Tag Archives: CTE

Concussions in the NHL

NHL looking to settle concussion lawsuits

In an interesting turn of events, the NHL is currently in talks with lawyers in hopes of settling lawsuits brought forth by many former NHL players. Many have alleged the league withheld information in regards to the dangers of repeated head traumas and concussions. Moving forward, what will this mean for the NHL? And will it have a big impact on how the league handles future cases?

Concussions

(Photo Credits: NESN)

Timing Is Everything

So why settle now?  Liability and uncertainty of outcomes-if the NHL decided to move forward with all those individual cases.  According to TSN, about 138 former players have filed lawsuits with 150 retaining lawyers. The original judge that presided over that case (and subsequently denied the lawsuit as a class-action case) recently stated:

“What I am going to suggest is that we, to the extent you want to continue to privately talk to each other about a private resolution, you are welcome and encouraged to do that”

As reported by Rick Westhead on TSN, Jodi Balsam, a former NFL lawyer, stated it would be easier for the NHL to settle rather than go through the motion of individual trials.

“If the NHL decides to go to trial on all these cases, they still have to go through further discovery and depositions, and then prepare to try hundreds of individual cases across the country”

As for the uncertainty of how those trials would turn out, Balsam makes a good point:

“As things stand, the NHL may have to eventually go into court facing hundreds of cases across the country. This case is like tobacco where lawyers tried to form a class action and failed because every smoker had a different story and health background. Then lawyers were able to go into courts across America, play to different juries, and have the opportunity to win a precedent-setting case. Juries are unpredictable. Every trial is a crapshoot.”

Settling For Less

Unlike the NFL, the NHL doesn’t have the money to pay out huge amounts. It’s likely players will settle their claims for less than what they were initially looking for. As part of the NFL settlement, players with brain injuries were able to receive up to $5 million dollars each-an amount that the NHL could never make.  Compared to the NFL, hockey has less viewership and players don’t get paid as much.

Since the case was initially denied as a class-action lawsuit, many players have filed cases. Players include Mark Hardy, former defenseman for the Los Angeles Kings, Rangers and North Stars. Former Penguins all-star John Cullen; Dan Quinn, an NHL center who was in the league for 14 seasons; Garth Butcher, a defenseman who played with the Canucks. Others include Ian Turnball (who played for the Maple Leafs) and Bryan Berard, who played for the Ottawa Senators.

Concussions cheap shots

(Photo Credits: AP Photo)

Crossed Lines

What the NHL does in the future remains to be seen. A question that is asked is will Commissioner Gary Bettman change his stance on the link between concussions and Chronic Traumatic Encephalopathy (CTE). His staunch assertion that there is no definitive conclusion is misleading and according to researchers at Boston University, Bettman misquoted what was said to him during a meeting in 2012. Neuropathologist Dr. Ann McKee, who has been doing extensive research on NHL hockey players had specifically told Bettman:

Concussion in the NHL

Dr. Ann Mckee, researcher at the VA-BU-CLF Brain Bank (Photo Credits: SI.com)

CTE was first described in boxers, so it was not a surprise to diagnose CTE in [hockey] fighters. We told Mr. Bettman that with that sample, we could not conclude if the presence of CTE was most likely associated with head impact exposure from normal hockey play or fights.

“However, we were clear that the evidence supported the conclusion that in those four former NHL players, their CTE was due to the head impacts they received as a hockey player who participated in fights as part of the game.”

“However, it is misleading for Mr. Bettman to say we haven’t reached any conclusions. The evidence clearly supports that CTE is associated with ice hockey play. Since that 2012 meeting with Mr. Bettman, the VA-BU-CLF [Veterans Affairs-Boston University-Concussion Legacy Foundation] research team has identified CTE in more ice hockey players, including four amateur hockey players, not all of whom had significant fighting exposure. This provides evidence that normal ice hockey head impact exposure can be associated with CTE.”

Deny, Deny, Deny

Bettman has strongly asserted that there is no link and even wrote a letter to US Senator Richard Blumenthal. In that letter, he cited that the media were to blame for “fanning fears about long-term brain diseases.” Hopefully, players will continue to put more pressure on the league to better regulate “cheap” head-shots. It’ll be interesting to see how Bettman handles the media scrutiny and backlash from families of those that passed away.

