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MagicHef
03-10-2010, 02:22 PM
Star Alabama MLB Rolando McClain stunned the pro scouting fraternity when he disclosed after he became ill during the Tide’s pro day today that he has had Crohn's Disease, an inflammatory intestinal condition, since his freshman year in high school. McClain reportedly treats the condition with medication and obviously has been able to play with it a very high level to date, however, its certain to be a major red flag for pro teams heading into the 2010 draft at which McClain had been rated as a top 10-15 prospect.

http://www.gbnreport.com/

Sorry if repost.

oubronco
03-10-2010, 02:23 PM
Damn thats gonna hurt his stock

Doggcow
03-10-2010, 02:24 PM
****. Now I'd rather have Spikes in the 2nd, depending on what this actually does.

supermanhr9
03-10-2010, 02:29 PM
Feel bad for the guy. He will lose millions because of a disease. I bet he still performs at a high level in the pros. I will root for him unless he goes to a rival team.

strafen
03-10-2010, 02:31 PM
Damn that sounds painful!

Doggcow
03-10-2010, 02:32 PM
What does Chron's actually do?

I like McClain alot, and if it doesn't affect him on the field, I could care less.

DomCasual
03-10-2010, 02:32 PM
I think that's what Janet Elway has, isn't it?

elsid13
03-10-2010, 02:34 PM
If I remember correctly, if the medicine doesn't work/fails they have to remove the small intestine and put in colonoscopy bag

SouthStndJunkie
03-10-2010, 02:35 PM
This may drop McClain into the middle/lower portion of the 1st round, but I highly doubt he falls out of the 1st.

DenverBroncosJM
03-10-2010, 02:35 PM
This is who I had hoped we got in the first. With this news I would assume you trade back if you can, get OL and then maybe Spikes in the second and you pick up a second second round pick with the trade back and get the best DT still on the board........

strafen
03-10-2010, 02:36 PM
If I remember correctly, if the medicine doesn't work/fails they have to remove the small intestine and put in colonoscopy bagMan, that's so messed up.
I worked with a lady who had a colonoscopy bag.

BigPlayShay
03-10-2010, 02:39 PM
David Garrard has it, and when treatment failed had a foot of intestines removed:

http://ibdcrohns.about.com/od/dailylife/p/guessgarrard.htm

strafen
03-10-2010, 02:41 PM
Cody, McClain work out


<CITE class=source>Associated Press
</CITE>
<!-- end mod-article-title --><!-- begin story body -->TUSCALOOSA, Ala. -- Terrence Cody keeps shrinking as the NFL draft approaches.
The two-time All-America nose guard weighed in at 348 pounds at Alabama's pro day on Wednesday, with representatives from all 32 NFL teams present.
That number has come down from 370 before the Senior Bowl and 354 at the NFL combine two weeks ago.
Cody thinks that weight loss and conditioning proves his commitment and discipline to NFL teams and makes him a viable candidate for the first round. He also did 22 repetitions at 225 pounds on the bench press.
Linebacker Rolando McClain was also among those working out. He didn't run the 40 at the combine citing a nagging hamstring problem. He was also hurting after the workout with a flare-up of an intestinal disease.Saw this on ESPN website

GoBroncos84
03-10-2010, 02:41 PM
Hmm, very interesting. I still like McClain, but I need to do some research on this disease.

epicSocialism4tw
03-10-2010, 02:42 PM
If I remember correctly, if the medicine doesn't work/fails they have to remove the small intestine and put in colonoscopy bag

Colostomy bag.

Chron's is a serious disorder and is painful enough to immobilize a person. Its bad stuff.

s0phr0syne
03-10-2010, 02:42 PM
What does Chron's actually do?

I like McClain alot, and if it doesn't affect him on the field, I could care less.


Inflammatory disease of the colon. Should be pharmacologically manageable, and hasn't affected his football yet. IMO, shouldn't change his stock. He's still a player if you thought he was before, and he's still overrated if you thought he was before.

Don't hate on the pre-existing conditions. :)

Garcia Bronco
03-10-2010, 02:42 PM
Pass then

SonOfLe-loLang
03-10-2010, 02:43 PM
David Garrard has it too

Garcia Bronco
03-10-2010, 02:43 PM
This may drop McClain into the middle/lower portion of the 1st round, but I highly doubt he falls out of the 1st.

Are you kidding? I wouldn't draft him at all in any round at this point.

Garcia Bronco
03-10-2010, 02:44 PM
What does Chron's actually do?

I like McClain alot, and if it doesn't affect him on the field, I could care less.

It will effect him on the field.

s0phr0syne
03-10-2010, 02:44 PM
Are you kidding? I wouldn't draft him at all in any round at this point.


good thing nobody counts on you to make medical evaluations then. :afro:

SouthStndJunkie
03-10-2010, 02:46 PM
Are you kidding? I wouldn't draft him at all in any round at this point.

The team docs will evaluate the situation....I bet he still goes in the 1st round.

SonOfLe-loLang
03-10-2010, 02:47 PM
Are you kidding? I wouldn't draft him at all in any round at this point.

