Pineda’s MRI pushed back to tomorrow

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Via Marc Carig, right-hander Michael Pineda had his dye-contract MRI and any other tests pushed back to the tomorrow due to some kind of scheduling conflict. Pineda suffered a setback in an Extended Spring Training game this weekend when he felt some weakness in his shoulder. He’s been on the DL all season with shoulder tendinitis. So we wait another day…

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All Double-A Trenton home games now streamed online
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  • TheOneWhoKnocks

    I don’t understand what kind of scheduling conflict could hold this up.
    The Yankees have billions at their disposal, team doctor’s on call and this is a matter of utmost importance to the organization. It’s not like Pineda has anything scheduled other than sitting around on the couch…

    We really have to wait one more day? Ugh. And also, given how important Pineda is the the Yankees, why wouldn’t they give him a thorough test the first time? If your prized 23 year old pitcher has unexplainable shoulder pain, I feel like they should be leaving no stone unturned.

    • Preston

      I would think maybe it was a travel conflict due to weather. His shoulder isn’t going to be better or worse based on what day he gets the MRI.

      • TheOneWhoKnocks

        Travel conflict? the team has private jets and there haven’t been any flight delays in the NY area. I didn’t suggest his shoulder would be worse, it will have no impact on the Yankees or Pineda whether it happens today or tomorrow. It does however make all of us wait another 24hours, and that’s unforgivable

        • Mr. Miyagi

          you need to learn patience, Daniel son…

        • http://www.riveraveblues.com Mike Axisa

          … not sure if serious.

          • Havok9120

            Considering who it is….I doubt it.

        • jjyank

          Unforgivable? Wow.

        • Jesse

          Are losses in the regular season to inferior teams unforgivable too?

    • handtius

      i’m pretty sure they yankees couldn’t give a fuck less whether or not their decisions inconvenience you. there is a reason for the delay, otherwise it would happen today. take a step back and breathe a little.

    • Havok9120

      Doctors don’t like doing dye contrasting because the dye itself has various side effects. Its “not recommended by the AMA except in cases where the diagnosis is unclear.” Its generally safe, but can cause complications and can also (at least in my experience) leave the joint feeling weird for a week or so.

      Other than that, I’ve got nothin’.

    • RetroRob

      “we” have to wait another day?

      The Yankees don’t operate for your convenience. The kid is going to be shut down regardless if his MRI is today, tomorrow or next week.

    • Robinson Tilapia

      Put it back there in your pants, flapjack.

      • Havok9120

        You’re really going all out with this aren’t you?

        • Robinson Tilapia

          You gotta commit if you want it to stick around.

          That being said, I’ll probably have forgotten about it by tomorrow.

          • Havok9120

            Which is a shame really.

            I’ll be sure to bring it back randomly every now and then. I have a good memory for minutia.

    • Billion$Bullpen

      I call BS on the whole MRI deal. I just had an MRI on my shoulder and they had to dye done. I actually had one of my doctors say that there is almost no reason to do an MRI on a shoulder without the dye (this was a couple of weeks ago)

      Something else is going on here that we do not know about yet. That is my opinion, and I might be reaching but something feels wrong about it.

  • jjyank

    Lame.

    That is all.

  • TheOneWhoKnocks

    Sorry the Mets already booked the one dye contrast MRI machine in ny today.

    • RetroRob

      No, that’s not a problem. The Mets have actually purchased their own machine getting a high-volume discount.

  • Nate

    Next time we see him will be Spring Training 2014, where they will name him the Seventh Inning Guy.

  • ADam

    Just asked about this… I really can’t wrap my head around why the Yankees can’t seem to be able to correctly diagnose their young pitchers. It seems like they can’t get out of there own way. Couldn’t they have caught this in Early February instead of late march/early April?

    Are MRI’s not part of physicals when a trade is in the works? Do the Yankees have trouble getting good doctors to come in and check out their young pitchers arms?

    • Havok9120

      He had an MRI for the trade. It was clean. Just as the MRI two weeks ago was clean.

      • TheOneWhoKnocks

        Yeah but now they are doing a more thorough MRI (for the first time)
        Why didn’t that happen in February or 2 weeks ago

        • Havok9120

          Because doctors hate (and generally refuse) to do it unless you do the standard one first and it comes up inconclusive (not clean). The dye itself has side effects on both the joint (short term) and possibly your vital organs (rare, but really dangerous).

