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Blood Clots Can Be Serious and Life-Threatening

With Chris Bosh reportedly undergoing tests for a blood clot in his lung, Alex Kennedy shares his personal experience with clots.

Alex Kennedy

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Chris Bosh is reportedly being held out of training camp because Miami HEAT doctors won’t clear him to play due to his blood clotting issues. Because of this news, I wanted to re-post this story that I wrote in 2013 when Anderson Varejao was diagnosed with a pulmonary embolism. Here is my story:

Anderson Varejao was on pace to have the best year of his career. However, in January of 2013, he suffered a quad injury that forced him to have routine surgery. That’s when things went downhill. Varejao developed a pulmonary embolism (a blood clot in his lung), which kept him sidelined for the entire season.

A pulmonary embolism isn’t a typical injury, one that heals on a specific timetable like a broken bone. This is a strange injury and one that can be difficult to bounce back from, as I learned from personal experience several years ago.

In August of 2012, I was flipping through television channels late at night when I noticed a deep pain that was shooting down my right shoulder. Shortly after, while watching ESPN, I started experiencing tightening in my lower back.

At first, I didn’t think much of these aches. After all, I had been horizontal in a hospital bed for six days so some soreness was somewhat expected. I had just undergone surgery due to Crohn’s Disease, which I’ve been battling for the last 13 years, and I was immobilized because a portion of my intestines had been removed along with part of my colon and appendix. Overall, my recovery was going well and I was set to be discharged soon, barring any complications. I told my nurse about the discomfort in my shoulder and lower back, but they chalked it up to the uncomfortable bed as well.

Throughout the next day, my pain worsened to the point that I wasn’t able to function. I had literally wrapped my shoulder and torso in heating pads and was trying to move my body in every possible position to get comfortable. No matter what I did, the pain persisted. By that night, I was in excruciating pain that I could no longer tolerate.

I was diagnosed with Crohn’s Disease when I was 12 years old. I’ve been dealing with flare-ups for over a decade and I’ve been hospitalized many times. I’ve had a wide array of ailments and complications due to my medical condition, so I have a relatively high pain tolerance (even dating back to my childhood). But this was by far the worst pain that I had ever experienced. Nurses often tell me that I’m one of their easiest patients because I’m calm, cool and collected, even when things are at their worst. I can typically tough out stomach cramping and sharp abdominal pain.

However, this was different. On this night, I was a mess. I was crying, punching the thin mattress and begging my nurse to page the doctor who was on call. After about an hour of this torture, the nurse returned to inform me that the doctor didn’t want to change my orders. Because I had been on pain medicine for the six days following my surgery and had just been taken off of it to prepare for discharge, he believed I was just trying to get some more pain medicine. The nurse, who felt terrible, said that she could only offer me Tylenol. Needless to say, it didn’t help. At this point, I was absolutely livid and in uncontrollable pain.

While I understand that there are addicts out there who will lie and deceive to get their hands on pain medicine, doctors shouldn’t automatically assume that they’re being duped. Some patients deserve the benefit of the doubt or, at the very least, a visit from the doctor. The message that I would have to continue suffering was told to the nurse over the phone and then relayed to me. I wouldn’t see a doctor for another 10 hours, which could’ve been the difference between me living or dying in hindsight.

The most painful night of my life continued, with seconds feeling like hours and hours feeling like days.

Eventually, my surgeon came in for his daily check-in at 7 a.m. and saw the state that I was in. He immediately knew that something was wrong, and ordered a chest x-ray as well as a CT scan. He also ordered a dose of IV pain medicine to be administered before these tests, which was one of the strangest experiences of my life. I went from one end of the pain spectrum all the way to the other. At one moment, my shoulder felt like it was being stabbed, my back was locked up and my body was convulsing. The next moment, I felt nothing and was smiling. It was such a weird sensations – going from perhaps the worst feeling of my entire life to one of the best feelings (complete relief) in several seconds.

