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With Tony La Russa out at doctors’ direction, the Chicago White Sox lose their 5th straight: ‘You just hope he’s going to be all right’

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    White Sox shortstop Elvis Andrus puts drops in his eyes during the third inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • Royals players celebrate after defeating the White Sox 9-7 on...

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    Royals players celebrate after defeating the White Sox 9-7 on Aug. 30, 2022, at Guaranteed Rate Field.

  • Chicago White Sox manager Tony La Russa paces through the...

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    Chicago White Sox manager Tony La Russa paces through the dugout in the ninth inning against the Arizona Diamondbacks at Guaranteed Rate Field on Aug. 26, 2022.

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    White Sox second baseman Josh Harrison slides into second with a third-inning double on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox starter Lucas Giolito (27) walks to the dugout...

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    White Sox starter Lucas Giolito (27) walks to the dugout after pitching the second inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • Royals shortstop Bobby Witt Jr. slides safely into second past...

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    Royals shortstop Bobby Witt Jr. slides safely into second past White Sox shortstop Elvis Andrus after hitting a double during the fifth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox bench coach Miguel Cairo stands in the dugout...

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    White Sox bench coach Miguel Cairo stands in the dugout during the first inning while serving as acting manager against the Royals on Tuesday, Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox right fielder Gavin Sheets runs the bases after...

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    White Sox right fielder Gavin Sheets runs the bases after hitting a three-run homer during the fifth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox starter Lucas Giolito stands on the mound after...

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    White Sox starter Lucas Giolito stands on the mound after Royals first baseman Nick Pratto hit his second solo homer of the night during the fourth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox designated hitter Eloy Jiménez hits an RBI single...

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    White Sox designated hitter Eloy Jiménez hits an RBI single during the fifth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox left fielder Andrew Vaughn watches Royals first baseman...

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    White Sox left fielder Andrew Vaughn watches Royals first baseman Nick Pratto's RBI ground-rule double bounce into the stands during the seventh inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox starter Lucas Giolito walks to the dugout after...

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    White Sox starter Lucas Giolito walks to the dugout after pitching the first inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox center fielder AJ Pollock (18) and right fielder...

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    White Sox center fielder AJ Pollock (18) and right fielder Gavin Sheets chase a two-run single by Royals center fielder Michael A. Taylor during the sixth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox starter Lucas Giolito has his hands checked by...

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    White Sox starter Lucas Giolito has his hands checked by an umpire after pitching the fifth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox right fielder Gavin Sheets (32) celebrates in the...

    Armando L. Sanchez / Chicago Tribune

    White Sox right fielder Gavin Sheets (32) celebrates in the dugout after hitting a three-run homer during the fifth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox reliever Jose Ruiz walks to the dugout after...

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    White Sox reliever Jose Ruiz walks to the dugout after pitching the ninth inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox starter Lucas Giolito walks through the dugout before...

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    White Sox starter Lucas Giolito walks through the dugout before the first inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • Injured White Sox pitcher Garrett Crochet walks through the dugout...

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    Injured White Sox pitcher Garrett Crochet walks through the dugout before the first inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox first baseman José Abreu grounds into a forceout...

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    White Sox first baseman José Abreu grounds into a forceout to end the bottom of the third inning on Aug. 30, 2022, at Guaranteed Rate Field.

  • White Sox third baseman Leury Garcia gets tagged out by...

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    White Sox third baseman Leury Garcia gets tagged out by Royals first baseman Nick Pratto during the second inning on Aug. 30, 2022, at Guaranteed Rate Field.

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The Chicago White Sox announced about 50 minutes before the first pitch against the Kansas City Royals that manager Tony La Russa would miss Tuesday’s game at the direction of his doctors.

Miguel Cairo knew about an hour before the game started that La Russa would not be on the bench and that he would be stepping into the manager’s role.

“Believe me, he would love to be there,” the Sox bench coach said. “He wants to be there. But I know he needs to rest and they’re going to find out (Wednesday) what is going on and hopefully we know by (Wednesday) everything.”

La Russa, 77, is scheduled to undergo further medical testing Wednesday in Chicago. The Sox anticipate an update on his status before Wednesday’s game against the Royals.

“We didn’t have much of a heads up,” right fielder Gavin Sheets said. “I don’t know all the details still. Obviously praying for him, praying for a full recovery.

“At the same time, we go out and do our job and prepare to play a game, and we know with Miggy we are well-prepared and just go out and do our job.”

Sheets homered twice and had five RBIs, but it wasn’t enough as the Sox lost 9-7. The Royals hit four home runs, including two by Nick Pratto. The Sox lost their fifth straight and 10th in 12 games.

La Russa met with reporters around 4 p.m. for his daily pregame session and discussed urgency, injuries, former pitcher Dave Stewart — who was visiting — and the calendar.

“Everybody knows we’ve got to win games, starting with this one today, period,” La Russa said. “Think about just win today.

“The guys know that time is running out. Still, concentrate on today. Just try to win today.”

Less than three hours later, the Sox made the announcement and shared the news with fans in attendance with a message on the video board.

“I didn’t know much about it until I saw it on the scoreboard when I went out there,” Sox starter Lucas Giolito said. “You just hope he’s going to be all right. I don’t know any details.”

Giolito and Sheets said the late change did not affect their preparation.

“My job is a lot different than a manager’s job, so I just focus on what I need to do,” Giolito said.

Said Sheets: “We are going out there ready to play a game. It doesn’t change our preparation or anything. We wanted to get a win for Miggy.”

Cairo went 1-1 as the Sox acting manager in 2021, serving in the position for a 9-8 victory on Aug. 12 against the New York Yankees at the Field of Dreams Game in Dyersville, Iowa, and a 2-1 loss on Sept. 18 at Texas.

La Russa missed the first game to attend his brother-in-law’s funeral and the second because he was suspended after reliever Mike Wright intentionally threw at Los Angeles Angels star Shohei Ohtani.

White Sox bench coach Miguel Cairo stands in the dugout during the first inning while serving as acting manager against the Royals on Tuesday, Aug. 30, 2022, at Guaranteed Rate Field.
White Sox bench coach Miguel Cairo stands in the dugout during the first inning while serving as acting manager against the Royals on Tuesday, Aug. 30, 2022, at Guaranteed Rate Field.

Cairo was ready for Tuesday’s task despite the short notice.

“I knew the pitchers that we had and I knew the matchups,” he said. “I always prepare myself before the game starts.”

Giolito allowed the two solo homers to Pratto — in the second and fourth — and a two-run homer to Salvador Perez in the third as the Sox fell behind 5-0.

They cut the deficit to one with a four-run fifth that included a three-run homer by Sheets.

Michael A. Taylor’s bloop single that fell in front of a diving Sheets with two outs in the sixth brought in two to put the Royals ahead 7-4. Taylor hit a solo home run in the eighth, and the Royals held on while the Sox fell six games behind the Cleveland Guardians in the American League Central.

Their thoughts afterward were on their manager.

La Russa, inducted into the Baseball Hall of Fame in 2014, is in his second season of his second stint with the Sox. He first managed the team from 1979 to 1986.

“We’re going to find out (Wednesday) what is going on, and hopefully he’s going to be fine and he’s back (Wednesday) to do his duties,” Cairo said. “We are going to keep him in our thoughts and hopefully everything is fine.”