Tuesdays With Hildy: Concussions and Drain Bamage - Are They Worse Than We Think?
The hit on Cam Janssen by Brad Winchester Saturday night was an unfortunate accident that could very well have had ramifications past that game, or past the next two weeks. Cam went down hard, and his coloring visibly changed to a pea-soup color. He was disoriented, couldn't get up for a few minutes, and generally looked like Barf from You Can't Do That On Television after being hit on the head with a frying pan. I was watching the game with my mother, who is a trained nurse, and her first reaction was "He's gone for a while." There wasn't a bit of a question - Cam had his card punched.
We can get pissed off at Winchester as much as we want to, accident or no, but it won't bring our resident tough guy back. Our resident tough guy might never be back the same as before - concussions make you play scared. They temper your game out of fear that the next big hit will be the last one. Players that played like pinballs go to playing like a bocce ball. On-ice, there will be problems for Janssen upon coming back. Off-ice, in the future, is where the questions lie.
There have been a recent spate of football player deaths in the news that may or may not be related to post-concussive trauma. The terrifying thing is, they've been suicides. Owen Thomas, a Penn State football player, killed himself in April out of the blue - his sudden mood changes and decision to take his own life baffled his family. Thomas had chronic traumatic encephalopathy, or dementia puglistica, a brain condition common in athletes who take constant hard blows to the head such as football players and boxers. From Wikipedia:
It is not well understood why this syndrome occurs.[6] Loss of neurons, scarring of brain tissue, collection of proteinaceous, senile plaques,hydrocephalus, attenuation of corpus callosum, diffuse axonal injury, neurofibrillary tangles and damage to the cerebellum are implicated in the syndrome.[7] The condition may be etiologically related to Alzheimer's disease.[7] Neurofibrillary tangles have been found in the brains of dementia pugilistica patients, but not in the same distribution as is usually found in Alzheimer's sufferers.[8] One group examined slices of brain from patients who had had multiple mild traumatic brain injuries and found changes in the cells' cytoskeletons, which they suggested might be due to damage to cerebral blood vessels.[9]
Basically, in laymen's terms, repeated blows to the head will turn you into an Alzheimer's patient by the age of 40, if not sooner. The mood changes associated with this disorder are not hormonal per se, but are due to damage to the brain structure and the structure of the axons of the neurons. The brain has plasticity, meaning that it can repair itself insomuch as to learn common tasks in a different way - it re-routs data. But it can't repair itself structurally. Constant damage from blows to the head, whether it be from a tackle, a punch, or a hard check, will damage the structure of the brain. Case closed.
Of course, this problem can happen without a concussion, or at least without a noted concussion. Small yet powerful hits to the head can also cause the issue to happen. Since it's structural and not chemical, the depression that accompanies it is mostly untreatable through traditional means, such as most medications and therapy. Basically, if you get whapped in the head enough, it's permanent. The jitters that player gets when they return to the ice after a concussion is a very legit fear of never being mentally correct again. From CNN:
CTE has been identified in the brains of late NFL football players John Grimsley, Mike Webster, Andre Waters, Justin Strzelczyk, Terry Long, Tom McHale and Chris Henry.
Grimsley died of an accidental gunshot wound to the chest. Webster, Long and Strzelczyk all died after long bouts of depression, while Waters committed suicide in 2006 at age 44. McHale was found dead last year of an apparent drug overdose. Henry died at the age of 26 after falling from a moving truck during a fight with his girlfriend.
It's a very real problem, and one that until recently hasn't gotten much attention. the pre-dominant focus has been on football players, but for someone who not only fights for a living but also throws his body around and checks people, a higher risk is run. There is no test for the problem while an individual is alive, and traditional screening methods might level a diagnosis of depression.
This is why hits to the head are such a problem, but it's not just traditional hits like Matt Cooke leveled on Marc Savard. It's the little ones, the ones that are an unavoidable part of the game. Education of the impact of these hits seems to be the only prevention that hockey players can have right now unless they begin wearing total shock resistant helmets - and even goalie masks don't protect from concussion, as we saw Friday night when Ondrej Pavelec hit his head on the ice.
Will the game change? Absolutely not? Should it? No. The equipment and the education level of the players needs to, though, before we start reading about young hockey players taking their own lives.
