Unofficial Preview Changes vs Demons

[DERRINALPHIL]

I had a C6 fracture which didn't show up in an x-ray but did in the MRI. Sometimes it's not as simple as blaming the doctors if the tech paints the wrong picture.

I would have thought a MRI would be the logical scan. With ribs you cannot put your image detector (film in the old days, digital now) on one side of the rib and the X ray source on the other. This means its often difficult to spot a fracture.

I fractured a rib, playing for the Reds at Uni, and it took several radiographs to get the plate and X ray emitter in the spots that generated a film which showed the break.

I assume a cone beam would also be useful,

My point. poorly made i admit, is that a professional footballer should not have an undiagnosed broken rib and I would like to know what scans were NOT DONE.

 

[DERRINALPHIL]

Are we talking about the same incident?

Darcy got injured during the game, played it out, and then went to hospital.

How are our doctors scanning him during the game? No one has x-rays or MRIs on the bench ready to go.

I was under the impression he had a rib injury from the previous game and so it is excusable that one could be slightly suspicious that some thing was missed.

I would have thought a MRI would be the logical scan. With ribs you cannot put your image detector (film in the old days, digital now) on one side of the rib and the X ray source on the other. This means its often difficult to spot a fracture.

I fractured a rib, playing for the Reds at Uni, and it took several radiographs to get the plate and X ray emitter in the spots that generated a film which showed the break.

I assume a cone beam would also be useful,

My point. poorly made i admit, is that a professional footballer should not have an undiagnosed broken rib and I would like to know what scans were NOT DONE.

 

[Kevvo]

Personally would prefer to play a fully fit Demon’s side to see where we actually stand.

I get this perspective but this is probably the best of both worlds. A better shot of a win away to consolidate our ladder position then a crack at them (presumably) full strength at the Gabba running into finals.

 

[MacMum]

Did I read somewhere that Darcy had his lungs drained of fluid in hospital after the game?

Might be dumb here but how did he get fluid in a short while during a game or did he have the build-up of it pre game?

 

[rye]

i saw quite often against collingwood melbournes forward 50 entries were kicking in and relying on brown / fritsch / jackson to take a contested mark. darcy moore

30

Darcy Moore

Age

29

Ht

203cm

Wt

100kg

Pos.

Def

Career

Season

Last 5

D

11.1

3star

K

7.0

3star

HB

4.1

3star

M

4.8

5star

T

1.6

4star

MG

169.1

3star

D

13.9

3star

K

7.3

3star

HB

6.6

4star

M

4.9

5star

T

0.7

1star

MG

182.0

3star

D

6.8

2star

K

4.2

2star

HB

2.6

3star

M

2.6

3star

T

1.8

4star

MG

87.4

2star

and later into the game mason cox

18

Mason Cox

Age

34

Ht

211cm

Wt

110kg

Pos.

F/R

Career

Season

Last 5

D

8.7

2star

K

5.2

2star

HB

3.5

3star

M

4.0

4star

T

1.6

4star

G

1.2

4star

D

6.0

1star

K

3.0

1star

HB

3.0

2star

M

2.3

2star

T

0.3

1star

G

1.0

4star

D

9.0

3star

K

5.4

2star

HB

3.6

3star

M

2.6

3star

T

2.4

4star

G

1.8

5star

did a lot to nullify this - adams intercepting and strong contested marking is going to be super important against them and id probably look to bring in payne for dizzy to add another tall who can compete in the air

fritsch will be the hardest to handle - think starce has the best qualities to play on him out of our defenders

 

[Jeremiah001]

As it stands today, Melbourne are still the greatest threat to our Premiership aspirations so any advantage for us should be welcomed. I wont be writing off either team if they lose this game and Melbourne have recent form for getting through a mid season slump but the pressure on them resulting from another loss may come close to breaking them.

 

[Mighty Lions]

Personally would prefer to play a fully fit Demon’s side to see where we actually stand.

We stand on top of the ladder is where we stand & we can only play the side the AFL scheduled for us to play with their best 22 at the time.

 

[JasRulz63]

I would have thought a MRI would be the logical scan. With ribs you cannot put your image detector (film in the old days, digital now) on one side of the rib and the X ray source on the other. This means its often difficult to spot a fracture.

I fractured a rib, playing for the Reds at Uni, and it took several radiographs to get the plate and X ray emitter in the spots that generated a film which showed the break.

I assume a cone beam would also be useful,

My point. poorly made i admit, is that a professional footballer should not have an undiagnosed broken rib and I would like to know what scans were NOT DONE.

CT is the current imaging of choice for rib fractures, because like you suggested the cross sectional views is beneficial over plain film (which can miss up to ~50% of fractures). You can do oblique views on plain film to show the ribs more in profile (which is what it sounds like they did for you), but it's still pretty easy to miss a fracture. There is a bit of evidence that MR may be better for rib fractures but it's not the imaging of choice.

