Gavin McCann is out of Bolton's Barclays Premier League relegation showdown with West Ham at the Reebok Stadium on Tuesday night.
McCann missed Saturday's 3-3 home draw with Manchester City with an ankle injury manager Gary Megson has described as "quite serious", joining Joey O'Brien and Sean Davis in the treatment room.
Ricardo Gardner, who also missed the City game through illness, is doubtful, although Megson at least has Saturday's two-goal hero in Ivan Klasnic available even though he limped off late on with a hip problem.
Boss Gary Megson is adamant he has no intention of changing his ways and will always say what he thinks.
Megson was reported to have become embroiled in a dressing-room bust-up with Jlloyd Samuel during a half-time rant at his players in the 2-1 defeat at Wolves nine days ago.
Megson has confirmed an exchange of views took place with Samuel, but suggestions of anything more than that have been slammed as "scurrilous", with the manager convinced they have come from someone he feels is intent on rocking the boat.
Asked whether the informant was someone within club and whether any disciplinary action would be taken, Megson replied: "That's my problem."
Megson, though, will always make his views known to his players whether it upsets them or not.
"I'm the first to praise the players when they do something right, and the first to have a go when it's not right," said Megson.
"I will say what I think, and if somebody does something wrong, I will say something about it.
"If they (the players) have an issue, then I don't mind anybody coming back to me and disagreeing."
West Ham will be without suspended midfielder Mark Noble after he was sent off in Saturday's 1-0 defeat at Birmingham.
But Kieron Dyer is pressing for a return to first-team action after producing a strong performance off the bench at St Andrew's.
Carlton Cole and Valon Behrami (both knee) are long-term absentees while Matthew Upson (hamstring) and Luis Jimenez (muscle strain) both missed the weekend's game.
Injured England striker Cole has pledged his future to the Hammers.
The 26-year-old World Cup hopeful has been linked with a January move away from Upton Park, with Liverpool, Arsenal and Tottenham all reportedly interested.
But Cole's only target is to make a swift recovery from the knee ligament injury he suffered against Burnley a fortnight ago and help the struggling Hammers avoid the drop.
Cole told the Evening Standard: "I haven't heard anything about a move. I love West Ham. I just want to get back to playing and I can't do anything while I'm injured.
"I have to build up the muscles and do some rigorous rehab work to protect the knee and it is going to be like that for the rest of my career.
"Hopefully, I will be back some time in January. I just need to get back fit and help the Hammers."
That day cannot come soon enough for manager Gianfranco Zola, who saw West Ham slip into the relegation zone on Saturday.
Cole has scored seven goals in seven league appearances this season.
The Hammers tackle fellow strugglers Bolton tomorrow night having not won away from Upton Park since the opening day of the season.
But Cole is convinced that Zola is the man to guide West Ham to safety.
"It's natural when things are going bad that it's all doom and gloom but the manager is the best I have worked with," said Cole, who has also played under Jose Mourinho and Alan Curbishley.
"He's put faith in the players and we're trying to respond. We're just not getting the rub of the green at the moment but we're working very hard."
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