Brain Damage Found in Sixth Deceased Former N.F.L. Player

S.C. Joe

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What I was saying about why O.J. was acting so dumb...his brain is messed up from playing football, now its looking like there might be something to it :(
Sure these guys get paid great but is it worth it?

http://www.nytimes.com/2009/01/28/sports/football/28brain.html?_r=1&hp

By ALAN SCHWARZ
Published: January 27, 2009

TAMPA, Fla. — Brain damage commonly associated with boxers has been found in a sixth deceased former N.F.L. player age 50 or younger, further stoking the debate between many doctors and the league over the significance of such findings.

Doctors at Boston University’s School of Medicine found a condition called chronic traumatic encephalopathy in the brain of Tom McHale, an N.F.L. lineman from 1987 to 1995 who died in May at age 45. Known as C.T.E., the progressive condition results from repetitive head trauma and can bring on dementia in someone in their 40s or 50s.

Using techniques that can be administered only after a patient has died, doctors have now identified C.T.E. in all six N.F.L. veterans between the ages of 36 and 50 who have been tested for the condition, further evidencing the dangers of improperly treated brain trauma in football.

“It’s scary — it’s horribly frightening,” said Randy Grimes, who played center next to McHale on the Buccaneers for several years. “I’ve had my share of concussions, too. More than my share. My wife says I have short-term memory loss. It’s really scary to think of what might be going on up there.”

The McHale case was announced Tuesday afternoon at a news conference in Tampa — where McHale had lived and where the Super Bowl will take place on Sunday — held by Boston University’s Center for the Study of Traumatic Encephalopathy.

“This is a medically significant finding,” said Dr. Daniel P. Perl, the director of neuropathology at the Mt. Sinai School of Medicine in New York, who is not affiliated with the Boston University group. “I think with a sixth case identified, out of six, for a condition that is incredibly rare in the general population, there is more than enough evidence that football is clearly strongly related to the presence of this pathology.”

Dr. Ira Casson, co-chair of the N.F.L. committee that has studied concussions since 1994, said he could have no reaction until the McHale case and other recent C.T.E. findings appear in a peer-reviewed scientific journal.

“It’s very hard to react to things and to case studies that are not presented in appropriate, scientific form and have not gone through peer review,” said Dr. Casson, a neurologist at Long Island Jewish Medical Center. He added: “I think that there are many questions that still are out there as to whether there is a kind of traumatic encephalopathy associated with football. I think we don’t know. I think that there is not enough scientific evidence to say that there is.”

Dr. Ann C. McKee, co-director of the Boston University group, said that she was completing a paper on the football C.T.E. cases that could be published as early as May. She added that the presence of C.T.E. in McHale and the previous case, the former Houston Oilers linebacker John Grimsley, were confirmed by Dr. E. Tessa Hedley-Whyte, the director of neuropathology at Massachusetts General Hospital.

After leaving Cornell University, McHale played on N.F.L. offensive lines for nine seasons, most of them with the Tampa Bay Buccaneers, before retiring and running several Tampa-area restaurants. According to his widow, Lisa, he developed such chronic pain in his shoulders and other joints that in 2005 he began taking improperly large doses of the painkiller OxyContin, which exacerbated his lethargy and depression and led him to take cocaine occasionally to offset those effects.

McHale spiraled downward, went through drug rehabilitation three times, and died on May 25, 2008, of a lethal — and deemed by the police, accidental — combination of oxycodone and cocaine. His death shocked many former teammates and players, several of whom remembered him as an intelligent and responsible man.

Lisa McHale said she did not recall her husband’s having any concussions in college or in the N.F.L. Dr. McKee said the brain damage he developed — which drug abuse cannot cause, doctors added — probably played a role in his self-destruction in his final years.

“You would expect the symptoms of lack of insight, poor judgment, decreased concentration and attention, inability to multitask and memory problems,” Dr. McKee said of the damage she found in McHale. “I didn’t really have the part of the brain that is most commonly associated with depression, so I can’t evaluate that.”

Lisa McHale said that the finding of C.T.E. in her husband’s brain gave her some solace by offering a more tangible explanation for his emotional demise, and perhaps sparing him from a bleak future. According to Dr. Robert A. Stern of Boston University, who conducted the McHale investigation along with Dr. McKee, had McHale lived he probably would have had full-blown dementia by age 60.

“I really was just overwhelmed with sadness for Tom, that his brain was in that state,” Lisa McHale said. “All of our efforts that I had been witnessing the last couple of years, where he was putting all of himself into trying to get better and trying to regain his former self and working so hard and being so frustrated, it hit me hard.”

Only one N.F.L. player examined for C.T.E. has not shown the condition — running back Damien Nash, who collapsed in 2007 while playing basketball at age 24. The progressive disease is virtually never found in anyone that young.

“I’m hoping that six of six is finally going to turn people’s heads,” Lisa McHale said of the 36-to-50 age group. “We’re not talking about turf toe — we’re talking about a significant brain injury that has huge implications in terms of people’s health. If they can finally let players know what the risks are, it won’t bring Tom back, but it would make his death a great deal less meaningless.”

An N.F.L. pamphlet given to all players, emphasizing the seriousness of concussions and the procedures regarding them, also says that “current research with professional athletes” has not shown that multiple concussions have long-term effects “if each injury is managed properly.” It does not say that that research was conducted by the N.F.L.’s own committee, and that outside published research on N.F.L. retirees has shown increased risk for cognitive impairment, depression and dementia. The pamphlet also makes no mention of the C.T.E. cases, whose increasing number is convincing many experts that subconcussive brain trauma can have cumulative effects as well.