“Concussions affect a life. They don’t just affect the ability to play a sport”-Hockey legend Ken Dryden.

Players are more than just commodities. The NHL, whether they like it or not, have to face this reality and need to take care of their own. Your move Bettman.

[youtube https://www.youtube.com/watch?v=E9XLs4BDdjk&w=560&h=315]

 

Follow Liz Rizzo on Twitter @pastagrll88

Credits to: TSN

Credits to: The Players Tribune

 

 

Tensions Build in Aaron Hernandez’s Daughter’s Quest to Hold the NFL Accountable for Her Father’s CTE

Avielle Hernandez with her mother and other mourners as they depart her father’s funeral.

(Note: Following the release of Jose Baez’s book on Aaron Hernandez’s final days, several erroneous reports have surfaced regarding a lawsuit against the Patriots. That information is incorrect.  The initial lawsuit against the Patriots and NFL was withdrawn. This story brings the reader up to speed on the active lawsuit against the NFL and Riddell.)

On October 16, 2017 Shayanna Jenkins Hernandez filed a loss of parental consortium lawsuit in Massachusetts Superior Court against three NFL entities and helmet maker Riddell on behalf of her daughter, Avielle regarding Aaron Hernandez’s diagnosis of CTE. Two potentially important recent court filings the case back into focus.

final father/daughter moments

These photos probably represent the last time young Avielle saw her father. They were taken near the conclusion of a double murder trial in which Aaron Hernandez was found not guilty in the murders of Safiro Furtado and Daniel de Abreu, though he remained in prison for his 2015 conviction in the death of Odin Lloyd. Five days later, in the early morning hours of April 19, 2017, he committed suicide by hanging himself in his prison cell.

Hernandez’s life was a study in contradictions.  He was a star tight end for the NFL’s longest running dynasty, New England Patriots, and by all accounts was a loving father.  But Hernandez had a long history of emotionally-charged erratic behavior stemming back to his college football days and possibly even high school. Eventually this led to credible charges of homicide.  Because of a Massachusetts law based on a legal principle known as “abatement ab initio”. This requires a judge to vacate convictions of a person whose appeal had not been heard at the time of his death his conviction for the death of Odin Lloyd was vacated.

Ann McKee

The life and death of Aaron Hernandez prompted much public discussion as to how an intelligent and talented young man who “had it all,” could so callously disregard human life and in doing so, destroy his own future.  A likely answer to the question came on September 21, 2017 when the findings of Boston University CTE researcher Ann McKee were announced by Jose Baez, one of the attorneys representing Hernandez.  Hernandez suffered from “the most severe case they had ever seen in someone of Aaron’s age,” Baez told the press.  There are four levels of classification for CTE, with level four representing the most severe stage.  Hernandez pathology was of level four severity.  McKee likened the damage to Hernandez’s brain to that of players well into their 60s, but Hernandez was only 27.

Avielle (referred to in some court filings as “AH”) seeks to hold the NFL and helmet maker Riddell responsible for the brain damage that her father sustained, ultimately ended his life and robbed her of a relationship with him.  Unlike many other brain injury related claims against the NFL, however, Avielle doesn’t blame the Patriots team or anyone in the league for that matter, for their treatment of her father when he played, because CTE is a progressive disease that takes years to develop.  Hernandez was affected with CTE long before he was drafted.  Aaron started playing tackle football when he was only five years old (ironically Avielle’s current age). Early symptoms of CTE began to manifest while he was in high school.  By the time he entered the NFL he had already received twenty years of football exposure, and this is what she seeks to hold the NFL accountable for.  Because of the NFL’s intentional deceptive representations to the public regarding football induced brain injury, that persisted through the entirety of her father’s life, Aaron’s parents unknowingly placed him in danger at a tender age based on the NFL’s misrepresentations, which ultimately cost Aaron his life and robbed a child of her father and his love.

Shortly after the lawsuit was filed in Massachusetts Superior Court, the NFL sought to have the case removed to federal court based on arguments of Labor Management Relations Act (LMRA) § 301 preemption.  In response, the Judicial Panel on Multidistrict Litigation moved the case to the Eastern District of Pennsylvania (EDPA) which presides over the NFL’s massive concussion settlement as well as opt-out cases from that settlement.