Well it depends how bad your crohns is. If it doesnt bother him all the time, might not be the worst thing. if its really bad, he could be severly fatigued.

gtown
03-10-2010, 02:48 PM
Damn!! This guy would have been great behind that wall of beef we seem to building.

chadta
03-10-2010, 02:49 PM
ive had it for 5 or 6 years, and im really lucky, the medicationis working perfectly and most time i dont even know ive got it, ive only had 2 flare ups, and they arent kiddin when they say it can be painful, ive never given birth to a baby but id guess that this is pretty much what it feels like, hard to do anything when your intire mid sections is squeezing you from within, that and you cant get more then 5 feet from a toilet at any time cuz of well you know.

the nice thing about it is that the medication i get for it is also given to people with really severe arthritis, so i wont ever have to worry about arthritis as long as i keep getting my drugs.

the bad thing is the drugs are friggin expensive, i go every 8 weeks for a 3 hour infusion, if paid for it would cost me $5600.00 and a half day off work

Garcia Bronco
03-10-2010, 02:49 PM
Guys...seriously. These guys need to be in top physical shape to play this game and get paid like it. A disease like this, especially as he gets older, is a deal breaker. He'll probably struggle to keep weight on as he gets older and then what? Your team has wasted it's time and money. Some dumb team might take a flyer on him in the first, but they'll get exactly what the deserve.

s0phr0syne
03-10-2010, 02:52 PM
ive had it for 5 or 6 years, and im really lucky, the medicationis working perfectly and most time i dont even know ive got it, ive only had 2 flare ups, and they arent kiddin when they say it can be painful, ive never given birth to a baby but id guess that this is pretty much what it feels like, hard to do anything when your intire mid sections is squeezing you from within, that and you cant get more then 5 feet from a toilet at any time cuz of well you know.

the nice thing about it is that the medication i get for it is also given to people with really severe arthritis, so i wont ever have to worry about arthritis as long as i keep getting my drugs.

the bad thing is the drugs are friggin expensive, i go every 8 weeks for a 3 hour infusion, if paid for it would cost me $5600.00 and a half day off work

Reposting this so that it doesn't get lost in Garcia's uninformed splatter of posts.

GoBroncos84
03-10-2010, 02:54 PM
If he played big time college football in the SEC and was a first team all american, Butkus award winner, and the consensus no.1 inside linebacker in this draft with Chron's, then I have to think he will be able to play in the NFL with it.

Good to hear from someone with experience on the matter. Thank you for sharing that

meangene
03-10-2010, 02:55 PM
I was a huge supporter of McClain and had hoped we would take him at #11 but, to me, this disease is too unpredictable for that kind of an investment. What a shame!

Garcia Bronco
03-10-2010, 02:57 PM
Reposting this so that it doesn't get lost in Garcia's uninformed splatter of posts.

GFY. It would be a dumb investment to draft this guy and you know it.

Bronco Boy
03-10-2010, 02:58 PM
I can't wait until football is played by cyborgs and we don't have surprises like this.

Garcia Bronco
03-10-2010, 02:58 PM
I was a huge supporter of McClain and had hoped we would take him at #11 but, to me, this disease is too unpredictable for that kind of an investment. What a shame!

Exactly

_Oro_
03-10-2010, 03:16 PM
I can't wait until football is played by cyborgs and we don't have surprises like this.

Well you still have hackers/viruses and what not.

UberBroncoMan
03-10-2010, 03:23 PM
Poor dude... that's millions in his hard work and dedication down the drain.

Well... if he SOMEHOW manages to last to the 2nd round I'd be for it then.

Tyrant
03-10-2010, 03:26 PM
I'm sure he'll be ok -- Yippee Ki Yay...

http://images.usatoday.com/life/_photos/2006/08/03/willis.jpg

Oh wait...

Pony Boy
03-10-2010, 03:26 PM
What does Chron's actually do?
I like McClain alot, and if it doesn't affect him on the field, I could care less.

Paging Dr. Broncenstein ........this is right down his alley, he cuts on peoples innards all day....

gyldenlove
03-10-2010, 03:34 PM
Crohn's is a chronic condition that causes inflamation of the GI tract, leading to pain, rectal bleeding (the bad kind of bleeding) and digestive problems. It can be controlled to some extend with medication and in many sufferers it will be years between attacks.

I know a girl who suffers from this and she doesn't have any negative symptoms on a day to day basis.

The problem with this disease from a football point of view is that it leads to diahrea and reduces appetite when the disease is active so it can lead to weight loss and performance drops. It is not a disease that should keep Mcclain from playing, especially not with good monitoring (maybe he shouldn't be here since we missed Cutler's beetus).

I think this will reduce his value somewhat, I don't see him going in the top 20 right now unless he has lived with the disease all through his career, if he was only recently diagnosed that is a negative sign since nobody would know of his ability to perform with the disease.

snowspot66
03-10-2010, 03:36 PM
ive had it for 5 or 6 years, and im really lucky, the medicationis working perfectly and most time i dont even know ive got it, ive only had 2 flare ups, and they arent kiddin when they say it can be painful, ive never given birth to a baby but id guess that this is pretty much what it feels like, hard to do anything when your intire mid sections is squeezing you from within, that and you cant get more then 5 feet from a toilet at any time cuz of well you know.

the nice thing about it is that the medication i get for it is also given to people with really severe arthritis, so i wont ever have to worry about arthritis as long as i keep getting my drugs.

the bad thing is the drugs are friggin expensive, i go every 8 weeks for a 3 hour infusion, if paid for it would cost me $5600.00 and a half day off work

Yeah it sucks. I've got it too. Same medication and all.

But nobody should dismiss this guy because he has it. The disease is different in every single person that has it. From the symptoms to the foods you can or can't eat there are no two cases exactly alike. Some people have very manageable Crohn's. Some is very difficult to handle. Some people need to have the affected area removed through surgery. That's usually later on down the line and tends to send the disease into hiding for a good period of time.

snowspot66
03-10-2010, 03:38 PM
Guys...seriously. These guys need to be in top physical shape to play this game and get paid like it. A disease like this, especially as he gets older, is a deal breaker. He'll probably struggle to keep weight on as he gets older and then what? Your team has wasted it's time and money. Some dumb team might take a flyer on him in the first, but they'll get exactly what the deserve.

That's entirely dependent on what symptoms he experiences and where the disease is located along his digestive track. All things team doctors will get to check into. I actually gained weight after I was diagnosed.

Broncosfreak_56
03-10-2010, 03:40 PM
Crohn's is a chronic condition that causes inflamation of the GI tract, leading to pain, rectal bleeding (the bad kind of bleeding) and digestive problems. It can be controlled to some extend with medication and in many sufferers it will be years between attacks.

