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  1. So far (sss), the offense hasn’t been the issue. We need to shore up the pitching and the defense. I imagine catching (with the gear and all the squatting) probably won’t be comfortable for Posey for awhile. I’d bet first is easier for him to play.

    My guess? Based on how it’s going I’d imagine Whiteside comes up to catch Lincecum, Bum and Vogey and Sanchez catches Cain and Zito for the next couple of weeks. The odd man out? Probably Belt, who’s been benched anyway. Sadly..

    Comment by fergie348 — April 12, 2012 @ 1:15 pm

  2. Is this WebMD? Awesome analysis!

    Comment by Sean — April 12, 2012 @ 1:20 pm

  3. Great piece and obviously well researched. Some additional information about PHN.

    From UpToDate: “the probability of developing PHN increases with advanced age. Most studies agree that PHN is rare in children. In adults younger than 60 years of age with herpes zoster, the risk of PHN is estimated to be less than 2 percent” (UpToDate sited this information from: “Prevalence of postherpetic neuralgia after a first episode of herpes zoster: prospective study with long term follow up. Helgason S, Petursson G, Gudmundsson S, Sigurdsson JA).

    From my readings, assuming the Giants started Posey on either acyclovir or valacylovir they are following protocol to prevent PHN.

    I am not going to pretend to know everything about Herpes Zoster or PHN, but from what I have learned and read, I am not worried.

    Comment by Derek — April 12, 2012 @ 1:21 pm

  4. Agreed. PHN is certainly a possibility,but it sounds like he is getting appropriate treatment and given his age, PHN is much less likely than in older adults or the total average incidence.

    I do not believe playing increases his risk so that is entirely dependent on how he feels.

    Comment by DrBGiantsfan — April 12, 2012 @ 1:33 pm

  5. And this is the First Plague Leveled by God, untill Bruce Bochy sees fit to free Brandon Belt

    Comment by gryfyn1 — April 12, 2012 @ 1:44 pm

  6. While H-Z is more common in patients with weakened immune systems due to age or disease, it also occurs in young healthy people for no apparent reason.

    Comment by DrBGiantsfan — April 12, 2012 @ 1:53 pm

  7. While Barry Zito did not perform poorly, doing such would not be uncharacteristic.

    Comment by Jack — April 12, 2012 @ 2:40 pm

  8. Giants’ fans need to start throwing frogs onto the outfield grass in between innings in order to speed this process up.

    Comment by chuckb — April 12, 2012 @ 2:50 pm

  9. From what I understand, shingles is extremely painful. As my mother-in-law lay dying of lung cancer, she developed shingles in what amounted to a miserable final couple of weeks. Granted, she was over 60 but this apparently isn’t at all like the annoying, itchy chicken pox most of us had as kids. It can’t be easy for Posey to don the tools of ignorance and squat behind the plate 150 times, much less hit and slide and do all the other normal baseball maneuvers.

    Comment by chuckb — April 12, 2012 @ 2:53 pm

  10. hysteria.

    Comment by Cheech — April 12, 2012 @ 2:55 pm

  11. Shorter Fangraphs: http://www.webmd.com/skin-problems-and-treatments/shingles/shingles-topic-overview

    Comment by sprot — April 12, 2012 @ 3:15 pm

  12. Shingles is no joke it can really sap your energy, my Mother had it a few years ago (weakened immune system) Posey is a new dad so that kind of stress mixed with playing pro-ball probably got him.

    Comment by Bo Knows — April 12, 2012 @ 3:28 pm

  13. Rub some dirt on it and get back out there, Buster!

    Comment by philipbrooks — April 12, 2012 @ 4:36 pm

  14. That was longer and didn’t mention baseball. I’ll stick to FanGraphs for all my medical news.

    Comment by Rob — April 12, 2012 @ 5:07 pm

  15. now scott cousins has given buster posey shingles. hath this man no honor

    Comment by wily mo — April 12, 2012 @ 6:29 pm

  16. I’m a healthy 32 and had shingles a few months ago. No other illness, low stress. Stress may be a trigger, but not always. Hurts like cray for a while, itches like crazy after that. could still function as a teacher, don’t now about catching. I wouldn’t be surprised if he sat out through the weekend. If he got on antibiotics early, that would help. Very contagious to anyone who has not had chicken pox or the vaccine. Interesting to see if any other players get it.