The x-ray and scan showed that my pain wasn’t just from an uncomfortable bed (which would’ve been awfully embarrassing given the amount of agony I was in). It turns out I had developed a large pulmonary embolism (blood clot) in each lung. The larger of the two clots was so severe that a portion of my lung tissue died, which is called a pulmonary infarction. The infarction is what caused the bulk of my pain. According to my surgeon, the lung doesn’t have pain sensors so when something is going wrong such as a blood clot develops or lung tissue dies, the body starts to alert pain sensors in other body parts. This is why my shoulder and back hurt so badly; it was essentially my lung begging for help.

Not to sound dramatic, but I truly felt like I was going to die that night. That was unprecedented pain for me. Not to mention, pulmonary emboli usually cause patients to have anxiety and a feeling of doom. That perfectly sums up how I felt as I watched the clock tick slowly as my pain got worse and my mind raced. At that point, all I wanted was relief and answers, and I was genuinely scared that I wouldn’t get them soon enough. When I called my girlfriend in the morning and told her that I was diagnosed with a pulmonary embolism, she immediately started to cry. Apparently she had already known the severity of a blood clot to the lung; I was pretty much learning on the fly from my surgeon while in a pain medicine fog.

My doctor immediately started me on blood thinning injections called Lovenox, which is a shot I had to give myself in my stomach every morning and night. He also continued my pain medicine, since the excruciating pain wouldn’t persist until the clots eventually broke up and the lung tissue regenerated.

Later in the day, my gastroenterologist came in to check on me. She was almost in tears as she explained just how close I had come to dying. Considering she’s a gastroenterologist who specializes in young adults, she clearly wasn’t accustomed to losing patients and was visibly affected. Not to mention, she had known me for 10 years so she was understandably distraught, just like my family and friends.

“Had your surgeon come in any later, who knows if you’d still be alive?” she said, shaking her head. “It’s a good thing he does morning rounds. Otherwise, who knows? Thank God he came when he did, and recognized what was wrong almost immediately.”

It wasn’t until this point that I realized just how close I came to death, and just how pissed off I was at the doctor who was on call the night before and completely ignored me.

The next few months were brutal, as I dealt with complications related to the clot. From August to November, I was admitted into the hospital six times for a total of 53 days. I also had to go to the emergency room 15 times during that span. The mindset is ‘better safe than sorry’ when dealing with a potential clot. Every pain in my shoulder, back or chest had to be checked to ensure it wasn’t going to kill me.

These days, both clots are completely gone, but even a year afterward I still occasionally felt side effects. If I exerted myself, I would have chest pain and shortness of breath. Every now and then, my shoulder and back would start to hurt.

Not only did the clot affect me physically, it definitely affected my mental state. I went from feeling like an invincible kid to realizing that the painful moments in that hospital bed could’ve been my last. I was forced to confront my mortality and deal with some anxiety every time similar symptoms surfaced. To have something so serious come out of nowhere is terrifying. It did strengthen my relationships and taught me not to take life for granted, but there’s no question that the experience messed with my head a bit. Still, I know it could be so much worse I’m thankful every day that I’m still alive.

Let’s get back to Varejao. He developed the clot in his lower right lung as he was recovering from the quad surgery. He had trouble sleeping, pain in his back and discomfort in his chest. He informed someone from the Cavaliers’ medical staff (who I assume was much more attentive than my doctor), and a scan revealed the clot.

Much like myself, Varejao didn’t realize the gravity of the situation until hearing from others just how common death is in these types of cases.

“They told me stories like, ‘Oh my God, I had a friend who died of a blood clot in their lung,’” Varejao told Yahoo! Sports. “And then somebody else tells me the same thing. Then you start to think about it and realize that this is more serious than I thought. A week after the surgery I was at home thinking about how I could be gone right now.”

“I was having my best season, the best time of my life, and a week later I’m in the hospital and I could be dead,” Varejao added. “It’s crazy. I’m very lucky.”