I know a girl who suffers from this and she doesn't have any negative symptoms on a day to day basis.

The problem with this disease from a football point of view is that it leads to diahrea and reduces appetite when the disease is active so it can lead to weight loss and performance drops. It is not a disease that should keep Mcclain from playing, especially not with good monitoring (maybe he shouldn't be here since we missed Cutler's beetus).

I think this will reduce his value somewhat, I don't see him going in the top 20 right now unless he has lived with the disease all through his career, if he was only recently diagnosed that is a negative sign since nobody would know of his ability to perform with the disease.
McClain has dealt with Crohn's since his freshman year in high school.

Baba Booey
03-10-2010, 03:46 PM
I don't think Chron's affects physical performance, just what you can/cannot eat.

Obviously it hasn't effected him up to this point, so...

Houshyamama
03-10-2010, 03:46 PM
What's the medical term for the disease of an inflamed vagina?

Because that didn't hurt Cutler's draft stock at all. Hopefully McClain will be alright.

snowspot66
03-10-2010, 03:50 PM
I don't think Chron's affects physical performance, just what you can/cannot eat.

Obviously it hasn't effected him up to this point, so...

He could have a flare up that could cost him some time but if it's well managed they can be few and far between. It hasn't stopped him so far so there's no reason to think that it won't continue that way.

I will grant that it hurts his draft stock but if you're like Garcia and don't want to draft him period then you are missing out on major talent for no good reason.

Tombstone RJ
03-10-2010, 03:57 PM
What's the medical term for the disease of an inflamed vagina?

Because that didn't hurt Cutler's draft stock at all. Hopefully McClain will be alright.

That's called "IVD" or Inflammed Vaginal Disorder. It's not uncommon among spoiled prima donna athletes who get paid millions of dollars to lose games. Jeff George also had this condition...

chaz
03-10-2010, 04:18 PM
Are you kidding? I wouldn't draft him at all in any round at this point.

Wow. Overreact much? It's not a new thing...he's been dealing with this throughout his football career and managed to play at an elite level. Why would that suddenly change? I wouldn't be surprised if he missed a practice once in a blue moon but come on...undrafted?

chaz
03-10-2010, 04:24 PM
Guys...seriously. These guys need to be in top physical shape to play this game and get paid like it. A disease like this, especially as he gets older, is a deal breaker. He'll probably struggle to keep weight on as he gets older and then what? Your team has wasted it's time and money. Some dumb team might take a flyer on him in the first, but they'll get exactly what the deserve.

What do you know about it?! If you don't suffer from it, or have a medical degree, I'd love to know how you're so damn certain this will ruin his career. Why didn't it ruin his collegiate career? Why did the posters who have the disease disagree with you?

snowspot66
03-10-2010, 04:29 PM
Wow. Overreact much? It's not a new thing...he's been dealing with this throughout his football career and managed to play at an elite level. Why would that suddenly change? I wouldn't be surprised if he missed a practice once in a blue moon but come on...undrafted?

If he makes it to our third we'd be complete morons for letting him go further. It would be hard enough to pass him up at our second. Hell, he may still be a good pick at 11. It depends on what the doctors say after they review his history.

titan
03-10-2010, 04:30 PM
Former nfl scout daniel jeremiah has this to say about McClain on his twitter page:

"There have been some stud LB's lately: Willis, Beason, 3 SC LB's last year and Curry... I don't think McClain is in that class."

"To reset my issues with McClain--too many loaf plays, not explosive striker, doesn't play to his size, limited range..he is big/instinctive"

www.twitter.com/movethesticks

Even without considering the Chron's issue I say pass. Don't want another Terry Pierce.

snowspot66
03-10-2010, 04:31 PM
Former nfl scout daniel jeremiah has this to say about McClain on his twitter page:

"There have been some stud LB's lately: Willis, Beason, 3 SC LB's last year and Curry... I don't think McClain is in that class."

"To reset my issues with McClain--too many loaf plays, not explosive striker, doesn't play to his size, limited range..he is big/instinctive"

www.twitter.com/movethesticks

Even without considering the Chron's issue I say pass. Don't want another Terry Pierce.

Now that's a legitimate reason to let him drop.

Baba Booey
03-10-2010, 04:56 PM
He could have a flare up that could cost him some time but if it's well managed they can be few and far between. It hasn't stopped him so far so there's no reason to think that it won't continue that way.

I will grant that it hurts his draft stock but if you're like Garcia and don't want to draft him period then you are missing out on major talent for no good reason.

Agreed in full.

Mediator12
03-10-2010, 05:06 PM
Former nfl scout daniel jeremiah has this to say about McClain on his twitter page:

"There have been some stud LB's lately: Willis, Beason, 3 SC LB's last year and Curry... I don't think McClain is in that class."

"To reset my issues with McClain--too many loaf plays, not explosive striker, doesn't play to his size, limited range..he is big/instinctive"

www.twitter.com/movethesticks

Even without considering the Chron's issue I say pass. Don't want another Terry Pierce.

I think he is just about right on his assessment of McClain. He is not one of the top LB's to come out the last few years. In fact, I liked Rey much more on tape than I do McClain. Rey went top of the second round in a much less talented draft.

The things that upset me the most is the super intelligent label and he has great instincts. It is just not there in the tape! The whole scheme runs through him, so it might appear to the untrained eye that he is all that. However, he just does not have the instincts and read ability I keep hearing being an offset to his average speed. That will cost him at the next level.

As for the Crohns disease, it all matters in the severity And prognosis. Everyone reacts differently to medical conditions. Pancreatic cancer is a death sentence very often, but not melanoma. He is going to have a lot more medical scrutiny on this. I just hope he told them during the medical evals in INDY.

Taco John
03-10-2010, 05:08 PM
I like McClain a lot, and would be cautiously happy if we get him... But I think I would rather go the Iupati route now.

Drek
03-10-2010, 05:50 PM
Sean Weatherspoon was going to get drafted before him anyhow, but this might push him from the late 1st/early 2nd into the late 2nd/early 3rd.

