On the mound with melanoma: The Jim Umbricht story

Jim Umbricht (1930-1964) was a Major League baseball pitcher for the Pittsburgh Pirates and Houston Astros (formerly Houston Colt .45s). In 1963, he was diagnosed with stage III malignant melanoma which presented with a right leg pigmented skin lesion and right groin lymphadenopathy. Umbricht was treated at MD Anderson Cancer Center and Tumor Institute in Houston with the relatively new therapeutic modality of isolated limb perfusion. He was able to resume pitching 2 months after the surgery and played the remainder of the baseball season. Unfortunately, he died of metastatic disease on April 8, 1964. This contribution highlights Umbricht's medical care back in 1963 compared with current treatment options for advanced-stage malignant melanoma. Jim Umbricht's courageous story increased public awareness of malignant melanoma and can still inspire us to educate the public about this deadly form of skin cancer.

The 70th anniversary of the death of Lou Gehrig

The year 2011 marked the 70th anniversary of the death of Lou Gehrig. This article reviews his history, illness, relationship with his physicians, and what the modern physician can learn from his story. Lou Gehrig's disease continues to be the popular eponym for amyotrophic lateral sclerosis.

Investigating customer racial discrimination in the secondary baseball card market

A growing body of literature in a variety of disciplines has appeared over the last 20 years examining customer racial bias in the secondary sports card market; however, consensus on the matter has yet to emerge. In this article, we explore the more subtle ways that a player's race/ethnicity may affect the value of his sports card including a player's skin tone (light- to dark-skinned). Data were obtained for 383 black, Latino, and white baseball players who had received at least one vote for induction into Major League Baseball's Hall of Fame including their career performance statistics, rookie card price, card availability, Hall of Fame status, and skin tone. Findings indicate that card availability is the primary determinant of card value while a player's skin tone has no direct effect. Subsequent analysis demonstrates that a player's race (white/non-white) rather than skin tone did have an effect as it interacts with Hall of Fame status to influence his rookie card price.

Abner Doubleday, Marc Bloch, and the cultural significance of baseball in rural America

In 1907 baseball's promoters decreed that Civil War hero Abner Doubleday created the game in the village of Cooperstown, New York, in 1839. Baseball thus acquired a distinctly rural American origin and a romantic pastoral appeal. Skeptics have since presented irrefutable evidence that America's pastime was neither born in the United States nor was a product of rural life. But in their zeal to debunk the myth of baseball's rural beginnings, historians have fallen prey to what Annales School founder Marc Bloch famously called the "idol of origins," and all but neglected the very real phenomenon of rural baseball itself. The claim that baseball has always been "a city game for city men" does not stand up to empirical scrutiny anymore than the Doubleday myth itself, as this address demonstrates with three case studies -- Cooperstown in the 1830s, Davisville, California, in the 1880s, and Milroy, Minnesota, in the 1950s. Baseball may have been a source of rural nostalgia for city people, but it was the sport of choice for farmers and a powerful cultural agent.

Lou Gehrig, rawhide, and 1938

Lou Gehrig was one of the most talented baseball players of all time; yet he is also remembered for ALS, the disease that took his life and still bears his name as its eponym. There is speculation about when his symptoms began. Some authorities believe that Gehrig showed signs of ALS when he starred in the film Rawhide in January 1938, which would mean that he played the entire 1938 season with symptomatic ALS. Additionally, some photographs of Gehrig showing atrophy of hand muscles have been dated incorrectly because of misinterpreted logos on his uniform. We examined the film and photos taken of Gehrig from 1937 to 1939 to determine whether he showed signs of weakness in the film and when visible evidence of ALS could be documented. Specific scenes from Rawhide were chosen to grade Gehrig's motor function using the ALS Functional Rating Scale (ALSFRS). Dates of photos and uniform logos were verified with the Baseball Hall of Fame. Examination of Rawhide showed that Gehrig functioned normally in January 1938. His ALSFRS score, modified to account for limitations of on-screen activities, was normal. The New York Yankees wore logos in 1938 that were labeled with the year 1939 to advertise the 1939 World's Fair; the uniforms displayed a centennial patch during the 1939 season. A photograph of Gehrig from October 1939 showed hand atrophy. Photos from the spring of 1938 showed normal hand muscles and leg function, implying that visible signs first appeared after May 1938.

[In search of unknown aetiopathogenesis: from Henry Louis ("Lou") Gehrig to Gianluca Signorini: history of the link between amyotrophic lateral sclerosis and sport]

From "Lou" Gehirg to Gianluca Signorini: the history of almost 70 years of link between amyotrophic lateral sclerosis and sport. From first intuitions and assumptions to late epidemiological evidences supporting the possible relation between Italian soccer and amyotrophic lateral sclerosis; comparison among old and new aetiopathogenetic hypothesis.

From Freud to Gehrig to Rapaport to DiMaggio

Lacking the size, talent, and speed to play shortstop for the New York Yankees, I chose instead to become a psychologist/psychoanalyst. Yet, baseball and psychoanalysis share much in common. Each is played in the inner diamonds of one's mind, values the past and what is passing, and requires a strong work ethic. Both are timeless and involve an almost boring leisureliness between occasional moments of crisis. Then too, each calls for an attitude of consistency and patience and a responsibility to do one's best. From my parents and brother to my wife and son and his family, from my teachers and supervisors to my colleagues, and from Menninger to the Society for Personality Assessment (SPA), I feel deeply grateful for the partners and teammates I have and have had.