The clotting issue required him to miss the remainder of the season because he would be on anticoagulants. It would be impossible for a basketball player to take the court while on blood-thinning medicine. When I get blood drawn, it looks like someone just amputated my arm. I can’t even imagine how bloody things would get on the court with some of the physical play that Varejao endures in the paint. It remains to be seen how Varejao will respond in his first season back since the pulmonary embolism. All cases are unique and everybody responds differently to physical exertion.

He says he has been pain free for months and was able to stop taking the blood-thinning medication in April, which is an excellent step since some patients – including myself – must remain on the medicine for a longer period of time. He has able to work out, but he’s the first to admit that he still doesn’t quite feel like himself, estimating that he’s at 70 percent heading into the starting of training camp.

He’ll have to be careful on long flights throughout the season, as that’s when most clots are developed. Once a person has developed a pulmonary embolism, they become more susceptible to future clots. A professional athlete who is constantly traveling the country must be extra diligent.

With all of that said, Varejao isn’t the first professional athlete to experience a pulmonary embolism. It’s not like this is uncharted territory.

Back in 2011, tennis superstar Serena Williams developed the same kind of clot in her lung. Unlike Varejao, she was extremely limited for over one year. In fact, at one point, thought she might die.

“I was on my death bed at one point – quite literally,” Williams said in a press conference. “It got to the stage where it felt like I could hardly breathe. Some days I didn’t get out of bed at all. I just laid on a couch thinking why has this happened to me? … This has given me a whole new perspective on life and my career – and not taking anything for granted. I’m just taking one day at a time.”

After taking a year off, Williams was eventually able to return to form and duplicate her pre-injury success. However, that’s not always the case.

Two offensive linemen – Cleveland Browns guard Jason Pinkston and New York Giants tackle Stacy Andrews – were hospitalized with pulmonary emboli in recent year. Neither player has returned to the field since the diagnosis, despite being starters prior to the injuries.

Varejao, Williams, Pinkston and Andrews were fortunate that their clots were detected early. Many athletes have died over the years from pulmonary emboli, including Mack Lee Hill of the Kansas City Chiefs, Harry Agganis of the Boston Red Sox and Derrick Thomas of the Kansas City Chiefs among others.

Even if a pulmonary embolism isn’t career-ending, it can still greatly affect the individual’s life. Even after recovering from a blood clot in the lung, it’s not uncommon for a patient to experience shortness of breath or chest pain, especially when exerting themselves physically.

Sometimes, I would feel slightly fatigued and short of breath when I was sitting on the couch in the year following my clot. I can’t even imagine how an NBA player feels when he’s running up and down the court, banging with the best athletes in the world.

Varejao won’t know how his body will respond until he takes the court, but at the end of the day, the fact that he’s alive and in a position to resume his career at all is a blessing in itself.

Alex Kennedy is the Managing Editor of Basketball Insiders and this is his 10th season covering the NBA. He is a member of the Professional Basketball Writers Association.

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NBA Daily: They Guessed Wrong

Matt John reflects on some of the key decisions that were made last summer, and how their disappointing results hurt both team outlooks and players’ legacies.

Matt John

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It doesn’t sound possible, but did you know that the crazy NBA summer of 2019 was, in fact, over a year ago? Wildly, in any normal, non-pandemic season, it all would have been over three months ago and, usually, media days would be right around the corner, but not this time. The 2019-20 NBA season is slated to end sometime in early to mid-October, so the fact that the last NBA off-season was over a year ago hasn’t really dawned on anyone yet. Craziest of all, even though there will still be an offseason, there technically won’t be any summer.

Coronavirus has really messed up the NBA’s order. Of course, there are much worse horrors that COVID-19 has inflicted upon the world – but because of what it’s done to the NBA, let’s focus on that and go back to the summer of 2019. It felt like an eternity, but the Golden State Warriors’ three-year reign had finally reached its end. The Toronto Raptors’ victory over the tyranny that was the Hamptons Five – as battered as they were – made it feel like order had been restored to the NBA. There was more to it than that though.

