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Author Topic: Khalil Garland update!  (Read 26224 times)

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Razorod

Re: Khalil Garland update!
« Reply #150 on: June 30, 2018, 05:48:44 pm »

redneckfriend, thanks for the information! it is very helpful.

IF Garland can play, even if his minutes are closely monitored, that changes my outlook a bit for next season. I think he's a very good player.

Could be the difference between the wrong and right side of the bubble.
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niels_boar

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Re: Khalil Garland update!
« Reply #151 on: June 30, 2018, 06:25:04 pm »

redneckfriend, thanks for the information! it is very helpful.

IF Garland can play, even if his minutes are closely monitored, that changes my outlook a bit for next season. I think he's a very good player.

Could be the difference between the wrong and right side of the bubble.

Yeah, with Garland it would seem that a lot would have to go wrong for our backcourt/wing rotation to not work out, even if he just anchors the second unit.  Having the luxury to bring at least one of (and maybe two if Harris takes ownership of PG) Jones, Joe, Garland, and Embery off the bench should mean that our guards would come in waves.

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Razorod

Re: Khalil Garland update!
« Reply #152 on: June 30, 2018, 09:19:03 pm »

Yeah, with Garland it would seem that a lot would have to go wrong for our backcourt/wing rotation to not work out, even if he just anchors the second unit.  Having the luxury to bring at least one of (and maybe two if Harris takes ownership of PG) Jones, Joe, Garland, and Embery off the bench should mean that our guards would come in waves.
Which is something we haven't had in a while. Makes the system go.
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Superhog1959

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Re: Khalil Garland update!
« Reply #153 on: July 02, 2018, 01:36:38 pm »

These were two separate thoughts. Not the coagulopathy causing an enlarged spleen, though indeed, an enlarged spleen could be a cause of a bleeding disorder from platelet consumption or sequestration.

I was referring to splenomegaly independent of any coagulopathic cause (perhaps from portal hypertension secondary to cirrhosis from hemochromatosis [though he would be young] vs. Wilson's [would seem unlikely] vs. a hepatitis of some sort vs. another infectious etiology OR a primary splenic process such as splenic sequestration from Sickle Cell [demographically possible though would often resolve after the crisis] vs. extramedullary hematopoiesis from a hemolytic anemia or thalassemia vs. a chronic inflammatory or infectious process [SLE, RA, malaria, etc.] vs. a malignant process [e.g. lymphoma]).

The differential for hepatomegaly is similar and also could result in one being allowed to do anything except contact.

And an enlarged spleen for basically every one of those processes can definitely reduce in size when the cause for it's enlargement is resolved.

I concur 
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cram224

Re: Khalil Garland update!
« Reply #154 on: July 02, 2018, 02:10:33 pm »


I don't think that would be quite what was happening i.e. although splenic enlargement can be part of a bleeding disorder there isn't any way the spleen can be "reduced in size" by treatment. Now it can be removed if the sequestration and destruction of platelets is ongoing but that is a surgery and a one time thing.

If there is truth in what is being reported, and who knows about that- that he his allowed to exercise as hard as he wants but not have contact then I would agree that does not sound like he has a problem with his heart. The whole thing has been a little mysterious since in  general the kinds of cardiac diagnoses that one would expect in someone this age would probably mean his career was over and that doesn't seem to have been decided yet.

If he does have a bleeding disorder perhaps the most likely candidate would be ITP, an autoimmune disorder of platelets (a formed blood element necessary, along with clotting proteins, for blood to coagulate). ITP can occur in younger people and the reason is usually not clear and it can often resolve spontaneously. It can also be treated if refractory (sometimes by splenectomy). Usually first discovered by abnormal bleeding and then the finding of a low platelet count it requires an extensive workup to rule out other causes but once diagnosed, and if not severe, it is often treated by watchful waiting initially.

More speculation without much evidence but I agree with others here that something like this seems to be a more likely candidate than a cardiac cause at this point.

I had ITP, found out about it during a routine blood test when I was in my early thirties. First thought to be leukemia but after further testing it was ITP. Doctors first thought of removing my spleen however with help of prednisone was able to get my platelet count to normal. As I have gotten older I show no signs in my bloodwork.
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redneckfriend

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Re: Khalil Garland update!
« Reply #155 on: July 02, 2018, 09:35:01 pm »

I had ITP, found out about it during a routine blood test when I was in my early thirties. First thought to be leukemia but after further testing it was ITP. Doctors first thought of removing my spleen however with help of prednisone was able to get my platelet count to normal. As I have gotten older I show no signs in my bloodwork.


It frequently resolves on its own but it is unpredictable-in younger patients it often doesn't require treatment at all. In older patients prednisone is effective as are other anti-immune drugs with splenectomy as the last resort.

Of course no one has any idea what is wrong with Garland and, given the strict medical privacy rules in force today, unless he or his family make it public probably never will. ITP is just an educated guess but there could certainly be other problems consistent with the "facts" we know. ITP would carry a much more optimistic prognosis for full recovery than the cardiac problems that have been discussed so we can hope.
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cram224

Re: Khalil Garland update!
« Reply #156 on: July 03, 2018, 07:58:40 am »


It frequently resolves on its own but it is unpredictable-in younger patients it often doesn't require treatment at all. In older patients prednisone is effective as are other anti-immune drugs with splenectomy as the last resort.

