Jiri Kulich to miss significant time with blood clots

[PerreaultForever]

7 minutes ago, Wyldnwoody44 said:

I think you're mixing up Zucker and Kulich 

No, Zucker was sick but originally Ruff said Kulich had some sort of ear thing that made him dizzy. 

[Wyldnwoody44]

3 minutes ago, PerreaultForever said:

No, Zucker was sick but originally Ruff said Kulich had some sort of ear thing that made him dizzy. 

I can't keep them all straight lol 

Few theories then. 

One, the virus that caused his illness contributed to the formation of a clot, theoretically, any viral illness can be a precursor to one

Or, the clot is in a place that caused dizziness as a symptom and part of the reason they discovered it, maybe a CT of the chest was performed and viola. 

Orrrr, we just have Sh1t luck 

[PerreaultForever]

1 hour ago, Wyldnwoody44 said:

I can't keep them all straight lol 

Few theories then. 

One, the virus that caused his illness contributed to the formation of a clot, theoretically, any viral illness can be a precursor to one

Or, the clot is in a place that caused dizziness as a symptom and part of the reason they discovered it, maybe a CT of the chest was performed and viola. 

Orrrr, we just have Sh1t luck 

or they have really bad doctors. 

[steveoath]

If we didn’t have bad luck we’d have no luck at all. 

[PromoTheRobot]

8 hours ago, PerreaultForever said:

All the best to Kulich but I find myself wondering how this went from an ear thing to a blood clot. 

Because hockey coaches are not doctors. Don't take everything they say literally.

6 hours ago, PerreaultForever said:

or they have really bad doctors. 

[Doohickie]

20 hours ago, tom webster said:

What’s with the blood clots with NHL and NBA players all of a sudden? Kulich is at least the third NHL player this year and I know that “Wem” and a few lessor players were diagnosed in the NBA last year.

When Chris Bosh first had to retire due to them it seemed like an anomaly, now it seems rather common.

Possibly better diagnostics/imaging to detect them?

[Doohickie]

14 hours ago, kas23 said:

What is this meeting about? How long can an amazing QB can play without winning a Super Bowl?

I think he's down to Very Good.  Peak Josh occurred in 2024.

[Doohickie]

10 hours ago, Wyldnwoody44 said:

I digress, as that's not a convo I want to rehash

At this point I don't care what people did during that very trying and scary time.  There was a lot of information, misinformation and distrust going around.  Now that we're out the other side I don't fault anyone for the decisions they made.

[Wyldnwoody44]

51 minutes ago, Doohickie said:

Possibly better diagnostics/imaging to detect them?

See that's where I don't know what these guys go through.... Typically for extremity clots, there are symptoms, swelling, redness, pain, etc... Then we get Ultrasound dopplet studies and easy to find, for ones in the lungs and near other structures, then we are looking for a CT angio or MRA/MRV and those just aren't tests that we do full body scans on. For CT, injectable dye has to be timed correctly to catch clotting and MRIs take foreverrrrr. 

I'm guessing a basic hypercoaguable panel is run at some point on these guys to see if the bloodwork shows, but even those tests aren't standard practice. 

Sometime it's just bad luck 

[Doohickie]

1 minute ago, Wyldnwoody44 said:

See that's where I don't know what these guys go through.... Typically for extremity clots, there are symptoms, swelling, redness, pain, etc... Then we get Ultrasound dopplet studies and easy to find, for ones in the lungs and near other structures, then we are looking for a CT angio or MRA/MRV and those just aren't tests that we do full body scans on. For CT, injectable dye has to be timed correctly to catch clotting and MRIs take foreverrrrr. 

I'm guessing a basic hypercoaguable panel is run at some point on these guys to see if the bloodwork shows, but even those tests aren't standard practice. 

