gump
Footballguy
Get a clue and show appreciation for something you will never understand...world class athletics.BTW...He won a division title.
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Simms initially reported in critical condition (1 Viewer)
- Thread starter beerrun
- Start date
Doctor Detroit
Please remove your headgear
I'll never understand why people have so much anger toward athletes. I just hate teams and their fans. If Simms was a knucklehead like Clarett or the bling bling kind then maybe I can see how people don't like them. Just seems like a waste of energy to me if the guy doesn't meet your expectations or hurts your fantasy team.
Fla\/\/ed
Footballguy
I'll never understand why people have so much anger toward athletes. I just hate teams and their fans. If Simms was a knucklehead like Clarett or the bling bling kind then maybe I can see how people don't like them. Just seems like a waste of energy to me if the guy doesn't meet your expectations or hurts your fantasy team.
Urinal Mint
Footballguy
Well, new medicinal nicknames abound this season!
Ben R = The Big Appendix
Simms = Super Spleen
Ben R = The Big Appendix
Simms = Super Spleen
Army Eye
Footballguy
Other than uh.. the 2005 season? Remember that one?
my man otis
Footballguy
King just said recovery time is 2 to 3 months before he can begin to play football again.
my man otis
Footballguy
isn't this is contract year? sucks either way but this is like getting it both ways.
Slingblade
Footballguy
I think Gradkowski takes over. If he plays well enough, Simms may settle down into a career backup.
my man otis
Footballguy
Ah, too bad. I was a big Phil fan so I sort of pulled for Chris since he came into the league.Yeah, thankfully he'll be fine.
BrentBlack
Footballguy
Wow, amazing you'd say that after picking him up a couple of hours ago. Thanks for the insight.
Gargoylez
Footballguy
Ill chalk it up to "beer talk"Because no one can be that ignorant.
Slingblade
Footballguy
Way to much Simms man love in here.
Waaaay to much.
Waaaay to much.
G
General Tso
Guest
2 to 3 months?? I think not. Simms won't be back this year for the following reasons:
1. The Tampa Bay medical staff is already coming under fire for letting Simms go back in there in the 4th quarter. Based on what I have heard it seems pretty clear he was in distress MUCH earlier on. One of the players said he was laboring to call the plays in the huddle. We'll probably hear more tomorrow about how close to death Chris Simms was. Imagine - the guy's spleen is ruptured - he's bleeding to death internally - and he's still in the game at QB getting the stuffing knocked out of him. Not good. The Tampa Bay team trainer will not be sleeping well tonight, I can guarantee you that. You think for one minute they are going to put him back in a game in December if there is even an inkling of a risk? Trust me - I work in the insurance industry. He won't play gain this year.
2. The team is pretty much out of it at 0-3.
3. Simms wasn't all that good in his 3 games this year. He may have been replaced even if he wasn't injured.
1. The Tampa Bay medical staff is already coming under fire for letting Simms go back in there in the 4th quarter. Based on what I have heard it seems pretty clear he was in distress MUCH earlier on. One of the players said he was laboring to call the plays in the huddle. We'll probably hear more tomorrow about how close to death Chris Simms was. Imagine - the guy's spleen is ruptured - he's bleeding to death internally - and he's still in the game at QB getting the stuffing knocked out of him. Not good. The Tampa Bay team trainer will not be sleeping well tonight, I can guarantee you that. You think for one minute they are going to put him back in a game in December if there is even an inkling of a risk? Trust me - I work in the insurance industry. He won't play gain this year.
2. The team is pretty much out of it at 0-3.
3. Simms wasn't all that good in his 3 games this year. He may have been replaced even if he wasn't injured.
E-A-G-L-E-S
Footballguy
I work in surgery/trauma-Simms must have really smashed his spleen good. Almost all spleen lacs can be managed nonoperatively. We keep the patient on bedrest and check serial blood counts. As long as not significan drop in blood count and stable Vitals, the lac will heal itself,and they keep their spleen They stay on bedrest for a length of time based on the grade of the laceratio as seen on CT scan, followed by weeks of restricted activity based on the grade of the lac. In 3 years at my hospital which is lpediatric evel 1 trauma center, I can't think of 1 emergency spleenectomy done
my man otis
Footballguy
could it have been relatively minor but just gotten worse if he played through it and gotten hit a few times in the midsection?
Delusions Of Adequacy
Footballguy
Might not have needed splenectomy if it were you or me, but this is someone who's going to suffer repeated hits to his abdomen for the next several years. Medicolegally there's no way they leave his spleen in.
Gargoylez
Footballguy
Agreed on #3... EXCEPT if you think Simms was the Only Reason the offense failed... you are sadly mistaken, that offensive line is terrible. Simms was getting killed the past three weeks....Good luck Bruce.
the hairy scotsman
Footballguy
These same signs and symptoms of shock which accompany blood loss are also typical symptoms of overheating and dehydration, and could be distractors to the Tampa medical staff, as they are ever vigilant for signs of heat exhaustion and heat stroke.Jene Bramel said:
the hairy scotsman
Footballguy
What Bevo said.