However, I think the sensitivity of CT is around 90% for rib fractures so you can still miss fractures despite CT, especially if it's undisplaced (sometimes you only see them in hindsight when it starts healing weeks later).

Our team doctors would know all this and we don't really know what happened, however we also know that imaging and medicine is fallible. I'm happy to give them the benefit of the doubt.

(I'm about half way into my radiologist speciality training program).

Did I read somewhere that Darcy had his lungs drained of fluid in hospital after the game?

Might be dumb here but how did he get fluid in a short while during a game or did he have the build-up of it pre game?

Fluid on the lungs can happen immediately post a rib fracture/s (potentially blood from the direct injury) or can be more delayed as an inflammatory response.

 

[Mighty Lions]

CT is the current imaging of choice for rib fractures, because like you suggested the cross sectional views is beneficial over plain film (which can miss up to ~50% of fractures). You can do oblique views on plain film to show the ribs more in profile (which is what it sounds like they did for you), but it's still pretty easy to miss a fracture. There is a bit of evidence that MR may be better for rib fractures but it's not the imaging of choice.

However, I think the sensitivity of CT is around 90% for rib fractures so you can still miss fractures despite CT, especially if it's undisplaced (sometimes you only see them in hindsight when it starts healing weeks later).

Our team doctors would know all this and we don't really know what happened, however we also know that imaging and medicine is fallible. I'm happy to give them the benefit of the doubt.

(I'm about half way into my radiologist speciality training program).



Fluid on the lungs can happen immediately post a rib fracture/s (potentially blood from the direct injury) or can be more delayed as an inflammatory response.

Could be wrong but I thought it was made public that Dizzy had broken ribs while playing Freo.

 

[JasRulz63]

Could be wrong but I thought it was made public that Dizzy had broken ribs while playing Freo.

Thought it was reported he was cleared of rib injury on scans after the Freo game.

 

[Gibbo_88]

I would have thought a MRI would be the logical scan. With ribs you cannot put your image detector (film in the old days, digital now) on one side of the rib and the X ray source on the other. This means its often difficult to spot a fracture.

I fractured a rib, playing for the Reds at Uni, and it took several radiographs to get the plate and X ray emitter in the spots that generated a film which showed the break.

I assume a cone beam would also be useful,

My point. poorly made i admit, is that a professional footballer should not have an undiagnosed broken rib and I would like to know what scans were NOT DONE.

lYou're making a big assumption that he had the exact fracture he has now from the Freo game. You've got to have clinical indications for a CT scan to the radiologist, you don't just CT someone because the chest XR doesn't have the fracture that you think is there.

 

[jjami15]

Personally would prefer to play a fully fit Demon’s side to see where we actually stand.

we still have final round against melbourne and barring any injuries to us or them thats probably where we see how we truly sit - closest thing to finals form we will see before the real deal

Top 2 will be critical this year. Rack up the wins anyway how.

 

[davemc_lions]

Top 2 will be critical this year. Rack up the wins anyway how.

yes two home finals at the Gabba be nice

 

[p4p1]

I don't agree that we are favourites to win the flag or even the minor premiership this year. I think as it stands Fremantle are in the box seat for that one. They have Fyfe returning from injury who will have half a season to get back into it. I thought in his first game back he looked just a bit rusty but was close to being in the right positions most of the time. Logue will continue to develop as a forward. They're midfield atm speaks for themselves and Darcy is one of the best ruckman in the comp now. They'are able to kill teams with foot speed. Having said that they may have peaked in the middle of the season and dropped off. Of the top 8 teams though they've probably had the toughest fixture so far and are equal on points with us. Melbourne dropping 3 in a row, Gawn out and potential problems in house they can't be the favourite at this stage of the season. If they don't stop their mid season slump is could force them to go into an elimination final or worse out of the 8 all together.
We are sitting nicely now but still have our toughest challenges coming up.

 

[DERRINALPHIL]

CT is the current imaging of choice for rib fractures, because like you suggested the cross sectional views is beneficial over plain film (which can miss up to ~50% of fractures). You can do oblique views on plain film to show the ribs more in profile (which is what it sounds like they did for you), but it's still pretty easy to miss a fracture. There is a bit of evidence that MR may be better for rib fractures but it's not the imaging of choice.

However, I think the sensitivity of CT is around 90% for rib fractures so you can still miss fractures despite CT, especially if it's undisplaced (sometimes you only see them in hindsight when it starts healing weeks later).

Our team doctors would know all this and we don't really know what happened, however we also know that imaging and medicine is fallible. I'm happy to give them the benefit of the doubt.

(I'm about half way into my radiologist speciality training program).



