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The start to the season and the stomping of the Angels has been a peak Mariners experience after years of futility. That is why it is extra worrisome that Doc would elect surgery while the M's are in first place. His situation must be dire if he's going to miss the home opener with Paxton! Get well soon buddy.
A glass half full interpretation is that this surgery is not absolutely necessary but Doc is so bullish on the season that he expects first place to be a common occurrence.