Once the case landed in EDPA, the NFL sought to have the case dismissed on preemption grounds. The statute in question states:

Section 301

I wrote about this extensively in another recent article, so I’ll try to provide a brief overview here. This provision was enacted in 1947 to ensure uniform handling of labor disputes.  It is often used as a defense to move a case from state to federal court and once there, the court will rule on whether the case should be dismissed on complete preemption grounds.

Two questions are utilized by the courts to make this determination:

If the federal court concludes affirmatively the lawsuit is dismissed, otherwise it is typically remanded back to its originating court.  One of the factors used by courts in making this determination includes, “does the case require interpretation of a collective bargaining agreement or merely reference it?” Most courts have ruled that a mere reference does not require dismissal.  Courts have also held that lawsuits that plead only state law claims cannot have other claims enjoined by a defendant that the plaintiff did not plead in order to invoke the CBA.  Last Wednesday Avielle, through one of her attorneys, Brad Sohn, presented a strong response to the NFL’s preemption arguments.

In it, he pointed out the obvious – that only state law causes of action were pled by the plaintiff.  “Defendants’ entire position rests on impermissibly contorting Plaintiff’s allegations and then applying them to a collective bargaining agreement (“CBA”) extrinsic to the removal record in an attempt to force square pegs into the round hole of § 301 preemption. This is precisely the type of jurisdictional manipulation that the Supreme Court has admonished,” he wrote, explaining further:

pleading

His argument recaps decades of deception and misrepresentation to the public, which the plaintiff believes led to her father’s brain damage and ultimately his death. This excerpt references the defendants’ financing of sham “science” that was then distributed through legitimate medical journals to confound the public and protect their profits.

sham research

Many other examples were included in the response, derived from the  eighty-six-page lawsuit, the bulk of which described in detail the defendants’ cover-ups and disinformation campaign.

He also noted that of the four defendants, only one, the NFL Management Counsel is a party to collective bargaining, and certainly the five-year-old plaintiff has never been.

Though court rulings have been uneven as to their interpretation of § 301, and the NFL has had much success with preemption based on this statute, the facts clearly do not favor the NFL in this instance.

Another motion to dismiss filed by the NFL may, however, prove to be more challenging.  In this motion the NFL seeks dismissal of the lawsuit on grounds that Aaron Hernandez, and by extension, Avielle is a class member to the settlement and as such has no standing to sue the league.  The settlement definition of a class member was included in the filing.

definition

The lawsuit asserts that Hernandez is not a class member due to the fact he never officially retired.  When Hernandez was arrested for the murder of Odin Lloyd, the Patriots voided his contract and placed him on waivers.  He went unclaimed, and after he cleared waivers, NFL Commissioner Roger Goodell announced that, while charges against Hernandez were pending, the NFL would not approve any contract signed by Hernandez until he held a hearing to determine whether Hernandez should face suspension or other action under the league’s Personal Conduct Policy.  This was how Aaron Hernandez’s career ended. Had the ruling in which he was convicted of Odin Lloyd’s murder been overturned on appeal, it is likely that Hernandez would have sought employment with an NFL team.

The NFL points out in their brief, however, that in order to be exempted from the “retired NFL player” status as defined in the settlement agreement, a player must actively be seeking work with a team, which Hernandez was unable to do because of his incarceration.

It appears that Hernandez’s best defense against this could be regarding notice to the class.  FRCP Rule 23 which governs class action settlements states:

Rule 23

It seems reasonable that Hernandez could be located, since his incarceration at Souza-Baranowski Correctional Center was widely known.  If no individual notice was issued to him or members of his family, due to restrictions in accessing internet and television, it could possibly be argued that Avielle’s claim should be exempted.

If notice was issued and the definition of class member was so vague as not to indicate that he would automatically be included in the class, this could be a potential argument.

Another argument might stem from the fact that Avielle’s claim is not similarly sufficient to other claims made against the NFL because unlike settlement claims arising from the retired players’ NFL careers, her claim is based not on the fact that he played NFL football, but that he played youth football due to the NFL’s deceptive and misleading information that was applied at the youth level, which the NFL also funded.