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The NHL needs better helmets...
mouthpieces help, but I’m not sure anything would have helped Cam in that collision… it looked like he got hit right on the chin. I’m hoping for the best, but concussions are scary!
"In this game, don't nobody know nuthin' about nuthin'." -- attributed to Lawrence Peter "Yogi" Berra
There are better helmets out there, but few players wear them.
http://www.cascadeicehockey.com/the-helmet.html
As of November 2009, only 6 NHL players were wearing it.
Aaron Ward (Carolina), Jesse Winchester and Chris Phillips (Ottawa), Christoph Schubert (Atlanta), Matt Bradley (Washington), and Stephane Veilleux (Tampa Bay).Source: http://www.washingtonexaminer.com/sports/Caps-forward-Bradley-using-a-special-helmet-to-avoid-concussions-8492193-69338332.htm
It is slightly bigger, and because of that some players make fun of it. Hopefully though, players realize how fucked up you get from concussions and start adopting it. I really wish Bradley could get some of his star Washington teammates like Ovie to start wearing it, as that’s how you change trends.
Proud member of the Popsicle Division of the Cupcake Conference.
If it gets the players to wear a better helmet, I'll buy one to use as a bike helmet.
Seriously.
by Paperwork Ninja on Oct 12, 2010 12:36 PM CDT up reply actions
Better helmets, and better enforcement, too.
The best helmet in the world isn’t going to do much good when a player wears his chin strap like a necklace. If you can regulate the curve in a stick, you can regulate the snugness of a chin strap.
this plus stuff further down
mostly about the individualality of the incidence and effects of the problem, are leading me to this question….
would it/should it be fesible in head-contact sports to generate a base-line set of physical criteria for EACH player on stability, thought processes, fluidity, etc (i.e. set a brain speed, and anti-dizzy nausous, lightheadedness criteria) due to periodic testing and actually catch unreported and even perhaps unrealized concussions during a season when a players standard and KNOWN responsises suddenly show a marked decline?
you obviously don’t want random and frequent head x-rays, and if it is true that familiarity with the player is a requirement for diagnosis, and as the papers often suggest, it is the players SYMPTOMS that determine the healing path (i.e. he skated today with no dizziness, or he had a setback today when after the morning skate he got ill).
you start catching underreported and small concussions you do to things. stop more brain damage, show just how common it is, let players know that extra large helment just might let you dress for 82 games this season instead of 55…..
I recognized my kinship with all living beings, and I made up my mind that I was not one bit better than the meanest on earth ... while there is a lower class, I am in it, and while there is a criminal element I am of it, and while there is a soul in prison, I am not free.
by Childhood Trauma on Oct 12, 2010 2:26 PM CDT up reply actions
The NFL does baseline testing of players' brains...
… and has done so since 2007.
But the NHL was in the lead on such testing; they’ve been doing it since 1997.
What appears to be needed now is a change in the culture of the game that treats helmets as nuisances rather than vital protection.
then why are not
smaller concusions routinuely found when players are measured up to their baselines? or is the concussion something that simply doesnt appear to exist UNTIL substansantial and lasting sym[toms appear and by then the additonal testing and diagnosis can occurr?
i guess i’m asking why players who are walking around with low grade unreported (and perhaps) unknown concussions are not at least occasionally discovered and given a week’s vacation via somesort of required training regiment.
I recognized my kinship with all living beings, and I made up my mind that I was not one bit better than the meanest on earth ... while there is a lower class, I am in it, and while there is a criminal element I am of it, and while there is a soul in prison, I am not free.
by Childhood Trauma on Oct 12, 2010 3:29 PM CDT up reply actions
I'm sure that has to do with when a player gets re-tested.
I don’t think either league tests every player every week or month; those tests are probably only being performed when a player appears to have been hurt. A guy who “appears normal” after a game probably isn’t getting re-tested.