Klay Thompson’s and Kevin Durant’s season-ending injuries, along with the latter skipping town to join Kyrie Irving in Brooklyn meant two things.

1. Golden State was down for the count
2. Brooklyn’s time wasn’t coming until next year.

A one-year window was open. Even if neither Golden State nor Brooklyn posed the same threat that the former did when it had Kevin Durant, those were two contenders out of commission. If there was a time to go all in, it was in 2019.

Milwaukee certainly seemed to go all in. For the most part.  Malcolm Brogdon’s departure seemed a little odd since he was arguably their best non-Giannis playmaker when they were in crunch time. Not to mention there was nothing really stopping the Bucks from keeping him except for money. Detractors will call out Milwaukee for electing to cheap out by not keeping Brogdon and hence, avoiding the luxury tax. However, there’s more to it than that.

Milwaukee thought it had enough with the core it had on its roster. Coming off the best season they had put up since the eighties, they believed the franchise built the right team to contend. There was an argument that keeping Brogdon may have been overkill with their guard depth – let’s not forget that Donte DiVincenzo did a solid job in Brogdon’s role as the backup facilitator. This would have been more defensible had it not been for Milwaukee picking the wrong guy to let go. That was the indefensible part- electing to keep Eric Bledsoe over Brogdon.

Bledsoe wasn’t necessarily a bad investment. No one’s complaining about an almost 15 point average on 47/34/79 splits or playing individual defense tight enough to get named on the All-Defensive second team. By all accounts, Bledsoe earns his keep. That is until the playoffs. Bledsoe’s postseason woes have been a weight ever since he first entered Milwaukee, and this postseason was more of the same.

Bledsoe’s numbers dwindled to just 11.7 points on 39/25/81 splits, and Milwaukee getting ousted in five games at the hands of Miami made his struggles stand out even more than it had ever been. Bledsoe may be the better athlete and the better defender, but Brogdon’s all-around offensive savvy and his only slight dropoff defensively from Brogdon would have made him a bit more reliable.

Milwaukee guessed wrong when they opted to extend Bledsoe before the postseason last year when they could have waited until that very time to evaluate who to keep around. Now they face a hell of a lot more questions than they did at the end of last season – questions that may have been avoided had they made the right choice.

Now they could have kept both of them, yes, but it’s not totally unreasonable to think that maybe their approach with the luxury tax would have worked and maybe they would still be in the postseason right now had they gone with the homegrown talent. And just maybe, there wouldn’t be nearly as much of this Greek Freak uncertainty.

The Houston Rockets can relate. They got bruised up by a team that everyone thought Houston had the edge on going into the series and then crushed by the Lakers. Now, Mike D’Antoni is gone. The full-time small ball experiment likely did not work out. Since the Rockets emptied most of their assets to bring in Russell Westbrook and Robert Covington, there may not be a route in which they can become better than they presently are.

The mistake wasn’t trading for Russell Westbrook. The mistake was trading Chris Paul.

To be fair, most everybody severely overestimated Chris Paul’s decline. He’s not among the best of the best anymore, but he’s still pretty darn close. He deserved his All-NBA second team selection as well as finishing No. 7 overall in MVP voting. OKC had no business being as good as they were this season, and Paul was the driving force as to why.

For all we know, the previously-assumed tension between Chris Paul and James Harden would have made its way onto the court no matter what. Even so, Houston’s biggest obstacle in the Bay Area had crumbled. If they had just stayed the course, maybe they’re still in the postseason too.

To their credit, none of this may have happened had it not been for the Kawhi Leonard decision. Had he chosen differently, the Thunder never blow it up, and Houston might have very well been the favorite in the Western Conference. Instead, the Rockets took a step back from being in the title discussion to dark horse. But at least they can take pride knowing that they weren’t expected to win it all – the Clippers can’t.