Advocacy for Fairness in Sports did not receive an immediate response from Attorney Brad Sohn, when comment was requested, although it’s completely reasonable that an attorney would not wish to prematurely reveal his litigation strategy, therefore the above arguments are this writer’s speculation.

If the court rules that Hernandez was a class member, and Avielle by default, and that he did receive proper notice (or fail to find exemption through some other avenue), then she would be “entitled” to file a claim, but according to settlement terms, the claim would be quickly denied because the settlement only compensates Death with CTE if it occurred between January 1, 2006 and July 7, 2014.  Thus far in the settlement, no exceptions to this rule have been granted, including the claim filed by the family of Mike Webster, the first NFL player diagnosed with CTE after his death in 2002, and Dr. Bennet Omalu’s eye-opening publication of his findings in 2005.

It’s important to remember as this case unfolds that at the center of it is an innocent child. aaron-avielle

While if Hernandez is guilty of the crimes he is accused of, they can’t be justified by CTE, but they can be better understood in this context.

A Sports Illustrated longform article in which Aaron’s brother Jonathan shares his recollections, he noted that he began noticing behavioral changes in Aaron after the death of their father in 2006.  Perhaps he wasn’t able to bounce back since he’d already sustained twelve years of football damage to his brain.  One of the primary symptoms of CTE is emotional volatility.

“He had a very big heart. That’s what’s craziest about all this. There is a disconnect. He would open up his arms to anyone,” Jonathan Hernandez recalled through the SI article, “I don’t know. I just know he cared about people.” Now, the person that Aaron Hernandez cared most about, his daughter, will grow up with only phantom memories of her father, along with all the news bits that profiled his fall from grace. The child deserves better.

This article was originally published by Advocacy for Fairness in Sports  on July 24, 2018, and republished with permission of the author.  The case is still awaiting a response to the NFL motion by the Hernandez legal team.

RED ICE- Concussions in the NHL (@pastagrl88)

“I think the NHL has misread its hand. This is not going away. This is much bigger than they hoped. I don’t want money at all. I just want research and funding and for them to have neurologists for teams”-former Bruin player Nick Boynton in an exclusive interview with TSN.

On July 13th, Judge Susan Nelson denied the request of 150+ players in bringing a class action lawsuit against the NHL. Players have also asked the league to provide medical care in detecting symptoms consisting with Alzheimers, depression, dementia etc. Judge Nelson stated that there’s needs to be “substantial proof” that playing hockey increases the likelihood of being diagnosed with a neurodegenerative disease. If you want proof, ask those players whose lives have changed drastically after suffering multiple concussions.

Hockey has always had this warrior-like atmosphere where players are expected to skate through injuries; after all, when you suffer from multiple concussions, you’re “damaged goods”.  You play on, but at what cost? And why is the NHL so hesitant in investing money into research to gain a better understanding of this debilitating disease?  In a multi-part series, we take an in-depth look at CTE in the NHL.

PUNCH DRUNK

CTE

PHOTO CREDITS: (MGN)

 

 

 

 

 

 

 

 

 

 

 

Aggressiveness. Depression. Impulsive behavior. Confusion. Dementia. These are just a few symptoms of CTE or Chronic Traumatic Encephalopathy. It was first diagnosed in 1928 by Dr. Harrison Martland after he described boxers with having “punch drunk syndrome.” In 2005, the first published case of CTE was on former Pittsburgh Steeler Mike Webster. Generally, symptoms don’t appear until the late 20s or 30s. Cognitive symptoms appear in your 40s and 50s. According to the Concussion Legacy Foundation in Boston people who suffer from CTE have sustained hundreds or more trauma to head, whether through sports or military service.

Football tops the list with 200+ confirmed cases of those suffering from CTE. Hockey has 20+ confirmed cases so far. But it’s important to note that not every athlete that has suffered a concussion will end up with CTE. But the longer you’re exposed to head trauma, the likelihood of experiencing symptoms are that much higher. Treating CTE can be difficult as it’s a disease diagnosed after death. However, if an athlete feels they may have CTE, there are types of therapies available. Unfortunately, for many help came too late.

