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About 2 years ago while wearing a dangling throat guard I took a foul which hit the protector sending it back into my throat which was probably the worst pain I have been in as an umpire. It took me at least 5 min to get back up to the plate. The home teams trainer actually suggested I not continue and go to the ER, I did not. I cannot imagine how bad it would have hurt had I not worn the protector. Probably like Garth's situation if not worse. I definitely recommend using one.
That being said I think they are like motorcycle helmets, seatbelts, etc. It should remain a personal choice which is available to you if you should feel the need, not mandated.
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