Pacquiao last update

Troubled boxer Floyd Mayweather Jr. was accused by a security officer of poking him in the face according to the gossip web site TMZ.com. FanHouse spoke to Dr. Goodman regarding her thoughts on this past Saturday's one-sided bout during which Manny Pacquiao battered Antonio Margarito, resulting in Margarito being hospitalized with a fractured orbital bone that required surgery.

When did you feel that Antonio Margarito was first noticeably in danger?

When the referee and or the doctor is assessing the fighter's injury during a fight, obviously a cut below the eye is of no great significance unless it's right below the globe of the eye, and that's a different issue and that almost never happens.

But a cut that is on the cheek bone or the orbital bone like that suffered by Antonio Margarito is not the only issue. In looking at how Margarito's eye swelled up so quickly, you have to assume that there is a fracture under there. And, then, the concern is 'Do you need to stop a fight based on the orbital fracture?' It's a difficult decision, especially when you have a fight of this magnitude. So there are obviously indicators of when a fight should be stopped any way in that situation.

Obviously, from the perspective of the referee, the doctors and the corners, you want a fight to proceed to its natural conclusion. You want the fighters to dictate when a fight should be stopped, and not the officials. Because with a fighter like Antonio Margarito, I mean, you would never assume that Antonio Margarito would ever quit. What are some of the indicators you speak of in relation to Antonio Margarito against Manny Pacquiao?

From the standpoint of the referee and the physician, the fight should be stopped, yes, if the fighter can't see. Was there a point or a round or a condition within a round where, in your opinion, the Manny Pacquiao-Antonio Margarito fight should have been stopped?

In your opinion, what was Manny Pacquiao doing in comparison to Antonio Margarito as an indication of Margarito's futility?

I just think that Manny was being so aggressive at that point and that Antonio Margarito was just eating so many punches. Not so much throwing punches, but landing punches effectively. Number two, the evaluation of the swelling on Antonio Margarito's face was important and this is very rarely talked about. Obviously, he had two eyes that were swollen.

But it was mainly that right eye that was the issue. No eye swells up like that unless there is something wrong underneath with the bone.

Once the eye is swollen shut like Margarito's was, it's almost impossible to tell if the eye is okay.

You examine the pupil, examine the eye, but you also look at how the eyeball is moving. You ask the fighter to look at your finger in different directions. If the eyeball isn't moving normally, that means, in all likelihood, that the fighter has a condition that is called entrapment.

And entrapment means that there is enough injury under there that it is somehow pressing on a nerve and an eye muscle that is not allowing the eye to move properly.

That means that that fighter is going to almost 100 percent have surgery on that eye. The examination should have begun right after he got that cut and the eye started to swell. You make sure that the fighter isn't exhibiting double-vision. As a doctor, you then tell that to the referee. Do you believe that the punishment absorbed by Antonio Margarito was potentially career-ending?

What do you make of the fact that Antonio Margarito was hit 474 times, with 411 of those being power punches, according to CompuBox ringside statistics?

That is just scary for anybody, no matter how hard a head a fighter has. Nobody knows that fighter better than the corner. If the fight doesn't stop on its own because Margarito is just too strong and won't go down, then he should stop it.

It's also the job of the referee and the job of the ring physician, I read Robert Garcia's explanation regarding why he didn't stop the fight.