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Posts Tagged ‘Chris Bosh’

Pat Riley Says Chris Bosh’s Career with the Heat is “Probably Over”

September 26th, 2016 No comments
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Pat Riley, in a meeting with reporters, said that Chris Bosh’s career with the Miami Heat “is probably over” and that the team is “not working toward his return.”

Bosh, an 11-time All-Star, failed his preseason physical last week. The Heat had been prepared to clear him for play, contingent on him passing. During the testing, however, doctors reportedly found continued evidence of blood clotting.

“We headed down the road very excited to a point where we thought it would work,” Riley said. “And then the physical couldn’t clear him to the next step.”

Bosh was initially diagnosed with blood clots that traveled from his left leg to his lung in February 2015, and was subsequently diagnosed with blood clots in his left calf in February 2016.

Blood clotting is a normal process that occurs in the body to prevent bleeding and promote healing after an injury. The body forms blood clots when the platelets within the blood encounter a damaged blood vessel, and then breaks them down as the damaged tissue heals.

Clots can form unexpectedly, however, without notice or purpose, and have dangerous consequences. Certain clots, such as those that start in the leg or calf (called a deep vein thrombosis, or DVT) and travel to the lungs (called a pulmonary embolism), can be fatal. And those who have endured previous clots in the past are particularly susceptible to a recurrence.

According to the NIH, more than 600,000 people in the U.S. are diagnosed with DVT each year and roughly 30 percent of those patients develop a recurrence within 10 years, with the risk being greatest in the first two years. Recurrence is more likely in those who initially presented with a pulmonary embolism as well, as did Bosh, and is more likely to be another pulmonary embolism (as opposed to a DVT alone), leaving Bosh susceptible to a potentially more serious recurrence.

That Bosh has already endured multiple blood clotting episodes and that he plays a contact sport (professional basketball), both sharply exacerbate the risk of future recurrences. The risk for Bosh is therefore very real.

Blood clots are treated with anticoagulant drugs (blood thinners), which prevent further blood clots from forming as the body’s normal systems work to break up the existing clot(s).

For those who have endured a single clotting episode, blood thinners are typically continued for up to six months. Many professional athletes who have suffered blood clots have been able to successfully resume their careers without incident after completing their initial blood-thinner regimen.

However, people who suffer multiple blood clots are at sharper risk of a recurrence, and are typically therefore recommended to remain on blood thinners for the rest of their lives.

Blood thinners greatly reduce the likelihood of future blood clots, but they can have a potentially serious side effect: bleeding.

Since blood thinners slow the clotting of blood, unwanted and sometimes dangerous bleeding can occur with the use of these medications. Although infrequent, uncontrolled bleeding caused by blood thinners can be very serious. A blow to the head, for example, can cause bleeding on the brain and kill you!

Doctors and teams are therefore hesitant to allow players on blood thinners to return to contact sports, where a potential trauma could have disastrous consequences.

The issue for Bosh, then, becomes:

If he doesn’t take blood thinning medication, he is at risk of sustaining more, potential fatal, blood clots. Playing professional basketball only exacerbates that risk.

If he takes blood thinning medication to reduce the likelihood of a future clot, playing professional basketball puts him at increased risk of sustaining a potentially fatal bleeding event.  Read more…

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Miami Heat Player-by-Player Overview

May 27th, 2016 1 comment
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I have a request. I try to write posts which I believe are unique, in depth and insightful. I hope you agree. I therefore ask that you please not simply copy my work without providing proper credit. It feels rather awful to see my work being exploited. If just you ask, I am more than willing to help out anyone and everyone in any way I can (and do so on a regular basis behind the scenes).

The Miami Heat will start the summer with just six players under contract for the 2016-17 season – Chris Bosh, Goran Dragic, Josh McRoberts, Justise Winslow, Briante Weber and Josh Richardson. Those six players will cost a combined $49.8 million.

