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Outreach: Ashlee Quintero

19 Feb

This is the continuation of a new program here at TCB.  Called “Outreach”; the purpose is to publicize the good (we hope the vast majority) and sometimes the not so good of concussion management and experiences across this vast planet.  One thing I realized real quick in Zürich is that the stories of the bad are relatively the same, usually highlighted in the media.  Meanwhile the stories of good are different and helpful and not heard at all.  I am asking our readers to send in stories of your cases (please be mindful identifying specifics) so we can share.  There are vast stories in the comment section but I would like to bring forward as many as possible. 

Ashlee Quintero was a soccer player at the University of Miami in 2009 when she sustained a concussion.  Through this process she decided to become more involved in awareness and education of this injury.  Below is her contribution to The Concussion Blog.

Dog, Cat, and Fish.

The more I am exposed to the public’s reaction to sports concussion (and that’s a lot, I am a youth soccer coach and the Concussion Program Coordinator at UHealth Sports Medicine), the more I realize how far we still have to go with concussion education. Despite the warnings, educational seminars, and the accessibility of concussion information on this little thing called the internet, coaches, youth coaches especially, are more often than not severely misinformed on how to screen who’s taken a hit. My most recent educational presentation really illustrated this need.

I am a youth soccer coach and volunteered to present concussion information to my fellow soccer coaches at our league’s pre-season coaches meeting. While I was speaking on Florida’s new concussion legislation and discussing the ever-difficult sideline evaluation and decision to sit a kid out, I got the inevitable questions, “Well, how do you know if it is a concussion? What’s the tell-tale sign I am looking for?” Before I could vocalize my response to those questions, Continue reading 

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George Visger – A Story to Tell

15 Jan

You have seen him post in the comments and there have been many stories written on him and his plight, but it is nice to get those involved to write about themselves as much as possible.  George Visger a former NFL player has taken the time to send along a couple of notes, it began with this email;

I played for the 81 Super Bowl champion SF 49ers.  During the season I developed hydrocephalus (water on the brain) from concussions, and underwent emergency VP Shunt brain surgery.  Four months after our Super Bowl XVI victory, my shunt failed, I had 2 more brain surgeries 10 hrs apart and was given last rites.  Also given the hospital bills, and forced to sue for Work Comp.  Completed my  Biology degree during brain surgeries 4 thru 7, now on # 9.   The long-term effects of concussive and sub concussive hits can be seen in what it’s done to my family in the following KVIE Channel 6 Sacramento link.

KVIE Channel 6  Sidelined:  Concussions In Sports   121912- http://vids.kvie.org/video/2318744182
After that was sent my way I asked for something he has written and wants to be known, and below is what I received.  Thank you for your time George;
My football and TBI career began in 1970 at age 11, playing for the West Stockton Bear Cubs Pee Wee Pop Warner team in Stockton, CA.  Twenty nine kids on the team, and 3 of us went on to play for the undefeated, nationally ranked, 1975 A.A. Stagg high squad and sign NFL contracts in 1980 (me, Jack Cosgrove, Pat Bowe).  We also had a kid on the squad by the name of Von Hayes, who went onto a multi-year MLB All Star career with the Cincinnati Reds.During my 3rd year of Pop Warner, I knocked myself unconscious in a worthless Bull – In – The – Ring drill and was hospitalized.  This was the only “diagnosed” concussion I sustained, despite playing several games through college and pros where I have no memory of playing. Continue reading 

Outreach: Jay Fraga

5 Dec

tweet-retweetWe are beginning a new program here at TCB.  This one is called “Outreach”; the purpose is to publicize the good (we hope the vast majority) and sometimes the not so good of concussion management and experiences across this vast planet.  One thing I realized real quick in Zürich is that the stories of the bad are relatively the same, usually highlighted in the media.  Meanwhile the stories of good are different and helpful and not heard at all.  I am asking our readers to send in stories of your cases (please be mindful identifying specifics) so we can share.  There are vast stories in the comment section but I would like to bring forward as many as possible.

The stipulations are simple: 500-2000 words with specific situations that we all can learn from and benefit from, email them to us at theconcussionblog@comcast.net and consent to possible editing as I see fit.  It would be nice if you included a bio or frame of reference, but if you would like to remain anonymous that is fine to (however, it would be good if you included something like “licensed doctor in _____ (state)” or coach, athletic trainer, mom, dad, etc.

I love people who are as, or more, active about concussion awareness, Jay Fraga has shown he means business.  He sent in his personal story about concussions, now he is elaborating more on the issue of awareness.  I appreciate Jay’s work and urge others to follow in his footsteps.