Observations in the National Baseball Hall of Fame and Museum: doing gender in Cooperstown

This study explored the extent and type of men and women's relationship to baseball at the end of the 20th century. Unobtrusive observations of the behaviors and comments of visitors to the National Baseball Hall of Fame and Museum in Cooperstown, New York, were undertaken during a 7-day period to explore how men and women related to baseball. The "doing of gender" by visitors was observed in several areas: (a) historical and personal connection to baseball, (b) ability to experience a bond with others through baseball, and (c) approach to touring the Hall of Fame and Museum. Women generally were seen as outsiders and peripheral to baseball and often connected to the sport in a manner different from men.

The influence of famous athletes on health beliefs and practices: Mark McGwire, child abuse prevention, and Androstenedione

When Mark McGwire broke Roger Maris's home run record in September of 1998, he was instantly declared an American hero and held up as a positive role model for teenagers and young adults. The extensive media attention focused on McGwire made the general public aware of his use of a muscle-building dietary supplement, Androstenedione. It also increased the public's awareness of McGwire's public service to prevent child abuse. The present research assesses audience involvement with McGwire through parasocial interaction and identification, and the effects of that involvement on audience knowledge of and attitudes toward Androstenedione and child abuse prevention. Results indicate parasocial interaction with an athlete regarded as a public role model likely leads to audience identification with that person, which in turn promotes certain attitudes and beliefs. In this case, parasocial interaction and identification with Mark McGwire was strongly associated with knowledge of Androstenedione, intended use of the supplement, and concern for child abuse. Implications of this research for featuring celebrities in health communication campaigns are discussed.

In memory of a legendary athlete: measured success in diabetic nephropathy

Historically diabetic nephropathy has been a devastating complication of both type I and type II diabetes. The past 2 decades have seen enormous conceptual advances in understanding the pathogenesis of diabetic nephropathy. The genetic determinants of diabetic renal disease have also been elucidated as well as biochemical events and cytokine interactions. Most importantly, key clinical trials have identified therapeutic interventions which can slow or halt the progression of diabetic nephropathy, specifically the therapeutic use of angiotensin-converting enzyme inhibition and intensive blood sugar control. Multiple treatment modalities for patients once they reach end-stage renal disease are also available and great strides have been improving outcomes in these areas as well.

The later evolution of modern sport in Latin America: the North American influence

American impact on modern sports in Latin America overlaps geographically and chronologically with the European, especially British, impact. Principally baseball in the Caribbean basin, more recently basketball and volleyball across the hemisphere and occasionally American football in more limited areas illustrate a north-to-south movement executed by businessmen, educators, missionaries, military personnel, returning travelers (often students), sports entrepreneurs and television. Often initially supported by promoters of development within Latin America, this transfer has altered local recreational patterns and attracted Latin athletes to pursue careers in North America, provoking accusations of cultural imperialism and exploitation.

The suicide of Thomas Wentworth Wills

Thomas Wentworth Wills was the most important Australian sportsman of his time. He captained the Victorian colony at cricket and was the first hero of Australian Rules football. Although his picture now adorns the conservative Melbourne Cricket Club, he died in 1880, an isolated, destitute alcoholic, after stabbing himself in the heart. Wills embodied a tradition, as prevalent today as it was over 100 years ago, that weds sport with alcohol in Australian culture.

Toxicological deaths of major league baseball players

REPORT

A retrospective review of major league baseball records was conducted for players' cause of death. Any death attributed to a toxic exposure was analyzed for causal agent, reason for exposure, age at time of death, location, time of year, team, and dominant position played while active.

RESULTS

Twenty-eight poisoning deaths were identified between 1889-1995. The most common agent was carbon monoxide (8), followed by methane gas asphyxiation (4), opiate overdose (4), ethanol (3), and phenol (3). Fourteen (50%) were unintentional deaths, 13 (46%) were suicidal in nature, and 1 (4%) homicidal. The majority of deaths (75%) occurred after the players had retired from the game. The leading position was pitcher (13), followed by catcher (5), outfield (4), second base (2), first (1), shortstop (1), third (1), and umpire (1).

CONCLUSIONS

With society's increased illicit drug use, better drug detection, escalating salaries, and increased public pressures placed on present-day players, more poisonings may likely occur.

Psychology and "the Babe"

Psychologists and baseball players were among those Americans who formed professional associations in the last quarter of the nineteenth century. Psychologists used laboratory tasks to quantify mental and behavioral processes while sportswriters and baseball organizers measured individual and team performance. The most popular baseball player of the 1920s, George Herman "Babe" Ruth, possessed superior batting skills that were evident in the statistical indices of baseball performance. In 1921, he was brought to the psychological laboratory at Columbia University to perform standard laboratory tasks in an effort to discover the basis for his success in hitting home runs and to suggest the potential of tests for identifying future baseball stars. Baseball's addiction to quantitative indices of performance was thus brought together with a new science devoted to quantitative assessment and a desire to make such assessments useful. The attempt to analyze the basis of Ruth's batting skills is part of the history of applied psychology, sport psychology, and popular interest in the science of psychology.

Lou Gehrig and amyotrophic lateral sclerosis. Is vitamin E to be revisited?

Investigators are beginning to reexamine the use of vitamin E for the treatment of amyotrophic lateral sclerosis. Vitamin E was isolated in the 1920s, and the results of animal studies led rapidly to clinical use. Regrettably, vitamin E did not ameliorate the progression of amyotrophic lateral sclerosis for Lou Gehrig, but more recent advances may identify subpopulations that do respond to vitamin E.

Babe Ruth: with vision like that, how could he hit the ball?

Unfortunately, it is unlikely that a definitive answer will be known. We believe that it is most likely that Ruth was not amblyopic. This seems possible only if Dr. Kara had missed some amblyogenic factor such as strabismus or a significant refractive error. Our favored solution is that Ruth's unilateral vision loss was a complication of his cancer, and that Dr. Kara's examination occurred before the optic nerve damage became detectable. Of course, this is in disagreement with the ophthalmologist who examined his eyes.