, no MRI - and tell me these are physicians acting with utmost integrity that I would want treating me and mine, Dr Sills. That’s (IMO) into Diggs pithy “don’t piss on me and tell me it’s raining” territory. Either they knew those were symptoms caused by concussion and they let him slide through the “other cause” loophole, or they honestly believed those were symptoms caused by aggravating a previously reported back injury, in which case they should pursue examination or testing relevant to a back injury causing GMI Either or, but not neither.

I’m explicitly not doing this. I’m explicitly taking them at their word, and saying OK, so Tua’s physicians don’t believe the gross motor instability and need for assistance off the field was caused by concussion, but instead was caused by motor issues caused by aggravating an earlier back injury. What is best medical practice in this case? If you believe you have a patient who has an aggregated back injury that just caused gross motor instability, and you personally believe a physical exam is of no value and an MRI is indicated for diagnosis, do you send them for an MRI? Or do you say “nothing to see here, return to play”? My point is that I believe even if the Dolphins physicians honestly believed that Tua did not have a concussion but instead, had aggravated a previous back injury to the point where he fell and required assistance to leave the field - isn’t that a matter you should follow up by whatever means necessary to make a determination that a player who just aggravated back injury that had just caused gross motor instability can, in fact, safely return to play? Is that what you’d do? Is that what you’d want a physician treating your child or close family member to do? I don’t think I’m conflating several issues at all. I think you’re dodging on addressing the issue I’m trying to raise here. My point is that taken at face value, the Dolphins claims make no sense.

Just a little point here that the OC of the NY Giants is not Brian Daboll. It is Mike Kafka, who left a position as QB coach for the KC Chiefs to become Daboll's OC. Anyone who thinks he left Mahomes to become Daboll's dingleberry or robotic extension can think again.

The claim is that Tua had previously reported a back injury earlier in the game, so it wasn't "made up" entirely (allegedly) Maybe I'm naive, but one of the things that stuns me (HA!) is (taking the "aggravated a back injury reported earlier" at face value) the lack of apparent concern for an aggravated back injury that supposedly caused that degree of motor impairment/instability because I heard that and was thinking "dude if that's true you better ice that player out until you figure out what's going on with his lower back or the next hit might have a wheelchair with his name on it"

I started out reading this and saying "Blame The Victim Going Down in Aisle 2", but this a valid point. If the players are going to "game the system" by deliberately messing up their baseline testing and lying about the locus of their pain, they do have responsibility. Maybe not "one person and one person only", but definitely significant responsibility. I still think "the player states his earlier back injury was aggrevated by that hit, causing gross motor instability and the need to be helped off the field" should require a detailed back exam. If the physician feels the only valid diagnostic tool for him is an MRI, then that's where the player should go. Question: when you say "and it has been stated many times by other players" are you referring to statements about Tua, specifically, fudging his baseline testing, or just general comments?

C'Mon Man. We know you're a physician. We all know you like to shade stuff to "win" in an argument. Physical exam is a lost art, but it still exists and is still useful. A dozen templates or more for back exam as taught to medical students exist. A good PT can watch a patient move, ask them to move their trunk and legs in various ways, and have a damn good idea exactly where the problem is. I have a back injury from a fall off a scaffold years ago and my favorite PT asked me to walk, turn, and move my legs in various ways (while I wasn't experiencing pain at the moment) and pinpointed the locus of the injury. The player collapses when he stands and walks and has to be assisted off the field. He attributes this to a previously reported back injury which has worsened with a subsequent hit. Most of us look at the aftermath of that play and think concussion causing ataxia. These guys are saying "nope, not concussion, back injury." So then you have an alleged back injury worsened by a subsequent hit to the point of causing gross motor impairment and requiring the player to be assisted off the field. Isn't that serious stuff too? Shouldn't physicians of integrity that we would all want treating us conduct whatever tests and examinations are needed to determine that the injury won't be potentially further aggravated and place the player's long-term motor abilities at risk with continued play? Get an xray and ping the radiologist on call to read it. If you really think all that physical exam for diagnosis stuff is just poppycock, just pull the guy and send him for an MRI if that's what you feel you need.

Some of both maybe. The Bills were trying to operate with 4 and 5 WR sets and an empty backfield a lot. Our OL was being terrorized. I looked. We had 5 offensive holding penalties on the OL. If only he calls 'em equally for both sides, could be a good day for our DL, since they were getting mugged last week by the Ravens. There were 2 DH and a DPI. One of the DH was, I thought, ticky-tack and canceled a Tre White interception. Elam needs to mind his P's and Q's. Not on the part of the OL. They weren't sloppy, they weren't stupid, they were 5 desperate men. Daboll got owned in the Battle of Wits with Kevin Butler. Can't speak about the DH and DPI, may have been sloppy. remember being ticked about the DH on Tre White, I was like "where?" and it canceled a pick

Sorry, your point wasn't clear, since to many "a year ago" means "last season". If you mean literally a calendar year, sure, you're right. But Dane Jackson started 8 out of 19 games and played 2/3 of a 9th game. So he was a starter for us almost half the season. Give the man his Propers.

Not true. 2 out of 5: Dane Jackson at CB, and Taron Johnson at NCB. Wish it were 3/5 and Poyer were playing, but I guess this is our chance to see what the young safeties can do.

