Tag Archives: Tommy John Surgery

Perfect! Phillip Humber Joins Legends as He Pitches Perfect Game against Mariners

Phillip Humber doffs his Cap after his Perfect Game (Photo Steven Bissig US Presswire via USA Today)

Phillip Humber is not who you would have expected to be just the 21st pitcher in MLB history.  However, Humber who had the Tommy John Elbow surgery in 2005 and bounced between a number of teams became one of a select group of pitchers including such notables as Jim “Catfish” Hunter, David Cone, Sandy Koufax, Roy Halliday, Randy Johnson and Cy Young. Of course there are others including Dallas Braden who hails from my home town of Stockton California.

The perfect game is the most rare of baseball events. In over 390,000 games only 21 pitchers have pitched the perfect game which is about a perfect game every 18571 games or so, give or take a few since I am rounding the numbers here. As a comparison for hitters 286 players have hit for the cycle in a game.

It is rare enough that only one has been pitched in a World Series, that of Don Larsen who threw a perfect game in Game five of the 1956 World Series for the New York Yankees against the Brooklyn Dodgers.

Today Humber required just 97 pitches to dispose of the yet again hapless Seattle Mariners who cannot hit their way out of a wet paper bag. Humber struck out nine on the way to the win.  The final out was recorded when Brendan Ryan struck out on a checked swing which was ruled a strike but since the ball got away from Catcher A. J. Pierzynski the catcher had to retrieve it and make the throw out to first base to seal the win.

The South Texas born Humber seemed an unlikely candidate to pitch the first perfect game since 2010. He was a top prospect, the overall 3rd pick in the 2004 amateur draft, being picked by the Mets one pick after Detroit took Justin Verlander after playing college ball for Rice University. He had been struck in the face above his right eye with a line drive off the bat of Kosuke Fukodome on August 18th 2011. Before his career even really began he damaged his throwing elbow badly enough to have to have the Tommy John elbow ligament reconstruction surgery. He had been waived by teams twice and was pitching in only his 30th big league start. He had not thrown a MLB level shutout or for that matter a complete game.

The Kevin Costner film For the Love of the Game (1999) which is based on Michael Shaara’s The Perfect Game which was discovered after he died in 1988 and published in 1991is one of my favorite films and novels and I think captures how special this feat is for any pitcher. For the pitcher cannot allow a single base runner, not just giving up hits, but walks or runners that reach base due to defensive errors even those beyond control of the pitcher. A pitcher must pitch a complete game face 27 batters and get all of them out. It is a hard thing to do at any level and most difficult at the Major League level.

Humber was low key about his feat saying “This is awesome, I’m so thankful.’’ and “I don’t know that I dominated them, obviously the ball was hit at people. I’m thankful for that. It was a well-pitched game. Definitely something I’ll never forget.’’

Congratulations to Phil Humber and the White Sox. I hope for even more success for Humber who I consider a great example of sticking to something you love doing even when things are difficult.

Peace

Padre Steve+

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Raw Edges: Are there other Chaplains out there Like Me?

Before a Convoy

The past week or so I have had to go back and revisit my Iraq experience. Part of this is due to work, we have had seminars on the spiritual and moral affects of trauma, the challenge of forgiveness and most recently discussing best spiritual care practices for those who suffer from PTSD or Traumatic Brain Injury (TBI).  The training has been excellent but has kicked up a lot of stuff in me.  Added to this have been reports out of Afghanistan about more casualties in particular of a helicopter that crashed that killed 9 Americans, the Taliban claim credit for downing the aircraft but the circumstances are not fully known.

