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My understanding is he threw 10 straight balls that weren't even close. I bet the manager came out and told the crew "Something is wrong with my pitcher but he won't tell me. Can I take him out now so it won't get worse?"
Considering the crew talked a bit about it before letting the trip happen there had to be some discussion about an injury, and is any MLB umpire going to stop a manager when there is even a small hint of an injury. They are umpires not doctors or trainers.
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