BALTIMORE -- The Orioles said on Wednesday that Tsuyoshi Wada is going to see Dr. Lewis Yocum for a second opinion on his left elbow.

Wada had an MRA (magnetic resonance angiogram), which showed some form of ligament damage. The O's are going to meet with Yocum to help decide on what form of treatment to take -- possibly surgery.

Baltimore manager Buck Showalter said that Yocum did the original physical on Wada a few months ago when he signed a two-year, $8.15 million contract. Yocum also treated Wada a few years ago.

Even though surgery could be in the cards, Showalter said he's still holding out hope the Orioles will get Yada back sooner rather than later.

"There's still hope ... he could rehab this thing and be back," Showalter said. "[There's] always the potential of surgery. If that happens, the way things are nowadays, he could be pitching for us again. I know he's disappointed."

Doctors yet to determine Johnson's illness

BALTIMORE -- Orioles closer Jim Johnson remained in the hospital on Wednesday as doctors are still trying to determine his illness.

"[They're] still running tests, eliminated some things, haven't completely identified it," O's manager Buck Showalter said. "He's getting a little frustrated."

In Johnson's absence Tuesday, Pedro Strop stepped in and earned his first Major League save.

The call-up of right-hander Jason Berken when Robert Andino went on paternity leave gave Showalter another pitcher for later in the game. Berken was effective as a starter at Triple-A Norfolk, but will be in the bullpen.

Showalter talked Tuesday and Wednesday about how several Orioles came down with a virus or bug that worked its way through the team. Before Wednesday's game, the O's had nine guys battling flu or upper respiratory issues.

Johnson's situation is the one that has caught the most attention. Showalter said it's just going to take some time to solve.

"He's in great hands, some of the best doctors in the world," Showalter said. "At some point, he'll rejoin us, and then we'll start talking about baseball. Right now, this is about getting your body healthy."

Reimold improving, but remains out of lineup

BALTIMORE -- Nolan Reimold's neck problems held him out of the Orioles' lineup for the fourth straight game -- and the fifth time in the last six -- but the outfielder appears to be improving.

Reimold's been bothered by neck spasms the last several days and took some swings in the batting cage before batting practice Wednesday afternoon. He's yet to throw, but is hoping everything is finally coming around.

"I think I'm almost ready," Reimold said. "It's getting better. It's getting there. I took some swings in the cage. I just want to get this over with and get back on the field."

Manager Buck Showalter also is optimistic, saying the team wanted to see how Reimold's neck reacted to the work he did before the Wednesday game.

Both Showalter and Reimold said the Orioles are being cautious, but they're hopeful.

"Nolan's getting better, very close," Showalter said. "[He'll] do some activities today and see if we can not have repercussions from it. Then, hopefully [we'll] be able to turn him loose."

Andino's wife has baby; Berken called up

BALTIMORE -- Right-hander Jason Berken rejoined the Orioles before Wednesday's game while Robert Andino was in Miami following the birth of his third child.

Andino's wife, Renee, gave birth to a girl named Amarise Hazel. He left the team following Tuesday's win over the Blue Jays and should be back in the next day or two.

It was a nice birthday present for Andino, who turned 28 on Wednesday.

Berken was called up from Triple-A Norfolk to fill Andino's spot. The right-hander made three starts with Norfolk and gave up just one earned run in 15 innings for an 0.60 ERA.

"I'll be in the 'pen," Berken said before the game. "I'm here to pitch. I'm just excited to get the opportunity to pitch here again."

Worth noting

• Manager Buck Showalter said that Taylor Teagarden will be getting a third injection in his injured lower back that's kept him out of action this season. But the manager said that Teagarden is having problems and "not progressing very well."

• Pitcher Zach Britton (shoulder) is right on schedule with his rehab program. Showalter said there's been no setbacks, and Britton's moving closer to getting back on the mound.

• Entering Wednesday, Adam Jones needed one RBI to reach 300 for his career.

• Ryan Flaherty started his second straight game, playing second base after playing at third on Tuesday. The 25-year old entered Wednesday 0-for-6 this season and was looking for his first Major League hit.