E-A-G-L-E-S
Footballguy
I was just talking about the protocols used for spleen injury. They are reporting he needed a transfusion so he must have had significant bleeding and had a high grade of laceration which warrented spleenectomy
Ministry of Pain
Footballguy
I was hesitent to post in this thread but I gotta say what's on my mind.
1. I hope father Phil is on his way down there and gets his son away from Gruden and the Bucs right now...I would tell them to stay away.
2. I blame the Bucs for part of this. They rode Simms into a stage of panic to the point he probably needed to get out of the game this week but he is so scared of Gruden and everyone else that he pushes himself beyond what anyone is capable.
Being a Bucsfan I want to try and be objective but it's gonna be hard. Simms is reported out for 2-3 months minimum so he's gone for the season. No matter if Rattay or the rookie start, the Bucs season is really over at this point...but it's disappointing to see Simms go out like this.
1. I hope father Phil is on his way down there and gets his son away from Gruden and the Bucs right now...I would tell them to stay away.
2. I blame the Bucs for part of this. They rode Simms into a stage of panic to the point he probably needed to get out of the game this week but he is so scared of Gruden and everyone else that he pushes himself beyond what anyone is capable.
Being a Bucsfan I want to try and be objective but it's gonna be hard. Simms is reported out for 2-3 months minimum so he's gone for the season. No matter if Rattay or the rookie start, the Bucs season is really over at this point...but it's disappointing to see Simms go out like this.
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G
General Tso
Guest
I was thinking the same thing. The guy literally almost killed himself to stay in that game. If I were Phil I'd tell em all to go pound sand.
Billy1x
Footballguy
Billy1x
Footballguy
Update from article:A splenectomy such as the one Chris Simms (right) underwent involves a major incision, and the recovery time is at least six weeks, according to Dr. Michael Kaplan, ESPNEWS medical analyst.
I'm a trauma surgeon so I think I can clear a few things up. It sounds to me like Simms was unstable when he arrived in the hospital because his spleen was actively bleeding. This likelly caused his blood pressure to be low (his symptoms of dehydration were likely symptoms relating to acute blood loss). As one poster suggested, some times splenic injuries can be observed without surgery by admission to a critical care unit with monitoring of vital signs and following serial lab exams to check blood counts. However, if patients are unstable (meaning their blood pressure doesn't improve with transfusions or requires repeat transfusions to stabilize) a surgical exploration becomes necessary to stop the bleeding. There are some surgeons who employ techniques to repair the spleen, but most splenic injuries that require surgery are extensive enough to require a complete splenic removal. The grading of splenic injuries relates to the size and depth of the injury to the spleen but is not the indicator for surgery (the patients condition at the time dictates treatment) but generally speaking, larger lacerations are more likely to continue to bleed.
Once the spleen is removed, the bleeding usually stops (unless there are other associated injuries causing bleeding that need to be addressed) and patients generally become stable very quickly, thus possibly explaining the potentially different reports of his condition. He was very likely in critical condition on arrival and then his condition improved over the course of the evening.
The incision to explore a bleeding is significantly different from a lap appy incision. A emergency splenectomy incision runs from just below the breast bone to at least the level of the umbilicus and below than in most cases. This creates a longer healing process. Most patients require 3-5 day hospital recovery while they wait for their pain toease up to the point where he can switch from IV to oral pain meds and while we wait for a patients GI function to return. The short term overall complication risk is generally small in a healthy young man like Simms and is less than about 5%. The risk of a dangerous complication is generally much less than 1%.
The longest determinant of his recovery will be the healing of his incision. The body has to form a scar to heal the incision in the abdominal wall musculature. That scar reaches its maximal strentgh at 6 weeks. Until theat time he will need to avoid any strenuous activity including weight lifting and strenuous activity that increases the pressure on his abdominal pressure (he can resume aerobic type exercises i.e.-running, treadmill activity, stationary biking in about a week or so). He can begin resuming strenuous activities at about six weeks postop but it will of course take him more time to get ito playing shape. I think 2-3 months, barring setbacks is a good estimate.
His long term outlook and prospects for playing football in the future are excellent. After complete recovery, his ability to play football should not be compromised. Spleens are removed quite commonly after serious blunt trauma and patients do very well. For most patients, the liver takes over the function of the spleen. Even better, some patiens have very samall accesory spleens hidden in the fat of the abdomen that can grow once the big spleen is removed and take over its functions. Extremely rarely (less than 1 in 10,000 splenectomy patients) a complication called overwhelming post splenectomy sepsis (OPSS) can develop and this can be life threatening. Although rare in adults, the risk of OPSS is slightly higher in children so most pediatric surgeons will be more aggressive in trying to preserve the speen.
