https://theathletic.com/195052/2017/12/26/with-the-astros-victory-celebration-in-full-swing-a-heart-stopping-drama-was-playing-out-behind-the-scenes-the-race-to-save-a-beloved-coachs-life/With the Astros' victory celebration in full swing, a heart-stopping drama was playing out behind the scenes: the race to save a beloved coach's life
BY KEN ROSENTHALWith nearly one million revelers joyously drinking in their team's first championship, the Astros' World Series victory parade had wended through the sun-baked streets of downtown Houston to City Hall, where the next phase of the celebration would take place. On stage, the exhilarated Astros were joined by local politicians and a number of luminaries at the start of the official ceremony honoring the team. It was then that Rich Dauer, the club's first base coach, abruptly began to stagger, almost as if he was drunk. He stepped to the back of the stage with the other coaches as the players were being introduced to the crowd.
Something clearly was not right. Manager A.J. Hinch immediately noticed a difference in Dauer's color and in his state of mind that was alarming. At that point, even Dauer knew there was a problem. "I don't really feel too good," he told the team's assistant hitting coach Alonzo Powell. Then, suddenly, Dauer became less responsive. Bench coach Alex Cora was anxiously looking on and started shouting to Dauer: "Are you OK? ARE YOU OK?"
Very quickly, and almost entirely out of public view, a drama was unfolding that would determine whether the 65-year-old Dauer would live or die.
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Jeremiah Randall, the Astros' head athletic trainer, had no idea Dauer's life was in danger when he saw the EMTs descend from the stage, carrying the coach on a stretcher. The stage was so crowded, Randall and his assistant athletic trainers, Scott Barringer and Daniel Roberts, were standing below, off to the side. The three quickly conferred, trying to figure out how to get Dauer through the crowd, to an ambulance. Their initial conclusion was the same as everyone else's who had noticed Dauer's sluggishness that day; he was dehydrated, exhausted from the Astros' long playoff run and exuberant celebration downtown.
The trainers and EMTs found a golf cart and placed the stretcher with Dauer onto the back of the vehicle. Randall sat in the front and called the Astros' head team physician, Dr. David Lintner. The two discussed whether Randall should take Dauer to a small, local emergency room or a larger facility. Lintner pushed for Houston Methodist, a hospital rated No. 1 in Texas and No. 19 nationally in the 2016-17 rankings by U.S. News and World Report, "just on the outside chance there was something bad going on."
First, Randall had to locate an ambulance. The nearest one was three blocks away, no easy distance to navigate through jam-packed streets. "There were a million people downtown," Randall says. "You couldn't get anywhere. The roads were all blocked off. There was just nowhere to go." Traffic remained a major problem even as the group reached the ambulance and got Dauer inside. Randall estimates the ambulance did not move for 30 minutes.
The driver made calls, trying to determine the fastest path to Houston Methodist. Randall studied traffic apps on his phone in between giving Dauer's medical history to the EMTs and talking to Lintner and another team physician, Dr. James Muntz, who were helping prepare the hospital for Dauer's arrival. The situation was growing more urgent. "If you're dehydrated and they put an IV in, you respond to the painful stimuli of the needle," Randall says. "He wasn't responding."
Dauer's wife, Chris, did not attend the parade; she had grown ill, perhaps from food poisoning, and returned to the hotel where she and Rich were staying. Hinch's wife, Erin, called Chris with the first warning, saying, "I don't want to worry you, but Rich doesn't look good." Randall followed shortly thereafter and said, "We're taking him to the emergency room." Chris gathered herself and headed to Houston Methodist.
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Trey Hillman, the Astros' bench coach in 2015 and '16, was with his wife, Marie, preparing to watch the sunset from the back porch of their lake house in Burnet, Tex., when he got a text message from Astros hitting coach Dave Hudgens. "Pray for Richie," Hudgens wrote. "He collapsed and was dehydrated at the parade."
Hillman, a close friend of Dauer's who is now the manager of SK Wyverns in South Korea, immediately called Randall, with whom he had worked in 2011 for the Los Angeles Dodgers; Hillman was the team's bench coach and Randall its physical therapist.
