Kimmo on the Mend

[Howie58]

Greetings:

 

This morning's Inquirer reports that our warrior will be playing in the upcoming charitable golf tournament that Snider's foundation runs.  So, he is clearly improving.  I am no medico but that might mean a comeback. 

 

I guess the question is whether that's a good or bad thing. Obviously, I am happy for him on personal note. But professionally, I wonder about what it means for us to have someone "iffy" on the roster waiting in the wings.  I will probably take some flak for this--an 80% KT is better than most of our current roster. That said, when we have had the Forsberg types, it has been an element of uncertainty that hurts our development.

 

Thoughts?

 

Best,

 

Howie

[BobbyClarkeFan16]

It's all about the blood clots in the lungs. As long as the clots remain, he's not going to be cleared. I wouldn't hold your breath with regards to Kimmo being back in the lineup.

[JackStraw]

I would assume he's still on blood thinners. Pretty sure he can't play hockey while on blood thinners.

[murraycraven]

definitely on blood thinners for sure...  I would not imagine he is going to play this year.  I wish him nothing but the best and at his age he needs to think of himself and his family.  Kimmo was/is a warrior and has nothing to prove...

[fanaticV3.0]

Greetings:

 

This morning's Inquirer reports that our warrior will be playing in the upcoming charitable golf tournament that Snider's foundation runs.  So, he is clearly improving.  I am no medico but that might mean a comeback. 

 

I guess the question is whether that's a good or bad thing. Obviously, I am happy for him on personal note. But professionally, I wonder about what it means for us to have someone "iffy" on the roster waiting in the wings.  I will probably take some flak for this--an 80% KT is better than most of our current roster. That said, when we have had the Forsberg types, it has been an element of uncertainty that hurts our development.

 

Thoughts?

 

Best,

 

Howie

 

There's no doubt on my mind he's still on blood thinners and will be for a while and you can't do anything overly physical while on them.

 

I agree with you that he's probably still the best defensemen we've got, and as a fan I want him to play, but I would be SHOCKED if he played ever again.

[Howie58]

There's no doubt on my mind he's still on blood thinners and will be for a while and you can't do anything overly physical while on them.

 

I agree with you that he's probably still the best defensemen we've got, and as a fan I want him to play, but I would be SHOCKED if he played ever again.

I agree with your assessment. I have to wonder if subtle signals will be sent that he should hang up the skates and not try for a mid-season return.  Yes..apparently the blood thinners present potentially fatal side-effects in the context of cuts or concussions.  

 

Peace,

Howie

[DaGreatGazoo]

Just hope he doesn't break a club and cut his finger, since he's more than likely on thinners.    

[off_the_post]

When I had a DVT I was on "blood thinners" for 6 months. I believe that would the minimum length of time for this medication and my DVT was in my lower leg which is SIGNIFICANTLY less critical than a blood clot in the lungs.  I am not an MD but IF there is a comeback I would think that it would be sometime after the all-star break.

[murraycraven]

Just hope he doesn't break a club and cut his finger, since he's more than likely on thinners.    

 

 

LOL!!! I see what you did there

[Irishjim]

Just hope he doesn't break a club and cut his finger, since he's more than likely on thinners.    

REPORTED

[pilldoc]

@Howie58

@BobbyClarkeFan16

@murraycraven

 

IMO, he will not play again this year if ever. In the last edition (9th) of the Antithrombotic Therapy and Prevention of Thrombosis ACCP Guidelines, by Kearon et al. recommend patients with a second unprovoked VTE, recommend extended anticoagulant therapy over 3 months of therapy in those who have a low bleeding risk (1B). 1B means that the strength of the evidence based medicine strongly reccommends that extended anticoagulant therapy outweighs treatment over 3 months of therapy.  Some reccommendations have gone as far as to suggest that extended anticoagulant could include indefite treatment.  Since this is Kimmo's 2nd DVT/PE the guidelines become much more tighter.  Remember he had one back in 2008 during the playoffs.  That now places him the category as a recurrent DVT/PE.

 

http://www.aafp.org/afp/2011/0201/p293.html

 

ACCP Recommendations for Duration of Anticoagulation Therapy in Patients with VTE Indication Duration of therapy Recommendation grade*

First VTE provoked by transient risk factor (see Table 1)  3 months                             1A

First unprovoked (idiopathic), distal DVT                          At least 3 months†‡             1A

First unprovoked, proximal DVT                                        Long-term therapy§             1A

Second unprovoked VTE                                                  Long-term therapy§             1A

Unprovoked pulmonary embolism                                     At least 3 months†‡              1A

 

As much as we miss him, in my professional opinion, his career is effectively over. 

 

Full disclosure, I have no access to his medical chart so this is pure speculation based on what has been disclosed about his condition.

[Podein25]

@pilldoc

I thought this was actually KT's 3rd blood clot event?

[King Knut]

It's not a nagging thing. It doesn't seem to affect his play. It's really only about his safety.

He's probably feeling fairly decently rigt now. it's more a matter if playing could endanger his life to an extremely high degree.

Of course he's a flyer so if he plays in the gold tournament he's likely to hurt his hands somehow or break a knuckle or something.