One of many helicopter flights, this a daylight flight in a Marine CH-46

The course last week on the spiritual and moral affect of trauma and the challenge of forgiveness brought up issues from Iraq but not upsetting.  In fact the seminar taught by Dr. Robert Grant author of The Way of the Wound was helpful to me in sorting out what I have been going through for the past couple of years.  The training this week is also good, good information but for me it is more unsettling because it deals with images, videos of convoys, burning vehicles and other things like that.  The convoy images coupled with the news of the helicopter crash actually had me pretty shaken as I spent a large amount of time in small convoys with small groups of Americans and Iraqis in pretty dangerous areas of Al Anbar Province stretching from Fallujah to the Syrian border as well as a couple of hundred hours in the air, usually at night in various Marine and Army helicopters as well as the MV-22 Osprey.  During those experiences we took fire a couple of times and had a few experiences on some of our flights that were a bit sporty.  So for a while I was lost in my own stuff but was able to pull out in not too long of time.

Convoy stopped near Al Qaim

Some of our discussions revolved around how trauma and war can impact a person’s image and relationship with God, whatever that may be.  The focus was on us as pastoral care givers caring for those in our charge.  Once again this really good information for me as I will be dealing with a lot of PTSD and TBI cases are Camp LeJeune.  But there was one thing that got me.  I came back from Iraq as most of my readers know in pretty bad shape dealing with PTSD and issues of abandonment feeling disconnected with the Navy and my church.  Part of that was what amounted to be a loss of faith so severe that I was for all practical purposes an agnostic for almost two years because I couldn’t make sense of anything to do with God, I felt God forsaken it was to use the image of St. John of the Cross, my Dark Night of the Soul.  I am doing better now and feel like my faith has returned to some degree, certainly not like it was before but while I have doubts I am okay with that part of the journey now.

Christmas Eve not far from Syria

I know a number of military Chaplains from the Navy and Army that have returned from Iraq or Afghanistan in some sort of faith crisis many suffering from PTSD or TBI.  I am actually wondering how many are out there.  I know that I am not alone, but I need to know if others are going through this experience too.  It was for me a desperate feeling to be the Chaplain, Priest, Pastor and spiritual care giver when I was struggling having no answers and only questions, when people asked me about God and I didn’t even know if God existed.  This is the unspoken cry of at least some and possibly quite a few Chaplains and other ministers who have experienced trauma and moral injury.  One thing my incoming CO at my old unit asked me was “where does the Chaplain go for help?”  At that point I said that I didn’t know.  The sad thing is that I know many chaplains and ministers that have a basic lack of trust in their fellow clergy and do not feel safe confiding in them because they feel that they will be judged, not listened to or blown off.

A different war with the Bedouin in the western desert of Iraq about 5 km from Syria.

When I was diagnosed with PTSD in the summer of 2008 I made it my goal to grow through this and hopefully as I go through this to be there for others. Part of my recovery came through sharing experiences, the good and the bad on this site.  Elmer the Shrink asked me back when I started this if I thought that it would be helpful to me in my recovery, but he also asked if I was okay in opening up about this topic.  Since I didn’t see many people writing about this from the perspective of being a “wounded healer” I told him that I thought that I had to do it.  The experience has been terribly painful but at the same time I think that it has been worth it because as a Priest and Chaplain I think now more than ever in my weakness I can be with people in their difficult times without trying to “fix” them.

Colonel David Abramowitz with me and RP2 Nelson Lebron after presenting me with the Defense Meritorious Service Medal and Nelson the Joint Service Commendation Medal for our service with our advisors and Iraqis in Al Anbar with the Iraq Assistance Group. After this we both dealt with abandonment and other issues on our return home.

So who is there for “damaged” Chaplains? Who takes care of us? I was lucky or maybe blessed. I had Dr Chris Rogan ask me if I was okay. I had Elmer the Shrink do a lot of the hard work with me. At Naval Medical Center Portsmouth I had a Command Chaplain that was wise enough to protect me while I went through the deepest and darkest valley of my life.   As I recovered he challenged much like a Baseball Manager would challenge a pitcher who had been very successful on other clubs coming off the disabled list to regain his self confidence and ability to get back on the mound with a winning attitude. Not every Chaplain gets what I got and I am blessed.  I still have work to do and I need to recognize my limits, much as a pitcher who has recovered from Tommy John surgery makes adjustments.