Seeing the Clippers fall well short expectations begs the question if they too got it wrong. The answer is, naturally: of course not. They may have paid a hefty price for Paul George, but the only way they were getting Kawhi Leonard – one of the best players of his generation – was if PG-13 came in the package. As lofty as it was, anyone would have done the same thing if they were in their shoes. They didn’t get it wrong. Kawhi did.

On paper, the Clippers had the most talented roster in the entire league. It seemed like they had every hole filled imaginable. Surrounding Leonard and George was three-point shooting, versatility, a productive second unit, an experienced coach – you name it. There was nothing stopping them from breaking the franchise’s long-lasting curse. Except themselves.

Something felt off about them. They alienated opponents. They alienated each other. At times, they played rather lackadaisically, like the title had already been signed, sealed, and delivered to them. The media all assumed they’d cut the malarkey and get their act together – but that moment never really came. They had their chances to put Denver away, but even if they had, after seeing their struggles to beat them – and to be fair Dallas too – would their day of destiny with the Lakers have really lived up to the hype?

Even if it was never in the cards, one can’t help but wonder what could have happened had Kawhi chosen to stay with the team he won his second title with.

Toronto was the most impressive team in this league this season. They still managed to stay at the top of the east in spite of losing an all-timer like Leonard. That team had every component of a winner except a superstar. They had the right culture for a championship team. Just not the right talent. The Clippers were the exact opposite. They had the right talent for a championship team but not the right culture. That’s why the Raptors walked away from the postseason feeling proud of themselves for playing to their full potential while the Clippers writhed in disappointment and angst over their future.

In the end, everyone mentioned here may ultimately blame what happened to their season on the extenuating circumstances from the pandemic. The Bucks’ chemistry never fully returned when the Bubble started. Contracting COVID and dealing with quad problems prevented Westbrook from reviving the MVP-type player he was before the hiatus. As troubling as the Clippers had played, the extra time they would have had to work things out in a normal season was taken away from them.

For all we know, next year will be a completely different story. The Rockets, Bucks, and Kawhi may ultimately have their faith rewarded for what they did in the summer of 2019 – but that will only be mere speculation until the trio can change the story.

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NBA

Looking Toward The Draft: Power Forwards

Basketball Insiders continues their NBA Draft watch, this time with the power forwards.

David Yapkowitz

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We got some updated NBA draft news this week when the league announced that several key dates have been pushed back including the draft, the start of free agency and the beginning of the 2020-21 season.

The 2020 draft was originally scheduled for Oct. 16, but it will now likely occur sometime in November. Obviously, with the COVID-19 pandemic still wildly out of control in the United States, all of these potential deadlines are fluid and subject to change.

With that said, we’re continuing our position by position breakdown here at Basketball Insiders of some of the top 2020 draft prospects. We looked at the point guards and shooting guards last week, and this week we’re covering the small forwards and power forwards.

The power forward crop, like the draft overall, doesn’t appear to be as strong as recent years, that doesn’t mean there aren’t potential contributors and high-level NBA players available, as well as one who might just turn out to be a star-caliber player.

Onyeka Okongwu, USC – 19 years old

Okongwu is the player who just might develop into a star on some level. He was actually underrated in high school and was snubbed for a McDonald’s All-American selection his senior year. He established himself early on at USC as the team’s best player as a freshman and now appears to have turned some heads.

He’s been mentioned as a lottery pick and in some mock drafts, he’s top 4-5. He possesses a great all-around skill-set; he can score in the post, he can put the ball on the floor and attack and he can shoot. But perhaps his biggest attribute is his versatility on the defensive end. He’s got quick feet and mobility and can guard multiple positions.

Okongwu might actually play center in the NBA, especially in small-ball lineups, but he’s mostly played power forward and so he’ll probably see time there in the league. His skill-set fits perfectly with today’s game.

Obi Toppin, Dayton – 22 years old

Toppin is one of the older players in the draft, and in recent history, players that age tend to slip on draft boards. In Toppin’s case, it looks like the reverse might actually be true. He’s been projected as a lottery pick, and even going in the top 3.

