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The shameful secret


I was 17 years old playing in the Minnesota State Hockey Championships when I went into the corner after a puck and was boarded head first from behind into the endboards. I woke up in the locker room with a huge headache, sprained neck and nausea. I didn't know where I was, when it was, or anything that had happened. There is no film of the event, but my teammates and family have filled in what happened. For the next four months I struggled with daily activities. I had a headache every day and it frequently woke me at night. I couldn't focus in class and eventually was pulled out of school. Any exertion, even walking up a flight of stairs left me nauseated and dizzy. My vision was wrong, I would see double or things would look blurry. My personality changed. I had always been fearless, an adrenaline junkie, but I became fearful and tentative. I lost my short term memory and a black cloud of depression settled over me when I had been a incorrigibly happy and optimistic person.  Gradually I came back to myself, bit by bit and finally over the summer was able to start exercising again. My thinking came back on line, my headaches went away. I never had any neurologic testing or x-rays. My doctor seemed to think I was malingering to get out of school or summer practice. This was my worst of three concussions I suffered as a young man. Later in Medical School I learned a great deal about traumatic brain injuries and was fascinated by the science although little was known other than the structural changes at that time. If you haven't read the article in GQ referenced today by TSG, I recommend you do.

Star-divide

We are facing a moral dilemma in the sport of football that needs the scrutiny of fans who care for the future of their sport. Chronic Traumatic Encephalopathy (CTE) deserves to be studied intensively and methods to stop its occurence be instituted as soon as possible to protect our players from dying an early ugly death from brain injury. Our sport has become so violent due to the speed and power of players that the accumulated trauma to player's brains is causing dementia and insanity at a much higher rate than the general population. To its everlasting shame the NFL has refused to accept what is obviously a work related disease and has actively thwarted scientists who have tried to bring public scrutiny to the problem.  It seems the financial imperative is more important than the safety of the workforce. Physicians hired by the NFL with no expertise in neuroscience have tried to ridicule studies showing the accumulation of tau protein in the brains of former football players which is the hallmark of CTE. Now a study sponsored by the NFL shows dementia is 50 times more likely in 35-50 year old former players than non players.  It is already being critisized because it was only a phone survey of former players. The league does not want to change how it does business for fear fans won't like the change in the product.

Helmets are not the answer, but part of the problem. When soft leather helmets were used, the head wasn't part of tackling and players avoided head contact. Now the helmet is part of every play. The acceleration and deceleration causes tears to the brain tissue of various degrees. The bad effects may not show up for decades, but the neuronal loss is progressive and ultimately fatal to the normal functioning of the brain. Why some players are more susceptible or develop worse disease is not known and needs to be studied.  We need to protect our players, even if it means eliminating all head contact when playing football by design. We have a moral imperative to promote more study and especially more action to prevent CPE in our players.

Poll
Is the NFL doing enough to prevent CTE in its players?
Yes
2 votes
No
66 votes
Players know the risks and accept them
20 votes

88 votes | Poll has closed

This is a Fan-Created Comment on MileHighReport.com. The opinion here is not necessarily shared by the editorial staff of MHR

Comment 19 comments  |  16 recs  | 

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Absolutely

This is a huge problem that has life-altering ramifications at every level of sports. Thank you for bringing more of it out for people to learn about. Rec’d!

Hillis/Moreno in '09

by Doc Bear on Oct 1, 2009 2:03 PM MDT reply actions  

Rec'd

There have been “Soft” Helmets for three decades but all levels of the game have resisted it.

But what can you expect from a league that markets videos of viscious hits then fines players for those very hits.

by SlowWhiteGuy on Oct 1, 2009 2:08 PM MDT reply actions  

Nicely done!

I don’t have the link, but everyone should go read Matt Bowen’s article at the NationalFootballPost on this topic. I didn’t experience anything like the severity of your symptoms, but playing safety in high school, I met a fullback helmet to helmet in hole at some point in the third quarter and don’t remember a thing until there were about two minutes left in the game – scared the hell out of me, but didn’t stop me from playing in college and getting my bell rung a couple times there as well. And the speed and force of NFL collisions is light years beyond HS or college ball. It’s an issue – thanks for raising it here!
Go Broncs!

It's "just" football

by Donkhead on Oct 1, 2009 2:40 PM MDT reply actions  

I went on to play in college

I’m just glad I had enough brains left to go to med school and pass my exams!

Imagination is more important than knowledge. A. Einstein

by Ponderosa on Oct 1, 2009 2:51 PM MDT up reply actions  

Helmets could well be the problem...

I come from a part of the world in which rugby is the most popular (some think only) sport. You learn from a very young age that the best technique to tackle somebody is “cheek to cheek” with the former being your own cheek and the latter being the opponent’s butt cheek. The only protective equipment in rugby of course is a mouthguard and only “whimps” wear shoulder pads.