The remaining nine players will become free agents – Dwyane Wade, Luol Deng, Udonis Haslem, Hassan Whiteside, Gerald Green, Amare Stoudemire, Tyler Johnson, Joe Johnson and Dorell Wright. Those nine players will carry a combined $54.7 million in cap holds.

The Heat will therefore technically start the summer over the cap, with a team salary of $104.5 million against a projected salary cap of $92.0 million.

Here is a brief overview of how things can go from there for all 15 current Heat players.  Read more…

Can the Heat Sign Kevin Durant AND LeBron James?

May 25th, 2016 No comments
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“LeBron James promised the city of Cleveland, ‘I’m coming back to bring you that elusive title that has escaped this city since 1964.’ He never said anything about staying once he does accomplish that… I’m hearing about a return to Miami if this man wins. He ain’t going nowhere if he loses. But, if he wins, his options are open. LA, but especially Miami, a return to South Beach.”

That was Stephen A. Smith two days ago, talking about the prospect of LeBron James returning to the Miami Heat, just weeks after he said this about Kevin Durant:

“I believe the team that hasn’t been mentioned that much may be the dark horse in [the chase for impending free agent Kevin Durant this summer], which are the Miami Heat. Consider who the Heat are. You’re led by Pat Riley. You’ve got an exceptional young coach in Erik Spoelstra. You’ve got LeBron and D-Wade having captured two championships together there… Then you take into account the young guys — the Josh Richardsons, the Justise Winslows, the Hassan Whitesides… You add Kevin Durant to that equation and bring back Dwyane Wade, you’re talking instant title contention. Automatically.”

Unlikely as it may be, either James or Durant would be a game-changing free-agent acquisition for the Heat. But why either one? As long as we’re dreaming, why not both?

Why not a scenario whereby the Heat sign both James and Durant, while also also re-signing Dwyane Wade and Hassan Whiteside, and retaining Chris Bosh?

Is it a reasonable possibility? Of course not.

But is it possible? Let’s have some fun and find out.

The concept, ludicrous as it may be, would presumably go something like this:

Kevin Durant and the Oklahoma City Thunder somehow blow their current 3-1 series lead over the Golden State Warriors after two straight blowout victories, leading Durant to become so frustrated over his inability return to the NBA Finals as to consider his alternatives.

LeBron James and the Cleveland Cavaliers push past the Toronto Raptors and somehow go on to beat the Warriors in the NBA Finals, whereupon James decides that he has fulfilled his obligation to his hometown team and is willing to risk again enraging his local fan base for a return trip to Miami.

A summit is held between James, Durant, Wade, Bosh and Whiteside. They contemplate a possible joining of forces. The Heat organization has nothing do to with it, of course.

They use the following assumptions to coordinate a plan of attack to bring to Pat Riley on July 1st:

What is that plan of attack? Here it is, in 13 easy steps:  Read more…

Chris Bosh Status and Insurance

May 22nd, 2016 No comments
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Chris Bosh is facing an uncertain future. That the Miami Heat could receive salary cap relief in the unlikely event that he does not return to play and it is determined that continuing to play would constitute a medically unacceptable risk is now widely known (and is described in detail in this post). There is also a separate, but related, concept at play which I offer because I have no seen it detailed anywhere else: insurance.

I do have one request. I try to write posts which I believe are unique, in depth and insightful. I hope you agree that this details an idea that you haven’t seen covered elsewhere. I therefore ask that you please not simply copy my work without providing proper credit. It feels rather awful to see it being exploited. If just you ask, I am more than willing to help out anyone and everyone in any way I can.

The NBA has secured league-wide temporary total disability insurance coverage for the benefit of its member teams. Every team in the league is required to participate in the program, which covers approximately 150 players per season.

That the league-wide program is mandatory is done for a key reason: Doing so allows the insurance provider to mitigate its risk, more accurately project potential claims, feel confident it is not being asked to provide coverage for only the most injury-prone players and, ultimately, reduce the cost of coverage and make it more affordable.

