#siants

In June, fans couldn't help but wonder why Nick Fairley's heart condition wasn't caught sooner. Fairley, whose enlarged heart was originally discovered before he was drafted, had played five years in the NFL with the Lions and Rams before joining the Saints last season. A doctor in Boston recommended the veteran defensive tackle retire. But unfortunately for the Saints, that decision came after the team signed him to a four-year, $28 million deal.

Should it have been discovered sooner? Who knows?

And going back further, there was Pelicans guard Jrue Holiday, acquired from the Philadelphia 76ers in a trade in 2013. Holiday is healthy now, but the Pelicans got him without knowing he had stress fractures in his right leg. The 76ers ended up having to compensate the Pelicans for not disclosing that information, but you'd think the Pelicans medical staff would have checked for that at some point.

Former Saints cornerback Keenan Lewis thinks it's a problem the team has dealt with for years.

"If this was the first incident, they wouldn't have fired him," Lewis said Wednesday. "This has been going on. I was one of the guys it happened to. It bothers me that I'm still dealing with health problems and busting my butt to get back and play."

Lewis was released by the Saints last season. According to Lewis, team doctors told him he was dealing with issues from scar tissue stemming from hip surgery. It was an injury that would require about two weeks of rest, but he was unable to return and eventually was let go.

He visited the Pittsburgh Steelers, the team he played with before the Saints, and was told by the Steelers that the surgery he had almost six months earlier was a "failed surgery," and more than just an issue with scar tissue.

Former Saints linebacker Chris Chamberlain responded to news of the firings on Twitter.

"Not the first time this has happened," he tweeted. "Shocked they actually admitted the mistake and (Saints general manager Mickey) Loomis isn't blaming the player like he did me."

But here's the good news.

Payton and/or Loomis diagnosed the problem and are trying to fix it. And Payton said Breaux's misdiagnosis was an isolated incident.

"For years, those guys have done a great job," Payton said. "But there was a point we felt as an organization that change was going to be necessary for us."

Fittingly, Payton was standing in front of a banner with the Saints and Ochsner logos on it. The team and Ochsner are partners, and the Saints/Pelicans practice facility now bears the group's name.

"Our tie to Ochsner is fantastic," Payton emphasized.

But the next team doctors may not be from Ochsner. He said the team will go through as many qualified candidates as it can to fill the positions.

"When this happens with a player, the decision is made, and the club moves on," Payton said. "When it happens with the head coach, the same thing applies. Certainly that umbrella of confidence level in other areas applies as well. It's a competitive business and part of the NFL."

Payton addressed the change in medical staff with his team Tuesday night.

"He did a great job of basically promising the team that they are going to have people here in every area of the building, including the medical staff, that players feel like have their best interest at heart," punter Thomas Morstead said. "It's always a concern with players. A good organization is going to make sure the players trust every part of the organization as best as possible. That's important, whether it's trusting you have the best coaches, the best scouting departments, the best trainers or the best doctors."

The bad news is the Saints had a problem.