The most common long term injury for rugby players? Cauliflower ears. While these may not look good for the ladies it sure beats a life of brain damage.

Needless to say it makes me shudder every time I see an NFL tackle where a guy dives in at knees, hips etc with his head. I doubt very much this would be the case minus the helmet.

For that same reason one possible answer being floated should be completely ridden of – that of designing even better helmets. The real problem as I see it is technique

by nzlbroncos on Oct 1, 2009 3:22 PM MDT reply actions   1 recs

What industry ever hires specialist to criticize itself?

I absolutely agree that a someone should fund and do a scientifc study to find out why ex-players have this problem but with all due respect, conclusions should not be generated before conducting the study. Someone need to find out if playing professional football is the cause or is there some other factor that football players in general all have in common. Certain pharmicuticals come to mind, or is it the years of playing football at the little leque level all the way through college, many more years playing then in the few years they play professionally.

Since the NFL is a privately held, mult-billion dollar industry that sells human car crashes to the masses through its lucrative TV contracts, I don’t believe for a second that they will fund medical research projects or admit negligence of any kind for the long term ill effects on its small number of former employees. They’ll cite years of rule changes and equipment improvements to increase player safety but they’ll never admit negligence.

I agree with your post but I feel you are preaching to the choir.

broncorat

by broncorat on Oct 1, 2009 3:28 PM MDT reply actions  

I agree that we need to know more, but not at the expense of more ruined lives.

The asbestos industry knew from early in the 20th century that the fibers caused severe scarring in the lungs and led to premature death from respiratory failure and cancer. They had company doctors who conspired with their employers to cover up the medical risk. A very sad time for medical ethics indeed. Perhaps we haven’t come as far as we think in this century. It took till the late 1970’s for protection to be routine for asbestos workers. Shouldn’t we as fans be able to pressure the NFL to protect the players from needless injury when remedies are available?

Imagination is more important than knowledge. A. Einstein

by Ponderosa on Oct 1, 2009 4:09 PM MDT up reply actions  

What? Ponderosa...

Are you meaning to tell me that a medical doctor would choose money over the oath????

I am shocked. Shocked I tell you. Shoooocked.

Smokey, my friend, you are entering a world of pain.

by TJ Johnson on Oct 1, 2009 4:53 PM MDT up reply actions  

Excellent post, Ponderosa

Something must be done to alleviate the results of these collisions. The soft helmet makes a lot of sense to me and should be given a chance. As others have commented, it will be a hard sell to the NFL. I hate to think of what tragedy will be necessary to correct this situation. When you see 45 year old former NFL players who can barely walk, you see the cumulative damage to their knees. The cumulative damage to their brains are even more of a concern. That said, most of these athletes probably wouldn’t give up the game, even knowing the dangers they may face in later life. I can remember that I once felt that I was indestructible, only to find that was not the case.

Thanks, Ponderosa for a compelling post. Definitely though-provoking and rec’d.

" Life is what happens while you're making other plans "

by hairybear on Oct 1, 2009 4:00 PM MDT reply actions  

It isn't soft helmet versus technique

It’s about both. Rules that make sense for the players long term health: equipment that gives them the best chance of getting through their career without major cognitive damage.

Hillis/Moreno in '09

by Doc Bear on Oct 1, 2009 5:59 PM MDT reply actions  

A very good post Ponderosa

Thanks for sharing some of your field expertise.

"You give 100 percent in the first half of the game, and if that isn't enough, in the second half you give what's left." – Yogi Berra
"We don't stop playing because we grow old; We grow old because we stop playing." -- George Bernard Shaw
Breaking jaws or the NFL in Oakland who cares? Fall on your pirate’s sword - Ponderosa

by KaptainKirk on Oct 1, 2009 9:39 PM MDT reply actions  

I want to play devils advocate for a second.

The NFL is one of the most successful sports in the world today. Part of the attraction to the NFL is the hitting. Changing the fundamental way that the game is played would most likely negatively affect this. Any change that would lower the overall fanbase would likewise affect the profit margin. In a game littered with multi-million dollar guarenteed contracts the bottom line rules much of the decision making.

The players in the NFL are not stupid. They understand the risk they run in playing this violent sport. They are given the choice, health or wealth? I could not choose to take money at the expense of my body, but I can respect the wishes of those that can. I have heard very few players complain about the violence of the game. Those that I have heard have all been quarterbacks, which I can understand, as they are the ones being hit, instead of those doing the hitting. These are grown men, who make thier own decisions, they are the ones who are facing the consequences. How can we deign to force sweeping changes to a game that supports them, all in an unwanted effort to protect them.