So this is my question:  Are there others other there like me?  Are there other Chaplains experiencing such feelings after Iraq or Afghanistan? I’d really like to know because I believe that in what might be termed “a fellowship of the forsaken” that we can rediscover faith, belief and hope again and in doing so be there for others.

If you want please let me know if this encourages you or feel free to comment. Prayer is still hard for me but I promise that if someone asks that I will pray and to the best of my ability be available for them as others were for me because I don’t want any Chaplain to experience the abandonment that I felt went I returned from Iraq having felt that it was the pinnacle of my military career. To those Chaplains I just want to say that you are not alone.

Peace

Padre Steve+

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Filed under faith, iraq,afghanistan, Military, Pastoral Care, philosophy, PTSD, Religion, Tour in Iraq, US Navy

Everybody has a Pitch Count…Good Managers Know When You’ve Reached It

Everybody has a pitch count, be they a baseball pitcher or a military, police or critical care health provider.  At some point one can push themselves so hard that they can injure themselves or if not that start making mental mistakes that cost games for a pitcher or lives to people in military, public safety or critical care medicine.  In baseball managers have to make sure that their pitchers don’t wear themselves down.  It is very easy for a pitcher, especially a hard thrower to wear out early from overuse causing injury.  At times hard throwers, or for that matter any pitcher can over pitch.  They can try to do too much.  At first this may not be noticeable, maybe they lose a little bit off of their fastball or their curve ball may not be as sharp.  The pitcher may shake it off and tell his coaches and trainers that nothing is wrong.  They do this for a couple of reasons.  First, they are competitors; they want to do the job that they have to do.  Second, they don’t want to admit that something is wrong with them be it a possible physical injury or maybe even a mental issue which is keeping them from getting good control of their pitches.  Of course the physical wear and tear on pitcher is brutal.  The physical punishment of throwing a baseball 80-100 mph on the arm, especially the elbow and shoulder is brutal.   The amount of torque applied to these joints is severe.  If a pitcher is using incorrect technique or has thrown too many pitches the effects can be devastating to his career.

While I am not a pitcher, when I played I was a utility infielder and catcher, I do think that everyone has something to learn about life and work from managers, pitchers and knowing when a pitcher is suffering from overuse injuries or has lost his physical or mental edge.  The manager has to know when the pitcher has reached his pitch count and when it is time to pull him even if the pitcher wants to stay in the game.  The same is true with anyone who serves in military, police or intensive medical professions such as EMS, Emergency Rooms and Intensive Care units. This became apparent to me over the past year and a quarter since I returned from Iraq.  I am now 49 years old. I stay in pretty good shape and physically can still outperform many younger people in such things as push-ups, sit-ups and running.  I pretty much know my physical limitations especially coming back from Iraq with some physical and emotional scars.  I work in ICUs and if my life as a chaplain was limited to simply doing that work on the floor I could do it forever.  I thrive in the environment and actually am more at ease on an ICU or in an ER than I am on general patient floors or doing administrative tasks.  However, those are also part of my life.  So I have to achieve a balance.  I am usually pretty good at knowing when it is time to tell my manager, in this case our director of pastoral care that I am not doing well.  Yet, sometimes even when I know I’m not doing well I won’t stop.  I will push myself to the point of physical and emotional collapse.  I hit this point last week following a month of family illness, end of life planning for my dad, a medical emergency with Judy and several very demanding weeks at work where I put in a huge amount of hours because the job had to get done.  I hate to leave something undone or have to leave something for someone else to do.  I don’t like to be taken out of a game.  My first Navy tour after 17 ½ years in the Army I was my Division Chaplain’s relief pitcher.  I ended up taking several battalions because their chaplains either got in trouble or were pulled for another assignment.  Likewise I was given the task of working with young guys who had run into some kind of trouble to see if they could be salvaged.