Tomeboy58801
03-10-2010, 05:53 PM
Now with this news I would not mind taking the kid out of Missouri, Witherspoon. His stock id rising and he would be a great ILB for us, I think it might be a little to high at 11 but he is projected in the 1st round and I think he is better than Spikes.

doof
03-10-2010, 05:54 PM
I think he is just about right on his assessment of McClain. He is not one of the top LB's to come out the last few years. In fact, I liked Rey much more on tape than I do McClain. Rey went top of the second round in a much less talented draft.

The things that upset me the most is the super intelligent label and he has great instincts. It is just not there in the tape! The whole scheme runs through him, so it might appear to the untrained eye that he is all that. However, he just does not have the instincts and read ability I keep hearing being an offset to his average speed. That will cost him at the next level.

As for the Crohns disease, it all matters in the severity And prognosis. Everyone reacts differently to medical conditions. Pancreatic cancer is a death sentence very often, but not melanoma. He is going to have a lot more medical scrutiny on this. I just hope he told them during the medical evals in INDY.

Hey Med, how do you feel about Spoon at #11? It's been reported that he had a good interview with Denver and although a bit undersized, I think he'd be a great fit for this D.

Garcia Bronco
03-10-2010, 06:43 PM
That's entirely dependent on what symptoms he experiences and where the disease is located along his digestive track. All things team doctors will get to check into. I actually gained weight after I was diagnosed.

Of course it depends on the specifics. But if I own or run a team, I pass. There is too much at stake.

spdirty
03-10-2010, 06:47 PM
learn from Jarvis Moss. Pass.

KipCorrington25
03-10-2010, 06:54 PM
If I remember correctly, if the medicine doesn't work/fails they have to remove the small intestine and put in colonoscopy bag

That's hot on a woman! :thumbsup:

Ratboy
03-10-2010, 06:55 PM
My brother has it.

That sucks for McClain.

snowspot66
03-10-2010, 06:56 PM
Of course it depends on the specifics. But if I own or run a team, I pass. There is too much at stake.

In the first few rounds maybe. But not in the 4-7. Maybe not even the third. If he's gotten this far it's a pretty minor issue really.

DBroncos4life
03-10-2010, 08:17 PM
Now with this news I would not mind taking the kid out of Missouri, Witherspoon. His stock id rising and he would be a great ILB for us, I think it might be a little to high at 11 but he is projected in the 1st round and I think he is better than Spikes.

Pass, he isn't a ILB in a 3-4 system. He is more suited for WLB in a 4-3. All of the sudden the 11th pick seems to be a hard pick to figure out. Mike Iupati is the guy I want but drafting a OG at 11 seems risky. Jason Pierre-Paul would be nice but I don't know what that would mean for Ayers.

Dr. Broncenstein
03-10-2010, 10:26 PM
Ugh... I've been trying to convince myself to stay out of this thread, but I can't.

Chron's disease is a one of the two main types of inflammatory bowel disease. The other is Ulcerative Colitis (UC). In either case, it involves the immune system "attacking" some portion of the gastrointestinal tract.

From my experience (which unfortunately is quite vast in this area), Chron's is by far the worst of the two. Classic UC is limited to the colon, whereas Chrons can affect any portion from the mouth to the anus.

UC is surgically "curable", although the surgery requires complete removal of the colon to achieve this... which then requires either a stoma (like a colostomy) but techically called an ileostomy... or another option is connecting the end of the small bowel essentially to the anus with a type of surgically created resivoir or pouch. In either case, the disease may be "cured" with surgery, but removing the colon comes with all kinds of other problems and can be a living hell in and of itself. Therefore if UC can be treated medically, that is ideal.

That said, Chron's is not "curable" by surgery. Surgery in Chron's disease is to treat complications of the disease -- such as bowel perforation, hemorrhage, or obstruction. Inflammation from Chron's disease usually has two patterns: obstructive and fistulizing. Obstructive meaning inflammation causes strictures or narrowing of the intestine... sometimes to the point of complete obstruction. Fistulizing means the inflammation erodes through the bowel wall and causes intra-abdominal leakage of stool -- which is a life-threating problem. This would be the typical reason for a stoma with chron's disease -- to divert the stool to a bag to keep the patient alive.

There are plenty of people who get along fine with inflammatory bowel disease, but let me tell you... there are people with problems related to inflammatory bowel disease that I wouldn't wish on my worst enemy. Keep in mind that the heavy-duty medications used to treat Chron's and UC are immunosupressants. Not only does that severely reduce the ability to fight infection, but they significantly impair wound healing. I have seen young and otherwise healthy productive members of society become permanently disabled or even die from complications of both inflammatory bowel and its medical therapy.

This is a big problem for a guy looking to go top 5-10. Yikes. This is the first I've heard about this, and my heart goes out to him.

OBF1
03-11-2010, 12:53 AM
Dan Williams,

Please pick up the white draft phone, it is the Broncos calling.

chrisp
03-11-2010, 04:50 AM
I have a friend who lives with Crohns and he is a fitness instructor - he's always been able to stay in top shape, with very few severe attacks. however, he's always said that he's lucky: there's no telling why or when the disease will choose to flare up so you can be fine for ages and ages and then suddenly crippled.

This doesn't affect his ability to play football per se, but he has to be looked at as a risk, which will mean that few teams will want to invest big dollars in him.

...and of course this is all irrespective of whether he can actually play or not. It will hurt his draft stock and his guaranteed money, but he should still get drafted, and if he's a true player he will play...

WolfpackGuy
03-11-2010, 05:06 AM
Permanantly switch to the old brown pants.

Noone will ever know.

At least noone watching on TV will know...

Dr. Broncenstein
03-11-2010, 05:16 AM
Keep in mind that the majority of people with Chron's end up requiring an operation at some point to manage complications of the disease. Not everyone... but the majority.

