Saturday, September 23, 2017
Thoughts from the week. More three dot …
CTE may not be as chronic as the name implies. Changes of chronic traumatic encephalopathy were found in the brain of Aaron Hernandez, a former NFL player, who committed suicide while in jail after being convicted of murder…The disease, which can only be diagnosed by autopsy is thought to be a consequence of concussion. Tau proteins are deposited in the brain and eventually are thought to affect cognition, and cause mood swings and depression. The theory suggests that the NFL puts players at high risk because of repeated concussions, but with CTE found in brains of high school and college students, it may be that NFL players have a higher incidence of CTE because they are studied more frequently and that their brains were damaged at a much earlier age…Boston University researchers found that those who participated in youth football before the age of 12 had a twofold risk of problems with behavioral regulation, apathy and executive function and a threefold risk of clinically elevated depression scores. The average age of subjects was 51 and included high school, college and NFL players.
Viking quarterback Sam Bradford, he of two knee ACL reconstructions, developed knee swelling as the NFL season began and after missing another game, it has been reported that he has sought a second opinion regarding potential treatments (presumably surgery) from Dr. James Andrews, one of the country’s leading orthopedic experts…Some might wonder why the Viking team doctor isn’t good enough to treat a star player, but to Mr. Bradford’s credit, another opinion is never a bad decision. In medicine, there are always different ways of doing things and if there is time to consider options, the wise patient should seek those out…The second opinion opportunity isn’t limited to pro athletes, but available to almost all. When it comes to deciding about an operation, a surgeon should welcome the request for a second option, and then help arrange it, providing names of reputable colleagues to review records and examine the patient…It should raise a red flag when a surgeon refuses or appears insulted.
Attributed to either William Gladstone or Willian Penn, “Justice delayed is justice denied” was taken to hear by the British court system in convicting and sentencing Wayne Rooney in a drunk driving case this past week…After being arrested in the wee hours of September 1, the British international soccer star, pled guilty to the charges of driving drunk. On September 18, his driving privileges were revoked for 2 years and he was sentenced to 100 hours of unpaid work as part of a 12-month community service order. He could have been sentenced to 6-months prison for his first offence…British courts have been cracking down on this behavior in light of an average of 940 deaths a year in England and Wales…By comparison, 10,000 victims die every year in the US…And Wisconsin considers a first offence DUI as a misdemeanor and 448,000 drivers have at least one DUI.
Greg Olsen, Carolina Panthers tight end, broke his foot and required surgery to insert a screw into the 5th metatarsal. He knew that something was wrong as he walked off the field… Cleveland Browns receiver, fell awkwardly and hurt his hand but it was a day later that the broken bones were confirmed…David Johnson of the Arizona Cardinals had a dislocated wrist but continued to play. Just three examples that just because you can walk on it or move it, doesn’t mean that it isn’t broken. All it means is that the muscles and tendons that are associated with the area are working just fine. Walking stops when a bone or joint is deformed and cannot tolerate any movement, cannot support the weight of the body or the muscle/tendon is torn and cannot move a joint.
And a couple definition reminders:
- A break, fracture, crack all describe the same injury,
- a stretched or torn tendon is called a strain
- a stretched or torn ligament is called a sprain. By definition an ACL tear is a sprained knee.