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Beating your head against a wall while suffering from Post Concussion Syndrome is probably counter-productive, yet I seem to find myself doing it (figuratively) virtually every day. We live in an electronic world, and in my electronic travels, I frequently “run” into the very people who I’m trying to get my concussion message across to.  The results are typically frustrating and lead me to ask myself why I bother trying to warn people about the perils of concussion.

Searching Twitter with the hash tag ‘#concussion” will provide a comprehensive selection of Tweets that feature illuminating articles and studies about concussion. I find that it also directs me straight to a painful paradox: kids with concussions who’ve been kept home from school on Doctors’ orders in order to heal, yet who are blissfully Tweeting their health away, 140 characters at a time, with the rapidity of an automatic rifle. If I had a nickel for every time I saw something like “Ahhhhhhhh! Home from school. Hate #concussions !”, I’d have the market absolutely cornered when it came to nickels.

RED ALERT!!!!! (DOCTORS and PARENTS- This is where you come in.)

Kids with concussions are sent home because they need Continue reading 

Outreach: BMX Athlete – Jay Fraga, His Story, His Words

20 Nov

We are beginning a new program here at TCB.  This one is called “Outreach”; the purpose is to publicize the good (we hope the vast majority) and sometimes the not so good of concussion management and experiences across this vast planet.  One thing I realized real quick in Zürich is that the stories of the bad are relatively the same, usually highlighted in the media.  Meanwhile the stories of good are different and helpful and not heard at all.  I am asking our readers to send in stories of your cases (please be mindful identifying specifics) so we can share.  There are vast stories in the comment section but I would like to bring forward as many as possible.

The stipulations are simple: 500-2000 words with specific situations that we all can learn from and benefit from, email them to us at theconcussionblog@comcast.net and consent to possible editing as I see fit.  It would be nice if you included a bio or frame of reference, but if you would like to remain anonymous that is fine to (however, it would be good if you included something like “licensed doctor in _____ (state)” or coach, athletic trainer, mom, dad, etc.

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By Jay Fraga, Former BMX Athlete, Husband, Father, Sports Lover

If you’ve ever had a bad hangover, I think we can all agree that it’s a relief when the day is over, you sleep, and it’s gone when you wake up the next day.

I have had a hangover for as long as I can remember. It’s been there for more than a year and a half. If you can recall the misery and suffering involved in one day with a hangover, maybe you can begin to imagine what it’s like to try to live day-to-day feeling like that.

Then again, maybe you can’t.

My last concussion was approximately 8 months after a previous one that I got crashing in a bike race.  I wasn’t especially symptomatic from the previous one, but all of my doctors virtually agree that I hadn’t yet healed when I was injured again this last time. The scientific community has a number of guidelines for concussion, but the one thing everyone can agree on is that layering a second concussion on top of a previously unhealed concussion is very, very dangerous.

In spite of our knowledge about how dangerous multiple concussions are, we see NFL players being cleared to go out onto the gridiron a week or two after sustaining not one, but two concussions in a three-week span of time, while proclaiming that they feel great, and their coach stands by, nodding approvingly.  Fantastic.

For those of us who struggle to live daily with Post Concussion Syndrome, seeing these stories play out in the news is especially painful.  There is nothing more painful than regret, and many of us watch helplessly as we watch players and coaches, who are in absolute denial, speak nonchalantly and hollowly about a subject that we are intimately acquainted with. We watch knowing full well that there’s a pretty good chance that these players will soon be joining our ranks, where the challenge isn’t a championship at the end of the season, but rather to live like a normal human being and be able to enjoy life. And it feels like there’s nothing that we can do about it.

If we want to change things in sports, we have to understand how athletes operate.  Athletes are wired a little bit differently.  Those who have learned how to overcome -  through the process of competition, loss, reflection, coaching, training, more competition, rising above, winning, and then ultimately understanding how to win, have a different belief set.  They think of themselves as machines that are able to prevail through anything.  Competition becomes a necessary part of their diet, and   Continue reading 

Defining success in rehab: exhaustion

14 Nov

Admittedly, I didn’t understand or even appreciate the importance of my physiotherapy rehab after my brain injury. When the doctors first told me that I’d be going to the Miller Centre (the rehab hospital in St. John’s, NL) I was really excited! At least I’d be out of the hospital! I couldn’t sleep. When I was eventually able to eat food it was terrible. I was bored to say the least. I was newly dealing with my double vision, so I couldn’t read. I figured, when I got to rehab, I’d be able to go to the rehab gym all day, at least it was something to do. They’d never seen me at rehab. I’ll be awesome! “Sure I can’t walk now, but you let me at that place for a few weeks and I’ll be running the stairs and doing burpees in the hall in no time!” “I’ll run home one day and won’t need to go back.” It’ll only be a few weeks, a few months tops.