Greetings:

This morning's Inquirer reports that our warrior will be playing in the upcoming charitable golf tournament that Snider's foundation runs. So, he is clearly improving. I am no medico but that might mean a comeback.

I guess the question is whether that's a good or bad thing. Obviously, I am happy for him on personal note. But professionally, I wonder about what it means for us to have someone "iffy" on the roster waiting in the wings. I will probably take some flak for this--an 80% KT is better than most of our current roster. That said, when we have had the Forsberg types, it has been an element of uncertainty that hurts our development.

Thoughts?

Best,

Howie

[King Knut]

That's what I would have thought too. This clearing seems strange.

@Howie58

@BobbyClarkeFan16

@murraycraven

IMO, he will not play again this year if ever. In the last edition (9th) of the Antithrombotic Therapy and Prevention of Thrombosis ACCP Guidelines, Kearon et al. [50] recommend patients

Patients with a second unprovoked VTE Recommend extended anticoagulant therapy over 3 months of therapy in those who have a low bleeding risk (1B) 1B means that the strength of the evidence based medicine strongly reccommends that extended anticoagulant therapy outweighs treatment over 3 months of therapy. Some reccommendations have gone as far as to suggest that extended anticoagulant could include indefite treatment. Since this is Kimmo's 2nd DVT/PE the guidelines become much tighter. Remember he had one back in 2008 during the playoffs. That now places him the category as a recurrent DVT/PD.

http://www.aafp.org/afp/2011/0201/p293.html

ACCP Recommendations for Duration of Anticoagulation Therapy in Patients with VTE Indication Duration of therapy Recommendation grade*

First VTE provoked by transient risk factor (see Table 1) 3 months 1A

First unprovoked (idiopathic), distal DVT At least 3 months†‡ 1A

First unprovoked, proximal DVT Long-term therapy§ 1A

Second unprovoked VTE Long-term therapy§ 1A

Unprovoked pulmonary embolism At least 3 months†‡ 1A

As much as we miss him, in my professional opinion, his career is effectively over.

Full disclosure, I have no access to his medical chart so this is pure speculation based on what has been disclosed about his condition.

[pilldoc]

@pilldoc

I thought this was actually KT's 3rd blood clot event?

Is it his 3rd clot event? Wow..if so...he is then at an even greater risk for this reoccurring.  I must of missed one somewhere.

[jammer2]

   F**k this crap, the last thing I wanna see is one of my heroes on the ice, dead. The risk to great, the reward to little....please Kimo, treasure your time with the family and call it a day!

[Howie58]

Greetings:

 

The medical issues seem really serious. Thanks for the input.  I think his playing days are over.

 

Peace,

Howie

[murraycraven]

Greetings Howie,

 

I would hope he does retire...   My father had cancer and ended up passing from a pulmonary embolism.   It is a rather serious condition and I thought I read somewhere that Kimmo's condition specifically is something that he will have to manage for the rest of his life.   I will try to find the article and post it...

[Howie58]

Greetings Howie,

 

I would hope he does retire...   My father had cancer and ended up passing from a pulmonary embolism.   It is a rather serious condition and I thought I read somewhere that Kimmo's condition specifically is something that he will have to manage for the rest of his life.   I will try to find the article and post it...

MC:

 

Good to hear from you even if it is "bad news."  I bet he is disgusted with ending his career this way.  I wonder if the Flyers "Family" will find a place for him as coach, mentor, whatever?

 

Howie

[pilldoc]

MC:

 

Good to hear from you even if it is "bad news."  I bet he is disgusted with ending his career this way.  I wonder if the Flyers "Family" will find a place for him as coach, mentor, whatever?

 

Howie

 

I'm sure he is totally upset.  Athletes wants to go out on their terms.  To have you career end due to a medical condition is something he gonna have to come at peace with himself.  I'm sure he would make an excellant coach, mentor or scout.  The right thing to do from an organization point of view, is to have a Kimmo appreciation night.  Give him a chance for the fans to applaud his years of service with this team.  It is the right thing to do.  Ed and company...make it happen!

[Howie58]

Agreed!

[Mad Dog]

@murraycraven said it the best.  Timo has nothing to prove - his record and his game did all the talking.  And I also hope the Flyers themselves are encouraging him to retire.

[jammer2]

  The name of Kimo will forever go down in Flyer folklore as being a warrior, someone who played with guts and intensity every single time his skates touched the ice. He played *so* VERY injured so many times, his threshold for pain was incredible. He always put the team before himself....now, sadly it's come full circle, the team can no longer take precedence. The problem, warriors like Kimo, they usually never know when to walk away, the will to compete and win is way to strong....it's a natural response to want to come back, shed blood and sweat with his teammates, for a long, long time, it's all he's known....I wish him God's speed as he tackles these feelings, and hope the family wins out over is desire to compete.

[pilldoc]

@jammer2

 

Well said my friend....well said.  As I mentioned before, this organization better have a Kimmo Appreciation night or I will be pi$$ed.

[jammer2]

@pilldoc  I can GUARANTEE you there will be a Kimo night. It will come within a half season of his official retirement. If there is one single thing you can count on the Flyers for...it's respecting effort. Someone who put the team before himself his entire career...a night for him is a given. Unless you are Gagne...lol.