Jeff Pash, the N.F.L.’s executive vice president for labor, said the league committee was continuing its own study of retired players, which began in 2007 and will probably not be published until 2011 or 2012. Regarding the McHale finding and the reported link between C.T.E. and cognitive decline, Pash said: “I look forward to seeing this report. It’s something we’re paying a lot of attention to. And our study will yield some additional valuable information on this question.”

Pash added, in defense of the league’s wait-and-see approach: “There are a great many people who have played football and other contact sports for many years and at high levels who do not appear to have suffered these types of deficits. Whether it’s President Ford or major business leaders, whether it’s people on television.”

Having heard this explanation before, Dr. Perl said that many members of a group not having a condition is irrelevant to the question of how many do have it, and why.

“Let’s say 20 percent are susceptible to something — 80 percent are not going to show anything,” he said. “But if 20 percent have what should otherwise be a very rare condition, and that could be the case here, you can’t rely on the 80 percent to suggest there is no problem.”
 

Rockslinger

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Very sad, but I am not surprised. The "NFL" stands for "Not For Long". Football players do not have long lives (unlike retired civil servants who seem to live forever on their gold plated pensions). In addition to injuries, I think it is also the medication that messes up the natural order of their bodies.
 

johnhenrygalt

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to-guy69

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Old news. American football players and wrestlers have had health issues and a shorter lifespan than the average for many years now.
 

Rockslinger

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Do football players have unusually high rate of "Lou Gehrig" disease? Is Tony Proudfoot doing a study on that now?
 

Don

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S.C. Joe said:
Sure these guys get paid great but is it worth it?
Think back when you were 21 years old. Someone told you they'd give you say 30 million dollars over 10 years. But that you'd physically be a wreak by the time you were 40 and a mess when you are 50 and you'd die an early death and die before you reached 60. Would you take it? When I was 20, I thought 40 was really OLD and far off. I don't know for sure if I would have taken the deal but I would actually give it some thought.
 

S.C. Joe

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I recall when age 30 sounded old :p

AP is running the story too with a little more detail, guess the NFL is going to have a long term study released in 2010, right now they are in denial mode.

Another player is quoted as saying like oh well, not much can be done about it...well what about bigger helmets that have more padding..

Here is the link to th AP story.

http://customwire.ap.org/dynamic/st...ME&TEMPLATE=DEFAULT&CTIME=2009-01-27-20-37-46
 

Rockslinger

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tersey said:
The thing is the brain gets crushed against your skull when
you take a hard hit. No helmet can prevent that.
I think I read somewhere that the brain is like jelly (jello?) and it hits against the skull when there is impact on the skull. The helmet protects the skull but there is no "seat belt" to keep the brain stationery.
 

johnhenrygalt

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Rockslinger said:
I think I read somewhere that the brain is like jelly (jello?) and it hits against the skull when there is impact on the skull. The helmet protects the skull but there is no "seat belt" to keep the brain stationery.
That is exactly the problem. What is needed is softer, sponge-like helmets, to (a) slow down the deceleration process when the head makes contact and (b) to discourage players from using their heads as a weapon. While this may increase the risk of cranial fractures, in would reduce brain damage.

The other thing that is needed is a change in the culture of "shaking off" injuries, especially head injuries. A man suffering a concussion should never be returned to the field of play in the same game and should probably sit out a couple weeks.

This is not limited to the NFL either. Brain damage is inflicted every week during football season in university, junior, high school and other childrens' football leagues. The damage suffered at these levels is largely ignored and undocumented.

The extreme cases result in dementia (Hall of famer Mike Webster is an example), but many many lesser forms of depression and other frontal-lobe disorders (adult attention deficit disorder for example) are exacerbated by football-related brain damage.

Fathers - don't let your sons play football.
 

Nickelodeon

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Agree with the general consensus.

I love the NFL because of the speed and skill level. But I cringe when I see open field hits or short downs on slants.

I think they need to do more to protect these guys instead of treating them like cannon fodder for the glory of the league.
 

Rockslinger

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johnhenrygalt said:
Fathers - don't let your sons play football.
I only ever played touch football (usually mixed whenever possible). However, I did play a lot of hockey but retired from body contact hockey at age 26 because I didn't want to subject my body to any further damage. The preferred sports for my children would be tennis, golf, etc. Less stress on the body and still big purses.
 

JohnHenry

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The CBC's Fifth Estate did an hour on this story just before Christmas. It detailed the lives and deaths of three Edmonton Eskimos and touched on the problems of a former Patriot.
 

Rockslinger

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JohnHenry said:
The CBC's Fifth Estate did an hour on this story just before Christmas. It detailed the lives and deaths of three Edmonton Eskimos and touched on the problems of a former Patriot.
Did they mention anything about "Lou Gehrig" disease?
 

BallzDeep

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It's the nature of the sport, nothing can be done about it. Nobody forces them to play.
 
E

enduser1

BallzDeep said:
It's the nature of the sport, nothing can be done about it. Nobody forces them to play.

Well, culturally, in some parts of the USA children are forced to play. In fact the social pressure form parents to have their children play is intense.

EU
 
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