Steelers have elevated a safety and a CB from the PS That makes sense as S Edmunds and CB Witherspoon have been ruled out with concussion. Dunno what it says about the chance Cam Sutton will play with a groin/hamstring injury. I dunno how the Steelers treat those, Bills almost always seem to give them a week to heal.

https://www.msn.com/en-us/sports/nfl/levi-wallace-discusses-keys-vs-old-teammates/ar-AA12KuWN He's gotta know more and have dished more than he sounds in this article, doesn't he? If nothing else he ought to be able to dish on defensive "tells" for different coverages Then there's Trubisky, the little Mole Rat.

They weren't in the tent for all this, Bright Eyes. Tua was taken to the locker room. It's my understanding that all 32 NFL stadiums now have pretty good xray equipment with high-res digital imaging which can transmit images instantly to a radiologist on call. Some have CT scanners as the NFL has a pilot program using CT scan to screen for concussion, but I couldn't quickly find out if Hard Rock is one. Only 2 have MRIs. Hard Rock is not one of them.

Someone tweeting at Joe Buscaglia needs to make better ***** up. bottom to top: Yes, dollars can be retained on a deal. For example, this happened with Mayfield to the Panthers. No, Beane is not going to trade a first round pick for a half-year rental of an almost 26 yr old RB who is due $7.2M in salary for this season, then hits FA next season. Especially, he's not going to make that trade for an RB who has had 2.25 good seasons in 4.25 years. In case you haven't been paying attention, the Giants are 3-1 and, to turn the culture around, Daboll ideally needs to replicate what McDermott did: lead them to a winning record and perhaps a playoff appearance if 9-7 will get you there. Barkley is responsible for about 60% of their offense, and trading him would make that impossible. In contrast, down in Carolina Matt Rhule is in his 3rd season and is nearing "Stand and Deliver" time (if he isn't already there). McCaffrey is currently close to 40% of their offense, and Scott Fitterer would really need a bodyguard (and a damned good reason) if he starts holding a fire sale. From the Bills side, McCaffrey is under contract for 3 more years, but at $11.8-$12M/yr. With Josh Allen's salary about to take off, and the need to keep paying Diggs, start paying Knox, and keep paying our OLas well as D - we can not afford this.

I generally agree, although I feel the Stefon Diggs trade worked out pretty dang well.

Holy Hand Grenade, you actually had the intestinal fortitude to cruise the fan boards of 31 teams in enough depth to assess the emotional health of each fanbase? I'm not sure if you deserve a medal, or you're badly in need of a job, a hobby, a lover, a vacation, or all of those.

BOOM! Bravo, Tretter! The exact point that needs to be made - if you're going to say "OK, UNC, this isn't your turf, it's not a neuro problem" but you don't examine the player to determine the extent of the injuries on the body parts that are supposed to be responsible for his "gross motor instability" - how can you credibly look anyone in the eye and say the Dolphin team physicians acted with "absolute integrity" and "those are the people you would want caring for you"? The Dolphins team physician and their trainers have a responsibility to assess the player overall, not just whether or not he has a concussion. Hell to the No do I want a physician or trainer who doesn't see it that way caring for me!

I'm really glad to hear someone else say this. At best, there is ambiguity in the definition where some would define it as a symptom or series of symptoms, and some would define it as the same symptoms but in the absence of a skeletomuscular injury (eg a balance break due to a knee buckling from torn ligaments) Which kind of seems to get us back where we started Please say more here. Respectfully disagree in part. Of course, you're correct concussion is not a diagnosis of exclusion (although, apparently it has been functionally used as such? and I'm not sure the term ataxia fixes that?). It was the job of the UNC and, during the concussion exam, the team physician and trainers to determine whether Tua had a concussion or not, we agree there. Where we may disagree, is that after determining that Tua did NOT have a concussion based on clearing his exam and persuading them that his ataxia was caused by his back injury....it was By Damn the head trainer and team physician's responsibility to examine Tua's back and determine whether he would be at risk for worsening the injury and whether he could protect himself and function, if he returned to the game

I'm afraid I'm losing respect for Allen Stills (who is a very well regarded neurosurgeon) by the tweet Yes, video alone doesn't provide the best diagnosis. But if you're going to conclude that the video indicates gross motor instability due to a back injury and not neurological trauma....wouldn't physicians operating with "absolute integrity" EXAMINE THE PLAYER'S BACK?

Why? He was clearly a gameday decision in Baltimore - worked out with the trainer on the field before the game. I don't see them releasing so many DTs from the PS and now Bryant from the roster, if Ed still couldn't go. He has a high ankle sprain, it passed 4 weeks since the injury on Thurs which is pretty standard for a mild high-ankle Final tea-leaves to read, if they expected him to be out 4 games they would have IR'd him; their predictions aren't perfect of course, but pretty good.

You were expecting them to be issued scooters, or perhaps the little Moolah Temple Shriners cars?

This is my pick, as well. If Shakir steps up, our WR group will be fine.

I don't think his intent was to gloss over bad OL play. I thought he selected plays where Wilson had adequate time and either the decision was wrong/late or the throw was not placed correctly. That doesn't mean there weren't other problems in the game, including the OL and WR running bad routes Sounds like Wilson's answer is that his shoulder is injured