He was pitching well in 1980 but had not completed as many games as he thought he should have when, in mid-June, he began to feel fatigue in his throwing arm — although that did not prevent him from starting the All-Star Game on July 8. (He struck out three in two innings.)
During his next start, though, he seemed lethargic, felt nauseated and had trouble seeing his catcher’s signals. After three and a third innings, he left the game.
At the time, he had a 10-4 record with a 1.90 e.r.a.
After Richard was placed on the disabled list, testing discovered a clot that was blocking the primary circulation to his pitching arm. His doctors chose not to operate, fearing that it might hurt his ability to pitch, but they let him work out. On July 30, while playing catch at the Astrodome, he felt a series of cascading symptoms that added up to a stroke.
In “Still Throwing Heat: Strikeouts, the Streets, and a Second Chance” (2015, with Lew Freedman), he recalled: “All of a sudden, I felt a high-pitched tone ringing in my left ear. And then I threw couple of more pitches and became nauseated. A few minutes later, I threw a couple more pitches, then the feeling got so bad, I was losing my equilibrium. I went down on the AstroTurf. I had a headache, some confusion in my mind, and I felt weakness in my body.”
He was taken to a hospital, where he was found to have no pulse in his carotid artery. Surgeons performed emergency surgery to remove a clot from the junction of two arteries in Richard’s neck.