At first, my motivation to get there was to get out of that GD hospital and get the whole ‘brain injury’ thing over. It sucked and there was a bunch of stuff I’d rather be doing. I had a co-op job in Ottawa for my master’s program that I had to get to. Most of my friends from Queen’s were in Ontario, so I’d see them a lot on weekends, whenever. That was the goal. Bang this rehab out and get back to life. An inconvenience. A pretty big inconvenience, and a good story, but an inconvenience is all it was.

I eventually realized that to get back to my old self, physically, was going to take longer than a few months. My motivation was then much harder Continue reading 

It’s going to happen, learn from it

8 Nov

Yesterday evening, as I was about to talk to receive a call from someone from the Mayo Clinic about their Concussion Program to discuss how I could be involved, I was thinking about what it is about brain injury that I want to share with people. I’ve said it in a more muddled way before, in posts and talking to others, but that never translates properly into how important I think the point is. Another problem is that we, as a society, haven’t truly realized the prevalence and lasting consequences of brain injury until recently. The effects of brain injury had barely been recognized when it became an epidemic in sports and, not long after, a pandemic. Concussions are going to happen. Brain injury is going to happen. Of course we should look for ways to prevent it and ways to treat it, but perhaps most importantly, we should be responsible adults and stop kidding ourselves that this sort of thing is curable.

This post is not strictly about sports, but I will use sports as an example. Last year in the NFL there were 171 concussions among 1696 players. Approximately 10% of all active players in the league suffered concussions. ‘Wow! Even 1 is too many! That’s shocking!’…No it’s not! The average size of an NFL player varies by position, but to generalize, it’s about 6’2″ and 250 lbs. Average! We’re still not talking about power and the force with which they collide! The NHL is smaller but still above 200 lbs and similar height. However, these guys hit each other at higher speeds in many more games. Obviously, these are adult statistics, but these are adult statistics for people who have been playing the respective game for a long time and know what they’re doing. The youth level in either sport is filled with kids of varying size and drastically varying skill levels.

Look at those numbers and think about any NHL or NFL game you’ve seen, even if it was just highlights. Really think about it. Seriously, think about it. Thanks to all of the attention on brain injury, including concussions, in these past few years, it’s now blatantly clear that there are going to be these types of injuries. What’s truly surprising is that there aren’t more!

Better concussion policies. Better equipment. Better treatment. What seems to have been forgotten is common sense. People getting hit in the head is not some new phenomenon Continue reading 

Parental Decisions Can Undercut Good Concussion Laws

6 Nov

We are beginning a new program here at TCB.  This one is called “Outreach”; the purpose is to publicize the good (we hope the vast majority) and sometimes the not so good of concussion management across this vast planet.  One thing I realized real quick in Zurich is that the stories of the bad are relatively the same, but unheard.  Meanwhile the stories of good are different and helpful and not heard at all.  I am asking our readers to send in stories of your cases (please be mindful identifying specifics) so we can share.  There are vast stories in the comment section but I would like to bring forward as many as possible.

The stipulations are simple: 500-2000 words with specific situations that we all can learn from and benefit from, email them to us at theconcussionblog@comcast.net and consent to possible editing as I see fit.  It would be nice if you included a bio or frame of reference, but if you would like to remain anonymous that is fine to (however, it would be good if you included something like “licensed doctor in _____ (state)” or coach, athletic trainer, mom, dad, etc.

As Dr. Kissick stated in Zurich it is high time we start sharing as much information as possible.  I will do my best to weed through the “complaints” and “uninformed” from the group; be a “gate-keeper” if you will.  Trust me (as you have witnessed on this blog) I will get information out!

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By Tommy Dean, ATC, LAT

You can’t turn on the TV today or open the newspaper without hearing about concussions. It seems like over the last few years there have been more superstar athletes who have suffered this injury, especially from those who played “back in the day” and are now coming forward and bringing their multitude of recent struggles to the forefront that have been caused by multiple concussions.

But the problem doesn’t start in the NFL. It starts at the youth level. It starts at home.

Every Saturday and Sunday families gather to watch collegiate and NFL games, bringing society together on common ground for a day or two. In a way, however, this culture can also tear us apart. When kids and parents see elite athletes take punishing hits and stumble off the field only to be returned by the medical staff just minutes later it raises questions and causes confusion about concussions.

What must be understood is that there is not one of these injuries that will be treated the same. Your son or daughter at home is NOT the same as RGIII or Melissa Gilbert (Dancing with the Stars). We are talking about the adult, or fully developed brain of an elite athlete who gets paid to do what they do versus the still developing brain of an adolescent who may not yet be legal to drive a vehicle. This is in no stretch of the imagination an apples-to-apples comparison.

What’s disconcerting to me as a certified athletic trainer and a father of two Continue reading 

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