Such a program is possible only in a highly regulated environment like that in the NBA, where individual payouts are limited by maximum salary rules and teams are required to spend at least 90 percent of the salary cap each season on player salaries.

Under the terms of the NBA’s insurance program, each team is required to submit for underwriting consideration five players, each of whom must be among the team’s five highest-paid players based on either the current season or total remaining salary. Teams may submit for consideration more than five players if they so choose.  Read more…

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Chris Bosh Status Remains Unclear

May 21st, 2016 No comments
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Miami Heat forward Chris Bosh is facing the harsh reality known to many who have been treated for blood clots: unfortunately, a recurrence can be common.

In February 2015, Bosh was diagnosed with a deep vein thrombosis (DVT), a blood clot which formed in a deep vein of his left leg. A piece of that clot then broke off from the wall of the vessel, traveled via the bloodstream up the body, through the right side of his heart, and lodged in an artery of his lung, blocking blood flow through the lung – a very serious, even life-threatening, condition known as a pulmonary embolism (PE).

Pulmonary embolisms can cause damage to the lung tissue, and put increased strain on the heart. This could even cause the heart to become enlarged, or in a worst-case scenario, lead to heart failure.

Bosh was rushed to South Miami Hospital, where he avoided a potential life-threatening situation.

Blood clots can form in people who have a genetic predisposition to them, but most commonly they are caused by long periods of immobility in many cases from prolonged air travel (particularly for players of Bosh’s height, 6-feet, 11-inches, where leg room is more limited), after having undergone surgery, or after having experienced a recent trauma, making professional athletes, who frequently deal with one or all of these issues, particularly susceptible.

Blood clots are treated with anticoagulant drugs (blood thinners), which prevent further blood clots from forming as the body’s normal systems work to break up the existing clot(s). Blood thinners can stop new clots from forming, stop existing clots from getting bigger, or prevent existing clots from travelling to other parts of the body. Treatment is typically continued for three to six months.

Blood thinning medications save lives. But, they also pose one possible and very serious side effect: Bleeding.

Since blood thinners slow the clotting of blood, unwanted and sometimes dangerous bleeding can occur with the use of these medications. Although infrequent, uncontrolled bleeding caused by blood thinners can be very serious. A blow to the head, for example, can cause bleeding on the brain and kill you!

Doctors and teams are therefore hesitant to allow players on blood thinners to return to contact sports, where a potential trauma could have disastrous consequences.

Bosh missed the remainder of the 2014-15 while taking Xarelto, one of a handful of the newer anticoagulant drugs on the market today.

After treatment with blood thinning medications along with adequate rest after treatment, many athletes, including Mirza Teletovic with the Brooklyn Nets this past season and Anderson Varejao with the Cleveland Cavaliers two seasons prior, have been able to resume play and go on with their careers.

Bosh returned to play start the 2015-16 season. He indicated upon his return that, according to testing, he was not aware of any hereditary issues he may have that would increase the risk for recurring episodes, leading to optimism that he could resume his career without further incident.
Read more…

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Miami Heat Enter 2015-16 Season As Most Enigmatic Teama in the NBA

October 26th, 2015 No comments
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The Miami Heat may well be the most enigmatic team in the league, as we head into the 2015-16 NBA season.

It is difficult to tell whether Pat Riley is building something special, or relegating his team to the atrocity of mediocrity. The current Heat incarnation is both supremely talented and deeply flawed. It is as promising as it is susceptible to the cruelties of age, injury, poor spacing and poor shooting. It has within it the potential to challenge the Cavaliers for Eastern Conference supremacy and the combustibility to ignite a second straight pre-playoff collapse.

Riley has tossed away multiple first-round draft picks in its effort to chase down LeBron in Cleveland, much like he did to snag him and Chris Bosh five years ago. Only this time around, there is no underlying guarantee that it is going to work.

It is as possible that the Heat has mortgaged its future to build an unremarkable team that will die a slow death as it is that the Heat is in the midst of spectacular turnaround that could vault the team into the realm of the game’s elite. Where within that range the Heat will fare is not yet clear.