          • Billion$Bullpen

            I did a TON of reading on this as I had one done. I talked to a lot of Dr’s as well. There is almost no real side effects problems with the dye.

      • Jeff Karstens, Male Model

        But why not do the dye contrast MRI two weeks ago? Unless the dye poses a health risk, I fail to understand the merits of a less-thorough method. Unless we just be pinching them pennies.

        • http://www.riveraveblues.com Mike Axisa

          I know that dye-contract MRIs are more invasive and they aren’t performed unless absolutely necessary, but that’s all I know.

          • Billion$Bullpen

            Yeah instead of getting in an MRI machine, you get two or three SMALL needles with dye put in your shoulder. THEN you get into the MRI machine. No problems no issues for almost everybody who has ever gotten this test. Some people experience soreness from getting needles. There is a somewhat odd sensation because your joint has some fluid in there and it feels somewhat “heavy” for lack of a better word.

            Very few people have issues other than those. If you have sever allergies to dye or you have a hack doctor that does not know how to use some needles there could be some bleeding or infection (this happens to almost nobody and all the doctors that I talked to none of them have seen anything other than small bleeding that required a few changes of band-aids)

        • Foghorn Leghorn

          because medicine is an art, not a science. its a checklist so the docs can rule things out and then move to the next thing if test reveal something.

          perhaps they should’ve done a colonoscpy as well and made sure he doens’t have IBS as well…

          the yanks did their diligence and pitchers get injured…

        • CP

          As with any chemical injected into the body, there are risks of complications. They’re not large, but there’s no reason to take the risk if it may not be needed.

          http://en.wikipedia.org/wiki/MRI_contrast_agent

      • ADam

        Ok MRI clean, I got that. So can they just not diagnose young pitchers correctly? I have to imagine the Yanks have access to some of the best doctors in the world and they can’t figure out whats up with some of there young arms

        • Havok9120

          It depends on the what came first, and we have no way of knowing that. Only Pineda really can, and even he has incomplete info. We don’t even know that there’s structural damage NOW, let alone if there was 2 weeks or 2 months ago.

          Breathe and wait for the results.

          • ADam

            A week ago a friend of mine bet me that Pineda would not throw a pitch this year for the Yanks.. I’m starting to think I’m gonna lose 100 bucks

  • CJ

    Texas, Detroit, and a Pineda MRI. Big week. Could get ugly.

    • ThisIsBaseball

      Does Spring Training count?

  • Paul VuvuZuvella

    Oh great, another sleepless night.

  • Foghorn Leghorn

    hopefully the yanks continue to win and the bosox continue to falter…b/c if that flips, the backlash on this Montero/Pineda trade is only going to get worse.

    i’m still optimistic that its just some issue that requires some rest.

  • the other Steve S.

    Ladies and gentlemen, allow me to introduce the next Humberto Sanchez.

    • http://www.riveraveblues.com Mike Axisa

      Humberto Sanchez and Michael Pineda have literally nothing in common other than both being employed by the Yankees at one point.

      • Tom Zig

        Both are Latino and fat. Ipso facto.

  • handtius

    to answer all the questions about why they “weren’t thorough enough”, MRIs shouldn’t be to frequently and especially dye-contract MRI. It’s just not good for you. Most doctors will put off doing dye-contract MRIs unless they must. research what goes into dye-contract MRI then complain.

    • Havok9120

      Pffft. Its just a chemical agent with a highly toxic metal base that can put your shoulder numb for a couple hours or a couple weeks and carries a small risk (tiny, really) of causing organ damage and renal failure.

      I don’t see the problem. It isn’t MY body after all.

      • handtius

        yep, no big deal, especially when done repeatedly threw out ones life, in a condensed period of time, like a the career of a baseball player.

    • jjyank

      This. People just like to complain. Doctors can’t and won’t perform every test in the world at your first appointment. They start with a standard test and if the diagnosis is still unclear, they go from there. It’s just common sense.

      Pineda had the first MRI come back clean, so it appeared to be nothing major. Now he’s had a set back, so they’ll do a more invasive test. I’m not sure how the haters wanted this to play out exactly. Seems like a pretty standard evolution of trying to diagnos a problem.

      • http://www.riveraveblues.com Mike Axisa

        The absolute best was three years ago with A-Rod’s hip. He was supposed to have a second surgery after the season, but the doctors determined it had healed fine and he didn’t need it. People were saying he should have it anyway just to be safe.