Sometime it's just bad luck 

I don't know all the medical stuff, but I know imaging tech is like any other electronics based tech... continually improved/refreshed.  I've heard that the software that helps detect anomalies has improved by leaps and bounds (mostly articles I've seen about cancer detection).  Also I would think that team doctors are more inclined to request blood tests and imaging than in the past simply because of the availability of these tools and knowing what severe bruising can do.  I would bet that 10 or more years ago, this testing was used primarily if a player is showing symptoms but now it's used more routinely.  If you look more, you're likely to find more.  Which is great news; you don't want an issue to fester and get worse if you can treat it early.  (Didn't clotting hasten... Mair's retirement?  Or was is Kaleta?  Or...?)

[Wyldnwoody44]

6 minutes ago, Doohickie said:

I don't know all the medical stuff, but I know imaging tech is like any other electronics based tech... continually improved/refreshed.  I've heard that the software that helps detect anomalies has improved by leaps and bounds (mostly articles I've seen about cancer detection).  Also I would think that team doctors are more inclined to request blood tests and imaging than in the past simply because of the availability of these tools and knowing what severe bruising can do.  I would bet that 10 or more years ago, this testing was used primarily if a player is showing symptoms but now it's used more routinely.  If you look more, you're likely to find more.  Which is great news; you don't want an issue to fester and get worse if you can treat it early.  (Didn't clotting hasten... Mair's retirement?  Or was is Kaleta?  Or...?)

Could be right, I would expect Billion dollar franchises to have access to things we don't... But then I also hear stories of basic things getting messed up too just like I would see at my hospital lol. 

I have never had the privilege of working behind the scenes in a sports setting... Except one time I was the suture doc at a boxing match near me... Legit my whole job was to suture cuts in between rounds, they had like 4 docs, each with their own specialty, kinda cool. But just shows what access is available. 

[Pimlach]

1 hour ago, Doohickie said:

At this point I don't care what people did during that very trying and scary time.  There was a lot of information, misinformation and distrust going around.  Now that we're out the other side I don't fault anyone for the decisions they made.

What kind of person are you?  You are suppose to blame, scorn, and attack all others that have opinions that differ from yours, all while promoting freedom, diversity, and human rights.  

[Doohickie]

1 hour ago, Pimlach said:

What kind of person are you?  You are suppose to blame, scorn, and attack all others that have opinions that differ from yours, all while promoting freedom, diversity, and human rights.  

Sorry, I'll try to be more rotten going forward.

[PerreaultForever]

6 hours ago, PromoTheRobot said:

Because hockey coaches are not doctors. Don't take everything they say literally.

I think they lie. 

[thewookie1]

5 hours ago, Doohickie said:

I don't know all the medical stuff, but I know imaging tech is like any other electronics based tech... continually improved/refreshed.  I've heard that the software that helps detect anomalies has improved by leaps and bounds (mostly articles I've seen about cancer detection).  Also I would think that team doctors are more inclined to request blood tests and imaging than in the past simply because of the availability of these tools and knowing what severe bruising can do.  I would bet that 10 or more years ago, this testing was used primarily if a player is showing symptoms but now it's used more routinely.  If you look more, you're likely to find more.  Which is great news; you don't want an issue to fester and get worse if you can treat it early.  (Didn't clotting hasten... Mair's retirement?  Or was is Kaleta?  Or...?)

I thought it was McCormick to be honest

[inkman]

20 hours ago, TRIP65 said:

I can't say it but look for your answer around 2021

Damar Hamlin, Kim Pegula.  hmmmmmm

 

20 hours ago, LGR4GM said:

"I can't say it"

 

20 hours ago, Wyldnwoody44 said:

The down vote eh? 

I mean, yeah, Covid (along with many other viruses) can increase the risk of PE's and clotting. 

But it's 2025 now, chances are less likely that has anything to do with it. We will never really know 

I have treated hundreds if not thousands of Blood Clots in my career. Maybe he has Factor V Leiden, or something else, but let's not jump to the easiest and laziest conclusion 

 

I did not see this turn.  I’m all for thinning out the herd as long as my kid isn’t one of the culled.  Too many morons breathing the air on this flying ball of dirt.  With the overgrown populations in third world countries, it’s only a matter of time before some awful version of a communicable disease is thrust upon us where we lose half the world’s population.  
 

