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Roy Munson
07-11-2007, 11:12 AM
The doctor who wrote this blog entry is suggesting that the Blazers are mis-diagnosing Oden's condition and could be making a big mistake if they they remove Oden's tonsils.


http://blog.oregonlive.com/johncanzano/

Dr. James: "Greg Oden has mononucleosis"
Posted by jcanzano July 11, 2007 01:22AM

We're not in the business of handing out medical advice here, but we'll do it when a doctor writes the blog.

Dr. Matt James wrote to say:

"From what I have read, and based on 30 years as a primary care physician, Greg Oden has mononucleosis. His history and sypmtoms are classic: sleeping all the time, fatigue, 19yo, girlfriend, overstressed, very swolllen tonsills. I have never seen tonsillectomy recommended for mono. It would be dangerous. Mono can be associated with liver and bleeding problems along with other issues which could increase the danger of surgery and general anesthesia.

"Somehow the Blazers have invented a new treatment for his condition, tonsillectomy. I have never seen this procedure recommended for acute mono syndrome or, for that matter, acute tonsillitis. Surgical removal of the tonsills in either condition could result in disaster. A legitimate indication for tonsillectomy is in the setting of chronically enlarged tonsills or recurrent tonsillitis. There is no hurry for this kind of surgery, and any sane surgeon would wait for acute illness to pass.

"In thirty years I have never seen a patient who, having mono, needed a tonsillectomy for airway management. If Greg Oden's airway was a problem, he would have already been operate on. The treatment for mono is rest, sleep, and avoiding trauma. Most kids will be mostly better in two or three weeks."

Gyron
07-11-2007, 11:34 AM
I would think this is pretty bold of a doctor to diagnose a problem based upon news reports without actually seeing the patient or his tests if he had any run....

cramerica
07-11-2007, 11:38 AM
I once thought I had mono for an entire year. It turned out I was just really bored.

Slick Pinkham
07-11-2007, 11:39 AM
mono is diagnosed by a simple blood test, and to think that they have not looked for that is pretty idiotic.

JayRedd
07-11-2007, 11:44 AM
It's all there in the news reports: Greg Oden clearly has scurvy.

I can't believe none of the doctors have diagnosed it as such. What is this, amateur hour?

avoidingtheclowns
07-11-2007, 11:44 AM
I would think this is pretty bold of a doctor to diagnose a problem based upon news reports without actually seeing the patient or his tests if he had any run....

its the medical practice bill frist popularized

ABADays
07-11-2007, 11:54 AM
I once thought I had mono for an entire year. It turned out I was just really bored.

:laugh: I bet it came back as soon as you got to Kirkuk. Is mono another name for foul trouble?

cramerica
07-11-2007, 12:06 PM
:laugh: I bet it came back as soon as you got to Kirkuk.

2 more months of boredom. Plus, I'm on nights so it makes it even worse.

SoupIsGood
07-11-2007, 12:21 PM
I would think this is pretty bold of a doctor to diagnose a problem based upon news reports without actually seeing the patient or his tests if he had any run....

No kidding. Dude needs to A) stop practicing and B) become a dentist along w/ everyone else who couldn't cut it as 'real' doctors...


http://www.youthink.com/quiz_images/quiz1075outcome1.jpg

"You're a rabid anti-dentite!"

D23
07-11-2007, 01:19 PM
I once thought I had mono for an entire year. It turned out I was just really bored.

So what you're saying, if I read this correctly, is that under Carlisle the Pacers were playing "mono-ball". I think I see..

Since86
07-11-2007, 02:11 PM
My roommate last year is friends with Greg (texts him regularly) and is VERY close to the parents of Greg's bestfriend who died earlier this year.

He, my roommate, was in Terre Haute this weekend visiting them and they talked to Greg while he was there. Greg is set to have his tonsils taken out early next week, or even this weekend in Portland, then he is flying back to Indy and coming to TH for the first memorial golf outing in Travis' name. (I dunno what golf course it's being held at, maybe RWB would know.)