Read more…

Addressing The Heat’s Need for Floor Spacing

May 20th, 2015 No comments
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Long since departed were the glory days of the Big Three era, the thrill of competing deep into June, the sparkle from all the championship rings, as the 2014-15 Miami Heat staggered to the finish of a brutal season replete with injuries, exhaustion and ineffectiveness.

Despite competing in the dismal day-off-is-a-game-won Eastern Conference, the journey from LeBron’s departure to lottery arrival took just one excruciating season. It was a season paved with crushing injuries. Yet even with the season-ending meniscus tear to Josh McRoberts in November, the season-ending pulmonary embolism of Chris Bosh in February, the nicks and bruises that limited what was left of the battered rotation in the months that followed, and the 30 starting lineups head coach Erik Spoelstra was forced to utilize as a result, the Heat still managed to grossly underachieve along the way to its first pre-playoff exit since 2008.

There were plenty of issues that caused this spectacular underachievement, but perhaps the most enduring was the Heat’s inability to consistently score the basketball. It’s an issue which needs to be addressed this summer. It’s an issue which requires a multi-dimensional approach, to include both personnel and system changes.

The Heat have already secured a promising start to its rebuilding process. They’ve addressed, and rather emphatically, the two positions – point guard and center – which have troubled them most in recent years. The foundation of the Heat’s future championship aspirations rests largely on the shoulders of point guard Goran Dragic and center Hassan Whiteside.  Read more…

Chris Bosh Diagnosed with Pulmonary Embolism

February 21st, 2015 No comments
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Update (2/17/16): Chris Bosh was ruled out of the All-Star game with what was initially described as a calf strain. It was later determined, however, that a small deep vein thrombosis (blood clot) was found in Bosh’s calf, and that he is back on blood thinners.

The good news for Bosh is that this latest clot is reportedly small, was caught early, and has not traveled to his lungs. It is not life threatening, and should be relatively easy to bust.

The larger issue, however, could be what this latest clot means for Bosh’s long-term future. After his initial clot last year, Bosh had some testing done which suggested he was not deemed to be abnormally susceptible to blood clots. This latest clot certainly provides at least some degree of contraindicating evidence. If he is deemed to be at greater risk for blood clots, doctors may determine it to be advisable for him to remain on blood thinning medication indefinitely in order to avoid that possibility or they may advise against continuing the physical rigors and heavy travel associated with NBA play, in either case putting his career at risk.

——————-

Miami Heat power forward Chris Bosh received sobering news on Saturday. He suffered a pulmonary embolism, which will cause him to miss the rest of the 2014-15 NBA season.

Bosh was hospitalized at South Miami Hospital on Thursday but, amid a conflicting diagnosis, underwent further testing on Friday. The diagnosis was confirmed today.

This is a serious and scary condition, but according to Heat head coach Erik Spoelstra, Bosh avoided a potential life-threatening situation.

“Bosh… is currently resting comfortably. Chris is OK, and his prognosis is good,” the Heat said in a news release.

40410_1A pulmonary embolism(1) occurs when a substance – most often a blood clot, as is the case for Bosh – that develops in a blood vessel elsewhere in the body travels through the bloodstream to an artery in the lung and forms an occlusion (blockage). The obstruction, which blocks blood flow through the lungs and puts pressure on the right ventricle of the heart, can be fatal.

It is rare to have a single pulmonary embolism. In most cases, as is the case for Bosh, multiple clots are involved.

Blood clotting is a normal process that occurs in the body to prevent bleeding and promote healing after an injury. The body forms blood clots when the platelets within the blood encounter a damaged blood vessel, and then breaks them down as the damaged tissue heals. However, clots can form unexpectedly, without notice, and have dangerous consequences. They can happen to anyone for a number of reasons.