And dont even get me started with the weather phenomenon’s we’ve bees seeing the last decade. Mama Earth is coming for us.  Probably soon rather than later. I’ve had a good run.  

[Brawndo]

Some random thoughts 
 

During my Emergency Medicine Rotations, I had an attending who liked to talk about rare conditions and one of them was Commotio cordis, where a sudden blow to the chest at the wrong moment can cause cardiac arrest.  My attending had seen a case of the month before when a teenage pitcher took a line drive in the chest causing cardiac arrest. 
 

There is another condition called prolonged QT syndrome where the electrical cycle of the heart takes longer to reset.
It can be completely asymptomatic.Females and certain ethnic groups such as Eastern Asians are more predisposed to this condition. It is hereditary, but one needs to know their family history.

 There are certain medications which can also cause a prolongation of the QT Interval. One of these classes of medications is macrolides which are antibiotics, azitromycin (  Z PAK). 
 

When someone with undiagnosed prolonged QT Syndrome takes a Z Pack there is the risk of Torsades de pointes a cardiac arrhythmia which can lead to cardiac arrest. 
 

 

[Wyldnwoody44]

16 minutes ago, Brawndo said:

Some random thoughts 
 

During my Emergency Medicine Rotations, I had an attending who liked to talk about rare conditions and one of them was Commotio cordis, where a sudden blow to the chest at the wrong moment can cause cardiac arrest.  My attending had seen a case of the month before when a teenage pitcher took a line drive in the chest causing cardiac arrest. 
 

There is another condition called prolonged QT syndrome where the electrical cycle of the heart takes longer to reset.
It can be completely asymptomatic.Females and certain ethnic groups such as Eastern Asians are more predisposed to this condition. It is hereditary, but one needs to know their family history.

 There are certain medications which can also cause a prolongation of the QT Interval. One of these classes of medications is macrolides which are antibiotics, azitromycin (  Z PAK). 
 

When someone with undiagnosed prolonged QT Syndrome takes a Z Pack there is the risk of Torsades de pointes a cardiac arrhythmia which can lead to cardiac arrest. 
 

 

It's shocking really how many side effects there are with many common meds. As an internist, you know more than most 

[clink]

12 hours ago, Brawndo said:

Some random thoughts 
 

During my Emergency Medicine Rotations, I had an attending who liked to talk about rare conditions and one of them was Commotio cordis, where a sudden blow to the chest at the wrong moment can cause cardiac arrest.  My attending had seen a case of the month before when a teenage pitcher took a line drive in the chest causing cardiac arrest. 
 

There is another condition called prolonged QT syndrome where the electrical cycle of the heart takes longer to reset.
It can be completely asymptomatic.Females and certain ethnic groups such as Eastern Asians are more predisposed to this condition. It is hereditary, but one needs to know their family history.

 There are certain medications which can also cause a prolongation of the QT Interval. One of these classes of medications is macrolides which are antibiotics, azitromycin (  Z PAK). 
 

When someone with undiagnosed prolonged QT Syndrome takes a Z Pack there is the risk of Torsades de pointes a cardiac arrhythmia which can lead to cardiac arrest. 
 

 

Isn't ZPAK a second-line antiB for Lyme disease (primary being doxy)? 

[clink]

12 hours ago, Wyldnwoody44 said:

It's shocking really how many side effects there are with many common meds. As an internist, you know more than most 

Between the semaglutides AND Suboxone, add-on "emergency" cases have gotten interesting 😃

[oddoublee]

Just read an article on the athletic....looks like due to no practice or workouts while on blood thinners...he is out 3-6 months. Crazy bad luck

On 11/10/2025 at 1:16 PM, tom webster said:

What’s with the blood clots with NHL and NBA players all of a sudden? Kulich is at least the third NHL player this year and I know that “Wem” and a few lessor players were diagnosed in the NBA last year.

When Chris Bosh first had to retire due to them it seemed like an anomaly, now it seems rather common.

Zach wheeler in baseball too