I hope this clears some things up. Most importantly I admire Simms' strength and my thoughts and prayers go out to him and his family.
Once the spleen is removed, the bleeding usually stops (unless there are other associated injuries causing bleeding that need to be addressed) and patients generally become stable very quickly, thus possibly explaining the potentially different reports of his condition. He was very likely in critical condition on arrival and then his condition improved over the course of the evening.
The incision to explore a bleeding is significantly different from a lap appy incision. A emergency splenectomy incision runs from just below the breast bone to at least the level of the umbilicus and below than in most cases. This creates a longer healing process. Most patients require 3-5 day hospital recovery while they wait for their pain toease up to the point where he can switch from IV to oral pain meds and while we wait for a patients GI function to return. The short term overall complication risk is generally small in a healthy young man like Simms and is less than about 5%. The risk of a dangerous complication is generally much less than 1%.
The longest determinant of his recovery will be the healing of his incision. The body has to form a scar to heal the incision in the abdominal wall musculature. That scar reaches its maximal strentgh at 6 weeks. Until theat time he will need to avoid any strenuous activity including weight lifting and strenuous activity that increases the pressure on his abdominal pressure (he can resume aerobic type exercises i.e.-running, treadmill activity, stationary biking in about a week or so). He can begin resuming strenuous activities at about six weeks postop but it will of course take him more time to get ito playing shape. I think 2-3 months, barring setbacks is a good estimate.
His long term outlook and prospects for playing football in the future are excellent. After complete recovery, his ability to play football should not be compromised. Spleens are removed quite commonly after serious blunt trauma and patients do very well. For most patients, the liver takes over the function of the spleen. Even better, some patiens have very samall accesory spleens hidden in the fat of the abdomen that can grow once the big spleen is removed and take over its functions. Extremely rarely (less than 1 in 10,000 splenectomy patients) a complication called overwhelming post splenectomy sepsis (OPSS) can develop and this can be life threatening. Although rare in adults, the risk of OPSS is slightly higher in children so most pediatric surgeons will be more aggressive in trying to preserve the speen.
I hope this clears some things up. Most importantly I admire Simms' strength and my thoughts and prayers go out to him and his family.
This sounds like it was some major league trauma. As a radiologist, I frequently see trauma CTs, usually from major motor vehicle accidents. The trauma grading is based on the depth of laceration or if it is "shattered" in pieces. It sounds like he was hemodynamically unstable based on the blood transfusion. It wouldn't make sense to just take out a spleen because he's a professional athlete. Most trauma surgeons now take a more conservative approach with spleen trauma if they can.
Ministry of Pain
Footballguy
mr. furley
Footballguy
Tom Jackson just made a good point on ESPN.
saying that he will physically heal in due time.. but another question is how long will it take him to mentally get over what happened? does he have the heart/will (whatever) to stand in there and take those shots again?
can he feel confident about recovering from being slammed to the ground ever again?
saying that he will physically heal in due time.. but another question is how long will it take him to mentally get over what happened? does he have the heart/will (whatever) to stand in there and take those shots again?
can he feel confident about recovering from being slammed to the ground ever again?
the hairy scotsman
Footballguy
Hey...beat ya to the bolded part, Doc!
But good job on all that other surgeonly stuff...I'm just a lowly EMT, so you had me on the rest.Interesting read, and very
.Hang tough, CS!
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Wingnut
Footballguy
Just got done watching highlights of the game....Simms got absolutely crushed out there today. Brutal.
The guy's tougher than I ever thought he was. Gusty performance!! Simms is a class act and a tough S.O.B. I have no doubt he will pull through okay.
Heres hoping he can come back and play football at some point.
The guy's tougher than I ever thought he was. Gusty performance!! Simms is a class act and a tough S.O.B. I have no doubt he will pull through okay.
Heres hoping he can come back and play football at some point.
brednbuddah
Footballguy
had my spleen taken out in April and it took me 2-3 months before being active again. I'm pretty active, but I can't say it includes a 6'3'' 270lb LB trying to take my head off. I think it'll be a little longer for that reason alone.Simms' surgery was an obvious emergency, as was mine, so I know he's got at least a foot and half incision and about 20 staples keeping it closed. Not to mention how many broken ribs he's got. The core of the body (trunk and pelvis) is what's going to take the longest to heal as the abdominal muscles will not only need to be 100%, but be able to travel through the transverse plane pain-free before he can take the field.pretty tough guy to be able to continue playing with a ruptured spleen (internally bleeding) and no doubt broken ribs. my hat is off to him.my man otis said:
Highway Robbery
Footballguy
Super post thanks!
Doctor Detroit
Please remove your headgear
Thanks for the insight.
