What's wrong with Anthony Lerew?

Lerew's had nothing but bad outings so far this year, and all of his numbers have tanked.  Most alarming are his 12.6 H/9 and his 5.13 BB/9.  His strikeout numbers aren't as bad, but are down to 6.8 K/9 vs. a carrer minor league track record of 7.7.

Any ideas what's behind this?  He pitched 72 good innings for Richmond last year and got a brief call up.  But his second strech in AAA has been awful.  

So is it an injury?  Mechanics?  His Head?

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