pennstate10

Travis Williams had 2 KO returns for TD in one quarter. Packers around 1968.

Seems like we play at KC every year because we do play at KC every year…

Penn State has had three players medically retire due to hypertrophic cardiomyopathy (HCM) diagnosed in asymptomatic players, in the past five years. Two (one was a DB, one an OT) were high profile recruits that were diagnosed by screening (most likely a conventional echocardiogram, but this is an assumption) on arrival at PSU. This makes sense to me, as high schools typically dont do any cardiac screening for athletes, so the first time D1 student athletes get cardiac screening is when they enter college. The third case is a bit more complicated. Journey Brown played 3 years, and was considered a day 2 draft pick going into the 2020 season. But, because of Covid and the threat of myocarditis due to Covid (not Covid vaccine, since this was in the days before Covid vaccine, think Tommy Sweeny who had Covid myocarditis), all PSU players had additional baseline cardiac testing. It was during this second round of screening that the docs discovered that Journey Brown had HCM. But he had played 3 years without any reported cardiac problem before the diagnosis became evident with a second round of testing. https://www.espn.com/college-football/story/_/id/30299931/penn-state-journey-brown-retiring-football-due-heart-condition HCM is a genetic condition that you're born with, but, as with many genetic conditions, the condition may become evident at different times in life. Why did the initial set of tests not discover HCM? The above notes are facts, but now I'm going to speculate. My guess is that either he had a normal echo on enrollment at PSU, but that the disease progressed, such that a second echo now picked up the disease. Alternatively, he may have had a borderline echo with the second echo, such that he was sent for additional testing. He did in fact have an additional evaluation at Hershey Med Center (100 miles from PSU), where the diagnosis was made. My guess is that Brown did indeed have additional tests, such as cardiac MRI, stress echo, and molecular genetic testing to assist in making the diagnosis. My guess, and this is speculation, is that NFL teams do screening echos on players. But these initial screens arent perfect, as illustrated by Journey Brown's case.

I'm not a cardiologist; I'm a cancer doc. I have an interest in hypertrophic cardiomyopathy (HCM) due to friends and family with the condition. Traditionally, the diagnosis of HCM has been made based on trans-thoracic echocardiogram (TTE) findings. A LV wall thickness of > 15 mm is consistent with HCM, while a wall thickness of 13 mm is borderline. This is made all the more confusing by the fact that high level athletes often have functional increases in LV wall thickness thought to be due to training effects. Functional (stress echo) testing can help make the diagnosis by eliciting a pressure gradient between the left ventricle and left ventricle outflow tract with exercise. My colleagues tell me that cardiac MRI is a better (but more costly and time-consuming) way to diagnose HCM, and may be the wave of the future. Supplemented with genetic testing. Please note that all of this may have nothing to do with Damar's episode, which was probably commitio cordis (and I stress probably since no diagnostic information has been reported by his docs). I have to admit that I'm a bit puzzled that there are zero reports of commitio cordis in D1 college or NFL over the past 50+ years. Why Damar, and why now?

A stress echo can give additional info as to whether left ventricle outflow tract obstruction occurs with exercise (stress). it may give helpful data in borderline cases See https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2017/11/17/09/17/role-of-exercise-testing-in-hypertrophic-cardiomyopathy Since commitio cordis is a diagnosis of exclusion, I’m guessing his docs will do all they can to rule out alternate diagnoses.

Huh... As stated, I think that your linked video was a good general explanation of commotio cordis and potential complications and therapies. I disagreed with your analysis with respect to Hamlin, as quoted here: "This video is great as it confirms the diagnosis, but it really does a fantastic job showing the complications from cpr;the possible development of acute respiratory distress syndrome associated with cardiac arrest ; he mentions two resuscitation attempts; he shows the changes in the lungs on X-ray and why 100% oxygen was needed" 1) Diagnosis of CC wasnt confirmed, in fact, Cincy ICU docs specifically stated that they have more evaluation to do before arriving at a dx. CC is a diagnosis of exclusion. I'm not saying that CC isnt the correct diagnosis. But have the docs ruled out hypertrophic cardiomyopathy, for instance? This can be difficult to rule out without genetic testing and stress echocardiograms. Hard to do a stress echo on an intubated patient. 2) There werent 2 resuscitation attempts. 3) The CXR shown wasnt Hamlin's, but an example of a patient with ARDS (who in all likelihood didnt have CC). Are you a physician? I am. Most docs I know are careful with their words, and would never state a diagnosis was confirmed based on what TV docs were speculating. Great news that Damar is awake and communicating. Thats really, really promising re: neurologic status. Hopefully they will be able to extubate him soon.

To be clear, this video does not confirm that Hamlin had commotio cordis, nor does it update his condition. The video is a general explanation of commotio cordis and the subsequent treatment options for the condition as patients recover. One bit of new info is the report that uncle said he was awake before being placed in a coma. If that’s correct, that is incredibly good news. Means that he was alert enough to communicate prior to protective coma.

Reading comprehension my friend. 34 (half) of the cases were informal at a private home. You know anyone who has an AED at home? Didnt think so.