If neuro tests aren’t being done regularly for all players, that’s a potential route for improvement in the process.
just got done
Recovering from one myself, got tripped from behind in my adult league hockey game, no penalty called nothing, went to the docs had a grade 2 concussion and still feeling the effects 2 mnths later
Pujols takes out "I" in BIG and "A" in MAC, previously considered to be an unyielding, consonant threat
by DESTROYER on Oct 12, 2010 10:28 AM CDT via mobile reply actions
Yea it scared my teammates, because I’m kinda the same as janssen only we can’t check. But usually I’m the one sticking up for my teammates
Pujols takes out "I" in BIG and "A" in MAC, previously considered to be an unyielding, consonant threat
by DESTROYER on Oct 12, 2010 1:24 PM CDT via mobile up reply actions
One of my soccer teammates got a really bad concussion one game. She was knocked unconscious, did the whole throwing up thing and blah blah. That was a couple years ago.
To this day, she still randomly passes out. She cannot play any contact sports for the rest of her life, and I am not sure if she is still allowed to drive. And I think she almost had to drop out of high school because of it.
And now that you mention depression as a possible effect of concussions, I can’t help but think of Legace and all his concussions.
"I wanna be an achiever like Bad Horse.... I meant Ghandi" ~ Dr. Horrible
You know, I never thought about that...
… but his reaction to Mason and everything that happened that season was a bit more than disappointment.
Thrashing the Blues
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Paul McCartney: We`re going to start a campaign to stamp out Detroit.
This was in the issue of the Dana Foundation's Brain in the News...
… apparently head injuries can also cause ALS like symptoms. The military has been offering compensation to people who suffer from ALS because of the high correlation between some vets’ military assignments and the symptoms.
The complete study is published in the September issue of the Journal of Neuropathology and Experimental Neurology.
That mechanical or traumatic injury to the head, neck, or spine might be etiologically related to ALS has been suggested for more than 100 years (42, 43). More recent literature points toward a trend not only between CNS trauma and the development of ALS but also between a smaller number of years between the last injury and ALS diagnosis, and older age at the last injury and the development of ALS (9, 32). In a case-control study of 109 cases of ALS and 255 controls, Chen et al (9) found that having experienced repeated head injuries or having been injured within the 10 years before diagnosis was associated with a more than 3-fold higher risk of ALS (odds ratio [OR], 3.1; 95% confidence interval [95% CI], 1.2-8.1; and OR, 3.2; 95% CI, 1.0-10.2, respectively), with a slightly elevated risk for the interval 11 to 30 years.
Basically, you get whapped in the head within 10 years of an ALS diagnosis, and there’s a strong chance that the ALS is from that whap.
Thrashing the Blues
SB Nation Atlanta - home of the Fairest and Weatheriest fans on the net.
Reporter: There`s a "stamp out the Beatles movement" underway in Detroit. What are you going to do about it?
Paul McCartney: We`re going to start a campaign to stamp out Detroit.
I've seen a lot of injuries
Out covering sports, I’ve seen a myriad of injuries. The scariest I’ve seen was a football player getting a head injury. This kid got hit in the head at full speed and ran off the field screaming and crying. He said he felt like his head exploded and spent the rest of the game shivering, crying with a 1,000 yard stare. Concussions will fuck you up.
The Ol Goaler said we need new helmets, but that’s part of the problem. Kids and adults in football have been told how great the helmets are, and they still use them as a weapon. Its your head, you shouldn’t think you’re 100% safe.
All sports leagues need a policy regarding concussions. I think it should be a mandatory month out of action for each concussion. These things linger and cause serious problems. All signs and symptoms need to be alleviated before a player can return. The worst thing that can happen is returning too soon.
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is it the helmets?
i know wayne used to wear what i called a “pespi” topper (i.e. take a 2 liter pepsi bottle, cut the black bottom off, viola, worthless like helmet).
seems to me the ice is the sad puppy more often than the force of a charging player, and while the ice is hard, and the fall is over 6 ft on todays player, i can’t imagine a one-time impact dome can not be put into play tat has a significantly better result.
the goalie fall? he was in his stance with the besk mask in the nhl on (a goalie mask) and still that unprotected 5 ft drop produced a concusion.
basically tese guys are falling from the height of your child’s second 2 wheel bike and getting far worse injuries.
and as just mentioned there is concern ABOUT helmets, in hockey i know the theory is that once you face shield and cage up all the kids noses, the stick discipline fails miserably, and the hits from behind happen more frequently
so maybe 2 things
1) helmets that work for 6 foot drops to the ice
and
2) respect.