Almost all blood clots that cause pulmonary embolisms are formed in a deep vein of the leg (itself called a deep vein thrombosis). A piece of the clot breaks off from the wall of the vessel in the leg, travels via the bloodstream up the body, through the right side of the heart, and lodges in an artery of the lung.  Read more…

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Miami Heat’s Great Hope Is … Josh McRoberts and Danny Granger?

July 8th, 2014 No comments
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The Big Three era Miami Heat were always the ideal test case for a new collective bargaining agreement designed primarily as a cash grab for owners, but also with a secondary goal of engineering greater competitive balance around the league.

The new CBA went about achieving its secondary goal in large part by implementing a far more punitive luxury tax(1). Spend a lot on players, and you’re going to face a crippling “incremental” tax penalty that gets more severe as you add payroll. Keep spending year after year and eventually you’ll tack onto it the dreaded “repeater” tax.

It’s working. Just five NBA teams paid the tax this past year; that’s tied for the fewest ever in a tax-triggered season. Competitive balance is more prevalent today than at any point in recent history. Team salaries around the league have leveled out dramatically. The spending habits on the high end are down significantly, with particular emphasis for those in smaller markets which can’t support the weight of such enormous tax bills.

No one team has felt the burden of the new tax structure more than the Miami Heat. Some would say that was always the plan – a plan brought about by the demands of envious fellow owners in the wake of the Big Three formation. The Heat have had to make several painful and wildly unpopular cost-cutting (e.g., waiving Mike Miller via the amnesty provision) and cost-controlling (e.g., not utilizing the mid-level exception this past season) moves since the lockout, as a direct consequence to the harsh realities of the new CBA.

It wasn’t all that difficult to forecast. People have been predicting the inevitable demise of the Heat, as presently constructed, for three solid years. Whether owner Micky Arison could afford to keep his team together was never in question; he’s a six-billion-dollar man. But the limitations of his market – the Heat’s designated market area is good for just 17th overall, among the league’s 30 teams; smaller than, for example, that of the Minnesota Timberwolves – have made it virtually impossible to maintain some semblance of profitability while spending deep into the tax (at least in the near-term).  Read more…

Miami Heat Create NBA-Record $55 Million in Potential Cap Space

June 29th, 2014 5 comments
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Many years from now, Saturday, June 28, 2014, could be remembered as a critical day in Miami Heat history. It marks the day when guard Dwyane Wade and forwards Chris Bosh and Udonis Haslem declared their intentions to join LeBron James and Chris Andersen in opting out of their contracts. It could ultimately mark the day in which the destruction of the Big Three era was initiated in earnest, or the day in which the remodeling of Pat Riley’s two-time championship-winning creation received a major boost.

Agent Henry Thomas, who represents all three players, has reportedly informed Heat president Pat Riley of their choices. Wade will exercise his Early Termination Option for the remaining two years and $41.8 million on his contract, Bosh will do the same for the two years and $42.7 million remaining on his contract, and Haslem will not exercise his player option for the lone season remaining on his $4.6 million contract.

Technically, there is no mechanism to notify the league that an option or ETO will not be exercised. Since the contracts of Wade and Bosh contain ETOs for this summer, they are required to inform the league of their intentions. Since Haslem’s contract contains a player option, he need do nothing but wait.

These actions, particularly in the wake of James, Wade and Bosh meeting last week on Miami Beach, make it rather clear that the Heat’s stars, as well as its supporting players, have decided to work together to provide the Heat the salary-cap flexibility with which to add additional components to a roster that earlier this month lost in the NBA Finals to the San Antonio Spurs, cutting spectacularly short the Heat’s bid for basketball immortality – four straight NBA Finals appearances and three straight NBA titles, a feat which has only been accomplished once in league history.

Without the opt-out decisions, the Heat would have gone into the offseason far in excess of what is projected to be a $63.2 million salary cap for the 2014-15 season, and without much ability to materially improve. Instead, the moves enable the Heat to create as much as an all-time NBA-record $55 million in cap space with which to reconfigure the roster(1).  Read more…