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Dr. Sanjay Gupta

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Big Hits, Broken Dreams

Posted: 01/25/2012 4:21 pm

As a practicing neurosurgeon and journalist, a big interest of mine has been the concussion crisis in sports. I've been investigating it for two years. Former NFL players have begun to speak out about their experiences with the lasting effects of concussions sustained while playing the game, and some have even made arrangements to donate their brains for future research to the Center for the Study of Traumatic Encephalopathy at Boston University.
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The more I have examined this subject, the more I have wanted to know about how concussion may be affecting young people who play the game. The statistics for concussion in younger players are startling. According to the Sports Concussion Institute in Los Angeles, each season one in ten high school football players gets a concussion, and about 35 percent of those sustains more than one concussion. Most players heal from these injuries, but a growing body of evidence suggests that repeated trauma can mean long-term memory problems, depression, and even early death - particularly when repeated trauma is sustained in quick succession, known as "second impact syndrome." I've met a few families that have borne these terrible consequences. And as a father, I really want to help parents, coaches, and young people know the risks - and perhaps the information can make a difference to someone.

As a neuroscientist, I know that the adolescent brain is still developing. It's less resilient to concussion than the adult brain. I agree with Kevin Guskiewicz, PhD, one of the country's leading researchers in this field that "concussion" is a word that we've come not to associate with the seriousness of what is better described as a brain injury. And I've met kids who just love the game so much; they underestimate their level of risk.
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I love the game of football. I went to a Big Ten school, the University of Michigan, and my wife and I still return to our alma mater for games. But I think that the game can be safer. The NFL kickoff rule changes to reduce the helmet-to-helmet hits on punt returns were good ideas. Hiring certified athletic trainers skilled at recognizing symptoms of brain injury at games and practices at the youth level can also reduce the risk of head trauma and save lives. And, the new pre-season cognitive testing for all players can be successful in helping assess a player's condition after a hit. If a player's brain is not functioning like it did before the season, schools can make sure that player does not return to the field until he is healthy - that's key, making sure the decision is made by a medical professional to clear a player with a brain injury that he can return to play.

My CNN colleagues and I have produced a documentary that we feel will highlight some important information for kids, parents, and coaches. If you love the game, or love a kid who plays the game, I hope you'll watch...

Dr. Sanjay Gupta Reports: Big Hits, Broken Dreams airs Sunday, Jan. 29 at 8:00pm and 11:00pm ET & PT. It replays on Saturday, Feb. 4 at the same airtimes.

 

Follow Dr. Sanjay Gupta on Twitter: www.twitter.com/sanjayguptaCNN

As a practicing neurosurgeon and journalist, a big interest of mine has been the concussion crisis in sports. I've been investigating it for two years. Former NFL players have begun to speak out abo...
As a practicing neurosurgeon and journalist, a big interest of mine has been the concussion crisis in sports. I've been investigating it for two years. Former NFL players have begun to speak out abo...
 
