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BillsFanM.D.

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Posts posted by BillsFanM.D.

    Josh Allen in concussion protocol: Update cleared 10/5

    in The Stadium Wall Archives

    Posted

    1 minute ago, CincyBillsFan said:

    Question for the docs posting, and thanks for sharing your expertise it's much appreciated.  What should we conclude, if anything,  by Allen running off the field to the locker room?  I would have thought if he was still "loopy" they would have had a trainer escort him rather then let him go on his own.  Should we be more or less hopeful that this was a minor concussion?

     

     

     

    I don't think you can read much into it at all.  As noted, it's hard to predict how one might feel 30 or 60 minutes or a few days later.  Having said that, some common sense enters the equation:  Were he completely goofy and unsteady on his feet.....requiring assistance or even a cart to get to the locker room, I would not be terribly optimistic.  Every data point (including how he looks/acts immediately after) is a piece of information.  I view his 'running off' as a good sign.....but not proof of anything.  Much more 'data' already in hand for the team docs and more to come.  

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    Josh Allen in concussion protocol: Update cleared 10/5

    in The Stadium Wall Archives

    Posted

    2 minutes ago, DrPJax said:

    Great point about the epidural hematoma. Nice to meet another Md bills fan in the board!  I have been a bills fan since 63 , born and raised in Ohio but moved to Jax after residency / meds school in Toledo in 1985. Been on the board a long time and have met some wonderful people on here. Don’t post a lot as over the years the environment has gotten “ less supportive “ , as people become very negative and critical surprisingly on an opinion based format. Hard to figure why people attack each other and heaven forbid if you are critical of the performance despite the result. It’s like am Md who is still practicing despite multiple malpractice cases; an md but doesn’t mean his practice is sustainable and that he/ she will be ok despite repeating the same mental errors!  Lol!  Three of our 4 wins have been “ malpractice “  with performance and I just hope Allen can get past being a resident to become a full outstanding attending! ?

    What type of medicine are you in?  How are things going for you and your career in today’s environment?  Corporate medicine took over in my lifetime ( I am 62 now ) and it took so much enjoyment out of everything I love about medicine. Still would not change being in the greatest profession and all the amazing people who allowed me in their lives because of it. I have been exiled into just being a malpractice consultant now as 3 years ago I had 4 discs collapse in my cervical spine without much warning ( was walking down the hall seeing patients when my leg gave out and I fell against the wall) .  Had urgent 4 level anterior decompression but my cord  was permanently damaged and I have no feeling in either upper extremity , some muscle wasting , upper motor neuron hyperreflexia in my legs , and it knocked me out of seeing patients safely. I miss that part so much despite all the management changes with insurance etc   Well forgive the long note, just nice to see a colleague and fellow Bills fanatic on here. Wishing you the best and much enjoyment of the season ! 

     

    LOL on the analogy!  

    I'm FP by training as well.  Did inpt/outpatient for about 15 years and am now part of a large multi specialty group and Vice Chief of staff at a hospital.  I'm over 20 years in as well. Definitely more of an administrative role at this point but I still see patients.  I, like you, seem to love medicine but I'm not such a big fan of health care.  There is a huge distinction there that most people seemingly overlook.  That's a crazy story about your neck!  4 levels!!  Yikes.  Glad you are still able to find a role that uses your education.  

     

    I've been a Bills fan forever....at least in my head.  Born in 71 and loved them since I can remember.  I also lurk here most than post but I jump in periodically.  

     

    Enjoy the season!!  Go Bills!!!!!!!

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    Josh Allen in concussion protocol: Update cleared 10/5

    in The Stadium Wall Archives

    Posted

    45 minutes ago, DrPJax said:

    I am just writing this for information and not to be a smart a**.  I am a board certified family practice and er dr with over 33 years in practice so I am giving you accurate info. There are well known cases of people surviving terrible traumatic things like car accidents and they miraculously get up and walk away from the scene, only to drop over unconscious or dead several hours later. The first 24 - 48:hours are a critical time for observation after a trauma , especially one where the person has lost consciousness. It’s why even after being cleared to go home after being seen in an er that every patient is discharged with the written instructions for for them and family listing symptoms to look for and why it’s necessary to immediately return to the er if things such as nausea or vomiting recur. Bleeding into the brain or around it into the closed space of the skull can have delayed symptoms and brain herniation can result with the patient dying. Even ct scans can miss a delayed  bleed so no initial screening test is infallible. Look up subdural hemorrhage or sub arachnoid bleed for explanations of this scenario. So yes, it’s possible to easily get up and jog immediately after a very serious brain injury only to succumb later. That’s not the “ typical “ presentation , but medicine is anything but typical.  Hope that helps .?

     

    Preach it!  I'll second the accuracy.  Equally (if not more so) disturbing are the epidural hematomas.  That would be very atypical for the type of trauma/headgear involved here....but it reinforces the fact that just because 'everything looks ok at first' doesn't mean it's going to stay that way.  

    I know it and you know it, Josh Allen was about to take the game over.

    in The Stadium Wall Archives

    Posted · Edited by BillsFanM.D.