CHEAP HITS AND TRAGEDY

NHL enforcers Derek Boogaard, left, Rick Rypien and Wade Belak

PHOTO CREDITS: (GETTY IMAGES)

 

 

 

 

 

 

 

 

 

 

 

Red ice sells hockey”

Fighting draws in the crowd, and when the NHL was looking to expand to a new audience in the ’60s and ’70s, violence was promoted. If you knew how to fight, you were an “enforcer”. Dropping gloves would be a regular staple during the ’70s and ’80s. As the NHL moved away from an era of the Broad Street Bullies, fighting still had a presence.  But at what cost?

In 2011, the Hockey world would be hit with few tragedies. The question of banning fighting was thrust into the limelight.  Interestingly enough, many players are not keen on the idea of removing the fighting element from hockey, even bristling at the idea.

“I hate that it’s even being talked about. It’s absolutely ridiculous that even the notion of fighting being taken out. What a terrible mindset.”-Buffalo Sabres captain Steve Ott

While many players feel that throwing punches isn’t the sole cause of concussions, the effects of cheap hits and high sticks are all too real.  The deaths of three players in 2011 offered a real glimpse of what these players go through to deal with the pain that comes with playing a physical contact sport.  In the summer of 2011, the close-knit hockey community would suffer a few devastating blows.

THE BOOGEYMAN

Derek Boorgard

PHOTO CREDITS: (USATSI

At 6-foot-7, 265 pounds Derek Boogaard, aka “Boogeyman, had a menacing presence in the NHL. In his debut with the Minnesota Wild, he fought 16 times. With a reputation as one of the most feared enforcers, for many rookies, dancing with the Boogeyman was a rite of passage. Suffering from shoulder and hand issues, Boogaard also dealt with recovering from multiple concussions. Sadly, this would lead to a reliance on painkillers. Fighting would take a toll on Boogaard’s body.

After spending some time in rehab in 2009 and in 2011, Boogaard returned to Minnesota before playing for the New York Rangers.  It would be his last NHL campaign. He was found dead in an apartment he shared with his brother from an accidental overdose of drugs and alcohol. Boogaard’s family successfully sued the NHL two years after his passing. His family also accused the teams he played for over-prescribing painkillers. Examinations of Boogaard’s brain showed evidence of advanced chronic traumatic encephalopathy.

A SECOND DEATH

Image result for rick rypien

Three months after Boorgarad’s death and fresh from signing with the Winnipeg Jets, 27 year-old Rick Rypien committed suicide. He had been suffering from depression for tenyears and took two leaves of absences while playing for the Canucks. He would live with fellow teammate Kevin Bieska and his family so that someone would keep watch over him. When Rypien failed to show up for a physical, teammates grew concerned. Unfortunately, a family member found his body at his home in Coleman, Alberta.

A SAD ENDING

Image result for wade belak

PHOTO CREDITS: (John Russell)

A couple of weeks after Rypien death, former Nashville Predator Wade Belak was found dead, hanging in a hotel room. The former enforcer was known for being a ferocious fighter, however, he was also known for having a great sense of humor. According to his mother, he had been battling depression for a while. For these players, there is the unspoken emotional toll of being a fighter and a sense of being invincible. For many, depression isn’t something you talk about. Former Leaf player Nick Kypreos said it poignantly,

“You don’t really discuss your inner feelings about the job description with another guy who fights. You just know.”

PART TWO

Next week in our series, we discuss the NHL response, including the claim of ignorance of several team owners when it comes to understanding CTE.

 

PHOTO CREDITS: (Michael Seamans)

 

Follow Liz Rizzo on Twitter @pastagrl88

CTE: Where to Place the “Blame”

THE ISSUE

Chronic Traumatic Encephalopathy – CTE – has become the biggest issue facing the NFL. After doctors examined the brain of ex-Patriot and NFL star Aaron Hernandez, they discovered he suffered from CTE. Hernandez hung himself in his prison cell while awaiting an appeal of his murder conviction.

