The article by Matthew Leach on the Cardinals main site isn’t really about prospects but with Jaime Garcia hitting the DL, it’s something I want to comment on.
Cardinals manager Tony La Russa defended the team’s medical staff on Tuesday amid criticism that it has received in recent days.
Good. TLR should defend the medical staff. No one is asking him to come out and crucify them but to act like the Cardinals have not had significant traumatic injuries to players requires you to bury your head pretty deeply in the sand.
A column in Sunday’s St. Louis Post-Dispatch raised the suggestion that the Cardinals should conduct a review of their medical staff, given the difficult times that several star players have endured in recent years. Most notably, Chris Carpenter missed 3 1/2 months with bone spurs in his elbow, then was discovered to have a ligament injury requiring reconstructive surgery.
That column being referred to is this one by Bernie Miklasz. I don’t always agree with Bernie, sometimes I vehemently disagree, but he is 100% dead-on right this time. It would behoove the Cardinals to do an internal review of the medical team not so they could hang someone (Dr. Paletta) out to dry but because they may find a serious flaw in the system. A flaw that is allowing catastrophic injuries to occur.
I think the Chris Carpenter example is the worst of the three recent ones to choose from. Carpenter was shut down almost immediately after experiencing pain. When rest and rehab didn’t work he had surgery. I don’t know what caused the tear in his ligament but it wasn’t a full rupture making it hard to diagnose. Far more clear were the horrendous collapses of Rolen in 2005 and Mulder in 2006. For months they looked like shells of themselves and yet they were continually put on the field. Rolen wound up needing a massive reconstruction of his shoulder and Mulder had serious rotator-cuff tears.
Are these avoidable? No, season ending injuries happen frequently in baseball. But these are three situations where core players of the Cardinals team have gone down for an extended time frame. The complete lack of transparency about what is occuring with these players is a creation of both the STL Cardinals and privacy laws. News of Carpenter’s surgery was withheld for days before it was finally made public. We, as fans, do not, in my opinion, have a “right” to know the intricate details of everything that occurs behind the scenes. Blatant attempts to withhold basic information or misguide us is plainly wrong though. (The AJ Burnett situation where Riccardi flat-out lied comes to mind. No one has gone that far with the Cardinals but I do think there has been a concerted effort to withhold some basic info about injuries.)
La Russa suggested an extensive release of medical records of injured players, which he argued would be illuminating and valuable.
Now Tony goes all crazy on us. He complains about the Post-Dispatch calling for a review of the medical situation and then says “Let’s show the files. Prove to everyone that I’m right and they are wrong.” If La Russa is ok with the idea of releasing this kind of information (with respect to all pertainable laws and CBA clauses) then why does he bristle at people asking for it?
“I recommend that we have a press conference, trot the players out there and produce the records,” La Russa said. “There would be no doubt in my mind that the public will see in each case, the quality of care these guys received.”
This is the part that distresses me the most. The resistance to an review based on individual opinions within the organization of the medical care. Frankly, if everyone has confidence in the medical staff, it would be a slick PR move for the front office to placate fans by HAVING A REVIEW. Personally, I think there is something systematic and inherently wrong with the handling of injuries within the organization. I’m not privy to 1/100th of the information that La Russa is and I realize that.
With Jaime Garcia headed to the DL, I’m reminded that as much as I fume about injuries at the big league level, information for erik and I to pass on to you is even more difficult to come across. Who is asking the tough questions about Allen Craig (sore back) or Jon Jay (shoulder)? What are their injuries and rehab like? Was it really a strained oblique that sidelined Narveson for 2 months? And when did Garcia start experiencing elbow pain? One start? Two? The last inning of his most recent start? How many pitches did he throw after telling the team about the pain?
If no privacy laws or clauses are violated, it would endear the organization to the fans if they were more open about injuries. Surely some people would rail about certain aspects of treatment, but at least other people could defend the organization against dubious claims. Right now, all we have is TLR ranting about non-disclosed files.
Get well soon, Jaime. I don’t really know what’s wrong with you and I’m fearing the worst. Get well soon.