Finding a true “independent” health care provider for concussions in the NFL is a sticky situation; the NFLPA says they want one and the League is saying no. Of course there are various reasons as to why the League would not want an independent neuro there; cost being one issue, the other issue is that the players may actually be in greater peril – and I agree. Dr. Richard Ellenbogen co-chair of the NFL Head, Neck and Spine Committee explained this in an article in USAToday;
“No one knows the players as well as the athletic trainers, period.
“Having said that, some teams already have neurosurgeons on the sidelines. Having a doc show up just for a game takes away from the all-important baseline exam and continuity of care. It would be like getting operated upon by a surgeon who did not see you pre-operatively. Is that safer than having someone who saw you beforehand? The baseline is all important in making an assessment if a player is OK after a hit.”
Concussion are so subjective, most cases do not involve overt signs and it is incumbent upon the player to report what is going on. Trust is a HUGE factor for players – of all ages – but more so in the NFL where they are making a living by playing football. Although the tests are there and meant to be as objective as possible it is still a clinical diagnosis overall. The only health care professional Continue reading
The co-chair of NFL Head, Neck & Spine Committee, Hunt Batjer, reported yesterday in Chicago that concussions dropped 50 percent on kickoffs as compared to previous years. Speaking at a forum about NFL health and safety Batjer confirmed what we had said with our observational data;
“We just got the data recently, it looks to me like a decreased number of runbacks played a role. It did not affect a lot of the other injuries paradoxically.”
In this article by Brad Biggs there is also a good sub-story about Hunter Hillenmeyer and his dealings Continue reading
In light of the Kris Dielman incident – playing with obvious signs of concussion – the NFL met to further the awareness and safety of the players. If not for the game then for themselves.
The immediate action taken by the NFL is going to have the officials be more aware and implore them to whistle on medical staffs when someone is exhibiting overt signs of concussion;
“We are taking the step on officials to make them alert to obvious concussion symptoms,” Greg Aiello, the NFL’s vice president of public relations, said. “We’re not trying to train the officials to be doctors, but we’re asking them to treat it like other injuries that may make it necessary to stop the game and get them medical attention, either on the field or by getting them off the field.”
Some initially think that the officials are now being put in a position to make medical decisions, they are not. It was a push back at the high school level Continue reading
A quick buzz around the net on a Tuesday morning.
NHL handing out suspensions and fines like candy for illegal hits;
In the pre-season, hardly a day went by without a new video. Most players applauded the crackdown but others worried it may turn NHL hockey into no-hit shinny.
Nine players have been slapped with 31 regular season games worth of suspensions for incidents in exhibition games. Together, they will forfeit more than US$701,000 in salary.
NFL to create a better study;
The N.F.L’s first attempt at a long-range study on the effects of concussions was riddled with problems from the manner in which data was collected to conflicts of interest for those overseeing it. After criticism from outside experts and even members of Congress, the study was shut down by the league in late 2009.
The previous study run by Ira Carson, MD was a joke from the beginning and this one seems to much more transparent and studying the correct people. Initial reports have the study examining upwards of 1,400 individuals in three groups: former NFL’ers, college football players not playing in the NFL, and a control group. The official presentation to Commissioner Goodell has yet to occur but is going to happen soon.
Crosby officially out; Continue reading
Pro Football Talk was forwarded a memo about concussions and getting players off the field from the National Football League;
Under the heading, “WHEN IN DOUBT LEAVE THEM OUT,” the memo states: “If you have any suspicion about a player being concussed, remove him from the game. Always err on the side of caution.”
This is common sense – rather should be – and it is a practice that has and should be going on at the lower level of football (except in isolated cases in college see Lockergate). I have stated and am fully aware that professional athletes can make their own informed decisions, but it is good to practice what you preach.
It seems that the NFL is starting to at least begin to tighten Continue reading
Irvin Muchnick is a writer and investigative journalist writing focusing mainly on the WWE. Muchnick has been heavily involved in the concussion issue in the WWE and its crossover as well.
Irv has written two articles in succession that take a look at the concussion issue and the NFL. In the first Muchnick examined the recent (March 2010) change in title of the NFL “head and neck committee”;
In March 2010 the NFL’s concussion policy panel, called the Mild Traumatic Brain Injury Committee, got a new name and new co-chairs. Now known as the Head, Neck and Spine Medical Committee, it is jointly chaired by Dr. H. Hunt Batjer, of Northwestern Memorial Hospital outside Chicago, and Dr. Richard Ellenbogen, of Harborview Medical Center in Seattle. Batjer and Ellenbogen replaced the disgraced Dr. Ira Casson and Dr. David Viano, who in turn had replaced the disgraced Dr. Elliot Pellman.
Though Batjer and Ellenbogen promised to sweep out the Augean stable of league head injury custodians, they have done nothing of the sort. For example, Dr. Joseph Maroon, whose corrupt involvement in this sordid history has been extensively documented by me, remains on the committee.
And in July the two new co-chairs reversed a commitment not to release an ambiguously worded NFL helmet safety study with limited or no value for the broader universe of amateur helmet consumers. In the good coverage of this narrow issue by The New York Times’ Alan Schwarz, Ellenbogen explained that he decided the study was OK “as long as statements were phrased very carefully.” Congressman Weiner blasted this “disturbing step backwards.”
More emphasis has been put on head trauma in the NFL, but I believe that Irv is merely exposing the slow process of “reform change” when it comes to brass tacks. Although changing a stigma will not happen overnight, it can happen much quicker Continue reading