Bill Self says there was a moment this spring when retirement felt real.
The Kansas coach, who has been the center of plenty of speculation after a rough stretch by Jayhawks standards and a series of health concerns, told CBS Sports analyst Jon Rothstein on Thursday’s episode of Inside College Basketball Now that he believed his coaching run might have ended after Kansas was knocked out of the NCAA Tournament by St. John’s.
“But at that moment [after the loss], I thought that was probably it,” Self recalled. “In large part because of health issues. And I had been told some things, and I'd had some issues during the season that wasn't documented, that I was like, 'God dang, what am I doing?'”
Self’s comments helped explain why his postgame remarks after the Round of 32 loss, a buzzer-beating layup by Dylan Darling, sounded so heavy. At the podium, he said he would need to talk with his family about his future before deciding whether to return to Lawrence. That moment fueled uncertainty around whether he would keep coaching.
He said on the podcast that the thought of stepping away came less from a desire to walk away and more from the fear that doctors might tell him he had no choice. Self made clear that he is still coaching because he wants to, not because he has to.
The health picture has been serious for a while. Over the past three years, Self has dealt with issues that have already been made public, including missing the entire 2023 Big 12 and NCAA tournaments and having two stents inserted into his heart for blocked arteries. On the podcast, he also said he had a heart attack at some point, which likely refers to a July 2025 incident when he needed two more stents inserted.
There was also a brief hospitalization in January 2026 that forced assistant Jacque Vaughn to coach one game against Colorado, though Self’s podcast comments pointed to additional problems during the season that had not been publicly documented.
After going through more testing and consulting multiple doctors, including an expert in Dallas, Self said the feedback changed the picture. Doctors told him they could manage things by adjusting medications and making other changes, and he said he felt better right away.
“After talking to multiple doctors, an expert out of Dallas, doing different things, they said, 'We can handle this, we can change meds, we can do some different things.' And that's what we did,” Self said.
“I started feeling better immediately. So, I jumped the gun a little bit because I was probably nervous about it, but the reality is, I feel good.
I don't have any major issues.”
That process ultimately led him to decide to come back for his 24th season at Kansas. He also said he received a clean bill of health, with only a knee replacement surgery this summer limiting his mobility.
“Here's the bottom line,” he concluded. “I had some issues, they gave me a clean bill of health, and I'm good to go.”
What happens after this season is still unknown, but for now Self is set to be back at Allen Fieldhouse for at least one more run.
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