        • Havok9120

          Reminds me of the people after the last MRI was clean:

          “Just give him Tommy John anyway. He’ll probably need it at some point and it might as well be now since he’s shut down anyway.”

          • Robinson Tilapia

            Elbow. Shoulder. Ass. What’s the difference.

            • Havok9120

              I didn’t think there was one, but your sarcastic response has lead me to question myself on this matter.

    • Robinson Tilapia

      Bullshit. They should have done the type of MRI where you put your hand up his ass until you can feel his shoulder from the inside.

      Love,
      TheOneWhoKnocks

      • Havok9120

        As long as they don’t do it hastily. That would just be a waste of time.

        • gc

          I hate it when they’re hasty.

  • Foghorn Leghorn

    this is just another case for allowing HGH…let the big man pitch!

    • jjyank

      “I think pro-athletes should be forced to use steroids. I think we as fans deserve the greatest athletes science can create! Lets go! Anything that will make you run faster, jump higher! I have High-Definition TV! I want my athletes like my video games! Lets go! I could care less if you die at 40. You hate life after sports anyways. I’m doing you a favor.”

      -Daniel Tosh

    • Havok9120

      Sooner or later the League is going to need to at least pretend to look into using it for medical reasons under league supervision.

      • split-finger

        All you have to do is tell Bud Selig it’s good for baseball.

  • Brian S.

    This is just an attempt to accrue more sevice time to cheat the Yankees out of getting another year of arbitration before free agency.

    /conspiracy

  • A.D.

    Pineda suffered a setback in an Extended Spring Training game this weekend when he felt some weakness in his shoulder.

    Was it weakness or did feel pain? The reports seem to be varied on this one

    • Havok9120

      Yeah, I’ve heard it described as both “weakness” and “the same thing he felt before.” In fact, I think I’ve heard Girardi describe it both ways.

      In other words, I have no idea.

  • Legend77

    Who cares! We all knew when we traded away the best position player we developed since Cano that this fat, out of shape puerto rican (or is he Dominican) toad was going to be the latino Hideki Irabu. This ia going to be the firing of Cashman! I have agreed with most of the Yankees moves (except Soriano) in the past two or thre years but this was the dumbest thing we have done since hiring Dave Eiland as pitching coach!

    • jjyank

      /sarcasm?

      • GardnergoesYardner

        I have a bad feeling that it’s not.

        • Bo Knows

          then that makes this guy a trolling dumbass

  • bpdelia

    I have to believe that was sarcasm guys. The “or is it Dominican” gave it away. But that was nice if not.

    Anyway mris suck. Anyone who has had the sye knows it really sucks. Its toxic and it made my knee swell up all weird and lose flexibility for almost two weeks. Im.going to cap this for ail of the crazies;

    DESPITE WHAT MANY AMERICANS THINK MORE MEDICINE OR MEDICAL PROCEDURES DOES NOT PRODUCE BETTER OUTCOMES. IN FACT THE EXACT OPPOSITE IS TRUE.

    that is all.

  • bpdelia

    Actually one more thing. As many of the complainers say “the Yankees have access to the best doctors in the world blah blah blahbityy blah”.

    Exactly they do. And those drs, believe it or not know more about medicine and mris than you and they didnt recomend the dye so……
    Shut up.

    THAT is all.

  • adeel

    You can start with a noncontrast mri of the shoulder to look at the rotator cuff and some of the ligaments.

    You need an arthrogram MRI (which is contrast injected into your shoulder) to look at finer anatomy within the shoulder, to better delineate the alphabet soup of ligament tears such as “hagel”, “alpsa”, “SLAP” and such).

    Intravenous injection of contrast is rarely done for the shoulder imaging and is only really for infection/tumor.

    So he is most likely going to have an arthrogram. Whatever they find will probably need steroids anyway, as rest and antinflammatory is all you can really do, so it doesn’t matter much either way.

    I doubt it would be something surgical, because something that bad would have shown up on the noncontrast mri would show up (ie, Fluid from a tear, would fill up the joint and you wouldn’t need the contrast to begin with).

    Mr arthrograms are very safe procedure, the biggest “risk” is the theoretical one of doing some damage while you are in the joint with a needle, but has yet to be really seen clinically. Soreness is the most common side effect.