All that being said, I fully support more research. Knowledge is power. I believe that the NFL has a responsibility to inform its players of the risk they run in playing this game, and I think that research could help them accomplish this goal.

by Papamag on Oct 2, 2009 12:23 AM MDT reply actions  

re

I’d like to really challenge this statement “the players are not stupid”. Only in a sport where 100% of the players in the league have played a minimum of two years at college while attending two to five years university level education.

I think what’s really disappointing is that, like obesity, w/all the resources we have in this country ranging from athletics to education that we’re still seeing neglect at the individual level.

Say hello to my fast...

by dcrespo7 on Oct 2, 2009 11:44 AM MDT up reply actions  

I disagree that players understand the risk of CTE

I think there has been a systematic effort by the NFL to hide and mislead players and the public as to the extent and severity of CTE. Of course we need more understanding of the entire syndrome, but to ignore the implications just because there is more to know is not acceptable. The delay in onset of symptoms has shielded the NFL from direct responsibility and they have made efforts to discount the causal relationship to avoid accountability. I cannot accept this stance.

Imagination is more important than knowledge. A. Einstein

by Ponderosa on Oct 2, 2009 4:36 PM MDT up reply actions  

MHR is the best sports blog I've ever read...

…and this post helps prove why. (No offense to the fine folks at Purple Row, where I’m also quite active.)

The personal experience really brings the right perspective to one of those “elephant in the room” problems that we’ve all known about for some time.

It should really be a combined effort by the NFL and the PA – not to mention the NCAA, where most of the coaching and strategy innovations in football start out – to get a handle on this problem and start trying to minimize it.

The alternative, of course, is to be like NASCAR and wait until somebody gets killed (Adam Petty, Dale Earnhardt, etc.) before doing something about it.

Great post, and easily rec’d.

At this point in the season, all the Rockies' numbers are magic.

by Duncan1800 on Oct 2, 2009 7:48 AM MDT reply actions  

recovery time

I only had one concussion during high school, but it was scary to realize that I played half a game and on the bus ride home didn’t know where we were. No exrays or nothing just back to life as usual. I never really thought much about it till my kids started playing sports, our son would talk about taking hits as a running back where the lights would dim and things go black but sould still play and tell us later. I still feel he never told us just how many times this occured in practice or games. Last July during a basketball camp our youngest daughter was thrown on the back of her head, we never saw her out or that she looked like she was hurt. She continued to play the final quarter and overtime and we couldn’t tell that she had been hurt, she even scored the winning three throws. Later the next day she told us how it went black and then back to normal. After a trip to the doctor we learned that she indeed had a concussion, the symptoms bothered her for about a week an then subsided. Three weeks later she was cleared by our doctor and went to another camp, within 6 hours of camp the symptoms came back. The change of mood and personality along with many other symptoms scared her mother and I to death. As my wife and I were both former athletes we have dealt with injuries, it was a badge of honor amongst your team and coaches to play hurt. Now we where on a different side and would never look at injuries the same way. Kelli’s volleyball season started 6 weeks after her team mates do to symptoms from the concussions. It took till the end of basketball season to fully go away. Now over a year later she is her normal self, If you have young athletes in your house please watch the signs and symptoms. As a former coach it scares me to think back of what could have happened to my players or my kids!

by hrlybuzz on Oct 2, 2009 9:09 AM MDT reply actions  

Thanks for your personal story.

My post-concussion time was very frightening. Fortunately, I was able to recover although I remain plagued with frequent migraine headaches. I cannot accept that permanent damage where you would feel these symptoms every day is to be tolerated as we go forward. I do understand that players accept a certain amount of risk that comes with playing a violent contact sport, but I don’t accept that the risk of serious neurologic injury down the line is clearly explained to them. We cannot allow the NFL to explain away these events as being rare; we need good research to understand the risk, who is at particularly high risk, and how this risk can be mitigated. My opinion is that it is unethical and immoral to approach CTE any other way.

Imagination is more important than knowledge. A. Einstein

by Ponderosa on Oct 2, 2009 4:29 PM MDT up reply actions  

Eddie Mac

Used to be nicknamed “The Bruise” because of the punishing hits he used to take going for tough catches over the middle and then getting clobbered.

He teamed with Dave Logan as color guy for the radio broadcast of the Cincy game. When discussing the immaculate deflection, he didn’t even remember his own catch for a TD off an immaculate deflection in a Vikings game. When someone reminded him about it later, he basically said he’d taken so many hits in his career that he didn’t remember that catch, even as memorable as it was. Scary.

Jeff Zepp, Kittredge CO USA

by Rzeppa on Oct 2, 2009 9:49 AM MDT reply actions  

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