Resumption of activities in the NHL: the doctor Max Domi in Montreal it is recommended to play

Reprise des activités dans la LNH: le médecin de Max Domi à Montréal lui recommande de jouer

If Max Domi called from now on the doctor he consults usually in Montreal, he would recommend without a detour to participate in the training camp of the Canadian and playoff games of the national hockey League (NHL).

Rémi Rabasa-Lhoret is the doctor that Domi contacts when he’s in town. Endocrinologist at the clinical research Institute of Montreal (IRCM) and the Centre hospitalier de l’université de Montréal (CHUM), it is regarded as a luminary in the field of diabetes.

Domi composed with a rare form of diabetes, type 1. The Canadian announced, Sunday, will be heard with the attacker to wait for a period of 7 to 10 days before determining whether he will take part in phase 3 of the process of return to play NHL, which coincides with the start of training camps.

“If he called me, I would tell him that he may very well go to the training camp and series without special risks, said Rabasa-Lhoret to the site TVASports.ca. These people will be identified and redépistés. They live in a bubble. I don’t see any reason why he might not want to go there. The “surrisque” [additional risk in the jargon of the medicine] is very modest.”

Although the public health authorities of Quebec have warned the population that the patients with diabetes were more at risk of experiencing complications related to the COVID-19, the doctor considers that it is necessary to make sense of things. Type 1 diabetes usually affects younger people and it is important to consider that Domi is a professional athlete for 25 years in excellent shape.

“This is not the world that makes the difference between all the types of diabetes, explained Rabasa-Lhoret. More than 90% of people have type 2 diabetes. These are people who often have more than 50 years, a certain degree of overweight and family history.”

“If we take the case of Max, the diabetes type 1 presents less risk than type 2 diabetes. Young people are less at risk than older people, and people without overweight are less at risk than people who are overweight,” added the doctor, pointing out that at its last guard at the CHUM three weeks ago, all of the patients using mechanical ventilation, suffering from overweight or obesity.

In control

Another mitigating factor: Domi proves that, since the beginning of his career, he is well able to manage her condition and maintain her blood sugar at a stable level.

“We have a lot of English study that suggests that people with poorly controlled diabetes, so those who have the misery to have good blood sugar, have more risks, said the researcher. Max himself has said to the media that he has a diabetes balanced and without complications. Its risk is much more modest than the public health would suggest.”

If Rabasa-Lhoret admits that Domi is more likely to develop a severe form of the COVID-19 that a normal person, he considers that the probabilities are only slightly higher.

“There is a small “surrisque” that, if he catches it, this is a little more difficult to manage. When one has an infection, it sometimes has less appetite and increased blood glucose levels. Max, when he catches a good old-fashioned flu in the winter, he is forced to manage his blood sugar, then that, for you and me, the pancreas does this work without problems.”

The doctor also considers plausible the theory that Domi is still more safe by being constantly tracked in a bubble, under a supervision close medical.

Discussions with the CH

Rabasa-Lhoret has also revealed that he has had discussions with the Canadian when he made the acquisition of Domi in the transferor Alex Galchenyuk for Coyotes to Arizona. Apparently, the medical staff of the team lacked information relative to the medical condition of his new player.

“I think that the Canadian had not understood what he had as a disease, but it is not serious, because he had proven that he was able to work in Arizona”, he told.

When a patient with type 1 diabetes has a sugar levels are very low, it is hypoglycemia, and it may suffer a coma or even perish.

“The risk of hypoglycemia during exercise occurs during and after the game, said the specialist. It is for this reason that I have a lot of admiration for Max. I spend my life trying to help these patients to be well balanced. Max is very voluntary. It is very, very interested. It was fascinating to see the misunderstanding of the medical staff of the Canadian. I tried to make them understand [the disease], because if he had missed the winning goal in the semi-final against the New York Rangers because he is hypoglycemic, I would not have been very comfortable!”

Even if Rabasa-Lhoret has not been in contact with Domi in the course of the pandemic, it said to maintain a beautiful relationship with the attacker, who has autographed his book No Days Off, talking about his life with type 1 diabetes. It is never too far away when Domi was in need of him.

“If someone in his entourage had forgotten to put the insulin in his bag when he is traveling, to the institute, it has what has been called the “Domi” Box. He told us which hotel it is and we made a delivery by FedEx.”

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