Then Greg is going to rest for a while, then go to Las Vegas and start participating with Team USA once he's cleared.

On a side note, one of his first purchases must have been a vehicle. I don't know what he got, but he gave back the 2004 Avalanche on 22's that the Smith's gave him after Travis passed, because it is now back in TH.

gng930
07-11-2007, 07:24 PM
I would think this is pretty bold of a doctor to diagnose a problem based upon news reports without actually seeing the patient or his tests if he had any run....

Actually this is very common at medical teaching institutions. (Future) doctors are presented simply with a paragraph describing the history of presenting illness and quizzed about differential diagnoses as well as the most likely one BEFORE being given any results of the physical examination and tests.

Diagnosing a patient is a continual thought process in which you are constantly reforming your diagnostic tree and from that you decide what to look for in the physical exam and what tests to order.

The blogger is correct that he does display the classical symptoms of mono. However, pacertom is correct in that looking at a blood sample under the microscope is diagnostic of the disease. I too would find it hard to believe that it wasn't performed in Oden's workup.

gng930
07-11-2007, 07:32 PM
No kidding. Dude needs to A) stop practicing and B) become a dentist along w/ everyone else who couldn't cut it as 'real' doctors...


Is that really necessary? Maybe I'm being presumptuous but do you have any idea what it takes to become either a dentist or doctor?

btowncolt
07-11-2007, 07:35 PM
Is that really necessary? Maybe I'm being presumptuous but do you have any idea what it takes to become either a dentist or doctor?

Ever seen Seinfeld?

Beth: Hey, what do you call a doctor who fails out of med school?
Jerry: What?
Beth: A dentist. (They laugh)
Jerry: That's a good one. Dentists.


http://www.seinfeldscripts.com/TheYadaYada.htm

gng930
07-11-2007, 08:48 PM
Ever seen Seinfeld?

Beth: Hey, what do you call a doctor who fails out of med school?
Jerry: What?
Beth: A dentist. (They laugh)
Jerry: That's a good one. Dentists.


http://www.seinfeldscripts.com/TheYadaYada.htm


You can belittle ANY profession by comparing it to something higher.

Did you know that many family doctors and pediatricians (the ones who you trust, or will trust, your children's health to) do what they do because they couldn't cut it as specialists, surgeons, internists, obstetricians, etc?

There's always a bigger fish.

btowncolt
07-11-2007, 08:50 PM
You can belittle ANY profession by comparing it to something higher.

Did you know that many family doctors and pediatricians (the ones who you trust, or will trust, your children's health to) do what they do because they couldn't cut it as specialists, surgeons, internists, obstetricians, etc?

There's always a bigger fish.

Uh, he wasn't belittling anything. Far from it, he's going into medicine from what I recall.

He was just quoting an episode of Seinfeld, which in the context of the episode, was quite humorous and rather pointedly dismissing people who would legitimately make that sort of remark.

That link up there will show you the script from the episode if feel like to perusing it.

avoidingtheclowns
07-11-2007, 08:53 PM
whoa it was a reference to a seinfeld episode joke. chill out buddy.

gng930
07-11-2007, 09:22 PM
^^ My sincerest apologies then. I was never a fan of the show.

bulldog
07-11-2007, 09:24 PM
I agree with all of the medical stuff, if he had mono his doctors certainly would have caught it.

But don't you guys think NBA teams disguise injuries and make fake reports? Like, for example, sinusitis really means either "he's just beat" or "he's outta shape." And remember back in the day when bench guys used to go on the injury list with ankle or back problems just as the superstar got healthy (what a coincidence!)? Or do you think the media is too on top of stuff?

Medical records are kept private, there's no real way for Chad Ford to scoop it out. I'm not saying in Greg's case in particular, but in general, what do you think?

btowncolt
07-11-2007, 09:26 PM
^^ My sincerest apologies then. I was never a fan of the show.