Randall answered on the second ring. "Trey," he told Hillman, "you need to get down here."
Trey, accompanied by Marie, rushed out and made the 45-minute drive home to Liberty Hill, Tex., northwest of Austin. They showered and changed, then got back in the car and reached Houston Methodist in approximately three hours.
Powell, the Astros' assistant hitting coach, also was far outside Houston when he received word that Dauer's condition was serious. Powell, who was about to be named the San Francisco Giants' hitting coach, had left the celebration early and started the 16-hour drive home to Peoria, Az., with his wife, Jana. He needed to fly to San Francisco for a potential news conference that would take place in three days. "I thought the Giants would understand if I was a little lateRichie is a little more important than a news conference," says Alonzo, who wound up doing a conference call on the appointed day instead.
Jana had been a brain injury rehab nurse before becoming a school nurse about seven years ago, a change she had made to spend more time with Alonzo. She had sat on one side of Dauer during the parade, while Randall had sat on the other. When Jana saw the EMTs take Dauer away on the stretcher, she immediately thought to call Chris Dauer. But Jana's phone battery had run out of juice after she used it to videotape the parade and celebration; she could not charge it until she and Alonzo got into their truck for the ride home.
As soon as the phone had power, Jana saw a text from Chris asking her to call. "Richie collapsed," the text said. "I'm on my way to the hospital." Jana called, told Chris she knew about Richie, and apologized for her inability to phone earlier. At the time, Chris, like most everyone else, thought Rich only was suffering from dehydration. Chris, as Jana remembers, did not seem the least bit concerned. She agreed to keep Jana updated, and about 90 minutes into the Powells' drive, Jana's phone rang again. The news was unsettling.
The Powells immediately turned around and headed back to Houston.
Hours earlier, on the fire truck, Jana had noticed Dauer was not himself. He was quiet, wearing sunglasses, holding up his phone as if videotaping the parade. But Jana noticed his phone wasn't even on. "I could see the signs then, but just shrugged it off, thinking it was exhaustion," she says.
Recalling the parade ride, Randall also asks himself, "How did I not know something was not right with him?" Randall says his conversations with Dauer on the fire truck were normal, but others later informed him of odd interactions they had with Dauer that day. Yet, even if Randall had been aware of those interactions, he is not sure he would have interpreted them as a sign of a medical issue. Dauer, as an infielder with the Baltimore Orioles from 1976 to '85, earned the nickname "Wacko" from Hall of Fame pitcher Jim Palmer. The Astros also knew his quirky, colorful side.
"He's just kind of this off-the-wall character. It's just him," Randall says. "Sometimes you have a weird conversation and you don't think anything of it. I think that's what some people thought that day: 'It's Richie. It's Wacko.' After the fact, we were all like, 'Dang, we should have seen this.'"
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Once Dauer arrived at Houston Methodist, Dr. Muntzthe team physician who specializes in internal bleedingsprang into action. Muntz did not attend the parade and had raced to Houston Methodist, a five-minute drive from his home, after learning of Dauer's collapse. The moment Dauer arrived, Muntz sensed trouble. Dauer was wild-eyed. He had gone into respiratory arrest, requiring the insertion of a breathing tube. His body was in a posture that indicated severe brain damage. "He was unresponsive," Muntz says, "just a disaster."
Dauer underwent an immediate CAT scan, and the results showed what Muntz feared: "Blood everywhere" around his brain. Adding to the predicament: Due to a heart condition, Dauer was taking Xarelto, a blood thinner that is difficult to reverse. Undaunted, Muntz made a snap decision. "We have some fancy reversal agents, super-expensive," Muntz says. "I said, 'Just give them to him.'"
Muntz cut through any delays, at one point snapping at the staff, "No more questions! He goes to the operating room."
"When I despair, I remember that all through history the ways of truth and love have always won. There have been tyrants, and murderers, and for a time they can seem invincible, but in the end they always fall. Think of it--always."
Mahatma Gandhi