Good topic Royale. A few thoughts. 1) We're all shaped by our personal experiences. But I think its important to be able to take a big picture view of things. How likely are bad outcomes? As tragic as Damar's injury is, its extraordinarily rare. Much more common are concussions, broken bones, and soft tissue injuries. A child died at one of my sons lacrosse games; brain aneurysm. And my neighbors daughter ended up in a ped ICU for 2+ weeks playing soccer. She was a goalie, dove to cover up a loose ball, and got kicked in the head. 2) Exactly what is the likelihood a high school football player develops CTE? Hard to know, since CTE is usually diagnosed postmortem. But all available data indicates that college and NFL player are at far more risk of CTE than a kid who stops football after high school. Its cumulative brain trauma thats important. The C in CTE is "chronic". Think of it this way. There are over 1 million high school football players in the US. If they are all at risk for CTE, that would be roughly 35 million males in the US between ages 50-85. So our nursing homes would be filled with male patients with CTE-induced dementia, right? In fact, women are about 2X more likely than males to develop dementia. 3) Life is not risk free. All decisions we make have a risk-benefit ratio. So whats the benefit of playing football? -teamwork -discipline -training- -camaraderie -staying out of trouble Now sure, many other after school activities have the same benefits. But, both from personal experience and my kids experience, football is king at many of these. I encouraged my son to play high school football. He played hockey and lacrosse until high school. Many of his high school teammates remain his best friends today. And although he went to a diverse high school, our neighborhood was largely white. Most of his black friends were from the football team. Kids who ended up attending his wedding, and he attending theirs. In the end, its a personal decision. My opinion, learn the facts, learn what is really known about high school athletes and injuries (high school sport with most injuries is......cheerleading), and support your kids.

During gulf war 1 in 1990 or 91 they skipped the 2 was and made it a one week break. That was the Bills Giants super bowl.

My best guess is that this is correct. The Hit didnt look severe enough to cause commotio cordis, and if it did, he would have sudden vfib, and wouldnt have stood up. I think a vascular injury, vertebral artery (neck seemed to take most of the blow) or aortic/subclavian artery rupture/dissection is most likely. Seems that he's stabilized now, but may have suffered brain injury due to cardiac arrest or hypotension.

Just my opinion of course, but I thought that the first Jets game was the only game this year in which the Bills were beaten. Our lads lost to Miami in a perfect storm of injuries and heat stroke,and sorta choked in the Minnesota game. But Jets clearly outplayed Bills in game one and deserved the W. They have a strong DL, strong run game (prior to Hall injury), and a promising #1 WR. I thin Wilson is OROY. Long term, I see Jets as toughest completion in afc east.

Your math is off. You need to divide the 250 snap by 3 players. So it really 83 snaps, or 1.5 games at the most.

Huh. According to this link, Brown has elite speed and agility. But far be it for me to argue with labillbacker’s eye test also, call me crazy, but moving a 6’8” guy with back problems from tackle to guard may not be the brightest idea

“Nutrition is at least half of player performance” I’m curious if there is any data to support this quote, or whether it’s made up out of thin air. I went to Chefs when I was in Buffalo a couple months back. Waiter told me that Bruce Smith used to come in every Friday for a 3 pound plate of spaghetti “parmed”. These guys are incredible athletes with monster caloric demands. I’m thinking that the most important thing is to get sufficient protein and calories. Don’t really need a personal chef for that; it’s a luxury, but not necessary. Weight, speed, and endurance training are necessary.

? Brutually means with extreme force. Don’t see a problem there.

50:50 chance that gets flagged as personal foul unecessary roughness today.

Ahh... i 'll see you the Allen unsportsmanklike and raise you the Allen trifecta. Facemask one Rams DL, throw him into another, and stiff arm AAron Donald for good measure. Never seen a QB called for facemask before.

Of the three AFC East teams the one that worries me most is Jets. I think Jets loss is the only really legit loss — where Bills was outplayed—the Bills have this year.

Kick was from the 15 yd line so it was 25 yd not 20. where did your figure of 1% come from? Is this based on any facts or simply made up!

Taiwan Jones. Guy must have some compromising pictures of McD.

Hey, just curious. after seeing missed 35 and 38 yd kicks this week, is everyone absolutely sure that not taking a sure TD was the right move? My opinion is that it was a close decision, but that McD should have taken the TD. FG, especially in bad weather, might be 90+%, but it’s never 100%

I think Josh is the MVP. 1) Re: passing stats, consider the windy, rainy, snow bad weather games for Josh. Also consider that bills receivers have highest drop rate in NFL. Despite this , Allen is a top 3 passer when considering all passing stats. And a top 3 runner. 2) Consider supporting cast. Mahomes has Reid, and a top 5 OL. Hurts has the best OL. Burrow has the best trio of wr in NFL. Josh has a below average OL, a first year OC, and 1 top WR. 3). Someone might say Josh has advantage of a top 3 defense. Although this is clearly an advantage if you want to win a Super Bowl , it’s a disadvantage in the mvp race. A top scoring D means you need fewer points, and therefore less offensive output, less gaudy passing stats to win a game. I think it would be interesting to see how DC would vote as to which QB they least like seeing. I guess it would be mahomes and Allen, then burrow, then Herbert, then hurts.

Huh. I do recall a threaD about last weeks game in which posters were debating whether a 25 yd FG was automatic or no.

Love those Genny Cream Ale pounders. nowhere to get them in the DMV.