CTE has affected many other former players as well. Who is to blame for concussions? Where do they begin? The NFL faces an issue that they never created. The NFL has adopted protocols to prevent reoccurring concussions to current players. They have a physician with no team affiliation who puts players in “concussion protocol.” If he or she sees something they don’t like, the effected player heads to the lockers. They sit for as long as it takes for the doctors to declare the player healthy. A step in the right direction.Image result for aaron hernandez

THE START

I grew up in the 80s, when safety wasn’t in the forefront.  At the time when a child’s body is developing, so is their brain. But still, we rough housed, had rock fights, recklessly sledded, had brutal pillow fights, and rode bicycles without helmets. Have you ever slipped and banged your head on concrete or ice? Head butted with a kid or fallen off a jungle gym? All these things factor into your development physically and mentally – minor concussions are not diagnosed. The other problem that plagues our youth is the age at with they begin contact and collision sports. Children as young as eight engage in full contact. These leagues haven’t the finances or resources to diagnose concussions or other brain injuries. Some parents have suggested switching to flag football to reduce head-to-head hits.  Again, stepping in the right direction.

HIGH SCHOOL TRAUMA

High school first introduced me to the term, “you just got your bell rung.” When this happened, people were expected to simply sit out for a bit and get back out there. After all, football is a “gladiator” sport and players the “cool kids” or “jocks.” Incredible that these labels are put on teenagers just for running around a field having fun. But, competition can easily turn into insanity, as nobody ever wants to be perceived as weak. Health gets tossed off like roadkill. Rub some dirt on it and get back in there. Crazy, right? High schools don’t have the funds to pay a physician to roam the sidelines policing concussions. It is a tough business allocating money, especially in public schools.

RECRUITING PARENTS

Education has been and will continue to be the top priority. Some schools are now asking the players’ parents to get involved. They suggest that the parents stay close to the bench to interact with their children. Coaches hope that a parent can notice any abnormality in their child. Maybe a little slurred speech, odd gait or unnatural behavior that would cause concern. Stepping forward in a great direction here. Get parents involved in helping the development their children and their safety.

COLLEGE AND THE GOLDEN RULE

The next place to help prevent CTE is college football. CFB is a booming business to say the least.  Top teams make tens of millions of dollars per year. Some elite programs can hit a hundred million. This money helps these universities fuel other athletic programs. Smaller schools with less earning power (no TV money) need to play so called “body bag” games. An inferior team that doesn’t make the money it needs to function gets paid to travel to a top program’s home field. The visiting team gains money, experience and a beating of sizable proportions. Finance and health collide again.   And it’s sad that that former seems more important than the latter. The NCAA has now taken the same measures as the NFL exercising caution, but I feel it just protects their bottom lines.

Image result for full college stadiums

THE PRO LEVEL

Now on to the NFL, where over the past decade or so they have started to improve safety across the board. They now use technology to redesign the helmets to absorb more force. In addition they take on-the-field actions by fining/suspending players that lead with their helmets. I mentioned before that they now have unaffiliated physicians monitoring hits on the field and reactions to the hits. As this game evolves, it is important to keep evolving with it. Players are getting bigger, stronger, faster and more aggressive, so it is imperative to keep exploring ways to keep our young athletes safe across the board. The tragedy and burden has fallen to the NFL to correct the CTE discussion.

GOING FORWARD

It is imperative to keep exploring ways to keep our young athletes safe across the board. All ages, races and sexes are affected the same. The tragedy and burden has fallen to the NFL to correct the CTE discussion. The NFL has some “blame” for it as they channeled money hand over fist, advertising big, hard hits. They are exciting and motivating to fans, with little thought to how it impacts the players. The rhetoric maintained they get paid well so “suck it” up and “rub some dirty on it.” Maybe society and fans should shoulder a bit of the load here too. Point is that it affects us all and we can all help the cause. I would implore us all as parents, brothers, sisters, friends, coaches, fans and teammates to stay vigilant in preventing the lasting effect of head and brain trauma.

 

Jonathan Salvi

@BostonBongo

 

 

CTE : Is It Going To Be The End Of Football ?

Unless you have been living under a rock, any true football fan has heard of the medical term CTE.  CTE stands for chronic traumatic encephalopathy, a degenerative brain disease.  It has gained prominence recently with a study showing that virtually all ex-NFL players brains tested had the disease.  A study published in July of this year revealed that 110 of 111 players tested showed various levels of the disease.

Could the prominence of CTE in NFL football players be the end of football as we know it?  I do believe that CTE is a serious health issue that needs to be investigated further.  I would like to give you a little perspective, and tell everyone to not give up hope yet.  There is more to this story and I hope I can share some of my insight with all of you.