Fluid on the lungs can happen immediately post a rib fracture/s (potentially blood from the direct injury) or can be more delayed as an inflammatory response.

One of my ancestors was a radiologist, Was born two centuries ago (1897), lived into his 90s and made me promise never to say' "We shall take an xray". I always say "We shall take a radiograph". Everyone at work think I am a stuck in the mud but two hundred old wisdom will do me.

When he got his final illness he had an ultra scan which motivated him to spend several weeks at the hospital observing the technology. He read up on the physics behind it and explained to me.

 

[JasRulz63]

One of my ancestors was a radiologist, Was born two centuries ago (1897), lived into his 90s and made me promise never to say' "We shall take an xray". I always say "We shall take a radiograph". Everyone at work think I am a stuck in the mud but two hundred old wisdom will do me.

We got the same spiel when we first started too, so that wisdom is still being spread!

 

[StevoJenkins]

no good he really does not have a good run of injuries

I would not be surprised if we did not offer him a contract a season's end, or if we offered him a contact significantly lower than we he got last time due to his continual time on the sidelines through injury.

I have been impressed with our medical people over the last few years but the Darcy Gardner injury concerns me. With the scanning technology we have now even a very small crack in a rib should be diagnosed reasonable easily. They may have missed it and now Darcy will miss many games when we are a real chance.
Cannot afford slipups like this

Dlanod already covered this one, but a video on the Lions Youtube outlines the process they went through. Doesn't match what you've got here.




Skip to 1:50 seconds.

 

[bungalow_bill]

As it stands today, Melbourne are still the greatest threat to our Premiership aspirations so any advantage for us should be welcomed. I wont be writing off either team if they lose this game and Melbourne have recent form for getting through a mid season slump but the pressure on them resulting from another loss may come close to breaking them.

From memory Essendon also had a lot of injury issues building up to the 2001 grand final.

 

[McIvor]

Personally would prefer to play a fully fit Demon’s side to see where we actually stand.

I hate to be negative, but I am still waiting for that massive away win that as a club we havent had in a long time. Sydney away was good but not like what Dockers have been doing on the road against the big teams like Dees and Cats away. I want that type of win and even without GAwn I would still clasify it as that, yet despite all of Dockers, Swans - both winning away against Dees - and Pies beating them - I just can't see us winning or them dropping 4 in a row and nor do I expect we'll win. I hope I am completely wrong b/c we desperately need that big win and away and at the MCG.

 

[LIONS08]

I hate to be negative, but I am still waiting for that massive away win that as a club we havent had in a long time. Sydney away was good but not like what Dockers have been doing on the road against the big teams like Dees and Cats away. I want that type of win and even without GAwn I would still clasify it as that, yet despite all of Dockers, Swans - both winning away against Dees - and Pies beating them - I just can't see us winning or them dropping 4 in a row and nor do I expect we'll win. I hope I am completely wrong b/c we desperately need that big win and away and at the MCG.

This season is unlike many we have seen recently. Freo are just in a bit of a purple patch. Only just scrapped past hawthorn and before beating Melbourne and us, they lost to the pies and home and then the Gold Coast. This season is incredibly open. 10-15% off your game and you will lose. I think that has been what’s been impressive about our year. Not playing our best footy and still notching up the wins!

 

[LIONS08]

Just caught up on the latest robvlogs… geez Robbo was stoked to be back in the team! By his own admissions he felt every bit of 33 in the Saints game and couldn’t judge the ball at all! Geez he has been great for us. I understand the end is near but it will be sad to see him go eventually. I don’t think he is currently best 22 but there is a roll for him there when required.

 

[lionshine]

Round 21 vs Pies

Australian Football - Match Details: 2014 R21 Collingwood vs Brisbane

australianfootball.com

Gardiner, McStay and Zorko.. Seems no Rich that day.
Freeman had that match we hoped would start his career and 4 goals and Sauce 3 goals

Rich missed the majority of 2014 with an ACL.

 

[briztoon]

This season is unlike many we have seen recently. Freo are just in a bit of a purple patch. Only just scrapped past hawthorn and before beating Melbourne and us, they lost to the pies and home and then the Gold Coast. This season is incredibly open. 10-15% off your game and you will lose. I think that has been what’s been impressive about our year. Not playing our best footy and still notching up the wins!

My only comment is that two of Freo’s losses came in the rain, where the opposition made it a slog fest.

 

[Gadzorks]

My only comment is that two of Freo’s losses came in the rain, where the opposition made it a slog fest.

I do wonder was what Lachie thinks about Freo. He stayed with us because he thought it was his best chance of winning a premiership.

If he was with Freo, they'd be unbeatable. In my opinion.

 

[3KZ is Football]

With Gawn out, going in with two rucks and really working them over makes sense.