Connect with us

NBA

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

Published

on

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.

Advertisement




3 Comments

3 Comments

  1. Pingback: blood clot discharge | menstrual cramps blog

  2. Pingback: Alex Kennedy of Basketball Insiders talks Alonzo Mourning, Chris Bosh, Larry Nance Jr. | Carnahan Chronicles

  3. Pingback: Alex Kennedy of Basketball Insiders talks Alonzo Mourning and health of Chris Bosh & Larry Nance Jr. | Carnahan Chronicles

Leave a Reply

Your email address will not be published. Required fields are marked *

NBA

NBA Daily: Tacko Fall Out To Prove He’s More Than Tall

Most of the attention centered around Tacko Fall stems from his height, but after an impressive combine outing, he’s out to prove that there’s so much more to him.

Matt John

Published

on

Tacko Fall was one of the many participants who attended the NBA Draft Combine this past week in Chicago.

By so doing, the combine retrieved all of his official measurements as a player such as his height, weight, and wingspan among others. After the combine was over, Fall had the following measurements.

Height (without shoes): 7’5 ¼’’
Height (with shoes): 7’7″
Weight: 289 pounds
Wingspan: 8’2 ¼’’
Standing Reach: 10’2 ½”
Vertical Leap: 26.5″

Those measurements set many records at the combine. So, in case you didn’t know it before, growing has never exactly been an issue for Tacko Fall. Even though the findings that measured how freakishly tall Fall is shocked the masses, none of them really fazed the man himself as long as that meant he wasn’t going to grow anymore.

“I kind of already knew so I wasn’t really surprised,” Fall said. “I don’t think I’m going to keep growing. I think it’s just going to stay there. Hopefully. We’ll see.”

Fall’s physical advantages made him look like a man among boys in his four years at the University of Central Florida. The Senegal native averaged 2.4 blocks and 7.7 rebounds – in only 23 minutes per game – and put up a scorching field goal percentage of 74 percent over the four-year span of his college career. Basically, Fall’s good stats mainly come from his unrivaled length.

During his time at the combine, Fall believes that sticking to his guns and not doing things out of his comfort zone made him look good to spectators.

“I think I’m doing pretty good,” Fall said. “I’m holding my own. I’m not going out there doing anything out of character. I’m staying true to myself. I’m playing hard. I’m talking. I’m running hard. I’m doing everything that I need to do.”

Despite his towering presence, Fall is not expected to be a high selection in this year’s NBA Draft, if he is selected at all. Not many mock drafts at the time being list his name among those who will be taken, and the ones that do have him among one the last selections in the draft.

Some of his primary critiques as a player include his low assist-to-turnover ratio and his faulty shooting mechanics. The biggest one of them all is his lack of mobility. Being as tall as he is would make it hard for anyone to move around well enough to compete with NBA offenses that rely more on quickness and spacing now than it did on mass.

The concerns surrounding Tacko’s mobility were made loud and clear to him. That’s why he believed he had something to prove to the skeptics at the combine.

“For people my size that’s the biggest thing that they’re looking for,” Fall said. “‘Can he move?’ ‘Can he keep up with the game?’ ‘Can he run the floor?’ ‘Can he step out and guard?’ I feel like I have the ability to do those things. So, coming in here and having the opportunity to play against great competition and showing my abilities have been a great blessing for me.”

Before the combine, Fall’s stock benefited from his final performance as a college basketball player. Tacko and the ninth-seeded Knights fought the first-seeded Blue Devils until the very end but ultimately lost 77-76. Fall had much to do with UCF’s near-upset over Duke, putting up 15 points, six rebounds and three blocks in 25 minutes before fouling out.

That game did a lot for Tacko’s belief in himself as a player leading to the combine. Putting up that kind of stat line against one of the best college basketball programs with three top-10 prospects with so much on the line had to make him feel good about his chances. He said as much following his performance at the combine.

“That was definitely one of the best games in my college basketball career,” Fall said. “It helps build confidence. You go toe-to-toe with those people. You think, ‘Wow I can really do this.’ All you have to do is keep working and working and keep proving that you can step out there and compete every night.”

For some prospects, the NBA Combine is nothing more than just a formality. In fact, multiple prospects for this upcoming draft – including RJ Barrett, Rui Hachimura, and consensus No. 1 pick Zion Williamson – decided to skip out on it. For prospects who are on the bubble like Tacko, it’s a rare opportunity to show that there’s more to them than what they showed in college.

Fall recognized the importance of the occasion and voiced his appreciation for the chance he had to show everyone who attended what he can bring to a basketball court.

“It’s been a great experience,” Fall said. “I’m blessed to be here. I worked really hard. I thank God I’m in this position. I just got to take advantage of it.”

Tacko’s efforts impressed scouts and media members alike. There have been rumblings that his play at the combine has further increased his stock in the NBA Draft. Even with all the work he’s put in and the ambition he has to make it to the biggest stage, Fall is soaking it all in.

