MotoGP 2013: Sachsenring, Build up (spoilers) Practice (spoilers) Qualifying (spoilers) Bautista (sp

Dr No

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Low blood pressure and dizziness is psychological?

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I can assure you low blood pressure and dizziness isn't something you should take lightly at any time. If Dani was suffering from that then it's best for the whole field, as well as him, that he didn't ride.

Enjoyed the race today. Marky Mark was unreal. Again. Cal was awesome, thought he was gonna hunt down Marquez, the maiden win can't be far now. Rossi, became obvious he wasn't going to push to the limit and risk binning it. Marky Mark front wheel on the kerb, back wheel spinning up on the track was nuts! Bradl impressed me today, first laps were great, but was soon obvious he was holding the Yams up. Espargaro is something else too! Practice was like watching 500s pure carnage. Racing is good just now.

1. []MM - Realizing his place in history on his way to the title
   []Cal - Got to sort out the starts dude!
   []Rossi - Knows it is a long season...and Laguna is next!
   []Bradl - Need to on the Podium
   []Bautista - Riding for a job in GPs....well nice job for today
   []Smith - Proving why you have a MotoGP contract
   []Dov - Best Ducati rider in the world today 
   []Espargaro - Proving the rider market is alive and well
   []Hodor - Pathetic for a factory rider, making the case to be let go
   []Pirro - Great job considering you are the test rider!

ETC....

basspete

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Enjoyed the race today. Marky Mark was unreal. Again. Cal was awesome, thought he was gonna hunt down Marquez, the maiden win can't be far now. Rossi, became obvious he wasn't going to push to the limit and risk binning it. Marky Mark front wheel on the kerb, back wheel spinning up on the track was nuts! Bradl impressed me today, first laps were great, but was soon obvious he was holding the Yams up. Espargaro is something else too! Practice was like watching 500s pure carnage. Racing is good just now.

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 Injury levels are much like those of the 500 days too. Coincidence? What with all the electronics and still... look at all the high-sides.

GeePee

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Except every rider he has helped.


Mick Doohan would disagree with you.


I doubt anyone takes you too seriously sloth46 or whatever number you call yourself,

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He saved Doohan's leg more than 20 years ago, and did some great things for many riders. But he is 70 odd years old and the game has moved on - both the medicine and the expectations for putting the riders health before the racing.


 


I would say any rider/team who can afford it would have their own team of trusted doctors these days.

Armchair psychology is what was done on Stoner, also on this forum, with no much compunction about anything in that case. Now if Dr. Costa is asked his professional opinion about a riders condition and gives it, -- it happened on Italian TV BTW -- it is supposed to be wrong only because he speaks also of psychological condition and not just of bones and tendons? Double bah!

J4rn0

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Armchair psychology is what was done on Stoner, also on this forum, with no much compunction about anything in that case. Now if Dr. Costa is asked his professional opinion about a riders condition and gives it, -- it happened on Italian TV BTW -- it is supposed to be wrong only because he speaks also of psychological condition and not just of bones and tendons? Double bah!

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The fact that  the Ducati and/or motogp doctors couldn't find a physical ailment was also proffered as proof  that Stoner had psychological problems. Those doctors, whether or not Dr Costa  was amongst them, were as it eventuated incorrect, as doctors not infrequently are.


 


Again, I don't see why Dr Costa felt the need to make psychological diagnoses when if it has been correctly reported there is an X-ray which shows a clavicular fracture,  particularly when Dani has reason to be wary of such things given his own past history and Jorge's recent history, and is the one actually putting his body on the line.


 


If Dani authorised him to tell the media he had psychological problems (which would seem unlikely), then I have no problem with him offering his opinion, as I wouldn't given his background in the sport if he was employed by the TV station to give a slant on matters medical. Otherwise imo and as has been said if he was involved in Dani's management the question arises as to whether he is Dorna's doctor or Dani's doctor in this instance.

So when a doctor, answering a precise question, mentions a psychological factor to explain some serious physical symptoms (as his own honest opinion based on a unique experience with injured riders) it must be either a wild guess or a break of privacy...? Triple bah!

J4n0, U've made some good points. Its clear Dr. Costa is in a unique position and his credentials as a physician are unparalleled in GP. However I dont subscribe to the idea that hes more genius than mad man. Look, I most often than not align myself with anybody calling Pedrosa a chicken .... ...... I applaud the opinion. But in this case I dont get why the Doc would say something so denigrating as a professional in an official capacity. Alberto should have been sacked from any official position he held with the league when he highjacked the motogp press corps to talk .... against Hayden. Dorna have no professional integrity. Now im sure DocC isnt the only person that thinks Pedro is a ..... (btw defending Pedro here is a challenge for me); but simply its a bit unseemly for him to voice it.

Anyway I dont understand why people are focused on his collar bone and not his concussion. Its like a guy just got his head bashed in by a sledge hammer and u ..... keep insisting on focusing on the splinter in his toe. For ..... sake people, stop sounding so ignorant about a broken collar bone. We had a girl named Elena Myers who rode this weekend with a broken collarbone, and the chick finished in the top 10. Pedro didnt withdraw from a nicked collarbone but rather because his brain took an equal impact of the severity that breaks bones.

J4rn0

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So when a doctor, answering a precise question, mentions a psychological factor to explain some serious physical symptoms (as his own honest opinion based on a unique experience with injured riders) it must be either a wild guess or a break of privacy...? Triple bah!