    Comment by sawages — April 12, 2012 @ 7:28 pm

  17. Valley fever, trampolines, shingles, saying you love Fidel Castro…

    Being a baseball player is wicked dangerous, eh?

    Comment by theDAWG — April 12, 2012 @ 7:30 pm

  18. He’s going to be just fine. Whether or not he develops PHN.

    It can be painful, yes (and unsightly if it occurs on a part of your body that’s visible to other people), but it’s the kind of pain that he’s not even going to be thinking about while he’s playing a Major League baseball game. At most, it’s just going to be an occasional distraction and irritation during down moments in a game. At night, while he’s trying to sleep or just relax in front of Sportscenter, yeah, it might be very bothersome, but it’s not something that’s going to keep him from being Buster Posey while he’s playing.

    Comment by Nathaniel Dawson — April 12, 2012 @ 8:00 pm

  19. Im willing to bet the fact the offense has been decent and the pitching hasn’t is definitely a sss problem. The Giants haven’t changed since last year by all that much.

    Comment by Kyle H — April 12, 2012 @ 8:22 pm

  20. Everyone stop worrying … Nathaniel Dawson said it will be fine.

    Comment by Oscar — April 12, 2012 @ 10:00 pm

  21. It is important to keep in mind that [i]all[/i] medical knowledge is some statistical average over a very large sample of people. Professional athletes comprise a fantastically tiny subsample that is not randomly chosen. In fact it is a sample that the primary factor is that their bodies work much much better than some random sample. In addition to this genetic difference, this sample keeps their body in a much healthier condition that the overall sample. Additionally, medical treatment is far more aggressive than most people receive, both in speed and power of treatment.

    Comment by Nate — April 13, 2012 @ 1:24 am

  22. Anyone who has ever had chicken pox has the potential to get shingles All herpes viruses have the ability lie dormant. Once you get chicken pox, the virus responsible, herpes zoster, lies dormant in your spinal cord. When it resurfaces, it follows a particular dermatome, hence the distinct pattern. Shingles is not contagious in the sense that I can pass shingles to someone else who has had chicken pox. However, during a shingles flare, the patient is capable of spreading the herpes zoster virus to people who have NOT had chicken pox before. If his kids have not received the varicella vaccine, it would be advised because they are the people Posey could infect, not his teammates (assuming they have all had chicken pox before/received the vaccine)

    Comment by Derek — April 13, 2012 @ 2:29 am

  23. Totally misread your post where you said “very contagious to those who have not had chicken pox”. My apologies.

    Comment by Derek — April 13, 2012 @ 2:30 am

  24. They were talking about playing Sandoval at catcher if necessary, weren’t they? Hoo-boy.

    Comment by JKG — April 13, 2012 @ 3:53 am

  25. Last time the G-men had a 3rd Baseman catch (Pedro Feliz) there followed some comedy.

    Comment by Bubba — April 13, 2012 @ 4:17 am

  26. I had it in my 20s and didn’t really even notice it. I told other people who’d had it and they were shocked. For most it’s quite painful I’m told. I was dating a nurse and she noticed the tell-tale rash across my back. I’d had chicken pox so I had it checked out and sure enough, it was shingles. Went away pretty quickly.

    Comment by Wobatus — April 13, 2012 @ 5:37 am

  27. When I had it I’d been sharing a beach house with some young couples, and 2 of the women were expecting. They freaked out and called their doctors. Yes it’s contagious, they were told, but mostly through direct contact. One doctor said just dont lick his back (where i had the rash). Being in the same room wouldn’t be an issue. But sure, buster should probably sleep in the guest room a but.

    Comment by Wobatus — April 13, 2012 @ 5:45 am

  28. Poor bastard.

    I’d rather have my leg broken.