SIGNS AND SYMPTOMS OF CTE

To give you some context, consider the most common signs and symptoms of CTE: Most common sign is cognitive impairment, which is difficulty thinking clearly.  To be a true CTE symptom, it has to be a symptom that lasts beyond 48-72 hours after first being noticed; short term memory loss, impulsive behaviour, emotionally unstable, substance abuse increases, and most importantly suicidal thoughts.  As you can quickly figure out, all of these symptoms are quite scary.  The issue presently is how to diagnose CTE early enough to alleviate long term complications.

 

DIAGNOSIS OF CTE

Here is where the issue lies with CTE and contact sports like football.  CTE presently is the degeneration of brain tissues and the presence of a protein called Tau along with other proteins.  The only way that CTE can be confirmed as a diagnosis is by detection of these markers upon performing an autopsy.  This iwill have to change to make it a disease that can be managed.  Without earlier detection, there is no hope of keeping the condition in check at the earliest possible stages.

Personally, the articles and studies that I have read  now tend to compare CTE to Alzheimers with regard to the importance of early detection.  This makes great sense, because Alzheimers does not have one true test that is definitive, and I doubt that CTE will either.  The key will be educating all parties that will be involved to note symptoms and act appropriately.  Defining what those appropriate actions will be the key, and needs buy in from all stakeholders.

Alzheimers’ sufferers have a few medications available in the last number of years that have the ability to greatly slow the disease’s progression.  The key is early detection, and staringt the patient on the medication as soon as possible.  It looks like CTE may fall into the same category where early diagnosis will be paramount.  That’s lacking right now.

HOUSTON, TX – FEBRUARY 05: Chris Long #95 of the New England Patriots kneels before Super Bowl 51 against the Atlanta Falcons at NRG Stadium on February 5, 2017 in Houston, Texas. (Photo by Kevin C. Cox/Getty Images)

 

IS CTE FROM REPEATED HEAD TRAUMA ALONE?

A lot of research is needed here with regards to CTE and playing football.  Everyone knows that repeated blows to the head will damage anyone.  The odds of this happening in a bone-crunching sport like the NFL is quite a bit higher.  I want to point out the fact that CTE happens in other cases where head trauma is not an issue.  Military veterans, chronic epileptics, and even domestic abuse victims are also people that have shown CTE without the repeated physical head trauma.  This fact leads me to think that the best test is going to have to be detecting the TAU protein and then developing a treatment to “deactivate it”.

UNLOCKING THE SECRETS OF TAU

Presently the TAU protein destruction method is being explored in treating Alzheimers with relatively good success.  The treatments used could easily apply to athletes and others without any issues.  I think that there should be a pilot project with some current and ex-players and the drug manufacturers to see if there is symptom alleviation.

Believe it or not, the basic substance of curcumin (isolated from tumeric) is among substances under study.  If this turns out to be as good as initial tests have shown, then off to the grocery store we go for this.  This substance has so far been shown to neutralize the TAU protein and allow the body to clear it out.  The keys that are being explored is detection of the disease (CTE or Alzheimers) and then starting treatment.  One study is presently looking at starting some athletes on this before they show any signs.  The issue with this theory centers on  the baseline examined.

DANGEROUS CONSEQUENCES

With the recent story of former Patriot Aaron Hernandez having been diagnosed with stage 3 CTE after his death, the CTE debate rages on.  I caution people to look back at what I mentioned previously in this article.  With only one diagnosed concussion in his career, was football the only source of his troubles?  Did his former gang activities, checkered past, or even prison time served have any bearing on his CTE development?  We have to answer these questions so we can stem this tide.

I hope I have demonstrated the threat of head trauma on NFL players. We all have to be more conscious of it and it’s effects. Minimizing illegal hits, late hits and unnecessary hits by players is definitely a good start.  As I have said, I believe there is more to the issue and that is what we have to figure out and fast.  Players should stop playing football unless only as a personal choice.  With further updates in safety and rules, I believe football can be as safe as any other sport.  We need to make sure that head injuries are taken very seriously, and treated as such.  It should have started many years ago, but hindsight is always 20-20.