mages5Patrick Van Aanolt was pulled out of Sunderland’s starting XI just minutes before Sunday’s game at Spurs due to medical adviceSky Sports5Patrick van Aanholt was left stumped when he was told by Jason Denayer he was being pulled out of the Sunderland side to face TottenhamThe Dutch defender made the headlines on Sunday when he was pulled out of the Black Cats starting line-up at White Hart Lane. Weve been here beforeJose Mourinho equalled his worst run by losing three matches in a row - but Juventus were even worse last season. Although Van Aanholt has since squashed fears of any issues with his heart, the image of him and pipe will not go down well with Moyes or the clubs supporters. But the German stopper was nothing more than a spectator as fellow new-boy Ragnar Klavan, Philippe Coutinho and Divock Origi comfortably downed the Rams. Will Sunderland struggles continueIf David Moyes didnt know the size of the task in front of him at Sunderland, he does now. Stu Forster/ALLSPORT27Players from both sides look on as Peter Schmeichel lies stricken27Ian Wright . The source told the Sun: Being a lifelong Sunderland supporter, it was a poor sight to see. for Michael Carrick to start in midfieldWAYNE'S WOEWayne Rooney misses open goal in early stages against Northampton and Twitter users aren't happyWayne's WorldWayne Rooney set to lead the line at Northampton, but Jose Mourinho set to axe him for Leicester clash11 things we learntWayne Rooney is shot, Jack Wilshere's mistake, Arsene Wenger losing control and West Ham farcePlayer ratingsWayne Rooney Zlatan Ibrahimovic Etienne Capoue All the ratings from shock defeat. Getty Images6Marcus Edwards made his debut for Tottenham against GillinghamGetty Images6Edwards almo. Gilberto Silva combined the tough tackling needed at the fulcrum, with an elegance and desire to get the ball down.