He’s an incredibly athletic player who thrives in the open court. He looks like he’ll do well in an up-tempo offensive system that has capable playmakers who can find him in transition. He’s extremely active around the rim and he can finish strong. A decent shooter too, something he’ll need at the next level.

Toppin has the physical tools to be an effective defensive player, but that’s where the questions marks on him have been. In the NBA, he’s likely going to have to play and guard multiple positions. Whether or not he can adapt to that likely will answer the question as to what his ceiling can be.

Precious Achiuwa, Memphis – 20 years old

Achiuwa is another intriguing prospect. this writer actually got to watch him play in person while he was in high school and he was very impressive. He looked like a man among boys. He’s projected to be a late lottery pick.

He has an NBA-ready body and he’s got some toughness around the rim and in the paint. He was a double-double threat during his one season at Memphis and his knack for rebounding is something that should translate to the NBA. He’s a very good defender too, in particular, as a rim protector. He’s very quick and has the ability to guard multiple positions.

One of the main knocks on Achiuwa is his shooting ability. He didn’t shoot that well in college and power forwards being able to space the floor is almost a requirement in today’s NBA game. It’s something he can certainly work on and improve on though.

Honorable Mentions:
Paul Reed, DePaul – 21 years old
Xavier Tillman, Michigan State – 21 years old
Killian Tillie, Gonzaga – 22 years old

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NBA

Looking Toward the Draft: Small Forwards

Basketball Insiders’ examination of the 2020 draft class continues with a look at the small forwards.

Drew Maresca

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It was announced on Wednesday that the NBA Draft would be delayed from Oct. 16 to Nov. 18. The rationale is that the extra month gives the league and its players association more time to negotiate changes to the CBA. It also grants teams additional time to procure information on prospects and allows the NBA to establish regional virtual combines. But nothing is set in stone.

Still, draft prep must continue. This year’s draft class has more question marks than usual – which was complicated by the cancellation of the NCAA tournament (along with the NIT and a number of conference tournaments). There are incredibly skilled offensive players with limited offensive upside and jaw-droppingly talented defenders with incomplete offensive packages. But if (recent) history serves as a guide, there will be a few guys who make an immediate impact – and some of them very well could be small forwards.

The small forward position is key for the modern NBA. Want proof? Survey the league and you’ll find that most – if not all – contenders have an elite small forward – Milwaukee, Los Angeles (both), Boston, Miami, Toronto.

But the list of can’t miss small forward prospects feels smaller than usual. Scanning the numerous legitimate mock drafts (including our own by Steve Kyler), it becomes apparent that we lack a consensus on which small forwards will be selected (and in what order) after the top 3 or 4. Can any of them grow into a star? Maybe. Maybe not. But before we get too far ahead of ourselves, let’s identify what the top few bring to the table.

Deni Avdija, Israel – 19 years old

Avdija is a relatively well-rounded prospect who’s played professionally since he was 16. He boasts good height (6-foot-9) and uses it effectively to shoot over and pass around opposing defenses. Further, Avdija is an exceptional playmaker and he’s incredibly confident, enabling him to take chances many players would be apprehensive trying. Avdija is a high-IQ player. And what’s more, he’s a surprisingly strong defender. His height and above-average athleticism allow him to block shots, and he’s more physical than you’d expect him to be.

But there are drawbacks to Avdija, too. His main issue is around shooting. Avdija shot only 28% in the EuroLeague last season, and he shot only 60% from the free-throw line. Further, while he’s a decent athlete, he’ll struggle to secure a role in the NBA. He’s going to need to add speed to stay with modern wings, and he’ll also have to bulk up to bang with power forwards.

Still, Avdija’s upside is alluring. He’s only 19, and his smarts, confidence and grittiness should provide him cover for much of his rookie season. Avdija should be the first small forward off of the board.