    15 minutes ago, Dr.Sack said:

    Allen really needs to improve those mental mistakes and unforced errors. He needs to protect the football. 

     

    For comparative sake Allen has thrown picks on 18 of his 244 career attempts. Kaepernick threw 30 on 1692 career attempts. If Allen keeps up this pick rate he will have 125 picks at 1692 attempts. Brady has thrown 172 picks on 9,520 attempts. If Allen would reached 9,520 attempts at his rate he’d have 702 picks at Brady’s attempts. Aaron Rodgers is even more amazing, 81 picks on 5,638 attempts, Allen would be at 416 picks. 

     

    The boneheaded interceptions make coaches stay up at night and let down the defense. They are unforced errors and I believe McDermott will only tolerate these horrible decisions for so long.

     

     

    Has to get better for sure but....

     

    Peyton Manning....575 attempts as a rookie....28 picks.  

    Troy Aikman....293 attempts as a rookie....18 picks.  (Very similar to Josh over 15 games)

     

    Aaron Rodgers was groomed for a few years behind a hall of famer and on a good team.  Kaepernick had super bowl talent on his team.  Brady....obviously had super talent around him.  It is a bit different in fairness.  Our D is certainly playing elite but I don't think we have elite offensive talent around Josh.  

     

    The real question is can he break the trend as Manning and Aikman were able to do.  

    Josh Allen in concussion protocol: Update cleared 10/5

    in The Stadium Wall Archives

    Posted

    9 minutes ago, Mark Vader said:

    Exactly!

     

    Crybaby was nothing special today, and he looked bad on the interception to Hyde.

     

    Honestly, the Cheaters offense was nothing special today.

     

    What a waste of a great performance by our defense. :censored:

     

     

    ...and he was inches away from Edmunds taking a pick six to the end zone.  

     

    Shoulda, woulda, coulda....but Brady was handled effectively today.    

    Do you get along with your parents?

    in Off the Wall Archives

    Posted

    my dad died when I was in my late 20's.  He never said 'no' to anything that mattered.  

    "Dad...I need your time/help/guidance/support etc."  He was an awesome man.  Definitely a silent type who spoke volumes with his actions.  

    My mom gave my brother and I everything she could.   She always put our needs above her own.  

     

    I've been blessed in ways they never were but they made sure our family was rich.  I was a fortunate kid.  

    Movie Line Conversation

    in Off the Wall Archives

    Posted

    On 8/26/2019 at 6:55 AM, ShadyBillsFan said:

    super confused with this post.  

     

    especially the Theodore comment

     

     

    No need to be confused.  Here's the clip.  Your original post asked, "How do you like it?"  

    I thought the Teddy KGB response was funny....based on the question.  

     

    Prayer Request

    in Off the Wall Archives

    Posted

    3 hours ago, TakeYouToTasker said:

    Asking far and wide for prayers, and contacting prayer groups for as much of the Lord’s blessing and healing hands as possible.

     

    In asking for prayers for Santana Lucci Larios.  He's a cousin of a good friend who is having emergency open heart surgery.  He’s just a baby.  One month old, has a congenital heart condition, and has suffered two heart attacks in the last day.

     

    Thank you.

     

    Prayers up!  I've been through a similar situation with my own daughter....congenital heart problem, heart attack and more.  I pray for God's peace for all who are hurting in this circumstance....and for healing.  We are told to ask...so I will .....for your friend's little one.  

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    Brian Gaine fired as Texans GM

    in The Stadium Wall Archives

    Posted · Edited by BillsFanM.D.

    2 hours ago, transient said:

     

    Serious question, did the RBs they drafted suck or did they just not effectively work them into the game plan? I’m working from memory here, but they always struck me as being willing to live and die by Marino’s arm. I don’t really remember them as a team that ever had a game plan that tried to establish the run. Contrast that with the balance the Bills had with Kelly under center (granted, with Thomas in the backfield). 

     

    To further that point, I just looked on the Pro Football Reference site. Marino is 14th all time in average pass attempts per game, but he’s the only one of his era in the top 20 (unless you count Favre at 17 and/or Bledsoe at 12, since they overlapped the latter part of Marino’s career). The next from that era is Warren Moon at 24. Jim Kelly is all the way down at 45. 

     

     

    To a certain degree they did.  Sammie Smith was a top ten pick and never lived up to that billing (Terrell Davis was a sixth round pick and became the best back in football).  The other guys were not memorable at all.  Also going off memory....I recall Sammie having a series of fumbles that cost the Dolphins big one season.  

     

    There is no doubt that those Dolphins were pass heavy...but it also seemed to me that they were perpetually trying to establish...and then abandoning the run game.  To that point, Smith was the 'missing link' that was going to finally get Marino a ring.  Just never worked out.  

    Brian Gaine fired as Texans GM

    in The Stadium Wall Archives

    Posted

    4 minutes ago, transient said:

     

    And unlike the Broncos at the end of Elway's career, the Dolphins with Marino never accepted that they needed a running game.

     

    they drafted a RB in the first round three times  during his career....and another one two years before he arrived.  They also drafted O line including Richmond Webb.  Broncos just had more success/luck in drafting.  I wouldn't say is was lacking as a priority for the Dolphins though.  

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