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Two aspects to this J4rno.


 


As you have pointed out Dr Costa is obviously in a better position to have an opinion as to Dani's psychology than armchair experts including me on here. Why he felt it necessary to raise this if Dani does actually have a fractured clavicle is the question, although I initially questioned his credentials as a psychiatrist which you are entitled to call me on.


 


The other aspect  even apart from general ethics as a medical professional is the issue of patient confidentiality. I can tell you very definitely from both a medico-legal point of view and from conditions of my registration as a doctor in Australia that  it would be unacceptable for me to make such a public comment about a patient of mine without permission. As a matter of fact we are specifically cautioned against revealing privileged information on internet forums such as this, even anonymously. 

Michael, i do not see the subject of patient confidentiality to ever have been applied much to the very public figures of world-class athletes of any sport. Journalists and fans raise these questions and get these answers all the time. Then Dr. Costa could be right or wrong, and Dani can sue him if he feels so, but why worry?

On topic, Rossi seems to have his hands full with Crutchlow at the moment, leave alone the three Spaniards. He seems to have re-found his 2010 base setting, and with it the 2010 rear grip problems as well... Certainly Sachs is an odd track, but so is Laguna...

J4rn0

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Michael, i do not see the subject of patient confidentiality to ever have been applied much to the very public figures of world-class athletes of any sport. Journalists and fans raise these questions and get these answers all the time. Then Dr. Costa could be right or wrong, and Dani can sue him if he feels so, but why worry?

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Yes, I thought about that during our discussion. I am actually quite well acquainted with one of the most famous sports medicine physicians in the world, who has held senior medical positions in sports much more prominent than Motogp, and I cannot envisage him saying something like this on TV.


 


No doubt  Dr Costa has done great work for people including Doohan in a sport where the potential for serious trauma is much greater than most. I can't see Sid Watkins saying something like this either though, and he saved Mika Hakkinen's life at one of the Adelaide F1 GPs along with an Australian guy I have actually had a beer with.

Jumkie

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J4n0, U've made some good points. Its clear Dr. Costa is in a unique position and his credentials as a physician are unparalleled in GP. However I dont subscribe to the idea that hes more genius than mad man. Look, I most often than not align myself with anybody calling Pedrosa a chicken .... ...... I applaud the opinion. But in this case I dont get why the Doc would say something so denigrating as a professional in an official capacity. Alberto should have been sacked from any official position he held with the league when he highjacked the motogp press corps to talk .... against Hayden. Dorna have no professional integrity. Now im sure DocC isnt the only person that thinks Pedro is a ..... (btw defending Pedro here is a challenge for me); but simply its a bit unseemly for him to voice it. Anyway I dont understand why people are focused on his collar bone and not his concussion. Its like a guy just got his head bashed in by a sledge hammer and u ..... keep insisting on focusing on the splinter in his toe. For ..... sake people, stop sounding so ignorant about a broken collar bone. We had a girl named Elena Myers who rode this weekend with a broken collarbone, and the chick finished in the top 10. Pedro didnt withdraw from a nicked collarbone but rather because his brain took an equal impact of the severity that breaks bones.

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Was he ever diagnosed to have had a concussion?

Maybe it's worth repeating that Dr. Costa never said Dani was fit to race, he simply gave his professional opinion why he wasn't. Trauma is trauma, physical or mental or both it can make a rider unfit to race. It is the judgments like "....." and the like that are arbitrary and superficial, not any medical diagnosis.

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356194" data-author="J4rn0

Maybe it's worth repeating that Dr. Costa never said Dani was fit to race, he simply gave his professional opinion why he wasn't. Trauma is trauma, physical or mental or both it can make a rider unfit to race. It is the judgments like "....." and the like that are arbitrary and superficial, not any medical diagnosis.

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There was nothing professional about it. It's not his expertise, and even if it were, it is incredibly unproffesional to make public statements about it.

povol

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Was he ever diagnosed to have had a concussion?

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I honestly don't know if he was "diagnosed" with one and made public.  I'm not a doctor, but I just have a hunch.


 


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Jumkie

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I honestly don't know if he was "diagnosed" with one and made public.  I'm not a doctor, but I just have a hunch.


 

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I'm not sure Jumkie, I reckon I would like a 2nd opinion...

All "bah's", arguments about doctor-patient confidentiality and expertise (or lack thereof) aside, consider the following J4rn0:

1) These riders all have to trust dr. Costa with their life and health (and have often have no other choice). It's a rather rotten thing for him to step out to the media and speak about their conditions with anything but the greatest restraint. Seems to me like he's driven by his own ego rather than concerns for the riders well being. It also makes him seem partial, rather than the beacon of neutrality that he should be.

2) Confidence is such an important element in motorcycle racing. How do you think it would affect any riders psyche if the doctor he has to trust with his injuries goes to the media and talks about supposed psychological shortcomings. Again, this is not the first time he pulled this ..... Remember him comparing Rossi's and Biaggi's heart rate in Faster, and providing some of his fine armchair psychology interpretations to boot? For me, I can't believe that a doctor would do such a thing.

I really do not understand why a psychological trauma is something shameful, that should be kept secret, while a more physical one can be published on the net, like in the case of Smith's finger, with no one raising a highbrow... My dear friends, go see a shrink...