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Monday, May 7, 2018

CTE Epidemic by Hunter West


Sports concussion epidemic CTE, one of the many brain diseases that can kill you with ease, and the only reason you have this disease is because your coach said to lead with your screws on your helmet”. Sounds terrible, but this is just one of the many issues with sports concussions. According to, "http://www.protectthebrain.org" an estimated 3.8 million people suffer each year due to sports related concussions. Is all that we can doreally all that we can do to prevent these brain traumas. Your brain is quite literally who you are; why not take it as seriously as possible?
            So what exactly causes CTE? Just a single hard hit to your head has the potential to cause serious injury in your brain. Usually these types of hits result in a concussion. However, the hits that are taken to the head can become frequent, and over time the multiplying blows to your head can eventually cause CTE. The brains of football players with CTE will actually have shrinkage as a whole. As well as certain areas such as the medial temporal lobe; this specific lobe is important for your memory. Furthermore Some parts of the brain show tangles of tau protein. We all have tau protein, but it forms tangled fibers in CTE and in certain other neurodegenerative diseases, like Alzheimers” (Skwarecki). Scientists are working hard and figuring out how these tangles are created as well as the way they are connected to the symptoms people exhibit. Typically the severity of CTE is made up of four levels. Each parts symptoms are: level 1: attention problems and headaches, level 2: short term memory problems, depression, and mood swings, level 3: explosiveness, aggression, and memory loss, and finally level 4: memory loss, horrible cognitive problems, and dementia. Now not every football player get CTE, in fact many do not get it at all. Football players that play more seasons, and people that began playing at a young age, are much more inclined to have a chance of developing CTE.  CTE isnt reserved for just football players either, military veterans, boxers, and even soccer players can suffer from CTE.
            The history of all this CTE talk starts with a pathologist in Pennsylvania named Dr. Omalu. This man, against all odds, constructed a massive push forward in concussion studies. An article suggests that, On a foggy, steel gray Saturday in September 2002, Bennet Omalu arrived at the Allegheny County coroners office and got his assignment for the day: Perform an autopsy on the body of Mike Webster, a professional football player. Omalu did not, unlike most 34-year-old men living in a place like Pittsburgh, have an appreciation for American football.” (JEANNE MARIE LASKAS). So when Dr. Omalu began the autopsy of Mike Webster, everything started out very typical of a heart attack case. He continued the autopsy and made his way to Websters brain. Omalu sat there and was very intrigued by Websters brain. He started to think to himself about why a big athletic human being can just go crazy so seemingly overnight. At first Omalu thought that it could just be something  as simple as what is known as punch drunk syndrome which originated from boxers getting hit in the head so much. Even though football players wear protective helmets, your brain is still quite exposed to serious blows. Omalu did his basic visual examination of the brain and it seemed normal and healthy, just like any other brain. He would not give up though, knowing that something was not right. Dr. Omalu then brought the brain to his superior Dr. Cyril Wecht. He got permission to run more tests on the brain in hopes of uncovering the secret that lied behind Mike Websters radical behavior. After countless hours and days, Omalu finally found it; there were brown and red spots everywhere in one of the brain samples. Tau proteins were everywhere, destroying cells that are accountable for emotions, temper, and so on. This is the reason Mike Webster went loony”. This was just the beginning of CTE.
          The only way to beat CTE or cure it is flat out prevention. However football is not going away so, what are we going to do about these constant hits to the head? So far we have recently 
discovered that CTE is a form of dementia. Although it is still up in the air here is how we think we can cure CTE, “The concept is to put neuroplasticity on hyper drive, in other words
build a larger, thicker than normal web of brain neurons and neuron connecting cells so to strengthen our central nervous system.  Football players make their bodies as strong and tough as humanly possible, we must do the same for our brain. We must grow and strengthen our brain generating neuroplasticity” (Janet Rich Pittman). There are three steps in doing this. Step 1 is to do aerobic exercises for at least 6 days a week for the rest of your life. Step 2 is exercising your brain itself, creating and earning mental accomplishments for yourself. Finally step 3 is to eat as natural as you can without any processed food of any kind, at least 8 hours of sleep every single night, and to find your purpose to live.
          CTE is one crazy disease that is near impossible to avoid as a football player, especially as a professional. CTE has never been taken as serious as it deserves, and it shows. CTE can and will kill many in a terrible fashion. What we have learned in the past, and what we know now needs to contribute more towards how we treat these types of head traumas.
          CTE is one of the most destructive outcomes to any contact sports player. The question still remains though; are there any solutions to put an end for CTE? Well many are trying, such as helmet modifications, different protocols, even cannabis.
            Starting out with the helmet modifications, in the past, first modifications that were made was usually an outer-shell that would be around the helmet. Many players hated this design and never actually used any of the outer-shell type modifications. However, new designs are quite innovative. A helmet organization called VICIS made a helmet that would crumple, similar to how the body of a car acts in a crash. An article stated, “The helmet has been picked up by 25 of the 32 NFL teams as well as about 20 college programs and will be rolled out during spring practices this year, though it is not known how many will actually be worn. In terms of safety, VICIS is far better than its competitors. 33 helmets were tested by the NFL, including 23 from Riddell and Schutt, and the VICIS ZERO1 finished first among its competitors, showing that this is the safest model on the market” (Chmura). Its great to see companies becoming more and more inclined to make helmets that will protect these football players from future problems.
Even though its a very good thing that we are now being more active on this topic, (CTE) it is also devastating that it took so many deaths and lawsuits just to get a big push for more research.
The NFL has been ridiculed for having a loose concussion protocol system forever and finally, just last year made some changes. Things like requiring a non-biased neurotrauma consultant at every single game. The changes went underway on December 11th of 2017 by the NFLs head, neck, and spine committee. The consultant at games will monitor the plays by broadcast coverage and will push protocol whenever needed, such as contacting the teams medical staff that are there on the sidelines to make sure that they are aware of whats going on. For the big playoff games, there will be an additional neurotrauma consultant will be there; that way, if another player gets hurt then the other consultant will take on that situation immediately.
   This article continues on to state, “Among other changes, an impact seizure will be treated as a loss of consciousness and force removal of a player from a game. A player who stumbles or falls to the ground trying to stand, unrelated to an orthopedic injury, will be sent directly to the locker room for examination. If a player passes the exam, he could be allowed to return to the game (France-presse). Image result for cte
Desperate to find a way to eliminate or at least slow down CTE, scientists have now turned to cannabis. Even though there is no solid evidence, there have been a few reports of cannabis having the ability to give neuroprotection. “Cannabis contains dozens of biologically active compounds known as cannabinoids, including some that preliminary research suggests may help limit the degeneration of brain tissue associated with CTE.
One 2016 study showed that the cannabinoid tetrahydrocannabinol (THC) can limit brain inflammation and the accumulation of harmful proteins in brain cells seen in people with Alzheimer's disease” (Basen). Although marijuana has tested benefits, it will be a very long while before cannabis will be allowed to protect the brains of professional athletes.
While CTE is a devastating brain disease that seems unstoppable, our scientists are working their absolute best, and they will eventually find a solution to protect our athletes. Whether it is improved helmets, more intense protocols, or even marijuana; we will find a cure.                           


