Nationals Rizzo Baseball

Why the Strasburg-Rizzo-Dr. Yocum controversy matters


UPDATE: The he-said, he-said is over. Yocum has reversed himself. Call off the dogs.

5: 54 PM: As of now we have a he-said, he-said when it comes to Dr. Lewis Yocum and the Washington Nationals. Mike Rizzo and Scott Boras say that they consulted the man who performed Stephen Strasburg’s Tommy John surgery before arriving at the shutdown. Yocum says they didn’t, and that he hasn’t spoken to the Nationals since Strasburg’s surgery two years ago.

Who is telling the truth? I dunno. It’s quite possible that Yocum, who doesn’t have the same vested interest here, is forgetting random conversations or wasn’t clear about what Bill Shaikin of the Los Angeles Times was asking him.  It’s also possible that the man who once compared Oliver Perez to Sandy Koufax is … not being completely accurate.  Only time will tell.

But I think it’s wrong to believe that this is all just a little media spat. I think there is a significance to this, because in large part Mike Rizzo and Scott Boras have used the credibility of Dr. Yocum — and medical studies Yocum says do not exist — to defend their decision to shut down Stephen Strasburg. If Rizzo and Boras are being less than honest here, it says something important about their candor with respect to this issue. And when one’s candor is in question, it calls into question their judgment as well.

The shutdown rationale cited by Mike Rizzo, Scott Boras, their media surrogates and many Nationals fans over the past few months clearly relies on Yocum and said medical studies. Look at this Thomas Boswell column from July 5. And when you do so, note that Boswell is widely considered to have very good sources in the Nats’ front office, and many assume he speaks directly to Rizzo on such matters:

Doctors and baseball’s best brains have studied the recovery of pitchers from Tommy John elbow surgery since 1974. That’s 38 years, folks. The data has been interrogated, tortured and water-boarded. Each decade, the total recovery rate has improved. It’s now 89 percent. Partly, it’s medical. But it’s also experiential. Baseball ultimately asks, “What works?”

And the methods that work best — not 100 percent, but very high — become best medical practice. That’s what the Nats are following.

Except Yocum — who performs Tommy John surgery for a living and is the Angels team doctor — says that there is no such consensus. He is aware of no studies, he told Bill Shaikin, which provide any statistical rationale which support the shutdown decision.

And it’s not just the data. Rizzo has relied, he says, on Yocum’s own advice and counsel.  In August, Boswell wrote another column on the matter. There, he talked about Mike Rizzo running into Stephen Strasburg’s father, who was questioning the shutdown decision.  Boswell gave voice to what Rizzo told Mr. Strasburg he was basing his decision on:

The answer takes a long time. It includes decades of statistics on rehabilitation from Tommy John surgery and how annual “innings load increases” have led to disastrous re-injury in the past.

It includes the view of the surgeon, Lewis Yocum, who’s performed all the operations on Nats pitchers in recent years. It is Yocum’s belief that pitchers who break down from premature returns from elbow surgery — sometimes ruining their shoulders, and their whole careers, rather then their new elbows — don’t usually do so during the first big stress year but rather the following season.

If Rizzo spoke to Yocum, Yocum’s comments today are inexplicable.  If Yocum is not lying, however, Rizzo never talked to him and thus could not truthfully tell Stephen Strasburg’s dad that Yocum thought this was a good idea.

Two days later the middle man was eliminated and Rizzo himself said he consulted with Yocum:

“We’re looking at the long term health of the franchise and for Stephen Strasburg,” said Rizzo. “We’ve got a plan, we’ve got a blueprint of how to do this. This isn’t Mike Rizzo’s plan, he didn’t go to Medical school but Dr. Lew Yocum did and Dr. James Andrews did. We’re taking their recommendations and putting them into place.”

Again, Yocum says he never talked to Rizzo. Is he, in light of Boras’ comments this afternoon, going to go back and think harder about whether he was consulted?  If so, what was incentive to say what he told Shaikin?

I have no idea how this is going to shake out. But no matter how it does, it is significant. Not with direct respect whether the shutdown is a good idea. Indeed, it may, ultimately, be a great idea no matter who talked to who. And if Strasburg never gets hurt again and has a fabulous career, give Mike Rizzo his kudos for his prudence.

But make no mistake: if Yocum is telling the truth, the shutdown was Mike Rizzo’s decision, not that of some overwhelming medical consensus, let alone the input of the operating physician. And, if Yocum is telling the truth, it means that Mike Rizzo has been misleading in defending his decision.

