My Personal Thoughts and Opinions of #C4CT

29 Jan

IMG_1656I am toying with posting some “behind the scenes” stuff, I will start here and see what kind of response I get…  So, here we go and enjoy!

  •  Jack Brewer, Gerald Commissiong and General Peter Chiarelli have a vision of “shared information and working together” to solve this issue.  This means not only research but interventions and management.  I really can grasp onto this.
    • There will be resistance to this, have overheard it here already
    • Great comment from Twitter about this from @TheA4SHR “Ego prohibits progress” and that is so right in so many ways here.
    • You can still compete among each other but the overall goal should be to get this solved and find our places.
    • I don’t know where I found the quote but I really like: “None of us is as smart as all of us” – Japanese Proverb
  • The “digs” here at the UN is unbelievable, thanks to the Ambassador from Malawi for making it possible.
    • I want to put on the translator ear piece just to look like a UN delegate
  • Great quote, or near quote from Mr. Crossman about public speaking attributed to Winston Churchill; “Public speakers should speak with accuracy, brevity and clarity.”
  • This second session is much more applicable to us as athletic trainers, especially the talk by Dr. Clugston.
    • The clinical evaluation portion was spot on – for the well trained we know, we just know.
    • The mention of athletic trainers in his talk was well-timed.
  • I am learning the virtues of patience and hope, but dang this is going well!
  • There are UN Tour groups passing through, watching us discuss, that has to be cool for them!
  • Andrew Mayer had to take one for the team, thanks man, speedy but good presentation on imaging.
  • Dr. Hainline points out there is 42 working definitions of concussion, that is unacceptable to me
    • Completely blown away that the NCAA is trying to get a longitudinal database to track concussion information (I have been calling this for years)
    • As much grief NCAA is getting, it sounds like they are working hard, now, on finding solutions.  It seems to be headed in the right direction.  I am starting to look at the NCAA differently after Dr. Hainline’s talk.
  • Awesome, unfinished, and quick debate on rugby vs. football and helmets between Mr. Crossman and I during downtime.  That has been enlightening.
  • I feel bad that I had other things (pee break) going on druing David Lowe’s presentation, but a lot of it was about true TBI.
  • The discussion was great on TBI a nice change of pace (Dr. Maas).
    • Not every topic is applicable to all of us, but hearing them makes us think.  Very important!
  • Poor Dr. Bell gets the slot right before lunch, a delayed lunch.
  • Chris Nowinski had a great presentation about getting the youth up to speed with the professionals in terms of coverage/care.
    • Discussed Hit-Count, which is still evolving now
    • Athletic Trainers
    • Informed Consent
    • Great perspective from him
  • Lunch was good had the salmon.
  • The afternoon will be slightly behind, hopefully no more than one hour.  I anticipate some panels being cut short and breaks being slashed.  So hang on.  Note: I obviously won’t be able to blog the panel that I am on – unless I take my computer up there.  Follow @PinkConcussions during that part.
  • Andrea Kremer will keep us on task here in the panel sections.
  • Good first panel, very quick and the consensus is that to gain public policy more money, time and collaboration is needed.
  • Adam Simon had a cool looking EEG on his head during his speech, and showed a new tool.  Love that new stuff.
  • Kim Heidenreich is so smart, and her physiological heavy presentation really made my brain cramp up.  I think I got gist of it.
  • Blank
  • Blank
  • Blank
  • My presentation
  • Potty Break
  • That about sums up the last 3 hours for me.  Can’t thank everyone enough for taking the time to look in on this information…

The #C4CT Concussion Summit was more than I even expected.  Some very smart, powerful and key stakeholders here.  I really think that we should listen to Jack, Gerald and the General: True Collaboration.

“None of us is as smart as all of us.”

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5 Responses to “My Personal Thoughts and Opinions of #C4CT”

  1. Dwight January 29, 2014 at 13:01 #

    have enjoyed reading your real time blog and your personal opinions on this today. I would really love it if some of this stuff made its way into your presentation for us on March 6th. These things you are hearing and are privy to are unique and something not many athletic trainers get to hear.

  2. brigid22 January 29, 2014 at 17:29 #

    How? How can there be 42 working definitions of concussions? As a nurse, I can’t grasp that.

    • Dustin Fink January 29, 2014 at 17:38 #

      me either!

      • Multiple definitions are a part of concussion history as are numerous opinon based return-to-play protocols.

        Suggest you read the below Myths & Facts article published online by NASP during 2011 that was authored by my wife, Flo, and I.

        Sport-Related Concussions: Myths and Facts. June 2011. Brady, D. & Brady, F.

        http://www.nasponline.org/publications/cq/39/8/pdf/V39N8_Sport-RelatedConcussions.pdf

        Furthermore, historically vague and inconsistent definitions of the constructs such as concussion used to explain brain injury, coupled with confusion and misunderstanding of brain injury symptoms, create further problems in the study of sports-related concussion research.

        Wills and Leathem (2001) amplify: “The quagmire created by the use of inconsistent, overlapping and poorly defined terminology relating to brain injury research is exacerbated in sport-related research” (p. 646).

        Common synonyms for concussion include mild traumatic brain injury (mild TBI) and minor closed head injury (minor CHI) (Kelly, 1999). Other terms which have been utilized since last century to describe the concept of a mild brain injury include:

        spinal concussion, railway spine, railway brain, traumatic neurosis, nervous shock,

        traumatic hysteria, traumatic hysteroneurasthenia, spinal anemia, vasomotor symptom

        complex, litigation neurosis, compensation neurosis, accident neurosis, Erichsen’s disease, Friedmann’s disease, traumatic neurasthenia, the posttraumatic concussion state, the posttraumatic psychoneurotic state, traumatic encephalopathy, posttraumatic cerebral syndrome, posttraumatic syndrome, post traumatic nervous instability, postconcussion syndrome, postconcussive syndrome, postconcussional syndrome, posttraumatic stress syndrome, and a persistent postconcussive syndrome (p. 32).

        Gerstenbrand and Stepan (2001) also reported a variety of terms being used to describe minor brain injury: “mild head injury, mild injury, traumatic head syndrome,

        postbrain injury syndrome, mild concussion syndrome, postconcussional syndrome, traumatic cephalgia, posttraumatic syndrome, Commotio cerebri, light traumatic brain injury damage and mild traumatic brain injury” (p. 95).

        (most excerpts from Brady, D., 2004)

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