Joe Janish does a good job in extending my own remarks. I agree with him that Putz probably should have been shut down when persistent pain surfaced in his elbow. I’m hesitant to comment in depth as I was not there to hear Putz’ own feedback of how he was feeling. There is no way of knowing what he was saying to the Mets staff as he was aware of his own contract situation.

Reagrding Putz further, a question should be asked at as to whether of not the Mariners were candid with the Mets about Putz’ health. That does not absolve the Mets, however, from doing their own physical exam like they did before signing Pedrom Martinez in 2004. Did they receive his medical records? If they recieved accurate ones, they should have been concerned as it would look much like Janish’s timeline. Putz was apparently hurting enough when he arrived in camp for it to be an issue during his spring training physical exam. Consideration via hindsight does not reflect well on the Mets. But the Mariners were indeed aware of Putz’ history and can be said to have knowingly traded damaged goods.

The rehabilitation for removal of foreign bodies from of the elbow is relatively short, and in hind sight a more prudent decision would have been for an arthroscopy when pain persisted. A noteworthy comparison is that a similarly injured Johan Santana is doing so well right now. I have no way of knowing why that decision was not made.

Dr. David Altcheck took over for Dr. James C. Parkes after the 1991 season. Altchek was a departure from the conservative Parkes in that he appeared to recommend surgery for players much quicker than would have Parkes. Whe Joe McIlvaine returned to the Mets as GM in 1993 he asked Altcheck why there appears to have been so many surguries. The Mets contracted their physician care out to a hospital that payed them a lot of money for a few years before they turned to Altcheck before the 2004 season.

In the cases of Carlos Beltran, Jose Reyes and Putz there seems to be a change in philosophy to opt for surgery. I doubt that that philosophy is driven by Altcheck. Last season the Mets also clearly displayed similar hesitancy in placing these same players on the disabled list. Observers are probably wondering outloud about how long Santana was hurting before it was decided to perform surgery on him.

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