“I’m enjoying it because not a lot of people get the opportunity to come here,” Fall said. “I’ve worked really hard and God put me in this position. I’m just trying to enjoy it.”

Continue Reading

NBA

NBA Daily: Bruno Fernando Is Ready To Take On The NBA

After his sophomore season at Maryland, Bruno Fernando is confident that he is ready to take on the NBA, writes James Blancarte.

James Blancarte

Published

on

The 2019 NBA Draft Lottery kicked off the draft season in a shocking way as numerous teams jumped into the top four due to the new draft structure. After the Lottery, it’s a bit easier to predict the order in which Zion Williamson, Ja Morant and R.J. Barrett will be selected. Who gets drafted after that, and in what order, is still very much unclear. There are some consensus players in the upper half of the first round. After that, things get very interesting.

Expect the mock draft boards to be all over the place as we move closer to this year’s draft, especially after going through the Combine. Many once less-heralded players show up to the Combine with eye-opening physical measurements, impress in workouts and scrimmages and demonstrate a level of professional polish, among other things.

Last year, after his Freshman season as Maryland, center Bruno Fernando participated in the draft process. Fernando did not sign with an agent and ultimately returned to Maryland where he continued to raise his profile. This year, Fernando again participated in the Combine and spoke with Basketball Insiders.

“I think what’s different this time around is just how much easier it’s gotten. For me, how much more comfortable I am. How much easier it is. Obviously, you know what to expect,” Fernando told Basketball Insiders. “I think just really being here and being around the guys on the team has been a completely different experience than I had last year. This year I know a lot more of the guys. I’ve been working out with a lot of different guys. I think it’s just been a much, much better experience.”

Starting all but one game his sophomore year, Fernando averaged 13.6 points, 10.6 rebounds, 1.9 blocks and two assists per game. These averages were a significant jump over his freshman year. Fernando uses an aggressive, mobile game at and around the basket to do his damage. After solidifying his game on the court, he felt comfortable enough signing with an agent and letting Maryland know he wouldn’t be returning for his junior year. Fernando is now confident about his positioning in the draft, which played a factor in his decision to not play in five-on-five scrimmages.

“Last year I was in a position where I didn’t really know where I stand as much. Last year I had to find out a lot of things coming into the combine,” Fernando said. “And this year I think I am in a position just by talking to my agent and my coaches where I feel like I’m in a position where I’m a lot comfortable compared to last year, in a much better place. Having that that feedback from teams really, my agent really felt like that was the best decision for me not to play five-on-five.”

Fernando’s offensive prowess and athletic upside have him looking like a solid first-round pick. According to the Basketball Insiders version 3.0 mock draft, Fernando is projected to go anywhere from 14th- 29th overall. Tommy Beer projects him to go 25th. Being drafted in the first-round, in general, portends a better career as teams find themselves with a greater financial stake in the player and accordingly will be pinning higher hopes for that prospect.

At 6-foot-10, Fernando projects as a low post threat with excellent handwork who can score with a variety of moves down low as well as a lob threat. Fernando also occasionally takes advantage of steal and breakaway opportunities to run the floor and score easy points with his ferocious dunking ability. He didn’t do much damage from distance, although his shooting stroke and mechanics make that part of his game a potential future weapon in his arsenal. Fernando addressed that very point.

“The part of my game that is unseen so far is my ability to space the floor. My ability to dribble the ball and put the ball on the floor, take guys off the dribble and my shooting ability,” Fernando told Basketball Insiders. “I really think my shooting ability is something that people don’t notice that I am able to shoot the ball. Just because of my situation in Maryland where I didn’t really take many shots. You know, I never really had to come outside and try to play outside. You know we had a lot of really good players on the perimeter. I think it’s really just a matter of me staying to true to myself, who I am and trying to win in the best way possible.”

Any team in need of a possible pick-and-roll threat who can score down low should keep an eye on Fernando. Whether a team believes that Fernando can also be successful as a stretch big is not as clear. Where Fernando ends up is still totally up in the air. Regardless, he’s grateful for the opportunity to be the first representative from his own home country of Angola to play in the NBA and made it clear that he has been hearing from other Angola natives.

“Sending a lot of love and positive energy, lot of words of encouragement for me and I think it is really special to get those text messages,” Fernando told Basketball Insiders. “Having people from home texting me every single day. Just knowing that a whole nation is behind me. I’m here fighting and sacrificing to make a dream come true, something that will not just benefit me but a whole nation.”

Continue Reading

NBA

NBA Daily: Who Is Cam Reddish?

An underwhelming season at Duke casts a shadow over Cam Reddish, who oozes talent and potential. Shane Rhodes looks to answer the question: Who is Cam Reddish?

Shane Rhodes

Published

on

“I’m Cam Reddish.”

Cam Reddish gave the tongue-in-cheek response Thursday at the 2019 NBA Draft Combine when asked “who he is” as a basketball player.
But who is Reddish?