Too bad for McClain. He has top 5-10 talent. I seriously doubt any team in the top 10 will put that type of guaranteed money up against this. If his flare was bad enough to require disclosure at a pro-day workout, it must have been pretty damn bad.

barryr
03-11-2010, 05:19 AM
Trick disease. Hopefully he'll be able to play well in the NFL. I don't want the Broncos to draft him in the 1st round. If there in the 2nd though, you take him IMO.

Ramathorn
03-11-2010, 05:58 AM
Damn thats gonna hurt his stock

wrong. he wont lose any spots in the draft. This is common and treatable. Percy harvin suffers from sever migrains and he still got taken in the first. Look how that turned out. Still a top 15 pick for mcclain.

Dr. Broncenstein
03-11-2010, 06:18 AM
wrong. he wont lose any spots in the draft. This is common and treatable. Percy harvin suffers from sever migrains and he still got taken in the first. Look how that turned out. Still a top 15 pick for mcclain.

http://i924.photobucket.com/albums/ad87/Zhyd/DoubleFacepalmRickerPicard.jpg

Oh good lord.

Garcia Bronco
03-11-2010, 06:52 AM
http://i924.photobucket.com/albums/ad87/Zhyd/DoubleFacepalmRickerPicard.jpg

Oh good lord.

Holyshot....double face palm

Garcia Bronco
03-11-2010, 07:01 AM
What do you know about it?! If you don't suffer from it, or have a medical degree, I'd love to know how you're so damn certain this will ruin his career. Why didn't it ruin his collegiate career? Why did the posters who have the disease disagree with you?

One does not require a medical degree to read about or know about a disease. Give yourself and others more credit. If you look at the first poster you'll realize he said he is lucky. If you've read up on the disease you'll realize several things:

It's completely unpredictable
There is not cure other than surgery to remove the infected area
It can hender almost any part of the body

One does not need to know much more than this when we are talking about a multi-million dollar committment in the ultimate professional sport.

Beantown Bronco
03-11-2010, 07:14 AM
wrong. he wont lose any spots in the draft. This is common and treatable. Percy harvin suffers from sever migrains and he still got taken in the first. Look how that turned out. Still a top 15 pick for mcclain.

I think I'm gonna go over and have unprotected sex with that AIDS infested hooker around the corner. I mean, what could happen really? I had sex with Mrs. Bean when she kept telling me she had a migraine and nothing too bad came of that. People are such pansies nowadays.

Pony Boy
03-11-2010, 09:22 AM
wrong. he wont lose any spots in the draft. This is common and treatable. Percy harvin suffers from sever migrains and he still got taken in the first. Look how that turned out. Still a top 15 pick for mcclain.

Hummmm......is that Dr Ramathorn? I think Dr. Broncenstein has the medical degree hanging on the wall.................mabye you should read his post.

Doggcow
03-11-2010, 10:11 AM
Permanantly switch to the old brown pants.

Noone will ever know.

At least noone watching on TV will know...

It's called HD.

Ramathorn
03-11-2010, 11:08 AM
Hummmm......is that Dr Ramathorn? I think Dr. Broncenstein has the medical degree hanging on the wall.................mabye you should read his post.

maybe my sister in law and one of my best friends BOTH have crohns. So I think I know what im talking about.

Dr. Broncenstein
03-11-2010, 11:16 AM
maybe my sister in law and one of my best friends BOTH have crohns. So I think I know what im talking about.

You compared migraine cephalgia to Chron's disease. So no, you have absolutely no idea what you are talking about. But nice try.

Garcia Bronco
03-11-2010, 11:30 AM
I never fn compared the two to each other. i was stating that medical conditions do not always mean a drop in draft status, depending on the severity. Just because you have a medical degree does not mean you are smarter than everyone else on here, it just means that you are more in debt.

You'd be right provided all he had was a degree, but years of experience is what makes the difference. That's why losers who spend their whole life in school with no practical experience are worthless.

Beantown Bronco
03-11-2010, 11:34 AM
Huh. He deleted that one pretty quick. Not quick enough, though.

Pony Boy
03-11-2010, 11:37 AM
I never fn compared the two to each other. i was stating that medical conditions do not always mean a drop in draft status, depending on the severity. Just because you have a medical degree does not mean you are smarter than everyone else on here, it just means that you are more in debt.

When a man has a medical degree and is a surgeon yes it means he is smarter than anyone here when it comes to medical questions......we are not talking about McClain’s 40-yard speed......

kappys
03-11-2010, 11:47 AM
I'm rather impressed that he has managed such accomplishments so far in his life.

I would still consider drafting him but would want extensive reviews of his records. If he's had much in the way of significant flares, prior surgical therapy, or a recent diagnosis then do not draft. However there is a small population of folks with relatively mild diseases. Assuming he was diagnosed several years ago and has minimal disease activity might be worth it. Probably not at #11 though.

Dr. Broncenstein
03-11-2010, 11:49 AM
I never fn compared the two to each other. i was stating that medical conditions do not always mean a drop in draft status, depending on the severity. Just because you have a medical degree does not mean you are smarter than everyone else on here, it just means that you are more in debt.

Just so you can have some perspective on Chron's disease: If theoretically given the choice between a randomly assigned stage of colon cancer, or fistulizing Chron's disease -- I would take the colon cancer without hesitation. First of all, colon cancer by in large is treatable in all stages... curable in some... and fairly amendable to most minimally invasive surgical techniques. But mainly the reason behind the choice is that the fistulizing variant of Chron's disease is quite possibly the worst "benign" disease afflicting people of developed nations. Its that bad. I could think of some rivals, but I'm biased against entero-atmospheric fistulae.

Your assumptions about my educational debt are about as well informed as your medical takes. If it were your business, I'd tell you more about how my employer has taken care of that for me in exchange for a certain skill set. But it's not, so well leave it at that.