    Comment by shthar — April 13, 2012 @ 6:26 am

  29. Chuck, it suckkkkkkkks. When my rash first appeared around my ribcage, I honestly thought it was an alien that had popped out of my stomach. It basically felt like I had 20 needles sticking out of my body. It was painful to wear a shirt. 20 years later, I still have post-shingles pain: If I twist and reach behind me to get something, I’ll have that recurring “alien” sensation for a few seconds. Fortunately, there’s good medication for it. How much pain Posey depends on his particular case; the pain can be mild to excruciating at times, just depends.

    Comment by bstar — April 13, 2012 @ 6:53 am

  30. No, you’ve never had a bad case of shingles, obviously.

    Comment by bstar — April 13, 2012 @ 6:56 am

  31. Yeah, see, that’s what everyone tells me. I had no pain at all. I just had a mild case of what I thought was backne (and no, I wasn’t taking PEDs), but it was along a nerve line on my back. I guess I was lucky.

    Comment by Wobatus — April 13, 2012 @ 10:36 am

  32. I’ve broken a leg (twice) and had shingles, the leg hurts worse. (So did fracturing my skull and breaking my neck; broken fingers and ribs not so much.) Being an old guy I developed postherpetic neuralgia in the same area (right shoulder) months after the shingles healed. Trust me it is very painful and it doesn’t go away, in my case it just gets worse and at age 75 it will stay with me as long as I’m aboard the planet.

    Comment by maqman — April 13, 2012 @ 12:32 pm

  33. Nate, having superior hand-eye coordination & quick-twitch muscles (staples of professional athletes) does not in any way make athletes “healthier” than non-athletes. Overall health has far more to do with diet, lifestyle, immune system, etc. – athletes aren’t necessary superior in these areas.

    Comment by Michael — April 13, 2012 @ 12:57 pm

  34. think the giants would be better off with Belt in the Minor Leagues if he is not going to play everyday in the big leagues.

    I was one of many fans who experienced visceral pain during the 2011 season during every single one of Aubrey Huff’s 579 plate appearances; however, is not a post about why Belt should be in the lineup everyday.

    It is abundantly clear that as long as Aubrey Huff is on the payroll, Brandon Belt will not get a chance to play and get significant at bats at the big league level.

    Brandon Belt belongs in Fresno not because he struck out in 5 of his first 10 plate appearances (PA) but because Bochy and Sabean will not give him a chance to get 250 PA and demonstrate what he can do with big league pitching over a larger sample size.

    read more by clicking on my name

    Comment by Herbalist — April 14, 2012 @ 12:48 am

  35. I’ll believe you if the next home run hits the mud of a parted bay!

    Comment by kick me in the GO NATS — April 14, 2012 @ 2:36 pm

  36. Absolutely horrible! I had it about 8 years ago all over my left chest.

    Comment by kick me in the GO NATS — April 14, 2012 @ 2:38 pm

  37. LOL. at least all that counts

    Comment by kick me in the GO NATS — April 14, 2012 @ 2:39 pm

  38. Well, yes I have, actually.

    Comment by Nathaniel Dawson — April 14, 2012 @ 7:11 pm

  39. “varicella-roster” should be “varicella-zoster”.

    Comment by Lex Logan — April 16, 2012 @ 11:01 am

  40. No, they aren’t necessarily, but in the vast majority of cases, a professional athlete eats better, excercises more, and gets better care than your average american.

    Comment by RC — April 16, 2012 @ 11:06 am

  41. I know this is a dead and old thread, but the idiots on here that think that shingles is a walk in the park have no idea what some cases of shingles feels like. I have it on my scalp, face, mouth, inside my mouth and on my ear/eardrum on the left side. The pain is unbelievably excrutiating with strong pain medications barely putting a dent in it. I wouldn’t have thought this myself if I saw someone that had a shingles rash because it doesn’t ‘look’ like that much pain could possibly come from that. But live and learn.

    Comment by Timmy — February 21, 2013 @ 11:05 pm

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