Works cited

Pittman, Janet Rich. “3 Ways to Beat CTE.” The Brain Nerd, Helping Prevent, Even Reverse Alzheimer's/Other Dement, 10 Aug. 2017, www.thebrainnerd.com/single-post/2017/08/10/3-Ways-to-Beat-CTE.

-Ghaemi, Nassir. “A Cure for CTE?” Medscape Log In, www.medscape.com/viewarticle/857105.

Skwarecki, Beth. “All About CTE, the Brain Trauma Common in Football Players.” Vitals, Vitals.lifehacker.com, 22 Sept. 2017, vitals.lifehacker.com/all-about-cte-the-brain-trauma-common-in-football-play-1818667327.

UC Davis Health, and Department of Pathology and Laboratory Medicine. “Bennet Omalu, M.D., M.B.A., MPH, CPE, DABP-AP, CP, FP, NP.” Department of Pathology and Laboratory Medicine, 2018, www.ucdmc.ucdavis.edu/pathology/our_team/faculty/OmaluB.html.

Leaskas, Jeann Marie, and Nick Veasay. “Bennet Omalu, Concussions, and the NFL: How One Doctor Changed Football Forever.” GQ, GQ, 15 Sept. 2009, www.gq.com/story/nfl-players-brain-dementia-study-memory-concussions.




Mayo Clinic. “Chronic Traumatic Encephalopathy.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 20 Apr. 2016, www.mayoclinic.org/diseases-conditions/chronic-traumatic-encephalopathy/diagnosis-treatment/drc-20370925.

-Basen, Ryan. “Can Science Solve Football's Concussion Crisis?” NBCNews.com, NBCUniversal News Group, www.nbcnews.com/mach/science/can-science-solve-football-s-concussion-crisis-ncna809771.

-France-presse, Agence. “N.F.L. Changes Concussion Protocol.” The New York Times, The New York Times, 25 Dec. 2017, www.nytimes.com/2017/12/24/sports/football/nfl-concussion-protocol.html.





-Chmura, Chris. “The Solution To CTE In Sports May Be Coming Sooner Than You Think.” Medium, Section240, 17 May 2017, medium.com/section240/the-solution-to-cte-in-sports-may-be-coming-sooner-than-you-think-7fbfd01be135.

-McDermott, John. “This Doctor Thinks He's Found a Way to Treat CTE. So Why Won't Anyone Fund His Research?” MEL Magazine, MEL Magazine, 23 Aug. 2017, melmagazine.com/this-doctor-thinks-he-found-a-way-to-treat-cte-so-why-wont-anyone-fund-his-research-6e736caa05d.

concussion legacy foundation. “What Is CTE?” Concussion Legacy Foundation, 30 Aug. 2017, concussionfoundation.org/CTE-resources/what-is-CTE.

brain injury research institute. “What Is CTE?” What Is CTE? | Brain Injury Research Institute, 2018, www.protectthebrain.org/Brain-Injury-Research/What-is-CTE-.aspx.









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