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So here is a scenario for all my Docter, Lawyer, and bottle washer friends on here! It's late so I hope that I do a decent job writing my question. If not, I'll try to reiterate tomorrow when I get home from work.

 

Let's say a young player is playing in the Indy leagues or minor leagues. Either one. I don't suppose either at this point matters since both of them point to his ultimate dream - MLB.

 

He goes to the Doctor for a physical because of symptoms that just tells him that there are some things that are not "right" so he wants a check up. He goes and does the 9 yards for the physical and awaits the results. One day about 2 weeks later he gets a letter from the Doctor at home with his results. He learns based on the Doctors notes that he has slightly elevated chlolesterol, high levels of gout, and his testosoterone (T) is extremely low. The Dr has suggested he make an appointed to come in and see him to discuss his options of treatment.

 

A week later he is sitting in the Dr's office with him going over his physical results and findigs. The Dr. begins to tell him various options such as a Lipitor generic for his high chlolesterol, some Allipurinol for his gout until his levels go back down, and for the low T his suggests a shot of T to his back side once every 2 weeks. The young ball player asks him about some of the symptoms he has been having and wonders if the low T might be the culprit. The Dr then begins to tell him that low amounts of testosterone can result in a number of physiological effects that include decreased muscle mass, osteoporosis (low bone density) and lowered red blood cell counts (mild anemia). It can also cause changes in body composition, raising the percentage of body fat, and also affecting the distribution of adipose tissue. These changes can result in a decrease in overall energy levels and fatigue, and can increase the amount of recovery time needed after exercise. Low testosterone also affects the heart and circulatory system, coinciding with high blood pressure, increased levels of bad cholesterol and heightened risk of heart attack brought about by the dilation of arteries and/or blood clots. Having a better understanding of this and his symptoms the Dr writes him a precription and sends him on his way.

 

He goes the next morning to get his medicines to begin taking. Hoping they all make him feel better. Then it hits him. He has just been prescribed a shot of T to help increase his level of T to fight or increase some of the problem health issues he has been facing and dealing with.

 

As a ball player, what is this young man facing as far as the world of PED's and baseball's point of view? Is being prescribed by a genuine licensed medical Doctor a legitimate reason and/or allowance to take these shots because NOT taking them could result in harsh and/or possible long term adverse health problems? Or, is he faced at that precise moment a decision of taking the shots but having to leave the game of baseball because of its stance on PED's?

 

I know this is long winded but this thought occurred to me over the weekend. And it made me wonder the plight of a young ball player whether on any level of ball that all of a sudden really needed this for his well being and was prescribed it by a real MD.

 

YGD

"The difference between excellence and mediocrity is commitment." Twitter: @KwwJ829

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I'm surprised that we don't hear of players who are using this Exemption 3Finger. But then again, it is kind of a private thing. But it appears that my player in this scenario would be safe as long as he has a licensed MD that states by tests that he needs T.

 

I appreciate you posting this. I was curious about this in light of all the stuff going on in MLB and why none of the players weren't possibly claiming this as a reason they tested positive.

Originally Posted by YoungGunDad:

I'm surprised that we don't hear of players who are using this Exemption 3Finger. But then again, it is kind of a private thing. But it appears that my player in this scenario would be safe as long as he has a licensed MD that states by tests that he needs T.

 

Well, the number of TUEs for ADHD related problems among baseball players is said to be ridiculously high.  But I wouldn't expect to see individual names.

 

The way TUEs work require that the player has already obtained the TUE before testing positive.  Getting a doctor's note after the fact is specifically excluded as a defense.

Is the above a real life scenerio because doctors dont put young players on medications such as lipitor and testostorone blood pressure medicine unless the young patient is really ill or in danger of drooping dead (seriously).
Minor league players go through education and given a website to check for legal substances and those that are not.
Exceptions have to be backed up by testing and doctor recommendations and exception forms clearly spelled out before a player can take a substance nof allowed.
The excuse I didnt know doesnt work.

TPM, that's not a real scenario. However, I do know a young man in his 20's that is taking a T shot every 2 weeks. I would imagine if a young man had high cholesterol then being put on Lipitor would not be out of reach as well. But in the end, physicals are a good thing to have often to find out where there may be actual health problems of any kind. But it sounds like there is something in place for ball players who may need medication from MLB and that is good to know.

I am not really sure of the intent of this post, but usually all medical issues are handled through the team doctor when the player is in season.   And it is the responsibility of the player to inform the team of any issues that arise during off season, so in other words no one gets caught with their pants down (literally).  All of these issues are part of an educational program provided to each player.

Many a times son has stood in the drugstore on the phone with MLB to find out what he can take or can't, during off season as milb are subjected to testing in the off season as well.  Lipitor is not a performance enhancing drug as far as I am aware of.

 

FWIW, it is more likely that high cholesterol would be treated through diet. Statins are very powerful drugs and unless in a medical crises, doctors don't give young men or women that type of medicine without first determining if serious enough to warrant it.

As far as the other thing, I might doubt that a young 20 year old ATHLETE would need testosterone, most have more then they need to begin with. 

 

JMO

Folks! Calm down! There is no hidden agenda here! I promise. It was just a hypothetical situation I promise! lol

 

The Lipitor is a non-factor in this scenario. I just threw it in as something that COULD happen. lol.

 

And I know a very healthy young man in his 20's that does in fact need T. So a healthy appearance doesn't always mean a healthy inside. (Remember the cute blonde stepping out of the car onto the red carpet and trips? High Cholestorol!) It happens.

 

I would also imagine that diet could be issued as a preventive measure. But my entire post was just in light of this PED scandal and what would happen if a young player actually had an excuse and/or prescription to take something.

 

That's all! I promise! lol

 

we must remember that anabolic steroids, testosterone therapy and hgh are NOT illegal drugs. It is just illegal to posses and use them without a doctors prescription. We are not talking about heroin or cocaine. If you fall and puncture a lung after you are stabilized you are more then likely given an anabolic steroid to start and help speed the lung recovery. For certain types of muscle treatment and /or skeletal issues these are prescribed. It is the use of these  to gain an unfair advantage as why they were banned specifically in 2004 by MLB. These actually work to help sick and injured people. But like all things they can be abused.

Absolutely, Moses. All of these drugs are beneficial when used properly -- even by athletes. I do believe, however, that EVERY professional athlete should be informed enough about the rules that they would never accidentally ingest something illegal.

 

This ain't hard. Talk to the team doc ... get the prescription if it's necessary ... and get well.

 

But AVOID the team doc or trainer ... and you're just asking for it. Right??

 

 

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