Garcia Bronco
03-11-2010, 11:51 AM
Just so you can have some perspective on Chron's disease: If theoretically given the choice between a randomly assigned stage of colon cancer, or fistulizing Chron's disease -- I would take the colon cancer without hesitation. First of all, colon cancer by in large is treatable in all stages... curable in some... and fairly amendable to most minimally invasive surgical techniques. But mainly the reason behind the choice is that the fistulizing variant of Chron's disease is quite possibly the worst "benign" disease afflicting people of developed nations. Its that bad. I could think of some rivals, but I'm biased against entero-atmospheric fistulae.

Your assumptions about my educational debt are about as well informed as your medical takes. If it were your business, I'd tell you more about how my employer has taken care of that for me in exchange for a certain skill set. But it's not, so well leave it at that.

I have heard people say that diary products are causing it for many. Is there any truth to that statement?

Dr. Broncenstein
03-11-2010, 11:57 AM
I have heard people say that diary products are causing it for many. Is there any truth to that statement?

There are multiple theories incuding genetics, environment, infection, etc. Nothing proven.

Tombstone RJ
03-11-2010, 12:01 PM
Bummer for McClain... he's managed to play with Chrons since high school and it appears he as it "reasonably" under control. This will drop his draft status but I don't think it should drop him way too far down. Is it a "reasonable" risk to draft the kid in the first round? That is what a team will have to decide.

I certainly think he's a high second round guy, I think that is a reasonable draft position for him based on how he's managed the disease so far.

broncocalijohn
03-11-2010, 12:03 PM
If I remember correctly, if the medicine doesn't work/fails they have to remove the small intestine and put in colonoscopy bag

Yes, my cousin's good friend had that happen. THey sew up your ass too. It could be serious for some. Supposedly, Chrone's is eating away at his small intestine (my cousin's friend) and has 5 years to live. Worse if you drink and dont eat correctly. Depending on where he is with the disease, it should effect his status. Good luck to him.

Dr. Broncenstein
03-11-2010, 12:11 PM
I'm rather impressed that he has managed such accomplishments so far in his life.

I would still consider drafting him but would want extensive reviews of his records. If he's had much in the way of significant flares, prior surgical therapy, or a recent diagnosis then do not draft. However there is a small population of folks with relatively mild diseases. Assuming he was diagnosed several years ago and has minimal disease activity might be worth it. Probably not at #11 though.

I'm thinking he hasn't had any surgical intervention previously, or this bomb would have dropped at the combine. It would have been apparent at the weigh-in if he's had a laparotomy or a stoma, just from the incisional scars. That would have instantly started the investigation. I think you could also assume that his disease has been managable to date, given the lack of surgical intervention.

But I'm with you on being impressed with his accompllishments to date. I wouldn't want to spend top 10 money on him, soley because of his potential timebomb in his abdomen. I still think he would be worth the gamble in the latter half of the first round. If nothing else, he is a tough sonofabiatch. Most people are lucky to be functional. This guy managed to be an All-American linebacker in the SEC.

kappys
03-11-2010, 12:20 PM
I'm thinking he hasn't had any surgical intervention previously, or this bomb would have dropped at the combine. It would have been apparent at the weigh-in if he's had a laparotomy or a stoma, just from the incisional scars. That would have instantly started the investigation. I think you could also assume that his disease has been managable to date, given the lack of surgical intervention.

But I'm with you on being impressed with his accompllishments to date. I wouldn't want to spend top 10 money on him, soley because of his potential timebomb in his abdomen. I still think he would be worth the gamble in the latter half of the first round. If nothing else, he is a tough sonofabiatch. Most people are lucky to be functional. This guy managed to be an All-American linebacker in the SEC.

Yeah it sounds like the TNF-alpha blockers haven't had the kind of impact on Crohn's that they have in the rheumatology business. The uber quick google/MD consult search reveals pretty similar rates of progression to surgical complications in the pre/post remicaid era tough remission rates and duration of remission are improved.

Dr. Broncenstein
03-11-2010, 12:31 PM
Yeah it sounds like the TNF-alpha blockers haven't had the kind of impact on Crohn's that they have in the rheumatology business. The uber quick google/MD consult search reveals pretty similar rates of progression to surgical complications in the pre/post remicaid era tough remission rates and duration of remission are improved.

I don't have any prospective data of my own, but most of my patients on remicade seem to do better than they did on salicylates, antimetabolites, and/or prednisone. Access to the medication can be a problem, especially with my patient population.

MplsBronco
03-11-2010, 01:23 PM
What do you know about it?! If you don't suffer from it, or have a medical degree, I'd love to know how you're so damn certain this will ruin his career. Why didn't it ruin his collegiate career? Why did the posters who have the disease disagree with you?

Don't ya know Garcia knows everything.

Garcia Bronco
03-11-2010, 01:50 PM
Don't ya know Garcia knows everything.

I knew you'd come around.

chadta
03-11-2010, 02:34 PM
most of my patients on remicade seem to do better than they did on salicylates, antimetabolites, and/or prednisone. Access to the medication can be a problem, especially with my patient population.

ahhhhhhhh remicade, it was like a light switch for me, after 12 days in the hospital, all kinds of blood work, cameras shoved everywhere, going down to 110 lbs, ( im 6 foot 4) and then i got the remicade, and i felt great, went home 2 days later, spent the next 6 months not being able to walk more then a 1/4 mile because of lack of muscle.

i also eat totally normal tho, people that i get the remicade with some cant eat any meat, others anything with fibre, others ruffage, and one poor girl cant eat hardly anything, i piss them off when i talk about eating popcorn, which apparently almost nobody can eat.

snowspot66
03-11-2010, 03:25 PM
Just so you can have some perspective on Chron's disease: If theoretically given the choice between a randomly assigned stage of colon cancer, or fistulizing Chron's disease -- I would take the colon cancer without hesitation. First of all, colon cancer by in large is treatable in all stages... curable in some... and fairly amendable to most minimally invasive surgical techniques. But mainly the reason behind the choice is that the fistulizing variant of Chron's disease is quite possibly the worst "benign" disease afflicting people of developed nations. Its that bad. I could think of some rivals, but I'm biased against entero-atmospheric fistulae.