No worries, I understand the reaction. Just wanted to make sure that you got he wasn't actually trying to poke fun at anyone.

On a side note, I've only seen two episodes of Seinfeld in my life. Both two weeks ago. One of which was that episode.

gng930
07-11-2007, 09:32 PM
I agree with all of the medical stuff, if he had mono his doctors certainly would have caught it.

But don't you guys think NBA teams disguise injuries and make fake reports? Like, for example, sinusitis really means either "he's just beat" or "he's outta shape." And remember back in the day when bench guys used to go on the injury list with ankle or back problems just as the superstar got healthy (what a coincidence!)? Or do you think the media is too on top of stuff?

Medical records are kept private, there's no real way for Chad Ford to scoop it out. I'm not saying in Greg's case in particular, but in general, what do you think?

There's no doubt fake diagnoses are made. "Back spasms" is a classic because it's impossible for the NBA to disprove it.

As for the confidentiality issue, I'm sure Paris Hilton's sex tape was supposed to be kept private too. ;)

avoidingtheclowns
07-11-2007, 10:11 PM
in case any one else was curious... these are the best two clips i could find...

<object width="425" height="350"><param name="movie" value="http://www.youtube.com/v/E7TiuivIH7s"></param><param name="wmode" value="transparent"></param><embed src="http://www.youtube.com/v/E7TiuivIH7s" type="application/x-shockwave-flash" wmode="transparent" width="425" height="350"></embed></object>

<object width="425" height="350"><param name="movie" value="http://www.youtube.com/v/ythrdCsOFJU"></param><param name="wmode" value="transparent"></param><embed src="http://www.youtube.com/v/ythrdCsOFJU" type="application/x-shockwave-flash" wmode="transparent" width="425" height="350"></embed></object>

bulldog
07-11-2007, 10:17 PM
The best is the line at the end. It's something like:

Girl: I don't like dentists.
Jerry: Who does? I hate dentists.
Girl: Also Jews and Blacks.

Comes outta nowhere.

gng930
07-11-2007, 10:20 PM
Gotta love the anti-dentitic jokes. ;)

JayRedd
07-11-2007, 10:50 PM
Uh, he wasn't belittling anything. Far from it, he's going into medicine from what I recall.

He was just quoting an episode of Seinfeld, which in the context of the episode, was quite humorous and rather pointedly dismissing people who would legitimately make that sort of remark.

Don't believe his lies.

He's a known anti-dentite, and frankly, it's appalling. Dentists are people too.

Naptown_Seth
07-12-2007, 01:57 PM
its the medical practice bill frist popularized
Dang, I got beat to this one.

Just looking at Kegboy at the draft party I could tell he had Typhoid. Why in the world he was treating that condition with extensive PDA usage is beyond me, but it's only putting him at risk of having that turn into Leprosy.

I know, I watched every episode of Quincy.

Kegboy
07-12-2007, 06:11 PM
I knew those 7 years of season tickets would come back to haunt me.

Damn you TPTB!!!

:sick:

SoupIsGood
07-12-2007, 10:41 PM
I was never a fan of the show.

And for that I commend you. :) TV is just bad for the soul, especially good TV. I try to watch less and less good TV nowadays. I figure if I watch stupid stuff, I'll watch it less. :D Luckily, one of my favorite shows (4400) turned into bad TV lately. Once Scrubs ends, I'll have totally kicked the habit. (Except for Pacers/Colts, of course...)

gng930
07-13-2007, 01:09 AM
^^^ when I was younger I guess I was more into the shows that appealed to the pop crowd; I was more a "Friends" guy. It seemed back then that people only watched one or the other.

I still follow Scrubs but it started going downhill very rapidly after the 2nd season. Plus they've already set the tone for the entire final season. *cough* Ross and Rachel part II.