Maybe this isn’t significant to you. If I were a Nationals fan, however, I would consider it pretty significant.

Jacob deGrom outduels Clayton Kershaw, Mets take 1-0 NLDS lead

Jacob de Grom
AP Photo/Kathy Willens

Jacob deGrom put together one of the best post-season starts in Mets history, outdueling three-time Cy Young Award winner Clayton Kershaw to pitch his team into a 1-0 NLDS lead. The right-hander fanned 13 over seven shutout innings, holding the Dodgers to five hits and a walk as the Mets won 3-1.

deGrom’s game score of 79 is the fifth-best by a Mets starter in the playoffs, behind Jon Matlack, Mike Hampton, Bobby Jones, and Tom Seaver, according to Baseball Reference. As Katie Sharp notes on Twitter, deGrom is one of three pitchers to hold the opposition scoreless on 13 or more strikeouts and one or fewer walks. The other two are Tim Lincecum and Mike Scott.

In the eighth inning, reliever Tyler Clippard allowed a one-out double to Howie Kendrick followed by an RBI single to Adrian Gonzalez as the Dodgers finally got on the board. Closer Jeurys Familia entered and recorded the final out of the eighth inning by inducing a weak line out from Justin Turner. In the ninth, Familia worked a 1-2-3 frame to wrap up the game.

Kershaw remains winless in the post-season since Game 1 of the 2013 NLDS, a span of seven starts. He gave up a solo home run to Daniel Murphy in the fourth inning, then walked the bases loaded in the seventh inning before departing with two outs. Reliever Pedro Baez entered and allowed two of his inherited runners to score when David Wright lined a single to center field. On the evening, Kershaw was on the hook for three runs on four hits and four walks with 11 strikeouts. Though he lost his command a bit towards the end of his start, the lefty pitched quite well and will be on the receiving end of some unnecessary criticism as a result of taking another post-season loss.

deGrom and Kershaw both struck out 11 batters, the first time that has happened in a major league post-season game.

Michael Cuddyer didn’t look too good out in left field for the Mets.

Game 2 of the NLDS will continue on Saturday at 9:00 PM EDT. Noah Syndergaard will start for the Mets opposite Zack Greinke of the Dodgers.

Clayton Kershaw, Jacob deGrom create MLB first with 11 strikeouts each in the playoffs

Jacob deGrom
AP Photo/Alex Brandon

For the first time in major league history, both pitchers in a playoff game have struck out at least 11 batters, per’s Paul Casella. Mets starter Jacob deGrom has pitched just a hair better than Dodgers starter Clayton Kershaw overall. deGrom has blanked the Dodgers over six frames on five hits and a walk. Kershaw made one mistake, resulting in a solo home run to Daniel Murphy in the fourth inning. He’s allowed four hits and four walks total in 6 2/3 innings.

The last time opposing starters each struck out 10 in a post-season game was back in 1944 in Game 5 of the World Series when Mort Cooper of the St. Louis Cardinals struck out 12 and Denny Galehouse of the St. Louis Browns struck out 10.

Michael Cuddyer not shining in left field early in NLDS Game 1

Michael Cuddyer
AP Photo/Kathy Kmonicek

Mets outfielder Michael Cuddyer has already made a pair of mistakes in left field and he’s only four innings into the first game of the best-of-five NLDS against the Dodgers.

Leading off the second inning, Justin Turner sent a well-struck liner to Cuddyer which was quite catchable, but the ball clanked off of the veteran’s glove. Turner was credited with a double. Mets starter Jacob deGrom was able to work around the misplay, striking out Andre Ethier, A.J. Ellis, and Clayton Kershaw to close out the frame.

With two outs in the third inning, Corey Seager sent a fly ball down the left field line. Cuddyer took an inefficient route and the ball bounced about a foot inside the foul line, then into the stands, giving Seager a ground-rule double. To add insult to injury, Cuddyer ended up tumbling over the fence. deGrom, again, worked around Cuddyer’s mistake, striking out Adrian Gonzalez to end the inning.

Because he bats right-handed, Cuddyer got the start in left field over the left-handed-hitting rookie Michael Conforto against Kershaw, a southpaw. Conforto mustered only a .481 OPS against lefties this season compared to Cuddyer’s .698. Despite the batting disparity, one wonders how short a leash manager Terry Collins has on Cuddyer given his defense.