Your assumptions about my educational debt are about as well informed as your medical takes. If it were your business, I'd tell you more about how my employer has taken care of that for me in exchange for a certain skill set. But it's not, so well leave it at that.

I've never heard that term and my form of Crohn's does fistulize. Is that a blanket term for fistula or a specific form? I tried to look it up but all I found were a few case studies I can't comprehend.

snowspot66
03-11-2010, 03:28 PM
ahhhhhhhh remicade, it was like a light switch for me, after 12 days in the hospital, all kinds of blood work, cameras shoved everywhere, going down to 110 lbs, ( im 6 foot 4) and then i got the remicade, and i felt great, went home 2 days later, spent the next 6 months not being able to walk more then a 1/4 mile because of lack of muscle.

i also eat totally normal tho, people that i get the remicade with some cant eat any meat, others anything with fibre, others ruffage, and one poor girl cant eat hardly anything, i piss them off when i talk about eating popcorn, which apparently almost nobody can eat.

I'm pretty lucky in that too (knock on wood). They got mine under control with the prednisone and immuran and after a week I went home. Only later did the fistula start and that's why I'm on the the remicade. To this day the only food issue I've had (as far as I know) is Oreo cookies. Even then I can still eat them but I don't because it's easier that way.

kappys
03-11-2010, 11:08 PM
I've never heard that term and my form of Crohn's does fistulize. Is that a blanket term for fistula or a specific form? I tried to look it up but all I found were a few case studies I can't comprehend.

He's referring to a fistula from the gut to the skin(i.e open to the atmosphere). I have to agree with the good surgeon on this one, fistulizing Crohns' is among one of the worst possible diagnosis, particularly since it so often cuts down people in the prime of their lives.

To be honest I was quite surprised that the use of remicaid didn't seem to alter the rates of surgery in Crohns, despite the fact that more patients were in remission and remission duration was longer. Perhaps additional data will show an effect. Also I only read the abstracts so perhaps these cohorts weren't really large enough to show such differences.

sisterhellfyre
03-11-2010, 11:26 PM
Every now & again a thread comes along that reminds me of why I keep coming back to the 'Mane. It's a real pleasure to read good info from people who know what they're talking about. Thanks, kappys & Dr.B, and you guys who've shared your direct experience with it.

Old Dude
03-12-2010, 07:05 AM
Who is the next highest-ranked ILB on most boards? 'Cause with the release of Davis, it sure seems like Denver will be looking for one.

DBroncos4life
03-12-2010, 07:15 AM
Who is the next highest-ranked ILB on most boards? 'Cause with the release of Davis, it sure seems like Denver will be looking for one.

That depends. Sean Weatherspoon would be the next best LB but I don't think he would be a natural fit for a ILB in a 3-4 system. Others might and that's great. He by far and away the best OLB/WLB in the draft IMO. For ILB's I think the order would still go McClain, Spikes, and Jamar Chaney. Chaney and Pat Angerer are my two favorite LB's.

Dr. Broncenstein
03-13-2010, 05:46 PM
I've never heard that term and my form of Crohn's does fistulize. Is that a blanket term for fistula or a specific form? I tried to look it up but all I found were a few case studies I can't comprehend.

A fistula can mean several things. In this instance, I am talking about a connection from inside the bowel to somwhere the bowel contents don't normally go. Chron's typically has two generalized patterns -- a type that causes strictures (narrowing) of the bowel, and type that causes fistula formation. Mind you, this is a very general way of looking at Chron's. There is a spectrum, and nothing is black/white in medicine.

I digress.. a fistula in this setting means that bowel contents (stool) leaks from the diseased bowel and forms a "tunnel" or fistulous tract to somewhere else... typically to the skin. In essence, poop runs out a newly-formed hole through (typically) the abdominal wall. As gross as this may sound, this type of fistula is "controlled." This would be called an enterocutaneous fistula (from bowel to skin). However, stool leaking through a hole in the bowel and into the abdomen is a giant, life-threatening problem. This techically isn't a fistula, but the same process is responsible.

An enteroatomspheric fistua is the most challanging wound problem I have encountered. In this case, there is an open abdominal wall with exposed bowel. The exposed bowel is leaking -- thus from bowel straight to the exposed wound. This is incredibly difficult to control, and harder to heal. Usually this happenes when an emergency abdominal exploration for chron's complication is required, and the underlying edema or swelling is such that the abdomen can't be closed.

Another example of a bad GI fistual would be the colovesicle fistula -- direct connection between the colon (usually sigmoid or rectum) to the bladder. Most often this is due to diverticulitis, but I've seen it with cancer and radiation therapy for cancer.

How about a "good" fistula? I routinely connect the distal cephalic vein to the radial artery in the forearm for people with kidney failure... this is called a Cimino fistula. This causes the veins in the arm to become dialated and "arterialized" -- which allows for a nice long-term access for dialysis. This is a pretty common procedure today -- but aterial-venous fistulas -- and their usefullness -- were discovered by accident. AV fistulas can happen as a result of traumatic injury -- and long story short, someone found out that the arterialized vein is a great conduit for repeated needle punctures and blood draws.

Anyway... I could go on for days, and that wasn't my objective. Hope it makes sense.

snowspot66
03-13-2010, 07:05 PM
A lot of sense actually. And you could go on as long as you want. Information on the internet is usually very general. Mine is of the bowel to skin variety when they form. Goes right to my appendix scar. I just always assumed it was because it was the path of least resistance being an injury and all and at that point in time a relatively new one. Anyway, Remicade has been great for that. Had never heard a very good explanation on any of the other kinds. Always good to know more about it.

BroncoSexyDaddy
03-13-2010, 07:17 PM
good thing nobody counts on you to make medical evaluations then. :afro:If it affected him on his pro day,then it will affect him in the game.I pass on MCClain,I would rather have Weatherspoon or convert Brandan Graham.