 
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08:10 PM on 02/02/2012
I am a certified athletic trainer, working in the high school level for the last decade... I can tell you we get an average of 7-8 REPORTED concussions, that is the kids who KNOW they cannot keep playing because they are so dizzy with such a bad headache they can't see or walk straight. Unfortunately every year I have at least 7-8 more at the end of the season who brag to me that they played when they knew they had a concussion and had effects afterward... The gladiator mentality that these kids play with is not only perpetuated by the coaches, but more so by their own parents. MOMS INCLUDED! Case in point, I had an athlete that suffered a massive concussion, and when I took his helmet away, his own father came down and tried to grab it out of my hand saying that I had no right to remove him from the game (our coach reinforced to dad that he would go with MY recommendations, not his) , Only when I threatened to report him to Health and Human Services, did he even agree to take his son to the hospital, where he was diagnosed with mild swelling on the brain on top of the concussion. It is truly ridiculous the risks people are willing to take for a game. This is why I work in this field, to educate and protect my kids from themselves and their parents for that matter.
Mochilero
Have backpack, will travel
06:59 PM on 01/29/2012
Former NFL players have a very low average life expectancy and often live lives full of chronic traumatic pain. Has anyone ever done a statistical survey on whether they think it was worth it?
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procopios
Pray for us sinners
05:50 PM on 01/29/2012
There is nothing natural or organic in the game of football, therefore, it has no rules which should not be subject to revision for the sake of safety. Even the forward pass, its most distinctive innovation that set it apart from Rugby, was invented to open up the game and make it less fatal. I wish there was less apathy towards repetitive head trauma and the toll it takes on good young men.
05:40 PM on 01/29/2012
The danger of concussions and football begins in Pop Warner. CMF Public Media did an audio podcast on that topic by interviewing parents, coaches and doctors in the Central Florida town of Oviedo. Kids start early and that is particularly important if multiple concussions or even hard hits can create problems in high school and college. http://cmfmedia.org/2011/09/concussions/
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ckdogs
Veritas
02:26 PM on 01/29/2012
Totally agree that football has to be safer. What's the point of high school and college kids suffering concussions, and worse, just to play a game? A high school football player recently died in Chicago. He was a handsome, talented young man, who got a hit that severed his spinal cord, and he was quadraplegic. His insurance money had run out, and his family was struggling with his care. Then, he died. This should never, never, never happen again. I would go a step further, and say that all boxers, including professionals, should wear head gear in all fights.
05:34 AM on 01/29/2012
NFL players make big bucks, have incredible training staffs and top of the line medical treatment. Just a quick little short story:
It was a difficult but successful stint in the psych ward/ rehab, after years of struggle and anguish, he was ready to take on the world. Everything is back on track, the college coaches welcomed him back with open arms. His life seemed to be moving in a great direction and then BOOM! Another concussion. Dizzy, light headed, nauseous, crying, lonely, given a bottle full of vicodin, left alone for a few hours, blurry, team returns, get handed beers by coaches, blackout, wake up vomiting, realize you got robbed and compromised everyones trust by getting wrecked and disgracing the program, leave school unabated and embarrassed. He was from a broken home and truly counted on the university coaching and training staff to keep him healthy, they knew of his past but still contributed to the suffering through negligence and downright participation in such reprehensible activity. Can he sue them?
04:56 AM on 01/29/2012
These NFL players should take a page out of Tebow's book and thank God. Granted that most of the old time players weren't raking in million of dollars like today, they are fortunate to be affiliated with a company that is doing it's part. Money won't fix depression or mental illness but playing in the NFL ensures you have the capability to seek treatment. Sadly, there are countless young men who have suffered the consequences of concussions through participation in youth, high school and college sports who have no way to get the treatment they desperately need. I may be wrong but if anyone has information on such a source for financially inept, emotionally disturbed, suicidal, non-professional athletes please add a link below.
03:49 PM on 01/27/2012
Athletes, especially those in contact sports, put their bodies at great risk each and every day. Unfortunately, the millionaires who own the NFL and similar organizations can care less what happens to these players in their eyes these are disposable. Once they can no longer make the team money they are thrown to the dogs and as their health deteriorates from years of physical strain and let's not forget all the pain killers such as toradol they are given during games so they can get back in the game quicker, they are forgotten by the organization to which they signed their life away. Real Sports with Bryant Gumbel has explored this ordeal many times and most recently they brought to light the issue with toradol, which people now think worsens the effects of concussions. Sad, really sad.
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gneep
if it wasn't always the same, it'd be different
12:17 PM on 01/27/2012
I love sports. It keeps the jocks busy and keeps them from sweeping floors for a living.
04:46 AM on 01/29/2012
You mean it keeps them from hanging you upside down and dunking your head in the toilet like high school all over again? Nerd!
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gneep
if it wasn't always the same, it'd be different
02:05 PM on 01/30/2012
yeah dream on. I'd like to see them try it just once.......
09:37 AM on 01/27/2012
"And, the new pre-season cognitive testing for all players can be successful in helping assess a player's condition after a hit. And, the new pre-season cognitive testing for all players can be successful in helping assess a player's condition after a hit..."