A good manager has to recognize when his pitcher is having problems before he gets in trouble.  Until the advent of relief pitchers that were primarily relief pitchers and not washed up former starters, they generally pitched deep into a game.  As such many racked up huge numbers of wins, strike outs and complete games.  In fact most of the top ten are guys that pitched when it was almost unheard of to bring in a reliever.  Thus there are men like Cy Young who won 511 games, Walter Johnson with 473 wins and Grover Cleveland Alexander and Christy Matthewson who won 373 each.  Young played 22 years and had a record of 511 wins and 316 losses.  He pitched 7356 innings. He played in 906 games, started 815 games and had 749 complete games.  No wonder the award for best pitcher is named after him.  Cardinals Hall of Fame pitcher Bob Gibson started 482 games and completed 255 of them. In 1969 he won 20 games, 13 of which were shut outs. Gibson once reportedly said:  “I used to get tired in the seventh inning too. And the manager would come to the mound and ask me if I wanted to come out. Then I would look over at the bullpen and see who was warming up. Then I would say, ‘No, I’m going to stay in.”

As baseball moved forward teams began to have more depth on their pitching staffs. Rotations were developed where pitchers pitched every 4th game, and frequently in our era every 5th game.  Additionally since the 1970s the specialist relief pitcher has become a key part of the game.  While there were relievers prior to that, the relief pitcher as a specialist did not really get off the ground until Rollie Fingers of the Oakland A’s won salary arbitration against A’s owner Charlie Finely. At that point pitchers who could come into a game on no notice in certain situations became more and more a trend.  Now it is standard for a team to have long, middle and short relief specialist as well as “Closers.”

In a sense while some people may not like it, it is not a bad thing for the game.  One only has to look at how many pitchers had abbreviated careers o of overuse injuries including Sandy Koufax and Dizzy Dean who are both in the Hall of Fame.  If you look you can find others. This was especially true before the advent of “Tommy John surgery” when pitchers with a torn rotator cuff faced the end of their careers. As such teams became much more aware of how many pitches a starting pitcher and even relievers should throw in a game.  The pitch count was developed.  For a healthy starting pitcher in the middle of a season this is usually around 100 pitches.  Relief pitcher counts will vary.  While pitch counts are not necessarily the Gospel, there is a point in every pitcher’s career where he hits his own pitch count limit, be it in a game or a career. As Whitey Ford said:  “Sooner or later the arm goes bad. It has to…Sooner or later you have to start pitching in pain.”

So you may be asking what does something arcane like the mechanics, kinetics and injuries have to do with life.  As you know the Deity Herself speaks to me through baseball.   This has application to those in high stress jobs where they are called on to put their lives on the line for others or deal with danger, death or tragedy in an environment where just one mistake can be fatal or where a word, gesture or throw away comment can harm someone else.  The managers, supervisors or commanders of people who do such work have to be cognizant of the effects of this on their people.

I am luck, the Deity Herself has surrounded me with a number of people who can look at me and tell me to sit down even when I want to continue to keep pushing.  Last Friday was one of those days.  It was the culminating point of a nearly a month of personal and professional stress, lack of sleep and the lingering effects of my PTSD and chronic pain which flare up when I have exceeded my personal pitch count.  My boss was away last week.  However we remained in communication.  I was scheduled for weekend duty, which for me I remain in house because I am not able for the most part to meet the response time for a emergency call.  When my boss came back he must have checked in with several folks who k now me to see how they thought I was doing.  Friday afternoon after I got home I got a call from the acting department head who told me to stay at home that my boss was going to pull my duty for me.  I really needed this.  However, I told him that I still could come in if needed and was told to stay home and take care of myself.

With a manager like that I will be able to keep playing my game longer.  I may have occasional rough outings but I will do fine.  The lesson is that everybody has their own personal “pitch count” even if they do not throw a baseball.  Like my favorite theologian Harry Callahan says: “A man’s got to know his limitations.”

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Filed under Baseball, ER's and Trauma, healthcare, Loose thoughts and musings, philosophy, PTSD