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No. "Shin splints" is a symptom, not a diagnosis. Tibial stress fractures are a cause of shin splints. A lot of people who have "shin splints" have, in fact, tibial stress fractures. The first line treatment for bilateral tibial stress fractures is "stop working out for 4-12 weeks". They are apparently common in basic training (and diagnosis is apparently getting better, so that a lot of people that would normally have just complained about shin splints are now being diagnosed with small stress fractures).

Neither Gellman nor the House Intelligence report is incorrect here.




Snowden's discharge report makes no mention of "shin splints". It unambiguously mentions "stress fracture", which is unambiguously a form of a "broken bone" by colloquial definition (being as there is no medical definition).

The whole point is that there's no way one can reasonably claim Snowden was exaggerating or misstating the reason for his discharge. The Committee's assertions on this point were just a smear, and a pretty crude one at that.


This is like saying someone wasn't washed out because of a persistent sore throat but was in fact diagnosed with chronic pharyngitis. I mean, OK. Sure.

Unfortunately, your argument is made more difficult by the original narrative of Snowden's story, which claims he "broke both legs in a training accident". Were tibial stress fractures what anyone conjured up from that description?

Both sides --- Gellman and the House committee --- spun this particular issue. Both sides should have provided more context.

Personally, I also think both Gellman and the House report are litigating the dumbest, least important aspect of the Snowden events. I don't really care what kind of person Snowden is, and I don't understand what his personality has to do with public policy. I'm surprised Gellman conceded this dimension of the debate --- especially because a lot of the facts aren't really on his side, in the persuasive sense. Surely Snowden was more sympathetic when we thought he'd been in a pair of casts after a parachute mishap. The House report succeeded in re-casting this part of the story, with some assistance by Gellman.


> This is like saying someone wasn't washed out because of a persistent sore throat but was in fact diagnosed with chronic pharyngitis. I mean, OK. Sure.

Well, granting the analogy for the sake of argument, the problem here is the House report says that Snowden lied by saying he was diagnosed with chronic pharyngitis when he really had a sore throat.

IOW, he is being called a liar for saying something that is literally and exactly factually true about his discharge, and which is exactly supported by the discharge papers.

(The analogy isn't precise, because at best the description used in the House report is less specific, and implies a much less serious injury in the common mind even if it can include the actual injury that occurred. So, the House report is even more dishonest than the analogy in the above paragraph would suggest.)

> Personally, I also think both Gellman and the House report are litigating the dumbest, least important aspect of the Snowden events. I don't really care what kind of person Snowden is

Sure, you don't, but you aren't representative of the masses of the public, and what the House report is trying to do (and do so at least as dishonestly as it is trying to paint Snowden as doing) -- and Gellman is trying to negate (and perhaps even turn back on the House report itself) -- is poisoning the well. They know that the substance of the matter regarding Snowden's action is difficult and complex, and they want to give the public a clear and easy to grasp reason to tune the whole thing out because "Snowden is dishonest".

Politically, its in a way the most important thing even if it is substantively least important, because its exactly the kind of thing which will -- and this is the whole reason that any time and ink has been spent on it -- prevent the substantive parts from getting attention.


I don't know that we really disagree about anything here. About the worst thing I have to say about Gellman here --- besides that I think it was strategically a bad idea to pick this factual hill to fight on --- is that he's removing the context behind the "broken leg" claim.

I know my original post reads like a list of complaints I have about Gellman's post, but it isn't: it's a list of all the claims Gellman makes, and a short take on each of them.

So, I think it's worth knowing that when Gellman says the House Report is lying because Snowden has a diagnosis of "bilateral tibial stress fractures", he's describing a common result of seeking medical attention for shin splints. That's all.

It's worth mentioning here that the Snowden movie --- I haven't seen it, but that's why all this stuff is coming up now --- appears to be false on this point in no uncertain terms. But then, the broader narrative point the movie is trying to make --- that Snowden was prevented from joining the Special Forces for medical reasons --- might not be. But then a narrower issue is whether he washed out of X-ray Special Forces Training (the "street directly to special forces training" program), or out of the military in general --- that is: did he wash out because he was only willing to serve if he could go straight to Special Forces, when he could have managed his repetitive stress injury, stayed engaged with the Army, and taken the conventional path into Special Forces? And on and on. The whole thing is a mess.

We are rapidly approaching a point where I am going to start reading reports on parachutists managing tibial stress fractures and I'd be happier if we didn't get all the way to that point.


This is like saying someone wasn't washed out because of a persistent sore throat but was in fact diagnosed with chronic pharyngitis.

No, it's not. It's quite a silly comparison, actually.


> "Shin splints" is a symptom, not a diagnosis.

"Shin splints" is a diagnosis, in that its the popular name for medial tibial stress syndrome.


Whatever it is, it's not what Snowden was diagnosed with, according to his discharge papers.


The point is that nobody is diagnosed with "shin splints", just like they aren't diagnosed with "runny nose and sore throat".

If the only point you're making is that the House Report is dishonest in not acknowledging that nobody is diagnosed with literally the term "shin splints", OK, sure, I agree.

But it's a little crazy to me that we're discussing this to this extent, since it's the least important claim in both Gellman and the House's documents.


> The point is that nobody is diagnosed with "shin splints",

They are, or rather, they are diagnosed with medial tibial stress syndrome, which is a distinct and generally less serious thing from a tibial stress fractures (though, AFAICT, may include tibial stress fractures.)

But the relationship between the "shin splits" and medial tibial stress syndrome is clear -- one is the common name and one the formal medical term.

And that's not, in fact, what Snowden was diagnosed with.

And what Snowden was actually diagnosed with is, in fact, broken bones in both legs, so for the House report to paint him as a liar in saying that he was discharged with broken legs because he was -- by the reports description -- discharged with mere shin splints is a lie of such breathtaking brazenness, on such a trivial matter, so far from the substantive meat of the issue, that it demonstrates that the report was written with the intent to smear Snowden everywhere possible without any regard for the actual facts. And that's what makes it important, rather than the importance of the particular claim to the substantive matter.


I don't know that this is worth litigating further. I think, for instance, it's much simpler to establish that the House Report was brazenly dishonest about Snowden's educational record. It's not like the trustworthiness of the spin in the House Report is in dispute: it's clearly not trustworthy.


No, the point is that the whole discussion of "shin splints" is nothing more than a (rather crude) attempt at misdirection.

And attempted comparisons to a "runny nose", even more so.


Well, yeah, and that's rather the point.




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