I recognized my kinship with all living beings, and I made up my mind that I was not one bit better than the meanest on earth ... while there is a lower class, I am in it, and while there is a criminal element I am of it, and while there is a soul in prison, I am not free.
by Childhood Trauma on Oct 12, 2010 11:26 AM CDT reply actions
How often did this use to happen to guys?
Back before helmets were even used? The only one I can think of is the tale between Ace Baily and Eddie Shore, and that was catastophic. I don’t think there are any “small” cases that come to mind. Even then, Eddie’s head hit the ice, and he didn’t have any recorded concussion.
Was it more that no one would report them, that they didn’t know what they were, or that they just didn’t happen as much… slower skaters, smaller players, etc?
I think maybe the second option would be best, if more guys have more respect, concussions would drop. Hopefully. Hell, I don’t know. The only problem is, you can’t teach repsect. You tink a guy like Cooke will just all the sudden change the way he plays and sacrifice his living?
"What's the use of being Irish if you can't be thick?" Billy Conn
Sextus: You can break a man's skull, you can arrest him, you can throw him into a dungeon. But how do you control what's up here?
[taps his head]
How do you fight an idea?
by Crapchesterian on Oct 12, 2010 1:17 PM CDT up reply actions
Bill Masterson
died after hitting his head on the ice in January of 1968; that led to more players wearing helmets. Helmets didn’t become mandatory until 1979; Craig MacTavish was the last player to skate without a helmet.

"In this game, don't nobody know nuthin' about nuthin'." -- attributed to Lawrence Peter "Yogi" Berra
by The Ol Goaler on Oct 13, 2010 9:44 AM CDT up reply actions
Back then they just told you to walk it off
I remember getting oxygen after getting dinged in a HS football and that made me spin even more.
No rocket science here, you got guys flying around at high speed with violent collisions sometimes. If getting knocked the fuck out cut my career short so be it, I’m not letting up. Same for them pussy shields, it’s freakin hockey. You wanna be safe, sit the hell in Volvo your whole life.
Just a chew toy for the hockey gods
Concussions are an unavoidable concequence of the activity
You can’t have ten skaters moving around an enclosed area without contact — even in “no check” hockey.
Checking just increases the frequency and the severity of contact.
For me the frightening thing is that the doctors are still learning about how concussions occur, how they affect the brain and how to treat them. The same impact/contact can affect two indivduals differently. One can get a severe concussion as a result and the other player can be totally unaffected.
It’s why team doctors/trainers must know the “before” player to help them figure out if he has a concussion. Some people are a little thick/fuzzy-headed all the time. Hockey players’ tendency to not report injuries doesn’t help.
As most of you, I'm quite a big football fan. Always have been.
But I laugh any time anyone talks about football as a “collision sport” without at least mentioning hockey. Sure, hockey at its’ finest is a finesse/contact sport, but these guys are going so damn fast, on a surface built for speed, on blades thinner than a high school math textbook. It is most certainly a collision sport these days, and concussions like the one CamTits suffered on Saturday are an inevitable occurrence at just about every game.
Here’s what I worry about, and maybe I’m a bit far-flung on this but I really don’t give a rat’s ass . . . what if, one day, our society gets so Goddamned litigious and bent-up on safety that they start banning sports with particularly violent consequences, such as football and hockey, at specific levels? Then what have we gotten ourselves into? Sure it’s way off, but it’s still something I’m SURE some congressman has thought about (and rest assured that I would never vote for anyone that fucking stupid).
If the parade of concussions and the evidence further proving concussions to be as dangerous as it seems we all knew all along continues without drastic changes to head equipment (such as the NFL is seemingly looking into, but running into a wall with players who don’t like the new equipment much like baseball players hate the new helmets THEY can get), then we’re eventually going to get to that level. And that scares the living fuck out of me.
St. Louis Game Time . . . I need another beer.
And I can also write things in 140 characters or fewer.
Great read Hildy
Hockey players wear numbers because you can't always identify the body with dental records.
It is the sweet, simple things of life which are the real ones after all. Laura Ingalls Wilder

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