The Mourning After: Will Austin Freeman Play?
After taking a required-by-Vatican-law period of mourning on the news of Austin Freeman IV's new medical diagnosis, it is time for us here at THE GLOBAL PHENOMENON to dispense with the chatboard pleasantries and get down to brass tacks, as the coach in "Not Another Teen Movie" would have it:
Trainer: It doesn't look good coach..
The Coach: Can he play?
Trainer: He's in a coma!
The Coach: ANSWER MY QUESTION, CAN HE PLAY?
Trainer: I don't even think he can breathe, we gotta take him to a hospital immediately!
The Coach: YOU LISTEN TO ME RIGHT NOW, I DON'T CARE WHAT YOU HAVE TO DO, REGGIE RAY STAYS IN THE GAME GODDAMNIT!!!
Now, those of us who run THE GLOBAL PHENOMENON here have absolutely zero medical training. That is why we write for a blog. But we did go to college with very smart friends, and we have enlisted a few of them to provide the following esteemed medical opinions on the two important questions that everyone wants to know but has been reluctant to ask:
1) Can Austin Freeman play?
2) What is the worst that could happen if Austin Freeman does play?
Answers after The Jump:

MEDICAL OPINION #1, from an esteemed ER doctor in the Northeast:
1) Diabetes is a condition that results from the failure of the pancreas to make insulin (type 1) or the failure of the body to utilize insulin appropriately (type 2). Type 1 is more serious and is usually diagnosed in children whereas type 2 is usually diagnosed in older and overweight people. Whether it is type 1 or type 2, the fact that he is practicing is very reassuring. I don't see any reason why he shouldn't be able to play on Saturday while being treated.2) Nothing! Playing shouldn't cause any problems
MEDICAL OPINION #2, from an esteemed endocrinologist in the Northeast:
1) Type 2 doesnt happen right away. It is more of a 6 month time period where you feel tired but not sure if it's because you havent been sleeping well or working too much. I deal with Type 2 patients who are often referred by primary care doctors that say X person is complaining of being lethargic, has high blood pressure, severely obese and family history of diabetes. It is slow to happen because you are not producing enough insulin to regulate blood sugar, but you are still producing insulin.
An acute onset is more like Type 1, the pancreas suddenly stops working and produces no insulin at all. It is followed by immediate nausea, vomiting, etc. Also his age and activity level make it unlikely to be Type 2. Type 1 diabetes can occur when you are young, and is sometimes preceded by an illness. The virus turns into an auto-immune disease for certain people chromosomally disposed to diabetes, and then attacks the islet cells of the body. This pretty much kills the pancreas and leads to sudden illness because the body is no longer able to regulate sugar. He likely caught a virus, which turned into an auto-immune disease, which attacked his pancreas, thereby causing Type 1 diabetes. All the causes of Type 1 diabetes are not known, so this is speculation based on what you have told me, and more tests and questions need to be asked before being sure.
He can play with diabetes, it won't limit him in any way. It is just a matter of when he will play; Type 1 takes a while to get used to (you could have an insulin pump surgically implanted) while Type 2 normally requires constant monitoring of blood sugar and insulin shots.2) He could pass out on the court and go into shock, but first he would start to feel faint and that's why the doctor is on the bench.
MEDICAL OPINION #3, from an esteemed gastroenterologist in the Southeast:
1) It depends on whether his Diabetes is currently "under control" or is he having active complications from his diabetes. If he does he have a currently high elevated blood sugar, does he have an "acidosis" caused by his diabetes? Is he severely dehydrated because of his diabetes? If none of these are an issue - he should be OK.2) If he has one of the complications from hyperglycemia - he can die.
Whoa.
As to whether Freeman plays against Cincy, in the Big East Tournament or beyond, that's something we'll leave to the experts. Your guess is as good as ours.
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13 comments
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Comments
I hope he gets healthy above all other things, even if he can't play this season.
but if he can and does play and we win some games and he plays well…the media is going to have a field day with this story.
High fives only on three pointers.
by TheYellofAllYells on Mar 4, 2010 6:23 PM EST reply actions
Well said.
Exactly how I feel
It's not you, it's me.
by Jeff Green's Dad on Mar 4, 2010 6:28 PM EST up reply actions
yeah
he’s got a bright future – he should take all the time he needs. I’d love to see him out there as soon as possible because I imagine he is itching to get back on the court, but health above everything else.
I can have oodles of charm when I want to.
JT Show
They had Free’s doctor on at the beginning of the JT show today and he indicated Freeman will give it a go on Sat…
Sure hope he is up to it
Absolutely anything he can do will be a huge lift to the team.
They play so fine, don't you agree?
Nice name
Big fan
It's not you, it's me.
by Jeff Green's Dad on Mar 4, 2010 8:37 PM EST up reply actions
long time diabetic first time caller
As far as I can tell they haven’t determined/released what type of diabetes Austin has. That joker on ESPN that said “he must have type two” doesn’t know what he’s talking about. I was diagnosed with type one by senior year at Georgetown.
At any rate, in the grand scheme of things, diabetes isn’t earth shattering. It’s a huge pain in the ass more than anything, but as long as Austin can check his blood sugar regularly, then he should be able to function 95% normally. There is always the danger that prolonged intense physical exertion depresses your blood sugar, but with several timeouts per game,testing his sugar throughout the game shouldn’t be a problem.
At the end of the day, the Hoyas might have to bite the bullet and rest him for one more game so that the docs can get a good read on Austin’s blood sugar patterns, etc. but with a little bit of forethought, he should be able to perform.
by dominicthedonkey on Mar 4, 2010 9:48 PM EST reply actions
Austin Freeman's Diabetes
In 1974, when I was a student at Georgetown University, running 5 miles a day, as fit as i had ever been in my life, I suddenly came down with type I diabetes. 5 days in GU Hospital, I snuck out an ran 20 laps on the track each day. Yeah, I take insulin shots – 6 each day…have been doing this for 36 years now….that’s what? over 75,000 shots – and counting…And I’m still running!…Yes Austin will play…he could play today…Don’t let it stop you, Austin…Don’t even let it slow you down. Take care and move on!
Michael Hepler-Smith, M.D
BA Georgetown University, 1971
MAT Howard University, 1972
Math Teacher, Cardozo HS, 1972-74
Non Degreet Student, Georgetown U., 1974,75
MD University of Pennsylvania, 1979
Pediatrician, 31 years and counting.
by Michael Hepler-Smith on Mar 4, 2010 11:37 PM EST reply actions 2 recs
DIABETES
Delicious diabetes recipes to help you follow your diabetes meal plan http://ow.ly/1dUWo
Freeman
as a syracuse fan, i am deeply sorry that freeman has come down with diabetes. i would never wish this upon my worst enemy (which happens to be you), and i hope he can get through it and return to the court soon
by Wes Johnson Might Be God on Mar 5, 2010 6:46 AM EST reply actions
hey
no problem. like i said, no one wants to see this happen to anyone
by Wes Johnson Might Be God on Mar 5, 2010 7:36 PM EST up reply actions
I love this thread
Particularly because of all the new posters for sharing.
High fives only on three pointers.
by TheYellofAllYells on Mar 5, 2010 8:07 AM EST reply actions

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