Isaac Okoro, Auburn – 19 years old

Avdija might be the flashier name currently, but Okoro will give him a run for his money in terms of which small forward is first off the board. Okoro is built like a traditional NBA wing; he’s 6-foot-6 with good strength packed in his muscular frame (215 lbs). Okoro finishes well around the rim and he converts well through contact. He’s an exceptional athlete who excels catching the ball on the move. Like Avdija, Okoro has the poise and composure of a more experienced player. Also, like Avdija, Okoro looked the part of a high IQ player in his lone season at Auburn.

And while all that is great, the main allure of Okoro is his defense. He’s a fairly advanced defender given his age, and his athleticism and timing make him an effective weak side help defender.

While Okoro’s raw abilities are exquisite, his refined offensive skills leave something to be desired. Okoro shot 28 percent on three-point field goals and he struggled from the free-throw line (67.2 percent). His mid-range jump shot also needs work, and he struggles in isolation situations.

If Okoro can hone his offensive game, he could grow into an All-Star. He has the ability to guard multiple positions, and his strength and athleticism give him a leg up on most prospects. But even if he doesn’t become an All-Star, he possesses a fairly high floor given his defensive abilities — and the guy definitely fills the state sheet (12.9 points, 4.4 rebounds, 2.0 assists, .9 steals and .9 blocks). He has lockdown defender potential and he’ll put his stamp on the game beginning on night one.

Devin Vassell, Florida State – 20 years old

Vassell played two seasons at Florida State, but he came into his own in his Sophomore season. He averaged 12.7 points, 5.1 rebounds, 1.6 assists, 1.4 steals and 1.0 blocks per game. He shot a more than respectable 41.5% on three-point attempts, and he demonstrated a strong stroke from the free-throw line (73.8 percent) and on two-point field goal attempts (53.2).

Vassell is an extremely athletic leaper, who can rise up for a highlight dunk and sprint down the floor with ease. He has good body control and demonstrated a strong mid-range game, especially his step-back jump shot. But Vassell must generate more free throws through decisive moves to the hoop, which would be bolstered by a more muscular frame. Additionally, he must improve his ball-handling to get more from isolations.

Vassell will have an adjustment period in terms of scoring the ball at the next level. Fortunately, his defense and shooting should get him by. If he can bulk up and improve his handling, Vassell could grow into a serious player.

Aaron Nesmith, Vanderbilt – 20 years old

Nesmith probably has a lower floor than any of the other top small forward prospects given that he’ll be 21 by the draft. Still, he looked quite good in his Junior year, averaging 23 points, 4.9 rebounds and 1.4 steals per game on a scorching 52.2 percent shooting from deep. Nesmith is an incredibly gifted shooter who has impressive range. His ability to catch-and-shoot and create space with fakes makes him a promising prospect – for the right team.

Nesmith is a high IQ player who uses his smarts on the defensive end. He’s also quite strong, can get buckets in the open floor and demonstrates above average ball-handling skills, as long as he’s not taking the ball to the hoop.

But there are inherent limitations in Nesmith’s game. He’s doesn’t create for his teammates too effectively and he turns the ball over more frequently than one would like with. Further, Nesmith is plagued by robotic movements that limit his athleticism. His ball-handling breaks down when taking the ball to the rack – something he’ll certainly have to work on in the NBA if he wants to be a versatile scoring threat against the bigger and stronger competition.

Still, Nesmith’s positives give him an excellent chance at being selected in the first round. His range alone will intrigue teams in need of a shooter.

Honorable Mentions:

Saddiq Bey, Villanova – 21 years old

Jaden McDaniels, Washington – 19 years old

Robert Woodard II, Mississippi State – 20 years old

With the uncertainty around small forward prospects, expect to see a revolving door of names enter the discussion after the first four wing prospects are off the board prior to Nov. 16 – assuming the draft is held then. But regardless of how you have them ranked, all of the aforementioned prospects have question marks. But all have had far more time to improve than they would have in years’ past. Let’s hope that shows come next season.

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