Giants have to fix Madison Bumgarner before Game 5

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The Giants entered the postseason with Matt Cain and Madison Bumgarner in the rotation and no certainties after that. Following Bumgarner’s latest shaky outing against the Cardinals in Game 1 of the NLCS, they have to be wondering whether they can afford to pencil the lefty in for his expected Game 5 start.

Bumgarner was pounded for six runs in 3 2/3 innings by the Cardinals in Sunday’s defeat. He also gave up four runs in 4 1/3 innings in his Game 2 loss to the Reds in the NLDS. Dating back to the regular season, he’s allowed four runs in seven of his last nine starts. He’s turned in just one quality start during that span.

As of Aug. 20, Bumgarner was 14-7 with a 2.83 ERA for the season. Since that date, he’s struggled with his location and demonstrated less fastball velocity. He has a 37/19 K/BB ratio in 44 2/3 innings in his last nine starts. Before that, he had a 160/32 K/BB ratio in 171 2/3 innings.

Unless they can go the next three games without using Tim Lincecum, the Giants aren’t going to be in a position in which they can afford to replace Bumgarner. That seems like a long shot, since it’d likely involve Barry Zito going deep into Game 4. Most likely, they’ll take their chances again with Bumgarner in Game 5, but keep him on a very short leash in the process. They’ll almost certainly need more from him then if they’re going to reach the World Series for the second time in three years.

Andrew Miller left Monday’s game due to reaggravation of patella tendinitis

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Indians reliever Andrew Miller lasted only six pitches in Monday night’s appearance against the Red Sox. He walked Mookie Betts on six pitches before being relieved by Dan Otero. Per MLB.com’s Jordan Bastian, Miller reaggravated the patella tendinitis in his right knee.

Miller, 32, missed a couple of weeks earlier this month with patella tendinitis. He was activated last Friday and got two outs in a scoreless appearance against the Royals that night.

Bastian pointed out that Miller’s velocity has been lower than usual. He averaged 92.1 MPH on his fastball on Friday and 90.1 MPH on Monday, well below his normal average around 94 MPH.

The Indians should have more on Miller’s status after Monday’s game or on Tuesday. The lefty is carrying a 1.65 ERA with a 79/16 K/BB ratio in 54 2/3 innings on the season.

Joey Gallo and Matt Bush both experiencing concussion symptoms after colliding on Sunday

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Rangers third baseman Joey Gallo and reliever Matt Bush collided attempting to catch an infield pop-up during Sunday afternoon’s game against the White Sox. Bush was placed on the 10-day disabled list on Monday with an MCL sprain in his right knee. Both he and Gallo are experiencing concussion symptoms, Evan Grant of the Dallas Morning News reports, and Gallo also suffered a nasal fracture. Gallo has not yet been put on the disabled list.

Losing both players is a big loss for the Rangers, who entered Monday’s action just 2.5 games out of the second Wild Card slot.

Gallo, 23, has had a breakout season, batting .205/.329/.561 with 35 home runs, 65 RBI, and 68 runs scored in 410 plate appearances.

Bush, 31, has been solid out of the bullpen, putting up a 3.04 ERA with a 53/18 K/BB ratio in 47 1/3 innings.