This makes so much sense! I can't help adding that it's a no-brainer...
04:45 PM on 01/26/2012
I have a kid in hockey and this issue is important, I think some kids tend to put themselves more out there and risk injury (lots of kids with no injury/concussions and lots with several concussions). Another brain injury I wish you would advocate more for these poor girls from Leroy, rather than the initial medics/neuros labeling it all psychological (conversion disorder). Wake up Dr., the public is hearing more about PANDAS/PANS and you need to be more open minded and up to snuff in reporting on these things. Way too much pharma influence and fear over any side effects/adverse events to do with vaccines-be they causal or contributing has the reporting on this stuff on
lockdown. People aren't stupid.
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Democrab
Pretty far so good
12:11 PM on 01/26/2012
You are also a practicing pol, Dr. We haven't forgotten your defense of the medical profession against "Sicko." Instead of rattling the cages of football fans and instilling fear in the hearts of moms, why don't you put some of your "neurosurgeon" skills to work and help create a helmet that helps prevent the "big hit" causing a concussion. Kids are still going to have sex so get them the proper prophylactic. Kids are going to continue to hit hard, run fast, and play football, so get them the proper protection.
10:43 AM on 01/28/2012
While you make vaild points regarding the doctor and sex, I have to disagree with you on your football slant. I think we should take away the protection from kids when they play football. That so called protection gives kids a sense of invulnerability, most especially the helmet. I bet if you took away just the helmet, the incidents of concussions amongst kids playing football would drop drastically.
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Democrab
Pretty far so good
08:16 PM on 01/28/2012
Interesting concept?
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SallyBaughn
In a broken country there is nothing left to steal
09:47 PM on 01/29/2012
You might be more correct than we think... How many concussions usually come from games of flag football?
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phal4875
The world is run by cats; we just feed them.
11:55 AM on 01/26/2012
It is a difficult battle. Brian Urlacher, an NFL star, said that he would claim to have an injury elsewhere if he were to hurt his head. He knows that a concussion can keep him out of a game. Many other NFL players have said something similar.
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08:44 AM on 01/26/2012
doctor- your concerns are of course valid. but ypu are overlooking the germane underlying priciple of physics:
Force = Mass X Acceleration...players are faster than ever and (via weight training and HGH/steroids) Bigger than ever. thr human morphology, orthopedic structure and brain is now subject to harder, faster collisions than ever at the sport. Resultingly , brain and spinal cord injuries are inevitable and likely to be more frequent in the future no matter the incremental improvement in preventive technology.
12:24 PM on 01/26/2012
You're right, and given the latest neuroscience on short- and long-term damage to football players' brains, I'm going out on a limb and say the sport needs to be outlawed.
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Willie Qwit
Willie don't qwit!
07:43 AM on 01/29/2012
I'm betting that will never happen but that's the only way to prevent injuries; don't have the sport at all.
07:50 AM on 01/26/2012
Not entirely sure it would help but I wonder if instead of hard outer shells for the helmets and shoulder pads if they had a softer more giving material that would absorb some of the impact if it would make a difference. Some in Europe and Australia believe that sports like rugby that are played without the kind of "safety" equipment US Football has is less dangerous. Just wondering.
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Nate35
03:44 PM on 01/26/2012
There has actually been a pro-player who played with a padding covered helmet because he was at increased risk of concussion related injury. Theoretically it would work, and it would reduce the effectiveness of using the helmet as a weapon.

As to whether rugby is "safer" because of the lack of pads, I would say merely that it is dangerous in different ways. Rugby players can't tackle the way you do in football. Instead it's much closer to what a football coach would call a "form" tackle - head up, hit with the chest (shoulders tend to do painful things when they're hit hard without pads, like partially dislocate) and wrap the legs. This type of hit should lessen neck or head injuries, but I doubt it does in practice. Rugby players play at least as rough and regularly suffer catastrophic injuries, and I've known of several friends who I played football with through four years of high school who didn't have concussion issues until they started playing rugby in college.
07:13 AM on 01/27/2012
Thanks Nate.