A former high school phenom, five-star recruit and projected top pick, Reddish was expected to flourish at Duke University under the watch of Mike Krzyzewski. When R.J. Barrett and Zion Williamson later followed him to Durham, North Carolina, the three were expected to take the NCAA by storm.

Things didn’t quite go as planned.

While he is still a projected lottery pick, the jury is out on just who Reddish is and how his game will translate to the NBA. A dominant force in high school, the reserved 19-year-old took a backseat to Barrett and Williamson as the three tried but failed to capture a National Championship in their lone season together at Duke.

When compared to the sky-high expectations that were set for him, Reddish underwhelmed mightily as a Blue Devil, and that played a major part in their failure. Relegated to the role of a spot-up shooter and the third option on offense, Reddish averaged an okay, not good 13.5 points on just 12 attempts across 36 games. He managed a meager 35.6% from the field (33.3% from three) and dished out just 1.9 assists per game. When he had the ball, he often deferred to Barrett and Williamson, too often for some.

The focal point of his high school team at Westtown School, Reddish was lauded for the ability that made him a top recruit. He oozed (and still oozes) athleticism – Reddish, who weighed in at 208 pounds, was measured as 6-foot-8 with a 7-foot wingspan at the Combine – and is as versatile as they come. At Westtown, Reddish ran the point, while he spent most of his time at the two-guard or in the front-court at Duke. He was an aggressive, efficient scorer that had no problem getting what he wanted on the floor with the ball in his hands.

But at Duke, that player that Reddish was, the aggressiveness and ease at which he operated, seemed to disappear for long stretches. Those struggles have cast a large shadow over someone that had the look of a future superstar, and Reddish’s draft stock has taken a hit as a result. While some still stand behind him and his talent, plenty of others have faded Reddish in favor of other prospects.

But, at the Combine, Reddish isn’t dwelling on what was or what could have been at Duke. He just trying to learn and get back to being that do-it-all force that he was.

“I’m just trying to learn about the NBA process,” Reddish said. “I’m just trying to get back to who I can be, who I am.”

But that begs the question: who, exactly, is Reddish, and what could he do at the NBA level?

“I feel like I can do everything,” Reddish said. “I was more of a shooter this year – I don’t want to classify myself as just a shooter. I feel like if I just go out there and play my game, I can do a variety of things.”

“Once I show that, I should definitely move up [draft boards].”

There were plenty of flashes of that player during his short stint at Duke. Reddish, at times, seemed to will the ball into the basket, while his shooting stroke appeared to be as good as advertised. He had a knack for performing in the clutch, with multiple shots to win or tie the game for Duke, or keep them in it down the stretch when the others started to fade. The wing managed double-digit points in 23 games, 15 of which he posted 15 or more points (with 20 or more points in eight of those). Reddish managed 18 multi-steal performances and recorded a block or more in 16 games as well.

Wrap all of that up with his plus-defensive ability, and Reddish could very well prove the type of player that could do a little bit of everything for an NBA squad. But he can bring more than that, not only on the court, but off the court as well.

While some may perceive his passiveness alongside Barrett and Williamson as a negative, a lack of “mamba-mentality” or killer instinct that many teams hope for in their top draft picks, Reddish could (and probably should) just as easily be applauded for his willingness to share the ball and step into an ancillary role on a team loaded with talent. As we saw this season with the Boston Celtics, who were projected by many to go challenge the Golden State Warriors for the Larry O’Brien trophy but flamed out against the Milwaukee Bucks after a season fraught with discontent, that can be hard to do on the biggest stage.

And, while he is the quiet type, Reddish made it a point to say that evaluators shouldn’t confuse that for laziness or lack of effort.

“I’m kind of reserved – my personality is kind of reserved – some people might take that as lazy or too laid back. But that’s not just who I am, I’m just a naturally reserved, calm guy.”

There were certainly issues, however.

Despite flashes, Reddish wasn’t the player he could be on anywhere near a consistent basis, even in a smaller role. His time at Duke revealed some major deficiencies in his game and presented some serious causes for concern; a penchant for bad shots, struggles close to the basket and the inability to maximize his athletic gifts. On more than one occasion, he looked to have turned the corner, only to drop another underwhelming performance soon after.

All of that doesn’t exactly bode well for Reddish’s transition to the NBA, regardless of the team that picks him on draft night.

But, the potential is there for him to be great. Now it’s on Reddish to capitalize on that potential.

Reddish could very well prove the most polarizing prospect in the 2019 Draft Class. His ability to maximize his natural talent and recapture the aggressiveness that pushed him to the top of his recruiting class could prove the difference between him becoming the next Jeff Green or the next Paul George

Or, should he really find himself at the next level, he could become the first Cam Reddish.

Continue Reading
Advertisement

NBA Team Salaries

Advertisement

Insiders On Twitter

NBA On Twitter

Trending Now