Orange4Life
03-13-2010, 09:28 PM
I have Ulcerative Colitis or UC, its a fairly moderate case. Its not the same thing but the two diseases are pretty similar or so I hear. Point is, besides fulfilling a personal dream of mine I wouldn't want the Broncos drafting me. My energy level sucks. I get along fine with day to day stuff but any physical activity and I burn out pretty quick.

snowspot66
03-13-2010, 10:16 PM
If it affected him on his pro day,then it will affect him in the game.I pass on MCClain,I would rather have Weatherspoon or convert Brandan Graham.

It didn't. He just brought it up so there wouldn't be any surprise after draft day.

NFLBRONCO
03-13-2010, 10:35 PM
I said, pass on him too but, sounds like its not a big deal because he never missed a game. So he might not fall that much but, we'll see April 22nd for sure. I still predict he goes top 10.

kappys
03-14-2010, 04:23 PM
[QUOTE=Dr. Broncenstein;2776758]
An enteroatomspheric fistua is the most challanging wound problem I have encountered. In this case, there is an open abdominal wall with exposed bowel. The exposed bowel is leaking -- thus from bowel straight to the exposed wound. This is incredibly difficult to control, and harder to heal. Usually this happenes when an emergency abdominal exploration for chron's complication is required, and the underlying edema or swelling is such that the abdomen can't be closed.

QUOTE]

Interesting. If I am reading this right basically an open belly due to diffuse intestinal edema (essentially like the open bellies from blunt abdominal trauma) but in this case there is also fistulized bowel(basically a hole in the bowel for us simple folk) so essentially the internal intestinal tract is open?

Dr. Broncenstein
03-14-2010, 04:44 PM
[QUOTE=Dr. Broncenstein;2776758]
An enteroatomspheric fistua is the most challanging wound problem I have encountered. In this case, there is an open abdominal wall with exposed bowel. The exposed bowel is leaking -- thus from bowel straight to the exposed wound. This is incredibly difficult to control, and harder to heal. Usually this happenes when an emergency abdominal exploration for chron's complication is required, and the underlying edema or swelling is such that the abdomen can't be closed.

QUOTE]

Interesting. If I am reading this right basically an open belly due to diffuse intestinal edema (essentially like the open bellies from blunt abdominal trauma) but in this case there is also fistulized bowel(basically a hole in the bowel for us simple folk) so essentially the internal intestinal tract is open?

Exactly. Abdominal compartment syndrome leading to an open abdomen. Enteroatomospheric fistula would be stool leaking directly from the viscera into the open wound. Obviously you cant close the abdomen over a leaking visceral block... but you cant close the fistula without some type of vascularized tissue over hole. Most fistulas in Chrons are small bowel... very alkaline and cause alkaline burns to anything it has prolonged contact with. So controlling the stool and diverting it into a bag or some type of drainage system becomes a very difficult problem.

Resecting the fisutula tends to create more fistulas. The entire problem is a vicious cycle and a physiologic drain on the patient. It truly is the worst thing I have to deal with.

Ramathorn
04-26-2010, 08:38 AM
http://i924.photobucket.com/albums/ad87/Zhyd/DoubleFacepalmRickerPicard.jpg

Oh good lord.

WHAT WHAT WHAT?? I cant hear you haters out there. Where did he go? 8th overall, with chrons disease. WE woulda took him at 11 if he was there. THATS WHAT I THOUGHT:strong:

sixtimeseight
04-26-2010, 08:53 AM
um, no we wouldn't have. McD's plan the entire time was to get two late first round draft picks and pick tebow and thomas. Also, unless you're his brother or something, it's kind of embarrassing to be puffing out your chest and calling people "haters" because they didn't agree with your assessment of some guy that you'll never meet in your life, and who doesn't give two ****s about you.

fdf
04-26-2010, 09:38 AM
If I remember correctly, if the medicine doesn't work/fails they have to remove the small intestine and put in colonoscopy bag

It killed a friend of mine at about 55 years of age. Very nasty disease.

Garcia Bronco
04-26-2010, 09:48 AM
According to some report release by McClain he magically no longer has it.

The Joker
04-26-2010, 09:50 AM
Glad we didn't draft him or have the chance to.

You don't spend first round picks on 2-down ILB's, and that's exactly what he would have been here.

The Joker
04-26-2010, 09:53 AM
According to some report release by McClain he magically no longer has it.

Adam Schefter said yesterday that McClain went to Tebow for advice on dealing with it a few weeks prior to the draft, and when he left the room his Chron's had somehow vanished completely.

Captain 'Dre
04-26-2010, 10:37 AM
Damn thats gonna hurt his stock

Two words: Al Davis. Ha!

Captain 'Dre
04-26-2010, 10:40 AM
[QUOTE=kappys;2777555]

Resecting the fisutula tends to create more fistulas. The entire problem is a vicious cycle and a physiologic drain on the patient. It truly is the worst thing I have to deal with.

I was thinking "anastamose and resect"... but eventually I guess you just remove most of the intestines and go the colostomy bag route.

Ramathorn
04-27-2010, 07:33 AM
Adam Schefter said yesterday that McClain went to Tebow for advice on dealing with it a few weeks prior to the draft, and when he left the room his Chron's had somehow vanished completely.

that is truly amazing!

Hulamau
04-27-2010, 09:12 AM
According to some report release by McClain he magically no longer has it.

He admitted on video after the BCS championship game taht he was sick as a dog for a couple days leading up to the Texas game. Throwing up and weak as hell but he pulled himself together for a strong performance as he wasnt goignto miss the Championship game. The advantage of youth and a strong determination. But I doubt he is going to to be able to pull it togehe=ter for every game that happens before the game. and as he gets older and more stress from the pressures of the NFL, its a real risk.

Great player with a significant risk. But its a moot point since we never had a shot for him in any event.