Of course no one has any idea what is wrong with Garland and, given the strict medical privacy rules in force today, unless he or his family make it public probably never will. ITP is just an educated guess but there could certainly be other problems consistent with the "facts" we know. ITP would carry a much more optimistic prognosis for full recovery than the cardiac problems that have been discussed so we can hope.
I know when I was diagnosed I was told to be very careful of bruising and if I was in an accident that I could bleed to death. If I remember right, ITP could have been caused by a virus.
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ArkansasI

Re: Khalil Garland update!
« Reply #157 on: July 03, 2018, 08:58:04 am »

Interesting information.

I struggle with the concept of allowing exercise without contact...  I know that we don't want people to sit around or lay in bed, but what if he should trip and fall down while running/exercising?  He is an exceptional athlete, but it has been known to happen.

The floor of a basketball court can be far less forgiving than bodies.
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pigzwillrise

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Re: Khalil Garland update!
« Reply #158 on: July 03, 2018, 11:19:29 am »

Interesting information.

I struggle with the concept of allowing exercise without contact...  I know that we don't want people to sit around or lay in bed, but what if he should trip and fall down while running/exercising?  He is an exceptional athlete, but it has been known to happen.

The floor of a basketball court can be far less forgiving than bodies.
the idea of slipping and falling hard without other players around seems pretty unlikely. Players generally take hard falls because contact creates the fall.
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k.c.hawg

Re: Khalil Garland update!
« Reply #159 on: July 03, 2018, 11:32:35 am »

Interesting information.

I struggle with the concept of allowing exercise without contact...  I know that we don't want people to sit around or lay in bed, but what if he should trip and fall down while running/exercising?  He is an exceptional athlete, but it has been known to happen.

The floor of a basketball court can be far less forgiving than bodies.

I would be more inclined to believe no contact means no competition. Playing basketball while being hand checked and leaned on, defending, fighting for rebounds is a far different cardiovascular workout from doing drills. My thought was contact means competitive practicing, pick up games....non contact means solo drills.
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Kevin McPherson

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Re: Khalil Garland update!
« Reply #160 on: July 03, 2018, 12:10:52 pm »

I would be more inclined to believe no contact means no competition. Playing basketball while being hand checked and leaned on, defending, fighting for rebounds is a far different cardiovascular workout from doing drills. My thought was contact means competitive practicing, pick up games....non contact means solo drills.

This is correct.

TebowHater

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Re: Khalil Garland update!
« Reply #161 on: July 03, 2018, 06:09:06 pm »


It frequently resolves on its own but it is unpredictable-in younger patients it often doesn't require treatment at all. In older patients prednisone is effective as are other anti-immune drugs with splenectomy as the last resort.

Of course no one has any idea what is wrong with Garland and, given the strict medical privacy rules in force today, unless he or his family make it public probably never will. ITP is just an educated guess but there could certainly be other problems consistent with the "facts" we know. ITP would carry a much more optimistic prognosis for full recovery than the cardiac problems that have been discussed so we can hope.

Knowing what they do for college athletes (IV's at half time, cortisone shots into any location, lidocaine injections anywhere, etc.), I just don't see it being ITP. They probably would maintained him on IVIG to get him through the season and then let it run its course. They also may have given him one of the new thrombopoesis stimulators like romiplostim (Nplate), eltrombopag (Promacta), or fostamatinib which work really well but are quite expensive.
« Last Edit: July 03, 2018, 06:54:09 pm by TebowHater »
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cram224

Re: Khalil Garland update!
« Reply #162 on: July 03, 2018, 06:15:26 pm »

Knowing what they do for college athletes (IV's at half times, cortisone shots into any location, lidocaine injections anywhere, etc.), I just don't see it being ITP. They probably would maintained him on IVIG to get him through the season and then let it run it's course. They also may have given him one of the new thrombopoesis stimulators like romiplostim (Nplate), eltrombopag (Promacta), or fostamatinib which work really well but are quite expensive.
I like when people use words I can't pronounce.
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BannerMountainMan

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Re: Khalil Garland update!
« Reply #164 on: July 03, 2018, 08:31:11 pm »

https://twitter.com/khalilgarland3/status/1014262247252742145

Looking good!!! Excited to see him doing any kind of workout right now. I think he is gonna play.
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HawgsPolo

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Re: Khalil Garland update!
« Reply #165 on: July 03, 2018, 09:03:49 pm »

Its a party yall
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jchill

Re: Khalil Garland update!
« Reply #166 on: July 04, 2018, 07:33:07 pm »

Looking good!!! Excited to see him doing any kind of workout right now. I think he is gonna play.


I know it was a solo workout, but I love the way he moves. Very smooth player.
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k.c.hawg

Re: Khalil Garland update!
« Reply #167 on: July 05, 2018, 09:36:16 am »

It is great to hear him be positive. I cannot imagine going through the anguish of having something so important to you, taken away.

You look at him, size, fluid movement and know he would make any basketball team considerably better. I would so much enjoy watching his career as an outstanding Razorback unfold.  Praying this young man still gets to live his dream and if it's not college basketball, that he finds another dream and attacks it like he has basketball.
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